HomeMy WebLinkAbout30950-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31955 Date: 10/26/06
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: MONTAUK AVE FISHERS ISLAND
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 10 Block 7 Lot 5
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 9, 2005 pursuant to which
Building Permit No. 30950-Z dated FEBRUARY 9, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to THOMAS A & LAURA NIGRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
-�14 / Z-�4
//,Au-111oriz9d Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application rnust be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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 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 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 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 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.
New Construction: DECK Old or Pre-existing Building: (check one)
Location of Property: HDNTAUK AVE. FISHERS ISLAND, N.Y.
House No. Street Hamlet
Owner or Owners of Property: THOMAS A. 6 LAURA NIGRO
Suffolk County Tax Map No 1000, Section 10 Block 7 Lot 5
Subdivision Filed Map. Lot:
Permit No. 30949—Z Date of Permit. 2/9/05 Applicant: TNQIAS 6 LAURA NIGRO
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: XX (cheek one)
Fee Submitted: $ 25.00
Applicant Signature
co-Z3IRS `�
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. 30950 Z Date FEBRUARY 9, 2005
Permission is hereby granted to :
THOMAS A & LAURA NIGRO
1 RIDGEBURY RD
AVON, CT 06001
for
ADDITIONS AND ALTERATIONS TO AN EXISTING BUILDING AS APPLIED FOR
THIS PERMIT REPLACES PERMIT #28641 & #18691
at premises located at MONTAUK AVE FISHERS ISLAND
County Tax Map No. 473889 Section 010 Block 0007 Lot No. 005
pursuant to application dated FEBRUARY 9, 2005 and approved by the
Building Inspector to expire on AUGUST 9, 2006 .
Fee $ 150 . 00
Authorize nature
ORIGINAL
Rev. 5/8/02
C H R I S T I N A G R I F F I N A . I . A .
r
A r c h i t e c t
July 25, 2005
Mr. Damon Rallis, Building Inspector
Building Dept., Town of Southold
Town Hall, 53095 Main Road
PO Box 1179
Southold, NY, 11971-0959
Re: Nigro Residence, Montauk Avenue, Fisher's Island, NY
Permit # 28642
Dear Mr. Rallis,
After discussing the reinforcement of the deck at the Nigro Residence with the contractor for
the project, the plans have been modified to indicate replacing the beam at the second
floor deck to avoid dismantling the porch structure.The Drawings enclosed have been
revised accordingly to reflect this change. Feel free to call me if you have any questions.
Sincerely,
-Christina Griffin, A. . .
05
(( JUL 2 8 20
cc: Mr. & Mrs. Nigro ! L_. - --'
1 0 S p r i n g S t r e e t , H a s t i n g s - o n - H u d s o n N e w Y o r k , 1 0 7 0 6
914 478 0799 tel 914478 0806 fax Christina griffin @verizon . net
BOARD OF HEALTH . . . . . .
3 SETS OF PLANS . . . . . . .
FORM NO. I SURVEY . . . . . . . . . .
TOWV OF SOUTHOLD CHECK . • • . . . . . . .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
SOUTHOLD, N.Y. 11071 NOTIFY
TEL.: 765.1802 CALL • • • . . . . . . . . . . . . .
L� / MAIL T0 :
"
Examined V.11e4. . .//. . �GJ� p
Approved ([ : . . F.( . . . ., 19�C Permit No. . .I L7.� . I Z
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date . .. . . . . . .. 19 VIT
INSTRUCTIONS
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 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
Re_ulations, 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 aut::orized inspectors on premises and in building for necessary inspections.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . .
(Signature of applicant, or name, if a corporation)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
�O✓�/ . . .<o,-/ 2/r� z�r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . .
Name of owner of premises .Aqm. .�i/S.. . . .4/�FY�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .
(as on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer.
• (Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No.
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Othcr Trade's License No. (��/�;{r, , , , , , . ,
1. Location of land on which proposed work will be done. . . ,/ 0. . . .. . . . . . . . . . . . . . . . . . . .. . . . . .. . . .
House h'umbcr / Street Hamlet . . . . . . •• • .-
County Tax h1ap No. 1000 Section 1.0-PIP , . , . , , Block . . . . . .1. . . . . . . . . . Lot . . . ,
Subdivision . . . . . . . . . . . . . .
(Name) . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . .. . . Lot . . . . . . . . . . .. . . .
Statc existing use and occupancy of premises and intended use and occupancy of proposed construction:
Existing use and occupancy
intendeduse and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -
3• Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . AlterationRepair .. . . . .1—/ .. . . . Removal . Demolition Other Work .
4. Estimated Cost ✓.U 1 a0�J Fee , , , , a (Description)
S. If dwelling,number of dwelling units . . , , , • .• • . (to be paid on filing this application)
If garage.number ofcars . . . . . .
