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HomeMy WebLinkAbout35839-ZTown of Southold Annex 54375 Main Road Southoid, New York 11971 7/20/2011 CERTIFICATE OF OCCUPANCY No: 35078 Date: 7/20/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: ALTERATION 3940 The Long Way, East Marion, Sec/Block/Lot: 30.-2-99 Filed Map No. conforms substantially to the Application for Building Permit heretofore 9/14/2010 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: electric for existing basement and partial finished basement area with half-bath as applied for. Lot No. filed in this officed dated 35839 dated 9/14/2010 The certificate is issued to Tole, Kathleen&Durkin, Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 4023661 3/20/09 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. 35839 Z Date SEPTEMBER 14, 2010 Permission is hereby granted to: K.M. TOLE & M.A. DURKIN 3940 THE LONG WAY EAST MARION,NY 11939 for : ADDITION OF ELECTRIC IN BASEMENT AS APPLIED FOR. AS-BLT ALTERATION OF BASEMENT TO HABITABLE WITH BATHROOM.REPLJ~CES EXPIRED BP # 34580 at premises located at 3940 THE LONG WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 099 pursuant to application dated SEPTEMBER 14, 2010 and approved by the Building Inspector to ex~pire on MARCH 14, 2012. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 34580 Z Date APRIL 1, 2009 Permission is hereby granted to: KATHLEEN M TOLE & MARYANN DURK 3940 THE LONG WAY EAST MARION,NY 11939 for : ADDITION OF ELECTRIC IN THE BASEMENT AS APPLIED FOR. at premises located at 3940 County Tax Map No. 473889 Section 030 pursuant to application dated MARCH Building Inspector to exl~ire on OCTOBER THE LONG WAY EAST MARION Block 0002 Lot No. 099 27, 2009 and approved by the 1, 2010. 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 occUPAN( This application must be filled in by typewriter or ink and submitted to the Building Depaxtment with the following: A. For new building or new use: 1. Final survey 0f 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 (8_9 form). 3. Approval of electrical installation from Board 0fFire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial building, industrial building, multiple residancea and similar buildings and installatious, a certificate of Code Compliance from architect or engineer responsible for the building. 6, Submit Ptanning Board Approval of completed site ptan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survcy ~f pr~perty sh~wing a~ pr~perty ~ines~ streets~ bui~ding and unusuid natural ~r t~pographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy s 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 po01 $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 Date. New Construction: Old or Pre-existing Building: I...~: Location of Property: ~)'-'~v~-- [_~b.3~ ~K~'~ ~-----. House No. treeStr~ · ) Own6r or Owners of Property: L.-~]~. '~ (DL-~ Suffolk County Tax Map No 1000, Section Subdivision Health Dept. Approval: (check one) Hamlet Block Lot Filed Map. Lot: DateofPermit..~--[-(~)~ Applicant: <Z3'~o-r~'~gT~'~- Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ Final Certificate: (check one) Applicant Signature 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 KATHLEEN TOLE KATHLEEN TOLE 3940 THE LONG WAY 3940 THE LONG WAY EAST MARION NY 11939 EAST MARION, NY 11939 Located at 3940 THE LONG WAY EAST MARION, NY 11939 Application Number: 4023661 Certificate Number: 4023661 Section: Block: Lot: Building Permit:. 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: 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 the2otb Day of March, 2009. Name OTY Rate Rating Circuits Type Alarm and emergency equipment Sensor 1 0 0 Carbon Monoxide Wiring And Devices Dimmer 1 0 120 V Fixture 14 0 Incandescent Outlet 14 0 Fixture Outlet 'i9 0 Gert, Purpose Paddle Fan 2 0 Receptacle 1 0 GFCI Receptacle 17 0 Gert, Purpose Switch 6 0 Gen, Purpose seal I or I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-18O2 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~]'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONS[RUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG~)/f. ,[ ] ELECTRICAL (FINAL) REMARKS: ~ ~ ~_/~"~ / INSPECTOR,~~~ FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) ROUGH FRANIING & PLUMBING INSULATION PER N, Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIflTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net E,,ami.ed q /' ,:0V9 Approved c.