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Home My WebLink About34155-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33984 Date: 10/01/09 THIS u~TIFIBS that the building PORCHES AND DECK Location of Property: 676 EQUESTRIAN AVE (HOUSE NO.) (STREET) (HAMLET) County Ta~ Map NO. 473889 Section 9 Block 4 Lot 14.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9, 2008 pursuant to which Building Permit NO. 34155-Z dated SEPTEMBER 12, 2008 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 SCREENED PORCH, COVERED PORCH AND DECK ADDITION TO AN EXISTING ONE FISHERS ISLAND FAMILY DWELLING AS APPLIED FOR. T~le certificate is issued to ELLEN D HARVEy of the aforesaid building. (OWNER) SUFFOLK CO[~ql~f DEPART~gI~T OF BEAL~{ APPRO%rAL N/A Br.RC~i-KfCAI~ ~I{TIFICATE NO. 4030451 06/19/09 PLOq~ERS C~KTIFICATION DATED N/A Rev. 1/81 Form No. 6 ' ' TOV~rN OF SOUTIIOLD [~"~ BmLDING DEPARTMENT TOWN ilALL APPLICATION FOR CERTIFICATE OF OCCUPA~/Y fi This application must be lied in by t}~cwritcr or i~ and sub]~tted to t ~c ~ d ~g A. For new Duilding or new use: 1. Final storey of propegy with accurate location o~ all buildings, properly lines, streets, and unusual natural topogntphic ~eatu[-es. 2. Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 Approval of'electrical installation ~rom Board ~ Fire Undc~t¢rs. d. Sworn statement fi-om plumber Ce~it~ing that thc solder used in system comaios less than 2/]~ of 1% lead. 5. Conm~ercial building, indust6al building, multiple residences and similar buildings and installations, a ceai~cate o[Cod¢ Compliance from architect or ~ngineer responsible ~or thC 5uilding. 6. Submit PlaTming Bnard Approval o~completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "l)re-existing" land uses: 1. Accurate surcey of property showing ali property lines, streets, building and mmsnal natural or topographic features. 2. A properly completed application and consent to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building htspector 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. Allcrations to dwe ng $25.00, Swinmfing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Ce~ificate of Occupancy on Pre-existing Building - $I00.00 3 Copy of Certificate of Occupancy- $.25 d. Updated Cetlificate of Occupancy- $50.00 5. Temporary Ceitificate of Occupancy - Residential $15.00, Commercial $1500 New Construction: . Old or Pre-existiog Budding: / (check one) I louse :o, llc:dlh I)cpt &piq~*',,;il 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 Z & S CONTR, INC. ELLEN HARVEY 676 EQUESTIAN AVE PO BOX 202 FISHERS ISLAND, NY 06390-0202, FISHERS ISLAND, NY 06390 Located at 676 EQUESTIAN AVE FISHERS ISLAND, NY 06390 Application Number: 4030451 Certificate Number: 4030451 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Porch, 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 thel9tl~ Day of June, 2009, N~me QTY Rathe Rating Circuits Typ~ Miscellaneous ADDITIONAL SURCHARGE Wiring And Devices Fixture 3 0 Incandescent Receptacle 2 0 GFCl Switch 2 0 Gen, Purpose seal I of ] lhis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 34155 Z Date SEPTEMBER 12, 2008 Permission is hereby granted to: ELLEN D HARVEY 756 RUGBY RD BRYN MAWR, PA 19010 for : ADDITIONS AND ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING, FRONT PORCH AND DECK AS APPLIED FOR. at premises located at 676 County Tax Map No. 473889 Section 009 pursuant to application dated SEPTEMBER Building Inspector to expire on MARCH EQUESTRIAN AVE FISHERS ISLJkND Block 0004 Lot No. 014.002 9, 2008 and approved by the 12, 2010. Fee $ 200.00 Authorized Signature Rev. 5/8/02 ORIGINAL TOWN OF SOUTHOLD ~BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved Mc PERMIT NO. --~ )~/!