HomeMy WebLinkAbout24781-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27992 Date: 10/04/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: MUNNATAWKET AVE FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 6 Block 7 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 13, 1998 pursuant to which
Building Permit No. 24781-Z dated MARCH 18, 1998
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 REPAIR AND RENOVATION OF AN EXISTING STORAGE SHED AS APPLIED FOR.
The certificate is issued to PATRICIA PIERCE & MARC A RUBENSTEIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
7&/'76
Signa re
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. 24781 Z Date MARCH 18 98
Permission is hereby granted to:
PATRICIA PIERCE
452 HUMPHREY ST
NEW HAVEN,CT 06511
for
REPAIR AND RENOVATE AN EXISTING ACCESSORY BUILDING AS APPLIED FOR.
at premises located at MUNNATAWKET AVE FISHERS ISLAND
County Tax Map No. 473889 Section 006 Block 0007 Lot No. 007
pursuant to application dated FEBRUARY 13 98 and approved by the
Building Inspector.
Fee $ 35 .00
d' g In ector
ORIGINAL
Rev. 2/19/98
Form No. 6 -
JAN 2 9 TOWN OF SOUTIIOLD
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 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.
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• AM properly completed application and a consent to inspect signed by the applicant.
I,f a..Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
w
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
g $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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5: Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
-,w Construction. . . . . . . . Old Or Pre-existing Building. . X . . • . . • • • • • • • •
,cation of Property.. . �;�u ,��;►9,1�, �. . . aU:?
House No. . . . . . . . . . . yU
Street �• . .. . . . • .
Hamlet
ewer or Owners of Property. ,�.!,�•► G•�.�. . . �! C C _ •. . . • • • • • . • • • • . • • . • • . • • • • . .•.• . • . • • • • •
,unty Tax Map No 1000, Section. . . . , , , , ,Block. . . :7 . . . . . .Lot. . . 4 a ,?, , , , ,
bdivision.. . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . .Filed Map. . . . .. .. . . . . . •.. .
• • • .Lot.
rmit No.r:. . 7� , , ,Date Of Permit. � 1 8 l�LS . • . , ,A licant.Z: v, i .
pp :S. .CO., �►9.rl :.Y.�C�, .-1-rUc_
alth Dept. Approval. . . . . . . . . . . . . .. . . . . .
• • • • • .Underwriters Approval. . . . . . . . . . . . ... .. . ... . . . .
finning Board Approval. . . . . . . . . . . . . . . . . .. . . .
quest for: p
Tem orary Certificate. .. .. . .. . .. Final Certicate. . .� ;
Submitted: $. . .��.' �.. • .
ICANT
01/24/2001 12:56 6317887011 FIBHERS ISLAND WATER PAGE 03
7 L7 ass-isa2
BUILDING DST.
INSPECTION
t ] FOUNDATION 1sT ( i ROUQM PLOG.
[ } FOUNDATION 2ND [ J INSULATION
C FRAMING r INAL
MtEMARKS s
DATE
o/ INl�IrECTOR
< BOARD 017 Ill,;A1311 . . . . . . . . . . . . . . .
WORM NO. 1 3 SKIS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOIITiiOLI) Si1RVEY . . . . . . . . . . . . . . . . . . . . . . . .
iIUILDING DEPARTMENT CAMCK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN 11AI,L S1,PTU, FORM . . . . . . . . . . . . . . . . . . .
SOl1'l'Iimm, N.Y. 11971
Tl,-,I,: 765-11102 NOTIFY:
///� '] 9� CAM. . . . . . . .
I;H �IIItN.Yi......�f••�/.... 191. C MAID, TO . . . . . . . . . . . . . . . . . . . .
Approved......3���.. 19. l'etnli L No. ,/,.!. /. .................................... .
DisalyT(werl a/c .................................. ................................. ...
.......['.�.q.'......._.....0...V�.............................
0111ildi g is cor)
APPLICATION FOR BUILDING 1' utmur
3q a . . . . . . qq
Date. l . , 191 .
.•. a.DEPT I NSTRIICT i ONS
Tlowr,i <,-
SOU MOLD
n. Ibis alrlllicalican mis >letely f:ille<l in by typerariLer or in ink'and sulnnitLed to the iklildmg lnslx�cl.or With
j
3 nett; of plans, accurate plot plan to acnl.e. Fee according to schedule. s
b. Plot: plan slxowing l.ocaLion of lot nix] of Ixnildingn on premises, relnticx>.sidp to adjoining premises or letblic
Sl reels or areas, nrxl givir>!, n detailed description of layout of property must be drawn on the diagran which is lrnrt of
this application.
c. the work cmered by this application my rant he cume_nced before isstialwe of Wilding Permit.
d. Ulxxt approval of this application, the iklildi.ng Inspector will issue n iklilding Permit to the nFlA icant. Sc.lch
lx:rmit tJr<nl 1. be kept on the premises available for insllccLion thrml),volt lite work.
e. No imilding shall be occupied or use() in whole or in part for any purpmw ubatever until a Certificate of
occuixiocy sltal l have been granted by the fklilding TnspecLor.
