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HomeMy WebLinkAbout22896-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-26684 Date: 09/14/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: OFF EAST END RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 3 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1995 pursuant to which Building Permit No., 22896-Z dated JULY 18, 1995 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 OPEN PORCHES AS APPLIED FOR. The certificate is issued to JEAN N CALHOUN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-95-0051 09/03/99 ELECTRICAL CERTIFICATE NO. N-390144 07/01/96 PLUMBERS CERTIFICATION DATED 07/02/97 A. JOHN GADA '4 u' ding Inspector Rev. 1/81 1IV FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ......7/z *IZ IVY 22$96 q c Z Permission Is hereby granted to; f . s.............. /G.. ...i ./..~i..... .s.." at premises located at..'~1. r......`° County Tax Map No. 1000 Section Block Lot No. pursuant to application dated . 19~.~-1~... and approved by the Building Inspector. Fee S.,~Y?.fCle)(~ ~ Building Inspector Rev. 6/30/80 Form No. 6 -mvNt OF SOUTHOLD 3U7LDlNG DEPART ENT TOVIN HALL 767-7502 :?PFT'C3T?ON FOR CERTIFICATE OF OCCU'PANC° This application. must be ed in by taro ewriter OR ink and submitted to the building inspector with the folicwiag: 'or new building or new use: Final survey of property with accurate location of all buildings, property lines, streets, ana unusual natural or topograpnic features. 2. Final Approval `rom Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. a Sworn statement '_rom plumber certi_`ying that the solder used system contains less than 2/10 of 1% lead. Commercial building, industrial builaing, muitipl_ residences and.similar buildings ` and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit °lanning Board Approval of completed site ?tan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property snowing ali oroperty lines, streets, Dui _ng and unusual natural or topographic features. 2. A properly completed anal'-cation and a consent to ;aspect signed by the applicant. If a CArtifltate of Occupancy is denied, the Building Inspector shall state the reasons therefor writing to the applicant. '_eS 1. Certificate of Occupancy - New dwelling 525.00, Additions to dwell. g 325.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Buildine - 5100.00 3. Copy of Cartificate of Occupancy - .25-11 4, Updated Certificate of Occupancy - $50.00 5. Temporary Cartificata of Occupancy - Residential S15.00, , Commercial 515.00 Dare -.1?~~ =_w Consrruction.. ~ ~Oeld 0 sing Bui ~^.~.~~p~ ocation of P. erty.. . ...eT!S/~F/},v'J!Sl 631.~., J House No. Street, (J dam et yye-ni • ~J. . . l ewer or Owners of Property . . . . . . • •••••~k~~~i . ounfy Tax hap No ]x 110j0~0, Section ...VAl~..-..B'_oc'_t..... ~........Lot mdivision~.~..... C•Y•/••1• .............1......... Filed Man............ L''o^^t.II..~.................... =it No.pn^`,8.9.6Q..Date Of Permit...! lel.