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: