The URL can be used to link to this page

Home My WebLink About26964-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27508 Date: 01/09/01 THIS CERTIFIES that the building ADDITION Location of Property: OFF FOX AV FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 6 Block 6 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 21, 2000 pursuant to which Building Permit No. 26964-Z dated DECEMBER 13, 2000 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 SUNROO M ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" . The certificate is issued to JAY & AUDREY HARTSFIELD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i "4 -Z/ Au 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. 26964 Z Date DECEMBER 13 , 2000 Permission is hereby granted to : J B & AUDREY HARTSFIELD PO BOX 232 FISHERS ISLAND,NY 06390 for FOR A SUNROOM ADDITION AS BUILT AS APPLIED FOR. at premises located at OFF FOX AV FISHERS ISLAND County Tax Map No. 473889 Section 006 Block 0006 Lot No. 006 pursuant to application dated NOVEMBER 21, 2000 and approved by the Building Inspector. Fee $ 75 . 00 -le'�11 A t or ' ed Signature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 o� 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 buildingE 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. 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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .21 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date , December 28. 2000 xx . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . . . . . . , No # . Fox Avenue,. Fishers. Island;.New.York. 06390, , . , , , , , , . , , House No. . . • . .Street . . . . . . . . . . . . . T'amlet Onwer or Owners of Property. . . . . . . . . . Jay & Audrey. Hartsfield, County Tax Map No 1000, Section. . . . . . . 6 . . . . .Block. . . 6. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 26924-Z Permit No. . . o . . . . . . . . . . . .Date Of Permit. . December. . . PA91icant. .JaY,E, Wr�'Y.U4rtsfield . . . Health Dept. Approval. . . . . . . . ?] . . . . . . . . . . . . . .Underwriters Approval. . . . . .nlr. . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . nJr . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . 3�. . . . . Fee Submitted: $.45%Qq . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Q{ •�$y$I APPLICANT Ca4Z_- a750 12/19/2000 09:37 631-7885519 ROBERT E WALL PAGE 02 BDILDINQ DEPT. 10SPECTION i [ ] FOUND TION 16T ( ) ROW" PLBQ. j FOUND ON 2ND [ ] INSULATION C ] FRAMI [ FINAL RMMAIRKS s i 7111 DATE INS"C'TOR Ag&—&XoXe� i g13FFOl,�cOG o Town Hall,53095 Main Road y Z Fax(631)765-1823 P.O.Box 1179 Oy Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 21, 2000 Roberts & Roberts, Attys 401 Broadway New York, N.Y. 10013 Attn: Michael J. Roberts, Atty To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file . XX The check is (not on file. ) $25 . 00 No Health Department Approval on file . No final inspection has been made. No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT ## 26924-Z (HARTSFIELD) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ROBERTS &ROBERTS ATTORNEYS AT LAW 401 BROADWAY MICHAEL J.ROBERTS NEW YORK,NEW YORK 10013 VICTOR A.ROBERTS(1911-1988) 212-226-4925 212-996-6632 FAX 212-274-0109 November 20, 2000 Town of Southold Building Department Town Hall Southold, New York 11971 Attention: Connie Re: Jay and Audrey Hartsfield Premises: (no#)Fox Avenue Fishers Island, New York Dear Connie: Please be advised that this office represents Jay and Audrey Hartsfield, who are making an application for a Certificate of Occupancy for the sunroom that has already been built on the residence and has existed for many years. Enclosed please find my check for $75.00 and signed architectural plans from Chandler, Palmer& King, dated November 2, 2000. In addition, please note I am enclosing a copy of the survey. Since we are in contract to sell the residence, if there is any possible way that the Certificate of Occupancy and inspection can be expedited, both my client and myself would appreciate that accommodation. I recognize that all the other people who have submitted plans would appreciate the same accommodation. Very truly Ze4r�ts Michael J. SJFFOLK C{IUNTY DEPARTMENT Of HEALTH SERVICES S(NGL-FAMILY WELL1 G ONLY DA r 2 1 "lQ_ c EE. "40.The *waodisposal and Vater W)Ply facilities for this location ha .e been inspected ,�v tris Department and/or other age; ies aid fount to tr' satisfacjpry. F Chiat"D'ureeu of ' Ma asteNatef nagement �s b TEvqvlS fn 7� 1�ESt Nd" Q i ! � � O •D �� Na�S'� \ lZp,00' d l' N �� T?x MAS W00 GA\' It`1FoLM.�T\o►.1 FOS �- '' l °„ 2co ��..� t.oCAT\o�J o� � c�,5 -Z.2- -3t�• S1=�C'IC SYSZ E1..\ ZO• --60 • F'1 H2 SAND • owt.1�� 14OTag 1 �p�TA OWTA\NED 5/5 f g� seFItic sY Tem VAR\AtrC.E APPRO\lAl. N0IJA \Al9 >\j O SCALE SITE .\S on\ TA.X MKIO loon Sec.(o W-06<(. Lcrr(. T\ii5 A�+D AOSo'�u�n+c�pstopE�rc�tirs S��v�cea BY H1�N�c�o►�L Wta-c-E� � �-- �\ p F N E:ll r� PSD H. Z - N P L ADE Fob -- { ART 5 F t��D, ET. AL. r �i 049 NQ�tG s"C)\N\ c. 1.Nt4b Ft__BUILDING5- I OF F FOX AV�1�1U E i SCiso-F. 4.0' Cil p ti1ALE�\ PAS MEL E.A\NIi , "L%A ,CO NN• 5EPTEM6I_R 8, 1993 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPAR'T'MENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL, SEPTIC FORM . . . . . . . . . .. . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . . . .. . .. ..... . . .. . . TET.: 765-1802 TRUSTEES . .. . . . . ... . . ...... . . . . NOTIFY: CALL Dined..��0: .. MAIL.TO: . . . . . . . . . . . . . . . . . . . . Appranrcd... C .moi.., /%?:::� Permit No. ..Q" ..`.