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HomeMy WebLinkAbout29628-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29637 Date: 08/13/03 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: PENINSULA RD FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 3 Lot 24 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5, 2002 pursuant to which Building Permit No_ 29628-Z dated AUGUST 6, 2003 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 "AS BUILT" DECK ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOUIS & DOROTHY ROTAR AS TRUSTEES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A j:�� / 2��Pel thized Signature ,piRev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29628 Z Date AUGUST 6, 2003 Permission is hereby granted to: LOUIS & DOROTHY ROTAR 26 DEERHILL RD REDDING, CT 06896 for "AS BUILT" ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR PER TRUSTEES at premises located at PENINSULA RD FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0003 Lot No. 024 pursuant to application dated MARCH 5 , 2002 and approved by the Building Inspector to expire on FEBRUARY 6, 2005 . Fee $ 300 . 00 n A oriz ature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 6 r'j7 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 19 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 a 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. Fe s 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. Businesses $50.00. 2. Certificate of Occupancy on Fre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential / $15.00,/�Commercial $15.00 Date .'.lN.�S%, t. .%. . Q© . . . . . . . . . . . . . . . New Construction. . . . . . . Old Or Pre-existing Building. . . . . �. . . . . . . . �ypjG 63 �&/4/,fvc,q .R.QA� Location of Property. . , �. T.Cl�lQ. . . . . . l�t:. . . House No. �7 Street Hamlet Onwer or Owners of Property. . . �5n // �/�1621 f� County Tax Map No X11000, Section. .4vo . . . . . .Block. . .Sr:3 �.PY. . .Lot. .O Subdivision. . . . . . ..Y.ONl Filed M Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . Applicant. , f.r // . . . . . . .. . . . . . . . . . . . . 111\ Health Dept. Approval.. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . l� Request for: Temporary er�t}ificate. . . . . . . . . . . Final Certicate. . . . . . Fee Submitted: $. . (r 1.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . °� APPLICA TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKUSI BUILDINfi DEPARTMENT Do you have or need the following;before applying TOWN HALL ng3e��2 Board of Health SOUTHOLD,NY 11971 3 sets of Budding Plans TEL: 765-1802 Survey PERMIT NO. Check Septic Form 3 N.Y.S.D.E.C. Trustees Examined7(,20--3- 0 Contact: Approved Mau to://�G r r Disapproved a'c P.o• ())8x J 1 i�I�Sh JeSlr.�d Phone631- 71JI-733-3 B ' dinWpector APPLICATION FOR BUILDING PERMIT / Date _ l 2042 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted 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 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 a Certificate of Occupanc} is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deparhnent 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 nuf (Signt of applicant or name,if a corporation) P D, 166 55 r,54�s Il'OLC1 (Mailing address of applicant) State whether applicant is owner, lessee,agent, architect, engineer, general contractor, electrician,plumber or.builder Name of owner of premises 43orLA'A L i 5 Cbl J (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. ( , O O(o Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which��pprroposed work will e ne: � 1I1 I _sp?� Ne�insJlo_ A)�t &1 1�'Ss I d House Number Street Hamlet County Tax Map No. 1000 Section�_Blocic O ho Lot � 019. 