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HomeMy WebLinkAbout21293-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24147 Date FEBRUARY 1, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property EAST END ROAD FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 4 Block 6 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1993 pursuant to which Building Permit No. 21293-Z dated MARCH 30, 1993 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 ACCESSORY TENNIS COURT WITH FENCING AS APPLIED FOR. The certificate is issued to JEFFREY & AMANDA SALZMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A C/"'r r ding Inspec r Rev. 1/81 a , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24148 Date FEBRUARY 1, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property EAST END ROAD FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 4 Block 6 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1993 pursuant to which Building Permit No. 21293-Z dated MARCH 30, 1993 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 ACCESSORY PERGOLA AS APPLIED FOR. The certificate is issued to JEFFREY & AMANDA SALZMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A lding I ispector Rev. 1/81 FORK NO. 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) NN9 21298 Z Date ....1. . .......36 Permission is hereby granted to: I p.lxa.: S .rte... x....1....! to ~f." ;e.... ..v'...~:'~.. 4............. .,..,........?-A at premises located at ...LA of 4....#T.,...~. County Tax Map No. 1000 Section Q..I........ ~Block 0.6....... Lot No....:(..:.9............ pursuant to application dated Y..^J...AA cZ 1913, and approved by the Building Inspector. E Fee $......?S. i Building Inspector .57 Rev. 6/30/80 Fora: 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 of Fire underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 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. 3. 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 525.00, Alterations to dwelling 525.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildins - 5100.00 Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial 515.00 Date Jan. 29 1996 New Construction....... ?PS. Old Or Pre-existing Building ocation of Property East End,Rd.,,,,,,,,, Fis14@rf,zslan(j, X..y...................... House No. Street Hamlet Onwer or Owners of Property........ W9W 6,AMANDA SA,I,7;W Zounty Tax Map No 1000, Section.... 4 Block b.......... Lot ..4._2 Subdivision ....................................Filed MaD............ Lot...................... Permit No.... 21293-Z.....Date Of Permit. Marcy 3Q..199.3Applicant...Z&S.Contracting•Ina....... Health Dept. Approval Underwri*_ers Approval......................... " anning Board Approval Request for: Temporary Certificate........... Final Carticate....... Fee Submitted: 5.....2M0 6Q)3-5 7.hS CONTRACTING C o a Nly 7 ]VDT TrA\IT Form No. c 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 Dent. of water sunniv 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 17 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. Fees 1. Certificate of Occupancy - New dwelling 525.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existin-g Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date San. 29>..1996 New Construction....... 7PC. Old Or Pre-existing Building Location of Property Bast End Rd. ' Fishegri ASlald,. AI .Y' . House No. Street Hamiet Onwer or Owners of Property 41PTMX 6 AMANDA SALZMN Zounty Tax Map No 1000, Section.... 4........Block.....ra Lot. .4_2 Subdivision ....................................Filed .Neap............ Lot...................... ?ermit No....21293-Z..... Date Of Permit. March 30,,,1993Applicant...Z&S.Contsacting.Inc Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval.l Request for: Temporary Certificate........... Final Certicate........... gee Submitted: 5..... ?5,00 Q S ? 35 ZSS.CONTRACTING APPLIC?YVT Z & S CONTRACTING, INC. z BOX 202 • FISHERS ISLAND, NEW YORK 06390 , - 1996 (516) 788-7857 FAX: (516) 788-5600 January 29, 1996 Mr. Tom Fisher Bldg. Dept. Town of Southold Southold,NY 11971 Dear Tom, Enclosed is information you requested about Thors, Stickney and the Pequot for my brother. Also, check enclosed for Salzman tennis court Pergola. Yours Truly, Thomas J. Shillo President, Z&S Contracting Inc. US / rz INTEL-CIENCE RESEARCH ASSOCIATES, INC. ENVIRONMENTAL PLANNING & DEVELOPMENT CONSULTANTS RICHARD ERIK WARREN, AICP President March 23, 1993 Town of Southold Building Department Town Hall Southold, New York 11971 RE: Property of Jeffrey Salzman, East End Road, Fisher's Island. Dear Sir/Madam: On behalf of the above property owner I am herewith submit- ting a completed Building Permit Application. This application is a request for a permit to allow the construction of a tennis court, a 10 foot high chain link fence around the perimeter of the tennis court and a Pergola. I am also enclosing a check in the amount of $35 as the application fee. The proposed project is located beyond 300 feet from the tidal wetlands. However, the property also contains freshwater wetlands which fall under the jurisdiction of the NYS Department of Environmental Conservation. Therefore, I am also enclosing a permit from the NYSDEC relative to this tennis court. Kindly forward the requested permit to my attention at the address provided above. If you have any questions or require further information, please contact me. Yours ruly, Timothy Collins Principal Planner TC:mjb Enc. cc: Jeffrey Salzman Fred Stelle, AIA POST OFFICE BOX 1201 • 36 NUGENT STREET • SOUTHAMPTON, NEW YORK 11969-1201 • 516-283-5958 • FAX: 516-283-5974 April 2, 1993 Inter-Science Research Assoc. P.O. Box 1200 Southampton, N.Y. 11968 Re: BP #21293-Z - SALZMAN Premises: East End Road, Fishers Island, N.Y. Suff. Co. Tax Map #1000-4-6-4.2 Gentlemen: Enclosed is Building Permit #21293-Z. This permit has been written for the Tennis Court Only. Please submit an additional $35.00 fee and detailed plans for the pergola and we will amend the permit to include same. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar encl. Now York State Department of Environmental Conservation Bung 40-SONY, Stony Brook, New York 11790-2356 (516) 751-1389 FAX (516) 751-3839 m d,,,~„ ! t7, I~ +3 Thomas C. Jorling l" i c „ya ' : Commissioner hAi~j AMENDMENT TO PERMIT Former Permit # (if any): Owner: RE: Permit No. & Location: l V738`rroy6s~vuvvi-o Eu~t -I:-)a W Fi5": SC [T- 41 14 y o C ~~reeV) .~IcC r 06636) Dear 414Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. The expiration date is extended to xV)c Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore; the permit is amended to authorize: C Uat, S f ./~..c ~~-1u~~ ~'~-dr" or'~a? l~t,~t q,o SLwwv. v-n rI ~G'~~ w~'Qi ~q I/~P-nJ~S..E (X ~u-1(2 L7 .2(q-3 G--Z lJ(-°F1t - S ~R12,v+L:OJ ~Q.d-2GV' C~%t E~-j R I7c~G2~eE~ r S Ga-~ CtT~~-Q lT~avD M"` r, CC, 60~ ~*i3 barta~~c(" S~^du,R~ bwrla oG. ~ %5 {v n ,nS uf<d w e. 5pa~e far Cl-ewk eir tic( Tln¢ w,;d S"ct6l ` This letter is an amendment to the original permit and as such, shall be posted at the job site. All other terms and conditions remain as written in the original permit. Very truly yours, 10N7- I ' I "'"I/ .i~ 1 1 . a Y l' F ''v T4 hav`~"L Deputy Regional Permit Administrator"' cc: (~~p it Wmad a+ecYCtad WV.. 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work Ten..n i . s Court . (Description) 4. Estimated Cost Fee •$35.00 to be paid on filing this application) 5. If dwelling, number of dwelling q~s N/A Number of dwelling units on each floor , N/A If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...19/A . 7. Dimensions of existing structures, if any: Front Rear Depth Height Number ofStories 2............ Dimensions of same structure with alterations or additions: Front , ,N/A N/A Rear...... Depth N~A........... Height ......N. A Number of Stories N.............. . 8. Dimensions of entire new construction: Front N/A Rear N/?~....... Depth N/A Height NA Number of Stories N/A 9. Size of lot: Front 5•, 9 ,acres.... , , , Rear De th 10. Date of Purchase Unknown , . Name of Former Owner nknowri 11. Zone or use district in which premises are situated R-120 12. Does proposed construction violate any zoning law, ordinance or regulation: . No....... . 13. Will lot be regraded . . . . ....Portion of lot . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .Jeffrey. Salzman Address ,194 Otter RockDrPho@T9Rnwich, CT Name of Architect ,Fred Stelle 4$ Foster Ave . 537-0019 • • " • Address •Brl'cTgefiairip£on' . • Phone No Name of Contractor Address Phone No............... . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No...XX , *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. zz' STATE W NEW YORK, S.S COUNTY OF . Timothy Collins , • • , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the , , Agent (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 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. Sworn to before m e this n ri 4A .........2.. ..........day of 19 .1T. . Notary Pu Isla rVlk County r RICHARD E. WARPEN~ . Notary Public, State of New York (Signature of applicant) No..r 01 W 'res 18, Suffolk County 7er^^ Expxr res Aupusr 13, 193" ^ a'~i„'R:t`•," BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY MAR 2 619`x;3 BUILDING DEPARTMENT CHECK _ . TOWN HALL SEPTIC FORD! SOUTHOLD, N.Y. 11971 ~OCyr~,~U.;- TEL.: 765-1802 r:oTIFYp CALL Examined 9A:CA..3!Q., 19 9.s MAIL TO: Approved P., 191A Permit No. AL/~,9 3. Disapproved a/c (Buil mg Inspector) APPLICATION FOR BUILDING PERMIT Date arch 19, „ 19 93 I 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'ilot 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 for 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 inspectio s. i - (signature ofap¢licantor name, if a corporation) / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Agent . Jeff Name of owner of promises ......r.oy Salzman (as on the tax roll or latest deed) If applicant is a corporation, signature!! of duly authorized officer. Name and title of .cor or. ? V r~ ( pe officer) Builder's License No. j . Plumber's License No. Electrician's License No. Other Trade's License No. ....:I' Z , ~a 1. Location of land on which proposed work will be done . . . ,,,,,,,,,,,,,,East End Read, Fisher's Island House Number Street Hamlet County Tax Map No. 1000 Section 04 Block 06........... Lot 4 . Subdivision .....Milliken Subdivision , , , , . Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: residential a. Existing use and occupancy, . !Tennis court, 10' high, vinyl coated,,fenCeLapo pergola - b. 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