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Home My WebLink About33294-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33731 I~te: 05/22/09 T~IS CERTIFIES that the building ALTERATIONS Location of Property: ORIENTAL AVE FISHERS ISLJ%ND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 4 Block 7 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 2007 pursuant to which Building Permit No. 33294-Z dated AUGUST 3, 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 WINDOW ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to LOUISE D GAUMOND (OWNER) of the aforesaid building, S~I~3LK CO~ DEP~ OF f~L~{ APPRO%5%L Rr.R~-i'~IC~%L CERTIFIC3%~ NO. PL~q~BERS C~-rIFICATION DA'r~u3 N/A N/A N/A '~u~or~ e/d S~nature Rev. 1/81 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exiating" land uses: I. 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. Ifa 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 Cettificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. Old or Pre-existing Building: House No. Street (check one) Hamlet Block OOt~'~- Lot Filed Map. Lot: Date of Permit. O"Jr. ',~-O~- Applicant: '~'~ f'~l}~'ta~.~t,~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: ~ (check one) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33294 Z Date AUGUST 3, 2007 Permission is hereby granted to: LOUISE D GAUMOND 221 MARION AVE MILL VALLEY,CA 94941 for : ALTER3~TION (WINDOWS) TO A/~ EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at ORIENTAL AVE FISHERS ISLAiqD County Tax Map No. 473889 Section 004 Block 0007 Lot No. 004 pursuant to application dated JULY 25, 2007 and approved by the Building Inspector to ex~pire o~ F~BRUARY--3~~ ~ Fee S 200.00 ~~~a ~// ORIGINAL Rev. 5/8/02 F~ELD INSPECTION REPORT [ DATE [ CO1VIMENTS ~ FOUNDATION (1ST) FOUNDATION (2ND) m ROUGH ~G & ~ - ~S~ATION PER N.Y. ~ STATE ENERGY CODE '/ l 5 * ~DITION~ COUNTS ~ TOWN'OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 ' TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Examined k'~_ ,20~7__- Approved ~ ~-> , 20-- Disapproved a/c Expiration PERMIT NO. '~ :~q~ 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: Mail to: Phone: .,20 ,, 3tLZ 5 ', ::1 Bulldln~g ~nsp~ctm APPLICATION FOR BUILDING PERMIT Date 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 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 buildingshall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. fi 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. 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 rfgulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~'d/~ (Sil~ure hl; ~i~pli~ant 4r name, if a corporation) (Mailing address/of applicant) @ ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name ofownerofpremises_~l~f~ 4 ~1~ ~Pt~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. Location of land on which proposed work will be done: House Number Street / /Hamlet oG37o County Tax Map No. 1000 Section Subdivision O0 ~- Block 7 Lot 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition //~ 4. Estimated Cost 4[Jell~°O Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, 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 Resi _Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase 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 13. Will lot be re-graded? YES__ NO / Will excess fill be removed from premises? YES NO V 14. Names of Owner ofpremisesJ~< ~-/a~ ~onattp Address /~ta~t~at~'/~:~oPhone No. NameofArchitecy" ~P ~tTtr~-rt ~t~c~t' Address~F~-~,q~/e~vPhoneNo (~'Pfl Name of Contrt~rtor ~'P ~r.v~urtt.