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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) lllll I,!) I NC 'I'OI4N ilAI,I, SOU'I*IIOI.I), N.Y. 1197 ) · tEl.: 7G5-11102 IIOARI} OF IIEAI.'I'II ........... ' .... SETS OF Iq.ANS ............... - SI)RVEY ........................ CIIF. CK ......................... SEI'*I'I C FORH ................... HC)T TFY: C Al',l ................... HAll, TO: .................... 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 e. ~ Ix, tiding flmll ~ ~ospi~ or u~l in O~le or in fart For n,~ H,ti~v~ droller ,mt:il a (~rt:iHcale (~culm~ry ~flmll h~ I~n grnat~l by tl~ ~ihli~ lancelot. Al'lq.l(~'l'l(~ IS I~1~1~ ~ to Ihe I~[lding l~rt.ent for the inmmnce o[ n Ihsildhlg Permit l~rmmnt ~6 the I~sihli g 7xz~ Onlim~x:e o[ IJm T*m o[ ~tl~)hl, ~fffolk (~n~ty, ~, York, m~l other a~l ic~ble l~s, O~tllnmren 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. !;tat(? ~mll,or nlq>licat,t: is o~n~r, lessee, ngOtll:, art'J]Jlo(:l;, onl}il~er. 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