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Home My WebLink About44306-Z �� gUfFOj,��G Town of Southold 6/17/2020 �.�► P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41189 Date: 6/17/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: Equestrian Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building,Permit heretofore filed in this office dated 1/31/2020 pursuant to which Building Permit No. 44306 dated 10/17/2019 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: "as built"addition and alterations, including outdoor shower,to an existing one family dwelling as applied for. r The certificate is issued to W.Richard Glendon Jr.&Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. '44306 6/10/2620 PLUMBERS CERTIFICATION DATED Authorized S ature o�5u Fot` TOWN OF SOUTHOLD BUILDING DEPARTMENT a ' TOWN CLERK'S OFFICE • SOUTHOLD, NY ��ol � Laos BUILDING PERMIT (THIS PERMIT MUST'BE KEPT ON THE PREMISES WITH ONE SET QF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44306 Date: 10/17/2019 Permission is hereby granted to: Glendon Jr, W Richard & Ano. 2422 Gammon Ct The Villages, FL 32162 To: as built" electric and amended for"as built" addition and alterations At premises located at: Equestrian Ave, Fishers Island SCTM #473889 Sec/Block/Lot# 9.-7-1 Pursuant to application dated 1/31/2020 and approved by the Building Inspector. To expire on 4/17/2021. Fees: ELECTRIC $150.00 AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $649.60 CO -NEW DWELLING $50.00 Total: $849.60 Builds Inspector FFO.Llr TOWN OF SOUTHOLD �y BUILDING DEPARTMENT TOWN CLERK'S OFFICE v . • 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#: 44306 Date: 10/17/2019 Permission is hereby granted to: Glendon Jr, W Richard &Ano. 2422 Gammon Ct The Villages, FL 32162 To: as built" electric. At premises located at: Equestrian Ave, Fishers Island SCTM #473889 Sec/Block/Lot# 9.-7-1 Pursuant to application dated 10/17/2019 and approved by the Building Inspector. To expire on 4/17/2021. Fees: ELECTRIC $150.00 Total: $150.00 i Building Inspector Ursa Town Hall Annex ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ® �®Q roger.riche rt(a)town.south old.ny.us l�C®UNVI BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Glendon Address: Equestrian Ave City: Fishers Island St: New York Zip: 6390 Building Permit#: 44306 Section 9 Block, 7 Lot: 1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor, AS BUILT DBA: License No- SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1 st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 3 Ceiling Fixtures 4 HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures 1 Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures 1 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 5 Twist Lock Exit Fixtures 11 TVSS Other Equipment "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS" Notes 2-combination smoke/co detectors,washer/dryer Inspector Signature: V::�ZAA-- Date: June 10 2020 81-Cert Electrical Compliance Form As OfSOUlyO # # TOWN OF SOUTH LD BUILDING UILDING DEPT. �`y�ournv '� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION,2ND • [ '] IKIQULATIOWCAULKING [ ] FRAMING/STRAPPING [ FINAL [ '] FIREPLACE-& CHIMNEY j - ]- FIRE SAFETY INSPECTION 5 [ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION [ ]. ELECTRICAL (ROUGH) . [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: a� A4 �- DATE X-a-0 - INSPECTOR SAM FffZGERALD ARCHrMCT PC 15 E.PUTNAMAVENUE,#234,GREENWICH,CT 06830 P:860.287.38081 F.631.788.71921 sam@sfapc.net MAY 2 2 2020 20 May 2020 Mike Verity Town of Southold Town Hall Annex Building 54375 Route 25, P.O. Box 1179 Southold, NY 11971 RE: Addition at the Glendon Residence 172 Halcyon