{ /// ., 20 0 ~:~ Disapproved a/c Expiration 2o/0 sets of PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Plmming Board approvaI Survey Check Septic Forln N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Forra Contact: Mail to: Phone: MAR 2 7 2 Og 81.DG, DEPE his applt~ll~ ~l~'llbe co upi< )Falls, accurate plot plall to scale, ~ee Building Inspector [CATION FOR BUILDING PERMIT Date INSTRUCTIONS ely filled ill by typewriter or in ink and subnfitted to the Building Inspector with 4 ccordmg 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 paKL fbr any purpose what so ever until tile Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized bas 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 lbr an addition six months. Thereafter, a new peri'alt shall be required. APPLICATION IS HEREBY MADE to the Building Depa~"tment fbr tile issuance of a Building Permit pursuant to tile 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 ill building for necessary inspections. OCCUPANCY OR USE iS UNLAWFUL ~q .. v,THOU F CERTIFICATE OF OO,..,UPAN . Y (Signature of applicant or name. ifa col~oralion) (Mmhng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) RETAIN STORM WATER RUNOFF Builders License No. PURSUANT TO CHAPTER 236 Plumbers License No. OF THE TOWN CODE. Electricians License No. Other Trade's License No. , ,_~ ,., ,. ~, ,,~.,a~r ' ~r *, ,r 1. Location of land on wlnch~r~T&b~t ~6q:k ~t1~ b'd~d61J&' House Nulnber Street UNDEFUSil~R$OERllFiCA'~' APPIROVED N *' (As on the tax roll O~f~.X~ ~' ~ ~ NOTIFY gUILb :TFM~NT AT 765-1802 8AM TC :?"}d FOR THE FOLLOWING iNSP[C'~ ]ONS: i. FOUNDATION - TWO REQUIRED FOR POURED CC'. ~SRE3E ZROUGH - FRAbi~JS & PLUL'.B'~NG 3.INSULATION 4.FINAL - COt:STR'~CT~ON MUST BE COMPkETE ECS C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF TNE CODES OF NEW ~__~ORK S~ATE NOT RESFONSiBLF FOR County Tax Map No. 1000 Section Sub di vi sion'k='c¢-~ b C~ '-'~OxC ~ Bk, ck O~._'-OO Lot Or:~q -(~ Filed Map No. (~:Q--~ ~:2 Lot (.,~d~'.- 2. State existing use and occupancy of premises hud intended use and occupancy of proposed construction: a. Existing use and occupancy '~ ~bSO~ ~-~t k_'4 b. Intended use and occupancy_ Nature of work (check which applicable): New Buildiug Repair Removal Demolition 4. Estimated Cost ~ ~ OOO-~r 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (To be paid on filing this application) Number of dwelling uuits on each floor 6. If business, commercial or mixed occupaucy, specify nature and exteut of each type of use. 7. Dimensions of existing structures, if any: Front Rear _Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front , ' ' ' , R~ar Depth, Height_ Number of Storibs 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front 10. Date of Purchase Real' ~" D pth ' ' Rear , . : e ~ · .Depth i Name of Former Owner 11. Zone or use district in which premises are situated ~ -c~50 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__ · ,g,,wt. ,oct. 5q40 T'*~_ Lo~c, bOt~ 14. Names of Owner of premises ~t, & ,'~o~-~k} Address ~' NX,or0.ae~ ~ Phone No. Name of Architect Address Phone No Name of Contractor Ota-~ ~ -GP~ Address 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 ora tidal wetland? * YES NO * iF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide survey, to scale, with accurate tbundation plan and distances to property lines. l 7. If elevation at ally point on property is at 10 feet or below, must provide topographical data on survey. ! 