Loading...
HomeMy WebLinkAbout16195-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, NoY. CERTIFICATE OF OCCUPANCY No Z-18462 Date OCTOBER 13~ 1989 THIS CERTIFIES that the building. Location of Property PRIVATE ROAD House No. County Tax Map No. 1000 Section 3 Subdivision ONE FAMILY DWELLING FISHERS ISLAND~ N.Y. Street Hamlet Block 3 Lot 3.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1987 pursuant to which Building Permit No. 16195-Z dated JULY 10~ 1987 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 AS APPLIED FOR. The certificate is issued to DENIS O'BRIEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-S0-87-10/6/1989 UNDERWRITERS CERTIFICATE NO. PENDING - 9/1/1989 PLUMBERS CERTIFICATION DATED 8/4/89-ROBERT E. WALL ' ~uild[ing Ih~ector ~ Rev. 1/81 IrOR, B~ NO. 0 TOWN OF SOUTHOLD BIJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, PLANS #6 on Shelf BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16195 z Permission is hereby granted to: ...t.~..cz.....~.~~..~., ...... at premises located at ...... ..~..~ .................................................................... ...... ~.._/"~.*~...~ ..... .I.J.~ ............. .~~ ............................................................ County Tax Mop No. 1000 Section ..... ..~......~.. ........ Block .....?....~.~.. ........ Lot No.....~....L..~ ............ pursuant to application doted ....... ...~..~.....;il?~?. ................ , 19'~...~.., and approved by the Building inspector, Building Inspector Rev. 6/30/80 1197! TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRHCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ........... HOUSE NO. STREET HAMLET Owner or Owners of Property .......... ~,~ .......................... County Tax Map No. ]000 Section ...... Block .J~-... Lot ...~. ..... Subdivision ....................... Piled Map ........ Lot .......... Permit No. -~..~(~.~XDate of Permit .~--~.~-~.-.Applicaat ...Q?.~ ~.~.~?. l.. , · . ... ? Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: $ .~...C~. ~..~..~. ........ APPLICANT .... 6.a~.... rev. I O/I../~/88' TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~//~'~,~ Owner ~--,/~/~/"~ (please print) Plumber ./~/~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this 19~ · Notary Pubi~c, County ~ualified in Suffolk (~m~YT:0 Notary Public DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK M~CHAEL A. LOGRANDE SUFFOLK COUNTY EXECUTIVE FACT SHEET LEAD IN DRINKING WATER SUPPLIES DAVID HARRIS, M.D., M.P.H. Sources of Lead Concentrations in Drinking Water Systems Use of lead solder in new plumbing or in plumbing modifications to existing water supply piping. Lead is not a naturally occurring element in Long Island groundwater. Occurrences Lead is present in drinking water as a product of corrosion. The natural corrosiveness of Long Island groundwaters contributes to this process. Most public water supplies in Suffolk provide chemical treatment to increase the water's natural pH, and minimize corrosion products, but no amount of treatment can produce a totally non-corrosive water. Studies indicate that after prolonged periods of water non-use, lead concentrations can be found in excess of Drinking Water Standards. This problem appears to be iimited to newly installed internal water piping systems, or recently modified systems, in which lead-based solder is used. Lead is rarely detected in routine water supply surveillance. This fact is seen as indicating that, at a particular location p~umbed with lead solder, this problem will diminish with time. The New York State Health Department concurs with this evaluation. Health Considerations Lead is a compound which is accumulated in the body. Human intake can be expected to occur through many · environmental sources, including water. Recommended Action In order to minimize lead occurences, the following steps are recommended: Particularly in new or recently modified plumbing systems, users should be encouraged to flush the water line for a period of at least two minutes prior to consumptive water use. This is particularly necessary after prolonged water non-use, such as the overnight period, WWM -050 June 1985 COUNTY CENTER SPEARHEAD CONSTRUCTK 1017 Washington Blw STAMFORD, CT 0690 (203) 323-6113 TO LETTER Southold Town Building Dept. Main Road Southold, New York 11971 Page No. ~ of i Pages OF IFRANSM TTAL JOB NUMBER DATE 8626 & 8627 6/30/87 Helen DeVoe RE. O'Brien & Milliken Permits Fishers.Island, New York WE ARE SENDING YOU X__K Attached __ Shop drawings __ Prints __ Copy of letter __ Change order DATE ~: NUMBER 1 6/19/87 12882 1 5/29/87 12065 __ Plans __ Specdications Milliken Health Department Approval the following items. __ Samples Original O'Brien Health Department Approval - Original THESE ARE TRANSMITTED as checked below: __ For approval X~ For your use REMARKS __Approved as submitted __ Approved as noted __ Returned for corrections __ Other __ Resubmit _ copies for approval __ Submit __ copies for distribution __ Return _ corrected prints __ PRINTS RETURNED AFTER LOAN TO US COPYTO Allan P. Shope, A.I.A. SIGNE March' 30, 1987 -" 18~,:West; <putn:am A~'enue Re: 8 Brlen Property Fisher Enclosed please find a copy of the "Letter of No Jurisdfction" issued on March 27, 1987 by, the Board of Town Trustees of Southq,ld Town. As per our recent telephone conversation, this matt'er,was discussed and vo~ed On Thursday, March 26, 1985. Should ,you have any comments or questions whatsoever with regards to this project, kindly Contact me at your convenience; · Dea~: MSl. Kaehler: GEJ/te Enc. Very Truly Yours, 'x.,~York State Department of Environmental Conservation -gulatory Affairs Unit Bldg. 40, SL~'Y, Rm. 219 Stony Brook, hnf 11794 t_~- '~' - .-'i.~ (516) 75N7900 '~"- Henry G. Willlaml Commillioner Based on the information you have submitted, the ?(aw York State Department 6f Environ- mental Conservation has determined that {he__ parce]f~ project is: __ Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than i00' in length which was constructed prior to September 20, 1977. __Landward of the 10' above mcan sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune whi'ch is greater than 10' in elevation above mean sea lavet. __ Listed in Part 661.5 of 6k~CRR (Tidal Wetlands Land Use Regulations) as ~ u~e not requiring a permit or notification letter approval. Therefore, no perm. it is required under the Tidal Wetlands Act (Article 25 of the Environmental Conse~¢ation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a pe.-mit. It is ?our responsikility to ensure thdt all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your pro- ject. Such precautions may include providing adequate work area between the 10' con tour or topograohic crest and the project (i e. a'15 ~ ?n~ '' · - or erection of a temporary fence, barrier, or hay bale berm. ea) Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are cont~nplated. Please be further advised that this letter does not re!ia~'e you of the responsibility of obtaining an), necessary permits or approvals from other agencies. :"' ~:' . $ vised, that "th, · a decermi~dtion, on !::': Ci~,ti0ned property at their ,~ ,' ~Ce~ an on-Sl~e,.,inspec~Cion by '= ,. ~ha~ ~he p=o]ect as propose~,is 78 './i~ addition to being.at the htghest~,cOn; '~" t~t the 'Trustees have no ~urisdict~On ':' /'"'"~ .. S~ould you have any questions'; :or Cbnc~rn~ hesitate Co '.call ~his office ac che~telephone n~ber listed.aboVe, Very truly yours,. , ~r . : n~ P. Smith, president:. ~::~. ~ . Board.of TO~ Trustees ~.~.~.~. ~obert A. Greene, D.~.C., rSCOny Brook '- ~;L , qo~tasioner Henry ~. ~lllla~. D.~.C;, ~bany "'"r"~tephan ~rs, A~y Corps o~ Engineers , ""'"" ~o~s Har~, Coastal ~nagemen~ . ' - Conse~aCion Advisory Council Bldg, Dept, ~ BOard of Appeals File ' " S H O P E R £ N O W H A R T O N A S ~ ARCHITECTURE INTERIOR ARCHITECTURE June 9, ] 987 NEW YORK STATE ENERGY CONSERYATION CONSTRUCTION CODE PART 6 - THERMAL RATING METHOD ARCHITECT: Shope Reno Wharton Associates 18 West Putnam Avenue Greenwich, CT 06830 (203)869-7250 BUILDING DATA BUILDING ADDRESS: O'Brien Residence Block 18 Fishers Island, New Yort~ 06390 GROSS FLOOR AREA: 3628 Square Feet First Floor: 3258 Square Feet Finished Basement: 370 Square Feet DEGREE DAYS Suffolk County - 6000 D.D. NUMBER OF STORIES North Elevation - 1 Story South Elevation - 2 Stories PRE-QUALIFYING CONDITIONS 1) Building is one family residential. 2) Building is detached. 3) Building' i~ less than 5,000 gross square feet. 4) Building is less than three stories. 