i
Al'1'I.TCKI' ON 1S 11MCKY Mr. to the lkAlding DelxrrtmenL for the ismiance of. a Wilding Permit p irmiant tb the
lkl.ilding 7o,te Ordinance of Lite T m of Southold, Suffolk Cxxinty, tim York, mid other applicable Yaws, OrdinrmceS or
RegulaLions, for the construction of: txd1Aings, acklitions or alterations, or for romwal or &-molit:ion,•ns herein
ck!ScrilxA. Ilse applicant agrees to cmiply with all. npinlicable laws, ordinances, Wilding code, Imsing code, alx)
rvgulaticnts, anIl to admit miLhorized jnapectors on pmnises aml in imildinr for necessary inspections.
ZvLS c a+r7Kwr � T C .
.
(Si -kiture of applicai{t,
M, or imm-, if a corlxn-aticrn)
U. oX.o?oa..? 4,t,._ .A1,,1. 6&390
(Hailing sxklress of. applicant)
Mat e wltelher alllnlicnnt is owner, lessee, n(,ent, architect, engineer, l;eneral contractor, electrician, pirnlx±n or Wilde".
...............SIM eNrr:..... !�► �: - ........................................... .................
Moir ofI�IFP.cF...... ....A?gtj r e iq.............. ......
(as on the tax nail or latest Gleed)
'If .111A r t n ��( duly sn111xlrized officer.
M
• �AAi - IMlIOA s
ilrl'lders License No. i.t•.........
14 M MOff'XM19MO0 - _lARI'l
11Iulblers 1Ac_ell"YM E............
T?�01'):) ...'".........
T8 Yi3M3Ait Jn. ss #
f
of MIDp>llil3k vI;...x .;... •..-..-.• / y�,� ,/�
3 „U -UIitli Prolxlsecl wt`>ric will. Ix: (loix0.././.! .. .• �''t / / {.......... ..........
unn4T.►o!js)kd............... ��. ... � .v ......f. .OG.� ?......................................
Rxlse Number Street 14>tnlet
CmfayTax KIP No. 10(0 Section ...... ....... illock ...... ....... lot ..."]..........
';Ilxlivision ...................................... Filed Kip No. ............... loot ...............
2. State existing use arxl ocrllpany of premises alxl interyled use and orctiparicy of prolx)sed colstrucLion:
a. Existing use alxl occlipmxy .....k)Cr'Ar
........................
,.....................................
h. 1111 erxk-d Ilse aix) occxq><<sxy .....Wn^41?........ ....................................................
7. t�11u1c of VA►SJc (cileck vildch alr!►lic.►I)le): I*Al Ik► ly. .... /ti141ili01 .... ...... Alfprat ioil .. . ... . .
IG;I►al i r 14--t►KwalI Dow i I.ion ....
. ........ Other IJo►ic .......... .................. .... ..
(Ik::u:ripCia►)
f
�1 Gsl.inial ed (bsL ee ... .�.3S ........................ ......
(to Ix: paid oil fi l int; tl►is app)icaticxl)
i. I f cAx:l l h►!;, ►biller of tLiel l int; units .......... .. Ikalx:r of (k.el l it'll, ►►nils cx► each floor
1[ garage, Otsi6er of car's ........ ......... ......... ............
(�. I f Ilolnt►x:ss, collmercial or mi)wd oc:culwux:y, (lpecilly nnlur<: alwl ex1.COC of each lype of tine......................
). I1i111Lneiolla of exisl:irlg ntrrx:ttires, if ally: prexrt................ Item .. ............. Depth .................
Ik.ight: ....... ... t'Aal,er of Slorien
.. .. . ..............
I"llellsicx►s of.saale strt►cttire will► ill tera[.loom or alofcliI iorla: Iiront ... ............ hear
Ik:pll► .................... lieil;l►t .. .............. ... . 11116er of sforiea ..............................
U. Illur:nsi(x►:1 (S�' entire t>Ewt (:cx►stn►(:Liex►: 1?r(a►C ................ Itear ............... Depth .... ..........
Iklt;Jll: ......................... Nisiher of Scories .....................
9. Size of lot: I ll(x►C .Rear .................... De1)11►
10. Ik►le of t1►rchase ..................... Nalfrll. of PoIllet, ()killer .......... ..............................
II. %cxx: or use dislricL in tinct► pr,,3uises are sittulted ..................................................... ...
12. (kxa Irrulxlrc.tl c:cn►str7xalot) viirlate any zalinl; law, ordioalw:e or relltiladon.
I I. Will lot Ix: regrixied .................... Will excet(s fill he resnaved frau pr(;jniaea: YES NO
14. Mils of O•Aber of pre.,nises
A<klret►t► .............................. Max: Nu. ..............
Naar: of Architect .......................................................... Acklreaa ......... ..................... 1'1xx►e NO. ........ .... .
Mlle of Contractor ................................... Acklreaa ...............................19lolx: Ncr. .............
