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Home My WebLink About11566-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22179 Date MARCH 5, 199% THIS CERTIFIES that the building Location of Property PRIVATE ROAD House No. County Tax Map No. 1000 Section 3 NEW DWELLING FISHERS ISLAND~ N.Y. Street Hamlet Block i Lot Lot No. Subdivision Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 25~ i981 _pursuant to which Building Permit Mo. 11566-Z dated FEBRUARY 22~ 1982 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 ONE FAMILY DWELLING WITH ATTACHED WOOD DECK The certificate is issued to JEREMIAH M. BOGERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ll-SO-138-FEB- 26~ UNDERWRITERS CERTIFICATE NO. N-605492 - JUNE l0t 1983 PLUMBERS CERTIFICATION DATED N/A 1993 Building Inspector Rev. 1/81 TOWN 'oF:> $OU~HQL ButLDI~e D~p~RTM~ TOWN HALL SOUTHOLD, N~ ~. (THIS PERMIT MUST BE KEPT ON TH,E P~E~IS 11566 Z Permission is hereby granted to: to ...~......C.~.~-/.r. at pr~emiseS located at .,..... ......... .... ~,.~.~ ............. : ......................... ........ i ......... ; ......................................................... : .................. ~...~'... ~ .......... '.-...~ ........... '~ ......... co~ To,~ Mo~ ~o. ~000 Soct~o~ :..~:~.... ~ock ,!i...ii.O~,.....~ ~t ~o. ,i~.r-~.~. ..... Build~ng InSpector. ~ - ~' Rev; ~6/30/80 i ii } HAR - 5 1993' FORM NO. ~ TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 '-' 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY , Instructions ' '~ .. A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerqge d sposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buiidings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from tee Archltect.or Eng neer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. ForL existing buildings (prior to April 1957), Non'conforming uses; or buildings and "pre-existing", land uses: ' 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous t~wner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety, ihspectlOn of buildings or pre,mises, or other pertinent informa- tion required to prepare a certificate. , ' C. Fees: Additions $25.00' POOLS, $25.00 ALTERATION $25.00 l. Certificate of occupancy New Dwelling $25.00, Accessor.y '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe [ng ' $ 50.00 ~. Copy of certificate of occupancy $ 5.00, over 5 years 810.00 .Vacant Lartd C.O. $ 20.'00 ' 5.Updated C.O. $ 50.00 Date .......................... NewCons truc tion......x Old or Pre~existing Building Vacant Land Middle arms, Private section East En , Location of Property ....... House h/o, Street Ham/et J.ere .mi ah M Bo.~er t~ Owner or Owners of Property · c tyT 1ooos ti k ! ' oun ax Map No. ec on ............. Bloc · · ,'.' .......Lot ............. Filed Map No Lot No ' Subdivision .......................................................... Permit No Date of Permit ' Applicant Health Dept Approval],,/,~/,,~/. //'%..~.~..~.-/~. ~.. Lab(~r Dept Appr(~val - UhderwritersAppr°val~'~'~'~'~"~.~'.,~.....'...Planning[3oa'r'dAl~proval :' '... Request for Temporary Certificate ......... , .......... Final' Cert~fmate ...................... Fee Submitted ~25.00 , ' Coristruction on above described building and permit mee{s all applicable codes and regulations. Applicant . .2;.&.S. ........... .I.n.c .. ..... , ' Con~r a.ct. ing ..................... looo6~6 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described belotv and i~troduced by the applicant named on the above application number in the premises of J~emAah M. ~ogert~ Private End, Clay Point Rd, Fishers Island, in the following location; [] Basement [] 1st FI. . Ju~e · 7, ].983 FIXTURE FIXTURES OUTLETS 60 62 36 60 DRYERS FURNACE MOTORS [~ ~nd ri. 3rd, Outside ' Section aloca and found to be in compliance with ~he requirements of this Board. RANGES COOKING DEC~ OVENS FUTURE APPLIANCE FEEDERS TI~4E CLOCKS UNIT HEATE[~ MULTI-OUTLET SYSTEMS NO. OF FEET Lot EXHAUST FANS DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 2-15an~. G.F.C. Io 3-Smoke Detectors Track].ighti~; 16' S E NO. OF CC COND ) pER ~' R V I C E 410 AWG OF NEUTRAL 4/0 Z & S Cuatr. Irm. P. O. ~ 202 Fishers Island, N.Y., 06390 ~.