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HomeMy WebLinkAbout33587-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33561 Date: 02/25/09 T~IS CERTIFIES that the building INTERIOR ALTEPJkTIONS Location of Property: 350 RABBIT LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 18 Lot 8 S%lbdlvision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5, 2007 pursuant to which B~ilding Permit No. 33587-Z dated DECEMBER 14, 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 INTERIOR ALTEP~ATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIRD FLOOR IS NONHABITABLE. R"ne certificate is issued to BRENDA M COLLINS ( OWNER ) of the aforesaid building. Si~FFO~COLR~R~fDBpAR~TOF~I~2%L~{APPROl~L N/A ELR~-rRIC3~L C~TIFIC3%~ NO. 3060669 02/11/09 PL~ CERTIFICJ%TION DA'£~O 02/12/09 GREENPORT PLUMBING ~ A~ho~ed Signature Rev. 1/81 BY THIS CERTIFICATE OF COMPLIANCE THE Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ NEW YORK BOARD 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT ~ ~ ~ Upon the application of upon premises owned by ~ ~ P T,Nu .R NDA COLL,N 1320 KENNEyIS RD 74 EAST WOODSIDE AVE. [~=i] SOUTHOLD, NY 11971, PATCHOGUE, NYl1772 L~.__--..--~ ~ Located at 350 RABBIT LANE EAST MARION, NY 11939 Application Number: 3060669 Certificate Number: 3060669 Section: Block: Lot: Building Permit: 0 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: F~rst Floor, Second Floor, ThtrrT'gJ. oor, Attached Garage, Outs de, 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 theHth Day of February, ~00~. Name QTY Ratin~ Circuits Type Rathe Alarm and emergency equipment Sensor 2 0 0 Carbon Monoxide Appliances and Accessories Air Conditioner 1 0 Above 1500 I~TO Dish Washer 1 0 1,2 KVV Exhaust Fan 4 0 F.H.P Furnace 1 0 Oil Oven 1 0 50 Amps Water Heater 1 0 30 Amps Miscellaneous l~50amp line for portable hot tub Service Service Disconnect: 1 200 cb ServicelPhase3w Service Rating200Amperes Wiring And Devices Dimmer 9 0 120 V Fixture 48 0 Incandescent Outlet 48 0 Fixture s~a/ Continued on Next Page I of 2 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 PLATINUM EAST ELECTRIC BRENDA COLLINS 1320 KENNEY'S RD 74 EAST WOODSIDE AVE. SOUTHOLD, NY 11971, PATCHOGUE, NY 11772 Located at 350 RABBIT LANE EAST MARION, NY 11939 Application Number: 3060669 Certificate Number: 3060669 Section: Block: Lot: Building Permit: 0 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, Second Floor, Third Floor, Attached Garage, Outside, 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 thenth Day of February, 2009. Name QTY Rate Rating (2ircuits Type Outlet 70 0 Gen, Purpose Receptacle 1 0 20a laundry Appliance Receptacle 1 0 30a Dryer Receptacle 7 0 GFCI Receptacle 39 0 Gert, Purpose Switch 32 0 Gen, Purpose seal 2 or 2 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 Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (63 I) 765-1802 Fax (63 !) 765-9502 CERTIFICATION Building Permit No. Owner: Plumber: (Please print) (PJease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this dayof ~9 , 20~5'~ Notary Public, ~0 ~ounty (Pltimbers S~gnature) VICKI TOTH Notary Public, Slate of New York No. 011'O6190696 ~ Qualified n Suffolk County / ~ommission Expires July 28, FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT To~n Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33587 Z Date DECEMBER 14, 2007 Permission is hereby granted to: BRENDA M COLLINS 74 EAST WOODSIDE AVE PATCHOGUE,NY 11772 for : INTERIOR ALTERATIONS TO P/N EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 350 RABBIT LA County Tax Map No. 473889 Section 031 pursuant to application dated DECEMBER Building Inspector to expire on JUNE EAST MARION Block 0018 Lot No. 008 5, 2007 a/id approved by the 14, 2009. Fee $ 200.00 / Authorized Signature ORIGINAL Rev. 5/8/02 Maz'k Schwartz, AIA -Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734 - 4185 Fax: (631) 734 - 2110 December 15, 2007 Southold Town Building Department Main Road Southold, New York 11971 Attn: Patricia Conklin Re: Collins House 350 Rabbit Lane East Marion, New York SCTM# 1000-31-18-08 Dear Pat: All exposed headers at window and exterior door areas shall be strapped with 20 gauge - 1 ¥4" x 12" straps from header to each jack stud and from header to each cripple stud above. All exposed rafters shall be tied to existing top plates with tie down anchors (RTl5 or similar). Please call this office if you have any questions or require additional information. Vexy truly yours~. M~k ~hw~ Collinss~aPpmg REScheck Software Version 4.0.1 Compliance Certificate Report Date: 12/14/07 Data filename: C:~Program Files\Check~REScheck~cctlins.rck Energy Code: Locatiea: Construction Type: Heating Type: Non-Etactric Glazing Area Percentage: 19% Heating Degree Days: 5750 Construction Site: New York State Energy Conservation Construction Code Suffolk County, New York Detached I or 2 Family Owner/Agent: Co{lins House Cutchogue, NY Designer/Contractor: Mad( K. Schwartz, Architect PO 933 Cutchogue, NY 11935 734-4185 Coiling 1: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with Low*E: Window 2: Wood Frame:Double Pane with Low-E: Door 1: Glass: Door 2: Glass: Wall 2: Wood Frame, 16" o.c.: Window 3: Wood Frame:Double Pane with Low-E: Door 3: Glass: Floor 1: Ali-Wood JoistJTruss:Over Unconditioned Space: 787 30.0 0.0 28 900 13.0 0.0 56 18 0.300 5 143 0.330 47 21 0,300 6 40 0.330 13 844 13.0 0.0 61 44 0.330 15 61 0.330 20 787 30.0 0.0 26 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this pea-mit application. The pmpeaed systems have been designed to meet the New Yonk State Energy Conservation Construction Code requirements, When a Registered Design Professional has stamped and signed ~his pag.e,,~t~ ~ra a~testing that to the best of ~m~- T~tie ' ~fgnature /W ~' D ease /- Page 1 of I ~RTI£IED TO: -' TOWN OF SOUTHOLD PROPERTY RECORD CARD ~G~f~ ~ ~W~ W, ~P~ oF BUILDING ~,. ::~:~, V~o,~~ ~,, ~o~,. c~. ,,,~c. ~,,~,,u~ ~ND IMP. DATE REMARKS FARM Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot BUILDING CONDITION BELOW ABOVE Value Per Value Acre Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKH~D DOCK ExteJ~sion Extension Extension Porch COLOR TRIM Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Driveway Breezeway Garage Patio Tara I Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ .] I/N~ATION~ [ ]FRAMING / STRAPPING [,~"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COI~'I~IJCTION [ ] FIRE RESISTANT PENE'n~ATION REM RKS: .~r~.~ ~/~fi.~.~//// DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 I NSPECTI/ON [ ] FOUNDATION 1ST [ ] R/OOGH PLBG. [ ] FOUNDATION 2ND [ ~ INSULATION []FRAMING/STRAPPING []FIREPLACE&CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~~ [ ] FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ].~JNDATION 2ND [ ] INSULATION [~]~FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION RI __INSPECTOI TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR INSULATION PER N.Y. --- ~q STATE ENERGY CODE -I- ~DITION~ COUNTS , ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration PERIVIIT NO. 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 Storm-Water Assessment Form Contact: Mail t o :,//te~q~ Phone: \ Building Inspector APPLICATION FOR BUILDING PERMIT : Date '-' 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, h~~ and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applVeant-dr name, ifa corporation) y f ~ ~'~ (Mailing address of applicant) State whether applicant is owner, lessee/agen~ngineer, general contractor, electrician, plumber or builder Name of owner of premises ~/~ ~ AJtQ,,q' ~ag~.. (~ /A.,) .J- (As on the tax roll or latest dccd) 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 o1~ which proposed work. will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) 3/ Block f 4 Filed Map No. ~'~:~L--~:-_L~ 2. State existing use and occupancy of prem~ises and intend?