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Home My WebLink About34080-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33885 Date: 08/05/09 THIS CERTIFIES that the building BASEMENT ALTERATION Location of Property: 865 NORTH SEA DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 15 Block 6 Subdivision Filed ~ap NO. __ Lot No. __ ORIENT LOt 5 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 2008 purs,,a-t to which Building Permit No. 34080-Z dated JULY 30, 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 ALTER BASEMENT TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CONRAD & ELIZABETH OWEN ( OWNER ) of the aforesaid building. SUFI~DLK COOI%FI~I DEPART~IENT OF H]IAL~{ APPRO~rAL N/A ELRt-rKIC~J~ ~I~TIFIC3%TH NO. 4009073 11/06/08 PLIERS CERTIFICATION DA'£~ N/A horlzedSignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 76~-1802 APPLICATION FOR CERTH~ICATE OF OCCUPANCY This apphcatl°n :7 be filled nl bY typewriter or ink and submitted to the Building Department wi~ the ~oI10~.~ A. For new building or new use: [~ :~ l~ I. Final survey of property with accurate location of all buildings, property lines, streets, and ,,,~,~-~: ns-~ ~- I~ topographic features. ,-~_~. ,,u~ ~ I 2. Final Approval from Hcolth Dent ofwatersuoo,_~..~ ........ . ...... ,..,~pprovai oz ewctncai mstahation from Board of Fire Underwrite,'~ I~ ~1 I':== 4. Swom statement from plumber cerdfying that the solder used in s..'"~ ......... [~"~J o I~ I~ ...... .wwm conmm~ less tnan ,z~ ~ o 1 ~ d ~ ~. Commercial braiding, mdustml building, multiple residences and simi'-- ~.-:'~: .... ~t?~]~ ~' _ r t o,f~Co~e_C_ om.phance from architect or engineer reSpOnsible for the building, u~laucins, ~]q] o. uom, Pin,rang,om Appro, of completed site r o ments. [ B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing- land use~: i. Accurate survey of properoy showing all property lines, streets, building and unUSUal nstural or topographic features. 2. A pr°perly c°mpleted 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.' Certi~cate ~f ~ccupancy - New dwe~~ing $2$.~~~ Additi~ns t~ dw~~~ing $25.~~~ A~terati~ns t~ dwe~~ing $25.~~~ Swhnming 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 - $$0.00 5. Temp°rary Certificate of Occupancy - Residential $1 $.00, Conunercial $15.00 New Construction: Location of Property: _ Old or Pre-existing Building: HOuse No. Street Owner or Owners ofProperty: ~'~r~ ~ii2~)t~_~ f)l~)~k~ Suff°lk C°unty Tax Map N° 1000c],~ec~°c~ _ _/~)] ~' Block ~ Subdivision Fried Map. (check one) Hamlet Lot Permit No. ~'~qO ~7~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~- DateofPermit. ~lf._'~OlOg Applicant:_. S~lb~ Underwriters Approval: Final Certificate: (check one) Appl~a~ignsture 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 REP ELECTRIC CONRAD OVVEN PO BOX 635 865 NORTH SEA DR. MATTITUCK, NY 11952, ORIENT POINT, NY 11957 865 NORTH SEA DR. ORIENT POINT, NY 11957 Located at Application Number: 4009073 Certificate Number: 4009073 Section: Block: Lot: Permit: BDC: Building 3 q Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 the6t~ Day of Name QTY Rate Ratin~ Circui~ Twe AdditionalCharges finnished basement Alarm and emergency equipment Sensor 2 0 0 CarMon/Smoke Wiring And Devices Dimmer 5 0 120V Fixture I 0 Fluorescent Fixture 16 0 Incandescent Outlet 17 0 Fixture Outlet 20 0 Gen, Puq:~ose Receptacle 17 0 Gen, Purpose Switch 3 0 Gen, Purpose seal 1 of 1 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) PERi,IT NO. 34080 Z Date JULY 30, 2008 Permission is hereby granted to: CONRAD & ELIZABETH OWEN 758 HUNT LA MANHASSET,NY 11030 for : ALTERATION TO AN EXISTING BASEMENT, CREATING HABITAL SPACE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 200.00 865 NORTH SEA DR ORIENT Block 0006 Lot No. 005 16, 2008 a/id approved by the 30, 2010. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~K~ FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: 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: INSPECTOR DATE 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 ~' ~ p Olyl,,~D ATIO~ FOUNDATION (2ND) -~, ROUG~ F~G & - hNSL~AX[C)N PER N. ¥ ,1 ~,~ STATE ENERGY CODE ' , ~DITION~ COUNTS Z BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~/(~ 0 Approved Disapproved a/c PERMIT NO. Expiration ,20 Board of Health 4 sets of Building Plans Planning Boar~oproval Survey Check Septic Form N.Y.S.D.E.C. . Trastees d { Flood Permit ~-~lStorm-Wate[ Assessment Form Contact: Mail to: FO ~0~ Phone: 7b~-Z ~b/~,7 APPLICATION FOR BUILDING PERMIT 6 INSTRUCTIONS Date dlfl[~ / b ,20 C 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.