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Home My WebLink About32211-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 06/02/08 NO: Z-33064 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property: PRIVATE (HOUSE NO.) County Tax Map No. 473889 Section 2 RD (STREET) Block 1 FISHERS ISLAND (HAMLET) Lot 11.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore JULY 13, 2006 pursuant to which fi1ed in this office dated Building Permit No. 32211-Z dated JULY 14, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to WHITNEY B ARMSTRONG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A 04/14/04 ELECTRICAL CERTIFICATE NO. 1204612 N/A PLUMBERS CERTIFICATION DATED ~)It-'"'" Rev. 1/81 I This application must be filled in by typewriter or ink and submitted to the Building. Department with the-feHhwing: J,/;,J 29 APPLICATION FOR CERTIFICATE OF OCC~ANCY Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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. ~. S\\'onl SLaknlcnt fron1 plmnber celiifying that th~ soUer used in systetn 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-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topogr~phic 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 tl28/0~ ~ o Old or Pre-existing Building: (check one) CI A-~ tnJiUI T<6AD ~ERS TS/MDtJY tiZ10 House No. Street Hamlet Owner or Owners of Property: \JJt\ LTAJEY ~, ARI11 STRONG 00'2-. Block Oar) ( / Date. New Construction: Location of Property: Suffolk County Tax Map No 1000, Section Lot....oll .013 Subdivision Filed Map. Lot: Permit No. 32 z...U ~ Date of Permit. 7/NJ()fo Applicant: f1M~/4Alf) 1( ~ 1~r2 Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: x (check one) Co d?33oc::'<-{ \6, C- I~~ <is- ~ Fee Submitted: $ 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. 32211 Z Date JULY 14, 2006 permission is hereby granted to: WHITNEY B ARMSTRONG NEW YORK,NY 10017 for : CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR PER DEC at premises located at PRIVATE RD FISHERS ISLAND County Tax Map No. 473889 Section 002 Block 0001 Lot No. 011.003 pursuant to application dated JULY 13, 2006 and approved by the Building Inspector to expire on JANUARY 14, 2008. Fee $ 75.00 ature ORIGINAL Rev. 5/8/02 :< - I - /1, @).~@) ~ 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 ~ ~ ~ ~ BD ELECTRICAL CO INC WHITNEY ARMSTRONG ~ ~ 102 GREENWICH AVE CLAYPOINT ROAD ~ ~ GREENWICH, CT 06390, FISHERS ISLAND, NY 06390 ~ ~ Located at CLAYPOINT ROAD FISHERS ISLAND, NY 06390 ~ ~ ~ ~ Application Number: 1204612 Certificate Number: 1204612 ~ I Section: Block: Lot: Building permit3.;;; S< II BDC: ns11 I ~ Described as a Residential occupancy, wherein the premises elect;ical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ ~~~~~ ~ ~ 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 14th Day of April, 2004, ~ ~ Name OTY Rate Ratine Circuit ~ ~ ~~~ ~ ~~~~ ~ ~ Appliances and Accessories ~ ~ Electric Heater Unit 1 0 1.5 KW ~ ~h~ ~ ~ 1 100 6 ~ ~WiringandDevic~ ~ ~ Receptacle 16 0 General Purpose @) ~ Receptacle 1 0 GFCI ~ ~ Switch 4 0 General Purpose ~ ~ Fixture 5 0 Fluorescent ~ ~ ~ ~ ~ ~ ~ ~ seal I ~ ~ ~ 1 of 1 ~ ~ ~ ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, ~ @).@) PERMIT NO. 3c3;J-..LI& 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 N.Y.S.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.net/Sout old/ Examined Expiration Mail to: Phone: \1"' lli W R n '!{) IT 81 'I: ~ ~ ~U~Cc--'--:1 \ ill\. APPLICATION FOR BUILDING PERMIT 0 nil I') S. U I J ,G !.j i JUl I 2 /. ! l....J \ Date ~ :;$tt/ , 20 ~ ! J f , '\ l .- .....-'" I INSTRUCTIONS . a TM;,\'4Pit~P.~lMlI; f De IcomPletelY filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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. If no 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 permit for an addition six months. Thereafter, a new permit shall be required. . APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildirtg 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. 'BD RDt1Off-i.tt>G&Q~~ (7.~ (Signature of applicant or name, if a corporation) ?O &O~ If'+7~f(5:W/1l!f tUY oGSlO (Mailing address of applicant) f State whether applicant is owner, lessee, agent, architect, en . neer, general contractor, electrician, plumber or builder ~ Y1 rvc4v Name of owner of premises LA. )~uJ&f IS. ~S712eJ;1/(i., (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. '2-3 ~ '8'.> - .ff::E L/u. - P 2.fl Co, E 1. Location ofland on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section C"r) '2- Subdivision Block I Filed Map No. Lot 11.:1 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy AIiJ.IIJF; . b. Intended use and occupancy JLJ--\. II ry. s ~ j 3. Nature of work (check which applicable): New Building V--Addition Alteration Repair Removal Demolition Other Work (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 of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front 17'_Jt1 Rear n~J'( Depth p}. fl Height <8" Number of Stories ( I 481' 4(, 7.91 9. Size oflot: Front 130,7'-/ Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 'R ~ /7_0 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ~ 13. Will lot be re-graded? YES_ NO ~ excess fill be removei from premises? YES_ NO v---- \)ll:kr,Oeye.~\-~ ~UI\\~""J Pc..u.. 14. Names of Owner of premises Address ^,~YolZ~.;U r Phone No. Name of Architect-1:'f)hd'..,.~r->M:Mic;tZ..5 Address ~ i)<( Phone No 2.Jl- 337-0134 Name of Contractor p" n, e..~LI" I Address . ~Io..o:n(.,,~hone No.'-S (- '}ff-~7'1" ;J~ brtJ39'a 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ -- * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES ~_ * IF YES, D.E.C. PERMITS MAY BE 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. STATE OF NEW YORK) SS: COUNTY O~l<: ) __l:tg,.cJ....;'\..t K'. tr....."'7"...... being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Heisthe ~(\~r-I Arre.t'\~ (Contr,{ctor, 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} Dill day of ~ it./l-t 20 0 (p Sign pplicant ROXANNE SPAULDING NOTARY PUBLIC, STATE OF NEW YORK No01SP611~942 (1lI^11111 IlIN SUI I 01 K CllllN I Y MY CDMMISSION lXI'IIllS ^Uli. ~]. ~u !).~