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35234-Z
Town of Southold Annex 54375 Main Road Somhold, New York 11971 4/18/2011 CERTIFICATE OF OCCUPANCY No: 34902 Date: 4/18/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 665 Gillette Drive, East Marion, NY 11939, Sec/Block/Lot: 38.-4-3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/16/2009 pursuant to which Building Permit No. 35234 dated 12/22/2009 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: bathroom renovation and front porch alteration to an existing one family dwelling as applied for. The certificate is issued to Webster, Kevin & Webster, Lynne (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 3/16/11 12138 3/26/11 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. 35234 Z Date DECEMBER 22, 2009 Permission is hereby granted to: for : MINOR KEVIN & LYNNE WEBSTER 665 GILLETTE DR EAST MARION,NY 11939 INTERIOR ALTEP~ATION & FRONT ENTRY ALTERATION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 038 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 665 GILLETTE DR EAST MARION Block 0004 Lot No. 003 16, 2009 and approved by the 22, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA~ This application must be filled in by D'pewriter or ink and submitted to the Building DeI A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, 3. 4. 5. topographic features. Final Approval from Health Dept. of water suppl3 and sewerage-disposal (S-9 Approval of electrical installation from Board of Fire Underwriters. with the f~ollowing: I[I II BLDG, DEPT. IOWN OF SOUTHO[B Sworn statement from plumber certifying that the solder used in system contains less than 2/I 0 of 1% lead. 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. If a 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: ~/o5 t louse No. Owner or Owners of Property: ~ / --x Suffolk Count3~ Tax Map No 1000, Section Old or Pre-existing Building: Date. ~ (check one) Street Hamlet Lot ,-~ Subdivision Permit No. ,'~ 5 ~ ['~ Health Dept. Approval: Date of Permit. ~ Filed Map. Applicant: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature ~cUFFOl K B U R F/\tJ · 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Maih SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough Tn Inspection Date: Application No.: County Tax Map No.: mariner electric 3an 14, 20:10 12138 Certificate No.: 12138 Final Inspection Date: Mar 26, 2010 Building Permit No.: 35234 This Certificate of Electrical Compliance is limited to the inspection and compliance of c!¢ctrical equipment and/or work described below, installed bv the applicant named above, located at the premise of and not after the final inspection date above: Owner: kevin webster Site Location: 665 gillette drive, east marion, NY 11939 Owner's Address (if different): ~ Residential Indoor Basement ~ Service Shed Commercial ~ Outdoor ,~ First Floor Pool Hottub New [~i Renovatio? Second Floor : Attic ~i; Garage i Addition ~ Survey Other: INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture 1 HID Fixtures Three Phase Hot Water GFCI Recpt 1 Wall Fixture 1 Smoke Main Panel AC Cond Single Recpt Recessed Fixture 1 CO Detect Sub Panel AC Blower Range Recpt Flourescent Smoke CO Combo Transformer Appliances Dryer Recpt Emergency Time Clock Disconnect Switches 3 Twist Lock Exit Fixtures Pumps GFCI Breaker 1 Heat Pump Electric Heat Pool Luminaire Exhaust Fan 1 Other Equipment: electric radiant floor heat The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: mariner electric Inspected By: Roger Richert License No.: 45056-me Date Of Certificate: Mar 29,2010 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 SOUTHOLD CERTIFICATION Date: Building Permit No. ~ ~ ~ Z~L~ (Please print) Plumber: .~oG G,/&,'{ec-~,~',t ~ C' (Please pr/fit) I certify that the solder used in the water supply system comains less than 2/10 of 1% lead. Sworn to before me this j~' ~-~ dayof ~/t/z~e..x~ , 20 ?