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Home My WebLink About36091-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 5/18/2011 CERTIFICATE OF OCCUPANCY No: 34949 Date: 5/18/2011 Location of Property: SCTM#: 473889 THIS CERTIFIES that the building 925 Stephensons Road, Orient, NY 11957, Sec/Block/Lot: 17.- 1-2.1 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore ACCESSORY ALTERATION 12/7/2010 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 36091 dated 12/13/2010 "as built" alteration to an existing garage as applied for. The certificate is issued to Dunning, Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36091 5/9/11 Authorized Signaf'fire FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~]ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 36091 Z Date DECEMBER 13, 2010 Permission is hereby granted to: S MAGRINO-DUNNING 925 STEPHENSONS RD ORIENT,NY for : "AS BUILT" ALTERATION TO ~/N EXISTING G~R_AGE AS APPLIED at premises located at 925 County Tax Map No. 473889 Section 017 pursuant to application dated DECEMBER Building Inspector to expire on JUNE STEPHENSONS RD ORIENT Block 0001 Lot NO. 002.001 7, 2010 and approved by the 13, 2012. Fee $ 200.00 uthorizec~Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF $OUTHOLD 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 ofeleetrical 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. 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 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 Constmction: Location of Property: Date. Old or Pre-existing Building: V'// House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Health Dept. Approval: / (check one) ~ [~c"/H~-amlet Date of Permit. Street Block Filed Map. Applimt: Underwriters Approval: Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ i~ ~' Final Certificate: (check one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765 1802 Fax (631) 765 9502 ro.qer, richert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRIClAL COMPLIANCE SITE LOCATION ssued To: Sue Magrino Address: 925 Stephenson Rd City: Orient St: NY Zip: 11957 Building Permit#: 36091 Section: 17 Block: 1 Lot: 2.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BJ Electric LicenseNo: 2670-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Corn medcel Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 1000W electric heat Ceiling Fixtures ~ HID Fixtures Wall Fixtures 121 Smoke Detectors Recessed Fixtures~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixtures!~ Time Clocks Exit Fixtures L~ TVSS Notes: detached garage Inspector Signature: Date: ~'~/,f~' ~r~ ZO(I 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]/~OUNDATION 2ND [ ]~SULATION [ ~/] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA,'",'f INSPECTION [ ]FIRERESlSTANTCONSTRUCTIOfl [ ]FIRERESISTAHTPENETRA110fl REMARKS: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.N6rthFork.net Examined Approved Disapproved a/c Expiratioo la 3.,20 PERMIT NO. Z ~Q?/ [3-. 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 F6rm Contact: Mail to: s c 7 Phone: t '-'~'u~ ding"r~nsp ect or APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ! ,20 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 tee applicant. Such a permit shhll 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 '~sues 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 sudh date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in ~wriiing, 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 Pemlit pursuant to the Building Zone Ordinance of the Town of Southold, Suffblk 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. State whether applicant ~s owner, lessee, ag gineer, Name of owner of premises J (Signature of applicant or name, ifa corporation) (Mailing addres~ of apl~licant) general contractor, electrician, plumber or builder (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title 0fe0rporate officer) Builders License No. , Plumbers License No. Electricians License No. Other Trade's License No. Locatio,n~of land on which propose4 work will be done: House Number Street County Tax Map No. 1000 Section / 7 Block Subdivision O Filed Map No. