HomeMy WebLinkAbout34670-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34353
Rte: 05/17/10
THIS c~KTIFIES that the building GARAGE
Location of Property: 190 PHEASANT PL
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 53 Block 4
subdivision
FiledMap No. Lot No.
GREENPORT
(HANLET)
Lot 44.36
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 2009 pursuant to which
Building Petit No. 34670-Z dated MAY 11, 2009
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 THREE CAR GARAGE, NON-HABITANLE AND NON-SLEEPING, AS APPLIED
FOR.
The certificate is issued to WILLIAM F BOGARDUS & KIM PALERMO
( OWNER )
of the aforesaid building.
SUFFOL4( CO~ DRPART~ENT OF H]~%L~{ APPRO~-AL N/A
ELRt-rK/C~J~ C~TIFIC2%~ NO. 12769 04/16/10
PL~3~ERS CERTIFICATION DA-r~u N/A
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 Build
A. For new building or new use:
h~'~,~ et
1.topographicFinal survey ofproperty with accurate location ofall buildings, propertfeatures. ~J ~1 ~A¥' dtunu~ua!0 L,. ~ nat
2. Final Approval from Health Dept. of water supply and sewerage-disposal S-9 f~rm). ?1
3. Approval of electrical installation from Board of Fire Underwriters.
· BU) D[ .
4. Sworn statement from plumber certifying that the solder used in system c~ atmns lessl0~,6.t)01O~_I)% lead..
5. Commercial building, industrial building, multiple residences and similar 1 ~ildl,gu ana m-stallations, 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 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 Ocqupancy - Residential $15.00, Commercial $15.00
Date._
New Construction: I~ Old or Pre-existing Building: (check one)
LocationofProperty: [40 tD/l~4$./p4r ?r ~t~t/V~;~
House No. Street / Hamlet
Owner or Owners of Property: ~,ltl/t]~,4~.~, ~oft od~ ~ 1~6~ ?,4~,4.~l/~ 0 --
Suffolk County Tax Map No 1000, Section ",.~.fl , BlOck ~ alLot z/Z_/.
Subdivision Filed Map. Lot:
Permit No. ~ '/~ ~- '7/.._.) Date of Permit. Applicant:
Health Dept· Approval: 6]0Hin0s ~0 ~al~ ..
i036 .Stll'~rmerwnter ~.pproval:
Planning Board Approval: ~~ rt~~
Request for: Temporary Certifical ,(.,!,3~ u ~ir~a~e / (check one)
Fee Submitted: $ ~_~ I(i~
('~ C2 3 ~ Q ~" 0 Applicant Signat~e
+
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Brian Brooks Electrical
Apr 16~ 201.0
12769
Certificate No.:
Final Inspection Date:
Building Permit No,:
1.2769
Apr 16~ 2010
County Tax Hap No.:
This Certificate of Electrical Compliance is limited to the inspection and
work described below, installed by the applicant named above, located
inspection date above:
Owner: Bill Bogardus
Site Location: 1.90 Pheasant Place, Greenport, NY 11.944
Owner's Address (if different):
81. DG. [)EPT.
/
__ TOWN OF SOUTNOID j
I
]nd/or
'inal
~ Residential [] Indoor E~ Basement ;~ Service [] Shed
[] Commercial [] Outdoor [] First Floor ~ Pool [] Hottub
[] New [] Renovation ~ Second Floor ~ Attic _~2~ Garage
~ Addition [] Survey Other: 2 story garage
INVENTORY
Single Phase Heat Duplex Recpt 6 Ceiling Fixture HID Fixtures
Three Phase Hot Water GFCI Recpt 2 Wall Fixture Smoke
Main Panel AC Cond Single Recpt Recessed Fixture CO Detect
SuP Panet 1 AC Blower Range Recpt Flourescent Smoke CO Combo
Transformer Appliances Da/er Recpt Emergency Time Clock
Disconnect Switches 2 Twist Lock Exit Fixtures Pumps
GFCI Sreaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan
Other Equipment: 1 -flood tight
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant: Brian Brooks Electrical
Inspected By: Roger Richert
License No.: 3613-ME
Date Of Certificate: Apr 23,2010
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. 34670 Z Date MAY 11, 2009
Permission is hereby granted to:
WILLIAM BOGARDUS & KIM PALERMO
190 PHEASANT PL
GREENPORT,NY 11944
for :
CONSTRUCT ACCESSORY NON-HABITABLE,NON HEATED GD~RAGE AS APPLIED
FOR. THIS PERMIT REPLACES BP # 32022
at premises located at 190 PHEASANT PL GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044.036
pursuant to application dated MAY 11, 2009 and approved by the
Building Inspector to expire on NOVEMBER 11, 2010.
Fee $ 184.20
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 32022 Z Date MAY 19, 2006
Permission is hereby granted to:
WILLIAM F BOGARDUS
190 PHEASANT PL
GREENPORT,NY 11944
for :
CONSTRUCT ACCESSORY NON-HABITABLE, NON-HEATED GARAGE AS APPLIED
FOR. THIS PERMIT REPLACES BP 29790.
at premises located at 190 PHEASANT PL GREENPORT
County Tax Map No. 473889 Section 053 Block 0004 Lot No. 044.036
pursuant to application dated MAY 19, 2006 and approved by the
Building Inspector to expire on NOVEMBER 19, 2007.
Fee $ 184.20
Authorized Signature
ORIGINAL
Rev. 5/8/02
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]~INSULATION
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS.,.UI~A'~iON
[ ] FRAMING / STRAPPING [t,~NAL
[ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS:~~y-q ~-'~ c~/,,~' ,~,~, __ ~".~2 q ,.~,/~ ~
DATE
765-1802
BUILDING DEPT.
ION
In 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE~.~HIMNEY [ ] FIRE SAFETY INSPECTION
DATE
/INSP~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~tJLATION
[ ] FRAMING / STRAPPING [ .~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~~/~ ~
DATE
INSPECTOR
File No: 7~07
WARREN A. SAMBACH, SR.
CONSULTING ENGINEERS · PLANNERS
7675 COX LANE · P*O* SOX 1033
CUTCHOGUE, NY 11935
6 3 1 (5-I~k734'7492
April 1 2004
BuildinG Department
To~zn of
Town Hall
P.O. Box 1170
Southold NY 11971
Re:
BoGarous/Palmero
190 Pheasant Place
Greenport NY 11944
SCTM: 1000-53-04-4~.36
Permit ~29790Z
To Whom it May Concern:
Site observation reveals that the anchor straps were
installed for foundation-sill and ~all studs, ceiling joists
znd hurricance clips as well as ridge straps to roof
rafters, all as shown on approved plans.
The heighth of the garage is less than thirty (35') feet.
Sincerely,
Warren A. Sambach Sr. P.E.
was:s
cc: Owner
TOWN OF SOUTItOLD
BUILDING DE.PARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ' [j//~ / .. 20__
Approved ./Z /y ,20
Disapproved a/c /
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
'~ ~"~ ~';~.~ ~Q , Board of Health
3 sets of Building Plans
Planning Board approval
PERMIT NO.
Septic Form
N.Y.S.D.E.C.
~ Trustees
.~ Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date ~t~ (o ,200g
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 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.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perrmt 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.
~((~:'g~ C f~a[ [ ]~ c~f 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 ~/////,,q~,x it" ~o~ rZ ~.tcS ~
(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
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ZT't
Filed Map No. ~
Lot
State existing use and occupancy of premises and intended use and occupancy of proposed c~ustmction:
a. Existing use and occupancy q~/ltti'/~e /7,~/~_-
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost q'g~0/
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
Fee
(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
Rear 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. Sizeoflot: Front Rear
10. Date of Purchase F~_~a-~,,7-l.~c~ 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
Depth
NO t/"
13. Will lot be re-graded? YES ~'/NO Will excess fill be removed from p~ emises? YES __ NO
14. Names of Owner of premises {~--ff,t~q~d~"a-~d~Addr~ess /q'O/-4~a-,.<,o,~/~(/Phone No. q7'Z-
Name of Architect ~,,3ar~e,~ ~et~,,d~ Address/or5 6.3~:~,',)~- Phone No 7'-~-~ ~-~
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO __
* IF YES, SOUTHOLD TOWN 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)
, S:
tesTY oF 3.¢;oI
~rr~//t~t ~. ~& r being duly swom, deposes and says that (s)he is the applic~t
~ame of individual si~fng contract) above nmed,
(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 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
~ ~o. day of
Notary Public
LYNDA M. BOHN
NOTARY PUBLIC, State of New Yo
.. ..N.o. 01BO60209.q~
..uua~ified in
,---~ ~warch 8, 20~__..z
Signature o~p~pplicant
File No: 7403
WARREN A. SAMBACH, SR.
CONSULTING ENGINEERS . PLANNERS
7675 COX LANE · P.O* BOX 1033
CUTCHOGUE, NY 11935
6 3 1 -- ~ 734-7492
May 6 2004
Building Department
Town of Southold
53095 Main Road
Southold NY 11971
Re: William Bo~al~us
-- 190 Pheasant Place
Greenport NY 11971
Gentlemen:
Filin~ revised plans showing elimination of Dutch Dormer with
windows, two dormers in front elevation and revised cross
section, elevations, and roof plan.
Warren A. Sambach Sr. P.E.
WaS:S
cc:Bogarous
/
TOWN OF t~OUTHOLD PROPERTY RECORD CARD
STREET [~ ~ I VILLAGE
ACR. REMARKS
TYPE OF BLD.