8. Are there any covenants hud restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. ;TATE OF NEW YORK) SS: ?OUNTY 0 k~jo,~CF'%~/~ NO ,-'"'- being duly sworn, deposes and says that (s)be is the applicant (Name of individual signing contract) above named, ~,u~i~l: ~. BU~CH Notary Public. State of New Yon~ No. 01BU6185050 S)He is the 0ualifi~l (Contractor, Agent, Corporate Officer, etc.) Commission £xpir-e~'~'~:il"~'~_~ f said owner or owners, and is duly authorized to peHbrln or have performed tile said work and to make and file this application; iht all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erfonned itl the mauner set forth in the application filed there~vitll. worn to before me this~. O~ "-~ day of ['1'xO'~ Obx 20 ~ Notary Public · ~ -- ~ ~ture of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Item Number: PROPERTY LOCATION: S.C.T.M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMI8SION OF/[ 8TORM-WATER~ GRADING, DRAINAGE AND EROSION CONTROL PLAN C~=~ irlE~ BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YOI~K. (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes N~o Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This Item will include al! run-off created by site cleadng and/or construction activities as we as ali Site Improvements and the permanent cma~on of impemlous surfaces.) Does the Site Plan and/or Survey Show Ail Proposed Drainage S~uctures nd ca ng Size & Location~ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl 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 Matadal within any Pamel? 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 Coume Running through the Site? Is Ihis Project within the Trustees jurisdiction or within One Hundred (100') feet of a We and or Beach? oneWill there be Site preparation on Existing Grade Slopes which Exceed Fiftaen (15) feet of Vertical Rise taHundred (100') of Horizontal Distance? wi, Driveways, Parking Areas or other Impervious Surfaces be Sloped lo Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project Require the Placement of Matedall 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 Watercourse? r~-~-~ 4 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 ls Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION~ Ye__~s No Does this project meet the minimum standards for class tication as an Agdcultaral 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 That I, ~,~ .~..~...~..~..~......l'x~.:.....~..?.....(~....~...~.. ......... being duly sworn, deposes and says flint he/she is fl,e apphcant for Permit, (Name or individual signing Documenl) 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 herewith. Sworn to before me this; .............. ~_~ .............. day of ~.~ ...................... ~0.~)~ ( ~gnature of Applicant) FORM - 06/07 /~-.~- Z-?)' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~0 VILLAGE DIST. SUB. LOT  o~ M tC~ll~& / ~ S W ~PE OF BUILDING / ~ES. ~[~ S~S. VL~ FARM CO~, CB, MICS. Mkt. Volue ~ND IMP. TOTAL DATE R~RK5 'ill~ble FRONTAGE ON WATER Vo~lond FRONTAGE ON ROAD ~e~dowlond DEPTH louse Plot BULKH~D ot~l COLOR TRIM 30.-2-99 9/08 Exter~ion Extension Extension Po~ch ~b~ Garage Patio O.B. Total Foundation Basement Ext. Walls Fire Place ,~ ~ Bath t~, Floors Vk~.~ ~ ~j~ ;~ Interior Finish ~c~~ ~ l Heat Type Roof Rooms 1st Floor Recreation Room Rooms 2nd Floor Dormer Driveway PEUBLE 13EACH FAR~,I~ Joseph A Ingegno I , , WIND-BORNE DEBRIS PROTECTION FOR WOOD STRUCTURAL PANEL AS PER TABLE 1609.1.4, N.Y.S. RES. CODE: ALTERNATIVE FOR OPENING PROTECTION (IF NOT USING IMPACT GLAZING) WINDBORNE DEBRIS PROTECTION FASTENING SCHEDULE FOR WOOD STRUCTURAL PANELS WOOD STRUCTURAL PANELS WILT[ A MINIMUM THICKNESS OF 7/16" AND MAXIMUM pANEL SPAN OF 8 FEET SHALL BE PERMIITED FOR OPENING PROTECTION IN ONE- AND TWO-STORY BUILDINGS. PANELS SHALL DE PRE'CUT TO COVER GLAZED OPENINGS WITH ATTACHMENT HARDWARE PROVIDED. (REFER TO SECTION 1609.1.4, 1609.6.5 AND TABLE 1609.1.4 OF N.Y.S. RESIDENTIAL CONSll~UCTION CODE). THIS IS NOT A SUB.b ~ 1 ~ dTiON FOR DESIGN-PRESSURE. ALL OPENINGS MUST HAVE DESIGN-PRESSURE UPGRADES WHERE APPLICABLE. ALL PANELS MUST B~ CUT TO S~ZE AND READY TO USE ON ANY NEW WINDOWS AND DOORS. SHIJITERS MUST BE MARKED FOR WHAT OPENING IT IS TO COVER. RESchec~ Sottware Version 4.~2 Compliance Certificate IXl EXISTING GARAGE ROOF VENT I tl4 '1 1/2 1 1/4 H4~T~ TO APROVED TRAP SEPTIC SYSTEM SLOPE" 1/4" PER FOOT PITCH TO DRAIN PLUMBING SCHEMATIC N.T.S. SOLID-CORE DOOR w/ EXISTING BASEMENT tl ENTERTAINMENT ROOM SOL.TO-CORE DOOR w/ DOOR SWEEP EXISTING BASEMENT ~ PROJE~ NORTH I PROPOSED: 5G&.g SQ. FT. ] FOUNDATION PLAN SCALE: 1/4" = 1'-0' phone: (63t) 298-2250 e-mail: michael@mchdesignsen~ces.com JOESEPH FISCHETTI, PE 1725 HOBART ROAD SOUTHOLD, NY li971 PH. (631) 765-2954 DRAWN BY: MH SCALE: 1/4" = 1'-0" SHEET NO: