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HomeMy WebLinkAbout27441-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27786 Date: 07/03/01 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: ALPINE AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 8 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3, 2001 pursuant to which Building Permit No. 27441-Z dated JULY 3, 2001 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 SECOND STORY ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STEVEN M & MARY A WALTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 358116 07/17/95 PLUMBERS CERTIFICATION DATED 05/10/01 MARIO ZANGHETTI, JR A orized 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. 27441 Z Date JULY 3 , 2001 Permission is hereby granted to : STEVEN M & MARY A WALTER PO BOX 185 FISHERS ISLAND,NY 06390 for CONSTRUCT A 2ND STORY TO AN EXISTING ONE FAMILY DWELLING AND ALTERATION WORK. THIS PERMIT REPLACES BP419458 . at premises located at ALPINE AVE FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0008 Lot No. 009 pursuant to application dated JULY 3 , 2001 and approved by the Building Inspector. Fee $ 138 . 50 Au i zAd signature ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' 765-1.802 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: 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 buildin; 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 an( "pre-existing" land uses: + 1. Accuirate 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 Occt}pancy is denied, ,the Building Insector shall state the reasons therefor in writing'to the applicant. C. Fees 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.D0. Businesses $50.00. _ 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .24%P 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... . . . ... . .. . . . . . .. .. . . . . .. . ... . .. . . New Construction. . . . ... . ... Old Or Pre-existting Building. . .. . ... �. .. . . .. . i Location of Property. .. . . . .. .. . �.(;�1-Q�. Y.::.. . ...... . . .. . . . 1 .�, .`�'J:':::. . .:.. .. . . . . . . . .. . . . ' House No. Street Hamlet Ouwer or• Owners of Property. . . . . .. . . .. . . . . .. . . . .. .. :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to County Tax Map No1000, Section. . . . . . . .Block. . , � . . . . . . . . . . .Lot. . .9 . . ... . . . . . . . . . . . Subdivision. . .. ...x, . . . . . . . . . . . . . . . . . . . . . . . . 122. . iled Map. . . . . . . . . . . .Lot . . . . . ... ... . . . . . . . . . . . Permit No. . �A�� J . .. . . . . . . . . . .Date Of Permit. . .. . . .. . . . . ... .Applicant. . . . . .. . ... . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .. . .Underwriters Approval. . ... . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . iee Submitted: $. .. . . . . . . . . . . . .. . . . . . .. . . . . . : CSL -1 Lin : ... . . . . . . . . . . . . . .:. .. . . . : . . . . . . . . . . . . . ... . . . . . . TEL.765-1802 TOWN OF SOUTHOLD 1 OFFICE OF BUILDING INSPECTOR P.O. BOX*728 TOWN HALL O SOUTHOLD, N.Y., 11971 C E R T I F I C A'.T I O N ' Date Building Permit No. Owner e W6!/ k/0/7 (please p int) Plumber (please print) I .certify that the solder used in the water supply system contains less than 2/10 of 1% .lead. (p mbe 's signature) Sworn to before me this day of Mqd '`- J Notary Publ c Notary -Public, `V�)&J 10YO� County THE NEW YORK BOARD 0F, FTRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 dote JULY 17,1995 Application No.on file 76430792/92 N 35$116 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application nunnber its the promises of STEVEN WALTER, WEST END OF ISLAND, FISHERS ISLAN€3, K.Y. in thefolloLcinq location, ® Ba"m,.t N IRt Fl. -,d F[. ATTIC/OUT Sectiots Block Lot JULY 14,1995 was examined on and found to be to cornptisgt a with the Ws#oFtal, e. tF cal rete.' FIXTURE PU(TIJRES' RANGES 40OM4'0ECXS ANS OUTLETS VINCT. IC W. 'AAS, K.W. AAAI. KO. ; 27 57 40 25 2 1; 9.3 1, 1.2 2 F DRYERS R."ACE"MOTORS FUTM AMWNM MNRS SPECIAL RECFT 'Tff"CLOCKS RILL iM11T l ri #A*T1,OUTLff rt OIL i4.P. CCAS N.�,P. AMT. 'NO. A,W.f,. :AMI. AW— �AMT,' AMTS: TRANS.'.. AMI. "d!.AS GlAx� No.OF Far, s AMT. 3 F 2 - . SERVICE DISCONNECT NO.OF S ' a R ' V I AMT. AMF. �R. AR1kTER t;f'YW i Ar 3W 3 Ar 3W ?X IW NO.OF CC.cONQ. A.W.6. No.OF M-uo W L�- t1"F NESi►� : A.�(k Ellin►. R w of c.1CON D. �wlr�a ° aF r UTRAL 1 200 CB ' 1X 1 2/0 *1" 210 OTM APWATUS: MOTORS:1-F H.P. G.F.C.ie-B SMOKE DETECTOR:-2 Z ,& S CONTRS. INC. LIC.#924-E � P.0. BOX 202 FISHERS ISLAND NY, 063901 ` 11 Pfr-� This cert= m tnat;6e:aOered in,any manor;.return to,the office of the Board if Inorreo Jn peil rT" t t� e,.I A kl t,tr�sdenti z• WORK NO. 2 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) W 19 4 5 Z Date ..... ...... >I9.: Permission is hereby granted t L�. . ............. to ...1-4t ... ..... . ........ .. . . ..........ff...A .. ...... .. .... .. . ....... . . . . atpremises local ... ...... ........ . ........... ....................... ...... . . ... . ....... . ..../................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section JIJV.o............ Block .......6........... Lot No. ....7................ pursuant to application dated ... ............................. 19.f , and approved by the Building Inspector. Fee 4/jxx Building a ill .../ ......... Inspector Rev. 6/30/80 WA) BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T ( ) ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ 7FRAMING [vjF�NAL REMARKS: lea Z�6291 &z:eg &�T DATE / A00I INSPECTOR 166��`" " i BOARD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . , • . . . • . , SURVEY _ TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORD! • . , • - •TOWN HALL • • • • " " SOUTHOLD. N.Y. 11971 ' NOTIFY : TEL.: 7G5.11302 CALL . . . . . . - Examined ..... .. . . . . . .. 19 . .. . MAIL TO: . . . . . • . • • • • . Approvrd ��l.'. . . .�:�,. ., 19/ f Permit No. . f. ./. .7. .�/ �.Z. . . . . . . . . . . . . . . . . . . . . . . Disapproved a/c . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . ...... . . ... .... . . . . . . . . . . . . . . . . . . . .. . . (Building In o Spector) APPLICATION FOR BUILDING PERni1IT Date . . :. . . . ..__.q/O Iy ya INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Build" sets of plans,accurate plot plan to scale. Fee according to schedule. nglnspector, with 3 b. Plot plan showing location of lot and of building s on premises. nship to adjoining premises or public sl*rcer or areas, and giving a detailed description of layout of property must beelatidrawn on the dia-ram which is of this appL'S 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 thea li shall be kept on the premises available for inspection throughout the work. pp fit• Such permit 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 Departmeni-for thel issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Latus,Ordinances or Re_ulations, for the construction of buildings, additions or alterations, or for removal or demolition, The applicant agrees to comply with all applicable laws, ordinances, building as herein described. admit authorized inspectors on premises and in building for necessary inspections.de, housing code, and rees:tations, and to • . .(Signature.or applicant, or name, if a corporation) (Mailing address of applicant) O63-d State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . .�►?!�? 2... . . . . . . . . . . . . . . . . . . . . . 0 .. _ _ Name �..1 t�C4% .� /)!4/.-./ . l't'a�1� . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. . ... . .. of owner oCpremises y • • • . . • • . . (as on the tax roll or latest deed) ' ' '• ' ' If applicant is a corporation,signature of duly authorized officer. • • •• • (Name and title of corporate officer) Builder's License No. Z ;�„ .. . . . . . . Plumber's License ��- '� Electrician's License No. . . ,G..: . . . . . . . . . . . . . Other Trade's License No. , I• Location of land an which proposed work will be done; ` Ilousc Number • ' • • • . . . . . . eeG . . / Hamlet • • • • • •• County Tax i\tap No. 1000 Section . . . . . . . . . . . . . . Block . . . . . . . . • Lot . ..L. Subdivision . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . (Name) • •.• • . . . . . . . . . . Lot . ..... . . . . : State existing use and occupancy of premises and intended use and Occupancy • of Proposed construction: a. Existing use and occupancy . .. . . n9��..• . „dwF%// N • . b. Intende �!