HomeMy WebLinkAbout37770-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
1/30/2013
CERTIFICATE OF OCCUPANCY
No: 36127
Date: 1/30/2013
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
SHED
Heathulc Ave, Fishers Island,
Sec/Block/Lot: 9.-6-5.6
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
1/1/1900 pursuant to which Building Permit No.
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:
Lot No.
filed in this ofliced dated
37770 dated 1/23/2013
garden shed.
The certificate is issued to
Hartling, Phillip
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK°S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 37770
Permission is hereby granted to:
Hartling, Phillip
Date: 1/23/2013
71 Tunxis Rd
West Hartford, CT 06107
To:
erect a garden shed. (replaces BP 19309)
At premises located at:
Heathule Ave, Fishers Island
SCTM # 473889
Sec/Block/Lot # 9.-6-5.6
Pursuant to application dated
To expire on 7/25/2014.
Fees:
1/1/1900
and approved by the Building Inspector.
PERMIT RENEWAL
CO - ACCESSORY BUILDING
Total:
$12.50
$50.00
$62.50
/ ~"- Bu~ldi~ Inspector
IPOWM NO. ~J
TOWN OF SO~THOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
No
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
-:~ z ~o,, .... ~ ......... ..Z.....: ............. ,,,..~.~
Permission is hereby granted to: , ,~ .
..... ~...~....~..~..~
..~?:...~..z...~~.z.~..... _~..~.
Courlty Tax Map No. 1000 Section ........ ..~.. ........... Block ..... ~ ...........Lot No...~..~....~... ......
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTnOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application mast be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, properly lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate &Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building:
House No. Street
Owner or Owners of Property: ~)~ 'l J-J.~- ~-,E) ~---~v
Suffolk County Tax Map No 1000, Section ~ -~, Block /o '--'
Subdivisio~n~"~3 "7"?d~.f~ L~JT (D
Permit No~ ~L Date of Permit.~)-") --c~ ~
Health Dept. Approval:
Planning Board Approval:
(check one)
Hamlet
Filed Map. Lot:
Applicant:~ol4 O, I.~C~:~ 0~ ~
Underwritem Approval:
Request for: Temporary Certificate
Fee Submitted: $ /o ~x~C)
's O
PHILLIP c. HA~ING
7 ~ ~N~ RO~
WEST HAR~ORD, ~ ~107
Final Certificate: ~ (check one)
¢ ' Applica~i~ SignatUre7
FORM NO. I
TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT
TOWN HALL
$OUTItOLD, N.Y. 11971
,, ,-~TE L.: 765-1802
E~an, in.,, ........... 19 . '~77-70
Disapproved alc ..
[Building Inspector) ' /
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH
3 SETS OF PLANS ............
SURVEY .....................
ClIEEK ......................
SEPTIC FORH ................
NOT[FY: CALL
.A L ..................
BLDG DEPT ~'~: ':
TOWN OF SOUTHOL? ...... ~
Date '
........ , 1.$...
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building IfisPector' with 3
sets of plan~, accurate plot plan to scale. Fee according to schedule.
b. Plot pl:m showing location of lot and of buildings on premises, relationship to adjoining premi~_ or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which i~ part of this applL
cation.
¢. 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 i~ued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throu~out the work.
¢. No building shall be occupied or used in whole or ~n part for a.ny purpose whatever until a Ce:/tificate of Occupancy
shall have been granted by thc 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 Sou[hold, Suffolk County, New York, and other applicable Law~. Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as he~in described.
Tile applicant a~rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized h~pecto:~ on premises and in building for neccssa~,i, fl.~ections, a/~ ·
....
(S~gnature ot appl:cant, or name, ifa corporat~n')'
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
......... ~..~..~?,,?L Co..v.:~.O.4~£q ~
If a,~licant i- . . (as on thc tax roll or iatest'deed') '
~'~ ~ a corporation, s~gnaturc of duly authorized officer.
a' /teof o
u... .....
B ddcr s L~ccn~e No.
Plumber's License No ...........
Electrician',: License No .....
Olher Tradc'~ Licenge No '
1. Location of land on which proposed work will bc done~
....................
Ilouse Number Street
Hmnlct ..........
County Tax M.lp Nm '000Section ~. ' ' BI0c~ .... ~ ........... Lot...~.~ /'
~ubdivision. · .... ~. ~.
................................ Eilcd Map NO. ...
SI (Name) ........... Lot ...............