~ ,J' ' BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying Board of Health ,~/'/~4 ~sets of Building Plans Survey 97 Check Septic Form N.Y.S.D.E.C. Tmstees Contact: Mail to: ~-~'~Y ~ ..l~., Phone: ~/- 7~- 7~ ~3~ / Date ~ ,200~ 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 building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy is issued 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 To~vn 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 a~ herein described. The applicant agrees to comply witn ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant 6r name, if a corporation) (Mailing address of applicant)' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C-C//¢''t ~, ,/~t~,~2t ~ ~"~,,~ ~)~,~o ~/O~r~,)t (as on the tax roll or latest dried) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. If applicant, ds a co~orati,ol~,,f}gnature of duly authorized officer (Name ~ title of co¢orafe officer) Location of land on which proposed work will be done: O, gr2, House Number ~ Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block ~ Filed Map No. Lot /~2~, oa9 Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · a. ' Existing use and occupancy ,5)?~f~/ b. Intended use and occupancy 6~t~ 3. Nature of work (check ~vhich applicable): New Building. Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost ,.aYO~ (.g49,~ Fee 5. If dwelling, number of dwelling units If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. (Description) (to be paid on filing this application) Number of dwelling units on each floor 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 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: Will lot be re-graded /V/(_.) Will excess fill be removed from premises: YES ~ !4. blames of Owner ofprcmiscs '7~4¢ 5'~rt~ AddrcssS;lt~z~,,' {.7~. ~ H)/ Phone No. ~/--Z¢~--¢)'¢~" Name of Architect ff;ra~a~ lgy~ ! Address3gg".A/~.~ ~ ~ ~ Phone No E¥,.O- ¢~7'- ~,3o/? Name of Contractor 2¢-< ff.~er,~ ..F~c- Address~O,~oo- p'~A//ff ~Phone No. ~a/ 7~ 7~ 15. Is this prope~y within 100 feet ora tidal wetland? *YES . NO--~ 6~. · · YES, SOUTHOLD TO~ TRUSTEES PE~ITS MAY BE ~QU~D 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 OF ,~,~1/,(' ) '~O~*u4~ '~, x~t;]/tO being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, iS)He is the ~ ~-t}CotcP¢-.-¢ (Contractor, Agent, Corporate Officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be )erformed in the manner set forth in the application filed therewith. ¢worn to before me this ~ dayof &tO-P~e.~.~r 20d0 ~¢otary Public MARY B PAN~ICZ ~ta~ P~lg ~te of New York 01~ ~679~ t~ture of Applicant ~-,,_ ~._f/_/~,.~ TOWN OF SOUTHOLD PROPERTY_.RE~CORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. ?,wf,,.'~e.,~,4,,~., , S W ~PE OF BUILDING :ES. ~/~ S~S. VL FARM CO~. C8. MICS. Mkt. Value ~ND IMP. TOTAL DATE R~RKS ~ ~. ~ Ilobl~ FRONTAGE ON WATER ~lond FRONTAGE ON ROAD eadow~d DEPTH ~use Plot BULKH~D M. Bldg. Extension Extension Porch Porch Garage Total COLOR Foundation Basement Ext. Wails Fire Place 'Type Roof Recreation Room Dormer TRIM Both Floors Interior Finish Heat .JL~J ~ooms ]st Floor Rooms 2nd Floor Driveway Dinette K. LR. DP,. BP,. FIN. B N 5,~s'- V,/.A,',( lo"NV. TAD GL~ Hg~WICH ~ CONNECTICUT 41 ALL CONSTRUOTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. CERTIFICATION>OF~' .... NAILING & CONNECTIONS '~'~"" REQUIRED~ '~ RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 DAM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQIJfR~D FOR POUREO CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. iNSULATION 4. FINAL - CONStRUCTiON MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SFIALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPL'Y \I,'ITH ALL COE NEW YORK ST>,TE &' AS REQU!;1ED q~,¢D CONDI'-- ......... ~c -)UTMOLD TOWN ZBA __. SOLFFHOLD TOWN PLANNING SOUTNGLD TOWN TRUSTEE~- N,Y,S, DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I /~-. / / / / / / / mmmz . n..l' l t'J.~i >-I-- z IZ ..1- O~ Zrt' ~0 ~z