5) Entrance doors certified U-value of .40. '6) Glazing area/gross wall is 18%; acceptable is 23%. C A T E S 18 WEST PUTNAM AVENUE GREENWICH, CT. 06830 203 869-7250 Page 2 ^) Roof/Ceiling Table 6-1 Description: 2x8 ceiling joists with R-38 ]3att insulation Area: 3280 U-value: .03 Therrnal Rating: +67 Net Walls Table 6-1 1) Wood Frame 2 x4, w/R-11 insulation Area: 3245.5 Square Feet U-value: .077 Thermal Rating: -I27 2) Wood Frame Construction/R-fl Insulation/6 Stone Veneer Area: 983 Square Feet U-value: .66 Thermal Rating: -17 C) Glazing Table 6-3 Description: Single glazed unit with energy panel, 'Marvin' manufacturer. Area: 651.6 U-value: .36 Thermal Rating: +93 D-J) Floors Floor Area: N/A Page 3 Basement Walls: Table 6-4 Description: 10"Block, with 2x4 furring strips. R-11 insulation. Wall Perin:~eter 96'-4" line~tr feet l';xposure Above Grade: I'-0' U-value of wall: .06 Depth of Wall UhValue below Grade: 84" Thermal Rating: +30 D-3) Slab Insulation Table 6-7 Description: 2" Rigid perimeter insulation at 2'-0" min. slab to have l"x2" sleepers witl/ rigid inauhltion. Slab Perimeter: 2a2 linear feet Insulation R-value: R-15 Thermal k'ating': +10 E) Infiltration Control N/A F) South Facing' Glazing South Glas,,,: 52% Thermal Rating': N/A Page SUMMARY OF TOTAL TIt ERM AL RATING A. ROOF/CEILING B. NET WALLS bl. D 2. D3. GLAZING Window TIIIN{ X.l:\ L T,XBI,E AREA U-VALUE RATING USED 3280 .03 +67 6-1 3245.5 .077 -127 6-1 983 .66 -17 6-1 651.6 .36 +93 FLOORS N/A BASEMENT/CELLAR WALLS Wall Perimeter Exposure Above Grade Wall U-Value Depth of Wall U-Value Below Grade 96'-4" 1 '-0' .06 6-3 6-1 84 Inches +30 6-4 232 Feet +I0 6-7 R-15 SLAB INSULATION Slab Peruneter Insulation R-Value INFILTRATION CONTROL Conditioned Floor Area N/:\ SOUTH FACING GLAZING N/A TOTAL THERMAL RATING '56 T Southold, N.Y. 1197! (516) 765-1938 D LD Y September 1, 1987 Mr. Thomas T. McVann, Jr. P.O. Box 827 Westhampton,.'Beach, NY 11978 RE: Adams/O'Brien Property L~e at Fishers Island Dear Mr. McVann: Please let this confirm the ?ollowing action taken by the Southold Town Planning Board,.Monday, August 24, 1987. RESOLVED that the Southold Town Planning Bgard approve teh lot line change of plan made for Francis Fiske Adams, Jr. located at Fishers Island, survey dated as revised May 29/ 1987, subject to: Covenants and Restrictions filed with~the office of the County Clerk stating that lots no. 1 and 2 will be sold as one unit, even upon the completion of dwelling units. Would you please forward a draft copy of the covenants and restrictions to our office for review by.the Town Attorney prior to filing same with ~he County Clerk's office. if:you'have a~y'questions, please don't hesitate to contact our office. Very truly yours, BENHETT ORL0~$KI, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary UNDATIO,~ ( ls t ) UNDATION ( 2nd ) UGH FRAME & ?LUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL . ADDITION[L COMMENTS: COUNCILMEN Raymosd W. Edwards Paul Stoutenhuggh James A, Schondebare Jean ~. C~ Ceorge L. Penny IV COUNCILMEN TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Soulhold, New York 11971 BEC I 119Rtl TELEPIIONE (516) 765-1891 TO: FROM: SUBJECT: Victor Lessard James A. Schondebare Memo of October 24, 1986 Please be advised that the Town Board decided to have a 75' setback on the bluffs of Fishers Island fronting both Fishers Island Sound and Block Island Sound rather than a 1OO' setback as now required on Long Island Soumd. Hence, according to Bob Task~r, there is no need to amend the code s~nce the 75' setback cited in the code applies to all areas outside o[ Long Island Sound. DEBARE JAS/an cc: Town Board SHOPE RENO WHARTON ASSOCIATES 3.8 West Putnam Avenue GREENWICH, CONNECTICUT 06830 TO (203) 869-7250 WE ARE SENDING YOU ~ttached [] Under separate cover via._ __the following items: [] Shop drawings ~-Prlnts [] Plans [] Samples [~ Specifications Copy of letter [~ Change order DATE NO THESE ARE TRANSMITTED as checked below: [] For approval [] Approved as submitted [] Resubmit copies for approval Approved as noted [] Submit _copies for distribution ~ As requested [] Returned for corrections [] Return__ corrected prints For review and comment [] FOR BIDS DUE 19__ [] PRINTS RETURNED AFTER LOAN TO US REMARKS -,5 t98' BLDG. DEPT, TOWN OF $OUTHOLD THE NEW YORK BOARD OF FIRE UNDERWRITERS ?a~: ~ ll)h!~0~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~ly the el~tvlcel equipment ~ ~scribed be~w a~d i~tmd~ced ~y the applicant ~m~ o~ the a~e appllcat~n ~ ~tber in the pre~is~s of t~s examined on ~ ~ ~ { ~ll{ P ~ , L ~ , ) and found to be ln compliance with the require.tencs qf this Bourd. Lot DRYERS FURNACE MOTORS APPLIANCE FEEOE~,S TIME CLOCKS 14ULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C This ce~ti{icate must not be altered in any manner; return to the office of the Board if incorrecL InspeOors may be identlfjed' by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AHY MANHER. 3 SETS OF PLANS FORM NO, 1 SURVEY ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1803 Examined · .