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Home My WebLink About21951-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Ho: Z-26643 Date: 08/23/99 THIS CERTIFIES that the building ADDITION Location of Property: PENINSULA ROAD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 3 Lot 21 FISHERS ISLAND Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1993 pursuant to which Building Permit No. 21951-Z dated MARCH 21, 1994 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SCUDDER H- SINCLAIR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 FORM NO,3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) at premises located at.,.~~...~'~ ....... :~; .............................................................. CounlyTax MOp No. 1000 Section ....... .~,iO. ............ Block ,,..,~ ................ Lot No ......... ...'~..~'.i ............ pursuant to application dated .....'.¢ .~...~ .~.?.;,-¢...,, ............................... 19 ................ and approved bythe Building Inspector. Fee $.....~...~.~.., ~/Building Inspector , Rev. 6/50/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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. 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. ~. 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-existinR Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - .25¢ 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~... %..~. ~.~f .~. · .................... Jew Construction ........... Old Or Pre-existing Building .... ~ .......... Jocation of Property ............ .~.~.~./~.~.~ a...~.~ ....... .~.~.~-~-~../-~.~- .z~.~.z ~/- .~. ~ House No. Street Hamlet Onwer or Owners of Property. ~ ~.D~a...~.'~ ~.~.~...~ .~/~/. ~--~ .................. %ounty Tax Map No i000, Section..~.~. ....... Block....~).~).~ ........ Lot-...9-~ ................. Subdivision ................................... . Filed Map ............ Lot ...................... No...~./?.~.~ ..... .. Date Of Permit. .~/.~.~. ......Applicant.~. ~-~ ~ Permit Health Dept. Approval ..... ~ ............... Underwriters Approval...~ .................. ~ ~tanning Board Approval .... ~ .............. .. lequest for: Temporary Certificate ........... Final Certicate.....~.. .... ~ee Submitted: $~O ~ ~ ~[~ ..... '~'~ ~' ................. ~ ~.~.~' ~_~.~ 6~qP~-- APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [/~MING [/~'I~AL REMARKS: New York State Department of Environmental Conservation ~u~,{din~= ~0,-~-.~U_N_Y. S~'~ Brook, Hew York 11790-2356 Based on the information you have submitted, the New York State Department of Environmental ConservatioD has determined that: --' ./ Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is rewired under the Tidal Wetlands Act Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, withou~ a permit, it is your responsibility to ensure that all necessary precautions are taken'to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation witkin Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale bel-m. Please be further advised that this letter does not relieve you of the responsibility of obtainin~ any necessary per--mits or approvals from other aqencies. Very truly yours, Deputy Regional Permit .Administrator INSPECTORS Victor Lessard Principa~ Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 5, 1993 SCOTT L HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Paul Bigelow d/b/a Bigelow Contracting P.O. Box 274 Fishers Island, N.Y. 06390 Re: Scudder H. Sinclair In order to issue a Building Permit for your proposed construction for buildings located on lots adjacent to tidal water bodies, we will need a waiver of jurisdiction or a permit from the New York State Department of Environmental Conservation, and if within 75 feet of tidal water bodies or wetlands you will also need action by the Board of Town Trustees (waiver or permit). Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Building Inspector Phone numbers: DEC - 751-7900 Town Trustees 765-1892 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765~1803 BOARD OF HEALTtt ......... 3 SETS OF PLANS .......... SURVEY ................... ClIECK .................... . SEPTIC FORH .............. CALL ................... HAIL TO: Date .................. , 19... INSTRUCTIONS ,a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acgording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining pr~mises or public streets or areas, and gi¥ing 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 applicatidn 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 w6rk. 