HomeMy WebLinkAbout37770-Z SUFFOt Town of Southold Annex 1/30/2013
P.O.Box 1179
co x 54375 Main Road
oy �rft Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36127 Date: 1/30/2013
THIS CERTIFIES that the building SHED
Location of Properly: Heathule Ave,Fishers Island,
SCTM#: 473889 Sec/Block/Lot: 9.-6-5.6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/1/1900 pursuant to which Building Permit No. 37770 dated 1/23/2013
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:
garden shed.
The certificate is issued to Harding,Phillip
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 1112
Au o ' ed Si atur
TOWN OF SOUTHOLD
moo ��y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o • 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 Date: 1/23/2013
Permission is hereby granted to:
Hartling; Phillip
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 1/1/1900 and approved by the Building Inspector.
To expire on 7/25/2014.
Fees:
PERMIT RENEWAL $12.50
CO -ACCESSORY BUILDING $50.00
Total: $62.50
Building Inspector
FORK NO. 2 II X
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)
N2z Date ....I..........P.......... .....................
81 � �
Permission is hereby granted to:
...A.4!...... .......
s r7%fko&X�.. ..
V:....
to ............. .................e.,t ..... ...... . . .. . . .... . .. .... ..............................
.............. .. . .. . ........... .....000l ./)-f at premises located
......................................
-V
................................................ . ......... ......................................
......................................... ............ .......................................................
County Tax Map No. 1000 Section ........T........... Block .....jila............. Lot No. ..if...41.......
pursuant to application dated .......... 19.1�, and approved by the
Building Inspector.
Fee $
Building Inspector
Rev. 6/30/80
E,C u U
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT JAN 2 2 2013
TOWN HALL
765-1802
BLDG, DEPT.
TOVJ�i OF SOUTHOLD
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. 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 of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00
/ Date. Z�)) `— )3
New Construction: `� Old or Pre-existing Building: (check one)
Location of Property: 0`l 0 /V ,�, S SA -rS A,c�
House No. I 1 Street \ Hamlet
Owner or Owners of Property: a PFGL ,
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision�i�-7. —Wi e_AiA,jT CO Filed Map. Lot:
Permit No4 ` � Date of Permit g —:�O Applicant:R-,I e—'L 1
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $ � d
Applica Signatures�
PHILLIP 0.HAMLING
71 TUNXIS ROADCs-
WEST HARTFORD.CT 08107
BOARD OF HEALTH . . . . . . . . . . . .
3 SETS OF PLANS
FORA NO. 1 SURVEY . • . . • . • . • . .
TOWN OF SOUTHOLD CIIECK
: 1UILDING DEPARTMENT SEPTIC FORM . .
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
3TEL.: 7G51802 CALL . . . . . . . . .. . . . . . . . . .—7
Examined . . ... . . . . . . . . . . .. 19 . . . / 77 C, MAIL T 0: . .
Approved . .�• . . ., 19le Permit No. . . . . . . . . . . . . . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
... . .. . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . EBLDG.
2 7 INO - '
(Buillnag Inspector)o pector) DEPT.
APPLICATION FOR BUILDING PERMIT
F 50UTNOL��.
Date . . .. . . . . ....... . . . ..
INSTRUCTIONS
a. This application must be completely filled in by typewriter Orin 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 h is part of this apply
cation.
e. 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.
C. 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 ,
admit authorized inspectors on premises and in building code, and reD.Iztions, and to
for necessa
D, i ections.
(Signature of applicant, or name,if a corporatwn)
0. .G�'� �..�T:'. .r -: �1G41,Srv.%li.(,U� �1Q.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect engineer, general contractor, electrician, plumber or builder.
. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . .
Name of owner of premises :�
(as on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer.
. • . . . (Na'me and title of corporate officer)• .
Builder's License No. ..� J,a J. -® I.T
Plumber's License No
Electrician's License No.
Other Trade's License No. ,
l- Location of land on which proposed work will be done;
. . . . . . . . . .lIouse Num . . . . . l: 5� '/2,$"• ys
ber Street ,.�
Hamlet . . . . . . . . ..
County Tax jNtap No. 1000 Sec .1 , • •; . �. �. /�
Section . . . . BI•ock . . . . . Lot . . .G�t• . •
Sub r?.
Subdivision . ..
Atap Filed No
Fil •_
(Namcj . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot .
State existing use and occupancy of premises and intended use and occt,liancy of proposed • •.. • • •- • . .p posed construction_ —
a. Esc e-ati'd-oec-uf)aRey.. . . . ... . . . . .. .. . . . . . . . . .. . . .
. Intended use d Occupancy ..
an p anc .�Ya'T'N. ��i:J .��?0-4.. • .
. .....-.. ..., ..... .. . . . . . . .
3 Nature of wort. (chccl. Whuh applicable): New 13uildinS • • Addi.ticn . luteration . . . . . . . . . . .
Repair . Rpmoval . . . . . a . . . ... . . Demolition .Swimming pool. . . . . . . . . . . .
Tennis•Court . . . . Accessory Building. . . _ •.. ence . .F • • • •. . . . .Other.[fork. .
•. " . • . . . . . . . . . . .
:4.---Estimated Cast 60.., J.0 . . . . . . . . . . . . . . _ . . Fee . . . J ?-0 . . . . . . . . . ._. . . . . . . . . . . • .
�ELi.u� £'d7i2��=9%j„ (to be paid on Glint; this application)
5. If dwelling, number of dwelling units . . . . . . . . . .... . . . . Number of dwelling units on each floor. .
Ifgars-ze. number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. If business.commercial or mixed occupancy,specify naturc.and.extcnt.of each`type.of tisc . . . • . . .; . •• • .
