HomeMy WebLinkAbout32704-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32222
Date: 03/06/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 1490
(HOUSE NO.)
County Tax Map No. 473889 Section 81
PARADISE POINT RD
(STREET)
Block 3
SOUTHOLD
(HAMLET)
Lot 20
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 1, 2006 pursuant to which
Building Permit No. 32704-Z
dated
FEBRUARY 7, 2007
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" ADDITION TO AN EXISTING SEASONAL DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT W GILBERT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2099067
OS/25/06
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
--~~~~...\,
c" Ie \, I',
, ,
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
J~N \ 6061 '
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to th,,: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. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of 1 % lead,
5. COlwnercial 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 co.nsent 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. Temporaf)VCertificate of Occupancy - Residential $15,00, Conunercial $15,00
,{),,~ '.~" Date \~""\41
PI':! \"......\ \ \ ovqL)l\rY\ - . '
New Construcl1on: :>( Old or pr~-exlstmg_BUlldmg, (l,If\.\ ~ (check one)
Location of Property: \ ~ 0.... 0 Q "''>i'~~ \ ~ ~.() I~ \\.c::>o..~ ~.o ~""'~
House No, S~t ,
Owner or Owners of Property: '{. ~\.... ~ \:) <...0 \Ji)\ ~~\ \b~
~\ ~ Block ~
lJY .
Hamlet
Suffolk County Tax Map No 1000, Section
Lot
"'\-.<)
Subdivision
Filed Map,
Lot.
Permit No .[JJ:l '70 Lf~
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
..-t ./ ~
Fee Submitted: $ . v~
Date ofPermit.--.2J 1/ 0 7
Applicant:
Underwriters Approval:
Final Certificate:
OLSEN & OLSEN UP
32495 MAIN ROAD
PO BOX 706
CUTCHOGUE. NY 11935
~ll.e-. 7\~:J.~
c. 0 :c; 3:21J..J-:.....
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6317347712
OLSEN & CLSEN, LLP
PAGE B1
-
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 tn. application of
upon premises owned by
DOuG GILBERT
3494 SANDPIPER CT.
MELBOURNE, FL. 32V3/j
GILBERT ESTATE C/O GARY OLSEN
PO BOX 708
CUTCHEOGUE. NY l1V31i
Located at
1490 PARIDlSE PT. RD. SOUTHOLO. NY l1g71
ApplicatIon Numbtr,
2099087
C4rilf1catt Number: 2OIl9067
Section:
Block,
Lot,
Building Penni!,
BOC, nol1
Described as a Ruideoti.1 0.'99 square ft. occupancy, wherein the premises etectrical system consIstIng 0'
eloetrica' deVices and wirl nil. descri had halow, lor.."'" inion tha premises at:
Flm Floor.
A visu.1 Inspection of the premises electricat $)'Stem, limited to electrical devicBS end wir1na to the extent detailed
herein, was <::onducted in aCCordance with the reqUirements of the applic:able code and/or standard
promufaated by tht Stlte of New York. Department of Stat. Code Enforcement and Adm;nlstr.t1on. Ot other
authority havtn, jurisdiction. and found to be in compliilnce therewith on the 2'th Day 01 May, 2006.
~ !lIT iIII I!Illoa -"iIllIIll Ixllo
M,",IIo_..
.. bulk 1971
bed room-I will bump OUI
Applll_ olid A_I..
El..."c~ Unu
Wlrlna aDd 0......
Outlat
fiJe....
Outlet
Rooeptac'e
SwllCh
o
u
KW
2 0
2 0
, 0
4 0
I 0
FIxt1m>
I_~t
_ Purpooe
_ Puopooe
0enenI ""'-
....... 1011I1
$0.00
$0,00
$0.00
$0.00
$0.00
8'"',00
Aft ItS built lrapaalon, ortbc: dcllnC!tt1:d dclc:triClI illlWIIlti(m. dctenniMd _ an obvk)w: hUlflllI. not prBlOld. Md 1hl: IMbIlIlion Is bellovcd to
be In Ct:Imfbrm&nQa with tlte "Pplloablo roft:Ircnee standard for the cstl.".. poriocI or conllrUation 0' U. prcmlas. widlll system.
seal
THIS IS YOJJR RF-CF.IPT
I of I
This certnk:1Ite may not be 01_ in any wtIf and ;0 validaltd only ~ thl preoence of a noioed ....' at tile Iocalion IndlcalBd.