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, z .... ..................... --' (Signature of applicant, or name, if a corporation) ."'9.o.~x. ¢.7.q...¢.,.~. u .e..,,u.._.q,s..,....~. ,o....0...'¢....~.47~, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,~erai contracto~electrician, plumber or builder. ........ .-¢.~.~. ~..o..~., .c..q~. ~..,,?. 7.;~ ~ ............................................................ Name of owner of premises ......... ~ .C.Q.D..D.~..~. .... ~: .... .~..}'..t(l.¢.~.. 4! ~ ........................... (as on the tax roll or latest deed) If applicaint is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...oQ, J;i ~' oo - H Plumber's License No ......................... Electrician's License No ....................... Other Trade's License. No ...................... 1. Location of land on which proposed work will be'done ................................. . .................. House Number Street Hamlet County Tax Map No. 1000 Section {q.~ ...... Block .... ~. ........... Lot.. C~ ........... Subdivision .................. · ................... Filed Map No. ~:.~....2.... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~..~i[~lZv~ C~.[¥~ . b. Intended use and occupancy ~,,tg~ I Do~t/X o ~ 3. Naiure of work (check whic . icabte): New Building .......... Addition Alteration I .......... Repair .............. Rembval .............. Demolition Other Work ~. ¢.~...ff--~. .~. ] (O 0{~ ~ ~ ~ (Description) 4. Estimated Cost ................................ Fee ............................ i .......... 5. If dwelling, ~ (to be paid on filing this application) number of dwelling [units I Number of dwelling units on each floor.. . If garage, number of c~s ..... ....................... ' ~' .......... If b xe~ fly ' ' .......... 6 usiness, commercial or mi occupancy, spec nature and extent of each type of use ...~ ..... 7 D ..... if ........... . tmenstons of exmt~ng stmcturqs, any: Front ............... Rear .............. Depth ..... Height Number of Sto~es ......... D~ensions ~ ' .... . of same stmctur~ wlth alterations or ad&t~ons: Front ........ . ......... Rear.... .............. Depth .................... ~.. HeiSt ...................... Number of Stories .......... :. ~ ....... 8 Din~ensions of entire new construction: Fron R · t ............... ear ............... Depth .......... Height Num[be f St ~ ....... 9 Si e of lot: Fr nt Re .................................... . z o ....................... ar ....................... Depth 10 Date of Purchase .......... ~ . ' . .,~ .........' ......... Name of Foyer Owner ................... , ...... 1 1. Zone or use district in Much premises are s~t. ated ...................... 1 12. Does proposed construction viol te any zoning law, ordinance or regulation: ............ . ........... 1 ......... 13. Will lot be regraded .... '.. ~O~ ........ ~ · · ·: ......Will excess fill be removed from premises: Yes 14. N~e of Owner of premises ~.~.~. ~.~ Add~ess .P~s~ ~ . Phone No 7~7~74 Nme of Architect . ~ .... ' .......... ~, . ' ............ Nme of COntractor ~l. ~t 0~. ff~ ~.~g~. ~.~. Address . .~1 ~. ~ ~.... Phone No... 7.~ ~. 7/~ Is this property ~thin 3200 feet of a tidal wetland? ~Yes...~... No ....... · If yes, Southold Tlown Trustees Permit may be required. '' .. PLOT DIAG--. ~" Locate cleaHy and distinctly ~1 bulldogs, whether existing or proposed, ~d. indicate ~1 ~et-back d~efisions from prope~y ~nes. Give street ~d block ~tumber or description accord~g to deed, and show street nmos and indicate wh~ther in~efior or corner lot. 15. COUNTY OF .x~...0../"..b~.t'~. L... .... ', -- ...... ;" ~ .................. being duly sworn, deposes ~(Nam. e.-~qpdividual signing contract) . ,'md says that he is the applicant bove named, f J · . .. .... ' .... /.' 4ent, e;;;;;a't; ..................... ; ....... vf said owner or ownerk, and is duly authorized to pTrform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~,ork wi/t be performed in the manner sot forth in the application filed therewith. ' ......... · · ·., 19 ge~-ty I~ubllc Stale of New York ........ · · · No. 4806559 ' ( ignature of applicant) Qusllfleo in Sulfolk Tlrm Expires 12J31/9~