~d use and occupancy of proposed construction: a. Existinguseandoccupancy <)~/AJ~I~ j>~],,~/~,y f~,~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee ~ Alteration_ ('Other Work ) ItaT£~lt a,~ /I 6 l"t~q,~ r k,~ ~ (Description)' (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusin~,ess2.,com~mercia~l or mixed occupancy, specify nature and 7. Dimensions of existing structures, if any: Front Height Number of Stories extent of each type of use. Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of-entire new construction: Front Rear .Depth Height Number of Stories Rear 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name 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__ 14. Names of Owner of premises ~g'W'~4 &t.,6) a')A~ddress Phone No. Name of Architect ,q,O~'/(-- .CC h%t/~}~rgr-z_ 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 Y NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM~IT~,MA¥ BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES)<, NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 477- 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) COUNTY OF ~d ~_~S)S: //~/'4t/~'/~ ,36-/7*14./"q/'~ /'"~--' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (Contract6r, 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 tree 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. Swom to before me th, is ~ day of Signature ol~plicant IF<II -~-J L. L - _1 I_ _ _J ~ EXISTING FOUNDATION PLAN 1/4"= 1 '-0" L. F ~ PROPOSED FOUNDATION PLAN /4"= 1 '-0" J J J EXISTING EXIST.~ EXISTING KITCHEN U q EXISTING GREAT ROOM ~]]) EXISTING FIRST FLOOR PLAN 1/4"= 1 '-0" I BEDROOM 1 i _1__ DROOM r ~1 I q EX~STZNG GREAT ROON ~ PROPOSED FIRST FLOOR PLAN 1/4"= 1 '-0" EXISTING ~ EXISTING MASTER BATH EXISTING GREAT RM. PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING :~ U~ED IN'WA TER ~uPPL y sYSTEM O/4NNo~ T~ :.,~CEED2/10 OF 1% ~.EAO?, (~ EXISTING SECOND FLOOR PLAN CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. OFFICE !r BATH ALL CONSTRUCTION SHALL IO'-m' 9'-~" UIREMENTS OF THE ~SE 18 UNLAWFUL /ITHOUT CERTIFI ~F OCCUPANCY ~D AS NOTED INSU~TION FINAL - CON~TRU~TQ, J MU6T MASTER ,, COM,~T~ ~ c.c. SI~ING RM. BEDROOM SHALL MEET THE OF THE CODES O, ,RK STAT~. NOT RESPONSIBLE FOR UNDERWREERS( RE~IR~ ~ PROPOSED SECOND FLOOR P~N 1/4"~ ~ '-0" REVISIONS D~WN: ]G S~LE: 1/4"=1'-0" 30B ~: O~OBER 17, 2007 SHE~ NUMBER: I-I ~) SOUTH ELEVATION 1/4"=1'-0" (~ EAST ELEVATION 1/4"= 1 '-0" BATHROOM (~ WEST ELEVATION 1/4"= 1~-0" ~ SECTION 1/4"= 1'-0" 3 NORTH ELEVATION REVISIONS DRAWNI 3G SCALE: :t/4"=1'-0" 3OB #: 0c'rOBER :L7, 2007 SHEET NUMBER: A-2 LIJ m-e,, k~_d k .J I I~1 I i- - -1 F- -- -1 : I IMI f- -- ] IXl I --: L _ / k _ _] O EXISTING FOUNDATION PLAN 1/4"= 1'-0" XONC'SM7 I LI-I i- J G PROPOSED FOUNDATION PLAN 1/4"=1'-0" II EXISTING BEDROOM i q EXIST, EXISTING KITCHEN EXISTING GREAT ROOM -I- (~) EXISTING FIRST FLOOR PLAN 1/4"= 1 '-0" EXISTING BEDROOM I KITCHEN EXISTING GREAT ROOM 5 el6" OC, I ~t-~- ~/cI G-PF~~-D FIRST FLOOR ~LAN 1/4"= 1 '-0" EXISTING ~ EXISTING MASTER BATH BEDROOM O ~ EXISTING GREAT RM, (~ EXISTING SECOND FLOOR PLAN 1/4"= 1 '-(~' (~; ox~s OFFICE BATH SI'I-FING RM. MASTER BEDROOM (~-PRePSS-ED SECOND FLOOR PLAN 1/4"= 1'-0" REVISIONS (,, =l- ,,,>- .~l DRAWN: 3G SCALE: 114"= l"O" .10B #: OCTOBER t7, 2007 SHEET NUMBER: (~ SOUth ELEVATION 1/4"=1'-0" WEST ELEVATION 1/4"= 1'-0" ~EAST ELEVATION 1/4"= 1'-0" ~ NORTH ELEVATION 1/4"= 1'-0" BATHROOM _ KITC HEN ~ SECTION 1/4"= 1 '-0" REVISIONS L D~WN: ]G S~LE: ~/~"= ['-0" O~OBEE [7, 2007 SHE~ NUNBER: A-2 BATH ROOM % KIT( :1~ EN (~ EXISTING SECOND FLOOR PLAN 1/4"= 1 '-0" ATTIC ~N 10W}i OF SOUT~LD REVISIONS D~W~: JG JOB ~: JANUARY 20, 2009 SHE~ NUMBER: