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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. 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PLAN - SCALE,: 1"=50'