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Home My WebLink About34304-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34717 Date: 11/30/10 THIS CERTIFIES that the building DECK I~)cation of Property: ~L~DELINE AVE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 6 Block 7 Subdivision Filed Map No. __ Lot NO. __ FISHERS ISLAND Lot 12 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 2008 pursuant to which Building Permit No. 34304-Z dated NOVEMBER 18, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOUISE BURNHAM PACKARD & ORS (OWNER) of the aforesaid building. BuF~OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~,RCTRICAL c~KTIFICATH NO. PLI~BERS ~-rIFICATION DATED N/A N/A ~A~u~Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 34304 Z Date NOVEMBER 18, 2008 Permission is hereby granted to: LOUISE BUR/qHAM PACKARD 26 DEXTER RD LEXINGTON,MA 02420 for : DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES BP 31839. at premises located at MADELINE AVE County Tax Map No. 473889 Section 006 Block pursuant to application dated NOVEMBER 18, 2008 Building Inspector to expire on MAY Fee $ 150.00 FISHERS ISLAND 0007 Lot No. 012 and approved by the 18, 2010. '~~~A~~ture/ Rev. 5/8/02 ORIGINAL 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. ~9 Z Date MARCH 10, 2006 Permission is hereby granted to: LOUISE BURNHAM PACKARD 26 DEXTER RD LEXINGTON,MA 02420 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. THIS PERMIT REPLACES PERMIT #18122Z, #18843Z, AND #28643Z at premises located at MADELINE AVE County Tax Map No. 473889 Section 006 Block pursuant to application dated MARCH 10, 2006 FISHERS ISLAND 0007 Lot No. 012 and approved bythe Building Inspector to expire on SEPTEMBER 10, Fee $ 2007. Rev. 5/8/02 ORIGINAL FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT NO. PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETI?~OF_ THE WORK AUTHORIZED) 28~ Z ~O~ Date AUGUST 12, 2002 Permission is hereby granted to: STEPHEN T & ORS BURNH3kM ARLINGTON,MA 02174 for : CONSTRUCTION OF A DECK ADDITION AS APPLIED FOR. THIS PERMIT REPI~kCES EXPIRED PERMIT # 18843-Z, WHICH REPLACED BUILDING PERMIT #18122-Z at premises located at County Tax Map No. 473889 Section 006 pursuant to application dated AUGUST Building Inspector to expire on FEBRUARY MADELINE AVE Fee $ 150.00 FISHERS ISLAND Block 12, 2002 0007 Lot No. 012 and approved by the 12, 2004. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is h_er~by g~nted to: · , .... ../..-~....~...~....,...~.:~ ......... ~.~.~ at premises located at ......... ~....~. _~.~....~ ....... ~ ................................................................ ............................................ ....... ............................................... County Tax Map No. 1000 Section ............... ~.. ...... Block ......... ~ ........Lot No ....... · ./...?.. ......... pursuant to application dated ..... ~... .................................. , 19..~...¥.,~'~ and Building Inspector. approved by the Rev. 6/30/80 !~u~ue NO. ~ TOWN OF SOUTHOLD IUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('rillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL - COMPL.ETI0~I OFTHE, ~---"- WORK AUTHORIZED) N,_ ~-~2 Z ~3oV ~,,o..~z ....................................... . ,~.~ Courtw Tox Map No. 1000 Section ............... ~.. ....Block .......... ~ ....... Lot No ......./......'~... ........ pursuant to application dated ........................................................ , 19 ......... and approved by the Building Inspector. Fee ................. Rev. 6/30/80 Form :~o. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 7his application must be filled in by typewriter or ink and submitted to the Building Department with ti Ao For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusu 3. 4. 5. topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation t¥om Board of Fire Underwriters. 4 .~Tt~ll ;lng: 3 d natural k~~ Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar bnildings and installations, a certificate of Code Compliance from architect or engineer responsible tbr the boilding. Submit Planning Board Approval of completed site plan require~nents. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application an~l 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. £. Fees I. 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 Buildlng- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 9. New Construction: Old or Pre-existing Building: ~ (check one) Location of Proper~y: ~ [~ ~ Honse No. Stree! Hamlet SufiBIk County Tax Map No 1000. Section . ~ Block ~ Lot 3 [,ed ot: Permit No. ~- ~ Date of Permit. . Applicant: ~ Health Dept. Approval: .... Unde~riters Approval: Planning Board Approval: Request for: Temporary Ce~Jficate ..... Final Celqificate: ~_~..__ (check one) F eeSubmitted:$~ trw ~rQ~, ~00~ 7{ l1 tSignature ~I~ECTION REI>ORT [ DATIg FOUNDATION (1ST) FO~ATION (2~) .~C- ROUGH F~G & pL~G ~S~A~ON PER N. Y. STA~ E~RGY CODE ~ON~ CO~ ~ Z FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 BOARD OF HEALTH ....... 3 SETS OF PLANS I[~,~ . . SURVEY 'l'~'~''' SEPTIC FORM ................ NOTIFY ,/ TE L-:~'7-65-1802 CALL ..................... Di=vv,o, d ..................................... FEB 2 8 ................................ ........ APPLICATION FOR BUILDING PER~IT Feb 21, 1990 Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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,xvm,-' ' ,, a detailed description of layout of properW 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 buildi~e code. hn.,~ ne cnde, and regtd~tions, and to admit authorized inspectors on premises and. in building for necessary, ins~n~ '{~_ ..~ ~''0 ...... . ......... .1.27..P.e.l.h.a.m.d.a.l.e Ave #8, Pelham, NY 10803. ve · (Mailing address of applicant) State wh~her",a~3p]t~aJt i~ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Stephen Burnham, Cornelia Burhham, Daniel Malloy (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ~-~.a~. ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work xvill be done. Madeline Avenue, Fishers Island House Number Street, Hamlet County Tax Map No. 1000 Section ........ ~ ......... BlOck .... 7 Lot 12 Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... at~ram~n .h.~t~s.e. ..................... b. Intended use and occupancy ................ s~:eaniag in and roofing .over part of existing deck 9. 10. 3. Nature of work (check which applicable): New Building .......... Addition Alteration X Repair Removal ............. Demolition .............. Other Work .............. 4. Estimate'd Cost $2000 (Descr/ption) ...................................... Fee $50 (to be paid on filing this applicat.ion) 5. If dwelling, number of dwelling units ...... .~ ........ Number of dwelling units on each floor.. 6. If garage, number of cars . ... [f~.b,p,.~iness COmmercial or mixed occupancy, specify nature and extent of each ½~p~f use ........ .. [~l~ensions of existing structures, if any' Front 20 ft n ~ h{ 27 feet ,, ' " ,,ear . i~t~ ..---~, .......... rqumberofStories 2.'3 .................. Depth . 30 ft . {[~qens:~n~s et same structure with alterations or additions' Front'' '~j~ ............ 1{;~ ' ' '~n~g ' ' ' ~_im~sions of entire new, con~ltruction ~:,~'j ................... Number of Stories..s.a.m.e... . '" ;[eig~.l~ ~'.