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Home My WebLink About33693-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33568 I~te: 02/26/09 T~IS CERTIFIES that the building FOUNDATION Location of property: 150 RABBIT I~A EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 31 Block 18 Lot 5 subdivision Filed ~4ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 11, 2008 pursuant to which Building Permit No. 33693-z dated FEBRUARY 14, 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 FOUNDATION REPLACEMENT FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALBERT J MOYSE of the aforesaid building. ( OWNER ) SNFFOLK C~)LR~YDEPAR~TOF~F2%L~{AI~PRO~-~J~ R~t-rKIC3%L C~TIFIC3~ NO. PLU~BERS C~KTIFICATION DA'r~3 N/A N/A N/A nature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For 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. Submit Planning 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: 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. Ifa 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, 3. 4. 5. Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Street check one) Subdivision ~- Permit No., ~/~, .~.~ Health Dept. Approval: Planning Board Approval: Hamlet Owner or Owners of Property: A/.W~-/7- Suffolk County Tax Map No l000, Section ~~ock tS~t~' [~ Lot ~ (~ Filed Map. ~ Lot: D at e o f Permit. ~-/[/-////~ c5:'' Applicant: tV(/dj Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~eq,,,5'~ ~ 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. 33693 Z Date FEBRUARY 14, 2008 Permission is hereby granted to: ALBERT J MOYSE 12 IRWIN ST NEW HYDE PARK,NY 11040 for : FOUNDATION REPAIR/REPLACENET AS APPLIED FOR PER TRUSTEE APPROVAL at pr~m~ses located at 150 RABBIT LA EAST MARION County Tax Map No. 473889 Section 031 Block 0018 Lot No. 005 pursuant to application dated ~EBRUARY 11, 2008 ~p~r~v~the Building Inspector to expire on AUGUST 14~ ~ FeeS 200.00 ~//~ ~ - !ed S~~- ' ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ :] I.~JLATION./ [ ] FRAMING / STRAPPING [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 / INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~////~/(~ INSPECTOR 631-477-0184 David S. Corwin, PE 639 Main Street Greenport, NY 11944-1431 corwin@optonline.net June 4, 2008 Subject: Albert Moyse 150 Rabbit Lane East Marion, NY 11939 To Whom It May Concern: This is to certify that the helical piles used on the above referenced project where constructed in accordance with the foundation plan dated November 21, 2007 and meet all requirements of the engineer of record and the Residential Code of New York State. David S. Corwin, PE FIELD 15NSPECTION REPORT ] DATE I . cOMMENTS ..................................... ~ ~ ~ ~, ~- // ' - , ROUGH F~G & pL/~G LNSU~ATION PER N. Y. STATE ENERGY CODE F~-~ ~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 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of l~Plans planmng Board approval Survey Expiration PERMIT NO.t-~ ~ _~r~__.~/'~--~ t~neck $o5 ~ - Septic Form ,2~7~ Storm-Water Assessment Fo~ ' ~ ~ ~ Contact: ~ ~ fl// Phone: ~-_g~ Building hs~ APPLICATION FOR BUILDING PERMIT '~. Date /,~//aq~/ ,20~ INSTRUCTIONS a}hS-h)s application MUST be c0npletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to ~a'l~. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining promises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicant. Such a pe~it shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pemit shall expire if the work authorized has not co~enced within 12 months after the date of issuance or has not been completed within 18 months ~om such date. If no zoning amendments or other re~lations affecting the prope~y have been enacted in the interim, the Building Nspector may authohze, in whting, the extension of ~e pe~it for an addition six months. Therea~er, a new pe~it shall be required. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pe~it 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 a~ees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authohz~ inspectors on premises and in building for necessa~ inspections. ~ , ~ ~ , ~. ~ ~ ~ (Signa~e o~ applic~n~ or name, i~a co~oratio~ (Mailing address of applic~t) State whether applicant is owner, lessee,~ architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ,~/-.~'~'g T' (As on the tax roll or latest deed) If applicant isp c,o/rporation, signature of duly authorized officer /4. (Nam/; 'and title of corporate officer) Builders License lklo. Plumbers License No. Electricians License No. Other Trade's License No. ~,/~ Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Subdivision /,{'. 0. (Name) Section 2. State existing use and occupancy of premises and intended us.e and occupancy of prop~osed construction: a. Existing use and occupancy ~",,~$~,/~t.. ~.~.~,~,,~. b. Intended use and occupancy 3. Nature o f w..ork (check which applicable): New Building Addition Alteration Repair t/ Removal Demolition - Other Work Estimated Cos/,~ ,4f~t:>O ~' Fee If dwelling, number of dwelling units If garage, number of cars .~ Number of dwelling units on each floor (Description) (To be paid on filing this application) / If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front ...Sff' t Rear Height !~ ' Number of Stories / Depth .7' 7' 9. 10. Date of Purchase Dimensions of same structure with alterations or additions: Front ,...q~ Rear Depth ~.~ ~ Height ~,~¥_/Z' Number of Stories Dimensions of entire new construction: Front A/(./J Rear /ff. ~ _Depth ~r. Height /,/'. -0 Number of Stories ,A/.,~. t,/o ~,md¢~' o Size oflot: Front 4.7e' Rear 'gd.O.5' ' Depth /6l~./"J' Name of Former Owner /-.~,,/g ~a,,zr'M ~-,,ze,,~,,/ 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 v/ Will excess fill be removed from premises? YES __ NO /J- iiJ~'~ 14. Names of Owner of premises/~-~"'/~r' ~¢~,~' Address da~-,42~,~ 7~¢//t d~/ Phone No.