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Home My WebLink About37433-Z ��O�S�FFOt,t�oG� Town of Southold Annex 8/17/2012 P.O.Box 1179 3 54375 Main Road n a oy � � Southold,New York 11971 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 ofliced 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. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37433 8/16/12 PLUMBERS CERTIFICATION DATED Aut ' ed gnatur S�FEnc�c TOWN OF SOUTHOLD �oy� BUILDING DEPARTMENTS 13 '` TOWN CLERK'S OFFICE o . SOUTHOLD, NY w 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 NEW YORK, 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 1/1/1900 and approved by the Building Inspector. To expire on 21912014. Fees: PERMIT RENEWAL $7.50 CO -ADDITION TO DWELLING $50.00 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE �6 SOUTH-OLD, N. V. r'f BUILDING PERMIT J (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) -7 3-3 N9 .. 5 Z Date ......................... i„v: . ..... ....... 19rJ;. ...e. , Permission is hereby granted to: ............... �._ ............................................... ................................................................................ to C :.: ................................................................................................................................................................ at premises located at ...... 4, ... .% . : _ ..::,:1, .:.r.: . . ...................................................................... ................................................. �3= . ...... ................................................................................ ................................................................................................................................................................. pursuant to application dated ............................ x ;, .. 19 , ., and approved by the •1 i Building Inspector. Fee $.:i., ....:............. ............ �yl. . .. .:.:.. ............-................................. Building Inspector Form No.6 TOWN OF SOUTHOLD ?�>n 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, o►•buildings and "pre-existing" land uses: I. 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 Oc pancy -Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: I o 60 House No. Street Hamlet Owner or Owners of Property: 2 �k)Q dP GE r6dwC Suffolk County Tax Map No 1000, Section 421 Block j Lot Subdivision Filed Map. Lot: Permit No. �j 3 Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ .vv Applicant Signat r O��OF SO(/jyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 �. • �o roger.richert(a�town.southold.ny.us o�yCOUMN,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE'LOCATION Issued To: Gerald R Gambone Revocable Trust Address: 4860 Rocky Point Rd City: East Marion St: NY Zip: 11939 Building 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 X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 2 Ceiling Fixtures 28 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 Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 6 Twist Lock Exit Fixtures TVSS Other Equipment: electrical work done in connection with changing roof hight Notes: Inspector Signature: Date: Au 16 2012 81-Cert Electrical Compliance Form.xls r/ OF SO(/1�,0 — —- ,�o �o urm, 4C,4--r TOWN OF SOU B ING DEPT. 765-1802 IN TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE PIl INSPECTOR OF SO(/ryo� • �o fl ��y�OUNiY,� TOWN- OF SOUTHOLD BUILDING DEPT 765-1802 INSPECTION " [ ] FOUNDATION I ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: C7/,r x DATE j�' �" INSPECTO a FOBS[ NO. 1 70cy 5 0 K 7�s -- TOWN OF SOUTHOLD 0 / J � BUILDING DEPARTMENT TOWN CLERK'S OFFICE "` -�o`c-e °"' A" j SOUTHOLD, N. Y. a„ GovrJ dc - Examined ............I. ..... ...:...:::�..(..... 19..�. T�LJ Application No. (o Approved ( 19.A Permit No. .��' y1�7) Disapproved a/c ....... ............ ....... �q, rrT ................................................................................ 5.... ................... ......................... ................................. (Building Inspector) � -- - ICATION FOR BUILDING PERMIT Date ., 19.7 O INSTRUCTIONS Iled in by typewriter oe in ink and submitted in triplicate to the Building pIan to scale. Fee according to schedule. i buildings on premises, relationship to adjoining premises or public streets or (� it ofproperty must be drawn on the diagram which is part of this application. iay not be commenced before issuance of Building Permit. Building Inspector will issue a Building Permit to the applicant. Such permit U spection throughout the work. �C i whole or in part for any purpose whatever until a Certificate of Occupancy tor. Ulding Department for the issuance of a Building Permit pursuant to the �I vuiiumy f-or,e vrainance or me i own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or V 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. ............................. ............... �. .rr�i�►.. ............. (Signature of applicant, or name, if a corporation) , bubl. :../.�U( .................................................� (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. .li1l / ?............................................................................................................. ...................... Name of owner of premises ... P !!.s.::, -.......1''..!9�? p F......................................................................................... If applicant is a corporate, signature of duly authorized officer. ......... .s�......:9-;...w Q =^-. ...................... (Name and title of corporate officer)Q Builder's License No. .........iv............ ,....................... �. Plumber's License No. ................................................. Electrician's License No. ............................................ Other Trade's License No. 1. Location of land on which prop sed work will be done. Map No.: ... ..................................... Lot No. ........................ Street and Number G ...... .. ....... �.......... 4X... lr.��1.� ......................../.................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .......�.. .......... .r..4 ...,........ .......................................................... b. Intended use and occupancy .............t�/Scr°........ .........��.. . .................................................... v 3. Nature of work (check which applicable): New Building' .................. Addition .................. Alteration .1........... . Repair .................. Removal .................. Demolition.........:.......... 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 ............................ 7. Dimensions of existing structures, if any: Front .......:!�.,E_A . .�1_�KDepth Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ..........!.A.KNI.:......... Rear ............................ Depth ................................ Height ............................Number of Stories ............................... 8. Dimensions of entire new construction: Front �-. .� Rear ....�q�. �' ............. .............. ................ Depth ........................ Height .....8............ Number of Stories ...................................................................................................................... 9. Size of lot: Front ........................................................ Rear ........................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner .......>V�l,yt1 o 5.............................. 11. Zone or use district in which premises are situated ...... . ... .AP �................. .......................................... � 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ......d .......................................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No ktySA.. 