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HomeMy WebLinkAbout29602-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29657 Date: 08/26/03 THIS CERTIFIES that the building ADDITION Location of Property: PRIVATE RD FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 3 Block 3 Lot 5 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 2003 pursuant to which Building Permit No. 29602-Z dated JULY 24, 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 ENLARGE GARAGE AREA ON AN EXISTING ONE FAMILY DWELLING. The certificate is issued to ELIZABETH ANN STRUPP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1157545 08/12/03 PLUMBERS CERTIFICATION DATED N/A A ho zed Signature Rev. 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. 29602 Z Date JULY 24 , 2003 Permission is hereby granted to : ELIZABETH ANN STRUPP 3 PRIVATE ROAD FISHERS ISLAND,NY 06390 for ENLARGE GARAGE AREA. THIS PERMIT REPLACES BP#17377 . at premises located at PRIVATE RD FISHERS ISLAND County Tax Map No. 473889 Section 003 Block 0003 Lot No. 005 pursuant to application dated JULY 24, 2003 and approved by the Building Inspector to expire on JANUARY 24 , 2005 . Fee $ 150 . 00 Author ' d SignOrture ORIGINAL Rev. 5/8/02 FORM NO. s 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) NO 017377 Z Date .G ... . ..��.......................... Permission is hereby granted to: VAK3f -2 to ...... ............� . ... .... .............. ................. ............................................... ....1...................,.L............................ ............................ at premises located at .1........( .... .41/111 •....e. . .. .... .. ...1...4. n .................. ....... ................................................................................................................................................................ County Tax Map No. 1000 Section ......................... Block ...................... Lot No. ........................ pursuant to application dated .......... ..... ...... 19.��nd approved by the Building Inspector. `.. Fee $ . ... Building Inspector Rev. 6/30/80 oC ����ssrsssrn��ss��n�n�n�nr MOMMO nMMOM��n���sss��nEn�01111 BY THIS CERTIFICATE OF COMPLIANCE5 5 NEW YORK BOARD OF FIRE UNDERWRITERS * 5 5 BUREAU OF ELECTRICITY C5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT Upon the application of upon premises owned by 5 WALL ROBERT E. DAVID STRUPP �5 5 11 ALPINE AVENUE EAST END ROAD 5 FISHERS ISLAND, NY 06390, FISHERS ISLAND, NY 06390 rj C� Located at EAST END ROAD FISHERS ISLAND, NY 06390 5 Application Number: 1157545 Certificate Number: 1157545 c� Section: Block: Lot: Building Permit: BDC: NS11 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: rj 5 First Floor, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 found to be in compliance therewith on the 12th Day of August,2003. 5 NamC QTY Rate Rating Circuit Type 5 5 Appliances and Accessories 5 5 Dish Washer 1 0 1.2 KW 5 5 Disposal 1 0 F.H.P. 5 5 rj Wiring and Devices C5 Switch 6 0 General Purpose L� 5 5 Fixture 14 0 Incandescent Receptacle 14 0 GFCI 5 5 5 5 5 5 seal 5 5 1 of 1 5 This,certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. O rJ�rJ�rJ�rJLr3ffl �i 21:1 X1:11: 11 P1PrJ�rJ�rJrJ�I N 11rJ�r2: 12�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�cPrJ�rJ�rJ55rJ�rJ�r f 7cPi: i: ii: i: E �E E I irJ�rJ�rJ�rJ��PrPrJ��PrJ�r�rJ�rJ�cP O 08/08/2003 10:23 FAX 831 788 7798 FITEUYfiONE X002 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ '-�NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR OCCUPANCY 0 `� APPOWD AS NOTED USE IS UNLAWFUL y 3�:v�E��4� er. 2��E�.`_" WITHOUTRJ S. $ S i 4 $ NOTIFY StNLOING DEPARTMEN AT W- 786.18029 AM TO 4 PM FOR THE /"t4, O CUFSA�UCY FO FOUNDGINSPECRO �d1. V ED 4A FMP01111EDCONMETE —__ - IIUMNNC S PUAAIING !. 4 - C0NSTftJCVWN MUST COMI'LEfE FDO C.O. ALL SMALL MEET IENNIVAANiS OF THE N.Y. CONSIjKIC'ww i 009W Na appeNs" FM 011 OONSi1M1C710N EIMIOOQ v 10 I of BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . . . . . . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 to MAIL TO : Examined ., 19 Approved 3�. . . ., 19G� Permit No. .i!. .`. /f-- Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .?. . . . . . . . . ., 19 g 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 building for necessary inspections. t _ . . . . .ZNc? (Signature of applicant, or name, if a corporation) (p-z& . . �. . WK.. . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . .� RU O7 ZIZ� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR' S 4U1TST BE SUFFOLK COUNTY LICENSED Builder's License No. �5�. y�. 1,-HS. . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. ST 1� ZO Hp FZSH�IZS ZSl 1 �✓+ G� . . . . . . . . . . rtal./urrq. . . L.e�� House Number Street Hamlet County Tax Map No. 1000 Section . . . . . ..3 . . . . . . . . . Block . . . . . 3. . . . . . . . . . . Lot . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .�.A1� 7 . . .M:" ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . - G Pc.,`•(NG C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . L, . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . / (Description) 4. Estimated Cost . . . . t��.fi 0�. . . . . . . . . . . . . . . . . . . . . . . . . Fee . . .'�O- 00 % (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 . . '/U f}. . . . . . . . . . . . . . 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 ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal wetland? *Yes . . . . . No .. . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andindicate 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, S.S COUNTY OF . . . . . . . . . . . ._.. . . . . .kK.r. ... � ?'. . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that 11e is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . .C.O r.S tCO 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner' or owners, and'is dilly 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 ther$,with. Sworn to beforeme this day of. . . 4?\,y. . . . . . . . . .. 19 �4 Notary Public, . . . . .X/.)NAA. , . . bounty EILG. WALLY \ ::'4� . EEN Notary Public, State of Ndvl Nv. 52-9509185 ountY& (Signature of applicant) Qualified in Su 30,80. 19_ — 7Km Expires 0�, i 1. S1TC IS 141 ZHE Toa)" OF- SCUT40139, COOL" OF 9 rmx. - TA,w MAX-. 1LW, �mo41 003, 'B4LC 3 , LOT s CURVE DELTA RADIUS ARC TANGENT CHORD CHORD BRG 1 30'28'30" 203.46 100.22 55.42 106.95 S 55'24'35"W Z S1TE TO DE SE2UIGED 614 WIAICkPAl w4.7£y- LAO d1 SRe 2 72'14'30" 59.61 75. 16 43.50 70.26 N 05'03'05"E 6eL UAG. DISPOSL- 141 CnHPUA4143 WITH TAl SrA1ADALDS 3 19'29'50" 226.74 77.84 39.30 77.46 N 40'49'05"W A41D ZEOU1gCHE13TS OP T-t6 5UI`rCK-c O-N C6PA�-Rti>'1T 4 77'44'40" 19.B5 26.93 16.00 24.92 S 02'33'40"E GP' I-V"cd4.l4i 3 A-LL U L%71OS To dE 1415TAAU AS 2-P( Ie.2D 614 LINE BEARING DISTANCE S'1SIJeeS IS4..d K> 1 ,-17q ?AJA15S 1 N 50'34'00"W 22.40 " ��- T- ,10 -rE1,.EPFUUe) 2 S 36'18'40"W 19.41 B 1''26'OO"E �L S1'TZ 1S 141 ZD05 Z-Iw \ 102.25- C LINE BEARING DISTANCE 5 o0wt-z . CURVE DELTA RADIUS ARC TANGENT CHORD CHORD 0 BRG '� •\ / // \ / 1 N 50'34'00"W 22.40 42 2 N 20'01'20"E 44.89 U>J-v D ' STY.IJPP 1 77'44' 40" 19.85 2fi.93 16.00 24.92 S 02'33'40"E •;, y6 3 3 N 69'44'40"E 89.54 95o P"-1L -veoum / �\• / �N1 4 N 50'14'50"E 65.40 UUIP ')MY, Lly00 126 9,200 D+ p3 � / / / / ` / / / / �. 7 y 5 S 62'22'30"E 15.00 \ - / / / / / / \ m 6 N 81'59' 40"E 66.67 7 S 41'26'00"E 102.25 --Irtjr� POLE' 'pdT.L. Z �•' \� / / / II / / / 4 ,y kr � �,.x B S 36' 18'40"W 19.41 out. 9 N 48'49'40"W 59.61 y � \ 4 Lira cf-,= ,,7ff3Lj ,v �� TEST 1-bl,E L ♦'' � � " GHoGa/•d_C�UaSr ZL-r- I�i�r-rr- 0•-6 TOP�OI�. � 3� ,yrt 'i4 $ fi li 'd'� 'Z' rir�,� � .. I-Lou F-CoNti� 'I� NO, r� i IR BLa(� L�lb�]�-ob(G fi�'JLLeYS ld O F-is, I ,�� Tian Fi_d.� C-xLu�-11-Tic,-� J� •" `° I / \ \ \ \ \ -., I \ k 4 ,� y�1� t lel ' La,58 5 yews P¢ocr�p sxsr e>�v�To41 m h,,, ,�S 1 e (NNS 9e e// 6g5 34.20 L7 L'a o 102.25' c. ,22 g9'200'p3 9 06 \l/ '349A1' � .W Ro19B.10z �� D � � p,C Im �� � , �.- ,' I I� ir= / K L.-o-r SG °m r //_VJ / 11� `�a" / �/� 1 /4 (, �V / / n J0o \ � 3 "�e2p32t 1p„ \``\ \ \\ d/ \\ \ o \\\`\ O\'Y �j I '✓S y\ ` �� - ///�/ / // / / m 1i � _ 18 :fig IST !0 0 w A 1J �' 129. V` N 40 - �.��. Too I 10A rsra\ � z u g> c s arTUalwsns rruPP Jl1 srt�saw abs -19299 se '50" ��� � '. =t1�sn�raF-e wp�c o1sroSLL.�s1'7 eNs , 22.40 L=77.84 o Mr- 51J615PA vu) Off' AIvawJ .A4u - \ Ll .181DE 9H 1H5 r�F1DITIWX> T RpLltl a Q .P�// 'p„ Y�I. \ , "71dCe•E141 ,1.40 Ohl PCC,111Y l0 ••Brms u,=.6•4 L /;, ✓ " as ''ib . co4lsTeuc:T 100 50 0 100 200 300 SCALE IN FEET ,t,IGdD 1�29 1g. 0^ h f;?LOGL 18 LOT OF NFN,YQ �SF+I�fCS �+ a rr� �✓=1'�1L-I�rG� PO H 8 r90 P•F :fir s ='�0 9e 15 0 &c 129.81' W " Y 2orCi.-..1 tGl-J�r 4�o i � N 48'42'd0" gU I �.L .Lno1-T1tx1s 1� tiuera90 _ eelhS,o115 Ig Ow-ls'90 ZF'V\dols CI .]U41C.� T' _ 5