//924 This certificate must not be altered in any manner; return to the office of the Board if incorc6ct. Inspectors may 'HI, be identified MANNER· FIELD I~S[E~TION COMMENTS '1. FOUNDATION (1st) FOUNDATION (2nd) e ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: DOO. E'R.T kloU5IE 5 I TE PLAN FISHER5 15LAMp , bl,¥. 'A~_ ~ ~ ~ 15LAND James Volney Righ[er A r c h i t c c t s 58 Wimcr Street. Boston · Massachusetts · 02108. tclcphonc · 617/451'5740 FORM NO. 3 I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~4--~../.,c,...*~/.-~ ~ ~ .... · .,vv. ~,,:-,.~..,c'...,,._,~. ~.~.?. ..... PLEASE TAKE NOTICE that your app~lication dated ...M.(~. (4~..7~. · . .~.~. ..... , 19~/,. for pe~it to const~ct ..... ~~~. · ~~ ................. at Location of Property ~.~ ~/~Z ~.~... ~/~C~ ~ ~ h3uso ~o. ~' ...... Street ............ H~mie~ County Tax Map No, 1000 Section ... ~. ·. · Block ...~ ~. ...... Lot .~ ...... Subdivision - Filed Map No ...... ;~ ......... Lot No... ~ ........ ~ ~o~o~7 ground~~..~.~. is r~turned hf rewith~n~isapproved on ~...~x~ ..................................... ' .................. RV 1/80 Memorandum from ~... BUILDING INSPECTORS OFFICE TOWN OF :gOUTHOLD TOV~,rN F~ALL, SOUTHOLD, N. Y. 11971 765-1802 J~lnCS Volncy Righter A r c h J t c c t s 58 Wmtcr Strcet · Boston Massachusetts 02108 telephone 617.451.5740 (~) (~.') (.¢) c,..~ it, W. k.~'~-, COUNTY OF SUFFOLK DEPARTMENT OF HEALTH SERVICES Site Locatio. __ lay p+. F;ig , Isle,a, Type of Operation Tel. No. GIT~ 4fl'g740 Total Project Sanitary flow GPD Total Project Industrial wastes flow GPD Gentlemen: The following additional permits to the best of our knowledge are needed/not needed as it has been indicated in the column provided. X/~,,,/~/~l ~/{~ SIGNATURE ( , )~YVV~ , v TYPE PERMIT WHICH MAY BE REQUIRED I. Mining Permit - NYS Dep't. Environmental Conservation 2. Air Contamination Permit - Suffolk County Dep't. Env. Control 2. 3. Solid Waste Permit - Suffolk County Dep't. of Health 3. '4. Wild Scenic and Recreation Rivers Permit - NYSDEC 4. 5, Water Supply Permit - NYSDEC 5. 6. Long Island Well Permit - NYSDEC 6. 7. protection of Waters Permit - NYSDEC 7. 8. Tidal Wetlands Permit - NYSDEC 8. 9. Fresh Water Wetlands Permit - NYSDEC 9. I0. Water Quality Certification letter - NYSDEC It. Industrial wastes - NYSDEC }1. __ [2, SEQRA Determination - SCDH ]3. SPDES Permit - SCDH 13. YES NO If any difficulty is encountered in completing this form, where applicable to a particular permit, contact that agency at: t~YSDEC - SUNY Campus, Bldg. 40, Stony Brook SCDEC - 65 Jetson Lane, Hauppauge .~SCDHS - County Center, Riverhead 751-7900 234-2622 727-4700 S-40 NEW YOiLK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPLICATION FORM "D" FOR A STATE POLLUTANT DISCHARGE ELIMINATION SYSTEM (SPDES) PERMIT (Becomes A SPDES Permit When Signed By Permit Issuing Official) (pL~ASE PRINT 011 TYPE) APPLICATION TYPE~ New ~ R~;~'w?l ~ ~tiiC,tiO~ JIF KENEWAL OR ~ODIFICATION, GIVE PREVIOU~N Y - OWNER'S NAM~ (C~rale, Partnership or IndlvJd~l) TYPE OF OWNERSHIP [~ Corpor~to ~1 Individual [] Partnership [] Public ITELI~PHONE NO. (Include Area Code) Gl7 IZ gl'g'T.4o crr,L TOwN O~ WLL^GE JPOPULATION SERVED (See Instructions) YOUR OPERATIONS, ACTIVITIES OR PROCESSESI Please Check: [~ Aluminum [] Ammonia [] Beryllium ET Cadmium I--1 Crease [] Lead ..[] Mercury (~] Nickel OUTFALL NO. ~ Proposed [] Replacement 'TYPE OF WASTE J~ Existins E~ Expansion ,~.~ ~li'~La I [] Chlorine [] Chromium [] Copper [] Cyanide ..J~ Oil [~ Phenols [] Selenium [] Zinc J~, None of Ti~ese D s~ance .. SOIL TY~E ITYPE OF TREATMENT SURFACE DISCHARGE I If 'Yes"~ Nam~ of Receiving Waters ~Yes ~ No f [] Yes [] NO OUTFALL NO. [] Proposed [] Replacement JTYP~ OF WASTE [] Exist nS [] Expansion I SURFACE DISCHARGE If *'Yes", Name of Receiving Waters []~es E3 No J jClasslfication jWalers Index No. jOislance., Ft. J SOIL TYPE ,, l Depth to waler Table I T'~E OF TREATMENT JDESIGH FLOW Gal/Day ,jClasstficaDon jWate~ Index NO. SUBSURFACE DISCHARGE If "Yes"~ Hame of nearest Surface Water Distance · SOIL TYPE iOepth to Waler T~b~e l I hereby affirm under penalty of perjury that information provided ~n this form and any altached supplemental form~ is true to me hest of my knowledge and b~lie(. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 ot the Penal Law. ~'~LICANT'S SICi,~J[~ATi~'RE ~See;..~z~'ffl~lons) IDate · .~rinted Name Ti 1~ P~,RJlT VALUATION SECTIO# APPUCATION NO. ipartmlflt of [~Jronmlntal C~sirvatloll UsJ OIl1~) This SPOES permit is issued in compliance vdth Title 8 of Article 17 of the E~vironmentol EFFECTIVE DATE ' IEXPIRATION DATE ~onsarvati~n Law o! New York State and in compliance with the provisions o! the Federal Water PolluDo~ Control Act, as amended by tl~ Federal Water Pollution Control Act Amendments of. ATTACHMENTS: 1972, P.L. 92-500, October 18, ].972 (33 U.S.C. §]251 et. seq.) (hemmalter referred to as "the Act"}, and sub(ecL to the attached conditions. CA;JO Type I%Y~e iSIC Code ;i-i)-1 ~," I~ATT R_OOF "R." = ~,dALL5 ~1~-" : 27 ~.,~T T Ikl S L/LAT I O~ ILL F'LAT ~' BOG E~LT HOUSE FI S FII~R.S ISLAND, NY. -r~6 5TE_~L BAR- co~_cZed' Lo _ ACTION OF THE ZONING BOARD OF APPEALS Appeal I~o. 2881 by application filed August 28, 1981 ACTION OF TIlE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTIIOLD To Mr. James V. Righter James V. Righter Architects 58 Winter Street, Boston, Mass. 02108 Appellant at a meeting of the Zoning Board of Appeals on Septen~ber 17, was considered and the action indicated below was tsken on your Qf~Q Request for variance due to lack of access to property ) Request for a special exception under the Zoning Ordinance ) Request for a variance to the Zoning Ordinance ) 1981 the appeal 1. ~f!~~.~s~<~}~1<~44~x~sX~'~~X~ion ( ) be granted ( ) be denied pursuant %o Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because Public Rearing: 9/17/81: Application of James V. Righter Architects, 58 Winter Street, Boston, Mass 02108 (as agent for Jeremiah Bo_gert), for a Variance to New York Town Law, Section 280-A for approval of access. Location of Property: Clay Point (private) Road, Fishers Island, NY; bounded north by F.I. Sound; west by Kelsey; south by Private Road; east by Bogert and Vanatta; County Tax Map Parcel item No. 1000-3-1-8 & 9. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) practical difficulties (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the distrlct because (SEE REVERSE SIDE) (would not) and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous deeisione of the Building Inspector ( ) be confirmed ( ) be reversed, CG:lk FORM ZB4 ZONING BOARD OF APPEALS By this appeal, appellant seeks a variance for approval of access, New York Town Law, Section 280-A to premises located on a private road, "Clay Point Road," at Fishers Island, NY. The right-of-way in question is 40 feet wide. It is ~he feeling of the Board that the road is adequate for egress and ingress. The Board finds that the relief requested isinot substantial;i that the relief requested is within the spirit of!the law; that the variance if granted will not change the chara6ter of the neighborhood; that no adverse effects will be produced on avail- able governmental facilities of any increased population; that the practical difficulties are unique; and that the interests of justice will be served by granting the variance ah requested in Appeal No. 2881. On motion by Mr. Doyen, seconded by Mr. Grig~nis, it was RESOLVED, that Je~emi~ B0~ert, by James V. Righter Architects, be granted a variance to New York Town Law, SectiQn 280-A, for approval of access as applied for and SUBJECT TO ~HE FOLLOWING CONDITION: That the access road(s) for emergency vehicles. be maintained passable at all times Location of Property: Clay Point Road (private), Fishers Island, NY; County Tax Map Parcel Item No. 1000-3-1-8 & 9. Vote of the Board: Ayes: Messrs. Doyen, Sa~icki and Grigonis. Nays: Messrs. Douglass and Goehringer. (Messrs.' Douglass and Goehringer felt that the access road should be im'~roved to a width of 15 feet amd maintained improved to insure easyl accessibility a~d safety.) A PROV£D RECEIVED AND FILED BY FORM NO. /,5' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD N.Y. 11971 Q.., ~.'7_~~o.