~L'~/~ e o~f 1 a{~' f~ ic a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder N neofownerotpremises r -a (As on the tax roll or latest deed) 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. Location of_ land on which proposed ¥ .Dor House Number Street work will be done: County Tax Map No. 1000 Section Subdivision Hamlet Block Filed Map No. Lot Lot 2. State existing use and occupancy of prem!ses and inJ~nded use and occupancy of proposed construction: a. Existing use and occupancy ~vx0,[£ Jc~v~[a.4 - ) b. Intended use and occupancy ~1(151~_ ~&i [a~ 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, 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 Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Sizeoflot: 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 NO__ 14. Names of Owner of premises Name of Architect ~Jlt,', De~cLo~ff-I Name of Contractor .~{a~cva Address Address ~]'7c[- '7~~ Address ftC, q- 0640 Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ,/X<( * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B~ ~EQUIRED. 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 __ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) NO CONNIE D. BUNCH ~)O,[3d~ -~4f.,f' being duly sworn, deposes and says that (s)he is the applicant (Name oPindividua~ signing contract) above named, is the A t C te Officer etc (S)He (Co~n~cto!, Agent, orpora , .) 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 ~.Q _.~Z~t~ dayof ~, 20 ~)oc'' Notary Public ~¢~pplicant TOWN OF SOUTHOLD ~OPERTY RECORD CARD OWNER FORMER OWNER S VILLAGE E RES~/0 S~/ VL. FARM COMM. W DISTRICT ACREAGE SUB. Total Brushland House Plot Swampland Tillable 3 Woodland Farm Acre Value Per Acre Tillable 1 Tillable 2 LAND IMP. TOTAL DATE REMARKS IND. I CB. MISC. Est. Mkt. Value FRONTAGE ON WATER Volue FRONTAGE ON ROAD BULKHEAD DOCK TYPE OF BUILDING M. Bldg. Extension Extension 15.-6-5 11/05 1107( /,~'~ , "~0 ~'.~7~ 1Basement ~ ~ , ~ Ext. Walls ~t~ ~ ---~ Fire Place Patio ~ Driveway ~orch i Porch I Bath Floors ~[nterior Finish Heat Roof Type ]st Floor Dormer j , Foundation _ . _ -- - -- _ ........ F!oors M. Bldg. /~ .~ ~'_- _?2; '- - - -- , ~' Basement ...... ~.~ ',-- - Extension ~4/ × '" _z_ -- { -' - ' Ext. Walls Extension _, x .... _ ..... :.~_ ~_-' . . ~b -'~(~ Fire Flace ~oo: ype Erosion, Sed,mentatlon & Storm-Water Run off ASSESSMENT FORM ?~P~Y Ly~T,ON: ~.C.T.M.#~ THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI$SION OFA Distdcl Sec[ion Block Lot STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL Pl..AH CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, item Number: 1 2 3 4 (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) 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 cleadng and/or construction activities as well as all 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 Controlling 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 Parcel? Wilt this Application Require Land Dislurbing Aclivities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 6 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 Welland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vedical Rise to One Hundred (100') of Horizontal Distance? 7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the d rec on of a Town right-of-way? 8 9 Will this Project Require the Placement of 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? Yes No 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 Building Permifl EXEMPTION: Does this pro oct meet the minimum standards for c ass fica on as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requiredl Ye~s STATE OF NEW YORK, COUNTY OF ........................................... SS That I ......... ¢...~.. ..................... ~.~ ............................... being duly sworn, deposes and says d~at he/she is dm applicant fur Permit, (Hame of individual sighing Document) And that he/she is the ..... (O Or, Agent Corporate O~Ce;r';;~'; ........ Owner and/or representative of the Owner of Owner's, m~d is duly authorized to perform or have performed the smd work mM to make and file this apl)licafion; that all statements contained in this at)plicafion are unto to file best of his knowledge and belief; mid that the work will be performed in the mai~ner set forth in the application filed herewith, Sworn to befure me this; .......... ................ ................... Notary Public:' i.~~ ...,,..~.....'~....~.....~. .......... FORM - 06/07 i~LE REQUIRED ~ ~ ~ COIVlPLY WITH ALL CODES OF _, ~ SOUTHOLD TC'"!'?'~ PLAN"!ING BOARD ..... ' ~~ ~ ~ I ~ NOTI~ ;Y BULDING DEP~m~MENT AT bY&DEC 1. FOUNDATION -TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION R 4, FINAL - CONSTRUCTION MUST ELECYP-.ICAL LEGEND-, ~ OCCUPANCY 0 RE COMP'"TB POn 00.. -- '~ h~! ! ALL CONSTRUCTION SHALL G,,L,~ ~OUNT:O ~,*TU,E '~ ] HI USE IS UNL'~, ~ FUL ~ REOU'RE~NTS O,T,BOOD"SO~"E,W OCCUr ANCY ~s,aN OR CONSTRUCT,ON ~RRORS. , IA I/ UNHEATED, O~FNrSHED - - % -CEIgrN~TH~UOUGHT I , ~ , / ).[ / /CLOSET- ~ ~ / '1 ~ I / J I , ~ f ~ BOUNDAYION WALL ¢ I~ k OVER FURNACE AREA ~ . i I ~X~~ ~ -- :1 q ~-- WIT"IN ~RAME * BINISH WITH ~ ~ ~ [: NOTE' PAOVID~ MECHANICAL I I I ~ ' I II YOR. 5TAT, RESIDENTIAL COD/ I ( T*242 0 ~ EXIST,NO WASTELINE TO EXI$TING CONCA:E ~ _ ~j g I LANDING FOUNDATION PLAN 1. I '-0" NOTE: ~~~ ~CALE: .t = INffORMATION OF EXISTING BASEMENT