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Home My WebLink About30561-Z" '[ FOP~M NO, 4 TOWNOF SOUTHOLD BUILDING DEPARTMENT Office of tb~ Building Inspector Town Hall Southold, N.Y. CERTIFIC-~_TE OF OCCUPAI~CY No: Z-30424 Date: 09/13/04 T~IS CERTIFIES that t~e building ADDITION Location of Property: PETERS WAY (ROUSE NO.) (STREET) County Tmx Map No. 473889 Section 6 Block 2 subdivision Filed Map Ne. -- Lot No. -- FISRERS ISLA/O (~tAMLET) Lot 3.10 conforms substantially to the Application for Building Permi% heretofore filed in this office dated AUGUST 12, 2004 pursuant to which Building Permit No. 30561-Z dated AUGUST 12, 2004 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 TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ~e certificate is issued to AI~N R TRIBODEAU (OWNER) of the aforesaid building. SUFFOLK COOlqTY DEPARTMENT OF t{EALTH D. PPRO~-AL ELECTRICAL CERTIFICATE NO. pLIFMBERS CERTIFICATION DATED N/A N/A 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) P~P~T" 'NO. 30561 Z Date AUGUST 12, 2004 Permission is hereby granted to: ALAN R THIBODEAU PO BOX 149 FISHERS ISLAND,NY 06390 for CONSTRUCT A DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES BP~20641. at premises located at PETERS WAY County Tax Map No. 473889 Section 006 Block pursuant to application dated AUGUST 12, 2004 Building Inspector to expire on FEBRUARY 12, FISHERS ISLAND 0002 Lot No. 003.010 and approved by the 2006. Fee $ 150.00 / Authorized Signature ORIGINAL Rev. 5/8/02 ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT NO_.~? (Ti-tis' pERJVtlT MUST BE KEPT ON THE PREMISES UNTIL FULL iCOMpLETIoN OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... ~..../.~,....~.~ ...... ~..~...~....../....~_~. ...................... ...... ~...; ................... .-~ ........ ~..-.~,..~....;....~: .................. ~-,.~.-?-;;.-;--~--...-~--?..- ~/ at prem's , ocoted at ......... ~ ....... J....~...~....~,/'~,.,~j..../....~~....~~( ~oun~ Tox Mop No. ,000 Sec,on ....... £. ........... B'~ ...... ~ ....... Lo, ,o. ...~,.../..~.. ~...o.t to o~p,,.ot,on dot. ...... ~ ...... ~ .......... Z...~... ,~.~.d opp.v, ~ Building Inspector. Building Inspector Rev. 6/30/80 To :g~aom~It ~I~Iay Concern: ..Enclosed please fred the forms fora Certificate of Occupancy. The Bt~ding Inspector .on Fishers: Island; Rob. mt Wall, says that. I might need to renew my building permit; however, Fm not sure what the cost of that would be. Therefore I am enclosing a blank check. Please fffi in the necessary mounts and then return a receipt to me at: Alan R. Thlbodea~ t2 W-mthrop Ci~uyt :Wat~o~ CT ~385 If you have any questions, I can be reached at work at 631-788-7233. Thank you for your' time. Alan R. Thibodeau Form No. 6 TOWN OF SOUTitOLD BUILDING DEPARTMENT TOWN IIAI,I. 765-1802 P~PEICATIOI~ FOR CERTIFICATE OF OCCWPANCY .~.v, i · · -.:~ ':,-, ;, '= ~. This application must be filled in.by typ~v,,'rit~ or ink and subn-dlted to the Building Deparanent aqth the following: A. For new building or new u~e: 1. Final sur~.ey of property with accurate location of ~ b~ga, pro~ ~e~ s~m, ~d ~us~ ~d or to~ap~c feazes. 2.F~[ ~prov~ ~ He~ Dept of water mpp~ ~d sewerage~ (S-9 f~). A~m~ of~i~mc~ ~afion ~om Bo~d of Fke Ua~m~r~ o~o~ ~¢p~ce ~m ~ct~..e~r res~mtble for &e b~ 6 ~bm~-Pla~g Bored ~pp~o~f~omplemd ~m.g~ mq~emenm... * 2. A ~fa~rb, ~9~e~ a~c~oa ~ a count m hs~ct si~ed by ~e app~c~t. ~ a Co.cam of ~cup~ey is ~m~ ~e ~fl~g Ia~cmr s~ m ~e remora ~e~for m ~n~g to ~e apphc~t. 'S,~g ~)t ~25.00, ~cessou b~ld~g $25~B0~ Ad~ffom m ~eeSs0~ b~ng $25,00, Bm~es~s $50.00. Co~ otE6~ 9f~c9~c~- $25.~ - ~e~o~ ~amgf~c~y - Res~nu~ $15.00, Commer~ $15.~ Ho~ No. S~t Suffolk Cou~- T~ Map No 1000, Section eflgtO ~ (clieck one) Hamlet Subdivision ¢ mit No. 3 o5-t, Hem[th Dept. Approval: l~Ianning B~ard Approval: Re~sr for: Temporary Co.cate Block e~eO0 ~. Filed b[ap. Underwrkers Approve: Firm[ Certificate: Lot ~. eD I0 Lot: (check one) Applicant Sigrtature L ~,~*, ~*/~-~/~'~. # ! ~ ~ Y / FOLLO~NG ~NSPE~ON~: ~. FOU~ATION ~VO REQ~ED 2. ROUG~ :.~I~G ~ RLUMSING 3. ~NSU~ON ~' ~ ~L - 'CONiStON MUST . ~.CO~PLETE FOR C-~- A~L ~N~TRU~ON '~LL ~E~ THE ~EQUI~F~' q~;~ ~ N,Y- '~C,~.