The URL can be used to link to this page

Home My WebLink About28011-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29608 Date: 07/30/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: PVT RD OFF E END RD FISHERS ISLAND {HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 3 Block 6 Lot 3.12 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 28, 2001 pursuant to which Building Permit No. 28011-Z dated J/LNUARY 15, 2002 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 ONE FAMILY DWELLING WITH ENTRY DECK, REAR TERRACE ~ ROOF TOP DECK AS APPLIED FOR PER NEW YORK STATE VARIANCE PETITION #2001-1149. l~ne certificate is issued to NANCY K METTLER (OWNER) of the aforesaid building. SI3F~)LK CO~AFI~f DEPi~RTI~T OF ~TH APPRO~-AL R10-01-0224 07/07/03 EI2~C'~RICAL C~TIFICATH NO. PEI~DING 07/16/03 PLUMBERS CERTIFICATION DA'r~u3 07/15/03 EMERY NEMESKAY Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~NCY No: Z-29609 Date: 07/30/03 THIS CERTIFIES that the building ACCESSORY Location of Property: PVT RD OFF E END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 3 Block 6 Lot 3.12 Su]~divlsion Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 28, 2001 pursuant to which Building Pez~kit No. 28011-Z dated J~i~U~RY 15, 2002 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 NON-HABITABLE ACCESSORY STOR3~GE BUILDING WITH UPPER LEVEL DECK AS APPLIED FOR. %~he certificate is issued to NANCY K METTLER (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATH NO. PENDING 07/16/03 PLUMBERS CERTIFICATION DA'~ N/A // A~horiz~d Signature Rev. 1/81 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. 28011 Z Date JANUARY 15, 2002 Permission is hereby granted to: NANCY K METTLER 190 CLAPBOARD RIDGE GREENWICH,CT 06830 for : NEW TWO BEDROOM SINGLE FAMILY DWELLING WITH PARTIAL CELLAR AND ACCESSORY STORAGE BUILDING WITH NONHABITABLE SPACE AS APPLIED FOR 2 C/O'S REQ. at premises located at County Tax Map No. 473889 Section 003 pursuant to application dated NOVEMBER Building Inspector. PVT RD OFF E END RD FISHERS ISLAND Block 0006 Lot No. 003.012 28, 2001 and approved by the Fee $ 994.20 ~gnature ORIGINAL Rev. 2/19/98 ,' .....:, :, F i I ITILI'] L:II c~[: ] ~0~ OF SOUTHOLD L TION ~ CERTI~ICAT~ OF OCCUPANCY 4. Sworn statement from plumber certifying ~hat the solder used t~ syste~ contains less than 2/10 of 1% lmad. 5. Co~erciai building, imdustrial buildiag, moltiple r~sidences and similar buiidim a~d installationa~ a c~rtlficate of Code Co~lp]ianc(~ from architect ~r ~agineer responsible for nh~ building, 6. Submit Pla~lning Board ~proval of co~le~ed ~i~e plan requirement;s. f'or existing buildings (prior to April 9, 1957) non-coliform±rig uses, or buildings ant "pre-ex/sting" 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 a consent to inspect signed by the applicant if a C~r~lficate of Occupancy is denied, the Building Inspector shall stale r~asons therefor in writing To the applicant. 1, Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businessas $50,00. 2. Certificate of Qccup~ney on Pre-existing Buildine - $100.00 3. copy of Certifiga~e of Occupancy - . 4. Update~ Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residemtial $15,00, Co~ercial / ..... /.t .l.oz .................... New Construction.,' ......... O~ Or Pri-~i~t~Bull~ing..,~ ......... ~ .... __ _ , , Subdivision .................................... ~'iled Map ............ Lot ... / Health Dept, Approval .......................... Unde~writerS ~ppro~al ..................... . . ~e~e~ for: Temporary Certificate ........... Final 6erticate...~ .... BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: IOm0c~ tOl~rr-c~ ~- DATE REVIEWED: , /2-~/01 DATE SUBMITTED: SCTM# DISTRICT: 1,000 SECTION: ~ BLOCK: ~ LOT: ~. ~C~ECT / ENG~ER: ~~ FAST T~CK? SINGLE & SEPARATE CERTIFICATION,REQUIRED? t4o NOTES:_7~-/2~)c-~<~ LOTS 40,000SF-100-24. Lot recognition.(CREATE~ne 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merg~r.(A nonconfOrrmng at any tin~ at~r 7/1/8: ZONING DIS TRICT: REQ. LOT SIZE: REQ. FRONT REQ. REAR WATER FRONT? PA~L #: ~5 Ac< v ttq' ~ - I 2_~ CONFORMING? t,/o ACT. LOT SIZE: __ REQ. LOT COV. PROP. FRONT--~ REQ SIDE PROP. REAR ._+ DESCRIPTION: FLOOD ZONE: )g , =~o~ ACT. LOT COV. c>~o7~~-- ACT. SIDE --~/F~;/~'y~' ' AGENCY PERMITS REQUIRED FOR REVIEW ~PROVALS REQUIRED: SUFFOLK COUNTY HEALTH DEP~.~r NO, (BED #): ¥ DTE: NEW YORK STATE DEC: PRE-DEC 9/lf75 YES o SOUTHOLD TOWN TRUSTEES: YES ot[l~LQ) TOWN ZONING BOARD APPROV~or TOWN PLAN. BOARD APPROVAL: YES o~.'~ TOWN HISTORICAL PRE (SPLIA): YES o~ -- NYS ENERGY: YES O N~9~. EGRESS (18 H min.? 4 sq total) VENT (SQ. FT. x 4%)-~ LIGHT (SQ. Fr. x BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y ORN ,/~ ,~qOTES: FEESTRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLR: -Z / C/0 Z- BP /~,o -Z/C/0 Z- TOTAL: .,~.~ ? ~ SF -- -~-6 g ,-~ FEE FEE ~ TOWN OF SOUTffOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. ~ Owner (pleas~ print) Plumber ~'~ N~/~[~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 15 ~of ~/o)~t , lumber ' ~ature) Notary~ublic~ v-~"ICA H-'- aMILTON I 'Y PUBLIC ~ ~,,~ d OF NEW YORK NO. 01HA6067785 QUALIFIED IN SUFFOLK TERM EXPIRE,,~.. 07/02/2003 15:42 FAX 631 788 7798 FITELEP~ONE ~002 WWM-O$1 SUFFOLKC'OUNTY DEPART[lENT OF HEALTH SERVICES - INSPECTION REPORT FOR SINGLE FAMILY RESIDENCES -- S£WAGE DISPOSAL/tATER SUPPLY FACILITIES Cesspool Contractor ~,Jl~b~'~ Entered. Nap of . EXCAVATION' J'NSPECTION ' Date Oe. h S 6 2, Inspected By~ : 4, Backfill .~ .: :::::::::::::::::::::::::: =- --===~== - =.=.===. =-==~:=._:===- .=, ===,,_~,===_ =~==.~=-=- SITE INSPECTION WATER · 5. Si,gle Fami~ ( ~ T'~ Fami.ly (~}' '10:" Public water 6, Facil, to p.1. ~ t~uilding ........ (~) 1~, W.L, to edge'of fac)lities. ~.~ 7, Dist, to other wells & pools.,, ..... (~) ............. '~' *C~T -' - ?'-a - " ....... ' '-' 9. Safe distance to surface wate~s~ .... (~) 13, L~eral'.'~ine.~:(~)...- ' · i ~ SEPTIC TANK INSPECT)~ '~ .~ ~""2i. Ch~eys ..... 1~. Mfr.~v~ :(~als~F 18. Air Sp.ace,,,('./) 22, L~.q.,~Level~.,(~ 16. Shape~ Nat'l '~- :~ 19. Outle~"T's,.(~ z3, 17. t~aste~~ :siZa ~Y~ 20. cov~s,:/,~.,(~ 24, Grade,,~.;,,.(~ ~1 POOL ~2 POpL ~3 {4~:~OL ~:~5 pOOL 25. Effective depth/ ~ .... · ,.....: ....':.: ~' *--v'%~ " '""'::' "' ~"' diameter/top Waste ]ine sdze & "' type of material Chimney provided Covers approved 27. 28, 29. Distance to fip, grade _FINAL APPROVAL - HqLD 'FOR (6ir.,c,).e) ' Surveys .. Cesspool Cert. wei;i ~:Dr~iY. ek,s., ~ert. Water Analysis Tap Letter S-9'S Covenant$i '' O~he~;" .. :i.. ? : CONSTRUCTION COMPLETION · InspectorDate ~ OeteSUpervis°r Insp. Date Remarks ' :"i.:: I~sp. Date Disposition