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Home My WebLink About34136-ZFORM NO. 4 TOW/~ OF SOUTHOLD BUILDING DEPD~qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33737 Date: 05/26/09 THIS U~u(TIFIES that the building ADDITION Location of Property: 950 ROBINSON LA (HOUSE NO.) (STREET) County TaxMap No. 473889 Section 98 Block 4 Subdivision Filed Map No. __ Lot No. __ PECONIC Lot 32 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2008 pursuant to which Building Permit No. 34136-Z dated SEPTEMBER 4, 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 SCREENED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KEVIN B & KAREN L CONERY ( OWNER ) of the aforesaid building. SUFFOLK COUN~"f DEPART~NT OF ~ALTH APPRO~-AL N/A E~.~t-r~IC3~L c~KTIFICATE NO. 4020633 05/15/09 PLUMBERS C~KT!FICATION DA'£~ N/A ~uthorized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDR~IG DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fdled in by typewriter or ink and submitted to the Buildir/~D _'~,/,~,nont with ~he following: A, Fornewbuildingornewnse: ' .tt~'X r'~ ~ 11~_~.~ E ~ ~ ~_ 1. Final survey of property with accurate location of all buildings, property ][q~,{~trects, and unusual natu~ll topographic features. . ~/~¥ ~ ' 2. Final Approval from Health Dept. of y~ater supply and sewerage-disposal(~JS-~lon~[). ' 2009 3. Approval of electrical installation from Board of Fire Underwriters. ~ ~ 5. Commercial building, industrial building, multiple residences and similar u.,:;.!' ~.~Lv~/Q£~ti~l~,nn a certi~ of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requi~ments. B. For existing'buildlngs (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land nses: 1. Accurate survey of property showing all property linc~, streetS, building and~unusual natural or topographic features. 2. A pr~per~y enmp~eted applicati~n and c~nseat te insp~ct dgned by the app~icant~ If a Certi~cate ~f O~cupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ,'ate C. Fees l. 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 O¢~upancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate ofOocupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: / Date. Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owners ofProperty: ~-~x)~v~x t- ~,.C~ ~.Ox~.~ Suffolk County Tax Map No 1000, Section ~)t~ Block C) Subdivision Filed Map. Permit No. ~/36, Health Dept. Approval: Lot Lot: DateofPermit. ~.~/vt0g Applicant: c~..-~f ~{~-,~{~c~ Underwriters Approval: planmng Board Approval: Request for: Temporary Certificate Fee Submitted: $ Finai Certificate: (check one) 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 HUBBARD ELECTRIC KEVIN & KAREN CONRAY 178 HUBBARD AVE 950 ROBINSON LANE RIVERH EAD, NY 11901, PECONIC, NY 11935 Located at 950 ROBINSON LANE PECONIC, NY 11935 Application Number: 4020633 Certificate Number: 4020633 Section: Block: Lot: Building Permit:34136 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, sun room,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 the15th Day of May, 2009. Name QTY Rat~ Ratine Circuits Typq Wiring And Devices Fixture 3 0 Incandescent . Outlet 3 0 Fixture Outlet 8 0 Gert, Purpose Paddle Fan 1 0 Receptacle 1 0 GFCI Receptacle 5 0 Gen, Purpose Switch 5 0 Gen, Purpose seal I of This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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) PE~IT NO. 34136 Z Date SEPTEMBER 4, 2008 Permission is hereby granted to: KEVIN B & KAREN L CONERY C/O HALLOCK HOLDING P.O. BOX 3 SO. JD~4ESPORT,NY 11970 for : 15'X20' SCREEN PORCH ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated AUGUST 950 ROBINSON LA PECONIC Block 0004 Lot No. 032 28, 2008 a/id approved by the Building Inspector to expire on MARCH ~2010. Fees 200.00 ized Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~X~FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~ F~OUNDATION 1ST [ [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTIOI4~ [ ] FIRE RESISTANT PENETRATION REMARKS: ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION REMARKS: DATE //~///~///~ INSPECTOR Z~~__~~'~ ~ COiVIrvlZI~TS FO~DATION ROUG~ F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Disapproved aJc ~ 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 Flood Permit Storm-Water Assessmenl Form ,~ Contact' 3¢{~ bj~ ~f~a c~ 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. fi 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 nut horizedin spectors on premises and in building for nec ess dry in spections. ~//A~ (Signa~t(re o/at~licant or name, ifa corp;ration) (Mailing address of applicant) 6 1, { Ol7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~ o~./~,'~. C.~ ~s ff/~ the tax roll or latest deed, If applic~is ~o¢?ti~si~ature of duly ~uthodzed officer ~ ~e ~d title of c~orate officer) Builders License No. ~/~q'~ ~g~ ~ [ Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on_which prgpos~d work. will be clone: House Number Street County Tax Map No. 1000 Section ~'] ~? Block Subdivision Hamlet Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended us6 t~nd occupancy of proposed construction: a. Existing use and occupancy ~'~,,,xo~e_._ _~-~-,v~'[,.-' ,ri, ~"~.~.~r.c,_ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost ~O)C~]]) Fee 5. If dwelling, number of dwelling units If garage, number of cars Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business commercial or mixed occupancy, specify nature and extent of eacl~ type ~f~se~. 7. Dimensions ofexistijag structures, if any: Front ~4-]. Height I ~ ' Number of Stories Rear / Dimensions of same structure with alterations or additions: Front .~--~ Depth ~ 7 Height Number of Stories 8. Dimensions of entire ~ew construction: Front ~--~ Rear _~ ~ Depth Height I ~ 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 13. Will lot be re-graded? YES NO ~ Will excess fill be removed from premises? YES__ 14. Names of Owner of premises ~./x,,,. ~om~tAddress 6~) ~¢(,..[~, ~.Phone No. Name of Architect ~o ~.~L.L~~ t.,..,,~, ~ Address o&~,~,, ~ Phone No Name of Contractor Address u u Phone No. __NO ~.. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * 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. NO 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: COUNTY OF being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, O0NNI£ 1). BUNCh Nota~ Pu~i~, ~ate of New Y0ri, (S)He is the (Contractor, Agent, Corporate Officer, etc.) Corem 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. Notary Public ~ -~'i'~u~/Applicant '~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ ~',*~ VILLAGE DIST. SUB. LOT OWNER STREET FOYER OWNEI N E - ~/~ Io~ '~ ~ ~ S W ~PE OF BUILDING RES. 2}O~ (~ S~S. [VL. --- FA~ COMM. CB. MISC. Mkt. Value , ~ND IMP. TOTAL DATE REMARKS .~0 ~ N~ NOeL BELOW ABOVE FA~ Acre V~ue Pe~ Vobe ~ [ q'0 ~ Acre TilMble Tilleble 2 Tilleble 3 W~dlond Swemplond FRONTAGE ON WATER ~ Brushl~nd FRONTAGEON ROAD /~/ ~ ~/~ a House Plot DEPTH BULKH~D Total I D~K M. BI~'~'~ Extens,~ ~ Exten~ Extension 777 COLOR Foundation ? <~ Bath ~,~ Dinette Basement ~ ~ i Floors' K. Ext. Walls Fire Place Interior Finish Heat LR. DR, Dormer Driveway Total Garage Breezeway Type Roof Rooms 1st Floor BR. Porch Recreation Roan Rooms 2nd Floo FIN. B. Porch ~/'f ~-e, 88/22/2888 82:23 516932~388 GRACE INS PAGE ~1/81 (516) 93~-8100 08/22/2008 cOll~I~ NO ~ LIKiN ?HE ~ __.._.,~ .==.mn y THE DOLE8 NOT ~O, ~D ~ ~ 1.~ ~v~ -~-~--~ B PO BOX 302 ~ ..................... ~O.J~SPORT ~ 119~0 ] ~ 0 ~*.~..~.~'"r-"'"" "'"'""' "~ ~Y ..................................................... ...................... ~"~'~'*-'"¥~ 5 ~ o 0 ~.~ ........ k.:~.~ .... ~ ~ ~ ~ ~ ~o/,v/~- ] "~ ' ' -~'~ ................~;*""[, o00~ 00c .... ~%,~ ~ ~ , ,~, . ~ ~ }-~--~-~*~'~'% ............ ~.~.]-*~.~.~ ...~..~.~.