~ ROT ~SPONSJ8~ FO~ ~( OR CONSTRUC~ON ERRORS OCCUPANCY OR USE I$ UNLAWFUl. ~,~/~THOUT CERTIHcATE O? OCCUPANCY FLO0~ PLANt ,GF.,ALE~ 1/4' - 1'-0' STEP#1 FOUNDATION PLAN 2 X 8 ~.T_ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING ['"*]'~NAL [ ] FIREPLACE & CHIMNEY REMARKS: r'~ _*/~ ~--~"~ ~ DATE ~INSPECTOR~~ FOUND A'TI ON ( I st ) TI'O~.~ (2nd] ROUGH FRAHE & -FLUMBING e IIlSULATION PER N. STATE ENERGY CODE . I FI;IAL ADDITIONAL COM~,~ENTS: Examined ................ , 1~ ... Disapproved a/c' . .................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BO~D OF ~L'~H ......... 3 S£TS OF PLANS .......... SU~V£Y :~. ................ CIIECK .................... SEPTIC FORH .............. CALL ................... MAIL TO: (Building I?,_p e_ct o r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate pl~)t plan to scale. 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 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 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 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 auth°rized inspect°rs °n premises and in building f°r necesi~ .W. '.m~...~....~ ...... .... (Signature of applicant, or name, if a corporation) .Cm...B..~... ~..~.q.~ .~.~,...~...~. ~)~&,. ~_ .'¢_ .c~.~e (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~e of owner of premises ..... .¢..[..."~.....t:¢..,.....--~. ~.~00..~., ~.0 .................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. _~.. ............... Plumber's License No. ~ Electrician's License No. ~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ......................... ¢. ..... ~4~'.s...b3;,~;~ ........... F.;.~k,¢~.. ,T sJ.~,~.~ ....... House Number Street C/ Hamlet County Tax Map No. I000 Section ......... ~. ...... Block....~. ............ Lot..~..' .~.~7. ........... Subdivision... ~...~..~ .[5....~...C)~'.. ~ ............ Filed Map No. ' Lot-..-~- ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .... f work'(check which applicable): ' 3. Nature ~ New Building .......... Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... .... :' .'~ '(Description) 4. Estimated Cost .... ~.~.~O.:.O.O. ....................... Fee . .~.~' ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occuvancy, specffy nature mad extent of ea~h type of use .................... 7. D~mensmns ot ex~stmg structures, ff any: Front _.. ~,,¢ ......... Rear . .~.~ ......... Depth . ,~.,~ .......... Height ............... Number of Stories ... ~. ................................................... Dimensions of same structure with alterations or additions: Front .,.~ ............. Rear . ~..~ .............. Depth.. ~e~ ' Height ..Number of Stories. ~. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. D ate o f Purchase . . . .~.~,-. ~.~ . ).q .~.O. ..... · .......~ of Former O~rner .~.~.t ~... ?*,v~. ~., ............. 11. Zone or use district in whic~h premises ~e situated...~.~.* t'.~.~'~_l'~ .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~...~.... _~.¥L~,4~ .............. 13. Will lot be regraded .... .bt-fi..o. ................... Will excess f~ll be removed from premises: Yes i4. Name of Owner of premises Prl~..~....~. ;'~,~.e.~.w. Address '~.. _~. ~c~,~. ~,~.~... Phone No.~r~.7(~).-?~.~2~.~.3-. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No..%~. ..... · If ye~, Southold Toxin Trustees Permit may be required. PLOT DIAGRAM Locate clearly ~nd distinctly all buildings, whether existkng or proposed, mad. indicate all set-back dimensions from propert3, lines. Give street mad block number or description accordLng to deed, mad show street names and indicate wheu~ter Lnterior or coruer lot. 15. ~TATE OF NE~/.~(~, ~,~ o o ....~...~.~. ~!... ~.~..o .~.~.~..~..; .................. berg duly sworn, deposes ~d says that he is the applicant (Name of individual si~ing contract) ~bove named. te is the .................. ~ .................................................................... (Con,actor, agent, corporate officer, etc.) >f said owner or owners, ~d is duly autho~zed to peffom or have peffo~ed the said work ~d to m~e ~d fire this tpplication; that ~1 statements cont~ed ~ this application are ~e to the best of~ ~owledge and belief; and ~mt the york will be perfo~ed in the m~ner set fo~ ~ the app~cation ~ed ~erewith. ;worn to before~ th~ ..... . ., . ~Ot~ Publicity _ ~ ~ ~ ~ ~ ~$~,~. . .~~.~'' .~.~ .............. ~0~ ~u~lie St~t~ ~{ ~ ~or~ (Signature of applic~t) O0~IUi~ In Sulf olk County ~ Term Explre~ 1~I/~