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 Hamlet Lot '~. I Lot 2. construction: State existing use and occupancy of premises and intended use aCd occupancy of proposed a. Existing use and occupancy ~_.~,,zI~.,Z}-~ ~7 / 'J"7~/~'~z~5;~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units Fee (To be paid on filing this application) Number of dwelling units on each floor If garage, numbeEof cars r, If business, comnhercial 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 8. Dimensions oFentire new construOtion: Front Rear Height Number of Stories .Depth 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__ NO 13. Will lot be re-graded? YES__ NO~ Will excess fill be removed from premises? YES 14. Names of Owner o ~,Zl¢~t~'a - ~ Address Name of Architect ~oM~ ~ ~ Address Name of Contractor ~ ~ft~ Address 15 a. ls this property within 100 feet ora 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 o£a tidal wetland? * YES NO /~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ¢ NO Phone No. Phone No Phone No. k, NO 16. Provide survey, to scale, with accurate tbundation 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 0F5c4-~ (Name of individual signing contract) above named, (S)He is the .,J~ r 7"~"' ((~ontractor, Ag[nt, Co¢orate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant of said owner or owners, and is duly authorized to pertbrm 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 for:th in the application filed therewith. Sworn to before me thB / '"7 '~ day of ~_.[~N[k~'l 20 / O Notary Public e of Applicant Town ~ Annex 54375 Main Road P.O. Box 1179 Sou~hold, ~ 11971-0959 Telephone (631) 765-1802 · (C~) 7 ro.qer.nche.t~..~ (v~r~.so?u6~(~.ny. us BUILDING DEPAR~ TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: No.: Date: JOBSITE INFORMATION: (*Indicates required informa~on) *Name: ~=~lJ ~ //-/'~/Z~;//,~, ~'~ ~ ~ ~ ~ ~ *Address: ' ?~ ~~~ /~ ~ *Cross Street: ~ ~, ~ *Ph~e No.: / Pe~it No.: ~~ ~ TaxMap District: 1000 Section: ~ ~ Block: [ Lot: *BRIEF DESCRIPTION~OF WORK (Please Print Cleady) · (Please Circle NI That Apply) *Is job lady for inspectiOn: *Do. you need a Temp Certificate: Temp Information (If. needed) *Service Size: 1 Phase *New Service: Re-connect Additienal Information: ~O Rough In (~ YES / NO 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 824~equest for Inspection Form 'I\lwn ltall Anncx 51,375 Main Road P.O. 1½ox I 179 Southold, NY 11971-0959 Telephone (631 } 765-1 g02 Fax (631) 76,1-9502 BI III J)ING DEPARTMENT TOWN OF SOUTHOLD May 3, 20'1 '1 Susan Dunning '1475 Franklin Avenue Garden City, NY 1'1530 RE: [t25 Stephensons Road, Orient TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: -~ Application for Certificate of Occupancy. (Enclosed) Electrical UnderwritersCertificate. ~:~(~.~2..¢O.. ;fq.~.~ ~-A fee of $0.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. __ Final Landmark Preservation approval. BUILDING PERMIT: 36091-Z alteration to garage / 0'00,,E 7'4.08, S64o59'00"E N4,ol 7'O0,,W 82.72' 296.91· / · I,,IONUI'4ENT FO~N~ o PIPE FOgND PARC.EL AL50 5NOI,',IN ON 5URVE"r' OF THE "C, EDARS" PROPERTY OF HAR'f' H, 5TEPHEN~ON FILED JULY II, 1~106, FILE No. 421 A5 PART OF PLOT E ~ PART OF PLOT X. ELEVATION5 RI~FE,RENC. E N®VD'2q FLOOP ZONE ANNOTATED FROI"4 FIR~4 HAP NUHBER ~::~10~O64 H 5EFT. 25, 2OOq CX2)ASTAL EROelON HAZ. ARP LINE ANNOTATED FROH COA~.TAL EROe, ION HAZAR~ AREA NAP PHOTO No. 4-I-~5l-~ E4-1EET 18 OF 4q ®RAPHIC SC, ALE I"= 50' AREA -- 5-t,405 tkF. or 0./~58~/ AC, RE o 4.o 8o 120 SU~'v'E¥ OF P~OPtER'Th"' SITUATE: ORIENT TO~N-, SOUTHOL]:;:) SUFFOLK COUNTY', NY SURVEYEE) 11-20-2010 SUFFOLK COUNT'( TAX # IO00-1-f-l-2.1 CEdeD SUSAN t~VL&G~IO DUt4NING '20 JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF,--C:'~Documents and Settings\Owner'~My DocumentskMy Dropbox\05\05\05-105 magrino\05-105 all in one.pro EAST ELEVATION SCALE: 1/4" = 1'-0" NORTH ELEVATION SCALE: 1/4" = 1'-0" SOUTH ELEVATION SCALE: 1/4" = 1'-0" WEST ELEVATION SCALE: 1/4" = 1'-0" I ~SUANT TO CHAPTER THE TOWN CODE. OR ":': ':' J[,&AWFb~ ', '=': ~" rT ~ERT FICATE 20'--0" ECECTRICAL ,N~PECT AND CEDAR SIDING ~I~iNG ~ELOCAT~D DOO~ t ~ PROJECT NORTH -g ~~ D~--W~: ~/~s ,, December 01, 2010 FLOOR P