~"/~,~ 7¥/- Name of Architect Address Phone No Name ofC.-tg'ttva~ ~, .]~.k/~t4 Address/.~.~'o/gr ~,~hone No. ,7'(,~'.~g/~ 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES v'/ 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ NO / · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O~'~S: ~C~O~ ~.~CJe"~ being duly sworn, deposes and says that (s)he is the applicant (Name o'ff individual signing contract) above named, (S)He is the ' (Qdati'actor, 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. Sworn to before me this day of ant Qu~l#ledEx~eS ~ lB, James. F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghesio, Jr. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD CERTIFICATE OF COMPLIANCE # 0405C Date: February 20, 2009 THIS CERTIFIES that the raising the dwelling and replacing foundation posts/girders, and replacing existing decking surrounding the dwelling landward of the Coastal Erosion Hazard Line At 120 Rabbit Lane, East Marion, New York Suffolk County Tax Map # 31-18-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 01/09/08 pursuant to which Trustees Permit # 6794A Dated 01/23/08 and was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the raising the dwelling and replacing foundation posts/girders, and replacing existing decking surrounding the dwelling landward of the Coastal Erosion Hazard Line The certificate is issued to ALBERT MOYSE owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosi0~ Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6794A Date of Receipt of Application: January 9, 2008 Applicant: Albert Moyse SCTM#: 31-18-5 Project Location: 120 Rabbit Lane, East Marion Date of Resolution/Issuance: January 23, 2008 Date of Expiration: January 23, 2010 Reviewed by: Trustee Bob Ghosio Project Description: To raise the dwelling and replace foundation posts and lower building back onto new post/girder arrangement. Remove/replace existing deck surrounding building landward of the Coastal Erosion Hazard line, as necessary, to facilitate work. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the plans prepared by J.H. Rich Jr. last dated December 16, 2007. Conditions: Gutters and drywells are installed in accordance with Chapter 236- Stormwater Management, of the Town Code. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jame .i~King, Pr~ssid~ Board of Trustees /~co- ~/-/~,: TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET j ,fi~r-,, VILLAGE DIST. SUB. RES. / S~S. ~ ~ VL FAR~ COMM. CB. MIS2. Mk,. Value ~ND IMP. TOTAL DATE REMARKS ' BUJ~ING~ N~ NORMAL BELOW ABOVE FAR~, Acre Vabe Per Value 0, C(6 C Tillable 1 ~ ~ ~'~ Tillable 2 Tillable 3 Woodland ~r Swampl,and FRONTAGE ON WATER ~ Brushland FRONTAGE ON ROAU ~ House Plot DEPTH ~ ~ ~ ~ ,~ BULKH~D Total DOCK COLOR M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio '~ ~ Foundation Basement Ext. Walls Eire Place Type Roof Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor Dinette K. LR. DR. BR. FIN. B. Dormer Total Survey of Property Prepared for: Suzanne Moyse Surveyed: August 2007 SC'T# 1000-31-18-5 Situate: East Marion Town: Southold Suffolk County, NY P.e~erence Deed LIbor 12156 Poc~e 5:~4 Ar'ec~ = 02-I c~;re5 t;o current HF'~H I 1"=30' I N ROBERT H. FOX NYS PLS~ 50197 P O BOX#366 AQUEBOGUE NY 11931 631-722-3390 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S,C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATEN~ GRADING~ DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, Item Number:. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all mn-off created by site clearing and/or construction activities as well as a~l Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Contra ng Surface WaterFIow! -- Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade involving more than 200 Cubic Yards of Matedal within any Pamel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of I'--"l Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Ve,lical Rise to r~ one Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or ir) the direction of a Town right-of-way? Will this Project Require the Placement o~' Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to ssuance of Any Building Permit! EXEMPTION: Ye_._.~s N_.2.o Does this project meet the minimum standards for classification as an Agdoultural Project? Note: IfYouAnsweredYestothisQuestion, aStorrn.Water Grading, Drainage & Eros on Contro Plan is NOT Required~ I// -- STATE OF NEW YORK, _ , COUWI~/OF ~k~.'~.....~., ................... SS That I,......C~.*.'.~.~.~x~.....~......./'~.~.. ............................... being duly sworn, deposes and says that he/she is the apphcant for eetanit, (Name of individual signing Document) ,Mid that he/she is the ............ ~~..Z~...~'~..'F_.. .................................................... (Owne ~i~Corporate Officer, etc) Owner and/or representative of the Owner of Omner's, and is duly authorized to perform or have pedbrmed the said work ;md to make and file dfis application; that all statements contained in this application are tree to the best of Iris knowledge and belief; and that the work will be performed in the manner set forih in the application filed herewith. Sworn to before me this; .......... · .~....~ ............................/~x ~'~ __ ~~ff~ / ]day of ..~,,_~k':~..., 20....i.~. ff'~)~ /'~ FORM - 06/07 ~-F.~-~[~w. AT J~ AP_-P P, OV ~ &S-NOTED F ' 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. iNSULATiON 4. FINAL - CONSTRUCTION MUST SE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW COMPLY WTTH ALL CODES OF NEW YORK STATE & TOWN CODES AS.EOU,.ED ^ND O0.D,TIONSO' SO~TNOLD TO%"'IN PLANNING BOARD /~/t~ N.Y.S, DEC ALL CONSTRUCTION SHALL SPONSIBLE FOR MEET THE REQUIREMENTS OF THE YORK STATE NOT P~ES · c - n~l~l ~ ~nN ~lT:)~:~'~P~l~S.~Ci'c::~- ._sclC ~ CODESOFNEWYORKS'I'ATE OCCUPANCY OR USEISUNLAWFUL WITHOUTCERTIFICATE OFOCCUPANCY DRAWING NUMBER F