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Home My WebLink About32113-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Ro: Z-32965 Date: 04/07/08 THIS CERTIFIES that the buil.ding ADDITION & ALTERATIONS Location of Property: 295 (HOUSE NO.) COUnty Tax Map Ro. 473889 Section 38 SHIPYARD LA (STREET) Bl.ock -L- EAST MARION (HAMLET) Lot 3 SUbdivision Filed Map Ro. Lot Ro. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 2006 pursuant to which Buil.ding Permit Ro. 32113-Z dated JUNE 14, 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT J & KATHERINE WALLACE (OWNER) of the aforesaid building. SUFroLK COOJITY DEPAR'l'MBRT OF IlBALTH APPROVAL N/A BLBCTRICAL CERTIFICATE RO. 1183192 08/31/04 PLUMBERS CERTIFICATION DATED 03/14/08 JOSEPH J. WERNER ~L~<u", Rev. 1/81 Form No.6 r- 1'1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 Ul..,. 'PR , L... APPLICATION FOR CERTIFICATE OF OCCUPANCt 1, 4 ' ._~-_.-.. ] I j j .0 ':.D 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 (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 I. 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, Conunercial $15.00 Date. Cf-- '-I~ Location of Property: ~ f/~- ~ Old or Pre-existing Building: S}I,p(AAb -t~ Street (check one) ~7 ~1V' Hamlet New Construction: House No. Owner or Owners ofPropert~b"'47 cr wlJo/lALC" 3~ K P7/"'b'M' ,(;) ~~ / Lot 3 Suffolk County Tax Map No 1000, Section Block Subdivision Permit No.rJ3p 32//3- 2.. Date of Permit. Filed Map. _ Applicant: Lot: Health Dept. Approval: ~ Underwriters Approval: ~ Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ / ~Q' 1.t/tJ11k:., or Applicant Signature f~tuP/ /' M/~ ~.14:.- ?f.(67 '2... C.o ~'7d1-rG5 ~ii!ffi!Iii!ii!ffi!Iii!ffi!iIDimi!l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ii!ffi!Iii!ffi! l!I l!Iii!ffi!Iii!ffi!i'HIl!~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I L~,"," ~ Application Number: ~ Section: Block: I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ReceptFlcle ~ Switch f.!) Dimmers ~ Receptacle ~ Receptacle ~ ~ ~ ~ ~ ~ ~ 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. 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 JIM SAGE ELEC. INC. P.O. BOX 38 GREEN PORT, NY 11944-0038, ROBERT WALLACE SHIPYARD LA EAST MARION, NY 11939 295 SHIPYARD LA EAST MARION, NY 11939 1183192 Certificate Number: 1183192 Lot: Building Permit: BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Attached Garage, 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 31st Day of August, 2004. Name OTY Rate Rating Circuit ~ Appliances and Accessories Exhaust Fan Wiring and Devices Outlet Fixture Outlet 1 0 F.H.P. 18 0 Fixture 18 0 Incandescent 36 0 General Purpose 17 0 General Purpuse 23 0 General Purpose 2 0 1 0 30 amp Dryer 5 0 GFCI seal 1 of 1 ~ii!ffi!Iii!ffi!ii!ffi!Iii!ffi!i'HIl!i'HIl! f~b- Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: "5 - 1(-(-0 ~ Building Permit No. ~p - 3;;')13 - Z- Owner:-/6'&-Il1" I. ):!'7~,4 ~/P44.