%-r.Applicanc...GYK/,,/L(/Se~ . ealth Dept. Approval....'V~G~/••••••..../.....inderwriters Approval....) _anning Board Approval... . (J =quest for: Tempor_v Cert__ccafe........... =iaal Cercccace........... ae Submitted: S.... C~~c -5~g1 Tl'. ~ d ~-a l06 g'~ • , a»T c~vT ~ ~',1~~o2a~iax~e. RD) REMODELING & RESTORATION Box 447 INC. Jean N. Calhoun Fishers Island, NY 06390 Tel: 516/788-7919 David C. Beckwith Fax: 516/788-7192 President g9 te) PI eu~e~ n;I mil mac, ~v ~>u,rvI- SAaAk ffd eu Cl to . kXOW ; AAA" pavi s FIELD INSPECTION REPORT DATE COMMENTS ii II II air FOUNDATION O ST) u n `V~ FOUNDATION (2ND)-ii II it I II ij it FRAME fi T iI PLUMBING n it it ii ------------------------III====_ - INSULATION PER N. Y. u it H STATE ENERGY ii CODE it n u u ° PIK 1---' it II II I II II I II p FINAL ADDITIONAL COMMENTS: H~ ra 0 z ya ro y THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1.000913 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 l hate JULY 01,1996 Application No. on file 1 1199296 /96 tl 390144 I THIS CERTIFIES THAT I ! only the electrical equipment as described below and introduced by the applicant named on the above application number in the Ij "a JEAN examined on CALHOUN, FISTiERS ISLAND, N.Y. t in the following location; ® Basement tat Ff. ® 2nd Ff. OUT Section Block L{{{ JUNE 27,1996 and.tound to be in compliance with the National Electrical Code. Q i itE i FIXTURE ECEPTACLES SWITCHES " FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS E+ OUTLETS INCANDESCENL FLUORESCENT OTHER AMT. K. W. AMC K.W "I KW. WT K W 38 ?8 26 38 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEE DERS SPECIAL REC'P( TIME CLOCKS BELL UNITHEA(ERS MULTI.OURET AML N. W. OIL H. P. GAS H. AMT. NA. W G. AAMAMPS. TRANS. AMT H p TNO. OF FEET5 F I i _ ]WA . "SERVICE DISCONNECT NO, OF S E R V I C E METER NOOF C[.CONDA.W.O. W G . W G. AMT. AMP. ivPE EQUI?. 1,e' ]W I JT TW J.R JW J X tW PER A' OF CC. COND. NO. Of NbIFG OF MI LEG NO Oi EUTRAL 1 200 I I CB 1 X 1 20 OTHER AP?ARATUS: HOTORSI3-F H.F..3--2 11. P. PANELBOARDSt3-1 CIR. 30 AFAL: 82.40 PLEASE REMIT ONEY ORDER TO THNEW YORK BOARD RITERS PiALL ROBERT E. LIC.2.455-NISK OF SEENDEBE AT ALPINE AVM FISHMRS CSLAND, N;, 06f 90'41595 Lt G Per t 1 II IANCE. THIS BILL PAYABLE AT THE NEW YORK OFFICE, 85 JOHN STREET, NEW YORK, N. Y. I0038 1 THIS IS YOUR BILL FOR SERVICE RENDERED AND IS NOT A CERTIFICATE OF COMPL " e all F EMODELING & RESTORATION Box 447 INC. Jean N. Calhoun Fishers Island, NY 06390 President Tel: 516/788-7919 David C. Beckwith Fax: 516/788-7192 Vice President C `Lr..ff - - r July 15, 1997 Town of Southold Building Department a .f n" m, c/o Gary Fish Southold Town Hall Southold, NY 11971 Dear Mr. Fish, Enclosed is all information to our knowledge required to apply for a Certificate of Occupancy. Please let us know if there is anything additional needed. Sin rel , David C. Beckwith o~OgUFFO(~-C O Gy< Town Hall, 53095 Main Road y Fax (516) 765.1823 P. O. Box 1179 ~a- Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 28, 1998 BD Remodeling & Restoration, Inc. Box 447 Fishers Island, New York 06390 To Whom This May Concern: We are unable to complete your Certificate of occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is outdated. $25.00 XX No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERM T #22896-Z Check returned. Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ~C~ 09/01/1999 13:18 516-7885519 ROBERT E WALL PAGE 01 ~s,~/~1~•~~ sir aia um BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL.BG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ AL RFJ OIARKS: g5• 2, - , DATOOO;~~INSP~CT®R_,~ 1~gOFF01~-C Albert J. Krupski, President ~O~ OG Town Hall John Holzapfel, Vice President y~ 53095 Main Road William G. Albertson P.O. Box 1179 Martin H. Carrell O ye Southold, New York 11971 Peter Wenzel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD _ May 15, 1995 JUN 2 6 u Glenn Just j'i,."