Loading...
HomeMy WebLinkAbout39073-ZTown of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 4/16/2015 No: 37514 Date: 4/16/2015 THIS CERTIFIES that the building ALTERATION Location of Property: SCTM #: 473889 Subdivision: 9245 Route 25, East Marion Sec/Block/Lot: 31.-3-11.31 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/15/2014 pursuant to which Building Permit No. 39073 dated 7/31/2014 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: alteration to existing Fire House as applied for. The certificate is issued to of the aforesaid building. East Marion Fire District SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 39073 2/24/2015 1�1 14 u horized ig ur TOWN OF SOUTHOLD ay BUILDING DEPARTMENT Z 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 #: 39073 Date: 7/31/2014 Permission is hereby granted to: East Marion Fire District PO BOX 131 East Marion, NY 11939 To: alteration to existing Fire House as applied for At premises located at: 9245 Route 25. East Marion SCTM # 473889 Sec/Block/Lot # 31.-3-11.31 Pursuant to application dated 7/15/2014 and approved by the Building Inspector. To expire on 1/30/2016. Fees: COMMERCIAL ADDITION/ALTERATION $0.00 CO - COMMERCIAL $0.00 Total: $0.00 Building Inspector 0 Form No. 6 TOWN 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 Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. "'% L 5 Af New Construction: Old or Pre-existing Building: . (check one) Location of Property: House No. Street Hamlet Owner or Owners of Property: f _M,10-1041 I" �/�� /S%2/C Suffolk County Tax Map No 1000, Section _3 ) Block 3 Lot 1 / .& ?J Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ Filed Map. Applicant: Underwriters Approval: Lot: Final Certificate: (check one) Applicant Sigavlfure Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 roger. riche rtCaD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: East Marion Fire Department Address: 9245 Route 25 City: East Marion St: New York Zip: 11939 Building Permit#: 39073 Section: 31 Block: 3 Lot: 11.31 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Jim Shaw Electric License No: 33381 -ME SITE DETAILS Office Use Only Residential Indoor X Basement Service Only Commerical X Outdoor 1st Floor x Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 23 Ceiling Fixtures 18 HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 2 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 3 Twist Lock Exit Fixtures 11 TVSS El Other Equipment: 2- Electric Base Board Heaters, 1- Combination Smoke/ CO Detector, 1- Combination Exit/ Emergency Fixture. Notes: Inspector Signature: Date: February 24, 2015 Electrical Compliance Form.xls 73�- �o��OF SOUT,yolo cOUMV,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOU TION IST . [ ]ROUGH PLUMBING [ IF. NDATION 2ND [ ]INSULATION [RAMING STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) [ ]CODE VIOLATION [ ]CAULKING REMARKS: N DATE - INSPECTOR I . oF so�ryo� courm,' ANTOWN OF SOUTHOLD BUILDING DEPT. 765-1802 IN'SPECTION.-.- FOUNDATION- 1 ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE ,& CHIMNEY [ ] FIRE SAFETY INSPECTION - [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Gt::L� -DATE SPECTO pF SO(/T�olo .. TOWN- OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION- FOUNDATIONAST,, ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) ] CODE VIOLATION REMARKS: /INSULATION GN PLUMBING [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION I ]ELECTRICAL (FINAL) [ ]CAULKING DATE // INSPECTOR_ OF SOUTyO� #a �c ��yCn►►em 0�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION IST . [ ]ROUGH PLUMBING [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) �] ELECTRICAL (FINAL) [ ]CODE. VIOLATION [�] CAULKING REMARKS: DATE � �� INSPECTOR oF souryo� . courm,N TOWN OF,S t@ -B 765.1802 . NG DEPT. INSPEC-TION [ ]FOUNDATION 1ST [ ]ROUGH PLUMBING [ ]FOUNDATION 