HomeMy WebLinkAbout26199-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29011
Date: 10/24/02
THIS C~I{TIFIES that the building ADDITIONS
Location of Property: OCEAN VIEW AVE FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 9 Block 11 Lot 3.1
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 5, 1999 pursuant to Which
Building Permit No. 26199-Z dated DECEMBER 1, 1999
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 NEW DECK & TERRACE ADDITION TO EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to RUSSELL PLA/~ITZER
(OWNER)
of the aforesaid building.
SUFFOLK CO~DEPARTMENTOFHE]%LTHAPPROVi%L
ELECT~{IC]%L CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~O
Rev. 1/81
N/A
N/A
N/A
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. 26199 Z
Date DECEMBER Id 1999
Permission is hereby granted to:
RUSSELL PLANITZER
OCEAN VIEW AVE.
FISHERS ISLAND~NY 06390
for :
CONSTRUCTION OF A NEW DECK & TERRACE ADDITION FOR AN EXISTING
SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AS PER BP#6946.
at premises located at
County Tax Map No. 473889 Section 009
pursuant to application dated NOVEMBER
Building Inspector.
OCEAN VIEW AVE FISHERS ISLAND
Block 0011 Lot No. 003.001
5 1999 and approved by the
Fee $ 75.00
I/ u orized Signature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTIIOLD
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.
!Y
2. A prope~ completed applicatic, and a consent to inspect signed by the applicant.
If a.Ce~ i c p denied, the Building Inspector shall state the
Feesreasons !~~~0 he applicant.
1. Certifi¢ ~welling $25.00, Additions to dwelling $25.00,
Alterat~ Swimming pool $25.00, Accessory building $25.00,
Addition~ to~%~din $25.00~ Businesses $50.00.
2.' Certifi¢~ e°~~'~o~ P~t i -existing Building - $100.00
3. 'Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO
· :. :...:: ....................
:w Construction ........... Old Or Pre-existing Building..~... ....
,cation of Property, ........................................................................
House No. Street Hamlet
~er or Owners of Property 6.~.~s~'~\ f~.~qrOl~?T'..~.~
unty ~a~ ~a~ ~o lO00, Section...9..%.~ ...... Bloe~..~.~..!J ........ Cot.~.'.O. Al .........
bdtvision ............. ~ ..... · ................. File~ Map ............ Lot ......................
............. Applicant ...............
mlth Dept. ApprOval ...... i.. ............ ... . ..Underwriters Approval.2 ...... ' .........
~nning Board Approval .........
tuest for: Temporary Certificate ..... '..''' Final Certicate ...... O. ~..
APPLICANT ' ' " '
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ ?[ ~ I~l ~ff~ R
Oumers Name:
Architect/
Engineer: ~VO/'4~ ~S$octr*wc~.
SCTM #:
District: 1,000 Section: ~ Block:
Date
Reviewed: 11"30--riel
Date.
Submitted: II - 5'- c[ <}
-- Proposed:
-- Proposed:
Project ~Jt E, ct..l /~ oe~ E5 h ¢(',5 _~l-, Subdivision
Location: {~ ~N . . _ Nme:
Single & sepmte R~u~
certification: (Yes/~
R~ R~. R~.
[Front Y~d ~ Pro~s~: ~] {Side Yard Pro~s~: ] [R~ Y~d
Project Description:
AGENCY PERMITS
REOUIRED FOR REVIEW
N.A. NO YES
Permit
Number
Suffolk County Health Dept.
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flbod Zone:
D2,/22/20L~l 19:48 ~,31788701I
INSPECTION
REMARKS
FOUNDATION lST I '} ROUGH PLIG.
FOUNDATION ZND ~ ] INSULATION
FRAMING
~ASE 02
BL.DG, DEPT.
* vow~ o~soumo~
FOI1H HO. |
TOWN OF $OUTIIOI.I)
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SOU'I*IIOI.I), N.Y. 1197 )
· tEl.: 7G5-11102
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a. 'Ibis appllcnti(w, ..,si: 1~ £tmPletely l~illed h, I,y tyl~4riter or in ink n:~J mfl~nltted to the l~tlhling
3 ~ts of plnns, oco~rate plOC plan to scale. F~ nccording to schedule.
c. 'lhe ~rk c(~r~ by thl.: ol~llcati~ ~,~ J~t I~ cmtm,~l J~fm'e i.mm~e of ~lilding Permit.
d. Ulxz~ ajq.~nl o[ Ihi.'al~ticaCitz~, Ihe l~ildJng hml~ctor uill ism~e n ~ihling Pemlt to the appl
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(~culm~ry ~flmll h~ I~n grnat~l by tl~ ~ihli~ lancelot.
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r~g,,h,ti(.,s, .,xl to al.it m,tlmriz. I jtml~:tors ~, pmnise~ n,xl h, Ix,ildh,g.[or ,~cennnry hm~clitnm.
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II. 7~: or u:~ di~il ~ icl; i,~ ~idch plo,d~;e~i nre iiiLuiltc~l ..............................................................
II. Uill Iol I~ ~elli~d .................... ~ill e~ceu~ fill I~ ~-~,~1 ft'on p, oni~: ~
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A I I; YES, ~llll I~ 1) 'IIX~ 'II~}S'II~ I~I~.IIT }~Y I~ 1~$11[~1).
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