6A�w gonr. ..;.... Address .................................. Phone No.14. I`�ame of Owner of premises ... �?... .... ...................... Name of Architect .........................................................�.... Address............................... .Phone No. ...................... Name of Contractor .. ..�'' ! S P F �.� .................. Phone f Address PLOT D AlIRAM ....... Locate clearly and distinctly all buildin s, whe er exi ti g or proposed, a indicate all set-back dimensions from property lines. Give street and block num er or d scripti n according to de c, and show street names and indicate whether interior or corner lot. V -� 0 I 4- L �o°t" \3 cv, 1 . -1 Yj STATE OF NEW YORK, I % �1 COUNTY O jS.S _�__ —A. ......................... .!�......�.....!U. ..............................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract') above named. Heis the ...................... aq ��E f�............................................................................................ ............................. (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 thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........I............... day of ...... ... ....................I 19..�� `�[.p/ NotaryPublic, .................................................... County ............ .................c..�.....:...... .......................................... (Signature of applicant) FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. Examined .... .. ...........�.......... ., 19��' Application No. ... ......... .................. . .. . . . ...... Approved ..................\ .......... ., 12.11. Permit No. �............................... Disapproved a/c ...................... .................... ........ .................... ................................................................................X(Builfding ... ... ................. ................... Inspector)... .......................... APPLICATION FOR BUILDING PERMIT Date ..... ..�................:..... .. 19?�..... 4--L INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 of property 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 part 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) ...................�'0A,d...�� .......... (Address of a licant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. C � .................................................................................................................................... Name of owner of premises e £pk u S 4 (aA ii,,e o.v ............................................................................................ ............. .................. If applicant is a corporatksignature of duly authorized officer. .........�dClt).....�..... ... ... ........ (Name and title of corporate officer) fJ r� �V Builder's License No. .... `�....�N ............. Plumber's License No. ................................................ Electrician's License No. ............................................ OtherTrade's License No. .............................................. l 1. Location of land on which rop sed work will b{�e drone. Map No ,..�............./ ..,............. Lot No. ........................ Street and Number ...... 6 . .... � .....1`- .................CuS... ............................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construe ion: a. Exisiting use and occupancy ........1... !!LIr l? .............................. ................................................. ................... b. Intended use and occupancy ......... .... ...��..... ... ............................................................. 3. Nature of work (check which applicable): New Building. .................. Addition .................. Alteration .. ......,... Repair .................. Removal .................. Demolition.................... Other Work ................................................ .... r & (Description) 4. Estimated Cost ..... .. 1. !. ............................Fee ...4..��.................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ..... .� ... Depth..... .. .......................... .....::............. Height ........................ Number of Stories ................................................................................................................. Dimensions of some structure with alterations or additions: Front ......3.4A4-I ............ Rear ............................ Depth ................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front .....Z ................ Rear .......' 9.1............. Depth ........................ Height .... ............ Number of Stories ....................................................................................................................... 9. Size of lot: Front ........................................................ Rear ........................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner .......:�'V ....�............................. 11. Zone or use district in which premises are situated ........... 1,S`�•....... Z� t'v . ..... .............................................................. 12. Does proposed construction gqviolate any zoning law, ordinance or regulation: .......k�........................................ 13. Will lot be regraded .......b�!'........... Will excess fill be removed from premises: ( ) Yes (9U No 14. Name of Owner of premises Pkus ...... Address ...........................:... Phone No. ...................... Name of Architect .............................................................. Address ................................ Phone No. ...................... Name of Contractor ..:�F—Vj `'.'................................ Address ...5b.S, A�.A.......... Phone No. ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back 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. STATE OF NEW YORK, 1 S.S COUNTY OF ....... I . ..........................................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the ....................... �4jeQ ^'. ........................... ............................................................................................... (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 I........... day of .. .. ........ 19.2.6. NotaryPublic. .................................................... County ......... . ... l�t�,........................ ............................ (Signature of applicant) f Y�. h d . Town Hall Annex Telepho (631)765-18 2, 54375 Main Road H . � rtdo31 65 w d.ny.us'ou9n oQ P.O.Box 1179 roger.dchea ; Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN:OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Date: Company Name: Name: License No.: Address: Phone No.: JOBSITE INFORMATION; (*Indicates required information) *Name: *Address: L$ Cross.Street: *Phone. No.: �._L-�"-VI q Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) , (Please Circle All That Apply). *Is job'ready for inspection: YES / NO Rough In. Final *Do you need a Temp Certificate: YES / NO Temp Information-(If needed) *Service Size: 1. Phase 3Phase 100 1'50. 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION 82-Request for Inspection Form t ArAIMAIr %A�tjl =r!_T TI 3'1 MEf �r w � 1 ` 1 � y i 1 1#5 �/ ' l 1 C� ti �� k Y `tea� N-F 8'&IT Z / �°l� �7 Z � i r,�one / o�vs e /ic�� - ,�a�q-,^ .otu cel o c—e °3 -3 e - - P°� ..... . _ - - .__ , .. 4.Y - fi -a. -- _ _ _ > .,.. rt _ rn:. - . s .<. ,< : - 3 , .. - - - _. ._ , .:. :v r_c"_..._ .. , ,< -., Cta:bTRS. ••'3TT-•'�reE .',+@+s-c:ec?'�S•I- ..cs'/!-'kl-,;, ,!". ;:" , <N., _�1 11»�,3Cgez_ `'n�"Ra,.,.-A'+^t;�k `X` - _ j _ --y - ,: _ _ ._ �.:. - - ..:' , < , ., - .... •. „_ - ti :. .. _ , e. .i,. - " ,.- _ .. _ -. �. _ -... _ - _ t ' ,\ -,ti: - .r,,,,, .-. - .. ,. - : - - . 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