{.•` ^ ,..;F,.~ P.O. Box 447.-__, Quogue, NY 11959 RE: Jean Calhoun SCTM #3-2-7 Dear Mr. Just: The above referenced property was inspected on Friday, May 12, and the proposed house location, as per map dated March 16, 1995) is out of our jurisdiction. If you have any further questions, please do not hesitate to contact this office. Sincere Y, Albert J. Krupski,Jr. President, Board of Trustees AJK:jmd cc: Mark Reuschle, Office of Ecology Carol Amara, DEC New York State Department of Environmental Conservation 'Al uqy? s,,•. ' ft9d'my 40 - SUNY, Stony Brook, New York 11790-2356 Phone (516) 444-0365 Fax # (516) 444.0373 JUN 2 ~ ~5 ~~FNiA~~~•• MUdroN o. 7@gm yr:)il`I`ui? l ComNtsioner E? June 19, 1995 Jean N. Calhoun 205 Round Hill Rd. Greenwich, CT. 06831 RE:1-4738-01113/00001-0 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly yours, Carol A. Amara Environmental Analyst I CAA:jr enclosure File NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION II~ D$C PERMIT NUMBER EFFECTIVE DATE jU N 2 6 1-4738.01113/00001-0 6/19/95 FACILITY/PROGRAM NUMBER(S) PE''T' EXPIRATION DATE(S) 6/30/98 Order the Environmental Conservation Law TYPE OF PERMIT ¦ New 0 Renewal 0 Modification 0 Permit to Construct ? Permit to Operate 0 Article 15, Title 5: Protection ? 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management - 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8; SPDES 0 Article 27, Title 9; 6NYCRR 373: supply Hazardous Waste Management 0 Article 19: Air Pollution 0 Article 15, Title 15: Water Control 0 Article 34: Coastal Erosion Transport Management ' 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management ? Article 24: Freshwater Wetlands 0 Article 15, Title 27: Wild, 0 Articles 1, 3, 17, 19, 27, 37; scenic and Recreational Rivers ¦ Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Jean N. Calhoun 407-546-7082 ADDRESS OF PERMITTEE 205 Round Hill Rd. Greenwich CT 06831 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Glenn E. Just/J.M.O. Consulting 516-653-0607 PO Box 447, Quogue NY 11959-0447 NAME AND ADDRESS Of PROJECT/FACILITY Calhoun Property Un-named Rd. fishers Island NY LOCATION OF PROJECT/FACILITY SCTM#1000-003-2-7 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Chocomount Cove,Long Island Sound DEMPTIM OF PUi MIZID PCHVITY Erect a single family dwelling. Install septic system. Construct driveway. All work shall be in accordance with the attached NYSDEC approved plan dated 6/16/95. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 George W. Hemmerth AUTHORIZED SIGNATURE DATE 6/19/95 Page 1 of 5 r- , GHQ:AL asDITIUS Inspections Y. The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Departmnt of Envirorrrental Conservation (the DeparMwt) to determine whether the permittee is carplying with this permit and the ECL. Such represen- tative rray order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). copy of this permit, including all referenced raps, drawings and special conditions, rrust be available for inspection by the Departrrent at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Flernmis 2. The Departrrent reserves the right to rrodify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found; b) the permit wes obtained by misrepresentation or failure to disclose relevant facts; c) new rateriai information is discovered; or d) envirormrental conditions, relevant technology, or applicable IaN or regulation have raterially changed since the permit ms issued. 