~./gJ~/~ · · ~ .O. · ·., 19 .$.'~ Approved Ig .. .Pe nit No. Disapproved a/c ..................................... (Building Inspector) A~PLICATION FOR BUILDING PERMIT cu cK SE Ti ...q/O. ...... .. NOTIFY Date .................. , 1° INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 strec or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 peru 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 Oceupan, shall have been grimted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t] Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building 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 builde · .~..~,~'~..4'~A...~.o.~. ~ .~.c.~o~ ..................................................................... /Y.. Name of owner of premises . ~. ff~z¢., z~ ................... , .................... (as on the tax roll or latest deed) (N~e and title of co~e officer) ~ ALL CONTRACTOR'S ~US~ ~E SUFFOLK ~OUNTY LICENSED ~ Builder's License No .......................... Plumber's License No.. · ~&.,Z?..?. ............. Electrician's License No..'-q..~(q:f. .............. Other Trade's License No ...................... I. Location of land on which proposed work will be done...~x,so:.,e¥',x.../.~.4,~.~.4 ........................... .................................. i ........................... .~..° .° i~['f, q "*. 4~ ....... : ........... House Number Street Hamlet County Tax Map No. lO00Section . .o'.. r.~'~i~~. ....... Block .... ~ ''~ Lot .~..'./. Subdivision ..................................... Filed Map No .......... Lot .. f ......... (Name) 2. State existing use and occupancy of premises aud intended use and occupancy of proposed construction: a. Existing use and occupancy ..... . .~.~..'Y...~.~. ,'Y.~. ..... ~/?..°--C~. · .T' ................................ b. Intended use and occupancy ........................................... · ' Repoir ............. Rem°vlal .............. 'i{;n ..... Other, Work ............... ~ ......... (Descripl ion) 4/o.v,v .o ,o, ................................ 4. Estimated Cost o o ................... Fee ...... ......... ' g thi ppli ) ~ (to be l~aid op illin s a cation 5. If dwelling, number of dwelhng umts ....... 4 ....... Number of dwelling units on each floor ............... number of cars I ............................................... If garage ' · .....~ ................ 6. If business, commercial or nrixed ioccupaucy, specify nature and extent of each type of use ...: ............... 7. :Dimensions of existing stmcturesi, if any: Front ............... Rear .............. Depth .............. Number of Stories ' Height .......... · '' ' ' Rear Dhnensions of same structure with alterations or ad&t~ons Front .............................. ' Height Number of Stories . Depth ..................... . ....................... Depth ' Front Rear ...... 8 Dtmenstons of entire new construction ............................ i Height ............... Number of Stones .............................................. ~ Rear Depth .............. 9 Size of lot: Front ........... ; ....................................... ........ i ._,Name of Former Owner ............................ 10. Date or ruranasu.. .......... , .............. 11. ne or use district in which premises are situated, ztZ~-.~,'~'~,~.r. 4'q. + ........,'2 .......................... 12. I I~;es proposed coustruction violate any zoning law, ordinance or regulation: eV',~ .......................... ....... !. .. Will excess fill be removed from premises: Yes 15. Is this property located within 300 feet of a tida~ wet~anat · If yes, Southold Town Trustees Permit maybe required. i PLO~r DIAGRAM Locate clearly and distinctly all ibmldmgs, whether existing or proposed, and. indicate all set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and indicate whethm interior or corner lot. STATE OF NEW YORK, iS.S cOuNTY OF I is the applicam ............................. ! ................. being duly sworn, deposes and says that ~ (Name of individual signiing contract) above named. He is th~.~ .......... ~ .................................................................. (Contractor, agent, corporate officer, etc.) f'said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi; ~pplication; that all statements conthined in this application are true to the best of his knowle~tge and belief; and that thc w6rk will be perfomed in the m~ndr set forth ~ the application filed therewith. S~om to before me this ~ day of ..~ ....... ,19~ "i .............. 'fl' ' , .......