HomeMy WebLinkAbout32068-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 01/31/07
No: Z-32169
THIS CERTIFIES that the building ACCESSORY FARM BUILDING
(STREET)
Block 2
ORIENT
(HAMLET)
Location of Property: 35675 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 19
Lot 10.1
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 19, 2006 pursuant to which
Building Permit No. 32068-Z
dated
JUNE 1, 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 ADDITIONS & ALTERATIONS TO AN EXISTING ACCESSORY FARM BUILDING AS
APPLIED FOR.
The certificate is issued to SGDP LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3014452
01/04/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
~/6- 3iiSc:> -c>75'~
) .
Form No.6
TOWN OF SOUTIlOLD
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 Department with the following:
A. For new building or new use:
I. 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 I % 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 (pdor to April 9, 1957) non-conforming nses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A p;operly completed application and consent to inspect sign~d by the applicant. If a CertiflCate8f~cupancy is
demed, the BUlldmg inspector shall state the reasons therefor m wntmg to the applicant. n\:.IJ
,
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
/'2/7/0C:.
<34~
(check one)
Old or Pre-existing Building:
"3 5" t 7 ~ 11 ''I/,IV /2. -..L
House No. Street
Date.
/
New Construction:
Location of Property:
- -
"""/2- I ""-I
Hamlet
Owner or Owners of Propeliy:
5' ;r~v~__
/""1. /"1~-;z.'7'~;.~>I.tt!..I-.
,
Suffolk County Tal' Map No 1000, Section
Ol"t
Block
.02
Lot
)0, /
Subdivision
/( Permit No. ,3;). O(P '6
Date of Pertnit.
Filed Map.
Applicant:
Underwriters Approval:
Lot.
Health Dept. Approval:
Planning Board Approval:
';2...-~ ?"3=/
-
Request for: Temporary Certificate
Fee Submitted: $ :2--~ ~o
Final Certificate:
/
( check one)
~~
Applicant Signature
~.11lt.f~
COc3JI~~
/q. - 2 .'0./
I!I~~I!I
~ .. - BY THIS CERTIFICATE OF COMPLIANCE THE ~
i NEW YORK BOARD OF FIRE UNDERWRITERS i
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 10038 R 0 U pOJ) I S ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ G. CRAIG ELECT. CONST. CORP. STEVEN MEZYNIESKI ~
~ 144 MARINER DR 110 NORTH MAGEE S1. ~
I SOUTHAMPTON, NY 11968, SOUTHAMPTON, NY 11957 I
~ Located at 35675 MAIN RD. ORIENT, NY 11957 ~
~ ~
~ Application Number: 2096301 Certificate Number: 2096301 ~
I Section: 019 Block: 02 Lot 10.1 Building Permit BDC: nsll ~
~ . . 3/807 ~
~ Described as a ReSidential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of ~
i electrical devices and wiring, described below, located in/on the premises at: i
~ Basement, First Floor, Second Floor, Outside, Attic, ~
~ 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 1st Day of December, 2006. ~
ml Name OTY Rate Ratinl! Circuit ~ ~
~ Alarm and Emergency Equipment ~
~ Sensor 1 0 Carbon Monoxide ~
~ Sensor 7 0 Smoke ~
~ Appliances and Accessories ~
~ Exhaust Fan 4 0 F.H.P. ~
~ Dish Washer I 0 1.2 KW ~
~ Furnace 1 0 Gas ~
~ Pump Motor I 0 1 H.P. ~
~ Air Conditioner 1 0 24.000 BTU ~
~ Air Conditioner I 0 36.000 BTU ~
~ Air Conditioner I 0 42.000 BTU ~
~ Wiring and Devices ~
ii!I Outlet 39 0 Fixture ii!I
~ Fixture 39 0 Incandescent ~
~ Outlet 101 0 General Purpose ~
~ Receptacle 58 0 General Purpose ~
~ Switch 2461 00 General Purpose seal ~
mr Dimmers ~
I Continued on Next Page I of 2 I
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
I!I.I!I
[!J.[!J
~ . - - BY THIS CERTIFICATE OF COMPLIANCE THE If!, - ,;1 -It;. / ~
i NEW YORK BOARD OF FIRE UNDERWRITERS i
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ G. CRAIG ELECT. CONST. CORP. STEVEN MEZYNIESKI ~
~ 144 MARINER DR 110 NORTH MAGEE ST. ~
I SOUTHAMPTON, NY 11968, SOUTHAMPTON, NY 11957 I
~ Located at 35675 MAIN RD. ORIENT, NY 11957 ~
~ ~
~ Application Number: 2096301 Certificate Number: 2096301 ~
i Section: 019 Block: 02 Lo!: 10.1 Building Permit: BDC: ns11 i
~ OI'8'&f ~
~ Described as a Residential 2400-2999 square ft. occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
~ Basement, First Floor, Second Floor, Outside, Attic, ~
~ 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 1st Day of December, 2006. ~
~ Name OTY Rate Ratio!! Circuit ~ ~