00 Subdivision 4 0-.Q, Filed Map No. Lot (Name) 2. State existing use and occupancy of premises Vid intended use and occupancy of proposed construction:, a. Existing use and occupancy. r •2 b. Intended use and occupancy 9 3. Nature of work(check which applicable):New Building Addition Alteration I Repair Removal Demolition Other Work (Description) 4. Estimated Cost `7 00,00 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units----LNumber of dwelling units on each floor j If garage, number of cars (� 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. i / > 7. Dimensions of existing structures, if any: Front Rear l W Depth /-0 Height `r{q Number of Stcrca 2 Dimensions of same structure with akerations or additions: Front S Qm-� Rear Depth HeightaA ln� Number of Stories Z-- 8. Dimensions of entire new construction: Front N kt' Rear Depth Height Number of Stories cv1—C_ 9.. Size of lot: Front A Rear Depth f 10. Date of Purchasel"4 2 D Name of Former Owner I • 3� lc: 11. Zone or use district in which premises are situated Utrr 5l G�i� 12. Does proposed construction violate any zoning law, ordinance or regulation: ,t/ p 13. Will lot be re-graded Will excess fill be removed from premises: YES E"S NO 14. Names of Owner of ses o 0 ! �', Z03._t A premi oU 3 'Addres 5 hone No. Name of Architect �ilirl ( r n r Addresses 0 51 Phone No/•fe3 i- 7$S' -7 3 Z 'Name of Contractor _�rh2_ r i Address S (�PhoneNe(-/o.3/-94$ 7333 15. Is this property within 100 feet of a tidal wetland? *YESMTTS NO/� • IF YES, SOUTHOLD TOWN TRUSTEES PE 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. STATE OF NEW YORK) /'SS: COUNTY Ol5^�OX f- ' 0 'Vxe's 1t rA-? � fil�i It being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, ( . (S)He is the 614('p. 'r (Contractor,Agent, Corporate Officer, etc.) of acid owner or owners; anti is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in thus 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. SWr e Ooh. n � � Notary Public Signature Applicant YHOMAS F.DO-F- _ Notary Public State o'.. No.48065SA " 0uelifea in Suttolk Cr,,,nty Term Expires 12'31 ot -- ���� �L{'1/.J�����QSlg/b ����p Archifecnn'e,Engzncering,6nvironnten�n(Science&Surveying ll0 Broadway,Norwich,CT,06360-4452 Tel:860-889-3397 Fax:860-886-7801 C p K March 17, 2003 CHANDLER,PALMER&KING Town of Southold Building Department P ffiadlr ' I "').Pf-,Ls 53095 Main Road Pa-.,d�n,tCf=O Southold, NY 11971 Philip H-Chcnc, Cholm,an GROUP DIREU'1'OR6 RE: Additions to the Rotar Residence ,�rdumewre Gordon C.HcO, K.T. Envhiem,cntrJ Scienm To Whom It May Concern: Hntrolo�p� N'.w. Re,ourees «G ,,, n-, PI- We have visited the site on Pirates Cove for the above captioned project at the hri,�I,s request of the contractor, Diaz Contracting. (Trn,n,craial Ucrtlopn,cn, Ra-h,r'dH tiuvuu-PI I S. Stru,kn of After reviewing the construction, it is my opinion that the work has been \h h- ,•( nhm III l professionally completed using properly sized members and connections. The su"')in, 2x8 joists are adequate to support the required design loads and are properly attached to the frame. lrxnsporlaliun Yours truly, Gordon C. Hyde, R.A., NCARB Director of Architecture N . (9 t)� cc: Diaz Contracting Toll Five l-s8N "d-31_27 Nationwide AN EQUxIL OPPORI UV[TPH;NPLOi'ER w,cu-.cmewglneering.can -1 Di,L,un OI C N7I �•:odutes, 7nL. O1(Irc..in Nomich& VVondslurk CT and 3umhh id,c. NI N 04/01/03 TUE 10:05 FAX 516 765 1366 Southold Town Accounting 19 002 Albeit J.Krupsld,President �� Town Hall James King,vice-presidentep�FF�A' 53095 Route 25 Artie PosterBox 1179 Ken poliwoda Southold,N York 11971-0959 ti Peggy A.Dickerson so Telephone(681) 765-1892 Fax(631) 765-1366 �yol � Sao BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 24,2002 Mr. James Diaz Diaz Contracting, LLC P.O.Box 59 Fishers Island,NY 06390 RE: DOROTHY&LOIS ROTAR PENDTSULA RD.,FISHERS ISLAND SCTM#10-3-24 Dear