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HomeMy WebLinkAbout33937-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33209 Date: 08/11/08 THIS CERTIFIES that the bui1ding MINOR ALTERATION (STREET) Block 1 EAST MARION (HAMLET) Location of Property: 15479 MAIN RD (HOUSE NO.) COUnty Tax Map No. 473889 Section 23 Lot 6.3 Subdivision FHed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2008 pursuant to which Building Permit No. 33937-Z dated MAY 29, 2008 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 BATHROOM ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MD & BL DELANO REV TRUST (OWNER) of the aforesaid building. SUFFOLK COllBTY DBPAR'I.'MBHT OF IlBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4001903 06/27/08 PLUMBERS CERTIFICATION DATIID 08/01/08 MATTITUCK PLUMBING & HEAT ~~1~,=. Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1~5- 511~ '-:;--r~---;;- II f7\\ " I ." .." '--!""11 ~ :1 J !UL '.. I This application must be filled in by typewriter or ink and submitted to the Building Dep APPLICATION FOR CERTIFICATE OF OCCUPANCY._ L ... ..' . ___I ent witbthe foIlO\viW!: 1, \., _ _0;1,,'--,....0 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 AIWJi'.w1 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..9lluPliance from architect or engineer responsible for the building. 6. Submit Plafill1ng 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 of I- Date. 7(?1/08 Old or Pre-existing Building: ./' (check one) New Construction: Location of Property: 16 Lfl or tYY).J f' Y2..d House No. Street Owner or Owne;:S'ofProperty: /Yl..el1QgJ 1:>. kJanr) Suffolk County !ax Map No 1000, Section Y 130 ~1 ;;;35 Block1X2a1 ", I , ~)~ &\1 )()(II!fIT Hamlet Lot O(J(p. 003 Subdivision Filed Map. Date ofPermit~r"l~_&_amt'APPlicantfon Underwriters Approval: Lot: Permit No. '3 :3'131 f'rY>nzz () Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ ~ S Co -2. ~3dQq ~ c '1'\ ,S;). r , @].@] ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I = ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I @] ~ E!IE! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~DE!IE! ~~E!IE! @] 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 SHAW ELECTRIC 530 MIDDLETON RD. GREENPORT NY 11944 MIKE DELANO 654 E. 19TH ST. BROOKLYN, NY 11230 15435 MAIN RD. EAST MARION, NY 11939 4001903 Certificate Number: 4001903 Block: Lot: Building Permit: . BDC: n811 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: First Floor, 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 andlor standard promulgated by the.State ofuNew York, Department of State Code Enforcement and Administration, or other authority having jurisdiCtion , aijd found to be in compl iance therewith on the 27th Day of June. 2008. ~ QIY Rate Ratine J:iill!il.I ~ AdditionalCharges new bathroom Appliances and Accessories Exhaust Fan Wiring And Devices Fixture Outlet OUtlet Receptade SWitch o F.H.P 2 2 2 1 3 o o o o o Incandescent Fixture Gen, Purpose GFCI Gen, Purpose seal 1 of This certificate may notbe altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Hall, 53095 Main Road PO Box 1179 S:,,'_'!~,,:,<,::, .'e\\ YOlk 11971.0959 Fax (631) 765.950, Telephone (63 I) 765.16(,: BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 1'- /. D 0' Owner: Building Permit No -'639-5 7 ,. mttflQ0 ~(aro (Please print) Plumber. {l7J+~-LuL?