[ ~i~ Nt}~ber of'St'~,~-t ............ Rear ............... Depth ..' ........... Date of Purchase May I~ ............ Depth .......... ' ' ' i i. ' ................. Name of '- corner Owner .... Katharine. Schra~-¢.t. Zone or use district in which premises are situated residential 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... no ............... ' ...... 13. Will lot be regraded ....n.o ......... .. Wi 1 excess fill be relnqwed from premises Yes N 14. Name of Owner of premises l~ur~hetra-~I;,{i~ ...... Addr 124 Pelt/amaaJ_e ave. : o Name of Architect ........................... ess b:,~*,:,.~- · ~,~-. -, ..... Phone No (914) .738-:7248 Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ............. :... 15.Is this property located within~o0 feet of a tidal wetland.* *¥~.$ .... No..X.. · If yes, $outhold 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 comer lot. Please see Building permit number 18122(9 :r 4 I .... '~ ~==d iL) issued on May 18, 1990. We have not y~t requested a certifiicate of Occupany for the new deck as the hot tub installation is not yet completed. While building the new deck we were not happy with condition of the old dehk (non - pressure treated lumber etm) and we plan to reglace the posts and flooring and then build a roof over it with screened in sides. We will then apply for our Certificate of Occupancy for both projects at the same time. Please see the enclosed diagrams for setbacks, etc. FOLLOWING ~NSPE~ONS: I. FOUNDAT~N . ~ R~RED FOR P~RED ~NCR~ 2, ROUGH - ~AMING ~ ~BING 3. INSULATIO~ 4. FINAL CONSTRUCT~N MUST RE COMP~TE FOR C,O. ~ CONST~ON SHALL ME~ ~RT~RUC~ON & ~ERGY ~d~ ~ ~E~PONSlB~ FOR ~E~i~ ~qN~ rRUCTION ERRORS COUNTY O~ ................. ...... ' ............................. being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. He is the ............................................. ontractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform 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. Swum to before me this Notary Public ............. · ..? ........ County LOLT;S KRAVi~Z ',/ (Signature of applicant) Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 · Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2000 Mr. Charles VanVoorhis 628 Pleasant Street Suite 322 New Bedford, MA 02740 RE: LOUIS BURNHAM PACKARD Madeline Ave., Fishers Island SCTM#6-7-12 Dear Mr. VanVoorhis: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 23, 2000: RESOLVED, that the Southold Town Board of Trustees grant the request for a Waiver to LOUISE BURNHAM PACKARD for the addition of a 18'X 18' sunroom and a 18' wraparound deck. This approval does not constitute approvals from any other agency. If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms ~ New York State epartment of Envlrbnmental Conservation Order' On Con ent/Stip'u ation · NeW York State EnviromnentalC6nservation Law Number "~ ~' ~ ' (Responder~t) (Street and Number) , hereby pay to the Department [Ngme of Town. Vii[age, City and State) 7' . ~. -~""~ ~ of the State of New York the, sum of /.-~[~. dollars of Environmental Conservation made a ~a~ hereof,:by reason of my act consisting of [~~'f~VJ '~ of the 8~te of New Y~rk's --the same being a vioJ~tion ot o~c~ E~vi~6n~efi'tal Con~vation ~aw and/or Section York's Rule~ and Regulations, ~D~NYCRR, said act committed in County of. 2) (q ~ , State of New York on In so stipulating, [ waive ~y right ~o a hear~g ..... - ....... NY (month day) (name of ~w~ vig~e, city) * NOTE: If consent order/stipulation is against a eo~oration, the yespq~d~nt must be"an official, authorized, corporate representative. . (~o 'z~ of'the State of New (name of town, visage, city) This or.de~tinulation has been l:e,vLew~ed by: fl/l/~,,//)/ ~a~e a~d Title of DLE'Offic[al Date WHEREAS: .. ~" . having violated Section'S7 ~/~7~~ / of the State of New York's (Respondent) Environmental Conservation Law and/or Sectioaf]~'%~-~ of the State of New York's Rules and Regulations, 6 NYCRR, at the time and in the manner stated above, and having waived the right to a hearing on the violation(s) and having offered to pay the sum of (~'~, '~' dollars by reason ~f said violation, and after due consideration having been had thereon it appearing that this order will be advantageous to the State, now therefore, IT IS HEREBy OR. DERED, pursuant to the provisions of the'l~nVironmental Conservation Law, that the offered sum ~hall be paid to the Department of Envir6nme~ptal.-?.on§.ervation as- a penalty for the violation described above and Respondent shall comply xvi~h the. t%,rlffs of the attached Schedule A by reason of such violation. ,~j7 ...... ,- /4 Signed.z~ ,':' ~ ...... ~(month, day) , .t'~' : Location: Reigonal Di ,r~q~or, for the Cornmi~ioner (name of town, village, city) , NY TOWN OF SOUTHOLD PROPERTY. RECORD CARD ,TREET VILLAGE DISTRICT SUB. E S~S. FARM ~ND IMP. TOTAL DATE BUILDING CONDITION NORMAL Acre BELOW Value Per Acre AGE NEW Farm lable 1 lable 2 lable 3 aodland ,ampland ushlancl ]use Plot ACREAGE TYPE OF BUILDING cOMM. I IND. CB. MISC. Est. Mkt. Value ABOVE Value FRONTAGE ON WATER q:~~ ~ I ,~ - ,. ,, ' ,-~", c~.-, :~ ' ~'' ' FRONTAGE ON ROAD BULKHEAD - ~ ~- '~/)Z[~ ~'~'' Z~d":'~ ...... ~tension !xtension !xtension reezewoy. ,oroge Foundation Basement Ext Walls Fire Place Porch Patio Driveway · ~ .,!//~.;., ~ Bath ~ OY/ / Floors ,~,/ , '- Interior Finish Porch Roof Type Rooms 1st Floor Rooms 2nd Floor Dormer O~ ~no u.S~ ~fa;r I~ PT ALFRED R. GREBE, JR. N 242,60' E IRON PIPE MERESTONE AREA= 2.26:1:: ACRES N/F PIRATE COVE MARINE NYS~DEC FRESHWATER WETLAND '-BOUNDARY AS J~FLAGGED "BY C. BALK N,Y.S.D.E.C, 3/15/00 N/F MICHAEL LAUGHLIN ~,, DECK PATH - \ W,F, HOUSE 152 E) IRON PIPE~ POLE~ 151 ~.)~T GON~TEUCT~ON IN ~EY ~OUTH ELEVATION ELEVATION SCAL~ 1/4;' = 1' - O" I~ ENT CON~TI~JCTION APPROVED AS NOTEI~, FEE: BY: NO, FY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONS?SUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y, STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBL~ CDR DESIGN OR CONSTRUCTION ERRORS, NE~V DE4CK F_zkE~T ELEVATION NOI~TH ELEVATION I;i~,CENT CON~UCTION P-E_NOVATION S E- ADDITION to BU P4N H&M/PAC 14AP42 HOUSE MADELINE AVENUE FIGH~ I~I~ND, ClEW ¥0~ EXISTING ELEVATIONS DURLAND ~ VAN VOORHIS ARCHITECTS ARCHITECTURE DESIGN P1 .ANNING ALFRED R. GREBE, JR. N 8~44'40' E 242.60' N/F PIRATE COVE MARINE AREA= 2.26± ACRES GAULEO VALENT~N~ EXISTING IRON PIPE~ GEORGE W, PACKARD, LOUISE BURNHAM PACKARD, STEPHEN T. BURNHAM, CORNEUA B. BURNHAM, F'IRST AMERICAN 'DJ"II_E INSURANCE COMPANY OF NEW YORK AND CHASE MANHATTAN BANK IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR '~TLE SURVEYS OF THE NEW YORK STATE LAND TITLE ASSDQA~DN. ~TLE ~ 151-S-0772 POLE~ DECK IRON PIPE PATRICIA DOWNEY HOUSE W 72.80' PIPE 626.27 ,? 40 20 0 40 ORAPHIC SCALE IN FEET REVISIONS DATE DESCRIPTION DATE AUGUST 11, 1999 SCALE- 1" = 40' SHEET 1 OF 1 NOTES: 1.) COORDINATE DISTANCES ARE MEASURED FROM U,S. COAST & GEODE~C SURVEy TRIANGULATION STA~ON "PROS" 2,) TAX REFERENCE: DISTRICT 1000, SECTION 006, BLOCK 7, LOT 12 PLAN OF PROPERTY PREPARED FOR RALPH E. AND ROSALIE ROOKS FISHERS ISLAND, NEW YORK , MAY 1966 CHANDLER & PALMER SCALE: 1'=40' SURVEY MAP PREPARED FOR GEORGE W. PACKARD, LOUISE BURNHAM PACKARD, STEPHEN T. BURNHAM, CORNELIA B. BU-RNHAM MADELINE AVENUE FISHERS ISLAND, NEW YORK