I'i. Is (his pmltelty within 300 feet of s Lielal tx:t'lanti? * YI,S tVD
... ..........
fl(X111C111) TOWN '1111)SIITU9 PlilZrll't' MAY Hl; ItUl pill:1).
PLOT DIAGRAM
1«:ale clearly aocl diatinctly all Ixcticlings, allet.11er existing or, proposed, aril i►xlicate all as-back dimensions
frau prolterly linea. Give street and block rasher or clescriptiolr accorYling to cleed, a►xl allow street nailles anal irwilente
tAlelher interior or (:or7x:r lot.
1
1.(„)OV(.Q MV + YAr--_ uo/ i4Y
— � �e r4 �., sr ►-dol � wl wovd
�c�11 ra`e to LoIx njs wl new vw+:5 5a1a�e iz
� �Jt!
4Crvu,'4K. iK�QL&c ymo&) NOW MaM�
9ANU4M10IN'
FOWL
PON �
SI'n'IF. (x' Pttl� Y(MUC, 2. ROM -
ss 3. IOIM AMM
1z>tItr1Y (Ir ... ... ...... .. ......... 4. FINAL - COI-BTWJCVM MCAT .
BE COMPLIM Pon C&
.. .1!'qv!"1° -- • ....cShi ALL CONSTMXTM SMALL UW
... . . .. .... duly tiworti, dcT'Fl�'lgE'�l1�RS1�c' +Ta csut.
(lane of illolividtial. r,il;niul; conl.rac:C) STATE CONSTRUCTM a11
a11x,�e 11a.1rrl' CODES. NOT RESPONSIBLE''
1k: i:: lilt! ... ....• //'� DESIGN OR CONSTRUMN(ROWS
((cnllra<aor, s►l;eut, corlxlrate officer, el c.).... . ............ ......... .. ...... ..
of turitl cxrl lo:r or 041)(rs, allot is duly :nrlhorim,41 to Ix:rfonn or him: Ilo:rfonlr:d the l;ald rxltic allot to IIKIIU; allot file II11:1
appl is::u.iun; 1ha11: til I aCalcmeOls ccloll:cillo:d in Ihit► application are gall! LO [Ile lwlil: Of his koowledt;e nlxl Ixil.it:f; nlxl
111:11. [Ile wcnk will be lx:rfornled in the 11@1111w:1 f;el: Iorlll in Ille application filed Lhc:ret+ith.
:;n,rn JO IPet
c: a
.....(lily ... 19.
Pk)l:► 1h1 it. .
(Sil,nature of pplicnnl:)•• ..........
THOMAS F.DOHIERTY JR,
Notary Public State of New York
No.4606559
Cuallfiea In Sutfolk Cou ty
Term Expires 12/31/4
MAR 16, 10)98 m
e,or.DEPT.
ica
\
TOWN OF 50UfMOLD
2.28 n
G�
NOTE - COORDINATE DISTANCES ARE MEASURED FROM U S COAST 6 9`
GEODETIC SURVEY TRIANGULATION STATION "PROS"
✓O✓9
d
P
LINE BEARING DISTANCE
1 f N 86'44'40"E 22.28
Z %X 2 N 86'24'40"E 18. 00
i
3,11
e
o \
z �^
D o v STUDIO
Fes¢_ELFJI
Ton
m nt /
��IZ Id- p 0p A, /
—FIRST TRACT
AfiEA= 1.38±ACRES w %
W z SHORE
LINE
FORMER W ��
' COTTAGE NOW STORAGE SHED o !`> > m (TYP)
., Fri e Emu w m Q
SECOND TRACT
N n m NI ro/ AREA=4100±SO. FT.
fence
_ F,F_ Ell 17 oto w �Le
1 N 0
B ,. F oz ELEUB.6(o c d..� Emu o�soE Ido 2 SURVEY
/ LINE
0 00
/ S 80'5415" 119
fence N 80138'00, h d Z
N4361.38 \ \
MADELINE AVENUE w 5.9 NOTE:
1 SHADED AREA DENOTES LANDSUBJECT TO
BEACH RIGHTS AND RIGHT OF WAY TO OF NEL"
WEST HARBOR. H s Yo9
� T9pG F
GUARANTEED TO CHICAGO TITLE INSURANCE COMPANY, SURVEY MAP - PROPERTY TO BE CONVEYED TO 1 G G
PATRICIA D. PIERCE AND MARC A RUBENSTEIN IN PATRICIA D . PIERCE and
ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE
SURVEYS OF THE NEW YORK STATE LAND TITLE ASSOCIATION. MARC A . RUBENSTEIN
40 30 20 10 0 40 80 120 MADELINE AVE, CENTRAL AVE.a MUNNATAWKET AVE.
FISHERS ISLAND NEW YORK th
SCALE IN FEET SCALE 1 inch = 40 feet
CHANDLER PALMER 6 KING NORWICH iCONNECTICUT Q
JUNE 23 1988 r�11
EtEue.-nods Revised 31/10/98
13, (�n
E110Jwt795 ' '