Avenue Fishers Island, NY 06390 SCTM# 1000 — 009 — 7 — 1 f; Dear Mike, I have inspected the construction of the rear addition at the above-referenced ,property (as described in the building permit application dated 27 January 2020), and I certify that the construction conforms to all applicable building codes at the time of its erection. Sincerely, RE1) AR? SAM FITZGERA fliff 4 0.02S y�e� Samuel W. Fitzge NYS License 029399 1 1 f ' FIELD INSPECTION REPORT DATE COMMENTS - b FOUNDATION(IST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) { - O ROUGH FRAMING& PLUMBING 37. INSULATION PER N.Y. STATE ENERGY CODE r U FINAL ADDITIONAL COMMENTS c - a �Q, 1 z A 4z U�Zi l+O rn ecc 4,90 oa. O z . x - d b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health N/A' SOUTHOLD,NY 11971, �� 4 sets of Building Plans YES TEL: (631)765-1802 Planning'Board approval N/A FAX: (631) 765-9502 Survey YES Southoldtownny.gov PERMIT NO. -{ �Q . Check YES Septic Form N/A N.Y.S.D.E.C. N A Trustees • N/A /� C.O.Application YES Examined JCn - 20� aC)' Flood Permit_ ' N/A - - Single&Separate N/A (� `1 ',' ` Truss Identification Form N/A Storm-Water Assessment Form N/A d 2p contact: Approved ` 20 c�O i ,A Mail to: Disapproved a/c �` Expir � �� ,20� J J y ±� Phone: ation �— Buil ' gar APPLICATION FOR BUILDING PERMIT - Date JANUARY 2 7. � 20'2 0 INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 amendmerits'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 t6 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 c de,and regulat ns,and to admit authorized inspectors on premises and in building for necessary inspections. (Signa .' appl a t or ame f a corporation) 1420 The Gloaming, P.O. Box 447 Fishers Island NY 06390 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,general contractor, electrician,plumber or builder Architect Name of owner of premises William Glendan (As on the tax roll or latest deed) If applicant is a corporation, signature,of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. - Other Trade's License No.' ti- 1. Location of land on which proposed work will be done"', = 172 Halcyon, Fisli'ers Island NYe`063'90, House Number ., .* Street, " > I-famlet County Tax Map No.1000 Section 0 0 9 .Alockf ry 7 ,� ,, Lot 1 Subdivision Filed:Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Residence b. Intended use and occupancy Residence 3. Nature of work(check which applicable):New Building Addition X Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost $250, 000 Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units 1 Number of dwellingunit on each floor N/A If,garage, number of cars N/Ai kr 6. If business, commercial or mixed occupancy, specify nature aM extent ofleach type of use._ N/A 7. Dimensions of existing structures,if any: Ff6nt 3 7 ' -0" Rear 26 ' -5" Depth 401 -011 Height 261 -01, Number of Stories 2 Dimensions of same structure with alterations or additions: Front 371 -0" Rear 26 ' -6" Depth 52 ' -0" Height 261 -011--- Number of Stories 2 8. Dimensions of entire new construction: Front 2 6 ' -5" Rear 26 ' -5" Depth 121 -011 Height 131 -011 'Number of Stories 1 9. Size of lot: Front 181.591 Rear 169.46 ' Depth 217 .30 ' 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated R-80 12. Does proposed construction violate any zoning law,ordinance or regulation?YES NO X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO X 14.Names of Owner of remises William Glendan 3 Lockwood Road p Address��arsaa,e NY. 10583 Phone No. (646)372-7721 Sam Fitzgerald Architect, 15!East Putnam Ave tect, P.C. Name of Architect g Address Greenwich CT 06830 Phone No (860)287-3808 Name of Contractor," __ �Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X *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 X * IF YES,D.E.C.'PERMITS MAY BE REQUIRED. • 16. Provide survey,to sP4o,?m4th accurate foundation plan and distances to property lines. • • ."b •i„ 1 C f , 17. If elevation at'ariy'pdint:ori property is at 10 feet or below,must provide topographical data on survey. 