HomeMy WebLinkAbout31623-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31624
Date: 06/21/06
THIS CERTIFIES that the building
ADDITIONS
Location of Property: PVT RD
(HOUSE NO.)
County Tax Map No. 473889 Section 5
OFF E END RD
(STREET)
Block 1
FISHERS ISLAND
(HAMLET)
Lot 8.1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 17, 2005 pursuant to which
Building Permit No. 31623-Z
dated
NOVEMBER 21, 2005
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 SCREEN PORCH & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR "AS BUILT".
The certificate is issued to JONATHAN & MADORA KIBBE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Signature
Rev. 1/81
.
Form No. 6 r-'
TOWN OF SOUTH OLD I" '
BUILDING DEPARTMENT (" ,
TOWN HALL " NOV 2 8 2005
765-1802 'U~\l
APPLICATION FOR CERTlFICATE OF OCCUPANC~--=-~..,c
I~ ~ \ :
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.
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I, 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 I % 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 Plarming 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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
I. 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 Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. November 22, 2005
New Construction:
x
Old or Pre-existing Building:
( check one)
Location of Property: (no II) private road off East End Road
House No. Street
Fishers Island
Hamlet
Owner or Owners of Property: Jonathan Kibbe and Madora Kibbe
Suffolk County Tax Map No 1000, Section
005.00
Block
01. 00
Lot 008.001
Subdivision
Filed Map. A421
Lot:
Permit No.
31623Z
Date of Permit. 11/21/05
Applicant: CME Associates/Stephen L. Ham, III
Health Dept. Approval:
n/a
Underwriters Approval:
n/a
Planning Board Approval: n/ a
Request for:
Temporary Certificate
Final Certificate:
x
(check one)
Fee Submitted: $ 25.00
~ 70'{3'2-
('O~ 3'~;).tf
C;p,l- L. If- .JR
Applicant Signature
Stephen L. Ham, III
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.
31623 Z
Date NOVEMBER 21, 2005
Permission is hereby granted to:
JONATHAN & MADORA KIBBE
49 ORIOLE AVE
BRONXVILLE,NY 10708
for :
SCREEN PORCH & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR "AS BUILT"
at premises located at
PVT RD OFF E END RD
FISHERS ISLAND
County Tax Map No. 473889 Section 005
Block 0001
Lot No. 008.001
pursuant to application dated NOVEMBER 17, 2005 and approved by the
Building Inspector to expire on MAY 21, 2007.
Fee $
702.60
i~'d Clb--
! Authorlzed Signature
ORIGINAL
Rev. 5/8/02
06/07/2006 10:18 FAX 631.788 7798
FlTELEPi'JNE
FIELD 1NS1'J!CTION RUORT DATE
FOUNDATION (151)
FOVNJJATION (2ND)
ROUGH nlAMING '"
PLl/MIIING
INSULATION PERN. Y.
ST^TE EN:E1lGY CODE
PINAL
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1ai002
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A Dickerson
...
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 22, 2005
Stephen L. Ham, III
Matthews & Ham
38 Nugent St.
Southampton, NY 11968
RE: JONATHAN KIBBE & MADORA KIBBE
EAST END RD., FISHERS ISLAND
SCTM#5-1-8
Dear Mr. Ham:
The following action was taken at the Southold Town Board of Trustees regular meeting
held on Wed., June 22, 2005: .
RESOLVED, that the South old Town Board of Trustees APPROVE the request for a
Transfer of Permit #5172 from Frances E. Nielsen to Jonathan & Madora Kibbe, as
issued on May 24,2000 and amended on April 21,2004.
If you have any questions, please contact our office at (631) 765-1892.
\
,
Sincerely,
Jacot? ~'r;-
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic FOnD
NYS.DEC.