2ND[ ] INSU [ ]FRAMING /STRAPPING [ NAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ J FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ j ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) [ ]CODE VIOLATION [ ]CAULKING REMARKS: DATEI�3 INSPECTOR OF SO(/r�olo r �'YCnu►m N� TOWN OF SOUTHOLD BUILDING- DEPT. 765-1802 INSPECTION [ ]FOUNDATION IST [ ]ROUGH PLUMBING [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEYP<,FIRE SAFETY INFECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) [ ]CODE VIOLATION [ ]CAULKING REMARKS: ��0 7 3 - u DATE y� � INSPECTOR FMLD iNSPEC iq REP( FOUNDA11ON (1ST) ---,---...-....,- ...... FOUNDATION (2ND) ROUGH 44 PLUMBING INSULATION PER N. Y. STATE ENERGYCODE FINAL , rT b TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BUILDING PERMIT APPLICATION CHECKLIST SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net PERMIT NO. 57a T3 Examined , 20 Approved , 2014 Disapproved a/c Expiration /w ( , 20 1 [D C W E j J11L 1 F 2014 BLDG. DEPT. TOWN OF SOUTHOLD IC / Building Inspector 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 C.O. Application Flood Permit Single & Separate Storm -Water Assessment Form Contact: Mail to: Phone: � 3 %— 11,6 / — 5-3 y2 - TION FOR BUILDING PERMIT INSTRUCTIONS Date U1l/ 'i— ,20/V 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 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, 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. (Signature & applicant or name, if a corporation) &,,, 1,3 l IL- �9,5 oV ,/u-/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder / Name of owner of premises _� % �ii�,/2/0 -J �dzE )�J5 T✓z/C (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. Electricians License No. Other Trade's License No. 1. Location of land which proposed work will be done: 9 a ,,--j3 OT z 17 197412/01-1 House Number Street County Tax Map No. 1000 Section 3 / Block Hamlet Lot // 32 Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �" /� �= b. Intended use and occupancy 15)/9- 3. Nature of workcheck which applicable): New Buildin Addition Alteration �/ (g Repair Removal Demolition Other Work 9 5 (Description) Estimated Cost,000 ov Fee 11 (To be paid on filing this application) Number of dwelling units on each floor If dwelling, number of dwelling units If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. %/!nf­ Dy.%% �T 7. Dimensions of existing structures, if any: Front Rear % Depth go Height 0,4 Number of Stories I G Dimensions of same structure with alterations or additions Depth 1//.q- Height s hA- Front ��1 Rear Sof Number of Stories i Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase ame of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate an7zoni g law, ordinance or regulation? YES NO 13. Will lot be re -graded? YES NO il excess fill be removed from premises. YES NO 14. Names of Owner of premisesZl''I ��- Osl Address 92-v<12I Z(F Phone No. G 3 / �l 77 0 l 6 3' Name of Architect Address Phone No -- Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOc/ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS 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. �1 b 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 OF ) 4 11 -J kO— S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the Co /W '-" / 55''eoy �A (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 p� day of hdc\�IGtaq, 20� ftbli , t BUNCH -PE�blic, State of New York Notary Public No. 01BU6185050 Signature of plicant Qualified in Suffolk County Commission Expires April 14, 2QL(a 1 Scott A. Russell �M A,-NAG)EMIEN TSiPERViS®R SOUT30LD TOWN HALL - P. O. Box 1179 53095 Main Road- SOUTHOLD, NEWYORK 11971 gown ofSouthold CHPTER236 - STORM WATER MANAGEMENT- WORK SHEET ( TO BE COMPLETED BY THE APPLICANT) DOES THIS PROJECT INVOLVE ANY OF THE l~®ILOWING: (CHECK ALL THAT APPLY) Yes No ❑b'�A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. �Ekl� Excavation