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HomeMy WebLinkAbout32574-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32234 Date: 03/08/07 THIS CERTIFIES that the building ADDITION Location of Property: PRIVATE RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 7 Block 4 Lot 9 Subdivision Filed Map NO. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 21, 2006 pursuant to which Building Permit NO. 32574-Z dated DECEMBER 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY M CORBIERE (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF H]L%LTH APPROVi~L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u N/A 3016413 12/26/06 01/12/07 GLENN GELLO Signature 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) PERMIT NO. 32574 Z Date DECEMBER 21, 2006 Permission is hereby granted to: for : ADDITION. DOROTHY M CORBIERE 198 NEWTON STREET WESTON,MA 02193 THIS PERMIT REPLACES BP 15373. at premises located at County Tax Map No. 473889 Section 007 pursuant to application dated DECEMBER Building Inspector to expire on JUlqE Fee $ 150.00 PRIVATE RD FISHERS ISLAND Block 0004 Lot No. 009 21, 2006 and approved by the 21, 2008 . ~---~0ri~ed~=~ re ORIGINAL Rev. 5/8/02 I~OB~ NO. It 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) 15373 Z Permission is hereby granted to: , .~...~...~.. ............... ., .......................... ,4, ~. ~ at premises located at ...................................................................................................................... ~ursuont to ~pplication dated ............. , 19.~..~, and approved by the ~luil~ Inspector. ~...~..~ Fee $.~...~...~ ......... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK APPLICATION FOR CERTIFICATE OF DATE ...... 2/27/90 ........... NEW CONSTRUCTION ..... OLD OR PRE-EXISTING STRUCTURE.X...VACANT LAND ...... Location of Property...Private Dr.off East End Ave ........ Fishers Island HOUSE NO. STREET HAMLET Owner or Owners of Property...Adrian Corbiere ........................... County Tax Map No. 1000 Section..7 .... Block...4..Lot...9 ..... Subdivision ................... Filed Map .......... Lot ............ Permit No..15373Z ....... Date of Permit..10/7/86...Applicant A.J. Gada .... Health Dept. Approval ................ Underwiters Approval ................. Planning Board Approval ....................... Request for Temporary Certificate ........ Final Certificate ..... X .......... Fee Submitted .... $25.00 ............ Applicant. A. John Gada General Contracting, Inc ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 . -] t._l ., 19 7~.L, Received ........... ,19... ., 19~. Permit No./.~,~.~.~..~..~ ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date....?./A ~: ........ 197..~ 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 wk01e 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 Buil,~ing 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 authorized inspectors on premises and in building for necessary inspections. · .A.,..J.o.h..n..G.a.d..a..G.e.n. ~.u.a.l. Cp.r~ ~.c.~.iog.,..I~C- (Signature of applicant, or name, if a corporation) Drawer B · 'Fi~'bers' ~,~n~,~ ' NY' '0o6 39,~ ............... uviamng address ox appncant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. A~iaa..B,. a.nd. Do.r. othy..B,. C.or. Die.me ................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No .... .3.fi ................... Plumber's License No. 46.2-,P .................. Electrician's License No..Z9 6 =g ................ Other Trade's License No..2@1. /-II ............. I. Location of land on which proposed work will be done .... Dark..Area.,..Eishers. X.slanc% ................ House Number Street Hamlet County Tax Map No. I000 Section ........ 7 ........ Block ...~$ ............. Lot. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... Resi.dencm ...................................................... b. Intended use and occupancy .... ResS..denc~ ...................................................... 3. Nature of work (check which applicable): New Building .......... Addition .... ~ ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost... ~.7.0 t 000 ;.{30 ....................... Fee.~' ~.~,~.. ~.. '... · (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... t ...... Number of dwelling units on each floor ................ If garage, number of cars ......................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front.. 2.4 .......... Rear . .3.6 .......... Depth .. ~ .4 ........... Height ............... Number of Stories ...... 