{ ()ml:n~ ~4 ,J~) (Please print) I ceni fy that the solder used in the water supply system contains less than 2/1 0 of 1 % lead lUi /ffIJ;;; , (PI,", ,$0",""", sr I - davof 20 of ~~ DENISE KING ~ rk tlO~~I~t~~ilgn S:otM~fr570 Qualified In suffolkM~~~ty 2 (iJ.I;. Mv Commission Expires a: I "'''Y ,"bl~ COllnty 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. 33937 Z Date MAY 29, 2008 permission is hereby granted to: MICHAEL D DELANO 654 EAST 19TH STREET BROOKLYN,NY 11230 for : BATHROOM ALTERATION TO AN EXISTING DWELLING AS APPLIED FOR EM/ORIENT at premises located at 15479 MAIN RD County Tax Map No. 473889 Section 023 Block 0001 Lot No. 006.003 pursuant to application dated MAY 15, 2008 and approved by the Building Inspector to expire on NOVEMBER 29, 2009_ Pee $ 200.00 /' /i, . /j /..~~. ~ / Authorized Signature ORIGINAL Rev. 5/8/02 3 yo 7 E::c 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 SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ "~ PERMIT NO. Examined Approved Disapproved ale /I ~;I~ ,20~ IS 'J{ ,20.JY Mail to: Phone: Expiration ul)~? ,20V ( I f'at- . , Building Inspector --~-:I ",' r \'!; r~", __.:...-\', I' .,,~----- .~ .~,. ~, _I \ ,5 "I, jAPPLICATION FOR BUILDING PERMIT ,\ \1 Date~ ,'-( , 200 e- " r.':"\ ,\ ,- ,),"'-'~ INSTRUCTIONS -',.-;;o.~' 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 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. (Sig applicant or name, if a corporation) f. O. g~~aili~~tes~a~:: ~ ~. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, elA"ROV~~<JlJOT~lder Name of owner of premises <of- DATE: FEE: )071 b1fa.. (As on the tax roll or latest dei16'-1802 8 P.,~1 T,' ",' l FOR THE orporation, signa ~o.f duly aut1tJMj__ERTIFICATE ~.o~~;:-;,':r:, ,~' :~": ;1, ;\. '} '0",': (Name art Ii f corporate officer) 0 FCli POJii . OCCUPANCY OR ~iifu~i4 " i -si vd,d.6tnJ- Blli1d=u,rn"No.ltlf7c)'" =:FUL 4. FINAL - CC""":N f,: :;1' Plumbers License No. ~3l.RIR' P ME COI?iI.~1 Electricians License No. 2> '3&'1 t'h e.. TI FICA F-: N.L..tG\l~SU\).;WIQS'. ','~::T THE Other Trade's License No. OF OCC~,' ."y .... I=l!:'Ql.JIAEMENT~" "X;OFNEW UrMI\lI, YORK STATE. ,;0T rU'!\SIBLE FOR 1. Location of land on which proposed work will be done: c; DESIGN OR CONSTRUCTION ERRORS. (54~5 /YYl;n t0JtLn CfJg Yn1r,UY'l House Number Street Hamlet County Tax Map No. 1000 Section Subdivision ~3 . Block J Filed Map No. j Lot ~ Lot'j ~.3 b. L:.' (NlllIle) " _.'~- . ~ ".' '." J l 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition AdditiO~ Alteration Other Work ~ ~,JJlirQ (Descnption) "Vtl"r7"","") ..- 4. Estimated Cost d _ v- - 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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. 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_ Address Address Addre~.o.go"" 1~9 J~l.Q 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. Phone No. Phone No Phone No. 765 .5 7 -/.9- 14. Names of Owner of premises Name of Architect ~ Name of Contractor Mtot..I7~ 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO_ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: CO~) ""tt~ being duly sworn, deposes and says that (s)he is the applicant (Na e of in ividual signing contract) above ~ (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. 