/ (Plumbers Signature) Notary Public, ~ County J CHmSTIE ItU. LOCK ry Public, State of New 950~ Suffolk County TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [~GH PLBG. [ ] FOUNDATION 2ND [ ,~WlNG / STRAPPING [ ] INSULATION [ ] FINAL ~Pi.ACE & CHIMNEY [ ] FIRE SAFETY INSPECTION RESISTANT CONSTRUC11~ [ ] FIRE RESISTANT PENE'11MTION RE.AR.S: ,~'-'"'~_, ! DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ] FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ REMARKS: C~~ / [ ] ROUGH PLBG. [ ] ~JLATION [/,,~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR,/~~/~ DATE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined /~-/~7, 20 o~ Approved /0-//~o~, 2007 Disapproved a/c Expiration 4~' .~, 20 ?/ sets a. This ap~§tj~IMUST be cop ~lan~ a~_-,O p,6~ p JarL tO scale. PERMIT 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 Flood Permit Storm-Water Assessment Fon'n Contact; Mailto: Phone: PPLICAT1ON FOR BUILDING PERMIT Date ~)¢c¢~-¥'~ \/0 ,20Oq INSTRUCTIONS ~pletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 'ce 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, Suflblk 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~¢V,,,, c~,~X L,~,~x~ ~,)¢~er- (As on the tax roll or latest deed) If am~licant is acorporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. q ~o~o ? ~..- ~ Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Lot Lot 3 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy t~x, ec~to, a-,c~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Removal Demolition 4. }[ 3\~ 000, O0 Fee S. \ Repair Estimated Cost Addition X Alteration If dwelling, number of dwelling units If garage, number of cars \ Other Work (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 each type of use. 7. Dimensions of existing structures, if any: Front "'- ~© Height Number of Stories Rear "' [~0' Depth Dimensions of same structure with alterations or additions: Front Depth ~'- ct ~' Height_ 8. DhnensJons of entire new construction: Front ,x, ~,0I Height Number of Stories 9. Size of lot: Front \(~O Rear \ 7),~ ' _Depth Number of Stories Rear '~ ~0' 10. Date of Purchase Name of Former Owner Rear .Depth "' tq~ 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 X 14. Names of Owner of premises ~,,,- c,,l k¥,,.,¢~&s{"-~ Address Name of Architect ~M~ ~¢v ,~ Address Name of Contractor 2e~w0~&(,v~¢s~,~2-~ Address 44qa Phone No. {o31 '~'/ [ ~'~ct"/ PhoneNo ~31 7~ '/bt3 PhoneNo. b3~ '11~l 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. PERM1TS 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 /N( · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) ~-C~,,,--x ~,,_I eSc~- being duly sworn, 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. Sworn to before me this [/~ ¢'~ day of~20 ~ No~ry mublic Signature of Applicant uO% 62 %,3' ~0~ 6~ DUt~VEY OF: LOT ~ &B "HAP Ot= HAR, ION I,'IANOf~" ¢ITUATEI EACT MAR. ION tO~t O~ ~OUTHOL~ 5UF~OL~ GOUNT'r', JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD. N,Y, 11901 N.Y,E, LIC, NO. 50202 GRAPHIC SCALE F': 20' REFERENCE Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FOR.".. Block Lot THE FOLLOWING ACTION8 MAY REQUIRE THE SURM!$_~!ON OF R STORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL PLAN Gl:K, ,elED BY A ~:~i,~i P~*0~r. SSIONAL IN THE STATE OF NEW YORK. Item Number: 1 2 3 4 5 6 7 8 9 (NOTE: A Check Mark (~) for each Question is Required for a Complete Appllcetion) Will this Projecl Retain All Storm-Water Run-Off Genemtad by a Two (2") Inch Rainfall on Site? (This item will include all run-off created by site clearing and/or construction activffies as well as all Site Impmvementa and the permanent creation of impervious sun<aces.) 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 Centre;ling Sun<ace WaterFIowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving moro than 200 Cubic Yards of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? ta this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Wilt there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Verticel Rise to One Hundred (100') of Horizontal Distance? Wilt Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Ye_.._~s N.._.