3. The permittee rust sulmit a separate vRitten application to the DepartrMnt for reneAel, rmdification or transfer of this permit. Such application rust include any fors, fees or supplarental information the DeparVent requires. Any reneA.ei, rodification or transfer granted by the Departrrent rust be in writing. 4. The permittee rust submit a renew l application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPCES), Hazardous VAbste N6nagamnt Facilities (IMF), rajor Air Pollution Control (APC) and Solid V%ste IVbnage•rent Facilities (S%F); and b) 30 days before expiration of all other permit types. 5. Lhless expressly provided for by the Departrrent, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Departrrent or any of the terms, conditions or requirarsnts contained in such order or determination. Other Legal Cbl)gat1ons of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by WxTrever suffered, arising 'out of the project described in this permit and has agreed to indemify and save harmless the State from suits, actions, damages and costs of every name and description resulting fran this project. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impair-ant of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other. permits, approvals, lands, easerents and rights-of-vey that may be required for this project. t. Page 2 of rov -rour'tiso~a. VS 20 ba (7192)-2 n ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( Tidal Wetlands ) 9 That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14, There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other . herein authorized. modification of the watercourse hereby authorized shall not be com- 15 If upon the expiration or revocation of this permit, the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed, the applicant shall, without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require, remove all or any portion of the uncompleted Department of Environmental Conservation may require, remove all or structure br fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse. No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration 10 1 hat the State of New York shall in'no case be liable for any damage 16 If granted under 6 NYCRR Part 608, the NYS Department of Environ. or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation, or for other purposes, and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217) provided that all of the conditions listed herein are met 11 Granting of this permit does not relieve the applicant of the responsi- 17 All activities authorized by this permit must be in strict conformance bdity of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U S. Army Corps of Engineers, U.S Coast Guard, New York State of the permit application. Office of General Services or local government which may be required 12 All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by RiehmTr3 H gtrause of any wetland or waterway by suspended solids, sediments, fuels, on 5118/95 solvents, lubricants, epoxy coatings, paints, concrete, leachate or any SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary`. i; 1! =rt s ~t1 , i. f, y( OLC I'I RMI T NUMI1I R ! ~IV 26 i~ ; 1-4738-01113/00001-0 PROGRAM/FACILITY NUM13LR ' - L- J`.