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Home My WebLink About32513-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32053 Date: 12/05/06 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: PRIVATE (HOUSE NO.) County Tax Map No. 473889 Section 7 RD (STREET) Block 4 FISHERS ISLAND (HAMLET) Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 2006 pursuant to which Building Permit No. 32513-Z dated NOVEMBER 21, 2006 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 "AS BUILT" ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to DOROTHY M CORBIERE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A orized Signature Rev. 1/81 Form No.6 P.o. ~G)G /lIe; "Shc.tlu.l\.d, ,U. Y It 971 . TOWN O}<' SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . \' \ \ This application must be filled in by typewriter or ink and submitted to the Building Department ',with the following: , ......--' . . APPLICATION FOR CERTIFICATE OF OCCUPANCY D\:.C A 'i '~b - --..--- A. For new building or new nse: ~_~) 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 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-confonning 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 ill writing to the applicant. C. F ces 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 $1.5.00 Date. kc ~c)u~__ (check one) y\.s,~S \~d New Construction: ''f.. House No. i~)Jd or Pre-existing Building: I" r't "de.- Q~ Street Location of Property: Hamlet Owner or Owners of Property: _ ~ ( h'l -ec~ Suffolk County Tal' Map No 1000, Section.. I Block Lf Lot q Subdivision ___._ Filed Map. Permit No. ----.2."),SL~ Date of Pennit...ll-? \ --\..__ Applicant: Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate ',c ~ Fee Submitted: $ 01 ~ _ Underwriters Approval: ____ Final Certiticate: ',( (check one) ) - C~G)'~ "'Iv Applicant Signature - ~.7/'f~ CO~3d-053 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. 32513 Z Date NOVEMBER 21, 2006 permission is hereby granted to: DOROTHY M CORBIERE 198 NEWTON STREET WESTON,MA 02493 for "AS BUILT" ACCESSORY SHED AS APPLIED FOR at premises located at PRIVATE RD FISHERS ISLAND County Tax Map No. 473889 Section 007 Block 0004 Lot No. 009 pursuant to application dated NOVEMBER 20, 2006 and approved by the Building Inspector to expire on MAY 21, 2008. Fee $ 150.00 ~& f Authorized Signature ORIGINAL Rev. 5/8/02 J . FIELD INSPECTION REPORT DATE I COMMENTS IJJ ... y' i"l \ 1\ ~ FOUNDATION (1ST) v' --~-----~_.~--------_.._--- ljJ .., -- .~.~_._-~--- ~lJ .. , ------------------------------------- .. --,,~---.- '-'-'.--'-'-." ...--------- 'i"" ~ ,."------------- ~'"1 FOUNDATION (2ND) ----- ( '" J-::' ...-. ~, i"l ;:. Z =+:- ~ ~ . - '" f-------- <- .., 'r 1:;1 ROUGH FRAMING & (T i"l .., PLUMBING -.---. ---~ f----- ~ ----.-.----- f--- T'\', ~ --~- -.. -- ---.....-.-- _0":> -- -- ---- ---.--- -- - ~ --- --- ---------------- -- --------. _._.._n.", -- -- -- ---- i"l INSULATION PER N. Y. ------ --~--- .., STATE ENERGY CODE -...--.--.. :1\ 4" , Uif-lfJ . .D..t.. ; c........ )" 'y~ r I I / .- I II I en f- -~----- /J ..-.-..-.- v ~ [^ f---- v -- ,"'0 FINAL f' ( ~ -__-__-0 ADDITIONAL COMMENTS ? '\ - _._-----_._----~-~--- ----- -- V '__0.'.' -------------,_._.__._._,._--_._-_.__.~_.- ...- ~ 0 :IE z m --.-- .---- .'----- "._,--..._-- -'-"-- '-,--'--- ----.-.--.-----.. ... ;:u ---,---- - - - ------_._-_.,_.._--~_.,- .-'--'.'--. .... --~----- -- t7 .. --~--- _.~_..,..~--_._-_._------_.._------ , -- --~."._.- ----- -- ---~_._- --- \]) i"l ~ , ... -----_.-_~- -- .----------_..~._._-----~-----------_._.- ----.~.-- V' - ~ l .., - g~ i:l: - rl .., ._~-,- -.-- .j:-g; ) i"l ... ~ ~. . 3;;..573 V 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 Form NYS.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ PERMIT NO. Exam;ned~20 O/i7 Approved 20 (),r, Disapproved ale Expiration ./ i ,l,}-{,2o 0 J - ~ Ji,' Dorothy Corbiere . 