~ Receptacle 2 0 20 amp Laundry ~
~ Paddle Fan 2 0 ~
~ Receptacle 31 00 20 amp Appliance ~
F.!l Disconnect 60 amp Air Conditioner F.!l
~ GFCI Circuit Breaker 1 0 15 amp ~
~ Receptacle 12 0 GFCI ~
~ S~~ ~
~ I Phase 3W Service Rating 300 Amperes ~
~ Service Disconnect: 2 150 cb ~
~ Meters: I ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ ~
~ 2 of 2 ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
[!J.[!J
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~ BY THIS CERTIFICATE OF COMPLIANCE THE Ie;, -;;;l - ! D. I ~
I NEW YORK BOARD OF FIRE UNDERWRITERS I
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
I CERTIFIES THAT-i))OUFjJj..Ji.5 I
~ Upon the application of upon premises owned by ~
~ ~
~ D A Z ELECTRICAL CONTR. STEVE MENESINESKI ~
~ 46 ANCIENT HWY 35675 MAIN RD ~
~ EASTHAMPTON,NY11937 ORIENT,NY11957 ~
~ ~
~ Located at 35675 MAIN RD ORIENT, NY 11957 ~
~ ~
~ Application Number: 3014452 Certificate Number: 3014452 ~
~ Section: 1000 Block: 019 Lot: 02-10.1 Building Permi!: BDC: n511 ~
~ 3~~D ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: C ID ~
~ Basement, First Floor, Second Floor, barn, Outside, II :3 J... llo 9 ~
~ 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 andlor 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 4th Day of January, 2007. ~
~ Name OTY Rate Rating Circuit ~ ~
~ Alarm and Emergency Equipment ~
~ Exit Light 2 0 ~
~ Sensor 4 0 Smoke ~
~ h~~ ~
~ I 200 9 ~
~~~~ ~
~ Outlet 28 0 Fixture ~
~ Fixture 28 0 Incandescent ~
~ Outlet 25 0 General Purpose ~
~ Receptacle 13 0 General Purpose ~
~ Switch 19 0 General Purpose ~
~ llimm= 2 0 ~
~ Receptacle 3 0 GFCI ~
~ ~
~ ~
I seal I
~ ~
~ 1 of I ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~
l!l.l!l
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.
32068 Z
Date JUNE
1, 2006
permission is hereby granted to:
SGDP LLC
28 WAINSCOTT HOLLOW RD
WAINSCOTT,NY 11973
for :
ADDITIONS AND ALTERATIONS TO AN EXISTING ACCESSORY FARM BUILDING
AS APPLIED FOR
at premises located at
35675 MAIN RD
ORIENT
County Tax Map No. 473889 Section 019
Block 0002
Lot No. 010. 001
pursuant to application dated MAY 19, 2006 and approved by the
Building Inspector to expire on DECEMBER 1, 2007.
Fee $
150.00
.,/
ignature
ORIGINAL
Rev. 5/8/02
2> ~~?t-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[~JrilNDATION 1 ST [
[ #OUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
or
DATE
INSPECTOR
320C;cf'i-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUND 'l'ION 1 ST [
[ ] F NDATION 2ND [
[ FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
~
I;";~" '" :::;
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,
c.J o-tL/c.-- cj
DATE
/0//\(10(.,
t
L
INSPECTOR.e:
51-&C. f'-t::
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PlBG.
] I lATION
FINAL
] FIRE SAFETY INSPECTION
REMARKS:
INSPECTOR
DATE !11()~
"
.
COMMENTS
~ r:._ ~~./ ~ . L ~
/ / / / ~ 1", j
//y/
"
FIELD INSPECTION REPORT DATE
</1/1/llk ,.,,:
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FOUNDATION (1ST)
FOUNDATION (2ND)
.
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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. ADDITIONAL COMMENTS 1/
101
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COUNTY OF SUFFOLK
e
STEVE LEVY
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF PLANNING
THOMAS A. ISLES A.I.C.P.
DIRECTOR OF PLANNING
February 9, 2006
Mr. Steve Mezynieski
110 N. Magee St.
Southampton, N. Y. 11968
t
Dear Mr. Mezynieski:
Re: property on north side of Sound Avenue Orient: tax map # 1000-19-2-10.1
Thank you for coming to the Suffolk County Farmland Committee on January 24th. The
Farmland Committee passed a motion to allow you to rebuild the house on a footprint the same
size as before and squared off to be located as close to the original site as possible but also
meeting the Town's setback requirements. Permission was also granted to rebuild the bam
adding access to the hayloft and putting a well and putting up a fence. All approvals are subject
to meeting Town requirements and regulations.
If you have any questions you can reach me at: 853-5111.
Sincerely,
~~
Roy Fedelem
Principal Planner
LOCATION
H. LEE DENNISON BLDG. .4TH FLOOR
100 VETERANS MEMORIAL HIGHWAY
.
MAILING ADDRESS
P. O. BOX 6100
HAUPPAUGE, NY 11788.0099
.