200~ P i~IE DDRDSKI PUBLIC. State of New'1lli1( No. 01004634870 Qualified in SuffOlk County '^7" Conunission Expires September 30, Jt:;;;J. v "3 )1372:- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: DATE 1/,tf';;; I / [ ] ROUGH PLBG. [ ] I~ATION [ y(FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION .... INSPECTOR / ~ FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PERN. Y. STATE ENERGY CODE FINAL COMMENTS . ~-- -- -- ._h../JU' A..t""--~ CO . / f / /.~ # ~ _ '/-: / / h' /In .n ~. 1/ / ADDITIONAL COMMENTS . . . /J '> . ~ .6/ ' (/ '- / ----f ~,~.L </:::;7 / . c "" ~l'l ~.~ "" "-.( ~~ 1~\i;J '\0t<J " 2: "'-. 0 ( . ~. "'" en >-3 ~~ g; t<J ~. >-3 ~. . ~ "" ~ :I: ~\ ~ ,) ~ . >-3 ~. " "' ",. > , . / ~ ~ ,~ 0 '- :z: z ~~ "'. ~ , ('- r--. '" I."~ ~~ \S ~ \: ~ I i ~ Complete Kitchen & Bath Remodeling RDN MDRIZZD Kitchens & Baths~ . DESIGN. SALES. INSTALLATION May 14,2008 To: From: Building Department Ron Morizzo Kitchens and Baths Work to be done at the Delano residence, East Marion. ! sf- fl(J1)/t.- - B~ tLouyv}- 1. Change all fixtures, toilet, sink, vanity, faucet. 2. Tile walls and floors. 3. Painting and trim. ~- SHOWROOM: North Road Commons, Unit 19 22355 Route 48, Cutchogue, New York 11935 P.O. Box 789 . Southold, New York 11971 Phone: 631-765-5772' Fax: 631-765-6196 (of' CD!)?,hl/ . ~ Io//e,f 50 II / 5/1 ~ ';/((1' t/fhv' K;' - ---- _...~ . Lb g .- . / -, r,,-, ',--~ '"- - ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD /V-c1tf STREET VILLAGE DIST. flWb1( SUB. JI.J lJESe.. ACR. I,~'T<:J TYPE OF BUILDING ) ST. ~r:JMIE' Mkt. Value LOT I . /'1 {'; If! 'en. ;Li:kl<' EI1.'r I!M/o/V N E '5. J. 5"""-1 1 c:... 1<. ~ KI..cet;' v-.kth~,("'1 S W Two LOM R, biLL /Sfli:- FARM COMM. CB. MICS. LAND IMP. TOTAL o !lff7 o faD <t=ol If 06 7~o 0 'iIIabie FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD "2 '2..0 (Low,.... 0, - 1'7.'''( / '-'- I ,Q.,) Voodland Aeadowland louse Plot 'otal ~-..' ,. .., ".".:. '~:.',<l DIST. SUB. LOT IOao OWNER 3- /-{. TOWN' OF SOUTHOL . ANtJ/: FORMER OWNER of STREET VILLAGE a. /;1 odd' Ny /J f ,., ex ,,\:y Y,.tfi.<:.A..-,,-,^,- S . yha.{.t: K cI' . FARM Y? ,/ C~/ '}{ZA..u9-K E . TWI~ W (), , . A' , ,.Q.uff ( L'.A ( V COMM. CB. MICS. Mkt. Value c - RES. . [' e,A IN AK.l" it- VL. TYPE OF BUILDING ,", :1T'."/""'" ,- --. . Est s. fI~- LAND IMP. TOTAL DATE REMARKS 03 ~ )~ /r'VC) / / :;- o'.ro AGE NEW FARfv\ BUILDING CONDITION NORMAL .. BELOW ABOVE Acre Value Per Acre Value Tillable FRONTAGE ON WATER FRONTAGE ON ROAD ? .)(. 1,>-- <'! '/[1 U' ! Y =- 15~ Woodland '7,~; ,c. Meadowland DEPTH -H--' j I - i:/ . <Y ! 01'1 . House Plot BULKHEAD tv/_s (/30 -- Total ~ - DOCK r--~ .~ ~':, '.:;..~ --- -- -- M. Bldg. Extension :xtension :xtension - -- - ------- 1. G )C Lf-o ~ ,t..c (( 1--- ~ /ow/ 4/,,0 )arch I Ie -x~/ (__ r-'. I 'orch l reezeway ~rage ?i5I ' ~ I?V71 ). B. rota I I --, .. ~~ .--\ , -- '"1/\ /I > , l..r l/ - ~~ .J /" L-- I COLOR / >c' lc( , /" /; ( ;;' .~... I/.$"?J 'I?- fc) ./ :I/'o /?'7"Cl./ TRIM h / ",t; .-' _ t/;, ',-, , , I. 1.-,11 rt,[( " /I\-.(~\ l.. L;;/ 11 ( , , I I , ~ ! 7v I Z. , . , -) , I, ..' $., v --. -, , , ..... ' ~~ , " " , , '-, ~ - , ~ Foundation 'J J' Lf r... ~ement IExt. Walls i Fire Place L.". 1/ ~l r-r L/ ). D I11E Roof 4- O'[) Recreation i Dormer i 73gcl/ . , I , I c , /" Room , 1'>4 'Jf.\' /( . , , , , Both ! 1;/ Dinette I 'l-/::'- I ~ "", ~ ,,~/_ K. I/.Jrr.v U,I-'/,..Al.;,.- 5/~,,'C, - :'~ LR. !-I W lOR. Floors Interior Finish Heat Rooms 1 st Floor BR. Rooms 2nd Floor I FIN, B Driveway -- . ,I! , II ! I I I ! , , il I ,. i ! I , , , I , i , I ! ,