HomeMy WebLinkAbout27924-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30191
THIS CERTIFIES that the building ADDITION
Location of Property: ORIENTAL AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 12 Block 2
Subdivision
Date: 05/13/04
Lot 8
Filed Map No. Lot No.
FISHERS ISLAND
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 5, 2001 pursuant to which
Building Permit No. 27924-Z dated NOVEMBER 20, 2001
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 (WITH SINK) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to DONA LYNN GIBBS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1206635 04/27/04
PLUMBERS CERTIFICATION DATED
Rev. 1/81
05/03/02 ROBERT E WALL
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. 27924 Z Date NOVEMBER 20, 2001
Permission is hereby granted to:
DONA LYNN GIBBS
8 WOODLAND DR
RYE,NY 10580
for
DEMOLITION AND RECONSTRUCTION OF AN EXISTING 372 SQUARE FOOT DECK
AS APPLIED FOR
at premises located at ORIENTAL AVE FISHERS ISLAND
County Tax Map No. 473889 Section 012 Block 0002 Lot No. 008
pursuant to application dated SEPTEMBER 5, 2001 and approved by the
Building Inspector.
Fee $ 195.80
ORIGINAL
Rev. 2/19/98
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 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.
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.
C. 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-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25%p
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .....� �...........................
New Construction........... Old Or Pre-existing Building. ,�' C
Location of Property...... 6..............Qr.! �11.Tt�4t .. Ar......... �,r3n
House No. h Street �n Hamlet
.o Onwer or Owners of Property.... -n a... a n .... i.�..�...........................
q-73M� d�b
County Tax Map No Section ... .G2. ..... Block ... O04' .....Lot.... .........•••
Subdivision....................................Filed Map ............ Lot ......................
Permit No. �. J. /. J. ..Date Of Permit..j.� .�Q .Q ...Applicant... 1�11��.'. I S. ^LC
Health Dept. Approval.— ...................... Underwriters Approval.........................
Planning Board Approval ........................ /
Request for: Temporary CCer/t�ificate........... Fin
Fee Submitted :CJ• ............. • • • •
TEL. 765-1802
TOWN OF SOUTHOLD
y�c OFFICE OF BUILDING INSPECTOR
T P.O. BOX 728
c TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date
Building Permit No.r)7qc) 1 Z
Owner bwa Lynn Gi bt5
(please print)
Plumber Po6e-(+ 5. In/� 1 j
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
day of
,k<
Notary Public, &J7W)L County
C ,0,0
(plumber's signature)
VERONICA HAMILTON
NOTARY PUBLIC
STATE OF NEW YORK
NO, 01 HA6067786
QUALIFIED IN SUFFOLK COUNTY
TERM EXPIRES... I k// 7/05-
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
WALL ROBERT E.
11 ALPINE AVENUE
FISHERS ISLAND, NY 06390,
upon premises owned by
MARTIN GIBBS
1201 WILDERNESS RD
FISHERS ISLAND, NY 06390
Located at 1201 WILDERNESS RD FISHERS ISLAND, NY 06390
Application Number: 1206635 Certificate Number: 1206635
Section: Block:
Lot:
Building Permit:
BDC: ns11
Described as a Resid ntialoccupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, Porch/Deck,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 27th Day of April, 2004.
Name QTY Rate Ratine Circuit Type
Wiring and Devices
Receptacle 10 0 GFCI
Paddle Fan 2 0
Switch 3 0 General Purpose
Fixture 11 0 Incandescent
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
APR.-02'04(FRI) 08:28 BOURKE FLANAGAN & ASATO
TEL:631 287 1255 P.001/001
BOURKE, FLANAGAN & ASATO P.C.
ATTORNEYS AT LAW
21 SOUTH MAIN STREET
SOUTHAMPTON, NEW YORK 11968
Q1LgERT 0. FLANAGAN
MARY JANC ASATO THOMAS J. 60URKfi of oow>aai
(Tal) 631-283-0046
KER114 RRA GL(DERA (Fax) 631-2w7-12SS
FACSIMI�� COVE SffE
TO: ;Building Department Town of Southold
FARC NO,: 765-9502
DATE: April 2, 2004
FROM: Zoseph AbranisA Legal Assistant
j abramski@vcrizon met
RE: 1000-12-2-8
NO. Of PAGES: (Including this page) 1
COMMENTS: Would you please lot me know exactly What building permit(s) is open on the above, and
what they were for? I want to apply to close out any open permits and obtain a c of o for them. I do have a
copy of the building permit for demolition and reconstruction of an existing deck. Is there any other open
permits. Thanks.
IF THERE ARE ANY PROBLEMS VVITH THIS TRANSMISSION, PLEASE CALL ME
AT (631) 283-0046 - Extension 16.
d only by rho
1,NPORTANT NO7iCE. Th• ocovmpanyl+�9 jaesitnii. rronsmicslon It a cotlfidential communication. Ay such, it it intended
pr b vir"d and gal. 1lyam have roceived this
individual so named. You are alto nocjfied that any disseminadon. distribution or copying alhis transmlasion is strietiy pr
cammunication In error, pleotm notjfy us immediately by telephane and rrturn original eroosmissian to sa via the U.S. Postal Service. Thankyou.
q/51 6 s
.
���
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: to /2-'z/01
.DATE SUBMTT'TED::i / /O1
APPLICANT NAME:,
SCTM# DISTRICT: 1.000 SECTION: /L BLOCK: Z LOT: 13
STREET:l,J i L D e=CITY: Is 1,,,j SUBDIV. NAME:y o
PROJECT DESCRIPTION: ioostc++ Qec�+s c.�i�• ��l��c ro-•�
ARCHITECT / ENGINEER: 111A FAST TRACK? w o
SINGLE & SEPARATE CERTIFICATION -REQUIRED? /ila NOTES:
LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LATS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83;
ZONING DISTRICT: R- Il o CONFORMING? No
RE LOT SIZE: /:e, eoo
Q. ACT. LOT SIZE: REQ. LOT COV.. 2v l ACT. LOT COV,
REQ. FRONT to PROP. FRONT /REQ SIDE . 2 e /y o ACT. SIDE
REQ. REAR co PROP. REAR
Np e!Ni1-7i/�s ,/v ETBA^CKS �
WATERFRONT? 40t) DESCRIPTION: gtyC-K T6t.AO �Soup,t]>
PANEL #:ZI FLOOD ZONE:_,
cost- 5(?,eav 3-tl ...s% bt. ?,,2c,4
AGENCY PERMITS REQUIRED FOR REVIEW
APPHgyALS REQUIRED:
SUFFOLK COUNTY HEALTH DEPT: YES 0(!"9
O (BED #): DTE: —/.
NEW YORK STATE DEC: rR&DEC 9/1/75 YES or
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES or
TOWN PLAN. BOARD APPROVAL: YES o
TOWN HISTORICAL PRE (SPLIA): YES o
3/
� ,/,
PERMIT #:R10-
NYS ENERGY: YES OR NO :
EGRESS (18 H mitt.? 4 sq total) VENT ( Q. FT. xx 4%) LIGHT (SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP2eo �7 -Z / C/0 Z- 20 5-10 ,
HAVE PRE CO' S : Y OR N BP_214-Z / C/0
NOTES:
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR
SECOND FLR
TOTAL:
SF
SF
SF
SF
INTT OTHER TOTAL
FEE FEE FEE
'OT( SF)- ( SF)= _._ - SF X $ =$ ---� +$ +$ =$ / J
/0
JDVWA 4r N
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[ FINAL
DATE 4�Y INSPECTOR-
'Examined % 20
Approved v , 20 �
Disapproved. a/c
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL:' 765-1802
PERMIT NO. 0-7?LCI &H
BUILDING PERMIT APPLICATION—=CTCLIS'T:
Do you have or need the following, before applying?:
Board of Health?
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Aa= "-l-2-
Building ec or
P' zm l T. �X?4?n /NC— jL-
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date , 20 0/
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 sale. Fee according to schedule.
b. Plot plan showing location of lot 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 application.
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 issue a Building Permit to the applicant. Such a permit
shall be kept -on the premises available for inspection throughout the work.
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 Zone Ordinance of the Town of Southold, Suffolk County, New York, and other ap
Regulations, for the construction of buildings, additions, or alterations or for remo or of
. applicant agrees to comply -With all applicable laws, ordinances, building code, c
authorized inspectors on premises and in building for necessary inspections.
0
of
Permit pursuant to the
,vs, Ordinances or
erein described. The
dons, and to admit
or namk if a, corporation)
(Mailing address of applicant) 6&
State whether applicant is owner, lessee, agent, architect,: engineer, general contractor, electrician, plumber or builder
Name of owner of premises r t I- H 4 -9!n KI G16 gS,
(as on the tax roll or latest deed)
If applicant.is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. O� � � C q 7 � 1
Plumbersticense No.
Electricians License No. .
Other Trade's License No.
2.
Location of land on which proposed
W1,,t- b E -P -NE -,Gs
House Number Street
will be done:.