LAND IMP. TOTAL DATE
SUB. LOT .~-~
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TILLABLE
WOODLAND
MEADOWLAND
HOU'SE/LOT
TOTAL
M. Bldg.
Extension
Foundation
Basement
Extension
L~"t~ \~ ',4 t~ :- ~(o ~:?-~::)~ ~ Ext. Walls
Extension Fire Place
patio
Porch
Deck
Breezewa
Garage
Pool
57o~
5-/o2_
Dormer
SLAB
Bath
Floors
Interior Finish
Heat
Woodstove
Attic
Rooms 1st Floor
Rooms 2nd Floor
COLOR
TRIM
Dinette v
Kit.
ER ~"
COMP , AINT REPORT
ADDRESS ~
PHONE#
HOW RECEIVED, TEL MAIL IN PERSONX
LOCATION OF
NAT~'O~ -
ACTION
FILE # (IF APPLICABLE) ·
RE-INSP DATE
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 13th, 2009
FIRS7' NOT'Z~E
William Bogardus
Kim Palermo
190 Pheasant Place
Greenport, N.Y. 11944
RE: 190 Pheasant PI. (Accy. Non-Habitable Garage)
$CTM: # 1000-§.-4-44.36
Dear Mr. Bogardus & Ms. Palermo,
Please be advised that your Building Permit # 32022 issued May 19th, 2006 has
expired. According to the Code of the Town of $outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of $184.20: at that time we can
schedule an inspection by one of our Building Tnspector's.
If you have any questions, please call us at 765-1802.
Respectfully,
50UTHOLD TOWN BUILDING DEPT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone(631)765-1802
MAY 1,2006
William F.Bogardus
190 Pheasant PI.
Greenport NY 11944
RE: 190 PHEASANT PI.
S.C.T.M. # 053 0004 044 036
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Dear Mr. Bogardus,
Please be advised that your Building Permit # 29790 issued Oct. 8, 2003 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $184.20. At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUiLDING DEPT.
K. Miller
Clerk Typist
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York I 1971-0959
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
April 13th, 2009
FIRST NOTICE
William Bogardus
Kim Palermo
190 Pheasant Place
Greenport, N.Y. 11944
RE: 190 Pheasant PI. (Accy. Non-Habitable Garage)
$CTM: # 1000-5.-4-44.36
Dear Mr. Bogardus & Ms. Palermo,
Please be advised that your Building Permit # 32022 issued May 19th, 2006 has
expired. According to the Code of the Town of 5outhold, a Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit, please submit a fee of $184.20: at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 76§-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
5t375 Mare Road
P.O. Box 117!}
SouthoM, NY 11971-09,59
Tclcpl~onc (631 ) 76.3-1802
Fax ((iS I ) 71;,5-9302
BI ILl)IN(, 1)1',1 ARTMLN 1
TOWN OF fiOUTHOLD
March 30, 2010
William Bogardus
190 Pheasant Place
Sea Cliff, NJ 11579
RE: 330 Knoll Circle, East Madon
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
~'~,,, Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $25.00
__ Final Health Department approval.
Plumbers Solder Certificate. (NI permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance.
__ Final Planning Board approval.
__ Final Fire Inspection from Fire Marshal.
__ Final Inspection from the Building Dept.
__ Final Landmark Preservation approval.
Building Permit: 34670-Z accessory garage
m
FOUNDATION PLAN
FLOOP~P~LAN
t
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a)ul~O3a OA~ ~ NO~VaNnoJ., 40 $3(300 llV HiIM ^1~~ /I
. :~ NOJ..Lg~J,~NI E)NIMOTIO.J
3H1~40~ War, ~l fl¥6 ~061'69Z
SNOIIO3NNO0 ~' 9NI31VN ~ ~ J i?A7~" 9 , 7,
'-"~"~ ~' "!' %
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if
PARTIAL SEOOND FLOOR & ROOF PLAN
err CZ~I
¢~oss ~T!O~N '
SIDE ELEVATION
,.,~!NGITUDIAL SECTION
, SCALE: 't/4"=l'0"
FRONT ELEVATiS~~
REAR ELEVATION
C;QN~ULTiN~ E:N~N~
34~
4 25;9
F UNDATION PLAN
, ,, FLOOR_P~LAN
PARTIAL SECOND FLOOR & ROOF PLAN
, CROSS' SECTION
SIDE ELEVATION
I
LONGITUDIAL SECTION ' ~g' t- -- '
=~ ~ ' FRONT ELEVATION
SCALE: 1/4"= 1'0"
Idle
2 SHEETS OF ½" CDX
~LYWooD OLUED
WITH PREMIUM ADHESIVE,
'TO HE OPROSITE TO
~:~ ,,.E,~., . _
MEAN ROOF' H[IGHT
BUILOt~ CA~G
WIND SPIED ~ ~ ,~ 45 PSF -
~u~ j
C~PONENT & CLADDIN~ Z~E 2 14.9, -50.1 PSF
~ND LOADS
Z~E 4 25.9, -28A PSF
PLO? PLAN -
SCALE,: 1"=50'