~o Will this Project Require the Placement of Matedal, 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 Floodp a n of any Watemourse9 ~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check MaS 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 Permit! EXEMPTION: '(es N__o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl __ __ STATE OF NEW YORK, COUNTY OF ...~ ............... SS That I ........ ~6.~7X .~.~T..................."-- ~' ................. being duly sworn, de'poses and says that he/she is the applicant for Permit, (Name of Individual signing Doc'dmeflt) And that he/she is the ........ .~.~.&..U~... ...................... . ........................................ (Owner, Conlractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have pefforrned 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 rnanner set forth in the application filed herewith. Sworn to before rne this; ................ t ..~.--.~... .................. day of...~ ............ 20.O..q Notary Public: ............... ~... ~J ~/ ~(Signature of Applicant) .................... FORM. 06/07 'l'o~u H;dl Annex .5137.5 7,,laln l{oad 1'.(). Box 1 511udlold. NY 11!)71 Tclcl~houc (G:$1) 76,5-180~ Fax (6~11) 76,5-9,502 B1 IlLI)IN(; 1)EI>ARTMI'~NT TOWN OF SOUTHOLD March 24, 2010 Kevin & Lynne Webster 665 Gillette Drive East Marion, NY 11939 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35234-Z alterations PLU,'/.' 3 ALL PLUN!E!SG WAg FE & WA1Ea L]h~S !a. ~0 TESTING BEFORE ~ '/ER]NG PLUMBER CERTIFICA NON ON LEAD CONTEI ' ¢ p ~'FORE CERTIFICATE 0F- L ~r-,' i ,r- ANCY SQLDER U£E~ ;H V.,RTER SUPPLY S'/S ~ m'v~ :' At{NOT EXCEED 2/10, OF ~ % LEAD. 0CC3: '/\~ k,Y OR USE IS UH;.AWFUL WITHnL!T CERTIFICATE OF (,.,,', ','?ANCY PORCH GIL ETFE DRIVE SCIIZ BATH EAST REN©¥AII©N MARION UNDERWRhE .,, RILFICA REQUIRED 420 MATT UCK 631' ,714 1613 11952 ALL CONSTR' ~' ',']' '61 · ! ['q I. MEET THE REQUh : ~, CODESOF N:., ,, . RETAIN STORM WATER RUND PURSUANT TO CHAPTER 236 ur '[HE TOWN CC~E. EXISTINg, C,~TIC'N TO ~IN F.,XI~TIN~ t.,4::~4,~'tlON TO ~ ~ SOUTHOLD BUILDING DEPARTMENT CRITERIA SIF[CA'~ON RESIDENg]AL - SEC'RON 310 BUILDING CODE N.Y.S. DWELLING UNIT- SEC~ON 310 -310.2 (sf) 130 SQ FT ~E OF CONS~UCT1ON :RAME CONSTRUC~ON DESIGN CRF~ RIA iELEMENTS DESIGN LOAD CALCULA'~ONS WINDOW AND DOOR SCHEDULE NAILING SCHEDULE EGRESS RISER DIAGRAM ENERGY CALCULA~]ONS 3RESCRIP~VE DESIGN - 1995 ~IGH ',-'"!ND ~DI~ON WFCM SEE FLOOR PLANS AND SEC'~ONS HEET ~EE SEC~ONS BEE SPEC SHEET JOB #: 1,2.~ PATE: I I-DO-Oq A-1 1 OF5 HALL EXI~TIN~ EXISTIN.~ HALL HA'r' 4'-~" t'11~t'1 4'~' .,,,tN.l_ TO~'~m ~,'-0" 2'-0". 2'-¢=" TO ~-0 -- - / VANI'Pt' ,, ~4."×4~ (.,us"roi,4 ~ N.T.~. ~XISTIN~ - EeOAL~'OHLEI~ EXI5TIN~ BATH FLO0~ PLAN P~OPODED BATH DCO0~ PLAN . ~ ~ ~., ,...~,. ___ * ,~.~ I PARTI~ ~1~ PLAN~ OEHOLITION PLAN P~OPO~O ~LOO~ PLAN P~OPO~O ~OUNOATION PLAN ~4 ~)~ . ~ . ,, ~= J~ , S~CTION A-A ~OPOSEO SOUTH ELEVATIO~~ ~, ~" . I'-0" ~, ~" = I'-0" ' 30F5 PLAN GON'r'DNT~,: f~O0~ Pt~ANflNG NAILIN~ DcSHDi~WLE: ~,,~,~,~,.:~ ^,,.,~..:,.,.:.~ ~ ~ :.,.,.o ~,:::,,: ~,,~,,:.~.~ ~ ~ ,.~.,,,: ~=..,.,~--, ,, ,._._.._ ~_..__ ~c~'r~<:31~ ~aJq=~)d~¢,q, rr=l~mc~ ~ J, NALL ~AI','flN~ NAILING 5CHEDULE: FLO0~ D~MIN~ NAILIN~ 5~H~DUL~: ,~,~ ~.,.o~. ~.,,.o~.~,,~,,~) ~ ~ ~ ~ ~ ~.~. ~ ~l~ ~ ~1~ ~4~.~, ~ ~IL ~1~ ~ ~ ~ DHEATNI N~ NAI J J N~ ~.~l II~. ~LL DHEATHIN~ ~E~UI~ENTS ~0~ ~INg LDADS: G~ILIN~ 5H~ATHIN~ NAILING 5~HEDULE, ~,,,, WIND LOAD PATH CONNECTION AND CONSTRUCTION DETAIL DRAWINGS USE ME FOLLO~NG OR APPROVED SIMPSON METAL CONNECTORS FOR PROPER WIND RESISTANT CONSTRUCTION. FOLLOW MANUFACTURg'S RECOMMENDED INSTALLATION INSTRUC~ONS TO ACHIEVE MAXIMUM UPLIFT LOAD CAPACI3'¢. STAIR RAILING STAIR TREAD ~ RIM BOARD --~ O~ STRINGER STRINGER TO DECK/PORCH CONNEC~ON FLUSH JOISTS WITH HEADER/GIRDER DECK/PORCH RAILING PO~T-T£.~..,.~E~. CO.o...E~r.%. H(3~)W COLUMN I SPLICED JOISTS OVER HEADER/GIRDER PGST.TO431RDER/HEADE R CONNECTION GIRDER POST/COLUMN ~ GIRDER/HEADER TO POST/COLUMN CONNECTION D;~K/PORCH LEDGER CONNECTION ~pLICED JOISTS OVER HEADER/GIRDER DECK & PORCH NOTES: CLIIVIATIC & GEOGRAPHIC DESIGN CRITERIA NAILING SCHEDULE n'x OD DRAFiN.. 5~,ALE: ~ ,.DB #: 125 DA'rE: Il SHEET 50F5