Trustees
Contact:
Madta:
4>
Examined
,20_
,20_
Approved
Disapproved ale
Phone
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I EXPiratio. n
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I 7 2005 ': Ii, I
APPLICATION FOR BUILDING PERMIT
Date-1LJ ~
Building Inspector
Trl'
..__,.3
INSTRUCTIONS
.20115
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 scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 tluoughout the work.
e, No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. Ifno zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICA nON 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 to admit
authorized inspectors on premises and in building for necessary inspections.
eMf. .32C~ 'l'Il~sM. (JT Cfo~ I
I (Mailing ad~ess of applicant) .
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~ CME ~Jat~II'IP.P-~~ ';u.flteu,ui(hYL.66
Name of owner of premises JOMthar11O
(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. ?
Plumbers License No. ~
Electricians License No.
Other Trade's License No._
I.
House Number
Is
Street
Hamlet
County Tax Map No. 1000 Section
Subdivision NA
(Name)
665
BIock_\
Filed Map No.
MA-
Lot ~
Lot
3./
U4
2. State existing use and occupancy of premis~s and intenqed US~~~ ?fCUpagcy of proposed construction:
a. Existing use and occupancy ~1f.--fierrlllL~ ~jOYl f'l>. ",
b. Intended use and occupancy ~~i.t~~~eYlle
Addition Alteration
Other Work~1l i+cbIJ
(Description)
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimatedcotl06,()"'lrl .nC'l
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
tfi
(To be paid on filing this application)
Number of dwelling units on each floor MA
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~
7. Dimensions of existing structures, if any: Front 1~' Rear~Depth 26'
Height :z. ~ I Number of Stories 2.
Dimensions qj s,me structure with alterations or additions: Front ---l M I
Depth~ Height ~&:> I Number of Stories
Rear 17D'
2-
Depth_4-0 I
8. Dimensions of entire new construction: Front :J:J6 t
Height I <f I Number of Stories
...r I A.o:t" I 2. 9.1"\ I
9. Size oflot: Front~6 Rear~Depth-:.t.~
10. Date ofPurchase...1. ZOO ~ Name of Former owner...fY~ ~ NltlsPfl
1 J. Zone or use district in which premises are situated --.E:J26
Rear
~I
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NOX
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_ NO X
14. Names of Owner o;mise~Address &anxuilk, NY Phone No.
Name of Architect Address~Phone No "t1~. ~;q. lI6>02
Name of Contractor ~ Address Fl, MY Phone No. b-,.n. 9.."'1' Mot1
15 a Is this property within 100 feetofa tidal wetland or a freshwater wetland? *YESL-NO_
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO--X.
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
c' SS'
COUNTY ODI.< +.fDIk.
~CL (lA.c.l)"", \.(.
(Name of individual signing con
(S)He is the f\9j eJ\.-+
(Contractor, Agent, Corporate Officer, etc.)
being duly sworn, deposes and says that (s)he is the applicant
above named,
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
perfomled in the manner set forth in the application filed therewith.
Sworn to before me this
15-1/1. dayof Nr'Jj}f'nf.b.R....-20~
_iPo/A-""~~~
Notary blic
ROXANNE SPAULDING
i NOTARY PUBLIC, STATE OF NEW YORK
I No01SPB113942
; 11IIAIlIIIlllN SUIIIlI K l:llllNlY
, '''. (:11~\~lISSION IXI'IIII.S ALII; \1.2008"
DlJClI U '-/1 ..1VUUIVIU · "'.... .. -.....---
SOUTH OLD, NEW YORK
PERMIT No.SJ71lJ DATE: .....M<!yZ4;.2.Q.o.o
ISSUED TO...........~~,.\t:'g~S....~.~...N.I.:B;r,.EiE.:J:{ ....... ....
J\utltnriluttnn
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893: and Chapter 404 of the Laws of the
State of New York 1952: and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at /I meeting h~ld on... May Z4,
. _ZO.o~ and in consideration of the sum of $.....15.0...0.0... paid by
J.~..,.9. ...C:QI:lsuHillg..Sel"yj.~es........_..............-.
of .......9tl".~.tlE>........ N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
to construct a deck. patio. retaining wall. pool equipment
shed, backwash. leaching pool and regrade area of pool.
Survey being redone based upon that the pool being moved
out of our jurisdiction. -
all in accordance with the detailed specifications as presented in
the originating application. .
IN WITNESS WHEREOF, The said Board of Trustees ~re'
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a. majority of the said Board as of this dat.e.
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MATTHEWS 8< HAM
ATTORNEYS AND COUNSELORS AT LAW
38 NUGENT STREET
SOUTHAMPTON. NEW YORK 11968
PHILIP 8. MATTHEWS
(1912-1992)
STEPHEN 1. HAM. III
BARBABA T. HAM
631-283-2400
FACSIMILE 631-287-1076
c.mail: Matthamesqliilaol.com
November 23, 2005
Town of Southold Building Department
P.O. Box 1179
Southold, NY 11971
Attn.: Pat
Re: Kibbe; Permit No. 31623 Z
SCTM No. 1000-5-1-8.1
Dear Pat:
I have confirmed with the former owner of the referenced property that all
work that is the subject of the referenced "as built" permit was completed prior to the end
2002.
I have enclosed an Application for Certificate of Occupancy along with a
check for the $25.00 fee. I have sent Connie a check for the $702.60 fee for the permit
under separate cover.
If you require any further information, documentation or payments before the
CO can be issued, please let me know.
Sincerely,
<;:i-. t-l-
Stephen L. Ham, III
Enclosures
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TIMOIHYP.kLESIE,AIA,ASID
PRINCIPAl
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I N I; RIO R \ ^ Pi H ' , l ( : U >I f P LAN N I ~ G
August 6, 2003
Mr. Richard Strouse
CME/CPK Design Group
110 Broadway
Norwich, CT 06360
Reference:
Nielsen Residence
Block 8, Lots 4 & 4a, 6 & 6a, 7, 8
Fisher Island, NY
Project # 98059
Dear Mr. Strouse:
Please be advised that the exterior porch at the above referenced has
been built as per our design drawings and specifications.
Please can if you have any questions.
Very truly yours,
lJrt, s....s. ociates:
l ..,
I '. : /\, :?"
L4~k i~les::":;:ASID
cc Mr. John Nielsen, Owner
38 (HAlHAM 10AO, IHOll HIIII, HI 01018 913 3196501 IIX 973 3n 1656
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TOWN OF SOUTHOLD PROPERTY RECORD' CARD
STREET
VILLAGE
DIST.
SUB.
LOT
11
ACR. _.
.1>4!t
TYPE OF BUILDING
? s-f F If Pi r,,1 f::'
Mkt. Value ..\
J F. J..~L,<.",,"
E
S W
I?o~"i'. N~WN\A.J.Clfo1 P ;voL:
FARM COMM. CB. MICS.
YL.
IMP.
TOTAL
DATE
REMARKS
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S-t:- 0 <>
+-
...
Acre
Value Per
Acre
Value
e do
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
I ;>. i' .1
",00
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Tillable
Woodland
~~ ~"Yi" ~;
House Plot ("2.., 'Z 3
~I./
Total
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/'.)( z. Z. "- 3f f > ~~~>:; t?~o . R J -I, /41 .
Extension ~Olt3i' -:: ~8() \
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=
Ho~f^- /Ce.tt \~)( 2z ,2.r.~ 2.1l>,,;~. l()/l <- Foundation Bath , Dinette I
''-' ~., ",,:;... ,'hn. ~c.+ - IC! \7'10 CO.."'l.'> c' ,j
Porch ::./ i /0 y- 0...' , ,. 'Basement Floors K. i
~, /;2 0 /,So 18' 0 1-'''''''
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Porch GY ,I 8'lt 2.f? 2;;, '/7- Ext. Walls Interior Finish p;:JJ..',2 ~ LR.
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Breezeway 'ZGci4- IoC. ~' CDOb Fi re Place ..3 Heat S""",'M DR,
Garage ';" 3X I~ ~. = t,2,/ .:}'{ t./ rr ype Roof Rooms 1 st Floor BR.
" '-',00
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. IS -< "'? P '/2-0;' Dormer Driveway I
1'/" :.J-1 . J -' i tja 3.5'0 ..?J03
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