�Il q�dV, l'/on�� • • •... ...... ............. . .. use and occupancy .. ,C1�Gve//i'iv�q ...... . .. .. . .. • Z70/ Qba/ , N � . • / �✓ 3. Nature of work (c:leck which applicable): New Building . . . . . . . . . . Additicn . .t!. . . . . .Uteration � • . . . . . . . . . . Repair . . . . . , , . , . . Removal . . . . . . . . . ... . . Demolition .Swim-lin; pool. . . . . . . . . . . . Tennis Court . . . . . . . . . Accessory Building. . . . . . . . .•.Fe • •e . . . . • .Other Work. . . • . • 4. Estimated Cost . . . . . O,oG�o.- . . . . . . . . . . . . . . . . . . . . . . Fee f J 4r .. . . . . . . . ... . . . . . . . . . . • . . • (to be paid on filing; this application) 5. If dtvclling,number of dwelling units . . . , , , , , ; , , , , Numbcr of dwelling units on each floor . ... . . . . . . . . . . . . Ifvara^e, 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 . . . . . . . . ?"U . . . . Rear . . . . . . .:3. . . . . . Depth . ..�. .� Hci_ltt . . . . . . .,lto .� . . . Number of Stories . . . . /, . . . . . . . ��r . . . . . . . . . . • . . • . . . Dimensions of same structure with alterations or additions: Front . ,c IQ.�. Rear . .. Depth . . . . . . . . . v.�• . . . . . . , , , IIci};ht . . . . . . . . . Gl06./ . . . . . . Number of Stones . . . . . . . .c •. . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rcar . . . . . . . . . . . . . . . Depth • . • • • . . Height . . . . . . . NucnI r of Stories . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . .` I . . . . Rcar . . • . . . . .7. . . . . . . . D�c�th . �o. '.. . . . . . . . . . . 10. Date of Purchase . l�7,QA . . • , , , , , , Name of Former O� ner . .IYfz'101. .�40if- . . • . . . . . . 11. Zone or use district in which premises are situated . . . .t�.�_=r 0 . . . . . . . . ... 13. Does proposed construction violate any zoning law, ordinance or regulation: . .15� . . . . • . . • • ...•.• • . • . • . . 13. Will lot be re;raded Will ext ss f lie rcm vcd,from•premises• •..Yes . c• 14. Name of Owner of remises j�� ' P c;Ye, : �!��� ddress �X04.��d.�Plionc Name of Architect • . . . . Address . VPhone No. Name of Contractor . �?, �0 ,, , Address �flcySlun�irJ . Phone Nol�;17 • . .�c�-�.x- 15.Is this property located wi• • in .100 feet of a tidal wet and? =YES... If yes, Southold Town Trustees Permit may be required. 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. f STATE OF\EW I�., `� S.S CO y.l.. OF . . . . . . . . . . . . •, , .1•evef . .. • _ . .�L� , , , , , , , , , , , , , , , , , , , being dulysworn, deposes and says that he is the applicant pplicant (Name of individual si.-nin; contract) above named. licis the . . . . .. ... . . Ow.fu rz.. . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . : . . . . . .. .. . . . . . . .. . . .. (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 apPlic:1tion 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 lbcforcAlc this . . . . . �. T�- . . .day . . . . . ., 192 . \'otary Publi . . . . . . . . . . .? . .. . . . . . . . County - '0 � � /(j . . . . . . . . . . THOMAS F.00H6MY,1R, %00( . . . . . . . . . .V. . . -L Newry►uwie saft o11Mw ywo (Signature of applicant) No.1o06SSS OWNlies in Suttolk County TKet Expires 12/31!90 w. - i .3 c w � uvwu.rtaM►'�' _ ti.4oss,wr it- rqz is 1f. }1 V00 s q< 1 r-I ipt.7r �► . _ a • � ro r�. ti� ..L T,q© CO ` O tiSF6 LAND �4'�8• - �Vwi!. kA 1$4 V*A U mw L `T v-r-1* A6-:T t to vJ ,.� AM=X VOTED oATEl�l�ape LZOL � ear: OCCUPANCY OR RE. a USE I$�UNLAV�IFUL NOTIFY suILalNc pEP/1ATMENT AT 785-1802 9 AM TO a PM FOR THE WITHOUT CERTIFICATE FOII.OVISPEf.'TIONS: 1. FOUNDATION TIM REQUIRED OF OCCUPANCYHmpoumconcmm 2. ROUGH - FRAMING &KaNIIMG 3. INSULATION 4. l:JNAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAD. MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 7' (,' i 11• 6, %. c/L c/ 36+6 3at63o-►G 01 O 0 00 v1A.STER. BATH gq-j'H � J v l 4iN�I {1� BEDRoont 1 " w I LAUNDRY N DA rLl f . -T,* A ` � A►A1. 1T �/ �y wa A oT +t s sc, DOWN.--. z ter=distributing -T asp 7VOing shall bj� C1 : t f tAKL PLO ! I¢.� eAAEED or L only UNDERWRITERS CERTIFICAT R vts, A�xt. vERIN _ REQUIRED + M, }S " L3EROOti1 X. c —30-0 yr j 'ric 1 Y �L Sii, C VL 7 a i j D1NiNG cIZV f ;?Gi`"1 KITCH �� NOOK ; I • X2,6,. . PA�-JTAY 1-0 CATio / ` ff copper tubing - 28 for water distrib ng L System: piping sh !be , Of types K or o ! '�. PLUMBING ALL PLUMBING WASTE ' !L UNDERWRiTERj CE TEU _ &WATER LINES NEED P _ _ �_ TESTING BEVJRECOVRING LIVING Fn'..,' _ '� tj'�CC, ;i1 AT H i i 1 1 i - , [LEI