-~!~.:ti.: " Page 3 of 5 95-20-6f (7/87),25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS For ArUde 2s Tidal Wetlands 6. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 7. Roof runoff shall be directed to drywells a minimum of 75 feet landward of the tidal wetland boundary for immediate on-site recharge. S. Driveways and parking areas shall be constructed of pervious material. 9. Roads, driveways, and/or parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 10. Sanitary system (bottom of tank and leaching pools) shall be located a minimum of 2f above seasonal high groundwater. Supplementary Special Conditions A Thru F Attached. ~,rra L DEC PERMIT NUMBER 1-4738- FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 5 SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return tho-~ p top portion of the enclosed notification form ..y certifying that they are fully aware of and understand` ~Q~ ~ ~t all terms and conditions of this permit. Within 30 Cy days of completion of the permitted work, the bottom portion of that form shall also be signed and returnede ~2 along with photographs of the completed work and, if required, a survey.' A E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify.the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater. DEC Permit No. 1-4738-01113/00001-0 Page 5 of 5 I. SITE 15 LOCATED IN THE TOWN OP SOVTHOLD, COUNTY Or SUrrOLK, TAX MAP 1000, SECTION COS, ]BLOCK 2, LOT 7. 2. SITE IS LOCATED IN ZONE DISTRICT 3. OWNER, JEAN N. CALHOUN OPT '205 ROUND' HILL ROAD WD GREENWICH, OONNErincuT. C)6631 4. SITE t5 TO ISE SERVICED SY MUNICIPAL HATER AND ON SITE SEHAG,E DISP05AL IN COMPLIANCE HITH THE STANDARDS AND RQUIRN94*NTS' Or THE'SUrrOLK COUNTY HEALTH DEPT. 5, BASE POR LEVEL5, KO.V.D. la24q. 6, 0009VINATE DISTANCES ARE MEASURED FfkOM U:5. COAST AND evEOD5ETIC SURVEY *IANOULATION STATION " CH06OMbUNT 2" 7. TOTAL AREA,' 2, t4 ACRES 6. PERCENT Or LOT COVERAGE, 2% q. INSTALL. 3 MAINTAIN HAYP,lALL5 AND SILT rtNOE DURIN,S, CONSTRUCTION PERIOD. 16. ALL DISTURaw AR4A5'TO SE LOA AND SEWED. N Y 9 P 8 C t~! E , AFPROVI;,A AS I'M 7E'1lMg. ; s _ 1 P - AND 4ONtwrlONS OB,. D u ...:6 b 00001- NrafttaT Na {(GtV r. yf r' . 51'7`s~' f°'LAN . JEAN N". CA~HCUN 30 OLCCK ICI,. LOT'& 'HIC SCALE IN FEET ffff$He" ISLANG, NrA YORK REMSION5 DESCRIPTION ,atSl~Ti i Ar&hlt#,ct ire, EVn6+tring, anal Sur' Ve fn . Ub 1RbAevAr,NdMCti,;¢T rY&actl aQ~,. ,iiip~-7YOS. y... V r rr !(fir.. . a - w.. ` ..i k". :x i t pal THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 r1000913 BUREAU OF ELECTRICITY I 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 01,1996 Application No, on f le 11199296/96 N 390144 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant instruction the above application number in thepremises of JEAN CALHOUN, FISHERS ISLAND, N.Y. in thefollowing location; © Basement [Z ISE Ft. Q 2nd Fl. OUT Section Block Lot was examined on JUNE 27 T 1996 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKINGDECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDE3CENi FWORESCENi OTHER AMi. K. W, AMT K. W. AMT. K W AMT K. W. T. H. P 38 48 26 383 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEII UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. NAT. NO. A. W.G. AMT. AMP