;r:O.d lfLOtlt '(O-22'-Qed
03-02-2007 10:32 SOUTHOLD BUILDING DEPT 16317659502
-
$0.00
$0.00
$0.00
PAGEl
03/02/2007 10:46
6317347712
CLSEN & CLSEN. LLP
PAGE 02
......
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
upon prom,," owned by
DOUG GilBERT
34;4 SANOPtPER CT.
MELBOURNE. FL 32935
GllBI!RT ESTATE C/O GARY OLSEN
PO SOX 7011
CUTCHEOGUE. NY 11l13li
Locllted !It
1490 PARIOtSE PT. RD. SOUTHOlD. NY 11971
AppHo:.Ilan N.......
2099067
Ctrt~icMo N....ber:
2llll9087
Section:
Block,
Lot,
Building Perml!:
BOC, ..."
Descrtbed as 8 Rcaidcntial 0.599.square ft. occupanc)', wherein the premises electrical system consistlna of
electrical devIces and wirlnll. described balow. located inion the premises It:
Pint Ploor,
A visual 'nspectlon of the premis.. e'ectrico' system. limited to e'ectrice' devices end win", to the extent detoiled
herein, was conducted In accordance with the requirements of the applicable code and/or stlndlrd
promulpted by the State of New York, Departmlnt of Statl Codl Enforclmont ond Adm'n'st,.tion, or other
outhorlty hoving Jurisdiction. and found to be In compllanCI thlrewlth on the 2'th Day 01 May. 2006.
l!ImI lID'. 8Ilo .IlIIlDI l:I!ImiI Im
M....llaeou.
.. buill 1971
bod........t wall bump OIll
AppIIIlot. .... AcceIIO.....
Rlectrle; Houcr Unit 0 I.' KW
Wlrtftl ud DeYtcoo
0Ut1.. 2 0 F_
FIKlU.. 2 0 1""",_
01111.. , 0 0.....1 ""'-
Ilecepoool. 4 0 0......1 PurpoJ4l
Switch 1 0 Oonml ""'-
An II built InIpcctlon.. or the delin~ cla:lrleal mll.lmlon, detennined _an ebvioul huard lJ noI: pmcrrt I1Jd the .....lIIlion iI. bc\itYcd 10
be In corntonll8r)OO wilb ttlCl.,liotblo rtftcwnct: Itl.ndll'd t'of m. ~ period of CIHJlU8ctton onhe' pmnill:l wIri"l 'YIWA.
sui
1 or I
Thl.collmcate may not be .Itered;, any WfIf and Is ""dated on~ by the ~ol e raised sui althe locellOll',nd_.
tOOd
03-02-2007 10:29 SOUTHOLD BUILDING DEPT 15317559502
VLO.tt Lo-~~-qe~
PRGE2
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.
32704 Z
Date FEBRUARY
7, 2007
permission is hereby granted to:
ROBERT W GILBERT
1490 PARADISE POINT RD
SOUTHOLD,NY 11971
for :
AS BUILT ADDITION TO AN EXISTING DWELLING AS APPLIED FOR
1490 PARADISE POINT RD
SOUTHOLD
at premises located at
County Tax Map No. 473889 Section 081
Block 0003
Lot No. 020
pursuant to application dated SEPTEMBER 1, 2006 and approved by the
Building Inspector to expire on AUGUST 7, 2008.
