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HomeMy WebLinkAbout35031-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Mall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34471 Date: 07/28/10 THIS CERTIFIES that the building BATHROOM ADDITION Location of Property: ETTRICK ST FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 9 Block 12 Lot 6.1 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25, 2009 pursuant to which Building Permit No. 35031-Z dated SEPTEMBER 25, 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 UNHEATED BATHROOM ADDITION TO AN EXISTING UNHEATED COTTAGE (SEASONAL) AS APPLIED FOR. The certificate is issued to JOHN W METTLER III RES TR (OWNER) of the aforesaid building. SUFFOLK COI~FI"fDEPARTMENT OF HEALTHAPPRO~-AL N/A ~t-r~IC3%L U~KTIFICATH NO. 35031 06/30/10 CERTIFICATION Da'r~u3 05/19/10 JOSEPH HIRSCHFELD ~t/ri~d/Si~ature Rev. 1/81 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. 35031 Z Date SEPTEMBER 25, 2009 Permission is hereby granted to: JOHN W III METTLER 950 THIRD AVE NEW YORK, NY 10022 for : CONSTRUCT A BATHROOM ALTER3kTION TO AN EXISTING BUILDING AS APPLIED FOR. REPLACES EXPIRED BP # 32429 at premises located at ETTRICK ST FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0012 Lot No. 006.001 pursuant to application dated SEPTEMBER 25, 2009 and approved by the Building Inspector to expire on MARCH 25, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 JOB, Bi NO. S 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) Dote ............. .~.,.~-~,~...I...'Z ........... , ~..~..'/ Permission is hereby granted to: /~ ...~~..~~..?....s....~.: ......... ~~'"~"'~~"'~'~' ,,.. ~ ......... :'""'-~'~ x"~'_"""'~' "; .................................................. Co~n~ Tox Mop No. 1000 S~c,,on ...... ..~...% ......... ~,o~k ....... ~..X ....... ~ No ..... .~..:.) ............ pursuant to application dated ......... .....~.~¥..~...'~.. .................. , 19..~..~.., end approved by the Building Inspector. Fee $...~'"~.. ............... Rev. 6/30/80 BUILDING DEPARTMENT TOWNHALL ~PLICATION FOR CERT~ICATE OF OCC~ This application must be filled in by ~pewriter or ~k ~d submiaed to the Building Depa~ent with A. For new building or new use: 1. Final su~ey ofprope~ with accurate location of all buildings, prope~ lines, s~eets, and unusual natural or topo~aphic features. 2. F~al Approval from Health Dept. of water supply ~d sewerage-disposal (S-9 fo~). 3. Approval of elec~ical installation from Board of Fire Unde~fiters. 4. Sworn statement ~om plumber ceai~ing that ~e solder used ~ system conta~s less ~an 2/10 of 1% lead. 5. Commercial building, indusMal building, multiple residences and similar build~gs ~d ~stallations, a ce~ificate of Code Compli~ce ~om architect or eng~eer responsible for ~e building. 6. Submit Pla~g Bo~d Approval of completed site pl~ requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-e~sting" land uses: 1. Accurate su~ey ofprope~ showing all prope~ lines, streets, building and unusual natural or topographic fea~res. 2. A properly completed application and a consent to inspect signed by the applic~t. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons ~eregor ~ writing to the applic~t. C. Fees I. Ceaificate ofOccup~cy - New dwell~g $25.00, Additions to dwell~g $25.00, Alterations to dwell~g $25.00, Swiping pool $25.00, Accesso~ building $25.00, Additions to accesso~ building $25.00, Bus~esses $50.00. 2. Ceaificate of Occup~cy on Pre-e~sting Bulldog - $100.00 3. Copy of Certificate of Occupancy- $25.00 4. Updated Ce~ificate of Occup~cy- $50.00 5. Tempora~ Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ,¥(//]k~ ~-5[,0 ~ Old or Pre-existing Building: Location of Property: c~ ~0© f ~p, /¢ Date. (check one) Street Hamlet House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~.