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' '
, .......