The URL can be used to link to this page

Home My WebLink About32354-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 12/18/07 No: Z-32789 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 10940 MAIN RD (HOUSE NO.) county Tax Map No. 473889 section 31 (STREET) Block 11 EAST MARION (HAMLET) Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 6, 2006 pursuant to which Building Permit No. 32354-Z dated SEPTEMBER 12, 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MERLON E & ISABELLE WIGGIN (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3026434 03/26/07 PLUMBERS CERTIFICATIOJII DATED N/A ~ ic~~ /" A ~ized igna re Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I 1 T APPLICATION FOR CERTIFICATE OF OCCUPANCY \ ___J 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 2/1 0 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 (prior to April 9, 1957) non-conforming uses, 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 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: v Date. -1l- '30-07 Old or Pre-existing Building: (check one) Location of Property: J I!> q 40 House No. Mo....... ~ Street ~Ac.:r N~..... '~-v.! Hamlet Owner or Owners of Property: M ,{lv-elM.. crSJ ~ If... v-- h '7"1 "S; Suffolk County Tax Map No 1000, Section Block Lot Subdivision Permit No. '32. '? LJ4- '7- Date of Permit. Filed Map. Lot: Applicant: ........f..I'1~ 'oN( Underwriters Approval: - S'" b...., ,(f...f. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 'j '2- {'',OJ) Final Certificate: v ( check one) Applicant Signature ~.T2) ,0 (' o-'t..21:21 ~ 1 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. 32354 Z Date SEPTEMBER 12, 2006 permission is hereby granted to: MERLON E WIGGIN 10940 MAIN RD EAST MARION,NY 11939 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 10940 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0011 Lot No. 013 pursuant to application dated SEPTEMBER 6, 2006 and approved by the Building Inspector to expire on MARCH Fee $ 150.00 ORIGINAL Rev. 5/8/02 .~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ; ; ~ ; ; I I ~ I ; ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ I I ; ; ; I E!Jil! E!Jil!E!Jil!E!Ii!!Jmffi!E!IE!IE!Iil!Iii~ ~ E!Jil!ii!IE!Jil! ~ ~ E!IE!IE!Iil!Iii ~ ~ I ; ; ~ ; ~ ~ ~ I ; ; Located at ; ; Application Number: ; ~ ; ; ~ ; ; ; ; ; ; ~ I Fixture ~ ; ; ; ; ; ; ; ; ; ; ; I BY THIS CERTIFICATE OF COMPLIANCE THE 3t, - II -/~ 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 JIM SAGE ELEC. INC. PO BOX 38 GREEN PORT, NY 11944-0038, MERLON WIGGIN 10170 MAIN RD. EAST MARION, NY 11939 10940 MAIN RD EAST MARION, NY 11939 3026434 Certificate Number: 3026434 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the pre~s: ~?tri system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, I room addition, 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 26th Day of March,2007. Name OTY Rate Ratin. Circuit ~ Appliances and Accessories Electric Heater Baseboard Wiring and Devices Outlet I 0 .625 KW I 0 I 0 7 0 4 0 3 0 I 0 Fixture Incandescent General Purpose General Purpose General Purpose GFCI Outlet Receptacle Switch Receptacle seal I of 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. ~ii!IE!Jil!E!Jil! 3 2-3 ~ <f-C- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 SPECTION [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ REMARKS: ' -:r::-S ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION 5~~ I INSPECTOR J2--S5r~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FCS'UNDATION 1 ST [] ROUGH PLBG. [,,(FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR 32-3S1-l-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [~ING I STRAPPING [ ] FINAL . [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION (!) REMARKS: ~ S~.s . ;:::&<-4 ~. ~~~- ~J.I'~o/Z';;'; ?~ .-Zd~~. DATE I' f~/o~ INSPECTOR 32-30VC TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ~GH PLBG. [ ] FOUNDATION 2ND lv1INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~sd~ ~ REMARKS: INSPECTOR. "3,2-3Y7'-t- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] I!Y"'LATION [ ..-(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON ~ DATE INSPECTOR ~ . . FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL (0 ~~ ~ -t/-:.