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HomeMy WebLinkAbout32720-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33005 Filed Map No_ Lot No. THIS CSRTIPIES that the building SUNROOM ADDITION Location of Property: 38099 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 15 Block 2 Lot 16 Subdivision conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 2007 pursuant to which Building Permit No. 32720-Z dated FEBRUARY 12, 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 UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARTIN J BANCROFT, JR (OWNER) of the aforesaid building. SIIFFOLR COD1T1'Y DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLDMBSRS CERTIFICATION DATED Date: 04/29/08 2012001 07/08/04 A hori ed S~ ature Rev. 1/81 MA-1~ To ~~//~(~esS Form No. 6 ~' " ~ l ~ / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL `~ ` 2 rJ - t 765-1802 APP~dCATION FOR CERTIFICATE OF OCCUPANCY ~; , - This app)ication must be filled in by typewriter or ink and submitted to the Building Department with the following: A. F r new building or new use: 1. 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 1 % 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 Plamring 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 nahiral or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certiticate of Occupancy is denied; the Building hispector 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, 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. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. Ap~-l_ t~.5 Oa$ New Constmction: Old or Pre-existing Building: __~__ (check one) Location of Property: No. Owner or Owners of Property: Hamlet Suffolk County Tax Map No 1000, Section I~--Block ~ ~ Lot --~ --- Subdtvision -~- -y _~_ Filed Map. _ --_~Lot: Perrrnt No. _3 ~, T_-~~ Date ofPermit~a~~~,~Q~ Applieant:~T~a ~~_~~~R~~1~, Health Del rov~i;__ Underwriters Approval: Plamring Board Approval: Request for: Temporary Certificate Fee Submitted: $ _ ~'~ P axe ~ ~N7~d C5-c' ~~>t' S Final Certificate:~~ (check one) J t Signa re 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. 32720 Z Date FEBRUARY 12, 2007 Permission is hereby granted to: MARTIN J BANCROFT ONE CAROW PLACE ST JAMES,NY 11780 nor UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING IED FOR at premises located at 38099 MAIN RD ORIENT County Tax Map No. 473889 Section O15 Block 0002 Lot No. 016 pursuant to application dated JANUARY 29, 2007 and approved by the ~?uilding Inspector to expire on AUGUST 12, 2008. `ee $ 200.00 1 ~'LAJ s~ -' Authorized Signature ORIGINAL ~<ev. 5/8/02 Z/ ~- x' o ~I-rrr~-rsrsrsrs~.nil-sal-sal-rnrr~~l-r~-~I-rrrr~.nrrrr~nr~rsrs~l-rs`nr..n~~l-r~~nrs~r~~s ~.ra~-rrs~.n~nrr~n~l-r~r I-~su~~~nrnnn~n~nrnnn~n o 5 NEW YORKTBOARDcOF~FIRE LUNDERW 5 5 RITERS 5 5 BUREAU OF ELECTRICITY 5 C5 40 FULTON STREET - NEW YORK, NY 10038 C~ CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 JIM SAGE ELEC. INC. MARTIN