18. Are there any covenants and restrictions,with respect to this property? *YES NO X * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk Samuel W. Fitzgerald being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the -Agent (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 Iltsrewith. �.� �•a. D Pyr, Sworn tg before me this J ,• :'• �,,' ; a day of JC1,j 9rri 20 a10� `a r F. .,'. 'dot y ¢J: �aoFgublic Sign Peof Appli an QI �f IC n .0{;01',(•runty I, •7 °�t � r � I `- ata•�,(^r:��7}'.31^11�,, a�;Ff�+.'9S:i�'0i >>v:.+ �J J J aA JIJJSiJ% � � 9LO o BUILDING DEPARTMENTElectrical i6sper- TOWN OF SOUTHOLD Town Hall Annex - 54375 Main Road '� O B&Cf,1197 2019 ob % - Southold, New York 11971-0959 & Telephone (631) 765-1802 - FAX (631) 765:-, 1709 err(Msoutholdtownny.gov - seand0southoldtownny.clov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All information Required) Date: Company Name: Name: License No.: email: Address: Phone No.: JOB SITE INFORMATION (All Information Required) Name: Address: Cross Street: Phone No.:(� W 72 -_7-1--Z- BIdg.Permit# email: R-,5 Ler:S Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?- 6a/ NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size I Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead # Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION icy I/1-1 q 4c 0)5�') 1 Request for Inspection Form.xis SAM FITZGERALD ARCHUECT 15 E.PUTNAM AVENUE,#234,GREENWICH,CT 06830 t P:860.287.38081 F:631.788.71921 sam@sfapc.net } JAN 3 1 2020 24 January 2020 Mike Verity Town of Southold Town Hall Annex Building 54375 Route 25, P.O. Box 1179 Southold, NY 11971 RE: Glendon Residence (009 —7 — 1) Four Winds, LLC (( -a}_ Gaillard Residence (009 — 3 Dear Mike, Enclosed please find building permit and CO applications for the three referenced properties. These are "as-built" projects. I had given you copies of these drawings awhile ago. If you need anything else on these let me know. Sincerely, SAM FITZGERALD ARCHITECT, PC 1 Samuel W. Fitzgerald, AIA NYS License 029399 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. 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. January 27, 2020 New Construction: Old or Pre-existing Building: X (check one) Location of Property: 172 Halcyon, Fishers Island NY 06390 House No. Street Hamlet Owner or Owners of Property: William Glendon Suffolk County Tax Map No 1000, Section 009 Block 7 Lot 1 Subdivision Filed Map. Lot: Permit No. LALA_'S®6 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one Fee Submitted: $ 50 I � I A icant Signature Q W Z_ UJ U` O O DN — — z >y O WASHER S o Q BEDROOM 101 DN DRYER c c 11'-3" 6'-7" 6'-8" ix, 0 tV r �p CLOSET MUD ROOM 102 f 1-031 BATHROOM 104 M . OUTDOOR SHOWER ENCLOSURE C".- 6-3 314" o 1 ' V0 n 147 p w �r FLOOR PLAN ] SCALE: 1/4" = V-10" spy � • 0293�� , Sam Fitzgerald Architect, PC 15 E. Putnam Ave.,#234 Greenwich,CT 06830 860.287.3808 SamQsfapc.net DRAWING REVISIONS n _J a ZU3 E�l Z 0 tro _ W F o DRAWING ISSUE 1 11/14/19 BUILDING PERMIT r - Fil h 0 I' r. T T AS BUILT DRAWINGS FOR ADDITION TO THE T - — p i GLENDON RESIDENCE FISHERS ISLAND,NY ORIGINAL LATER LATER ORIGINAL HOUSE ADDITION ADDITION HOUSE Sheet Title PLANS & ELEVATIONS I I NORTH WEST ELEVATION SOUTHEAST ELEVATION NORTHEAST ELEVATION Date 11/14/19 3 Project SCALE: 1/4" = V-0" SCALE: 1/4" = 1'-0" SCALE: 1/4" = V-0" 60-000 Scale Al * 0 AS NOTED