Number of dwelling units on each floor. .
a�... , • • • • • • . • • •• • ..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _
6. If business, commercial or mixed occupancy, specify. nature and extent of. .each. type.of.use /I��Y. , , ,, . . • • .
7. Dimensions of existing structures,if any: Front . . l//-/ Rear
Height . ,�3$,¢,';,, , , _ • Number ofStories . 3 " " " ' Depth . . ,/P, j , ,,, , ,,
Dimensions of sam tructure with alterations or additions: Front /!/r✓6
Depth . . .. .(�l0� • • . . . . . . Rear . . . . . . . ... . .. ....
Height . Number of Stories .
8. Dimensions of entire new construction: Front . Rear . .. • • .•• •
Height . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . .. . ..
9. Size of lot: Front Rear . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . .
0. Date of Purchase. tq(/�i"W"W " ,���0 . . . . . . . . . . . . . . . . . . . . . . Depth . . .
• • • • . . . . . Name of Former Owner .�'�.`qC4. . . . .. . . . , , • ,
1. Zone or use district in which premises are situated2. . . . . . . . . . . . . . . . . . . .
Does proposed construction violate an zoning
3. Will lot be regraded , , , y o law. ordinance or regulation: . , . , ,
A/V . . • • • • • • • • Will excessfill be removed from premises: Yes
4. Name of Owner of. remise "/;
P Sd . . .Address ,Fvx�Rgp}� iSi. . Phone
Name of Architect .Address
Name ofContmctor�� $Q(U . . . Phone No. .. .
ff .L• • • Address �/1/Q�( �$ ; /
• Phone No.� 70� ��
5. Is this property located within 300 feet of a tidal wetland? *Yes No
tidy A . . .
*If yes, Southold Town Trustees Permit may be reg uired.
PLOT DIAGiZAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from
roperty lines. Give street and block number or description according to deed, and show street names and indicate whether
aerior or corner lot.
"ATE OF NEW YORK, S.S
fit:N?Y OF . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that heisthe applicant
(Name of individual si;ning contract)
ovc named.
isthe . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
plication: that all statements contained in this application are true to the best of his knowledge and belief;and that the
;rk will be performed in the manner set forth in the application filed therewith.
orn to before me this !�
. . .. . . . . . . . .<I . . . . .day of. . . . lP... . A/ / . . . . . . . . . .. 19F
tar) Public, . ... . . . .11, County
HELEN K VE YOE
NOTARY PUBLIC,shh of New Yak
Na 4707878,SufWk CNMy., • (•ignature of applicant)
Term Expires March 30,1
. 1...:.D 1••v. :..C. �1:•• VU.1:"l LN T f
1 • II ��
FOUNDATION ( 1 s t ) � y
70UNDATIO.1 ( 2nd )
2 .
.',OUGH FRAME &
'r
•PLUMBING
3y
.
. a
II�SULATIOPI PER N. Y. I n
STATE ENERGY I
CODE
4 . �,y
FINAL I
ADDITIOPJAL COMMENTS : m
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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. 28641 Z Date AUGUST 9, 2002
Permission is hereby granted to :
KATHERINE DOYLE
85 FOXCROFT RD
WEST HARTFORD, CT 06119
for
ALTERATION & REPAIR TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR. (REPLACES BP 418691Z DATED 12/11/89)
at premises located at MONTAUK AVE FISHERS ISLAND
County Tax Map No. 473889 Section 010 Block 0007 Lot No. 005
pursuant to application dated AUGUST 5, 2002 and approved by the
Building Inspector to expire on FEBRUARY 9, 2003 .
Fee $ 242 . 70
;A/r,i?6d Si ature
ORIGINAL
Rev. 5/8/02
FORM NO. S
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)
N218691 Z Date .,, ....... ..�......................... .�.
Permission is hereby granted to:
.g,
...... .......................
. ..... .. .l/.�. ......
r .. ?!1C✓�...to .. ... ...... ... . . .. .. ............
at premises located at .... .......... . .. ....... :e. ............................
.......................................................A 1 ...... . . . .... .........................
........................................................... .`...':Y.... ....... ........r.......................................................
County Tax Map No. 1000 Section ........1—a...... Block ......~7'............ Lot No. ...�f.,,,/..
pursuant to application dated ... ..................... 19..f../, and approved by the
Buildin Inspector.
Fee $..�... a... �
Building Inspector
Rev. 6/30/80
SEP 06 '02 0B:5sRm SOUTHOLD BUILDING 631 765 9502 P.2
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SCALE: 1 /4"=1 '-0"
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Drawing Title: Date: CHRISTINA GRIFFIN A.I.A. RENOVATIONS TO THE
a'I M 1111U s lata,a.moa
A- 3 ��'" """�'""" A 7 c h i t e c t NIGRO RESIDENCE
Scale: 10 3478-0 St., Hastings-on-Hudson, NY 10708
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e14-473-07e9 fax 914-478-0808 MONTAUK AVENUE, FISHER'S ISLAND, NY