- - (PleaSe print) Plumber: 3bSr=-r:J,.T tuElC'ltJt:=fC . (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~fJqg~-- (I lumbers Signature) Sworn to before me this J \.....\~ dayofU()..r/n , 20..cg, ~ A)' 0., ,[;OJ., Notary Public, k.county 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. 32113 Z Date JUNE 14, 2006 permission is hereby granted to: ROBERT J WALLACE & WF PO BOX 213 EAST MARION,NY 11939 for : ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 29427. at premises located at 295 SHIPYARD LA EAST MARION County Tax Map No. 473889 Section 038 Block 0001 Lot No. 003 pursuant to application dated JUNE 14, 2006 and approved by the Building Inspector to expire on DECEMBER 14, 2007. Fee $ 606.00 4~~ / Au horized Signature ORIGINAL Rev. 5/8/02 3 2-1I~ r- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUC'nON [ ] ROUGH PLBG. [ ] I~ATION [~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON REMARKS: DATE t ~ () INSPECTOR / ( 32-/IJC- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ N [ ] FRAMING I STRAPPING [v1FIN*' [ ] FIREPLACE & CHIMNEY [] FIRE CTION [ ] RRE RESISTANT eoNfRUC'nON [ ] RRE RESISTANT PENETRAnON REMARKS: ~ 4-cu J> J " ~s:.~ Gel /&L ~-TZ..r,/J~ DATE of INSPECTOR "< 2-- ,...) IIJ-c TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESlSTM CONSTRUCTION '(JJ I REMARKS: r [ ] ROUGH PLBG. [ ] ~LATION [ l1FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON DATE ~ :?1tf) 7 () ~ 3)-ll~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] "oUNDATION 2ND Uh Ii FRAMING (J~ [ ] FIREPLA [ ] ROU [ ULATION [ ] FINAL '3d-II:?::> re-J ()/'I cf () 7 765-1802 BUilDING DEPT. INSPECTIO [ [ [ [ [ [ ] INSULATION [ ] FINAL N 1ST DATE /~3-- I J-7'0)1 '3:>1/3> ~~~ 765-1802 BUilDING DEPT. ECTION [ [ ] ROUGH PlBG. [ OUNDATION 2ND [] INSULATION [ [ ] FINAL [ NEY DATE Io/~ { ~~ 3d-))S J,rfJ7 f 765.1802 BUILDING DEPT. NSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY /" DATE -. - FlELDINSl'ECTION Rl!:PORT hATE . / ?lJ FOUNDATION (lw6 " // I~ FOUNDATION (2ND) ,..........- J I ./ I I, IP/th r<1j/~ , / ~',' / # _ J //r /..J-I I77fA--( .~ /11/2 ~. V,,__ I I // /V'~./ .FA . COMMENTS' 1/ _ ..r" ;.. ./ , ( P..l/~A .~~-~~ 'J...//J ./u A '. ~ '\ Z/ j~ I ..,.,.- ,~ ) . ." \~~ .-.. !JJ ~. ~ ~ .. l"!l 1- -----------------------------"-.----- . - /' /. n . , J '~&. ..f- v. /. . l \ :z ~ p \ , fp on ~ ~ ~ ...)f- - ~ .., 1/ ~ ROUGH FRAMJ!li'G & PLUMBING /} , 't:7J /J L MJ/_?1--t P ./ , dhhff~ WA- , , , k ;/'.A'. /11___ Q # t/~ /~/ r ./ I' J ~1?.- D n t L '~) ",., . ~ ~ ~ .., {- J ~ "1 ~ r IJ INSllLATIONPERN, Y. STATE ENERGY CODE I. , !//f-,/JhPf//(IJU,?.J /{,ll t1n"))r "~..J .J.':. J,~ ,I f 17ti1U )(' 1', khl ~ ' I',A ". a '~.J"'-!.. I\~ ,..J 'M II .//- 7;7rL'/" , . ("'tJAr~ <I- L ''?H. A'Y.-!lt \ / Xii/f)! 1M; Acc.El..( I'I.L.AI~ LVI J:.,~ -f..i. -Z;;.J)dE~ , ' , '1//'J.I ....L /' JY~. ,.. h . .' ( ./) ~v .- / /..J Jl# L,..~ '7. a. r p. .' ',41J?