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Home My WebLink About33260-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32829 Date: 01/11/08 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 1895 (HOUSE NO.) County Tax Map No. 473889 Section 38 SHIPYARD II\I (STREET) Block 1 EAST MARION (HAMLET) Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 18, 2007 pursuant to which Building Permit No. 33260-Z dated JULY 20, 2007 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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to GORDON E & NATHALIE RACKETT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMKNT OF HEALTH APPROVAL N/A KLKCTRICAL CERTIFICATE liO. 3049279 12/07/07 PLUMBERS CERTIFICATIOlII DATED N/A 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 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 fonn). 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 (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 Date. _-.{eM ,... " "~ (check one) , In; oR New Construction: v Old or Pre-existing Building: Location of Property: I '6'1 S- House No. 2~~.~,,~ Cait- w,,,, n,.':'. Hamlet Owner or Owners of Property: lhp",.+- k",~.4r" R,,~-'l,4t= Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. . Lot: Permit No. ~ ~ d..("Q__~_ Date ofPenni!. Health Dept. Approval: Applicallt:______ ...... Unelerwntcrs Approval: _ __.___.__.. PlalUling Boarel Approval: Request for: Temporary Certificate _..________._ _ $ 'fJJ-.5' Final Celiificate: v ( check one) Fee Submitted: 8JLU~ lJ.~ ~ d S- co-c3~S-,;I.~ }jv~ l(~~g.t+- Applicant Signature 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. 33260 Z Date JULY 20, 2007 Permission is hereby granted to: GORDON E RACKETT P.O. BOX 151 EAST MARION,NY 11939 for : CONSTRUCT A DETATCHED GARAGE AS APPLIED FOR. (ACCESSORY) .THIS PERMIT REPLACES BP # 17406. at premises located at 1895 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038 Block 0001 Lot No. 021 pursuant to application dated JULY Fee $ 25.00 18, 2007 and ed by- e Building Inspector to expire on JANUARY / I ORIGINAL Rev. 5/8/02 3 3cHoo ~ 1i1~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ I I ~ ~ Miscellaneous ~ as built 1988 ~ Wiring and Devices ~ Outlet ~ Fixture I ~ I ~ ~ ~ ~ ~ I I I I I ~~1i1 I I ~ ~ I I I I ~ I I ~ ~ ~ I I ~ I I I I ~ ~ Amount ~ $0.00 I I ~ I ~ ~ ~ ~ I ~ ~ ~ ~ I ~ I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 BUREAU OF ELECTRICITY FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ARTHUR A. RUROEDE 23865 MAIN ROAD ORIENT, NY 11957, GORDON RACKETT SHIPYARD LANE EAST MARION, NY 11939 SHIPYARD LANE EAST MARION, NY 11939 3049279 Certificate Number: 3049279 Block: Building Permit: BDC: ns11 Lot: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Detached Garage, 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 7th Day of December, 2007. Name OTY Rate Ratin. Circuit m. Outlet Receptacle Switch Receptacle 6 0 6 0 13 0 8 0 4 0 2 0 Fixture Incandescent General Purpose General Purpose General Purpose GFC1 Invoice Total An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal I of This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $90.00 33200-2;' TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~TION [ ] FRAMING I STRAPPING [vrFlNAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ / / ./ 1 DATE INSPECTOR p 3s~c? TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESISTANT UCTION REMARKS: ~6- <: [ ] ROUGH P- G. [ ] IN ATION [ FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION cD~ - ~b DATE fjjo 7 INSPECTOR lIo.a.:DclSNI / I 3.LWG "~,~~- ->- tI ..- 1VNI.:I [ ] DNIIIIIYII.:I [ ] NOI.LnnSNI [ ] GNZ NOI.LVGNnO.:l [ ] "1l8'W H!fKIOII [ ) .UlI NOlLYON7] NOIJ.~:tdSNI ".LcI3G DNIG1lne Z081-S9L I}()f, L I ~12LD I;~S~EC710:J 1 .... . FOUflDA TION IIlJATE I 11/;J'Itf! /'1 (1S/ --- FOUNDATION (2nd) 2 . ROUGH FRAME & PLUMBING 3. STATE ENERGY INSULATION PER N. Y. CODE 4 . FINAL - r~ COKMENTS /. -/.-<1.'1. d. ~ <'L"~ 7\ , < cY7. '"'Z.. - / ~\JS ::l~ ;3~ ..." t)- '''''0 - ~ ~ c: ~~ j- " - ~~ .~ <l\ ,~ " CIl ..., '" ., at "- .' '? I. J, 1'17J L . _.~ a/(J't9tJ (kt/~ '4WfJ Ok""'A/4A4 / n~ A -A'" ' /. f) , / fflJ.... m-fw'/ /OIC. ~,r: . , I ~f" r~~ . ~~1JW,uS. , -f ."\..", "-, / / 7/Jp / AL... / ~ (If) c;.'n 7;. ~,LL /:Y' f. __ ~ I { 1/1 ... .,7o.f, / \ r -I A;~IONAL COMME~( ~ ( '-; ~ :. ~ ! . , '" >< """- H~ :o)l.:)- ~ H1o' ~I..l:) '. f- ':C ~~ ~~ t:;I- '" .." ..., "" FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL OOUTHOLD. N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH 3 SETS OF PLANS. SURVEY.. . . ... . . . CHECK .......... SEPTIC FORM Examined .7'.~ 1~........., 19tB. Approved .9.