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Home My WebLink About32359-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 07/02/07 No: Z-32439 THIS CERTIFIES that the building ADDITION Location of Property: PVT RD (HOUSE NO.) County Tax Map No. 473889 Section 10 OFF E END RD (STREET) Block 6 FISHERS ISLAND (HAMLET) Lot 3. 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 13, 2006 pursuant to which Building Permit No. 32359-Z dated SEPTEMBER 13, 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 GARAGE ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THADDEUS BEREDAY & MARGARET RUSSELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 06/07/07 PLUMBERS CERTIFICATION DATED N/A ~ hb:9"'M' Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ; 2 2; '0 .!iJ L- ;'__~ . J '. ----.J 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 2/1 0 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 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. C?-1J!-cJ~ New Construction: Old or Pre-existing Building: (check one) ~~d~' Hamlet Locationofproperty: (i!q./~7h ~~E4oT~~ House No. Str~ Owner or Owners of Property: -J{'dt'AVJA ^ ~ ~ Suffolk County Tax Map No 1000, Section 01,0 Block ~6 Lot ~3. ~2. Subdivision Filed Map. Lot: Permit No. 3;;391 z Health Dept. Approval: Planning Board Approval: Date of Pennit. I.} -13 - 0 b Applicant: Underwriters Approval: Request for: Temporary Certificate Final Certificate: v ( check one) Fee Submitted: $ 025 at:> Applicant Signature Cl.ad~ ~. ))J;.9.~ CO f: .3;) '{ J 1 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. 32359 Z Date SEPTEMBER 13, 2006 permission is hereby granted to: K LOUISE NOBLE BOGERT PO BOX 386 FISHERS ISLAND,NY 06390 for ADD ONTO A DWELLING. THIS PERMIT REPLACES 10168. at premises located at PVT RD OFF E END RD FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0006 Lot No. 003.002 pursuant to application dated SEPTEMBER 13, 2006 and approved by the Building Inspector to expire on MARCH 13 Fee $ 171.48 Auth ORIGINAL Rev. 5/8/02 l!I~~l!I ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ JIM REID LOUISE BOGERT ESTATE ~ ~ ~~~ ~ @l BOX 475 @l ~ FISHERS ISLAND, NY. 06390 ~ I Located at 2428 ISABELLA. BEACH ROAD FISHERS ISLAND, NY 06390 I ~ Application Number: 3032883 Certificate Number: 3032883 ~ I Section: 1000 Block: 10 Lot: 63.1 Building Permil:32359-Z/3236 BDC: ns11 I ~ 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, Attached Garage, Pool/Spa, ~ ~ 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'7th Day of June, 2007. ~ ~ Name OTY Rate Ratimz Circuit ~ Amount ~ ~~~ ~ ~ indoor pool & room $0.00 ~ ~~~~~~ ~ ~ Pool/ Spa Bonding I 0 $0.00 ~ ~~~~ ~ ~ Receptacle 8 0 General Purpose $0.00 ~ ~ Switch 6 0 General Purpose $0.00 ~ ~ Fixture 9 0 Flourescent $0.00 ~ ~ Receptacle I 0 20a PooV Spa $0.00 ~ ~ Receptacle 1 0 GFCI $0.00 ~ ~ Invoice Total $90.00 ~ ~ (Swinnning Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have ~ ~ frequent test and/or repairs made by a qualified person. ~ ~ ~ ~ ~ ~ seal ~ ~ ~ ~ THIS IS YOTJR RRCRIPT ~ ; This certificate may not be altered in any way and is valid~te:fonlyl by the presence of a raised seal at the location indicated. ; ~ ~ 1iI~ramJil!~. 10/10/2006 14:51 FAX 631 788 7798 FIELD LI\iSPECTlON RE.!'ORT FOUNDATION (1Sl) :-..- FOUNDATION (2N.!') ROVGIf FRAMING 4< PLUM8ING 1l'ISULATlON PE:{ N. Y. STAn ENEII.GY CODE F1l'IAL _m f- '- - -.-.-. --- -'- --.....- 1--- .._ ..__. .- .- .-..--. '-- -"-- ~---- ---.. I- ___ l'ITELEPiJONE DATE - COMME:ns . . "" "-, ;g .!;}i!! ,,.,:s ~.... ~ -~.. 'I.. ~ -... -- -.. n _ ,.... - .--- __1-__ '-"'. ....:..::'.1 -'C:: ~,tn , ~'" .. ..~.~ 7- !=' '< -.:~ ---- ~ --. .__ u_. .- ~ e:.i: -_. '.:.:....~ _--=-- IZ, .._~~_j" ~~~:'U _~__~=-:-:- __.. 1-- .---....-. '--..--- - -"1' ...--..- ..... ..--.... ...-- u l\! _.._u_ ~'\ , ~ -.. ..-- f-_.. ---. -.---.--. - ._... .__. _.u... I~--..- ___U__ .___.. n.. '_'__ .-- -.----.--__....__u .___ J:':~ '" ,., ... I--- ., . .- ...- :1-, '~~~~/~r. ~~~_<-- -:::::: ~: __ _.. 7qI-L.T//j/~-._-.--- -.-.....- ..- -,,-' EZ_Z; ~~ ~;;;.J:-:.--~- il. . _moo .... ..~-~-->>;/d.-.._.- i ....u.._~____ u_ ~. A IJDITIONAl. COMMENTS C. . ~ '-. -. .