2 ................................................. Dimensions of same structure with alterations or additions: Front 3 @: d~". ......... Rear .... 40 .' 4.". ........ Depth .24.' .................. Height . .25 ! ................. Number of Stories .... .2 ................. 8. Dimensions of entire new construction: Front J-...4. Rear ...4. '..4y. ....... Depth .2.4. .' ........... Height 25.' ............ Number of Stories ...... 2. ................................................. 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated .... re~i. denl:.i, al .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... tm .......................... 13. Will lot be regraded . .No ........................ Will excess fill be removed from premises: Yes x No 14. Name of Owner of premises~,,13,..Corbi~re ..... Address ?J.~her~..I ~ J.~.rlc].. Phone No. 7.~{3:-.7.~5.4 ...... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .~.. ~'.qho. g.a.c~ ........... Address .F.i.s.h..e .r.s..I..s.l.a.n.d... Phone No. 7..8.87.7.2.3..1 ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWcYO.R~K, COUNTY OF. ~.t¢ c.~.~.,-.~._~f: , ..... S.S ........ .,).C.q.~!...(~..~.~..,~....3..*... .............. being duly sworn, deposes and says that he is the applicant (Nam%ol~,individual signing contract) above named. ~ He is the ..... L..t).~.i7~..4 ~?/-. [~. ..................................................................... (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 manner set forth in the application filed therewith. Sworn to before me this ........ zJ:. . ,,.:. x. r.._. ...... , Notary Public, ..i'. ( .t~.~..~?'?. ~?; .~ ~./~.. ....... County · ' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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 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. F~rexistingbui~dings(~ri~rt~Apri~9~~957)n~n-c~nf~rming~ses~~rbui~dingsand"pre-existing~landuses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the masons 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 12-13-06 New Construction: x Location of Property: Old or Pre-existing Building: (check one) Fishers Island House No. Street Adrian and Dorothy Corbiere Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 007 Subdivision Permit No. Date or'Permit. 10-7-87 Health Dept. Approval: Planning Board Approval: Block 4 Lot Filed Map. Lot: .Applicant: unknown Underwriters Approval: Hamlet 9 ~ Request for: Temporary Certificate Fee Submitted: $ 25.00 Final Certificate: x (check one) 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 premises owned by DOROTHY CORBIERE DOROTHY CORBIERE 198 NEWTON ST 198 NEVVTON ST WESTERN, NY 02493 WESTERN, MA 02493 Located at EASTEND RD FISHERS ISLAND, NY 06390 Application Number: 3016413 Certificate Number: 3016413 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, Outside, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 26th Day of December, 2006. Name QTY Rate Rating Circuit Type Miscellaneous as built 1999 Wiring and Devices Outlet 11 0 Fixture Fixture 8 0 Incandescent Fixture 3 0 Flourescent Outlet 20 0 General Purpose Receptacle 11 0 General Purpose Switch 6 0 General Purpose Receptacle 2 0 GFCI An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal 1 of 1 This certificate may not be altered m any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD' OFFICE OF BUILDING INSPECTOR P.O. BOX'728 '.. TOWN HALL $OUTtlOLD, N.?. 11971 C E R T I F I C A-T I 0 N TEL. 765-i 802 Building Per~it NO. '~'-~ ~x~t'~ ~Z. · (please print) (please print) Date i certify that the solder used in the water supply sYstem contains l~ss than 2/10 of 1% .lead. . .(plumber's signature) Sworn to before me this ~day of ~~ ,. · Notary. Public ,~/~ County ,Yf NO ~a~y Publi~ ROXANNE SRAULDING NOTARY PUB'LIC, sTATE OF NEW YORK · No t]ISP§I ~3942 .I (~UA[ {I Ilil) iN SUI[101, K COUN I'Y ! ATTORNEYS AND COUNSELORS AT LAW 38 NUGENT STREET January19,2007 Mr. Gary Fish Town of Southold Building Depadment P.O. Box1179 Southold, NY 11971 Re: Building Permit No. 32574 Z; Dorothy Corbiere; SCTM No. 1000-7-4-9 Dear Gary: In connection with closing out of the referenced open permit, I have enclosed an original executed architect's certification by Evelyn Cole Smith and an original solder certification by plumber Glenn Gello. Please give me a call to let me know what further steps must be taken, documents provided or payments made, if any, before you can issue a Cedificate of Occupancy for the addition at the referenced property. Sincerely, Stephen