•� ................................... Disapproved a/c .................................. ................................... ...................................................... ....� . .. .�...... (BlI tor) APPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . . 20. . . . INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and suhmitted to the Building Inspector wii 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 application. 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 xrill issue 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 MALE 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. ..................................................... (Signature of applicant, or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Attorney ........................................................................................................................ Name of owner of ._Jay .Hartsfield and Audrey Hartsfield premises .. .............................................................................. (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. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. Location of land on which proposed work will be done.................................. Fox Street Fishers Island ......................................................... .............................. House Number Street Hamlet county Tax Map No. 1000 Section .006:00 ....... Block .06:00... 006.000 ...... Lot ................ Subdivision ...................................... Filed Map No. ............... l'ot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...........Residential .................................................................. Residential b. Intended use and occupancy ............................................................................. _. _..... .____. 3. Kitnre of work (dheck wlhidm applicable): New limhildimq. .......... Akkliti(xh .....xx... Alteration .......... Repair ............ Removal ............. I)EMI it ion ............ Other Work .................................. (Description) $1,000.00 4. Estimated Cost ......................... fee .............................................. (to be paid on filing this application) 5. If okaelling, number of dwelling units ....A...... Nurber of dwelling units an each floor ................ Ifgarage, nunber of cars ................Q.................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use......0.............. ,7. Dimensions of existing structures, If any: Front 24............. Rear ..24:......... Depth ..:4 Q:........... height ....... ................ Number of Stories ....... ._Ranch...'. 1 Dimensions of same structure with alterations or additions: Front ..24........... Rear ............... Depth .......24:......... lleiglht .................... Rmber of Stories ............... ' 24' 8. Dimensions of entire new construction: Front ..1o............ Rear 10 ........ Depth . . ...... ............. height 12' . ................ Nurber of Stories ..................... 70' 120' 9. Size of lot: Front Pear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ 11. Zone or use district in which premises are situated ... residential............................................. 12. Does proposed construction violate any zoning lass, ordinance or regulation: ...PP. 13. Will lot be regraded .................... Will excess fill be r from s• YES NO ,Jay- & Audrey Hartsfield min ex8 X88 14. Names of Owner of premises ........................... Address No rw. ... �T............... Phone No. ............. .............. Nave of Architect ...... none......................... Address .............................. Phone No. ............. none ... Address ...... ....Phone No. ..... Name of Contractor ................................ ..................... 15. Is this property within 300 feet of a tidal wetland? * YES ...... x *IF YES, S(>(JllUD 104N 'IMMIE.S PERMIT MAY BE R17 MM). 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. See attached plan dated November 2, 2000 by Chandler, Palmer & King, Norwich, Ct. .gr= OF NSI YORK, SS ,T]INIY OC 1Ve .. 4 2.��..... .. ...Michael.Bober is,,eq ,, ,,,,,,,,,,,,,,,,,,,,being duly sworn, deposes and says that he is the applicant `--me of im►d.ividual signing con:.ract) ',ove named, isthe ....................alto:VpP-y.fOX ................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work aril to make and file chis application; that all statenents contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the marnher set forth in the application filed therewith. Sworn to before me this :20 00 .......... !+.......day of ATo�erh►ber•• - •000v .. Notary Rhblic ..1.J � ... .. .......... � MARSHA HABER (Signature of Applicant) tJotary public,State of New York No.41.4982378 Qualified in Queens County yy� Commission Expires June 3,20 U li'II C r ASo+aLv_S SFtl��i..bi � i' I. i l ltlsu�, LwITla --------- YhuM I I i t Cn/O X 6 r T V 1 - II I 1 1 J i 1 r-a cc � II t I MOWN= j - — -rlfi l sl IIc, OCCUPANCY OR USE IS UNLAWFUL W 1 w°L Is— sr �r � � ,\ ' WITHOUT CERTIFICATE NOTIFY BUILDING EPA�iT AT OF OCCUPANCY " `� "---� '-- - +uG_ +�+F-,✓3 �' �,p- c� 765.7602 f AM TO 6 PM FOR TNS i1. FOUNDATION - TWO FORREDCONCRETE FOLLOWING INSPECTIONS: I r.d � : �� '� h, �[STI-✓1 �5 �-t - r-t — - - J , -J� a RO UGH o FRAMING& IRED PLUMREGOBINGINS LATN 4 FINAL - CONSTRUCTION MUST - .- BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ->j�----- ------- --- STATE CONSTRUCTION i ENERGY CODES. NOT RESPONSIBLE FOR \ ✓� "'e rlo a o`°' DESIGN OR CONSTRUCTION ERRORS 1/4' rl, K7H\ QV _. IJ 1 ) hi,t'ric� IGrlO, ��G=lnvl �c�,, b',r✓r,� G , (nr ;n Kfr.1,7