Fee $
300.00
ORIGINAL
Rev. 5/8/02
-~ .-..---.-....--.--.. ~----_.".-. -
);;-70fz.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ;xr FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIE IlESlSTAIlT"""""" l, ]....IIESISI'AN)' ~
REMARKS: ~- ~ ~
#0 ""-~. ~y.~~
!litO ~ -to:- . ,
DATE ~-I:J-"-o 7
INSPECTOR
~~
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
RODGH FRAMING &
PLUMBING
INSDLATION PER N. Y.
STATE ENERGY CODE
FINAL
.
1~"/;t-G 7 /110 ~ ~
:120 " ~.-- I . 91-
2.."" .117'-.. ,0/. L r~
/ t // ~j1J ';d~ U.
t/ / A'
P'
ADDmONAL COMMENTS
.
COMMENTS
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TOWN OF SoUI'HOLD
BUllJ)lNG DEPARTMENT
TOWN HALL . .
SOUTHOLD, NY 11971
TEL: 765-1802
.
.
. '
.
BUILDING PERMIT APPLICATION CHECKl...ll
. Do you have or ZIOCld the foI1owiDg, bcfme applyiJ:
BoardofHoa1lh
3 SelBofBui1dlngPIans
Survey,
Cbeck
Sepdo PllID1
N.Y.S.DJl.C.
Trastees
Contact!
PERMIT NO. 3<9;0 'L
RYmnm"li
c1.
Approved,
Disapproved ale
20+
20_
"~
Mail to:
-,
Phone:
,-
\
Qt.\:'
.6 tWo
AP~~JCATlON FOR BUllJ>ING PERMIT,
Date
INSTRUcrroNS
.20_
a. This application MUST be COIIlPlctc1y filled in by typewriter or in ink and submitted to the B1lilill'1g Inspector with :
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. PlOt plan showing location onot and of buildings on premises, relationship to a4iolnlng pmnises or public streets OJ
l1relIB, and waterways.
c. The work covered by this application may not be Commenced before issuance of Building Pmmit.
d. Upon approval of this application, the Buildhig lllspeetor will issuo a Building Pemrlt to the applicant. Such a pCl1lliJ
shall be kept on the premises avaiJable for inspection ~ghout the work. ,
e. No building shall be occupied or used in whole or in part for any pmpose what-so-ever until a Certificate of OCCllpllI
is issued by the BUilding Inspector. .
APPIlCATION IS HEREBY MADE to the Building Department,for the issu8noe 0 a Building:pemrlt pursuant to the
B1tllillng Zone Ordinance of the Town of Southolcl, Suffolk CoUllty, New York, and 0 . cable Laws, Qrmnsmccs or
Regulations, for the construction of buildings, additions, or alterations or for removal lition as herein described. The
applicant agrees to comply with all applicable laws, orrlinon"cs, building code, ho' de, and ~ and to admit
authorized inspectors on premises and in building for DeCesSsry'inspections. . .
(S~ of applicaut or_, if a corporation)
(MaiIiDg add%ess of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
. M tJ) J1~ . ... .
Nameofownerofpremises ffJ1;,J:t 11h~J-t r w. ;}JJ64 r
, . (as on .the tax roll or latest deed)
If applicant is a COIporation, signature of duly authorized officer
.
(Name and title of COIpOratc officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land C]WIVhicb. PJ:OPosed worlc will be done:
JLJ90 ~t!'1.~J ~jh'r f1IR
HOllSC Number StJwt ,
q\
County Tax Map No.1 000 Section
Subdivision
~~fL"JJ
Hamlet
~
(Name)
Lot "\..-4
Lot
Block
Filed Map No.
State existing use and occupancy of'premises and intended use and occupan~ of proposed constmctI.on:
a. Existinguseandoccu:pancy ~Y"'.....~ \""t\~ \d <h'\ "L-lD I. .
b. .Intended use and occupancy' ~ 'ii\.~~~'~ U;) '%..: ,\\ .'
Nature of work (check which applicable): New Buildinlt
Repair Removal Demolition
Addition
Other Work
':J..
.
Alteration'
(Description)
Estimated Cost
Pee
If dwelling, number of dwelling units
If garage, number of cars
(to be paid on filing this application)
Number of dwelling units on each floW
Ifbusiness, cOmmercial or mixed occupancy, specifY nature and extent of each type of use.