~ ~ ~ ..... ?'"""t ~ ~ .............................................................................. SUFFOLK COURTY OFPICB OF CONS~ ~FFICES PO BOX 6100 MAIL 30 DAY~ ~ NOTI~E TO PrE CERTIFI~A"IE ~ WED TO mE 7 ~ 7'? ~.6' lC)" E: ZlO.OO' ,I,~1 ~'~"~$ 7'/'o 25' i0" W 5 MAP OF LAND LOCATED AT PECON lC KATHRYN 'r. FOEHR 8- IIB-87~~ I"--'- 30' , Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Item Number: PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A i~.D(7 ~ ~ ~ ~- STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN District Section Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 2 3 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activities as well as alt Site Improvements and the permanenl 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 Conlrolling Surface WaterFIow! Will this Project Require any Land Filling, Grading or ExcavaIion where there is a change to lhe Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 rs there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wet and or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to One Hundred (100') of Hohzontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/ar in the direction of a Town right-of-way? 8 Will this Projecl Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town R gh -of-Way or Road Shoulder Area? (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain o any Watercourse? r~ 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 Issuance of Any Euilding Permifl EXEMPTION: Yes No Does this project meet the minimum standards for classificatice as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl -- STATE OF NEW YORK, COUNTY OF ........................................... SS (Name of individual signing Oocumenl) ........................................................................... '_""'NO t~l~Ir~1850§0 ..................... (Owner, Contractor, Agent, Corporale Officer, otc) C0 [,~Jal[f~l~~ in Surfak County Owner and/or representative of die Owner of Owner's, and is dui), authorized to perform orl~amviSes')°ear~'oX?nr~cf~'lelsaai~w;rc~ P m~d to make and file this application; that all statements contained in this application are tree to the best of his lmowledge tim the work will be performed in the manner set forth in the application filed berewith. Sworn to before me this; .......... g~...~ .................. da,, of~.....~ ................. 20...~...~7 FORM - 06/07 ? 226.68' mST I SECT S[~ I LO~ ] F NAL LOCAT ON 5- -84 MAP OF PECONIC BAY OAK~, OCT. ]6,19Bl MAP N0.3434 GUARANTEED TO KATHRYN T. FOEHR MAP OF LAND LOCATED AT PECONIC KATHRYN 'I: FOEHR ~,TE. 8--1B--83 b saddte up br × Door Removed DINING ~& T~G Cedmr S,dmg le~t nm~ural, LIVING I/4 = I -O" WEST ELEVATION C~OSS ~Joo'¢~ FOUNDATION 1/4" = I'-O" 2x8 fJ I& DC Iota) 2 2xlO OCCUPANCY OR USE IS UNLAWFUL ',/VITHOUT CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE, RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. PLAN APPROVED AS NOTED. '~ ..... NOTIFY BUILDING DEPARTMENT AT 7~5-180~ 8AM ]O 4PM FOR THE FOLLOWING INSPECq]ONS: 1, FOUNDATION - TWO REQUIRED FOR POURED COBCRETE 2. ROUGH - FRAMING & PLUMBING . ~.. 2NAL - CONSTRUCTION MUST COMPLY WITH CHAP,rER "46" BE COMPLETE FOR O.O. FLOOD'DAMAGE PREVENTI~L CONSTRUOTiON SHALL MEET THE SO~ J] ~qOLD TOWN CODE. REQUIREMENTS OF THE 60DES OF NEW YORK STATE, NOT RESPONSIBLE FOR RESIGN OR CONSTRUOTION ERRORS. Fdn COMPLY WITH ALL CODES OF NEW YOR F ? TAT E & TOWN CODES AS REOLYFE~ 'iNS CONDITIONS OF ?1 ~THOLDTOWNZBA __. 30UTHOLD TOWN PLANNING BOARD SOUTHOLD TOWN TRUSTEES N,Y.S, DEO grade SECTION 2xlO header 5/8" ~alv anchor bolt Z 7 III DRAtt)INO TITLE.' FOUNDATION FIRST FLOOR JOB: RESIDENCE PORCH ADDITION flSO ROBINSON LANE PECONIC , NEll] YORK TOIIIN OI= SOUTHOLD P,C'FMI IOOO-O~11.-O4.-O ARCHITECT: DONALD A. DENIS AIR P.O. BOX AQUEBOGUE. NY 11451 [FAX) 28 JULY 28. '04 REV.: DATE : q JAN 'O4 SCALE .' I/4' "' I'-O" JOB NO= 2OO3,-21 DRAIIflNG NO. I OF