AML AMPS. TRANS. AMT. H. P. NO. OF FEET AMT. WATTS 5 1' SERVICE DISCONNECT NO, OF S E R V I C E AMT. MAP, TYPE METER I X 1W 10 3W 3 $ 3W 3,0' AW NO. OF CC. COND. A. W. G. NO. OF HIAEG A. W G' NO. OF NEUTRALS A. W G. EQUIP. PER a OF CC. COND. OF Hl-LEG OF NEUTRAL ti I T200 CB 1 X 1 2/0 1 2/0 OTHER APPARATUS: HOT0RSL3_} H.P.,3-2 H.P. ! PANELBOARDS:3-1 CIR. 30 `t I i WALL ROBERT E. LIC42455- t ALPINE AVE i V GENERAL MANAGER FISHERS ISLAND, NY, 06390.0595 11 a7 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. i . COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAcE 1 r1235043 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date NOVEMBER 30,1995 Application No, on file 10700495/95 N 371525 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MRS JEAN CALHOUN, FISHERS ISLAND, N.Y. in thefollowing location; T Basement T 1st Fl. ? 2nd Fl. Seetion Block Lot was examined on NOVEMEIR 21,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W AMT. K W. PMT. KW. 11 AMT. K W AMT. H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS MU DIMMERS AMT. K. W OIL H. P. GAS H P. AMT. NO. A W. G. AMT. AMP Wt. AMPS TRANS. AMT. H P SYSTEMS STEMS pMT WATiS NO. OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER I X. 2W T b. 3W 3 9 3W 3,e 4W NO. OF CC COND. A. W G. NO. OF Hp LEG A W G. NO OF NEUTRALS A W G EQUIP. PER 0 OF CC. COND. OF HI-LEG OF NEUTRAL 07HER APPARATUS: FIRE ALARM-CONTROL PANEL-1 ALRM HORNS-2 HEAT DETECTOR-6 j SMOKE DETECTOR:-2 i - p ® c'~ l I WALSH SERVICE ],rTC.#924 E f MONTAUK AVE. r FISHERS ISLAND, NY, 06390 GENERAL MANAGER 11 s Per This certificate must not be altered in any manner; return to the office of the hoard if incorrect. Inspectors may be identified by their credentials. (G COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N0T BE ALTERED,IN ANY MANNER. ~ I / eoo Town Nall. 53095 Main Road Y Z Fax (516) 765-1823 P. O. Box 1179 - Telephone (516) 765-1802 Southold, New York 11971 46' y~ y s~- a 0.( OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE Building Permit No, d z Owner: &)-r C CA f fhbitin (please print) Plumber:A )ohn &4a- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P1 ers 5ignatur Sworn to before ge-7his 2 _ day of 0 J k t% _ , 19~ Notary Public, `„J~!A4if-14'7 - County fii1~A9d~ s~~~~~ K ~ r Milo rp Public state of New York No. 0.806558 Clualifiep in suffoik Cc tY Term Expires 12131/1, BOARD OF HEALTH FORMNO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC F0RM SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ta1~ Z Fy ; . h !y~( CALL nnined I9!Ff y MAIL TO: proved 11........, 1Permit No .sapproved a/c . n. - ~..a~ rr r ildi sector APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued a Building Permit to the applicant. Such permit shalt 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 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa ' Spection Signature of applicant, or name, if a corporation) ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. I.......~'GLl'rf<P~t~............. Name of owner of premises . (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. }~.~....pA?B7JGGKWI~ .Plumber's License No. Electrician's License No . Other Trade's License No . 1. Locate n of land on which proposed work will be done . . House Number Street nilet ~~~~.72G+t+r~/ County Tax Map No. 1000 Section ...OD3....... Block ,F!....... Lot Subdivision IVA. . Filed Map.No.