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HomeMy WebLinkAbout31978-ZFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31821 Date: 09/19/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 8955 MAIN RD EAST MARION (ROUSE NO.) (STREET) {HAMLET) County Tax Map No. 473889 Section 31 Block 3 Lot 16 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2006 pursuant to which Building Permit No. 31978-Z dated MAY 9, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is "AS BUILT" INTERIOR ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to TRACEY BYRNES of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMEIqT OF H]~ELTH APPROVAL ELECTRICAL c~KTIFICATE NO. PLUMBERS ta~KTIFICATION DA'~'~u 09/08/06 N/A 2072979 08/25/06 RBT.VANETTEN PLUMBING //uth~ize~ Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depa~ment with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees : 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County T~ Map No 1000, Section Subdivision Old or Pre-existing Building: mare Street i_ Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. (check one) Hamlet t e5 Block ODD '~ Lot O I/,~ Filed Map, Lot: Applicant: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: v,/ (check one) ~,,,_,.,- Appl'c~(~ign~tur~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31978 Z Date MAY 9, 2006 Permission is hereby granted to: TRACEY BYRNES for : AS BUILT INTERIOR ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. ADDITIONAL CERTIFICATION MAY BE REQUIRED. at premises located at 8955 MAIN RD County Tax Map No. 473889 Section 031 pursuant to application dated MAY Building Inspector to expire on NOVEMBER Fee $ 400.00 EAST MARION Block 0003 Lot NO. 016 8, 2006 and approved by the 9, 2007. ~d Signature ORIGINAL Rev. 5/8/02 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by TUCKER ELECTRIC, INC 1800 HARBOR LN./BOX 1065 CUTCHOGUE, NY 11935, TRACEY BYRNES 8955 MAIN RD. EAST MARION, NY 11939 Located at 8955 MAIN RD. EAST MARION, NY 11939 Application Number: 2072979 Section: Block: Lot: Certificate Number: 2072979 Building Permit: BDC: ns11 Described as a Commcrcia[ occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor~ Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 25th Day of August, 2006. Name Alarm and Emergency Equipment Emergency Light Exit Light Appliances and Accessories Air Conditioner Refrigerator/Freezer walk in type Wiring and Devices Outlet Fixture Fixture Outlet Receptacle Switch Receptacle Service Service Disconnect: Service Disconnect: Meters: 2 QTY Rate Ratinl~ Circuit Type 2 0 2 0 I 0 36.000 B~ 10 22 0 6 0 16 0 20 0 15 0 8 0 4 0 Fixture Incandescent Flourescent General Purpose General Purpose General Purpose GFCI 1 200 cb I 100 cb Continued on Next Page 1 of 2 seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by TUCKER ELECTRIC, lNG TRACEY BYRNES 1800 HARBOR LN./BOX 1065 8955 MAIN RD. CUTCHOGUE, NY 11935, EAST MARION, NY 11939 Located at 8955 MAIN RD. EAST MARION, NY 11939 Application Number: 2072979 Certificate Number: 2072979 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 25th Day of August, 2006. Name QTY Rate Ratin~ Circuit Type seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 B~U'ILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Building Permit No. .-~ I q '7 ~2 7__ Owner:--/--V-r~c'.,oan /_ ~:~I/rVI~_~ - ,~J (Piease prifit) Plumber: '~,,Db~ ~fJfl [~_~ (Please print) Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~-~ day of~~L~. ,20 t~ ~ Notary Publi~~ounty . Suffolk 0 (Plumbers Signature) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [/,~]~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU/LATION ] FRAMING / STRAPPING [/,,3]~INAL [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FOUNDATION (1ST) ..~ FOUNDATION (2ND) ROUGH FRA1VI~G & PLUMBIIqG INSULATION PER lq. Y. STATE ENERGY CODE Y~/~//~ ~ ?~d,t c_~ . ~D~ON~ CO~TS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ / Examined ~/c~] ,20 Approved F [~ ,20 Disapproved a/c Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~ Phone: Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 0 (a ~-~-This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /~x [,- - (Sig~m'ha'e~o/f applica~l~or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be don.e: , House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block~ Filed M/t~-No. - Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth_ Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Sizeoflot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO__ 13. Will lot be re-graded? YES __ NO__Will excess fill be removed from premises? YES__ 14. Names of Owner of premise ~Jdff~2~Address _,~.. 5'h-/ffdJ~/'/~/./~ Jr'. Phone No. Name of Architect ~Address Phone No Name of Contractor Address Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF x~H ~1/_.) ~rCtO'~'~ L C'~[~lrtq~ > being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing co~ract) above named, (S)Heis the /e~D f'~ liN_ 1 (ContractOr, Agent,~orpomte Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn ~ ~j~fore me this d yof Notary Pfiblic 650 Vanston Road Cutchogue, New York 11935 Phone 631 -734-2794 EMAIL fickneileen~optonlin~.net APP~IOV£D AS NOTED DATE'q.~.~ B.P. FEE:¢~ q/J/) By: ~7t:~O_fi~k NOTiFTY BUILDING DEPARTMENT AT 78~-180a 8AM TO 4PM FO~ THE FOkLOWIN~ ~, FOUNDATION - ~O ~EQUIflEO FOR POURED CONCfl~E 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. RNAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENT8 OF THE CODES OF NEW YORK STATE. NOT RE8PONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF SOUT? JLD TOWN ZBA SOUTr~OLD TOWN PLANNING BOARD SOU]HOLD TOWN TRUSTEES N.Y.S. DEC ALL CONSTRUCTION 8HN.[ MEET THE REQUIREMENTS OF THE ~' 7'DES OF NEW YORK STATE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFICATION ON LEAD CON~ENT BEFORE CERTIFICATE OF OCCUPANCY SOL DER U,3ED IN WA TER SUPPLY SYSTEM CANNOT EXCEED 2/10 OF I% LEAD. UNDERWRITERS CERTIFICATE'