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HomeMy WebLinkAbout46994-Z suf i o�O coG� Town of Southold 10/12/2022 a y� P.O.Box 1179 h rn 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43474 Date: 10/12/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: Equestrian Ave.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.4-14.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2018 pursuant to which Building Permit No. 46994 dated 10/18/2021 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: addition and alteration to existing dwelling as applied for. The certificate is issued to Harvey,Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46994 10/14/2021 PLUMBERS CERTIFICATION DATED Autho ed Signat e TOWN OF SOUTHOLD �gt�FFQIp co�� BUILDING DEPARTMENT y 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#: 46994 Date: 10/18/2021 Permission is hereby granted to: Harvey, Ellen 756 Rugby Rd Bryn Mawr, PA 19010 To: Construct addition/alteration to an existing dwelling as applied for. Replaces BP#42420 At premises located at: Equestrian Ave., Fishers Island SCTM #473889 Sec/Block/Lot# 9.4-14.2 Pursuant to application dated 10/18/2021 and approved by the Building Inspector. To expire on 4/19/2023. Fees: PERMIT RENEWAL $192.00 Total: $192.00 uilpector �4�g� c�cp TOWN OF SOUTHOLD o BUILDING DEPARTMENT z TOWN CLERK'S OFFICE "oy • o� 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#: 42420 Date: 2/28/2018 Permission is hereby granted to: Harvey, Ellen 756 Rugby Rd Bryn Mawr, PA 19010 To: construct addition/alteration to an existing dwelling as applied for. At premises located at: Equestrian Ave, Fishers Island SCTM #473889 Sec/Block/Lot# 9.4-14.2 Pursuant to application dated 2/21/2018 and approved by the Building Inspector. To expire on 8/30/2019. Fees: SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $244.00 CO -ALTERATION TO DWELLING $50.00 E C RIC $90.00 otal: $384.00 V Building Inspector Form No.G FPD) TOWN OF SOUTHOLD BUILDING DEPARTMENT r TOWN HALL L 765-1802 MAR - 2 2018 APPLICATION FOR CERTIFICATE OF OCCUPANCY R�U.iY,DII+?G IDs. TO This application must be filled in by typewriter or ink and submitted to the Building Department with the fo71'0wpo 1 wLD 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 I% 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 ;?/?' New Construction:: � I / Old or Pre-existing Building: / (check one) _) Location of Property--4 l O( 4�aeS�?S ✓J 19ye-, 7(p S/KrS —1Sl�i'' House No. r Street Hamlet Owner or Owners of Propert-y-, AqA-ry'f_X Suffolk County Tax Map No 1000, Section_ lock Lot Subdivision Filed Map. Lot: Permit No. ;.q�o Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ vApplican gnature �. f� 6 oF so�jyol Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.richert(Q-town.south old.n us Southold,NY 11971-09590 �Q y' Owl BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Harvey Address: Equestrian Ave City: Fishers Island St: New York Zip: 6390 Building Permit#: 46994 Section: 9 Block: 4 Lot: 14.2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Z&S Contracting License No: 4798-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor X Hot Tub Addition X Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors , Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches 4 Twist Lock Exit Fixtures TVSS Other Equipment: 1-paddle fan. Notes: Inspector Signature: _w 4 Date: October 14 2021 81-Cert Electrical Compliance Form.xis OE SOUlyolo 2 (� coutm,N TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION j ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: - DATE INSPECTOR OF SOOT # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 INSPECTION [ FOUNDATION 1 ST [�OUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ AULKING REMARKS: ' oma �� i3 /8 DATE INSPECTOR 1 OF SOUTy�� "TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND { ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ NAL [ ] FIREPLACE &CHIMNEY [ `] FIRESAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION' [ " ] FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: D C. ©- - DATE l� �� �'� INSPECTOR Allik » « fz . . � } y� u 1 1\ r f dF Q _ � .x .� ... ,.�'r � :�J {. �1�!s *4 x. }y' "� .� �.. . �� R ;I hT k �� � 1. a.' i ,K <' A g '� 4 $ �,; 4�. �, _ � e ► h�' _ � �. 3 ww" , �- � � k V � f , � � .� �fi' ";;x'41 i� ,�,.. ..�. `'�.� , �•` .��. ,( � �= ��. _. ;� aV' ux•;�f�• ��\ �.�a �'ti a �� 'l in L4. ,...� _ �' ',� •"w '�� ,�,, _� ,r t t � ,' T k �� �• FJ���`'s•ti:a f/f �4 e '`�►_ �.r fiat. s i e 1 r f l ,� - Y ly ��',�, �,..Y^ ,y �*i i ? 'i�.:. �r�� ai '.S� �r r, {� r.� r^�. _,rA .f t �. �_ • � •�V.... i .;• f '.� ��yyy� ��� f�C. '�. _..i ... �� t •� +� � � "�'�...� ,� s„ � S FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(IST) y --------------------------------- 'FOUNDATION -------------------------------'FOUNDATION (2ND) f � C Pix' • • c� ROUGH FRAMING& Noe PLUMBING Glf�y 00 J INSULATION PER N. Y: H ,. STATE ENERGY CODE i G. FINAL ADDITIONAL COMMENTS 0 eN LIga .O® r 010 z d TOWN OF-SOUTHOLD BUIL;DING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning,Board approval FAX: (631) 765-9502 �] J� Survey Southoldtownny.gov PERMIT NO. 'l.� (�lJ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined 20 Single&.Separate Truss Identification Form Storm-water Assessment Form 2r )� Contact: Approved ,20 l T Mail to: Disapproved a/c Phone: Expiration 20—e( Building Inspector APPLICATION FOR BUILDING PERMIT _r_ Date �S , 20 INSTRUCTIONS 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-inspection7throughout-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 Reg fmildings, additions, or alterations or for re oval-or demolition as herein described. The applicai t alfa licable laws, ordinances,building code, ous' g od and regulations, and to admit authol mz d inspectors on premise n building for necessary inspections. FEB 2 1 2018 (Si a of applicant or name,if a corporation) BUILDING DEPT. 2+S c c, TOWN OF SOUTHOLD �p���c 20 2 ��s�S T s(� ��. 06310 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder c�,flI re_ Name of owner of premised l e,&A 1>. 'H' V (As oMhe tax roll or latest deed) If ap li t is a co ora ' s' ature of duly authorized officer (Name and itle of corporate officer) Builders License No.. r.S!'3 — H Plumbers License No. 3 ?S— M P Electricians License No. 7 — M H -Other Trade's License'No. 1. Location of land`on which proposed work will be done: I P- Fa ttesFr' house Number Street Hamlet County Tax Map No. 1000 Section Block Lot 1-/ Subdivision Filed Map No. Lot 2, State existing use and occupancy of premise;G.1d1eAC_49 ntended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ( 6_51",QA e.2 3. Nature of work(check which applicable): New Building Addition Alteration 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 Rear 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 Rear Depth Height Number of Stories 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 11 Does proposed construction viof ate any zoning law, ordinance orregulation?YES, NO / 13, Will lot be re-graded?YES NO ✓ Will excess fill be removed from premises?YES NO V 14.Names of Owner of premi§es TkdE S .'