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HomeMy WebLinkAbout31143-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30934 Date: 05/26/05 THIS CERTIFIES that the building ADDITION Location of Property: EQUESTRIAN AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 6 Lot 4 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2005 pursuant to which Building Permit No. 31143-Z dated MAY 18, 2005 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 EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PHILIPPE KRAKOWSKY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4/t,4 //u/,th :rtiz Signature Rev. 1/81 Fro!, Form No.6 TOWN OF SOUTHOLD , BUILDING DEPARTMENT MAY 2 5 20 TOWN HALL ' 765-1502 E PT. . APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must 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,property 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. Swom 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 a 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00,Commercial$15.00 Date. 5Z0 3 lb s New Construction: 0 Id or Pre-existing Buildin (check one) Location of Property: 1�,�u a trts-v. 4 u S/��'2S �S LFPdL7D House No. Street Hamlet Owner or Owners of Property: �'i r-D 'Ce )Ct-pr k,W.S L, .o Suffolk County Tax Map No 1000,Section 0 O cj Block G Lot 7 Subdivision Filed Map. Lot: Permit No. // Date of Permit.5 / O S Applicant: PA -P i CL C0C_1 f PAAJf Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ S Applicant Signature co ?-3o � 3� 05/23/2005 08:01 FAX 631. 788 7798 FITVLE uONE: IM 002 ry 765-1802 BUILDING! Dom. . INSPECTION [; ] FOUNDATION 1ST [ ] ROUGH PLOG, ='r ] FOUNDATION 2ND [ l INSULATION [ ] FRAMING [Z-YlFri-NAL [ ] FIREPLACE A CHIMNEY .REMARKS: ol DATE INSPECTOR�'t r OK S . 3' 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. 31143 Z Date MAY 18, 2005 Permission is hereby granted to: PHILIPPE KRAKOWSKY 90 ROCKLAND AVENUE YONKERS,NY 10705 for CONSTRUCTION OF A DECK ADDITION WITH COVERED SCREEN AREA AS APPLIED FOR. THIS PERMIT REPLACES BP 27473 . at premises located at EQUESTRIAN AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0006 Lot No. 004 pursuant to application dated MAY 18, 2005 and approved by the Building Inspector to expire on NOVEMBER 18, 2006 . Fee $ 150 . 00 ! ut orized S ' ature i ORIGINAL Rev. 5/8/02 CO Fax (516)765-1823 W Z Town Hall,53095 Main Road Telephone(516)765-1800 %3__ P.O.Box 1179 Southold,New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION JUL...13 ' (i q BLDG. FE,r-)T. TJt F S�(')�u'f 10 L D July 23, 2001 TO: Southold Town Building Department FROM: Southold Town Landmark Preservation CommisSip n1l RE: Equestrian Ave.-Fishers Island Tax Map: 1000-9-6-4 The Landmark Preservation Commission has reviewed the submitted plans for the addition of a larger deck on the above mentioned residence. The Commission approves the addition. Thank you. TO ACCOMMODATE • DECK DOUBLE LEDGER PLATE STRENGTHEN ALL !STRENGTHEN AS NECESSAFfl/ DOUBLE LEDGER PLATE ! TO SUPPORT DECK iD! STRUCTURE EY dSTING HOT I AND COLD WATER SUPPLY SHOWER T-5 13110' 7-5 13/1 l5r Propos�d Deck SuPPOrt/Shower ' 1 , 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . .V. ... . . . Alteration . . . . Repair . . . . . . . . . . .':. .. Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . (Description) / . D Fee 4. Estimated Cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X TE,��o (to be paid on filing this application) .� 2 5. If dwelling,number of dwelling units .�. . . l7G�'-K . . . Number of 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 � .�V 2 µGA. . Number of Stories . . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . .ad . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . ... . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . ... . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . . . N;me„p,Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1. Zone or use district in which premises are sitbated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . � . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises 4H+0/J,ppf,K/?40H-sK4 • Address yo�s/d /Phone No. i Name of Architect . . . . . . . . . . . . . . . . . ... . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No.. . . . . . . . . . . . Name of Contractor . . . Address fS P� 1st r.N�. . . Phone No.60/.7,943-. 71T. 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. e STATE OF NEW YORK COUNTY OF . .5p!FN K . S.S • • •C...AD /y�� .. . • • • • • • • • • • • . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. �y He is the . . . . . . . . �%0.'U7-2A eTOP—. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 per ed in the manner set forth in the application filed therewith. Sworn to befo e this �- �n-t Notary Public, . . . . . County THOMAS F.OrOFioP�Y"r+�lY \ (�. . . . . . . . . . . . . . . . . . . . Notary PublicState of Now York No. No.4606558 Qusiifieu in Suffolk county (Signa ure of applicant) Torre Expires 12/3149-� FORM NO. 1 TOWN OF SOUTHOLD r: .1' FEB 2 3 ,2ooi 'I J 1 BUILDING DEPARTMENT a TOWN HALL C O.OEr is SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .� . . . . . . . . .�0� 3 s 143 r Application No. . . . . . . . . . . . . . . . Approved . / . . . . 9 Permit No. . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A06� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. I (Build' g I Spector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . .. 19 . . �a /9 2°U I INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin; 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 street: 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 issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the work. ae. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of OccupancN 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 tht Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o ".;,gulations, for the construction of buildings, additions or alterations, or for removal or demolition; as herein described Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t( admit authorized inspectors on premises and in buildings for necessary inspections. nn AZV�4- I (.d''l rW 4!f.?. .4�U. . 9 d ��'c�r.?1 (Signature of apVlicant, or name, ' corporation) PO 60,y 390' 1=1sHE4S 1-5tA -') ,�W cid (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6pj !?1fL . . .CavTk10-io�2 . : . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . L1,5fi 4J/7 �J,�//L/ /-2,E . . .J /) " J. A<UW s l<-/. . . . . . . . . . . . . . . . . ... . . . . . . . . . . . (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. . . . . .� ?. �./� �. . . . . . Plumber's License No. . . . . .. . . Electrician's License No. S ' �. . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet `, County Tax Map No. 1000 Section . . . U O. !q. . . . . . . . . Block . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .a !� �• • •�C•� �IA- / l� �I5� �, ��' ' ' ' ' ' ' ' ' ' ' ' ' ' .G S TA- I-C A--t10� 0 )D EC ll '/ �r/ l� %0 l�sz b. Intended use and occupancy . . . . . d2.Uv,CA4?yW7-s o/J 1�157i NG � C/C NYSRPS ASSESSMENT INQUIRY DATE 05/26/2005 473889 SOUTHOLD SCHOOL FISHERS ISLAND S ROLL SEC TAXABLE PRCLS 210 1 FAMILY RES TOTAL RES SITE 9 . -6-4 TOTAL COM SITE EQUESTRIAN AVE ACCT NO 06 OWNER & MAILING INFO === I =MISC I ======== ====== ASSESSMENT DATA KRAKOWSKY PHILIPPE & IRS-SS I **CURRENT** RES PERCENT LISA POSEY I 1 ILAND 300 **TAXABLE** 90 ROCKLAND AVENUE I BANK ITOTAL 6, 900 COUNTY 6,900 YONKERS NY 10705 0159307 **PRIOR** TOWN 6, 900 I ILAND 300 SCHOOL 6, 900 ( TOTAL 61900 ==DIMENSIONS === I =====_= SALES INFORMATION ACRES .31 IBOOK 11940 SALE DATE 01/08/99 SALE PRICE 2301000 ( PAGE 867 - PR OWNER KRAMER JOHN F & ANO =======TOTAL EXEMPTIONS 0 _____________ 1 == TOTAL SPECIAL DISTRICTS 3 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE IFDO27 IFF080 IFG081 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75 . 