~- It ~ I'l .., /1;! - 7_ C<? r ~~-7~_f ADDITIONAL COMMENTS f - . ~ - -2.0 ::E z ;:?!ll ~ - ~ WI'l -1.~ <v~ -~~ ~ :t>61 1:1 I'l ~ /0<'1 _ 3/- //- lJ OWNER TOWN OF SOUTHOLD PROPERTY RECORD 61 D oulez fJ)), CARD M-</t , r ,(,(.A ' r. l"v.<.J:/u/.t JJES STREET VILLAGE SUB. LOT FARM I MISC. RES. d./D LAND COMM. 1/1 I (3J~. I IND. I CB. '.;1.. TYPE OF BUILDING " IMP. TOTAL DATE REMARKS ()o ,r". 1" $700 ti>~o 0 Q NORMAL Farm Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Bnrohl...""".... House Plot Total - , M. Bldg. 3 0 X If :; ~ !'),! (\ Extension ','" t f 'I: f"'; -=- ,~ ., "j '; 0't> Extension 3D:L/fO 3 X 11f~.,t1" --). 2. \~ ~ 15~ .$1>0 2~ /~~!-/" Breezeway I:) Y. d ' Garage j .:) O. B. "'. ~&J/7 I" .1\"'-' I I IJ- I' 10('\ In G j~~ .' J U,l \ IQ i , ." }b 111 ;~(; ,,;c.,.- 'i~ ~.~ , i II. 0 " , oundation Bath fY:v Basement Floors ~", wd., Ext. Walls Interior Finish wa..JL ~ ,/ S". ? Fire Place Heat IJ.~ """G~ we. Porch' Attic Porch Rooms 1 st Floor Patio Rooms 2nd Floor -'f':,-o Driveway ~ It/,{ / (' I~$ - . " f" MEL KAPLAN, M.D., P.L.L.C. 232 FOURTH 'AVENUE GREENPORT, NEW YORK 11944 TELEPHONE 631-477-0070 FAX: 631-477.8983 MEL B. KAPLAN, M.D., D.I.M. LINDA FASZCZEWSKI, N.P. May 26, 2006 Re: Isabelle F. Wiggin 10940 Main Road East Marion, NY 11939 To Whom It May Concern: Ms. Wiggin has severe debilitating arthritis and walks only with difficulty, and at best is unstable. Over the years her condition continues to worsen. A live-in aid would be most helpful to her care. I understand that Mr. and Mrs. Wiggin would like to build an add-on room for a live-in aid, and I urge you to approve this as soon as possible, as her health and safety would be improved by having a live-in aide. 1;"~reIY' Mel B. Kaplan, MO, DIM MBK/skf , .. Examined , PERMIT NO.,?f).<J,~+~ 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: TOWN OF SbUTHOLD . BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.n t/SouthoIdI Approved Disapproved ale (., ,20_ ']....,20-V Expiration ,20_ Mail to: Phone:~J -OO~ () r- \ 6 APPLICATION FOR BUILDING PERMIT \ , ,",--:L.~~ . 1 . ...- L -a. Th;~' 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 it 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. Date September 5,2006 ,20_ INSTRUCTIONS '. \ a corporation) 10940 Main Road East Marion NY 11939 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Owner Name of owner of premises . Merlon e and Isabelle.:f Wiggin (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer , ~. ", (Name ~d title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I, Location of land on which proposed work will be done: 10940 Main Road House Number ,:',' :'Street East Marion" Hamlet County Tax Map No. 1000 Section Subdivision ::r"1 31 Block ,:11 Filed Map No. (Name) Lot 13 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Res i dence - b. Intended use and occupancy Res i dence 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration (Description) 4. Estimated Cost $13.200 Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front see DI an Height Number of Stories one Rear see plan Depth see Dlal'1 Dimensions of same structure with alterations or additions: Front same Rear same Depth same Height same Number of Stories 'Amp Depth 10ft 8. Dimensions of entire new construction: Front 13 ft 2 in Rear same Height 13 ft Number of Stories one 9. Size oflot: Front 98.5 ft Rear 182 ft Depth 204.32 ft 10. Date of Purchase 1962 Name of Fonner Owner Hansen I I. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO-X 13. Will lot be re-graded? YES ~ NO ~ Will excess fill be removed from premises? YES_NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~ * 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. 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) J:..JL . JiS~ COUNTY O~lJ-VVr, M -e vLo N [ . WI G& I rJ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing 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 e manner set forth in the application filed therewith. Notary P Veronica F. Cidone Notary Public, State of New York No: 52-4661406 Qualified in Suffolk County,_ . " ~ommission Expires Dec.31 ,...J!Jl.Q::; \