~ ff 0 X / Date of Permit. ff/qY.5-/O 5 Block ;;~/~ Filed Map. Applicant: Lot Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant Signature 'l'ox~ u I lag Anne× 3137:~ Main Road P.(). Box 117!t Tclcph~mc (*;31) 7t;.M802 Fax ((;31) ro.qer, richert~town.southold.n¥.us BI IlLI)IN(; DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION sued To: John Merrier Address: 288 Ettrick St City: Fishers Island St: NY Zip: 6390 Building Permit#: 35031 Section: (~ Block: ./~ Lot: ~, / WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BD Elec. LicenseNo: 35821-me SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor ~ Basement ~ Service Only ~ Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCl Recpt A/C Condenser Single Recpt A/C Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures ~ HID Fixtures Wall Fixtures [~ Smoke Detectors Recessed Fixture.~ I 21 CO Detectors Fluorescent FixtureH Pumps Emergency Fixturesl.~ Time Clocks Exit Fixtures ~ TVSS Notes: bathroom addition Inspector Signature: Date: June 30 2010 81-Cent Electrical Compliance Form P.O. ~ ! 1"~ r~UZLDING O -EFARTM.~.,NT TOWN OF $OU'I'HOtr.~ ,Fax CERTIFICATION Date: Building Permit No. 32_/4 2--(~ Owner: ,Johr~ ~d. M&/-plCV--t~, (please print) P,umber:3C Hi sc fdcL ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/ ' - / J(Piu~b~drs Signature) Sworn to before me this ' dayof /~7/~/ , 20/0 Notary Public,/?~/~-//A/t0~9 County TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ I ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~.~Ifl. ATION [ ] FRAMING / STRAPPING [ IM~FINAL [ ] FIREPL~.CE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. ~ DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . ~ ...... , 19 .. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted 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 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. ~.. ~/__ ...... ,.: .~,.:.,, ,~,:~. . ............ (Signature of applicant:, or name, if a corporation) ..... ~,. : . ,~ ~ .~ ......... ?:.~ ,' '7 ~/,~ :: ~:: "~ ' " ~ ~.~( '4~ .... ?" ; ,~ / ........ (maxlzng address of applxcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ,~4/71....4~.:../~./~/./,(!T..~.' ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..... ........ (Name ~fid title of corporate 6fficer) Builder's License No.. ~..-7.'~.. ~.{~?. 7..~..~. ....... ,~elumber's License No .... Ele~t-rician's License No....~..?. ~.7.~.' ........... Other Trade's License No ...................... Location of land on which proposed work will be done., l( i.-.~(-~ . .~..~ ................. ftouse Number 0 Street Hamlet County Tax Map No. 1000 Section .... .q'. ............ Block .../. J- ............ Lot..~, .! .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... "~ ~ %.-(.-~C~ ......... '2, '~ ..... ;/- '..'" .x ' ") .................... ' ...... b. Intended use and occupancy . ~.Z.~.c~.J/. 'p~. :7....~. · .~. · .'. ~.~'~..~... ............................. 3. Nature of work (check which applicable): New Building .......... Addition....~...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... . .~.~.~. ~ .~...~., ~,, (Description) 4. Estimated Cost .. /&..Z..~ ....................... Fee ................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ....... g ..... 7 .... Number of Stories ..... 8. Dimensions of entire new construction' Front ~ ~/,3 Rear D~n'th ............... Height ............... Number of Stories .... ~ ................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ~. · ·: .,. ·..~..~¢... ~. Will exce~gss/fill be?9.mov0d from premises: Yes No 14. Name of Owner of premises .4>7~z ~ ~..