~r /1:.... r / J A v /? ' . ADDmONAL coMMENTs 7 . / . }' /2//"'/03- //AU~-~.z./. ./ /. / ~u AI ) P' ./. FINAL '1 - , fI "" .. . , o :s ~ ~. ;:s- ::0 , !..4- . , -. , ". '-'. .- Q;S ~~ ~(\~ 00 ,~ " , " 1 I ~ - -.. -. /tJdo-3'7-I-'? OWNER , STREET ZcfS VILLAGE DIST, SUB. LOT _120R~-r ..iL>!. " ., 2 bESt -4 \Af~ I J:>.r -""" tr. ~ .' J, . /.1 J/ , - -l'ORMER OWNER N POy-l\'r -; '5 E FM) ~j, ACR. '~' . ;.(c,' "'.51 (~ -,' "v I.- (~""i<(:c. (( i I Vrt\ 'k/ r TYPE OF BUILDING . \'~~ I' "J ./ )./L ~Y1 j)--~; .f V,if (il"" <,& vi . <. .!!S~ . wsd { ., -..- RES. ~ 10 SEAS. VL. FARM COMM. CBl l MISe. Mkt. Value LAND IMP. TOTAL DATE REMARKS / n (;. Ii :37c1 () <../ ;i i\ "3;/;c h ;-', ':::'''[i,,!~Z.60( J:lOdt?v 8401 t''.'T ~P, \1,.,1"./", ~J~.",6Wa 1i"J.. (' 9 /". I"'" ? 7'~' () L/ /" /. /~. ... r;u ,U I. ? g I 'flq :, 8Pi< ;;y 5~7- C:O'1.~:t]:V1~'Y<{) f>l"ll'd W/~e v,ce. -E C J'1 OOt), , . v ,-' v c \./ 9a----n 4" ...." / L/..q'A / I/o/d/7,R CO-c .s (p "1'00 4400 '530b ,J 1/;'0/9.3 ~ (r) --z;-?x -~ t.p '"" f AGE BUILDING CONDITION NEW NORMAL BELOW ABOV~ FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ISO I (ci ?, House Plot DEPTH i I({) I -. BULKHEAD , --' . . Total DOCK . TOWN OF SOUTHOLD PROPERTY RECORD CARD )1-J? : , . . 1 . ~ - , I -- I , , COLOR ~,~ I ." ,'1 f!t>e IV ", , ...c_" "'-.-" TRIM I '. ,...., - I ;& . . ",. ;.-1 Wi. /'J€.. v1 X 'r/J )1 -{I ... 1st I.- 10 /&1- ,7;> M. Bldg. /Jl 'f~U ,.. .39 'fi'J Foundation CI? Bath 2'7 Y US':- /..2/[ J.l" / Dinette - Extension Basement F...I( Floors t.l J..\ K. ~,,:'1R~e Ie Aslt Interior Finish sli. ExtensIon ftf:. <It:> l.6 Ext. Walls LR. Extension Fire Place N6 Heat , 1'1/ I DR. V\~C.I'", c. ('1~ 5i'GT Lloo Type Roof bAI.I" Rooms 1 st Floor BR. Porch Recreation Roan Rooms 2nd Floo FIN. B. Porch Dormer Breezeway Driveway Garage Patio . \ ''O;B. Total , 14-0'0 '1(13 PERMIT NO. 3~lJ~ ~ ~1'/~ - ~ PERMIT APPLICATION CHECKLIST , Db you have or need the followmg, before applymg? Board of Health 3 sets of Building Plans V Plarming Board approval Survey Chec~ IS 3..5 Septic Form N,Y.S.D.E.C. Trustees Contact: Mail to: R~r r 1A.h.../ ~ vV - 1../77- l<=t 00 Phone: 4'71 ;zSbS' TOWN (U'SOUTHOLD BUlLDINtt DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Examined Approved Disapproved ale ~~ :~~ ~ Expiration /1/,)-7 ,20~ ~~ctor ,- :,.~bY 6 ro'l3 - I APPLICATION FOR BUILDING PERMIT '::~~-~ INSTRUCTIONS Date LI/rL ,20~ l , t.. "';-.(!.:'."! . 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 schedult:. b. Plot plan showing location oflot 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 !]las 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 rn~~ authorize. in writing. the extension of the penn;t fM .;, addition six months. Thereafter, a new permit shall be required. ' APPLICATION IS HEREBY MADE to the Building Departrrlent for the issuance ofa Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, I'.