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Home My WebLink About34126-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34530 Date: 08/31/10 THIS U~'rIFIES t~at the building HEATING SYSTEM Location of property: 8555 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 3 Lot 13 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 2008 purs,,a-t to which Building Permit No. 34126-Z dated AUGUST 29, 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 REPAIRS TO AN EXISTING HEATING SYSTEM AS APPLIED FOR. The certificate is issued to JAMES A & MARIA I HARRIS ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF f~%LTH A~PROVAL ELEU-i-~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~U3 ~/A ~/A ~/A~ Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMEN'I TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF ~ IAUG 31 2010 ,CCUPANC~LDG. OEP'[. TOWN OF SOOTHOLD 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 C0de Compliance from architect or engineer responsible for the building. 6. 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 properly 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, Swimming 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- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Old or Pre-existing Building: House No. Street Owner or Owners of Property: ~Jf,~A,~¢ /~t~ ¢;[~-~tr~ Suffolk County Tax Map No 1000, Section /475g~q / O.~1 Block Subdivision Date. (check one) 0oo ~ Filed Map. Hamlet Lot Lot: Permit No. ~/.~L~ 9--6,Z DateofPermit. q~',Zq 2c;0~ Applicant: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~,~ ~. CO Underwriters Approval: Final Certificate: / (check one) Applicant Signature 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. 34126 Z Date AUGUST 29, 2008 Permission is hereby granted to: JAMES & MARIA HARRIS 20 EAST 74TH STREET NEW YORK,NY 10021 for : REPAIRS TO A HEATING SYSTEM IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP #31313 at premises located at 8555 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0003 Lot No. 013 pursuant to application dated AUGUST ~approved by t~e Building Inspector to expire on FEB/ 29, 2010. ~'"'~ Fees 200.00 U ~d S~ature/ Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31313 Z Date JULY 27, 2005 Permission is hereby granted to: JEAN E & ORS DEAN PO BOX 224 EAST MARION,NY 11939 for : REPAIRS TO A HEATING SYSTEM IN AN EXISTING ONE F~LMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 031 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 150.00 8555 MAIN RD EAST MARION Block 0003 Lot No. 013 27, 2005 and approved by the 27, 2007. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING / STRAPPING [*~] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~-,., 1~ INSPECTION [ ]m,m~,~t~tR~'t'~ [ ]flm~m&T,~l'tm~ml~'rm~ REMARKS:__ ~ INSPECTOR COMMENTS FIELD INSPECTION REPORT I DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PLUMB~G ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 Approved ,20 Disapproved a/c PERMIT NO. g{'~lB BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Building Inspector ~PPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submi'aed to the Building Inspector with 3 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 pu~ose 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. (SigMmre of applicant dr name, ifa corporation) (Mailing address of applichnt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofprernises ~.~T~'~--- ~)F ~_.~]~--~ ~__.:~-.~__~,J (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. '~ ~f.;?-- ~2> IJ,.g~ ~{.IAX Electricians License No. Other Trade's License No. 1. Locat~n of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section '~i Block --'~ Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Intended use and occupancy Nature of work (,check which applicable): New Building Addition Alteration Repair ~[x~Removal Demolition ' Other Work Estimated Cost" O <d~D{ ~0 ~~ Fee ~ /%~ (Description) (To be paid on filing this application) If dwelling, number of dwelling units ~ Number of dwelling units on each floor ~_ / [ If garage, number of cars t 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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size eliot: 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 Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. ls this prope~y within 100 feet of a tidal wetland or a freshwater wetland? *YES__ NO __ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. ls 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. STATE OF NEW YORK) SS: co *vo ~ ~V~ ~ .3f-~ being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, 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 true 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. $'~'am to before me this ~ dayof MAY~4 ~ 20 05 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971 0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF $OUTHOLD August 26th, 2008 ls~ NOTICE James &/~arie Harris 20 East 74*h Street New York, N.Y. 10021 RE: 8555 Route 25 (Heating System) SCTM # 31.-3-13 bear AAr. & Mrs. Harris, Please be advised 1'hat your Building Permit # 31313 issued July 27th, 2005 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $200.00; at that time we can schedule on inspection by one of our Building Inspector's. If you have any questions, please call us at 631-76§-1802. Respectfully, SOUTHOLb TOWN BUTLb:I:N6 bEPT. July 26, 2005 FEDERAL EXPRESS Gary Fish, Building Inspector Town o£ Southhold Building Department Town Hall Southhold, NY 11971 Re: Application for Building Permit for 8555 Main Road, East Marion, NY Dear Inspector Fish: Attached please find the building permit application for the heating repairs required for 8555 Main Road, East Marion, NY and a check for $150 for the required fee. If you have any questions or require anything further, please feel free to contact me at 212-880-6126 or my husband, James Harris at 917-273-3185. Yours truly, Maria I. Harris MIK Enclosure