~ ~ TEL,: 765-18013 ..... , Disapproved a/c ~/~ ~/~~ (Building Inspector) ~/Z~/ ~ ~7/~ APPLICATION FOR BUILDING PER~IT Application No. ~.ff.~.. ~. ........ ., 19&[ INSTRUCTIONS a. This application must be completely filled in b'y typewriter or in ink and submitted in triplicate 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 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departmen~ 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 code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .0..~. y'.~...DI.'[ .~..{3...~o. ............................................... (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 ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. .d..I.¢i .?o i ....... ( ,.Y.. .................... House Number Street Hamlet County Tax Map No. 1000 Section . ~ .~. ~. ........... Block .. [ ............... Lot.. ~ ............... Subdivision ..................................... Filed Map No ............ ., / ' Lot ............... (Name) .. ~: ,.-....: 2. State existing use and occupancy of premises and intended use and occupancy of proposed cons. truction: a. Existing use and occupancy . .V. O0~ D.'~.. { .O.~ ..................... : . '.: . . . :.. ..... ................ b. Intended use and occupancy . .~.{.D .Of.I.e.,.:..~.~· .~..i.l.}(....V..~.~.C¢..+. i .oD..D..o..o.fi.~_,.. ........ ................ 3. Nature of work (check which apl ,licable): New Building . ~.. ...... Addition .......... Alteration .......... Repair i .............. Removal .............. Demolition .............. Other Work ............... : j~. z~ ~..~_~ (Description) 4. E~timated Cost ~ [ 0 O, O0.¢ Fee ~.~' ........... (to be paid on filing this application) 5. Ifdwelling, number of dweiling 'nits..O.!h.~ ......... Number of dwelling ~its on each floor ................ If garage, number of cars ....................................................................... 6. If business, commercial or mixedl occupancy, specify nature and extent of each type of use ............. 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wi{h alterations or additions: Front ................. Rear .................. Depth .................... ~!. Height .......... .............. Number_of Stories .']i~P ................. 8. ~[T;;sio~ .~:,.~:e new co~:;r~:}i~:stF::i:ts ..7.~.Z.~..~.. ........Rear..te.(o.'[a~.-. ...... Depth .~g.~l~, ....... 9. Size ofl;i:'~r;nt'i [~.' .~i~. 10. Date ofPurchase .~UqP.qT l.~.&l . . . .N. ame ofro'r~e'r'6~vher '~/~)'~0.~¢.~. .~) ~.~}q~r.'~'... 11. Zone ov use district in which premises are situated...g~.S.t.d..*.~.+.l.~.[..qq .~1 c~.u.t.~.oy.~. ~. .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ¥.g5: .~. ¥..]..m~..~..I.~A~..' .~.e.c....~.~.o..A .... 13. , Will lot be regraded . .ri ~. .... i ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises Oev.e.m!o.b .~5.m.e.t.t.. Address(2J .~rl~,.~P-~d..~lJ'..~.~$, t.D. ~Phone NoJtl.q: .g.3..q.'.! .3.q I. Name Of Architect 0.O...Po..~5...V..!. ~.! flh.~. W ...... Address6'.~..~O~J'lg~'.~.t..l~.o.~..~.. Phone No.6..[.7.: .q~'l Y.5". 7.q..O Name of Contractor ......... ~ ................. Address ................... Phone No ................ : PLOT DIAGRAM Locate ~learly and distinctly all property lines. Give street and block interior or c6rner lot. STATE OF NEW YORK, COUNTY OF ................. buildings, whether existing or proposed, and. indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether ~1~ ' A t- e..,¢.. I.t~l GE ;o- 2 3.t- '~O'~E IIO.~,~U ' g dly ppli .............................. ; .................... bein u sworn, deposes and says that he is the a cant (Name of individual signing contract) above named. He is the ..: ................ J ................................................................... I (Contractor, agent, corporate officer, etc.) of saM owi~er 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 mann~ set forth in the application filed therewith. Sworn to before me this ,,,,, .... 'e"' Fvv'''''-'" ¢" :'"/'¥' ' '.;,: ' ': ............. ' i K,,.) (] (Signature of applicant)