or filling involving more than 200 cubic yards -of material �'C", within any parcel or any contiguous area. E CSite preparation on slopes which exceed 10 feet vertical rise to 10.0 feet of horizontal distance. t ❑ Site preparation within 100 feet of wetlands, beach, bluff or coastal , f "osion hazard area. e { 0 E. Site preparation within the .one -hundred -year floodplain as depicted i on FIRM Map of any watercourse. ❑ F. Installation of new -or resurfaced impervious surfaces of 1,000 square , feet or more, unless prior approval of a Stormwater Management 1 Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tag Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building I)epartment with your Building Permit Application. APPLICANT: (Property Owner, Design Professional. Agent, Contractor, Other) NAME ­�)0,V A I J L/ 2L�N/C�Oc,/SJC, wtMtt [S �ymt`ard +� Contact Information: �/ —� �` trcicplane Numecrl Propq-ty Address / Location of Construction Work: qgg-i X FORM R SMCP - TOS MAY 2014 S.C.T.M.`: 1000 Date: District Section Block Lot ` FOR BUILDING DEPARTMENT USE OJL;;'*4** Reviewed By: Date: Approved for processing Building Permit_ Stormwater Management Control Plan Not Required_ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NX 11971-0959 Telephone (631) 7g65--11802 roger.richertCa- own sou: oltlny us BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR, ELECTRICAL INSPECTION REQUESTED BY: Date: j0• Z3 •) Company Name: Name: Jia �. <� :No.. s: ► m ('JA (.e, -f -&AJNei I (T60 No. JOBSITE INFORMATION: (*Indicates required information) *Name: *Address: *Cross Street: `Phone No.: Permit No.: Tax -Map District: 1000 Section: -5 __� - *BRIEF DESCRIPTION OF WORK (Please Print Clearly) fC _ . [' - - _ n (Please Circle All That Apply) *Is job ready for inspection: *Do -you need a Temp Certificate: Temp Information (If needed) * Block: - FS Lot: v �.52� YES NO. Rough In YES ! NO Final Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other *New Service: Re -connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION n .82=Request for Inspection Form Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 March 25, 2015 East Marion Fire Dept PO Box 131 East Marion NY 11939 BUILDING DEPARTMENT TOWN OF SOUTHOLD Re: 9245 Rt 25, East Marion TO WHOM IT MAY CONCERN: Telephone (631) 765-1802 Fax (631) 765-9502 The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $50.00. 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. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT — 39073 - Alteration 4L /oN _ GVi / A /f [- m o O'lC, D `moi L-� 2 �1 (.ts �// I�� .4- l��or✓,o� �' l Liv � �ti s�� /,�G 1� k I - 1 , , 1 i I I I 1 1 j i I I i � 1 i i i I k i I ' 1 I URIC" �q k --i �) `S3 uaI a I r ..i ! I i i f 5 .,}. f7.. ,:� Y� Y`.1 1 u •U 1f p,) MIT 7 I I i I i ( - _ F_ NbTiFY 765=1 E IRY__ BU LD N D P R ,M E T U2 ,TVT vO A Vit, ! k i ` - - --� _ _ --}-- - - -' -- N�C3 FNC IN P C- tO 1S: -F E- !N Dr1f'LI�- FPOL RED CON CRET STAfF'iN ; tLf TA- C�;I CK 1% 1 -FINAL1 _ I _ 3a-INSUI.!#TIQN A-LL -I CQN54T CTION,&_ELE_CITRICA MUST � E OOIv1pLETE "GRIC CON R CTI N Sflf i,EF�T TBE _..._�__. '__.�' _. I . - REQUIRE Y�31L�T�IE EN S 01 ;3H C?�DE - { N4I.�ESNS!BLE FOR - - I a 10 ' DE OR CONSTRI CT�ON ERRORS. AL ElNiklul t Sys - _t WE Ta-Iff U;A T&tLQt' MADE Et IT .A 141AC. ©iV 4F GCA. �a,h . �'It Cagy O MADE €41TH A T tart 1 ' ` ' Sr.« D aw smr I tt 9A YAt �' �u OF Dfd Sv Ai. CAP r AOC SSi Yf£ A Yf L CA�Y of mISD£ wtril A Y do Sri fad" tt'•A Tti G SaY DF btAok .VtTfi A TRIAL COPY Qf' MADE 4V101 x 3 i CAPY 9€ b5SD6'. irm A x i mrtDrawFD C\1 i 31:A IRI C PY OF GRADE WITH A mitt CDR7" � s � R: L. CCrPY of w TH A f Tal Znll I _.._ q lljA Tat. .,xMADE WtrH A MA IAt CAPVof A{AQE' A' rI A T tort` y5 � w"A cRI is x�az ' TAIAS J.le r sQa w. �i r"v.z's 3fo ()S3RA1U-ttIXP.-A TFIA C4P-Y' Of MADE VOTH x TRIAL COPY .Of MADE WtTtt A t