~ , --- -oo.- 'to 0 :; F:"~ ,. ,... " , .- - --. -. ..-. --'-.-..- .----.. -~; .- ". .-." .--__.__ _,"n. .._._ .._-- -...- -- .--.-- ..- :..u ~ .- .... --". - "".- -- "-.- ~ ::! ..... .-.. ._._ n._._ "'" : "--- -.- .-" ~ '" --"... ... .-. '''--'- -..- -. --- - ~M.__". - ~.> i .--- -.-- .-..--- -oo- ~ _m.. "_._ 2..>- .......~ - "f-';! ~ ..- -. fi ~ 141002 FORM NO. 1 ~ (I( Cp Examined ...................-tf:....!), 19.71 Approved .......................p.....t.2 ,191..1. Permit TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD, N. Y. ~ 3>3~'7 No. ...lP...I..G...ff....? Application No. .I.P!..b...r:.... Disapproved ale ....................... .................................................................... ........................................................... .......................7....................~ L:? .........................~f.~.....~ZA~........... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .....:......................~~:.~~..~?,..............., 19..7.?...... INSTRUCTIONS a. This applicotion must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 application. 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 permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whale 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 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. .. .B.OlJ.t.Oll. Ser.v.ic.e.a,.. .Inc..................................................... (Signature of opplicant, or name, if a corporation) ... !?~~. .?()6.,...f.~~~Elr:~.. ;I;~J,~~,...~. ...~~?~......................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, eng ineer, general contractor, electrician, plumber or builder. .... .g~mll..a;J,..I;lmj;..!l-l<j;9......................................................................................................... ................................................. Nome of owner of premises .....John..,Ia..Bogert......................................................... .......................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporote officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ...;J;1:H'lp.l'lUi!..!ll'l!l-I<J?fi.9.~g..1..)f.:j..I?.~~.:r.I?...+.~+.~~,. ..NEl~.J.~:.~.... .............. ... .... .... ............... ........... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy .....~'!'f.'?..~~..f?~.r:.a.~.~................................................................................................ 3. X Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal.................. Demolition.................. Other Work (Describe) ........................................ Estimated Cost ...........rq..~ !.~~~.~~~................ ... ......Fee .. ....... ......../,l5........................................:... ...... ............. (to be paid on filing this application) If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ If garage, number of cars ...................~Yf!?.................................................................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ......9.9.~;!..Q.'.'........... Rear .....I?I?DP.'.'................ Depth ...??.~.~.'.'....... Height ..........i?9.~........ Number of Stories ....J,t....................................................................................................... . . .., . 98'10'" 98'10" DimenSions of same structure w,th alterations or additions: Front .................................... Rear ............................ 35'8" 20' 11. Depth ................................ Height ............................Number of Stories ..........?..................... ... . 32' 32' 28'8" DimenSions of entire new construct,on: Front .................................... Rear ............................ Depth ........................ Height ....l?~.......... Number of Stories ......~............................................................................................................... Size of lot: Front ....J~9...J!t........... Rear ........?i.t.:.7.7................... Depth .....?~.~.1.~................ Date of Purchase ........................................................Name of Former Owner .F..l....;Qe.v.e.l9.Pll~nj:....c.9.r.P............ Z . d' t . t . h' h . 't d residential one or use IS rlc In W Ie premises ore SI uate ..................................................................................................... Does proposed construction violate any zoning law, ordinance or regulation? ....T)..'?.................................................... Name of Owner of premises ....~.~.~...~.~..~.O'~~:.:-.........Address !~.~.~~.~.~...~.~.~.~~~.~Q.9}9.? Phone No. ~~~::~~?9..... Name of Architect ......................................................Address ............................................ Phone No. .................... Name of Contractor ~.'?~~.?~..~~~~~~......................AddresJ3.'?~..???LX~:>~~7.:>..~:>.....l'l! Phone No. 7~~~7~~~.... 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 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 NEW YO&K. tss COUNTY OF ...SUF.:J:'Q.k-l(........f . . .........................A.of.bO'f.).J.....J.l.....~[;)}::g.l.!.............being duly sworn, deposes and says that he is the applicant above nom~~a:ee o;s i~~:Vi.~~~.. ~.i.~.t:~i;t.~~~~t.b.c............. .... .., ................. ......................................................... ............. (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. ~~~~~3.~?~~~~ ;:yt:~s ...........8.e.?.~.>i................, 19.1.l.........~~/....~...74..~........... Notary PUbliC~~.~~....5...k.e.;..... County .,.K""'<~..r~a;~~~f applicant) MAR. B. P,\NKIEWICZ ,) NOTARY PUBLIC. SlATE OF I>EW YORK NO. 52-8267950 - SUffOLK COUNH COMMISSION EX.ims MARCH 30. 199D . . I ,/ _ " ~7'" \'" , -,,____ __--.L~ I t-i A i/ :=. , ' rl f?,LPG- 2" ( , ~"~-,- . . ..... " ! I -- ~ ----, (' -' 1/\ '\-l " > ij ;"1 .. -Of , c---~' , " ... ~ ~ "l '" r::- :..._~.. :.... ""'. ~,.,.-'. '-i .-....:,,:..,, ~, ~;~;/".:~. - .- "- :;.,.,' 1f;1'lJ, '~ '-~:.-...' ~ ,Oi.::,.:;'" _~~ "!,,~,":,f- ~it, 1~~1~: - ;:.:~~#;~.~: :.t;,,.....,:,. -,-,'jd!.. :.1:;:""", -J!.;~,_ ",~,;<. J~{J r"". ..,).,.......'_.,:.,,,....;:,1' ~~j . ',- , '-~ '. ' ::', ~/:;;' -~~~:~:;?f~.' . :: - - -- -- .~:f *":~~~ff~g~J.;,.\I-'Wd. '..~ _ -'-''\,;~~~~_...~: ~T~~- ,;'_~:~. ;~_ .. -,,"~~''''~'''~ ~")~ ~<,;t.:.,<;.;;.J~. 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I (\ Y~f-D^,'S. 1(<:" O,r!.. , II I.~ aL~ ..q , <::Ske.-/ .I:Bet( IY) I j{" I .~?~~ LV b /7 ~ r ~~. 8'.1 IrLL, ~ t M~ I 1 tj/'tJe ftot?- --t .f -w.. ~ 'il'U {lEA!(I BleelL. ....'..-- -.......-.....1..... - ....-..,... 3'0 _G /(,'~,~' "'. -.J'~-''',. ~ ---~.. :..'.' , --... '.. .~,. .'..-~;.",;,.-. srul /U.~;,- . ',: :--~~ -~Y--~"-7:"'.,:' ~.. NO. . . TOW}o4 OF 5OYTitpLl) BUILDINc; DEPAI'l'tflINT TOWN CLEIK'S CJmCI SOUTHOLD,N. Y. BUILDING NIMIT <THIS PERMIT MUST BE KEPT ON THE Pl{EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) e;kP,'o.e-d y~ 3;85'~ A P/f: f3 7? N<<! 10168 Z Oqte ........................................................, 19........ Permission Is hereby grant~P V 70 AI S E 7? if ICE....s .::T JlC . . ..........7ff-.......~p.J!..y........J........J3adE. 7?7 f;N~ 1'1 ') ......................./.:!.1.lS........$....CJ'?r.........E.r,S,t! E Ir ; .::rrL II N.D (A.a 90 A])]:) ............O.!'!..T..9................../r.........aksJ.C.LJ../.N 6- to ...........................................u...........................................................;;.................................................. .............................................,......................E(:s.H..E../~....';...............::t..S.I...ll../.)f,..~................ at'premlses located at .................. ........ ....... ...................... ...... .................. .......................... ........ ..... ...... ................................................................................................................................................................. ......................................................................................I:1.!!..:f....~.......Z1'....................................... pursuant to application dated ........................................................, 19........, and approved by .the BUJldlng/~r. 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