.P2Address E? Phone No._ Name of Architect 6_011-don H-M-o— Address7N 1;'tk it" Phone NoQ27�0 Off? 5329 Name of Contractor Z-FS Cc-h+r�fi!n �c Address Phone No.( 1e30 D,o Max 251L, Jr-,T,N,q , �1-Z 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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 � c. * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 0" a ��i 16. Provide survey,to scale,with accurate foundation plan and distances to property fines. 17. If elevation at any point on property is at 1-0 feet or below, must provide iopograpluca!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, -OF Lj< ) f A l U_ ������- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He-is,the- C0k_ rrX dP_1__ (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 before me this day of 14magll 20 /0 L Notary.Public Signature of Applicant . e . 40 *pF SO/jT�olo . Town Hall Annex Telephone(631)765-1802 54375 Main Road ro er.richert 6 P.O.Box 1179 G+ y0 Southold,NY.11971-0959•. p D �yCOUNT`t,�� MAY 2 9 2018 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUILDING DEPT. APPLICATION FOR ELECTRICAL INSPECTION TOWNOFSOUTHOLD REQUESTED BY: l nmQS �. �� 11 Date: Company Name: 3 Name: License No.: Li 9 90 — Y� Address: _Qa ,lOx Labe. Pjlx 0(n Phone No.: JOBSITE INFORMATION: (Indicates required information) *Name: -::F1& lkrw rly *Address: //OG &4e r�ati lz% h;krs 1 rZw �I/�• *Cross Street: *Phone No.: 43/-711- ZM7 Permit No.: o? 02 Q Tax Map District: 1000 Section: Block: Lot: /y a2 *BRIEF DESCRIPTION OF WORK.(Please Print Clearly) o4faerl'aw dke� 41or4- (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 100 150 200 300 350 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION . C� 82-Request for Inspection Form ���� rx Z & S Contracting, Inc. Fax Transmittal Tel: (631) 788-7857 * Fax: (631) 788-5600 zandscontracting(a �mail.com Date: -15" ;�H 1To: t • Pi i C,�et+ :b vr, Time Sending : Db Fax # sent to 31 From � Phone # RMC[E0VF= D ', Number of pages transmitted including this page MAY 2 9 2018 � �i B-t=] +TG UM. 'DOWN OF SOiT HOLD Message 44oA > � ' A rnc2i nt :0 Confirmation required Yes No Special instructions Please Note: If you do not receive all of the pages as indicated above, please call us as soon as possible. NOTE : CO OKO I NATE pl sTa.NC lis At��. M CALL)IZ-5-0 Fi-ONA U. S. COAST A. J D GCODETIC eUVV>rY 7V-IAWC5U L ATI Ol-J DI t1a E:,24 r^.4 'R .=/q� `� fit-,�;..r�' «�sfi�,'°'.@ Y�„�� •�'� , 2. r} Al L` C"C' �T THS_ 4 - t�7,, i .;-k•n. „� �; ^'i 1- l.r(..i : i\.j 1I!tntSTAT . ,T D-C 0,It C;I '(1 t;OX v EV' � C C19 \\\ 0 w NS, 01%01. Nom ti10 T. S � o . •� � ►moo 8 °- ZD'-A,0,,W, 73•lr'-?----,.\ ,p ZDV .27 S io,2l' �j� •3i <I G H T o f 0 pro ti a H., i b LO-r H t E JA'U E- " . ALLEN �. HARVEY TAD GLENN SPERRY IFI SK EKS 1 SLA1.lD - NEYV ,{0KK Guaranteed o Ellen.D. Harvey and Tad Glenn Sperry, Fidelity National Title Insurance Company of New York and North Fork Bank in 110 W 1 C}-4 ; Co tJ t.1 EGT t C U?' accordance with the Minimum Standard"for Title Surveys of the New York State Land Title Association. ?-r-) S S 1 FNT9920I69 'Rev 1!5 tb - 99 1 � :Z)4 i%� #;!`_4'� 4f.P'TL _�✓\t� Tt.>nC'7cw • ,� `, � ,'- 4 }. —. { ,r i � it i I E ~�_- `. I r.� __'.'.:._�- �� .�, �i �; ? 1• i� G i m "�, I =,SC �Iq ' rf �� ct' ��:. r t m s �► r� , RA I'A ! _5 T U r 1 14_ -R :�`r -'�K�`Ut..1..� F�=.�i,1`,'": (�Q�'.'iOatirr l��• tz '_'•�{�+^""is hdNr-,�tf,1 FG' t4 w Gr�NG, K 5 r7 GM0 rT<-- 7 ' µ 0 NEVJ t=or,�'7-f 4C S U-14t u Pyr 'S,�s � P:.i 64^`e-. MI�.t, 2�'-C,� � Lrl�tJ FlrlrSQ� '-'X'__'i �C; �? 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