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Home My WebLink About37850-Z zr"�n��'�,, Town of Southold Annex 5/31/2013 P.O.Box 1179 c a 54375 Main Road o''II • ,{ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36271 Date: 5/31/2013 THIS CERTIFIES that the building OTHER Location of Property: Whistler Ave, Fishers Island, SCTM#: 473889 Sec/Block/Lot: 12.-1-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/1/2013 pursuant to which Building Permit No. 37850 dated 3/7/2013 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: GAS HEAT AS APPLIED FOR The certificate is issued to Lamb,Donald&Lamb,Karen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED /011e6zed,8i naftne TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • 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#: .37850 Date: 3/7/2013 Permission is hereby granted to: Lamb, Donald & Lamb, Karen 3950 Country Club Rd Troutville, VA 24175 To: Gas heat conversion as applied for. At premises located at: Whistler Ave, Fishers Island SCTM # 473889 Sec/Block/Lot# 12.-1-11 Pursuant to application dated 3/1/2013 and approved by the Building Inspector. To expire on 9/6/2014. Fees: FURNACE/BOILER-RESIDENTIAL $200.00 CO -RESIDENTIAL $50.00 Total: $250.00 uildin ctor Form No.6 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL 765-1802 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. "Swvom statement from plumber certifying that the solder used in system contains less than 2110 of 1% lead. . 5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate of Code Complianee-from architect or engineer responsible for.the building: 6_ Submit Planning Board Approval of.completed site plan requirements_ 3. 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- Fees 1_ Certif cafe 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_ . d New Construction: Old or Pre-existing Building: ' (check one)' Location of Property: 1 S� Vee Q.�� House No. Street Hamlet owner or Owners of Property: C%N iuffolk County Tax Map No 1000, Section Block I Lot ' I Subdivision Filed Map. Lot: ?ermit No. Date of Permit. Applicant: Jeaitli Dept_Approval! Underwriters Approval: Tanning Board Approval: tequest for: Temporary Certificate Final Certificate: (check one) lee Submitted: $ ea ld Applicant Signature TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined 20 Storm-Water Assessment Form Contact: Approved 20 Mail to: 12 Disapproved a/c Phone: E iration 20 D SCE E B i Spector IsA 2 3 PLICATION FOR BUILDING PERMIT M Date 20 INSTRUCTIONS a. } ST be com letely filled in by typewriter or in ink and submitted to the Building Inspector with 4 e 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 waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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 applicaut,agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authori`z—inspectors on premises andd in building for necessary inspections. y�, ELECT,tl1 L 0 144 (/ram rAg'� (Signature of applicant or name,if a corporation) �- u,.+ +,j�'•!.r� Gam;�'if`j�;� ?;��lPa p A P OVED AS NOTED (Mailing address ofapplicantVy 0L3fo DATE: I �t$whet�e�a pli5 is�'dWer"lessee,agent,architect,engineer,general contractor,electrician,plumber/or/builder FEE:0w� P I&VL-M� NOTIFY BL I I I Q �MrTe,AToi, b75-1802 8 AM 'I 0 4 P THE (As on the tax roll or a s d UFANUy UM FOLLOIJVIN(fifporation,signature of duly authorized officer 1. FOUND USE IS UNLAWFUL POURED �pep fie--o corporate officer) 2. ROUGH BSiVeN ''AeW.MBING WITHOUT CERTIFICATE 3.4. ,FINALAT� 1$e T 06brs;License No. :a�� OF OCCUPANCY BE COMIQLttTff 1ti. nse�gNo. ALL REQUIREMENTSaOF�n �13YtId ES 0c Wsosed work will be done: YORK STATE. ICI Te%&B SIBLE FWeet T Hamlet I Iv DESIGN OR CONSTRUCTION ERRORS. County Tax Map No. 1000 Section 8 Block Lot Subdivision Filed Map No. Lot. - s 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration l Repair Removal Demolition Other Work_CC Lire. h(Description) cur 4[.t•AIcici' i hr�'��k/�1 W/ escri tion 4. Estimated Cost Fee d�p,U j L (To be paid on filing this application) bu-u�tTgT'C� 5. If dwelling,number of dwelling units. 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 Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth 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 Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES NO 14.Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. i 18.Are there any covenants and restrictions with respect to this property?*YES NO *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS COUNTY O G DR - ;�LOUOD being duly swom,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the �lU�11/' (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 performed in the manner set forth in the application filed therewith. Sworn to before me this day of 20 4 NZt Public KARLA LAIH Signature of Applicant NOTARY.PUBLIC,STATE OF NEW YORK NO.01 HE6222563 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES 05/24/2014 pE SO�jyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �l� �OQ COUNTY, BUILDING DEPARTMENT TOWN OF SOUTHOLD May 20, 2013 LZ Donald & Karen Lamb y3950 Country Club Rd P Troutville, VA 24175 RE: Whistler Ave, Fishers Island SCTM #12.-1-11 TO WHOM IT MAY CONCERN: The Foil 'ng Items(if Checked)Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) A fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning #765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept BUILDING PERMIT: 37850 — Gas Heat Conversion TriangleTmhm -:�),"? pres [ige Excellence High Ifficiencq Space Heating and Domestic Hot Wa1_er__HLL_jN-0N1. High Efficiency Condensing Stainless Steel Wall Mounted Gas = ` Boiler with Built in "Tank-in-Tank"Indirect Fired Water Heater. 9 1 At ! IA. Trio F >n Tria�y�eTube The Prestige Excellence Model Condensing Boiler also incorporates a 14 gallon Indirect Fired Water Heater in the cabinet that is capable _ of producing 180 gph of domestic hot water. 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