10- 03-050 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU 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) Pei PERMIT NO. 27473 Z Date JULY 12, 2001 Permission is hereby granted to: PHILIPPE KRAKOWSKY 90 ROCKLAND AVENUE YONKERS,NY 10705 for CONSTRUCTION OF DECK ADDITION WITH COVERED SCREEN AREA AS APPLIED FOR. at premises located at EQUESTRIAN AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0006 Lot No. 004 pursuant to application dated FEBRUARY 23 , 2001 and approved by the Building Inspector. Fee $ 75 . 00 Autho ized Si ature ORIGINAL Rev. 2/19/98 BUILDING PERMIT REVIEW CHECK K LIST Applicant/ Date Owners Name_- R��y�s<< � Reviewed: la O Architect/ Date Engineer: 1N Submitted: O 1. SCTM fl: District: 1,000 Section: l Block: h Lot: `4 �QuEs7✓2lAn� �} ve Project / -2 Subdivision Location: —_--- — Name: �— Single& separate Required N certification: Yes/No Req. ` Rcq. Zoning Districl:pro (1,0(size: Eo 0 o Acuial: J I (Lot coverage Propose)�I Rcq. Z �Req. / Req. ? --� -- (Front Yard ProNsed , (side Yard Proposed:_ '-[a_ J (Rear Yard <3J % UProposed- 7 Project Descriptid�� LC.Q/� E 'S ArL�. AGENCWERMITS Permit . REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees- Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: N 2 0/C- &LeR ©[q Notes: � /i 3 Q•O f � sk ZONE X LU ZONE X cn o F ZONE f f a £ a s \3 AVE ZONE AE (EL 11) WEST gr LONE J r� ZONE ZO�E 1tEf X Ui OJ�� \ X. �� Town of SoutholdRM Q ~' ZONE AE 360813 (EL 11) k \fig �, ' ZONE AE (EL Xg;� ETTRICH ZONE AE ZONE X (EL 11) FISHERS ISLAND r' y yG ZONE X o <� SILVER EEL POND cFgN F VIEW y.: ZONE AE AVE. (EL 11) r` t�Nl ZONE X ¥ PVE BEACH t ZONE AE AVE ZONE (EL 10) X � � ZONE AE •� �N�S�(�.� �'��,���� y ZONE AE ZONE X (EL'12) (EL 10) ZONE X '� x NO GREENW ROAD OD ZONE AEa ME 3 Fy"� x �.. � F3k5.. �s"�S, ✓ r� � Aye c fk � ✓b t a r �.��;.,-, `°R<:a.ax,s ,# a tLI ASX MON. POLE I ROV�VLAND OSWALD n ET—AL F 06 Ap" ME1, SEPTIC �� / L',c�,r ,rJ I - COOFE)lt,,�ATE [dST;NI-,ES RE f.lE4S7lJPEC, FFot,.l L1.1, CC�;""-)T GEODETIC SUPVE'r TPl,-%N(--,IJL��TIOH STAlTl(--)N "FRI-DS", \>/,ON POLE FPC PEPTY IS L& AIED 1t1 THE TCA%!'14 (.-)F' S(3I,JTf-l3L[' DTPICT S CTI- JrY OF SUFF,JLK, Dr ELC),-K r 7 k4. e 20 F F 3. 1(-)T�L MON. (BURIED) N/F HENRY L. FERGUSON N/F MUSEUM HENRY L. FERGUSON MUSEUM SURVEY MAP PROPERTY TO 13E CONVEYED TO MON. LISA POSEY KRAKOWSKY 0 & PHILIPPE KRAKOWSKY 2C 10 0 20 AVENUE EQUESTRIAN AVE < GRAPHIC SCALE lil FEET Jt FISHERS ISLAND, NEW YORK 7F.0 IQ REVISIONS CHANDt—r--r, A L M,r—FNI r KING DATE DESCRIPTION T- t• r 11C ")A-nWAY ?)'NmWl.4. CIT Or p -E -,T FAX e—�Y-P-!-7071 !% D,l,TE: ;-'J�-UST 19� lqacz, L E. )H E C T f , I f . s ! f� { I I 4 „,�.. 'r J I ! f 4 b I � I I I i I I I Proposed Deck Plan I 1 i I Ii Y opt IS urqj. L ` •. .,. ' f r 01;p- ER IFIrl iY r I O UIDERINRITEP S a 'RAIL EENUIRED j n�a nn!� I DATE: / f .P B #'55 I FEE: 1 r": !; NOTIFY BUILDING DFPARTF4t r T AT ! ,n FOLLOWING INSPECTIONS: f-OR THE {�f-�I 1, FOUNDATIO+y - TWO REQUIRED -- - - FOR POURED CONCRETE 2. ROUGH - FRAMIN'q & PLUMBING 3. INSULATION 4. FINAL - CONSTFi✓%TIGN MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET j THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY l Proposed Deck Elevation 3 Proposed Deck Elevation CODES. NOT RESrONSIBLE FOR DESIGN OR CONSTRICTION ERRORS ! i E Out Of Time Architecture 8 EAST TWELFTH STREET,6TH FL.NEW YORK,NEW YORK 10003 TEL(212)206 0642/FAX(212)2.43 6420 KRAKOWSKY RESIDENCE (THE PRETTY HOUSE) FISHERS ISLAND,NEW YORK DECK/SCREENED PORC SCALE: V=1/4" October 2000 9 CHITECT:Alessandra Dini A01 ----- � 02482$ � `,',�,,FN�`N y