- ate existing u~ and occupancy of prcmiscs and intended use and occupancy of proposed constructio~
' U,c and occupancy YW-~Q. ......
3. Nature of ~vork (check which applicable): Ne~v Building ...... Additien .......... Alteration ...........
Repair .............. R~moval ............ .. Demolition .... ........... Swi=min,,l. poet ............
Tennis Court~./ ........ Accessory Building.. . .Fence ....... Other Work ......
EstimatedCost{//.OO. ...a. . ................ .... ..................
l~gLtu£~[,O .P,,~/--7,V~. (to be paid on filing this application}
$. Ifdwelling numberofd ellingunitS Nnmberofd Iii gunitson aehfloor
If garage, number of cars. ...................................................... . .. ...... ....-..
6. If business, commercial or mixed occupancy, specify nature and extent of each'type of use ... .......
7. Dimensions of existing structures, if any: Front ,-,, ............ Rear .......... D~pth
Height ............... Number of Stories .................................................. ... ..
Dimensions of same structure with alterations or additions: Front ............ Rear . .
Depth ...................... Height ...................... Numbcr of Stones .
S. Dimensions ,tv construction Front ........... Rear ...........
~'. -'. ~ ~ N f st 'H / ........
eight .. u nber o eries ................
9 Size of lot: Front ? ' '
....... , .............. Rear .................... Depth... .............. .. ...
10 Date of Purchase "
........................... Name of Former Owner ..................
1 1. Zone or Use dlqrict in w'hich premises are situated ........
12. Does proposed Construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded .;,.~.~ .................... Willexcessfillbercmovcdfrompremises:
14. Name of Owner of premises ~/:~, ~.,JJ~ H,lJl .~t~.O. Address .e~ctJf-C[TCO.~. .O~'£.,.~.,. rhone No. ~. ,.~ ~.."2. 70".~,/....
Name'of Architect . ;~ ....................... Address .
Name of Contractor ~. 1o41¢..6<Ze.O},).. ! ...... Address ~'~.: ;~/2/2 ~ ~"~2~:::. PhonePh°n¢ NONo. .......... ~. _.~. ~...~ ~-~'/ ....
IS.Is this property located within 100 feet of a tidal wetland? mYE$ .... NO
*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 :md block number or description according to deed, :md show street names and indicate whether
interior or comer lot. _ .........
I
STATE OF NEW YORK, ~. o
.. ..
..... /.).~. ~5~....{.~'/~r'zql~. .................... being dnly sworn, deposes =d ,ays that he is the applicant
-/{Name of individual signing contract)
above named.
~ i~ th~ ...... ~4~<~'0~ ............................................................ . . .... . . . .
(Contr?tor,,agent, corporate officer, etc.)
of ~aid owner or owners. =d is duly authorized to perform or have perfo~ed the said work and to m~e and file this
application: that all statements contained in this application are true to the best of his knowledge and belief; and t~at the
work will be perfommd in the m~ner sctfforth ia the application qlcd therewitli. ..
S, o ,o / ._ ...
Ho. 4~ss, {Signature of applic~t)
Page 1 of 2
Subj: RE: permit?
Date: 1/17/2013 11:22:24 A.M. Eastern Standard Time
From: laurie~shuttersandsails.com
To: PhilMan123~,aol.com
Hi Phil-
Heard from building department. They need:
$12.50 - renewal of permit
$50.00 - application for Certificate of Occupancy
$ . - ¢ :is fine and must accompany application for Certificate of Occupancy which can be
~e......http.~P~/~ww.sout holdtown ny.gov/Docu me ntCenter/View/7$8
The building department's number is 631-765-1802 in case you need them. Connie is the contact. I will
bold your cash until you get back to the island.
Laurie Finan
Licensed Real Estate Broker
Shutters & Sails. LLC
Fishers Island Real Estate
o: 631 788 7921
c: 860 803 2963
www.sh uttersa ndsails.corn
~777~
!~ UPANCY OR
OCC~' ..........
USE IS UNLAWFUL ,.
WITHOUT CERTIFICATE
OF OCCUPANCY
APPROVED AS NOTED
:'65-1802 9 AM TO 4 PM FOR YNE
~;OLLOWING INSPECTIONS:
FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
'~'.3UGH - FRAMING & PLUMBING
, ~ULATION
~AL - CONSTRUCTION MUST
COMPLETE FOR C.O.
~'~ CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION .ERROR~