- Lot (Name) 1 State existing use and occupancy of premises and intended use and o~ rupa~:.-1 ^f`groposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair emoval Demolition .....:...,......Other Work , ae 4. Estimated Cost (Description, Fee (to be paid on filing this application) 5 If garage,t , numb of dwelling units . . . . . . . Number of dwelling units on each floor ' Y* 7. He Shines number commercial of cars 7, Dimensions of axis mixed occupancy, specify nature and extent of-each type of use . t r ~res, if any: Front , ; , hng sruct Rear. Depth . Number of Stories . . . . Dimensions of same structural with alterations or additions: Front . • . . • ' . ' • ' • Depth . Rear . Height . Number 9f Stories . 8. Dimensions of an~ire new conutruction: Front t Rear , CP . . y..... Depth Z9....... . Height mber of Stories j. 9. Size of lot: Front /'SS Rear . `l~. ~ . . . Depth , .449 . . !9 • , . Name of Former Owner , . I Date of Purchase remisesyre situated ~n )7p, , , , , , , , , , , • • • , • ~e e. 11- Zone or use distract in which 12. Does proposed construction violate anzoning law, ordinance or regulation: . , , , , , , , , , , , , , , 13. Will lot be regraded , tVQ......... Will excess fill be removed from premises: Yes (ID 14. Name of Owner of premises 'Ti .K !v: ,L'4yp0;t?. , , Address X75.. ~•f7i~.. . i ',y%•`:YPhone No./:6ALe .7,a$r:-7A ;,N Name of Architect , ,'I.... • ,Address ...................Phone No.......... , Name of Contractor . j7At1 tt?.B>d~Kµhy}~ • • . , . , , , Address XA1'r 0&0. AD Phone No. /r.5h6.7,i$r.,7$ 7¢ 15. Is this property within '300 feet of a tidal 'wetland? *yes ...J~ *if yes, Southold Town Trustees Permit may be required. No... " " " PLOT DIAGRAM I Locate clearly and distinctly alll, buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I ~I I I, I • I 'I STATE COUNT F NE~ V F ...Y...0at._~ S.S , . , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ontract) above named. He is the .:,...,...~.W U[ VL^-r...II . . . (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 this ,pplication; that all statements contained 'in this application are true to the best'of his knowledge and belief; and that the .vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this i r~r~ yof..../.!!~ 19 dotary Pub ~ . r County i THOMAS F, oOHP.RTY JR. ' Notary P0110 Sato of Now York y, . No; a8ofS9so (Signature of applicant) Oua1111oo in SlAoik covniy Tom SKpiros 121314 or o~I(` W' J ~m o~ cooOM~~N'C _sar~ ~O H U f / ~tGa i e• • / NSTALL a MAINTA .L a MAINTAIN 110I.f. SILT FENCE BACKEL ENCE BACKED WITH HAYBALES. TO REMAIN DURING, MAIN DURING DNSrRUCnON. e LL CONSTRUCTION. o-e n-r eo-e .1 ea9 ,p \ev3ia let Pp VI 5 0 C 316 at° / g ~e I lQ~~ S S Nell A _ ~omalPZ N~.CI MIDDLE ~ ~ ~O~J / D y LA-iK~ r / 4°aa ea 1. I'ARM6 1.O ND I "A y% a J _ SSSe Z~ -1• 5°i w LOCATION MAP 1 50 .p4 ~ \ M o 3--vz'i wE 400 200 0 400 3-"P~cyµlEL~f v GRAPHIC SCALE IN FEET W ~ ~ ` T5 ~ ~ 1 1 ~J SUMMK LIOLNI WART?4ENf0FlMALTT;SBRV%= - APPItOVALOFCCI*ISTRDCTTDSV0Rt1 "ft \ mo \ 12 A S1NGU FANWl RCSWENC6 CJ>;1~1"IG ~~f~M~tr~ Dete~ 599 H.3. Rcf. Nc. ~R,(~„~~ -Dc'7.S( a -----ID :o The -vcRC d"noz, .nit -r.,te, my piy f.:_fP:t:n: P.1 W, ta:Mton AGCY. bm .o IGPWCd mftrG fificd Ly tM; IXpsSC: et o; „dux egcGWU amfoundb bC52tisf=orytOR }~,"~dUna C/P . fSeDIi006fS. OIRro of WaOv eIM WrrawYOr Mmyprooq ~ ~ \ REA NOTES: 1. 