BANCROFT 5 P.O. BOX 38 38099 RT. 25 S c5 GREENPORT, NY 11944-0038, ORIENT, NY 11957 5 I~ Located at 3$099 RT. 25 ORIENT, NY 11957 C~ Application Number: 2012001 Certificate Number: 2012001 c5 ~~S Section: Block: Lot: Building Permit: BDC: ns11 5 Described as a Residential0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 SCREEN ROOM, Outside, PooUSpa, Porch/Deck, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the Day of 5 8th July, 2004. Name ~ Rate Ratine Circuit Twe Appliances and Accessories L~', Time Clock/Switch 1 0 5 PooV Spa Bonding 1 0 5 5 Panels 5 1 40 3 5 5 Wiring and Devices 5 5 Receptacle 1 0 20 amp PooV Spa 5 5 Fixture 1 0 PooV Spa 5 5 Receptacle 2 0 GFCI S Paddle Fan 1 0 5 S (Swimming Pool): This certificate covers compliance a[ [he date of inspection only. Because of unusual environments it is advisable to have 5 5 frequent test and/or repairs made by a qualified person. 5 5 seal 1 of 1 C_~~', 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. LCJ 5_ 5 a11~rJ~rJ~rJ~r.PcPtPrJ~rJ~rJ~rJ~~PtPcPcPrJ'arJ~rJ~rJ~rJ~cPcPcPrJrlarJ~rJ~cPrJ~rJ~rl~cPr.PrJ~tPrJ~rJ~rJ~~.l~r.PrJ~rJ~rlorJ~rJ@PrJ~rJ acPrJ@PcPrlorJ~rJ~rJ~rJ@J'cPrPrJ~cPrJ~rJ'a O ~3 Z~~, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN CATION [ ]FRAMING /STRAPPING [ FINAL, [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION f 1 FIRE RESISTANT CONSTRUCTION f 1 FIRE RESISTANT PENETRATION DATE ~ S ~ ~ INSPECTOR .~,~7zoz~ TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION ~ ~. REMARKS: ~Z.~--~ ~ DATE '~ l TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND ~] FRAMING /STRAPPING .~-~ .-~ [ ]FIREPLACE & CNIMNEY [ ]FlRE RESISTANT CONSTRUCTION REMARKS: ~ ROUGN PLBG. ~ INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FlRE RESISTANT PENETRAT101 DATE S °2 ~~ 7 INSPECTOR ~ ~~ ~0-7o~-O ~ ho~y,OF SOUTyo6 -/~ j.~~ ~y ~ 3 ~~/~ ~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL M~ [ ]FIREPLACE 8~ CHIMNEY [ )FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~~~~ ~ ~ INSPECTOR ~ ~~~ o „ O ~ _ _ 3 L2 ~~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING ( ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION - ., DATE l3 ~ INSPECTOR TOWN OF SOUTFIOLD BUILDING DEPT. 765.1802 1 NSPECTION [ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CNIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRllCT10N [ ]FIRE RESISTANT PENETRATION Oy" 0 DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS Y~-~ b m FOUNDATION (1ST) y ti ~7 ~ q a ------------------------------------ FOUNDATION (2ND) ;. ~ ~ ~ rn ~. -' z 0 ~ ry ~~ y --- - ^ ROUGH FRAMING & PLUMBING __ __ ti t~ 1 '~ _. --- -- __ -- -_- - --- - -- --- -- -- - P a INSULATION PER N. Y. STATE ENERGY CODE - ~: - - I FINAL -- - ~ -_ .- ADDITIONAL COMMENTS [_ ~- _ /.Z J r~ ~ rC.. j- Z m --_ ~ f f._ J [~7 ~~ ~' .y.. ~; O \ z _ _~ y -- x ~' ~ ------ b y 0 1. v1 TOW, OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. 