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HomeMy WebLinkAbout32398-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33006 Date: 04/29/08 THIS CERTIFIES that the building DECK ADDITION & REPAIR Location of Property: 8620 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 31 Block 7 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 2006 pursuant to arhich Building Permit No. 32398-Z dated SEPTEMBER 28, 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 FOUNDATION REPAIR & DECK ADDITION TO AN EXISTING SINGLE FAMILY- DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH E TOPHAM (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF NEALTH APPROVAI, ELECTRICAL CERTIFICATE NO. 3062987 04/10/08 PLDMBHRS CERTIFICATION DATED 03/18/08 JOSEPH A. TERRANOVA Aut or zed ign ure Rev. 1/81 7~~- Y 4~ Yes Rorm Nn. 6 'T'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICA'LE OF OCCUPANCY This application must be filled in by typewriter or i~ilc 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 Tines, streets, and unusual natural or topographic features. ~' 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to Apri19, 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 waiting to the applicant. C. Fees 1. Certificate of Occupancy -New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirruning 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. 'T'emporary Certificate of Occupancy - Kesidential $15.00, Commercial $15.00 Date. ~~-/S -OFD _ New Construction: Location of Property: House No. Street (check one) Owner or Owners of Property: ~ ~~} ~ ~~ -~ ~~~~~ Suffolk County'Tax Map No 1000, Section _ (',1 ~ ~ Block (~ Q®~ Lot Subdivision Filed May. Lot: I'emiitNo. ~-DateotPermit. ~ ~ ~Q,~Applicant ~r!>/7~%.~l ~~~~NI Health Dept. Approval: Plamiing Board Approval: Request for: Temporary Certificatc Fee Submitted: $ ~~,~ Underwriters Approval: Final Certificate: ~ (check one) A lic tSignatu .- Old or Pre-existing Building ~~.33oaC~ ~/, - ~ -5 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 SABAT ELECTRIC ELIZABETH TOPHAM 50 PAT LANE 8620 MAIN RD. MATTITUCK, NY 11952, EAST MARION, NY 11939 Located at 8620 MAIN RD. EAST MARION, NY 11939 Application Number: 3062987 Certificate Number: 3062987 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, 3 ~ 3 1 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 IOthDay of April, 2008. Name ~ Rate Ratine Circuit Tvoe Appliances and Accessories Furnace 1 0 Oil Wiring and Devices Outlet 5 0 Fixttue Fixture ~ 5 0 Incandescent Outlet 3 0 General Purpose Receptacle 1 0 General Purpose Switch 2 0 General Purpose Receptacle 1 0 GFCI Service 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: l 200 cb Meters 1 of 1 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. Town Hall, 53095 Main Road P.O. Sox 1179 Southold, New York 11971-0959 ~~O~QgUFFO(~.coG ~ s~ 0 oy~ ~ ~o~y,~~ ~~l ~ ~~' BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ,ja ~ ~ p Owner: E L ~ ZlaP~/H ~G'1'/-l~l /V~ __ (Please print) Plumber: ~~ Tev"PaHp~A (Please print) Fax (631) 765-9502 Telephone (631) 765-1802 / G~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. _> `-__~. Swore to before me this ~~ ( ~ dad' of~~'~ 20~ ~ (Pltffilbers Signature) ~~ f1 . 1 ~YY'q,noVo`, ~usrwn cueeas Notary Public, State of New York Qualitied in Suffolk County -----~ -- ~ Reg, No. 01CU614 776 My Commission F sires Notary Public, ounty 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. 32398 Z Date SEPTEMBER 28, 2006 Permission is hereby granted to: ELIZABETH E TOPHAM 4414 SOUND AVENUE RIVERHEAD,NY 11901 for FOUNDATION REPAIR AS APPLIED FOR - CL/Y~t/ti.l~+t~'Xo ~1~L 0(f~,Ut- A-CQ~w~i~ - ~(~ ~'7 ~ 6 8 - GicQ-cP ,~ a'~,~' 108. oo - ~c~..2, y~2~ dos - Q~.~.c..# ~ ~{ ~0 2 at premises located at 8620 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0007 Lot No. 005 pursuant to application dated SEPTEMBER 21, 2006 and approved by the Building Inspector to expire on MARCH 28, 2008. Fee $ 150.00 ORIGINAL Rev. 5/8/02 ~~ ~' 3 ~~-~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING /STRAPPING ] FIREPLACE 8~ CHIMNEY ] FIRE RESISTANT CONSTRUCT REMARKS: _ ~- [ ]ROUGH PLBG. [ ] I ULATION [ FINAL [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION DATE ~ ~ ~~ INSPECTOR ~~ ~y~ ~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOU DATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION ] FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION DATE 0 3~3~ ~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 ~ INSPECTION [~ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION f 1 FIRE RESISTANT CONS7RllCT10N [ ]FIRE RESISTANT PENETRATION DATE ~ O INSPECTOR JEFF A. ZAHN, A.I.A. ARCHITECT-PLANNER Apri122, 2008 Town of Southold Building Department 53095 Main Road, Box 1179 Southold, NY 11971 Attn: Gary Fish Re: McCombe Residence 8620 Main Road East Mazion, NY 11939 Permit No. 32398 Z Dear Mr. Fish This correspondence is to certify that the deck footings at the above noted location conform to the drawings issued by this office dated 8-1-07 and the Residential Code of New York State. Should you have any questions or concerns please feel free to contact me. Very truly yours, a~ J f A. Zahn, AIA Cc: C. McCombe; File ~- .. -., ~;,1 ,~ f 9 ~ 1 ~' T/I , _- /- 215 ROANOKE AVENUE ~ RIVERHEAD, N.Y. 11901 ~ 631.727.0544 ~ FAX: 631.727.5335 FIELD INSPECTION REPORT ' DATE COMMENTS ~ ,. I J y / 307 fa \-- _ _ F,~,c~/Jq~s,.,..~~,,,- , /-_ D . ~; FOUNDATION (1ST) - ,, '""l CIJ ~~- FOUNDATION (2ND) ~y.~~- n ~ < ~ 11 J - ~ i~ r ~~. L z 0 - o- i. i `~ ROUGH FRAMING & PLUMBING - t~ / y L p _ -. _.. _. -- __ _- ---- ---__- FY INSULATION PER N. Y. STATE ENERGY CODE - - - - - -_- ~1 H ~.. -- ~ - _ __ __ - - _ __ ~ i CO , ~~~ FINAL / ~ N f ~ i.~'~ ~4.(Li(~~-1~ ~/~~ ~//rA ~7 - ADDITIONAL CO MENTS `=' _ _c~,c~-~ ow ~. y~1 fir ~ j-- C y/ / ~ [! / LC ~" ~ m ~_l - - ~fl -- d `~12~~°g ~~jzb~~ ~ _ - _ ~ 6 ~ -- ` __ __ - _. --- __ _- --. -_. _.-. K\ ro Mq ~ y __ _ _ . r 0 z -- _ x >- -_ y x d -- _ - b y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST bo you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval SOUTHOED, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 r~ www. northfork.neUSouthold/ PERMIT NO. ¢J e°- 7~ ~~ 9 a~,20 ~ 0_-~' Disapproved Expiration , 20 Contact: Mail to:'~I-I TI?PI'~2W~ ' ' ' It ~l7ND AVE. ~~ UE~.}~'~ I hone: 7~-7-~ r'.N APPLICATION FOR BUILDING PERMIT ~ ~ ~ o~, Date ~' ~ ~ ~ , 20~~ INSTRUCTIONS 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 ] 8 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in t'ae interim, the Building Inspector may authe^ze, in writing, the extension of the nerrn ~t 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 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. Septic Form N.Y.S.D.E.C j~,Gz.~ hr,~-n jz~w~ (Si azure applicaq a e, if a corporation) ~fl~f SOUND ~IFi. GelU~iP~D /~ll40~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phrmber or builder pWN~~ Name of owner of premises ~[,~ ~~gF'r(-~ ~ • TO~H~, (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. 1. Location of land on which nronosed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ I Block ~ Lot 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 f i=~>f 1 L~>/ (Z ~ I f ~ ~ 9 (' F b. Intended use and occupancy ~ (:~/~ i ~ y_ ~~G~ 1 p ~~ ~~ 3. Nature of work (check which applicable): New Building Addition Alteration Repair ~_Removal Demolition Other Work 4. Estimated Fee (Description) (To be paid on filing this application) 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. 7. Dimensions of existing structures, if any: Front- ZS' ~- ~/ ~' Rear ZS ~- ~l ~' Depth SZ ' ' ~ ~ " Height 20 ~ Number of Stories ~ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~ OD Rear_ / 0 <~ ~ Depth 'Z ~0 2 10. Date of Purchase 7,U 1JUA U Iq~14~Iame of Former Owner ~i0 /~ H A.o. ~ 11. Zone or use district in which premises are situated k?l'rj 1 17~/~/TI ALA 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 NO 14. Names ;;f Owner of Name of Architect Name of Contractor- `, ELG Address No. ~ No No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO r/ * 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 ] 0 feet or below, must provide topographical data on survey. STATE OF NEW COUN"TY OF c, i i ~rrn~ i vi G / gyp' /r/t {'!/~ 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 the manner set forth in the application filed therewith. Sworn to before me this ____C ~~, day of 20 0 BEVERLY JOHNSON NOTARY PUBLIC, State of NewYOrk No.01J05041160 Ouali!'~.ed in Suffolk County Comrnlsslon Expires Mac 27, 20 8 C~ Cl ~?/GIA~ Signature Applicant -SST /`~,a. ~ i d 1 ~~ . \~ `~~ ~s / l~- ~~ ~~~ 1, ,~~~~5 - ~--/~f / ~ So v~v'~ .~~~ . ~~7-~~~ Gam- S~~ ~`~l ~~~~~ "~ BARRETTA REALTY SKYLINE The Right Research. 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