Mr. Diaz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday,May 22,2002 regarding the above matter: WFJEREAS,James Diaz on behalf of DOROTHY&LOIS ROTAR applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 8,2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a.Public Hearing was held by the Town Trustees with respect to said application on May,22,2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, time Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS,the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS,the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 04/01/03 TUE 10:05 FAX 516 765 1666 50urnola town gccounuug %�J uuu 2 VIT AS,the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of DOROT'ITY&LOIS ROTAR to remove windows and install double French doors and to construct a set of stairs. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency,which may also have an application pending for the same or similar projca. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees:None Vereryy truly yours, �/ G Albert J.Krupski,Jr. President,Board of Trustees AJK/lrns J _ rr Y RUSTEE No. U 6 Y S O U N PERMITa 0 m M1 M1 W W M1 N w Issued To Date n Address Q�runsL�n- •islane( M W v THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION m TOWN TRUSTEES OFFICE DOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 �����i ���.fes` �1 .J ��������\��•"� \^t�..� ��✓_ Y ��(f�� �K✓ �,v- � r,. t ', / � •�flh E•. ) m l / yd. if,J R -. \ I .. ] • I. • U J 1 is � �Y �.� �, • • 1 • ' � 1 �i �4 C/ 1� � ' t 1 yy l � OFF(Ce7 T--r-1 16 20M O 0) u- W 0 .D AS NOTED DATE:- - 3 sp. 4 - &-/6 NOT BULDNJG: DE TMENT AT bt 765.1802 $AM TO 4 PM FOR THE FOLLOWING tWECTIONS: 1. FOUNDATION - TWO REOUIRED FOR POURED CONCRVE A 2 ROUGH - FRAMING A PLURAINNG `--r-7 3. INSULATION 4. FINAL - CoNgTRUCTION MM BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW � YORK STATE. NOT RESPIONom FOFI DESIGN OR cONsTRucTKm ammxk N G n N Gu�;; v 2_ 7— J OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE r.��w ,� ,<r *. i � i F- tG -z OF OCCUPANCY 04 < V1 LL �7 Ir - INNER BAY OF g Z Pq GREAT HARROR ba 'p volml RIGHT OF WAY FOR F.I. ESTATES INC. E. A 7AI 1QOO' Z11 N 1660.34 '00 LOCATION MAP SCALE 1 "=400' Ozv"O.� - , Z'� RAILROAD 'j'T PIKE (FOUND) 4 N 1646.91 .40 a �7- 0 > cl MAP RIEFERENC O< lol� o< W3: 1,) PLAN FOR FISHERS ISLAND ESTATES INC., FISHERS ISLAND, NEW YORK ;E L- Of z BULK HEAD "�Tff'31ufft' f�' NEW D CK 0- �P SHOWING PROPOSED ROADWAY TO PENINSULA POINT. SCALE 1"=50'. DATED 'g,yReStInI NOVEMBER 1944. REVISED THROUGH AUGUST 26, 1978. BY CHANDLER AND w O� wo AND STEPS PALMER, ENGINEERS, '<e z 0- 2.) PLAN OF PROPERTY TO BE CONVEYED TO PIRATES C OVE MARINE, INC., LU =40'. DATED PENINSULA ROAD, FISHERS ISLAND. NEW YORK. SCALE 1 0 x AUGUST 1959, REVISED THROUGH AUGUST 21, 1959 BY CHANDLER AND GO C- m Q- Of PALMER, ENGINEERS. PORCH 0 c') LOT #63 1,) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED HEREON, ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 13ETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE LOT #64 ENGAGEMENT. 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON. UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY, 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR. 4.) COORDINATE DISTANCES ARE MEASURED FROM U,S, COAST AND GEODETIC 0 SURVEY TRIANGULATION STATION "PROS". z 6: 5.) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK TAX MAP DIST 0 1000, SECTION 010, BLOCK 3. LOT 24. 6.) TOTAL AREA = 8,266-� S.F. 7.) SITE IS LOCATED IN R40 ZONE. > ILL! INNER BAY OF GREAT HARBOR < I vi I u I 0 0 u z w < GROUP I REVIEWED I jD4TE— QUALITY CONTROL CERTIFICATION u o 0 1�.E� �ER f�� [711/01� DATE: 06/19/2003 EWPONMEWAL N/F NOW OR FORMERLY 20' lo' 0 20 CML SCALE: 1 20' �R=Tu�& BE SQUARE FEET GRAPHIC SCALE IN FEET ARCHITEMUR� SHEET: 1 OF 1 FILE F