~.~.A,.( .2-~. Address /~//~5 .~ .~.,.,~/~'~, ph,--~ Name of Architect ...Z~i7 .~. ................. Address .............. ~...rhone No ................ Name of Contractor. ,<~...~.~. ~ff~ ~.~{)~5..-,7~¥,. Address . ~.Je'~6; .~d.~..~..~ .~-Phone No ...... ,,~ ........ 15. Is this property located within 11~0 feet of a tidal wetland? · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTYSTATE OFoF NEW,,q, ~ ,.,.- .. I'YORK' ~.. S.S Z:: 'k-v l/ ......... .~./,/Yd',~z41'¢.% · · .'/.-...k.)~,/Z~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....... /7...~-. ..... .~7.'/(:/.~'.... :;...?y.c,.r. (Contractor, a~ent, corporate officer, etc.) .............. 'fi"' ' ' 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 ....... · / ................ day of ............... , 19 .~.7. Notary Public,. ........ /-:)..., .....,, ........... County . .~.;~ (/ ~,__ & .......... .......... ' k~ARY B. PANKIF..WIC, Z t_) .,. ~OTARY ~BUC, STATE OF NEW YOI~ / (Signature of applicant) ~0. 5~.8~1~a0 - 8IIF[~I[ G01JSrt CO~4mSS~0~ EXPIRES q/?oleg To:m I lall Annex 5,1375 Main Road P.O. Box 1179 Souflmld, NY 11971-0959 Telephone (631) 765-1802 . . ,_J~;t,: (631} ro¢:ler r cnert@town soumola.ny.us BUILDING DEPARTMENT TOWN OF $OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Company Name: Name: License No.: Address: Phone No.: dk' JOBSITE INFORMATION: (*indicates required information) Date: *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Plea-~e Circl~ All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: TemP Information (If neededJ *Service Size: 1 Phase 3Phase *New Service: Re-connect Additional Information: YES (~ Rough In k);r,~.5,' 100 150 200 300 350 400 Underground Number of Meters Change of Service PAYMENT DUE WITH APPLICATION Other Overhead 82-Requesl for Inspection Form Sop 17 09 06:53a cdmfi8 212 988-5050 54375 Main Road P.O. Box I 179 Southold, Nav.' Yoxk 119'71 0959 BUILDING DEPARTMENT TOI/FN OF $OUTHOIDD Telephone (631 ~ '765-1802 Fax {631 ~ 765-9502 Job# Cost Code# Approve June 22nd, 2009 *FII~ST NOTICE* POSTE[ John W./~ettier IrI 215 E. 72nd Street New York, N.Y. 10021 RE: Ettrick -qt. (Bathroom Addftion) SeTM: # 1000-9.-12-6.1 bear Mr. Mettler, Please be advised that your Building Permit # 32429 issued October 16th, 2006 has expired. According to the Code of the Town of Southold, o Certificate of Occupancy must be issued before the use of the structure. To renew your Buildin9 Permit, please submit a fee of $200.00; at that time we can Schedule an inspection by one of our Buildin9 l;nspector's. If you have any questions, please call us at 765-1802. Respectfully, 5OUTHOLD TOWN BUILDZNI6 bEPT BLDG. DEPT. }'OWN OF SOUT~fOLD Tovqa 1 Iall AIIIICX 54375 Main Road P.O. Box 1179 Southold, NY 115)71-0959 Tclellholle (631) 765-1802 Fax (631) 7654)502 1½UILI)ING DEPARTMENT TOWN OF $OUTHOLD May 4, 2010 John W Mettler, III 215 E 72n" St New York, NY 10021 RE: Ettrick St, Fishers Island TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: J "',,J Application of Certificate of Occupancy. (Enclosed) ~ Electrical Underwriters Certificate. ~ A fee of $25.00 Final Health Department approval. Plumbers Solder Certificate. (All 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: 35031-Z bathroom alteration I~ eel~er tubing la used for water distributing ~stem; piping ahall be ~ types K or L only' $ SI OCCUPANCY OR ___ ......~USE IS UNLAWFUL ~~UT,CEmlFIC~E OF OCCUPANCY ~,~. APPROVED AS #OTr~ .~/~.~I'11::Y' BUILDING' 6EpARTI~E~IT"AT -r~5.1~O2 9 ~ TO J~ PM FOR THE FOUNDA'rlON T1NO F-OR ¢~OURED CON~'~RET~ ~IOUGH i=~AMING~ & Pt. UMBING i ~-t(~t C.[)~ISTRUCTION MUST ~i.~?~ ~ CUNS~UCTION ERRORS, ~,:.~ ~,/~,, .,-..