Dimensions of existing structures, ifany: Pront
Height Number of Stories
Dimensions of same structure 'i'Vlth alterations or additions: Front
Rear
Depth
Rear
Depth
Height
Number of Stories.
Dimensions of entire new construction: Front
Height Number of StoriEtS
Rear .
, Depth
Size of lot: Front
Rear
Depth
I. Date of Purchase'
Name of Former Owner
. Zone or use district in which premises are sitUated
:. Does proposed ~ction violate any zoning law, ordinance or regulation:
'. Will lot be re-graded
Will ex~s fill be removed from premises: YES NO,
'. Names of Owner o/premises
Name of Architect
Name of Contractor
Address .
Address
Address
Phone No.
Phone No
Phone No.
. Is this property within 100 feet of a tidil1 wetland? *YES NO
· IF YES, SOUTHOLD TOWN TRUSTEES PElUvITI'S MAY BE REQUIRED
. Provide survey, to scale, with accurate foundation plan and distances to property lines.
. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
ATE OF NEW YORK)
IUNTY OF~vR.\~S: ,
\.,. to.. ~ ~ 't\ 'CW"\ ~\~.\rY\. being &1y swon!; deposes and says that (s)he is the applicant
(Name of indivi signing contract) above named, . , ' .
He is the ~ \1'\ \'\ ~
(Conftoactor, Agent, Coxporate Officer, etc.)
laid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
t all statements contained in this application are true to the best ofhis knowledge and b,elief; and that the work will be
fonned in the manner set forth in the application'filed therewith.
om to before me .
\ra day of
LORRAINE KLOPFER
Notary Public. State of NewYort
No, 4828373
Qualified in Suffolk County
Commission Expires Nov. 30. i:JlDQi
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
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
Permit No.: 6479A
Date of Receipt of Application: October 25, 2006
Applicant: Estate of Robert W. Gilbert
SCTM#: 81-3-20
Project Location: 1490 Paradise Point Rd., Southold
Date of Resolution/Issuance: November 15, 2006
Date of Expiration: November 15, 2008
Reviewed by: Board of Trustees
Project Description: Wetland Permit for the existing 4.5'X 6' addition to a pre-
existing residence, which addition was build about 1972-73, and as depicted on the
plans surveyed by Stanley J. Isaksen, Jr. July 19, 2006.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees.
Special Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth by the Board of Trustees, a Wetland Permit will be
required.
This is not a determination from any other agency.
~~~
James F. King, President
Board of Trustees
.
1-
TOWN OF SOUTHOLD IQPERTY RECORD CARD
.
~I'I
SUB. LOT
AGE
NEW
S
VL. FARM CO;..AM. \j IIND. CB.
. IMP. TOTAL DATE REMARKS
,Lso d tjtJ 10
'zS--~ () 3900 VI Y/,:l//~
;2. .rv tf,I 3'(1" f~ ~
6.? D 0 S306
BUII:DING CONDITION
NORMAL BELOW ABOVE
Acre Value Per Acre Value
IUry Ft'-d. nI e
I MISe. I
RES.
LAND
J O~
J,9tJ ()
/;Lco
...
"" 0
:3 ':;"l_~--U..<(.)
Farm
Tillable 1
Tillable 2
L.J.
~ e Jo
lOr.
Tillable, 3
J
/77tJ
/.
~
4L. /
Woodland
Swampland
B rush land
House Plot
Total --
--
-..,
"-'. -"'h,~,~.~.;;~:;~< ~. ~t~~:4.~~,~~jit
'.;.~~ \c;-' ';";:'-"~~l':';/;:':"~~':~~I:\?~'::.41~:.~~Y<~;~~\~.
~..'-;i,' "-"':~"I"ji'$". '~-'--"." ,.~ .'''....l.,~.-:...~. "'iIi. "".",""ti
. ..'. ,'. ~;'..'!l':'., '<:"'.;j~ ;,,> "':,,,. ",~
c',' \~i"~'-'t.. "~--",:,.~,. F. ....J,.. '. ,. '-"-~J~~'r.