3~ ~~ ~ Examined____~~~, 20C~ Approved ~_. ~lp~, 20~ Disapproved a/c " I Expiration 0' ~:~',20~~ ?i Do you have or need the following, before applying? Board of Health ~4 sets of Building Plans_ Planning Board approval V Survey Check Septic 1 N.Y.S.] Contact: Mail ~~ ing Inspector APPLICATION FOR BUILDING PERMIT _ `-~ Date SAN , 30~k , 20 0 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 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 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. (Signature of p ican or name, if corpora i ~o ~ A ~n~ ~~~. (Mailing address of a lican[) ~ey~on! /~, Y. l/~-o~ State whether applicant i owne lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 1y 1 ART t N ~~ l~ f~ n(S' ~ (As on the tax roll or latest 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 proposed work will be done: 3~0 9a MAl nl Rte. C~RI House Number Street County Tax Map No. 1000 Subdivision (Name) Hamlet Section._l~Block pt. )-4t 1 Filed Map No. Lot State existing use and occupancy of premises and i a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable) Repair Removal 4. Estimated Cost ~ ~ , ©n0. O O (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. Dimensions of existing structures, if any: Front Rear Height Number of Stories Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase and occupancy of New Building Addition~_Alteration Demolition Other Work St1_ty~ooM (_~LyHE/~[®) (Descnption) ame of Former Owner 11. Zone or use district in which premises are situated 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 of O:vner of premises Address Phone No. Name of Architect Address Phone No_ Name of Contractor Address 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) ii SS: COUNTY Ot~UFFbI~I M~~-r~-N~T~~ ~GRoFT , ~ duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above natZied, (S)He is the 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 tq before me this ~+!' day of 20~ 1 ~~ Nota Pu lic MELANIE DOROSKI NOTARY PUBLIC, State of New YOAt No.01D04634870 Qualified in Suffolk Counb Commission Expires September O,~Q1 O Fee Si e of Applic t /aao _~~ 2- ~~ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET -- d ~;+C,_ VILLAGE DIST. SUB. LOT Mart/n ~" ~ i - r y , Q , ~ %~ ORMER OWNER ~~rl Q Te~~ 1..~~ttla~~r ~~ N ~ / E ~ '~z ' • ~ ACR. .~~ ,'Vitt c~ ~7, t_l~'I!~(~Y ~ .?~;/ ~ N~GI ,~ r, S ~ ' ~ za .~s-~ b'!tit W Q ~.T l~ o Zd ~s,~ 9~ TYPE OF BUILDING RES. ~ ~, SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ry ~~ ~~-~~ _ < r,,~ ~ ~ i r F r ,_, 'RcJ 30cx~ ~ ~ oa g nr, t Y '" - ~ : , _; t . ;,c, - 1,-> ~~a., 1 - ti ~: - 4 - f ~ k~ ~;~', 3 2 OO ~F , j v' ~®d7 (p 9 12 13 2E~j2 :,, k lr 32op 39oa p q 20 ~ - L.ID 3 )-1 U - ~~ia~ n 7 t 1~" v ICA ~'f~ ~" ^, G -- Y ~ n 'ol~f-'f --L 111 9~ ;~ -~~~-L-a`l~ ~~~ ~ ~~ I Z~` fi 1~ -~;~r - ;, j;~.,._ L G~ ~ w 1 w - ~ ab ~ e w2 /~~~n AGE _ BUILDING CONDITION ~' Gp ~.c} 3~. NEW FARM NORMAL Acre BELOW ABOVE !~ ~ 30 ~n ~~ ' #;~~~~ Value Per Volue ~ G - ?peg ,z/il,/~,r,` Acre ~_ ~ ~p ° _ == Tillable FRONTAGE ON WATER / ~.~ ~ j ~ Woodland FRONTAGE ON ROAD Meadowlond DEPTH -~ G --a House Plot BULKHEAD Totol ~ DOCK v `,. ~R TRIM N 1 f < <h 15-2-16 12/02 M. Bldg. 6 x 2° . ~ ~ EC~a~ca:Si 5 ~ Extension i c ~ ~ x 25 = 45 3T5 7 3- 1'+©Co Exte n oc7 ~4 1 - 5 ,~iomcj ~ I ~ Extension 1ST FL , Foundation ~ Both Dinette Porch !~... _ 52CIo = 5f> .25 13 Basement •~~ Floors i_, K. ~* ~v~ ~ ?a~c.i~A ~2t~®4~ low I ~• Walls Interior Finish A' LR. r ~V 1~1 ~ ~ Fire Place 5 Heat ,=r~_7c- ~T~) DR. Garage Type Roof Rooms lst Floor BR. ~~,v ~~ ~ Patio 1 Z Recreation Room Rooms 2nd Floor i~Q FIN. B O. B. 4 'F 3q 1 Dormer Driveway Total i 3a~a~ SDHS Rel#" R/D-99-0043 S~Jl~VEY OF PPOPFRTY A T OI-~IFNT TOWN OF SO UTHOLD ~. ~1o SUFFOLK COUNTY N. Y. ~~ LONC x r ~ m ~ ISI„~ND 1000-15-02-16 ~ \ SOUND SCALE: 1 " = 40' -'!I ~~ FEB. f 7, 1389 ~~ ~ FEB. 23, 1999 (revision I / T1E ~~- APRIL 26, 1999 (revision J ~ ~ ~ - ~+ $ $1 58'5 ~ ~ ~ LINE ~ IJ,AY 19 2000 (cerlilic alionJ 11 E ~ M H SEPT.., 2002 (conc. loundafion J ` Z 10~~8' ~ ~ W'~ FEB. 5, 2003 (linaJ J I' `r'~~ O O Feb. l' coo3 (rENS~on ~ t '_ ~'" N N Jan. /4, ZoD3 ~f ~~F F, ~ol~ it _':', 0 0 ,IAN. 25, 2007 1 ~' rn m W c,i APRIL 30, 2007(FNDTN LOC.J ' -, O EVe3 O ~ __ ~..... L m~ < EI~'T.5 ~Lk mm of ~lr~ W LoY of teat EU?3 6 E1r 25.8' ~ ~ Oo~D' fon,~al ~ ~ He zu~,t Lin c rye CJ. /~ ~ C CERTIFIED T0~ r, ~ MARTIN J. BANCROFT, JR. ~ FIRST AMERICAN TITLE INSURANCE COIr,PANY OF NEW YORK. P O ~ ~ ~ '~ o I ~_ ~~~ lam familiar with the STANDARDS FOR APPROVAL AND COP'STRUCTION OF SUBSURFACE SEWAGE '" ` s D/SPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES 1" ~- , f„d _ and will abide by the conditions set lorfh !herein and on the err ~ ti ,,~, permit to conslruch snc.~ ~ ~. ,~--•~ rst7 02~ 9.+I~~ ~ ~ y old es.+ The locations of wells and cesspools ou I shown hereon are from lie/d observa/ions w ii r ail ~ ~ po^ and or from data obtained Iron others. Oj ~ ~ 1 sTO+C pRrY 8 N -~ _9.Et ~. ~ n, W ~ ~ ~ -[~[, fJT ~ ' o ~ ~. 6 lJl T2u+5FgQ~ER~ ~~ I~ ~ . Tg{`r`! ri cue. U.E> ELE&E i JT I yFT1L R 0~"5 Y0f5 87'53'301 W 100.00') E~ P~ .T,r ~z ~.J,. FY COv E1[% c~ 1 O.'H 0.6*' O. J'S N/O/F ROZANSKY N N A _ tQacant) ~ ~-O 1 ~N F O ~ S O r ^9 O I [+. f] F C ~ ~ _ 1, Bro.rn cleyey ]cem OL ARE?, = 29,546. aq. ft. I _ 3 Brorn lcemy dey CL to tie line • -p~E I Bro.n clayey sand RitL Deery grace] SC ~ =~oxuJ~xT 25~ r R• - '.' ELEVATIONS REFERENCED TO (5' ~ Bro.Tn tine to coarse send Sx 1tAEAN SEA LEVEL A~ 20' ~P,~EOFhEWYO c~_ ~.,,.,~; Hnz~ rte: G-: ~ R~ TEST HOLE 5 ~~~T MF_r2 'P,E ~p ~'~'! G'tt` ~ i /-~. ~:i~ aLiEF,~ i~~~° CR aCGr n~,~ ~ ~.-_ _ ~ rv ~~F7iOn~ ~LCv,~,C;~URYCY0R5. F i~ rlo4~ 5 ~ ~~ o' SCCrio, o-_ ~~ T r+C rt v ~~ ~ ~ < <C,!~ < r n i 63l) 765 - 5020 FAX (6 ~'~ Cy~F. ~ ,4S F~ .: c U i~0~ F. ~ ;. ^ ~~~''~'~ F. 0. 80a 909 ,. ;r F , ~ ir-i= n~ 'r ~., lr i230 TRAVELER STREET 99- >25 c„ I r-r' ~ .. G c 'r -- ~Un'.T70F 1. ~c 5~~, _.~,,-~ ~<TrtGF~ Fr c_ SOUIHOLD. 1J.1". 71971