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Home My WebLink About37433-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/17/2012 CERTIFICATE OF OCCUPANCY No: 37433 Date: 8/17/2012 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 4860 ROCKY POINT ROAD, E. MARION, SCTM #: 473889 Sec/Block/Lot: 21.-3-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/1/1900 pursuant to which Building Permit No. 37433 dated 8/9/2012 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: deck addition, raise roof and enlarge studio rooms in an exsting one family dwelling. The certificate is issued to GERALD R. GAMBONE REVOC. TRUST (OWNER) of the aforesaid building. SUVFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 37433 8/16/12 /? ed ~l~gnature~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37433 Date: 8/9/2012 Permission is hereby granted to: GERALD R. GAMBONE REVOC. TRUST 35 BOND STREET NEWYORK, NY 10012 To: RAISE ROOF & ENLARGE STUDIO ROOMS. REPLACES EXPIRED B.P. # 8615 At premises located at: 4860 ROCKY POINT ROAD, E. MARION SCTM # 473889 Sec/Block/Lot # 21.-3-23 Pursuant to application dated To expire on 2/9/2014. Fees: 111/1900 and approved by the Building Inspector. PERMIT RENEWAL CO - ADDITION TO DWELLING Total: $7.50 $50.00 $57.50 (THIS PERMIT MUST BE KEPT ON THE P;tEMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Permission is hereby granted to: Sd~,..~.]..M.~.....A~.. ~?~ga~m..~l~ene.. m ..41~Aee..~eef-..&..e~e~ee...st~l~. ~m .......................................................................... ~ p~i~ I~m~ m ....~d~..~.,.~t..~ ....................................................................... ............................................. Zaet-.~.~ ........................................................................................ Form No. 6 TOVVN OF SOUTHOLD 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 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 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 Cemficate of Occupancy- $50.00 5. Tclnporary Certificate ofO~dpancy - Residential $15.00, Commercial $15.00 // Date. o,,, New Const~ction: ~/ Old or Pre-existing Building: (check one) Location of Property: %~0 ~0~. ~0~ %. ~ ~t ~N House No. ~ Street Hamlet Owner or Owners ofPropeny: ~ ~. ~0~ T~ 0~~ ~ ~6~ Suflblk County Tax Map No 1000, Section ~] Block ~ Lol ~ ~ Final Certificate: Subdivision Permit No. 5'7 L//~ ~ Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submilted: $ _~'~) ,~_./~.. Filed Map. Applicant: Underwriters Approval: / ~//(check oue) Lot: Signat ~k) Town Hall Annex 54375 Main Road P.O. Box 1179 Soulhold. NY 11971 0959 Telephone (631) 765-1802 Fax (631) 765-9502 ro.qer, richertC, town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Gerald R Gambone Revocable Trust ~,ddress: 4860 Rocky Point Rd City: East Madon St: NY Zip: 11939 3uilding Permit #: 37433 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: as built DBA: License No: SITE DETAILS Office Use Only Residential R Ind°°r R Basement [~ Service Only l~ Commerical 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: electrical work done in connection with chart[ling roof hight Ceiling Fixtures!.__1~ ~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur(~J~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: Inspector Signature: Date: Au~16 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOU~HOL-D~(]~ING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I~SULATION /r [ ]FRAMING/STRAPPING [~/]~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] E~ICAL (FINAL) REMARKS: DATE ~~~ INSPECTOR ~~ INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION I ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [~,~rr..ELEC'rRICAL (FINAL) REMARKS: DATE/~~~_~ I .SPECTO I~~~~ Disapproved a/c ............................................................. .....- ICATION FOR BUILDING PERMIT INSTRUCTIONS !lied in by typewriter off in ink and submitted in triplicate to the Building ~ ~)lan to scale. Fee according to schedule. ~/~ ( ~ ~ buildings on premises, relationship to adjoining premises or public streets o, . ~t ofproperty must be drawn on the diagram which is part of this application. ~'~ ~ f~ ~ay not be commenced before issuance of Building Permit. C~ Building Inspector will issue a Building Permit to the applicant. Such permit spection throughout the work. , whole or in part for any purpose whatever until a Certificate of Occupancy ~ ~*1:)l?l~'~-Iuilding Department for the issuance of a Building Permit pursuant to the "~)' ~ ....... g ~-u,m ~ru,,~3nce OT The town Ot ~outhold, 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 cede, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ............ : ....................... :' .......... 'l' ......... (S gnature of appl cant, or name, ~f a corporatton) .......... .............................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................. ........................................................................................................... :..'. ...................... Name of owner of premises ....~...~.~..~.Y..[.,,.~.. ...... ..~....~...~?..~.~..'~'.....~. ........................................................................................ If applicant is a corporate, s!gnature of duly authorized officer. .......... ....... ...................... (Name and title of corporate officer) Builder's license No ................................................... Plumber's License No ................................................. Electrician's License No ............................................. b Other Trade's License No ............................................... Location of land on which proposed work will be done._ Map No~: ..... n.....: ......... .'C.......... ........ Lot No ......................... Street and Number ..... ~..C/~-~......~..,..~.. ....... State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ................ of work (check which applicable): New Building.. ................. Addition .................. Alteration ..'~ ........... Repair .................. Removal .................. Demolition .................... Other Work ................................................ . .... (Description) cost ....... ................................. Fee ................................. (to be paid on filing this application) tg, number of dwelling units ............................ Number of dwelling units on each floor ............................ number of cars ............................................................................................................................................. ~tf business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ....... .$..~.~,....~..l:.~ar ................................ Depth .................... Height ........................ Number ................................................................................................................. of Stories Dimensions of same structure with alterations or additions: Front ........... .~..-~...~....~% ......... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .......... ..Z~.....~..~, .......... : ..... Rear .....~..~.t...~..~.'. .......... Depth ........................ Height ..... ~..t ........... Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Nome of Former Owner ....... ~/P~I...o...~. .............................. 11. Zone or use district in which premises are situated ...... ~.~.......~....~...~...~..~...1~.. .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ...~..G. ......................................... 13. Will lot be regraded . ........................... Will excess fill be removed from p~emises: ( ) Yes ( ) No 14. Name of Owner of premises ...~.~...~..~..~.4......~.~..~....~...o.~,.~.[.... Address .... ......................... '... Phone No . Name of Architect Name of Contracto ~cate ~ lac fly and di ~rop ~y lin~. give stree whether interior or corner lot. r~ L Name of Contractor ....~... ~J[t &~ ~ Address /j~-~. ~c~x ~-~ -7 PLOt Locate clearly and distinctly oll property lines, ~ive street and block numi Phone No ....................... Phor~ No. ~....6..~.Z~.?..~.. indicat~ all set-back dimensions fram ~g to and show street names and indicate STATE OF NEW YORK, 1 S S COU N TY,~O ~ ........................ ~..: ............. ~...U~........~,.......~...~ ............................... being duly (Name of individual signing contracf) above named. He is the ...................... ..~.,,N....~O..~..~....'~..,..L... ............................................................................................................................. (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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ " .............. °..i. '-' :::::::::::::::::::::::::: (Signature of applicant) . iL ~ ~~ / deposes ond says thor he i~ the *pplicant l~Olg~ NO. 1 TOWN OF ~OUTHOLD BUILDING DI:PAItTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...... ~...~ ............. ~.?..~... ~proved ....... ~._...~..~ ........ I ............ , I~.~. ~ar~it No..~...~..~.~.~...~ ...... Disapproved o/c ........................................................................... APPLICATION FOR BUILDING PERMIT Date ....~...! ........................ , INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 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 port for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 buildings for necessary inspections. ................ .... (Signature of applicant, or name, if a corporation) ................... ........................................ (Address of al~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. c~.~~ .......................................................................... Name of owner of premises .....~....f~...~....u..~...~........~....~...?..~....~...~'...~. ............................................................................................ If applicant is a corporate,,, signat~ure of duly authorized officer. ......... ....................... (Name and title of corporate officer) Builder's License No ........ ~ ........... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Locatonof and onwhch rap sedworkw be done Mop No' ~ i..~ Lot No r ~ Street and Number .. ~.~..~ .~.Z .~ ' ~.~'"~.'.~i~'~'i'0~J ........................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed constru~ion: / a. Exisiting use and occupancy ........................................ ~.. . ..................... 3. Nature of work (check which applicable): New Building. ................. Addition .................. Alteration ....~.. ........ Repair .................. Removal .................. Demolitio~ .................... 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 ............................ Dimensions of existing structures, if any: Front ......~..~.¢~:....~'~-~ ............................. Depth .................... 7. Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ..... ,~./~f~l..~.. ............ Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ..... .,~....~...~. .................... Rear ....... ,,~.1..~. ........ Depth ........................ Height .....~...~ .......... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....... ~..l~...~...&. ............................. 11. Zone or use district in which premises are situated ........... ...~..~,.~.?.....[.¥~..~...~..~...~...~.. .................................................... i2. Does proposed construction violate any zoning Iow, ordinance or regulation: ....... j~...o.. ........................................ 13. Will lot be regraded ....... ]...~.. ............... ¢~ Will excess fill be removed from premises: ( ) Yes (~ No 14. Name of Owner of premises ~...~.p.../C..e..~....~.....~.~.~?..~.~ ........... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ...~...~...~ .............................. Address ...~..o..~...~....*.!.~. ......... Phone No..?..~.?.Z..~.~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. C~TATE OF NEW YORK., [ c ¢ COUNTY OF .,~.~ .......................... f"'" ..... .~.-0.....~...~ ................................................. be ng duly sworn, deposes and says that he is the applicam (Name of individual signing contracf) above named. He is the ...~!~_~..~,'¢'~ A- (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 tl,ar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . ..., :::::::::::::::::::::::::::::: 'g pp · ) Town Fall Annex 54375 MEre Road P.O. Box 1179 Sbuthold, NY 11971-0959 T¢lepho~:~631) 765-18 2~ BUII,DING DF~AR~ TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION: *Name: *Address: *Cross Street: *Phone No.: · Permit No.: Tax Map District: Date: (*Indicates required information) 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cleariy) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If neededl *Service Size: 1 Phase 3Phase *New Service: Re-connect Additional Information: 100 Underground YES / NO Rough In YES / NO Final 150 200 300 350 400 Other Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION 82-Request for Inspection Fon-n / / /