., ." .,,' '-;,,; ~".' . .'.,,"-".,-,;.
""::'~Ql..lii:' ",~~' '(Ii" =~~J i"?"~,
""~,{:. ~.i'~.. ....! /1' ,.. -; ~"~ ~",'.
1tIt~,,~:., .'?;\<-r_ --:>:,,, [[]'--_"_ n :",..~...
" f' . "~':'.~"' "-.~,
,-~..-~~"
. ~:
rTrl. 'J ill. ) i""D.J J
'J J J tJ..!J ..
M. Bldg. .J.tlY-::.'1 II'Z ~, IdH ~; g',j Foundation IC~-A Bath /
= ,?cJ 18AC!Il:: ;'4',f ,
,
! , I Mn<e. ' Floors
Extension I1x J 3 , II 7 Basement /I"V c~
Extension H II : (PJ :(5.,; i ~o ,(,3;- Ext. Walls 'Wa rxI~/; 'l'e Interior Finish iU.r-tl L /5.1>,
Extension 7X11 , 77 Fire Place 6h -e HeQit
/(-- ,)
ft X jiJ ~ !~ S-O '/~ Porch Attic
'7 X iAJ , 1'1 () ....---D 1./0 Porch Rooms 1 st Floor
I .-
Breezeway Patio Rooms 2nd Floor
Garage teal- ~ /! ~~Q ~ HA- t /.{' 2$'7 Driveway I)n j)<l H eJ,
O. B. /3c I-h llat./:f-e ~'/,1J.. .; f
t:,
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GUARAN1EESlNDICATBJIEREON SHALL RUN
OM. YTO 71E PERSON FOR ~ THE &flVEY
IS PREPARED. AND ON HIS BEHAlF ro THE
TI7J.E COW"ANY. GOl/ERMIENTAL..tG8lICY.
LENDING INSTTTUnON. F LlSTEJ HEREON. AND
ro THE ASSIGNEES OF 7HELEMJING NS111l.I11ON.
GUARAN1EESARENOTTRNI8FERNJLE ro
ADDfTKJNAL INS7T1VT1ONS OR SIAJSEQtENT OWNERS.
UNAJ.mKJRIZED AI.. 7ERo4.T1ON OR ADDITION ro THIS
~ISA ~TIONOFSECT1ON l2090F
THE NEW YORK STAJE" EDUCATION LAW.
COPIES OF THIS SUR\EY IIAP NOT BEARING
THE LAND SLfi\IEYORS EI80SSED SEAL SHALL
NOTBE CONS/DERED 10 BE A VALJD 1RUE
COPY.
GUARANTEED TO:
DONALD H. GILBERT
JANE A. GILBERT
FIDELITY NATIONAL TITLE INS. CO.
OAK HILL MORTGAGE, INC.
N"-'Il~-{
O'?-\
N/F AKSCIN
j{
S 6756'40"E
Q
i3
if
"-
o
N/F MILLER
368.75
UTlLPOLE
IJ
'"
N/F MIGNEREY
SURVEY OF
DESCRIBED PROPERTY
SITUATE
SOUTHOLD, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: DONALD H. GILBERT
JANE A. GILBERT
TM# 1000-081-03-020
361.43'
OVERHEAD WIRES
-
o
-
Z -
-
-
in ATTACHEDI
t..: STORAGE I
~ SHED I
I
U)
c.,.
um. POLE
DISTANCE PIPE TO STONE UONUI.IENT 170.00'
.0'
..
6.2'
9.2
~~-
--~
64-.45'
WOOD FRAME
RESIDENCE
;"
:27.4'
N/F MIGNEREY
634.15'
--
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257.88'
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50' +
SURVEYED: 19 JULY 2006
SCALE 1"~ 30'
AREA = 21,092 SF
OR
0.484 ACRES
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SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. B X 294
NEW FFOLK. N.Y.
631- 34- 35