198 Newton SI. Weston, MA 02493 7'li1- (p 41- q4LJq \. -.\ \ 'i' 1\ Ii 2 O;S i Li ~__ . i INSTRUCTIONS "i; ....0 a.J1!-~apj)tiCJ!tlQ~~ completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 -seIs ~orpTans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location aflat 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 throughout 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 pennit for an addition six months. Thereafter, a new permit shall be required, APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance ofthe 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 authorized inspectors on premises and in building for necessary inspections. OCCUPANCY OR ] . G,y-b I'ere... USE IS UNLAWfUL (S;gnatureofapphcantorname,;faco~'"t;on) JCl~ 1\I~~t-. LtJ4.1nn ,MA WITHOUT CEFffIFICA TE (Maihng address ofapphcant) I .1-1{. '13 State whether a~F"'GeeUPANe~chitect, engineer, general cont~'Ftor, elecVJ~Iil[.)Iij)}JEatA&~o-R.\J . h5!tMA.lc ;; ',JI Dr#. Q)'Vi2 1\ _.I- . ~ K..:-- Name of owner, of premises lJC9rD-t-h l tit I . ., ow AT 1t' sl :j>l<;j1'cy BVLDi:", i_'. If applicant is a corporation, signature of dulyMllii~Itt~U! h ::\~ ~::~.,rr S OF _1'6~;' 802 s M-:1 ", :~ '.:);") iHE (N d ftl f fli) CODES OF NEW YORK ST A TEFOLLr'\\NG I!~, ,.~: "'~D arne an I eo corporate 0 leer 1. FC._j~~DATION . ",-',\'U REO'Jnc' Builders License No. FeR POUFEC C~ \CFtETE Plumbers License No. 2. ROUGH. FPAt .; & PLUMBING Electricians License No. 3. INSULATION . _ Other Trade's License No. 4 FINAL. CONSl [,,,;C. liON MUST . ,,-n""IETE FOR C.O. --. -N,~.,~e::- SHN..LJb\~JT THE , v - L('"ICL.vl~FNEW Hamlet RE ..' .. . COR '+ ~~~~~C~~R~~:no~ ERRORS. Filed Map No. Lot b,.U e..nc..tosed APPLICATION FOR BUILDING PERMIT Date lJ 6\l . n ,200~ 1. Location of land on which proposed work will be done: Pn\JcJe. 1el. House Number Street County Tax Map No. 1000 Section Subdivision 'f Block (Name) oLd ~ } o~ VOl. c.-'\.4- 2. b. Intended use and occupancy Addition Other Work e"t:15-h-ttQ b1:P~ \ AlteratiOfl =--"- (oS ~ J 3. Nature of work (check which applicable): New Building Repair Removal Demolition (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. , , 7. Dimensions ofexisjing structures, ifany: Front "1-.0 Rear lO Depth Height b Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front 10, Date ofPurchase~15 Depth 6~t! ~~ €/tc.J.oyeJ 'KobtLc.L Rear C? }Name of Former Owner 11. Zone or use district in which premises are situated /' 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO V (lD q Vd-CL(1l1l 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO J J - - - - (.Ja...S ~Cf}~tU'Lf 14. Names of Owner of premises_~ Dorothy Corbiere Phone No. J Name of Architect 198 Newton SI. Phone No Name of Contractor Weston, MA 02493 Phone No. 15 a, Is this property within 100 feet ofa tidal wetland or a freshwater wetland? 'YES_NO V" , IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b.ls this property within 300 feet ofa tidal wetland?' YES_ NO_ , 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. CUM"'Ifl,vtJf/l. ,'-'lMf,ildw5(/t5 = OF NeW ':OIlK) . ss. COUNTY OF H"IJk>/li Or" hIe. being duly sworn, deposes and says that (s)he is the applicant at signing contract) above named, (S)He is the U W>V/\ (Contractor, Agent, Corporate Officer, etc.) 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 performed in the mafl..ner set forth in the application filed therewith. Sworn to before me !his {:lj~aYOf_ ('A --( .." . 'otary u 20~ fJ 6:~PPlic~L ~ .~ CARa. ANN PORTEIt NaIIry PuIIIc c..l.~L_." 01 ........ 11ft I - ,ElpilllIlirSl.2011 . - Page 1 of 1 _ ~ i5 en 1I\-c4'cc:JJ-0'-\ ~~ ~ oW dh tk?- ~S~, Jhmon - I dLM~ ~ ~ ~ s .en~d I ~nlL elM clt . CaLl VVte.. 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