Hamlet
County Tax Map No. 1000 Section /C Block ----r Q_ Lot 81
Subdivision 'Filed Map No. Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy S u M A6,6,tD ow
3. Nature of work heck which applicable): New Building . Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost C�, �Qp, oc Fee
cV (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling unitsL _Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
CA o
7. Dimensions of existing structures, if any: Front_)_ Rear 1 Depth"
Height 3 (0 II Number of Stories
Dimensions of same structure with alterations or additions: Front ITA Rear
Depth Height Number of Stories
8 , Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Ito ` ' Depth 3 /a �
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or rcgulutier.: Jam®
13. Will lot be re -graded
"o
Will excess fill be removed from premises: YES (g
g1�lOoD�AM� D�f,v�
14. Names of Owner of premises L MA -271 N& BPDs Address "g- , N\� lo5go Phone
Name of Architect Address Phone Nei
Name of Contractor 14PZW5 Address QQbuUµ .es Phone No N)i'4-W-5550
qo
15. Is this property within 300 feet of a tidal wetland? *YES NO ✓
e IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16. Provide survey, indicate scope of project, to scale, with distances to property lines.
17. If elevation at any point on property is at 10 feet of beiow, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
�Akpl__b E Cno)L being duly sworn, deposes and says that (s)he is'the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to mare and file t ' plication;
that all statements contained in this application are true to the best of his knowledge and belief;a he c will b
performed in the manner set forth in the application filed therewith. �1 .'
S I"/ +s 20_p,/
MA@ V, PHEB# JR.
Notary Public Negri Public State of New York Signat a plicant
N0.4806559
Gualifleo in Suffolk County
Term Explree 12131=�—
e5tc)r�e WithPOS
T WOODWORKING, INC.
Roof is supported by
engineered trusses
Aluminum louvers with 16" on center
screen in ail modeis'-,-, /lam
Strong 16"
on center framing
Tongue and groove
siding secured with
gaivanized nails
Bolt -together corners
for rigidity
16" on center
floor joists
4 x 4 presaure treated
foundation beanti for -r- —~
extended life W exterior
floor
RE
Roof sheathed tight with
exterior plywood
Self-sealing shingles
(15 year guarantee)
Post's own patented
IroncladTm hinges
Compare These Features
1. All buildings completely assembled on
your property by skilled craftsmen.
2. Free set-up and delivery to most areas.
3. Won center kiln -dried framing.
4. Galvanized exterior nails.
5. Roofs and floors are made from top grade
exterior plywood.
6. Top quality self-sealing asphalt shingles.
7. 4 x 4 pressure treated foundation beams for
extended life.
8. Heavy-duty security latches.
9. Three heavy duty hinges on each door.
10. Post Woodworking, inc.'s own lroncladTM
decorative hinge covers.
Drip edge on all roofs
for a quality finish
TM
Dark security plexiglass
crank -out windows (lets
you see out but others
can't see in)
Extra heavy-duty
hardware throughout
11. Crank -out aluminum windows (on most
models) with dark security plexi -glass
protects your valuable tools from visible
detection. All windows come with screens.
12. Screened aluminum louvers on each gable
end allows ventilation that ensures the
longevity of the building. Vents are impor-
tant if flammables are being stored.
13. Roof drip edge for a superior quality
weather -tight finish.
14. Roof is supported by engineered trusses
16' on center.
15. Flashing is used to ensure weather -tight
seal where gable and wall meet.
16. Meets nearly any residential or commer-
cial building code.
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HAROLD'S, LLC
P.O.. BOX 661
FISHERS ISLAND$ NY 06390
631,78&5550 OFFICE
631-788-5549 FAX
OCCUPANCY OR
USE IS UNLAWFUL _
vjITvOUT CERTIFICATE
OF OCCUPANCY
R�ovt 4-
X) R�p��Gz
A7RO Al
oA �� B.R1
mw ARV%-
785-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING i PLUMBING
& INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
LL CQNSTRUCTION 8HALL MEET
UIREMENTB OF THE N.Y.
ATE CONSTRUCTION i ENERGY
CODES.. NOT RESPONSIBLE FOR
DESICNI OR CONSTRUCTION ERRORS
WOTE:
Coo �DINATE DI STp,NCES ATGE
MCASUrCeD FROM U.S. COAST
�oo.o en.srs�-ter AND GEODeTIC SUiCVEY
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TITLE NO. 120971 I non�N �0.
IY
GUA,ZAUTEE.DTo:
L.MA, IZTIN GI$$S AND THE TITLE OF TO SE Co NV E\(Eb To 113 y.♦
_PLAN
GUA41ZAWTEE CO1Ar-A4-ly IN ACCOIZDAf,10E
11 w�"� rafej/ W�
WITH THE t..I1 NIMUM STg1JDACtDS Fd Ir\ L. M,-\tzT I IJ GI BPS S '�°`� �.�"
TITLE SUaCVEYS OF THE NEW Yol�t( STATE AT W 1 L -D Ei�NESS POINT o. G:%�
LAND TITLE AQSOCIA-rlcD _.(,
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