[ew 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. .K~~ W~ (Signature of applicant or name, if a corporation) N State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Q)w Y\ e...r Name of owner of premises _eD bu T WtA.. {lcA~ ~I\ cO 4. +A€t2J.. ~ tufA I laC!. UK (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. I. Location of land on ~ft:roposed 'dJk wil~ne: HO~ ~~ber sefi (l.{ ECZST N4AZlCt/1 Hamlet County Tax Map No. 1000 Section "3 ';;J Subdivision (Name) Block I Filed Map No. Lot '3 ..... Lot - 2. b. Intended use and occupancy {2Lsi d~fio-Z 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition 'f.. Other Work Alteration (Description) 4. Estimated CostK 00 0 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling'units ~Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. v /" 7. Dimensions of existing structures, if any: Front 'I If, f Rear 4 'I. ~ Height I 7- Number of Stories I 'lon. /1.'.-( Dimensions of s.a,me structure with alterations or additions: Front ~.. c Depth .s L.. J Height 17 P7 . Number of Stories 8. Dimensions of entire new construction: Front :J j, '&. Rear ,;2. (p I & Height If.? p"'1 Number of Stories I ht~ Depth ~? J Rear IIp //,.~, I ?tIf!i .~ S'I. /' Depth 9. Size oflot: Front /5D ' Rear 150 ( Depth /50 I rY\~ ~ t30 te n 10. Date ofPurchase~Name of Form'er Owner 11. Zone or use district in which premises are situated "!?~<;..'-b",,;"A t. 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_NO -X- Will exces~ fill be removed from premises? YES.~ NO L . 14. Names ofOwner Ofl?remisesro- ~~ ~!t~:ss ~~ ~ %~ XI ~ -colS0$'" Name of Architect J/1}YY\ F vlAO :Address ~l f'J'f Phone No ,;J.~ - _.2 7 ~~tf3 Name of Contractor 1\OVl"'_ Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland ora freshwater wetland? *YES_NO L * 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 'V * IF YES, D.E.C. PERMITS MAY BE REQUIRED. -r- 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 "54 'Ff:d..K... ---12.0b~~T \.t)tt.l {tt &_ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ()W(\e,r I A-oIDI; c..o.lI\ t- (Contractor, Ag~nt~rporate 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 ~ /1_-+1- day of 20123- -8 J ~ d.Vl1 DLiu - tary Public ...Y f~ UJ~ Signature of Applicant CAROL A. MILLER NOT,\RY PUBLIC, STATE OF NEW YORK NO. 01 M16003088 QUAlIFI~D IN SUFFOLK COUNTY COMMISSi>,' E)(P''lES FEBRUARY 23 ZQJ fA ,- y €{7 )q'-{"&-1- William F. Savino Architects 71 West 23rd Street Suite 1908 New York, N.Y. 10010 December 8th , 2003 Building Department Town ofSouthhold 53095 Route 25 Southhold, NY. 11971 Attn: Inspection Department Re: WaIlace Residence 295 Shipyard Lane East Marion, NY. 11971 To Whom It May Concern: I have inspected the above premises during the course of construction. I have found the installation of the 120 mph wind resistant straps in accordance to the approved construction documents. . ttl};;::"'f"4,,,~, · WilliamF. ~r~ e --- ': '-', ,r'\ 1 i." . ociJ/ DEe I O'hM Ii ,I. i L ~'-'; L r;;-~ ;J ,..,.OVD-D-;-- Tt.)V.ji~ CF ('". ,'.....:. -~-~.L..:gJD Te1:212-727-2248 Fax: 212-727-8291