-.7.. .. ... .. . ., 19 t!J. Permit No.l7t/4.4:>.~ Disapproved alc ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NOTIFY CALL ................ MAIL TO: . ...... .... .... ........... .... ..:~~~~~~~ APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . ., 19. . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 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 neces~~~ ~. R~. . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) . P" 0.: R~ J.S J.. ~.h,..~, ~1"'" ... (Mailing address of applicant) l l <i ~ " State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........~..~............................................................................... Name of owner of premises . ~.+ h.~ .R~.. ... .... .. ........ ... .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ......................... Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ..................... 1. Location ofland on which proposed work will be done~ ................................................. . ~ -~~.lff.~s.':4:fPyA-RD. .~A:N~........... .F;.,A:'?'/.. ~.$.I?l.l:!t:'!......... House Num~~','I Street Hamlet County Tax Map No. 1000 Section ..... T ~.. Block ....... (2r.1. . . .. Lot........ .:P.-/. . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ :.t.-A' . . . . . . . . . . . . . . . . . . . . ""y ..... .. ... ........... b. Intended use and occupancy ...\-i./!r: ~ fl ~'.';". . . . . . .. . . . . . . ..:.:.::..~"-"..IN . ,.. . . .. . . . . ., . . . . . . ':' ,S"ft8~, ..~, I.-L.... ~ ...,--- 3. Nature of work (check which applicable): New Building . ~ . . . . AdditiOn. . . . . . .~. , ;' . t.em. 'tiQtS I ~;,) .', .... . . . . . \,' 1 ... B .. ...... ......"". 1 RepaIr .............. Removal . . . . . . . . . . . . .. DemolItIon .............. 0 I ork........... '\'<1' I . '0) t n . At;'Uo, - I "~'I 4. EstImated Cost. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . t' " (to be paid 0 ! 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on e If garage, num ber of cars ...1.................................................................... 6. If business, Commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear .............. Depth............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions 'of same structure with alterations or additions: Front ................. Rear.................. Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . .,. . . . . . . . . . -8. Dimensions of entire new construction: Front. . .13.'. .. .. . . .. Rear.. J.'"$.l.. . . . .. . . Depth ."3.1..... . . . . . . Height ............... NJ!ll1ber of Stories. . . . \ . . . . C" . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front. . c.. ~ ..";). . . . . . . . . . . .. Rear.. ~.11 ",S: ~ . .. . . . . . . .. Depth .,l.~.?t.:.............. 10. Date of Purchase .,. .l9t s: 0 . . . . . . . . . .. . . . . . . . Name of Former Owner C!-U\.RL~S.. . J< I.J. rtl-.1!1 1\ N.. . II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. D~es proposed construction violate any zoning law, ordinance or regulation: ..............................~ 13. Will lot be regraded .....f~ 9.. . . . . . . . . . . . . . . . . . . Will excess fill be removed from premIses: Yes \t!9J 14. Natne of Owner of premises. . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . .. . .. Phone No. ... .. . . .. . . . .. . Natne of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Natne of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address .. . . ; . . . . . . . . . . . . . . Phone No. .. . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No~. *If yes, Southold Town Trustees Permit maL be re~u~,ed. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block number or description according to deed, and show street natnes and indicate whether interior or corner lot. ~~~. STATE OF NE~OR~O-IJ/ S.S COUNTY pF . ~\t..L't:'fv..f.i.o / fl._..JW- . , . . . . . .0::::?Qfb.~. :t::...~aL.f\ U I. . . , . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above natned. . D\,DtLey-- 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 li1'J.d 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 peli.f~rme~ in the manner\set forth in the application filed ther<<:with. Sworn to beforeme t~ . . . . . . . . . . . . . . .~'1-;~ .day of. . . . . 1.tSt. . . ., 19 c:d Notary Public, .~. .... .. ..... County .............~.t.\((~.... (Signature of applicant) ~L.&IW ....~aI....YIIlr , - - Jilt .... . A7 . -1..... DecImber eour;Qti ~.' ;,~, ,'" . N ; . ~ " --- 1")1 l.t)l " , -.t, C'4t e, 0, ltj;', I , I ! ~ . ~I 1 ",,.I 'l} ~I "- 01 . ~ ~ ~ h. "t I h ,") , I . >- I <i " . 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