--- P',~'r~r~ Address F~ ff-u~,t~ ~)'~ar/~Phone No. ~ 15 a. Is this property within 100 feet of a tidal weft,and or a freshwater wetland. YES NO * IF YES, SOUTHOLD TOW2q TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO__ * 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) . ~rn ,, ,~ being duly sworn, deposes says (s)he applicant and that is the ~ame ~f individual S~gnbCg contract) above named, (S)He is the (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 ia 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~.~- G~{ ~ day of .,] t~.~ 200'~ ' t NoF~ ~ubl~ ~ RO~NNE SPAU~ING NOTARY PU~UC. STATE 0F ~EW YORK N[~ 01SP6113942 j QLIAJ It il il IN Stihl OI K COUN],Y [ MY UOMMI~ION ~XPlI~_ AUO. g, EO~ ~'ighat'ure )f Apl~licant /~.~_ f/__ ?_~TOWN OF SOUTHOLD PROPERTY RECORD CARD OWN ER STREET VI LLAGE DIST. SUB. LOT ) S W ', ~PE OF BUILDING RES. ~/~ S~S. VL. FARM CO~. CB. MICS. Mkt. Value ~ND IMP. TOTAL DATE AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE FARM Acre Value Per Velue Acre Tillable FRONTAGE ON WATER Wo~land ~ /; [~ ~ ~ ~ FRONTAGE ON ROAD Meadowland DEPTH House Plot [ ~ ~ /~00 / ~O ~ BULKH~D Total ~Z ~ ~ DOCK DR TRIM Extension Breezeway Samge Patio O. Bo 4.-7-4 3/06 Total , ?5¸ Foundation / ~c) * Basement t~Z~/ Ext. Walls Fire Place Type Roof ~Dormer Bath Floors Interior Finish Heat L, . Rooms 1st Floor JDR. BR. Rooms 2nd Floor Driveway D ine'H'e i FIN. B COLOR (-, ,,' ~,x! TRIM M.,~I~. Extension Extension ~E~ension , -.e ?~>~ _ ~/_ ?_ ~/TOWN OF $OUTHOLD PROPERTY RECORD CARD OWNER FORMER OWNER ) ,TREET VILLAGE SUB. LOT '~TYPE OF BUILDING RES. ~/0 SEAS. LAND IMP. AGE NEW NORMAL VL. TOTAL FARM DATE BUILDING CONDITION BELOW ABOVE COMM. CB. MICS. Mkt. Value REMARKS FARM Tillable Woodland Meadowl~nd House Plot Total Acre Value Per Acre Volue / .~TO o FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK TRIM 4.-7.-4 3/06 Extension Extension Breezeway Garage Patio Total Foundation Fire Place Type Roof ~Dormer / ~ / Basement / ~ 2../ Walls Bath Floors Interior Finish ~eat Rooms 1st Floor Rooms 2nd Floor Driveway Dinette DR. JBR. :FIN. B Jl i~lst FLOOR DEMO PARTIAL PLAN SOUTH ls~_~ BEDROOM. FENESTRATION SCHEDULE MANUFACTURER: KOLBE & KOLBE LOCATION TYPE SIZE (W x H x T) R.O. (W x H) MATERIAL FINISH DI 101 UVINO RM. A 4'-11 7/16"x 6'-7 1/2"xl 3/4" 4'-11 15/16" x 6'-8" CLAD PAINT D2 101 UVING RM. A 4'-11 7/16"x 6'-7 1/2"xl 3/4" 4'-11 15/16" x 6'-8" CLAD PAINT D3 101 UVING RM. A 4'-11 7/16"x 6'-7 1/2"xl 3/4" 4'-11 15/16" x 6'-8" CLAD PAINT D4 100 DINING RM. B 5'-O"x 6'-7 15/16"xl 5/4" 5'-0 1/2" x 6'-8 7/16" CLAD PAINT D5 102 SOUTH BEDRM. B 5'-O'x 6'-7 15/16"xl 3/4" 5'-0 1/2" x 6'-6 7/16" CLAD PAINT WI 101 LIVING RM. C 4'-11 7/16"x 2'-5 1/2"xl 3/4" 4'-11 15/16" x 2'-6" CLAD PAINT W2 101 LIVING RM. C 4'-11 7/16"x 2'-5 1/2"xi 5/4" 4'-11 15/16" x 2'-6" CLAD PAINT W3 101 LIVING RM. C 4'-11 7/16"x 2'-5 1/2"xl 3/4" 4'-11 15/16" x 2'-6" CLAD PAINT DINING~J~M. (~ PROPOSED PLAN OF NEW FENESTRATION FOR SOUTH 1st FL F,T,BVATION SOUTH EXISTING DORMER EXISTING SKYLIGHT EXISTING DORMER PR OORS il I I I ' r ' r I I I I P FRED R PAIR FREN , ] ] 7] ! 7 ] l i,l WINDOW [ · r r !1 ED R pAIR FREN )H I ED ,R PAIR }II PR( SED ~,] L! ii! !,±.,~=~] ,.t.ti,: (~ PROPOSED SOUTH ELEVATION I/2" = 1% 0" NOTE: ALL FENESTRATION ITEMS SPECIFIED ON THE SCHEDULE ARE KOLBE & KOLBE K-FORCE IMPACT RESISTANT PRODUCTS FULLY CERTIFIED FOR USE IN ALL WIND ZONES UP TO #3. FENESTRATION TYPES 1/4" = 1'- 0" A B C FRENCH SLIDING PATIO TRANSOM DOOR DOOR WINDOW MBDEL~ SPU41166 MODEL: GAUS066 'vIBDEL~ SPUT41126 A~PROX. LOCKDON WATER \ x \ ! \ \ \ OcCuPANCY OR USE iS UNL/kWFOL WITHOUT CERTIFICATE OF OCCUPANCY FOR PROPOSED FENESTRATION ALTERATIONS. SEE DRAWINGS 1,2 & 3 THIS SHEET. DEC&W~NG ~SS1JE ISSUE FOR DRAwiNG REVISIONS ..~PJtOVED ,AS NOTED ,ssu~ FOLLOWING INSPECTIONS; 1. FOUNDATDN - TWO REQU[RE~ FOR POUREO CONCRETE 2. ROUGH - FRAMING & PLUMBING 3.INSU~TIQN I B~ COMPLETE FOR O.O. ALL CONSTRUOTION SHALL MEET THE REQUIREMENTS OFTHEOOBESOFNEW DESIGN INC. Y0~K 8TAT~. NOT BEgPONSlSL~ tF0~ T[mGmamus, Fm~m~IsLa~,NY. SOUTH ELEVATION i A-401