L. Ham, III Enclosures CME Architecture, Inc. Woodstock, CT 06281 (860) 928-7848 FAX (860) 928-7846 January2,2007 Gary Fish Town of Southold Building Department Town Hall 53095 Main Street P.O. Box 1179 Soutitold, NY 11971 Re: Corbiere Residence Private Road Fishers Island, NY 11971 Dear Mr. Fish, Please be advised that to the best of my understanding and knowledge, work related to the construction of an addition at the above referenced residence (County Tax map no. 473889, Section 007, Block 0004, Lot No. 009) has been completed in accordance with the applicable codes of the State of New York. ~vel~n-~al'~ Smi'th~, ' ' - a ) Date NY architectural license nm~r 029794 The foregoing instrument was signed and acknowledged Before me this ,o~4~ day of ~ t2/YLIACX~-/ 20 0 ~. Notary publi~ j State of Connecticut [~ItNCY M~rA~Y My comm:ssion expiresMYcO~Iss~°N EXPIRES Toll Free 1-888-291-3227 Afl Equal Opportunity Employer www.cmeengineering.com 03/05/2007 13:22 ~AX 631 788 7798 FISHERS ISLAND UTILITY TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION ~002 FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION ~ND [ ] INSULATION FRAMING / STRAPPING [ ,~'~NAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE 03-05-2007 13:22 SOUTHOLD BUILDIN$ DEPT 1~317659502 PAGE2 TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~/]~INAL~/~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE / // INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JLATION [ ] FRAMING/STRAPPING [ ,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION CME CME Architecture, Inc. Woodstock, CT 06281 (860) 928-7848 FAX (860) 928-7846 January 2, 2007 Gary Fish Town of Southold Building Department Town Hall 53095 Main Street P.O. Box 1179 Southold, NY 11971 Re: Corbiere Residence Private Road Fishers Island, NY 11971 Dear Mr. Fish, Please be advised that to the best of my understanding and knowledge, work related to the construction of an addition at the above referenced residence (County Tax map no. 473889, Section 007, Block 0004, Lot No. 009) has been completed in accordance with the applicable codes of the State of New York. ~velyn ~ole SmiYr~, ~ NY architectural license numb/er 029794 The foregoing instrument was signed and acknowledged Before me this day of Notary public Date 20 State of Connecticut My commission expires Toll Free 1-888-291-3227 An Equal Opportunity Employer www.cmeengineering.com CME Architecture,'Inc. Woodstock, CT 06281 (860) 928-7848 FAX (860) 928-7846 December 13, 2006 u :u I 8 Building Department Town of Southold 53095 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Corbiere Residence, Fishers Island To Whom It May Concern, Please find attached the Application for Certificate of Occupancy and associated fee of $25.00 for the Corbiere Residence addition, District 1000, Section 007, Block 4, Lot 9 and 10. In addition to this application we are submitting payment of $150 for renewal of building permit # 15373 issued on 10-7-87. Please notify me, as agent of the owner, if you require additional information and to inform me that the Certificate of Occupancy has been issued. Thank you for your attention to this matter. Cc: Dorothy Corbiere Encl. Toll Free 1-888-291-3227 An Equal Opportunity Employer www.cmeengineering.com TOWN OF SOUTHOLD PROPERTY RECORD CARD' OWNER FOR~.ER/ OWNER STREET RES. Z./o SEZS. L~ND IMP. TOTAL VILLAGE I FARM COMM. DATE REMARKS AC~L~ TYPE OF BUILDING SUB. LOT CB. MICS. Mkt. Value ! ! I r-L I Tillable FRONTAGE ON WATER Woodland ,.. .., ~ & _ ,. FRONTAGE ON ROAD Meadowland House Plot Total DEPTH BU LKH EAD COLOR TRIM M. Bldg. Extension Extension Extension Foundation Both Porch Basement Floors Porch ~t. Walls Interior Finish Breezeway :ire Place Heat Garage rype Roof ~,ooms 1st Floor inette DR. BR. Patio ~,ecreation Room ~,Ooms 2nd Floor FIN. B O.B. )ormer Driveway Total /~-*~~7 ~ /~? TOWN_ _ OF SOUTHOLD PROPERTY RECORD CARD // DWNE~, STREET VILLAGE DIST. SUB. LOT W ~ ~PE OF BUILDING ES. S~S. ~L. ~/f FARM COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS ' ~/ AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FARM Acre V~lue Per Veiue Ac re 'illoble 1 'ill,hie 2 illoble 3 w~mplond FRONTAGE ON WATER r~_s~lend , FRONTAGE ON ROAD louse Plot DEPTH ~ULKH~D 'o~ DOCK M. Bldg. Extension E t ~g~_~ xtens[on Extension Porch Porch Breezeway Garage Patio TotaJ 24,,,2/4 (ZOLOR ~tion Basement ~xt. Walls Fire Place Type Roof Recreation Roorr Dormer Driveway Bath Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor Dinette LR. i DR- BR. FiN. B.