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 . . . • . • . . . . . . . . . Number o� Stories . . . . . . . ..•..• . . . • • . . • .
S. Dimensions.q tire new construction: Front . . . . ,� . . Rear . . . . . . . . . Depth .� � • .
Heicht ' �. :;" Nutnber of Stories .�. . : . . . . . . . . . . . . . . . . . . ..... . . . . . . : . . . .
9. Size of lot: Front . . . . . . .
. . . . ., r. . . . . . Rea! . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . .. • • . • • • -
10. Date of Purchase , Name of Former Owner . . . . . . . . . . . . . ...
11. Zone or use district-in %vhiclt premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... .. . . . • . . .
1.2. Does proposed construction violate any zoning law, ordinance or regulation:. . . . . . . . . . . . . . . . . . .._.. . . . . . . . . . . .
13. Will lot be regraded . : � . . ,Will excess fill be rcmovcd from premises: Ycs Ne•
14. Name of Owner of premises la V, tYJAX } -1h;•�.Q, Address €-'t40: c:19V .-f- . Phone No.
Name'of Architect .Address . . . . . . . . . . . . . . . . . . . Phone No.
Name of Contractor✓.Ea!I.. ., , , • • • . . Address WZ•ST. . �3:�:�. .C.- . . Phone No. � , ►f ;. . . .
IS.Is this property located within 100 feet of a tidal wetland? *YES....NO es
*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. __ ,
F)z RA
i );,5
tv
l � 7
w
1A
1
STATE OF NEW Y-5O� RE, S.S
COU;�TY F ,1�/frv.c
• �'•'Uf�'(Y • • RVA� • • being duly swo , deposes and says tha
t he is the applicant
(I�'amc of individual signing contract),
above named.
H'c is the . .. . ..S...dt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
. . . . . . . . . . . .
(Contract •tor, 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 npplic:1tion are true to the treat,of his knowledge and belief;and that the
work will be performed in the manner set Korth tit the application filed therewith.
Sworn to.beior m• t
. . . .Q-�. . . . .day o
Notary Publ' . . . County
•.,• •�"1.� � J
YHOMA3 F.DOHERTY'JR. - ��`, ir�t�
Notary Public State of New Yu►R ' ' • ' ' • -
140.4806559 (Signature of applicant)
Ouall/ieo in Suffolk County
'Form Expires 12/31/90
TOWN OF SOUTHOLD PROPERTY ' RECORD CARD
OWNER y( STREET VILLAGE DIST. SUB. LOT.
FORMER OWNER N,; E ACR.
&Tiscee -_S/he?w7o 21 S W TYPE OF BUILDING
R-�0` SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
_
LAND IMP. TOTAL DATE REMARKS /
C /'W r Ilrl C' c1 D P P? d e d
�d Cy L IL
i
� a o- S'A! 1?1PSM,T S _ -y_ 4 -'i1��
toiKS-T `i/nyT_ �r�G�� 7leN
i o o z o d ` 2700 s w Is Oew 1;C 6 .l
o 4 13
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre " _ �' ,� : -, . �:•`�,"
l a •
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER f'
Brd FRONTAGE ON ROAD ✓—
House Plot U DEPTH
BULKHEAD
DOCK
Total r't. ;� d� -
4 X .ate
, : ■■■■■■ ■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■.........
. ■■■■■■■•■.....MONO:■■■■■■■
_ -- M■■■■■ ■M MONO��1�J��N■■MM■MM■M
■■NONNo
■■ M■■■®'�i■�i1MN■■M■■MM■M■
M■■N■■ l�■EMS!■■/1M�1■N■■■■■■■■
■■■■■■■ NM■MCI■MMIRAM■■■M■MMMM
MEMO WMESESENNOMMOMEMEMEM
MENNEN
Foundation
Basement
�■■■ Place!Fire ..
Page 1 of 2
Subj: RE: permit?
Date: 1/17/2013 11:22-24 A.M. Eastern Standard Time Q�
From: Iaurie(a)shuttersandsails.com
To: PhilMan123(@ao1.com
Hi Phil—
Heard from building department. They need:
$12.50-renewal of permit
$50.00-application for Certificate of Occupancy
$62.50—one check is ne and must accompany application for Certificate of Occupancy which can be
found here......http:// ww.southoldtownny.gov/DocumentCenter/View/758
The building department's number is 631-765-1802 in case you need them. Connie is the contact. I will
hold your cash until you get back to the island.
Bawde
Laurie Finan
Licensed Real Estate Broker JAN 2 2 2013
Shutters & Sails, LLC
Fishers Island Real Estate
o:631788 7921 BLDG.OFSOUTHOLD
c:860 803 2963 TOVdN OF UT
www.shuttersandsails.com
pMIL1-IP C
G
" 7 A 10W(ls 110, 3107
SplJ11CRS E.SAILS, LLC
377 -2u
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,. 4
wi
OF OCCUPANCY T
Ic
I
,
i
APPROVED AS NOTED
0f-iTE: B.P.# if'Lafz
F"E, BY:
NOZ IF Y BUILDING DEPARTMENT AT
.66-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
OUGH - FRAMING & PLUMBING
`�`.aULATION
AAL - CONSTRUCTION MUST
= COMPLETE FOR C.O.
CONSTRUCTION SHALL. MEET
THE REQUIREMENTS OF THE;=:N.Y:,.
STATE CONSTRUCTION ;>3<. 'ENEaGY
CODES. NOT RESPONSIBLE_,
DESIGN OR CONSTRUCTION 'ER�iQRS ;°