(516) 853-5190
TELECOPIER (516) 8534044
TOWN OF SOUTHOLD
BUILDING DEPARJ;MENT
TOWN HALL .
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthoIdI
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO. ~E.~ t
Examined
((, I
eI,
(
Approved
Disapproved alc
,20~
,20-'---
Expiration
,20
Mail to:
Phone:
>
-~-~\i~.
r ' \,- \\ c,'n... ~I.", J l' \\
1'\
--.
((\1\,/ \ 9
O~
. . APPLICATION FOR BUILDING PERMIT
, ,
~,' n \
....--
Date 1Y7 ~
lot
,20~
INSTRUCTIONS
l_-~-'----'
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 South old, 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 herein 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.
(Signature of applicant or name, if a corporation)
I/O
A/ov-th 11'lfii~{ I 8+. ;i~dwJ N!j
(Maili address of applicant)' \I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OW"I'Y
Name of owner of premises StollO'I W1. rvI~-z.~nL.(.-Sk..1.'
(As on'%e tax roll or latest deed)
If applicant is a corporation, signature of dul y authorized officer
(Name and title of corporate officer)
Builders License No. 3 73 ~O - ~ - /-)
Plumbers License No.
Electricians License No.
OtherTrade'sLicenseNo.3Iiv~11 M. i'1'1.nQnu~.L U-1C.. '311'10 LLV SU.-9-foL-K 0,~
I. Location ofland on which proposed work will be done: '
~ ~ 5 (p 7 5 1J1a~ f<cwcI tJ Y1J2..nf
House Number Street Hamlet
County Tax Map No. 1000 Section
Subdivision
0/9
Block 0 2-
Filed Map No.
Lot 10. I
Lot
(Name)
2. State existing use and occupancy of premi~es and intended use and occupancy of proposed C<lllstruction:
a. Existing use and occupancy 4~~GU\-~"_( &'fV7 . .
b. Intended use and occupancy--4tnLlA..bt.... ~A fur-VI
3. Nature of work (check which applicable): New Building
Repair V Removal Demolition
Addition
Other Work
Alteration
5. If dwelling, number of dwelling units
If garage, number of cars
$/50.00
(To be paid on filing this application)
Number of dwelling units on each floor
(Description)
4. Estimated Cost
$1"')000.. on
I
Fee
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front B 2.. '
Height Q\. ' Number of Stories 2.
Rear '6 2.. '
Depth
28'
Dimensions of same structure with alterations or additions: Front '32-
Depth 2 '8 ' Height "2 1 . Number of Stories
Rear 'i5 2 '
'2
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size oflol: Front 433. / I Rear 5 ((p . (p I Depth 2 S ~ "1 . "-/ I
10. Date of Purchase :2/IO/Zoov> Name of Former Owner ~Jo'\.""- "1<",^-~'1 ~
Rear
Depth
II. Zone or use district in which premises are situated ~~5.;ri pn-t.<..Lt L I ~~, -,I+-, A 1lr1l ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO L
13. Will lot bere-graded? YESLNO_ Will excess fill be removed from premises? YES_ NO X.
14. Names of Owner ofpremise~ M. MitfltS~ Address 110 N. rVl~r 1\4. Phone No.l'S/(' \ 3.80- Oi"lS
NameofArchitectArchik(-luv~ F"cJ.. p. AddressPO.f\ox. 81 SfJ PhoneNo 2%1-1/1'5
Name of Contractor IJ/d.l--raun./ /3:..II/d.t.v'-S AddressPO.\li)( 1Q;il/ e ~W1Phone No. &53 - 0150
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO -L
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet ofa tidal wetland? * YES_ NOX
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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.5Uf"~4IS-
..:1'; 4/~ r7 ~-z-. 7- -LSk." being duly sworn, deposes and says that (s)he is the applicant
(Name of individual sigrung contract) above named,
(S)He is the
(Contractor, Agent, Corporate 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 true 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 to before me this
/C) dayof ~~ pC.
.~
~ Notary Public
200',"-
.~
-
LEE J STEVENS
NOTARY PUBLIC. State of New York
No. 52.9188575
0uaIiIied in Suffolk Counly
Term Expires Nov. 2006
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Extension ,.... ? .", . Ext. Walls (.;-,:.' . Interior Finish /) f" - LR.
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Porch - Recreation Roon Rooms 2nd Floo FIN. B.
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Breezeway t(I..,L,/t> 7,-~ ""' :~ " .: ';j' Driveway
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ExtensIon Basement PARTIAL Floors Kit.
- SLAB
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Extension Ex!. Walls Interior Finish LR. I~
.---- ..-- ~ 1---
ExtensIon . Fire Place 'fes Heat D.R.
- - ___ __ ______u. _
Patio Woodstove BA. tt-
...----- ~--- .. ----- 1------ f----
Porch e'l(B_c.~ 9'C(~S~) t:;csz, ,'60 2'7(f) Dormer Baths '12 ~
l'lYIOl\,< 1\3"2- _.
Deck Dock Fam. Rm. :/
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Garage ~'1
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1st 2nd