51TE 15 LOCATED IN THE TOWN OF 5OUTHOLD, COUNTY OF SUFFOLK, TAX MAP 1000, SECTION 005, BLOCK 2, LOT T. ~9 3" 2. 51TE 15 LOCATED IN ZONE DISTRICT "R-120". 5. OWNER: JEAN N. CALHOUN 205 ROUND HILL ROAD GREENWICH, CONNECTICUT 06851 - 4. SITE 15 SERVICED BY MUNICIPAL WATER AND ON SITE 5EWA(5E DISPOSAL IN COMPLIANCE WITH THE STANDARDS - 3g AND REQUIREMENTS OF THE SUFFOLK COUNTY HEALTH DEPT. 359 09, ' O!'1.~. rvF LCVCL IV.o. v.v. I'9<9. ~4~zg~ 4p ~ . g 6. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND 6EOD5ETIC SURVEY TRIAN6ULATION STATION " CHOCOMOUNT 2". r ~w t<.1. ~zr3.~ _ 7. TOTAL AREA: 2.74 ACRES ~T _ MuU~~ I.AOL1uMELIT 8. PERCENT OF LOT COVERAGE: 2% PSE OF NEw YO s,~ LEGEND H cr- Fb11uMsµT EXISTING CONTI STING CONTOURS y ~'2'PPO ST90G LI;V. I I. PROPOSED CONT( I.1GTVb I°~z~ I' 13.4 EXISTING SPOT (POSED CONTOURS ¢ m ; STING SPOT GRADE ' ~ lII SITE PLAN I FILTER (2)H fM-KSTAKES FlLTER FINAL LOCATIONS FABRIC GCN gAIG FABRIC + POSE PREPARED FOR COMPACTED BACKFlLL ANGLE 10 UP SLOPE I FOR TABIlLM AND SILT FENCE BACKED RY HAYBALE BARRIER Jr-AN NO CALHOUN I NOT TO SCALE 30 15 0 0 30 BLOCK 19, LOT 8 GRAPHIC SCALE IN FEET SCALE IN FEET FISHERS ISLAND, NEW YORK REVISIONS VISIONS DATE DESCRIPTI( CHANDLER, PALMER 6 KING DESCRIPTION r7 ~ A 3/17/97 PROPOSED P( IROPOSED POOL = Architecture, Engineering and surveying m '0 0N0AWAY NM IOL = %NO E03- @1 M17 FM 201-WL-7101 3/25/97 ADDITIONS DDITIONS SITE PLAN MouuMEU'~ PROPOSED POOL DATE: MAY 28, 1996 '_8, 1996 SCALE: P = 30' 30' SHEET 1 OF 1 IF 1 ',,,;i r, n. 7w 'J" ~w r ~p ~ 191 w. ~ tr , s i y li ' 1) i 4 X11 KNPCKGUT INLCTI AND OG ira OUTLET QPENINQS RIDS 7NSIDEL~ X19 ~ G 10 92 CAST w CONCRETE WVER h 4 ' 30E ro}. 2E R O 'Sa c-b PLAM 16 mom, ~ Q o I aPP ..a ~Lo , LOQKINQ QAST1145 `psm s 72, B too, > TO GRADE--\ O bof A-f FINISHED GRADE CI % 0q 4E I 4HIM ~E 126/18,5 OA, .WIRE MESH J•// 2.8 0 B05 \ c'N. 6 .6 K d 4/6 'GA. WIRE KC$H 06 E s s 7 . 0 ¢ 4' P t' Al yl o. 0 mi00 V- 2.s G F 14 o NLE 3' VON a V ,OUTLET LMUDI Wtv 1 1" . ~IpOL6 \ 'I / OF 45. OBJ jqegr~ia g, d . a r. I ~i. 16 OQ'"6 PSEHN.Y'USL WFfpl4 T t ~ 5 . a t n r. af' w 4" SCHEDULE l4 c 0, ' ~Ih'~ L tQl elePtJht ~0 ~ ~ 6,9 ~etJ 5 B yP ,r / 1a INLET DAFFLE f ' Alf . 4, I 60 ee a y'' 1 ~ ~ 17 41 2 A Te'Jrr , H04e Q.A rA MARCH lT; 19$5 r 1 - 'Wilnested by R H Stravse, CPC. LOCATION MAP ° ( e an vao/ r a/ GRASS `SECTION 400 200 0 , 400 2Br II ~qPa 12" AR n' Sbn$y,'Saboll GRAPHIC SCALE IN FEET 'ZaAloltdryse+ye I2 3 '2848 Sandy rl,// IN 188" „ Flne Sond SEPTIC JANE } i /\2 water at 144" NOT to' SCALE " Acle, F.F. FIRST FLOOR "ar l3. l I \ ELEV. ELEVATION ~ A 12.8 EX15TINO SPOT GRADE - - 100 - - EXISTING CONTOURS COgf%qy./%y '4'6+ ` o o' Q p p a v 1 W AoXbO/e3, x "I, 3 R ' , cC W!l!C s%/A}fence %O Av~ ~ • d o/o op o v e 4' DIAi kdDCKQtlTS '7 n v p v v e GUTS - 100 - PROP05ED CONTOURS pop v me TEST HOLE plmo o / 100.0 INVERT ELEVATION J ~ ~ ~ f- o v o p p p v v r 10 0 4 q p q o ve I ~ddr„q„ / \ 12 a 4'.{- D'-0' DIA G/M~7S aF 04EAl~ING ~ z2 Vim, . n ` / Sep, o _ 4 1 WMam a 6.7 3.2 1. SITE 15 LOCATED IN THE TOWN OF 50U7HOLD, („OUNTY OF 111 o x it / ~ Ceaor coder SUFFOLK, TAX MAP 1000, 5ECTtON 003, 5LOCK 2, LOT -1, 2. SITE 15 LOCATED IN ZONEDISTRICT OWNER, JEAN N. CALHOUN FILTER s I i' W I 6.8 / I FABRIC ..li ANGLE 10' UP 'SLOPE 205 ROUND HILL ROAD POST- FQ R STABILITY AND GREENWICH, CONNECTICUT 06881 SELF CLEANING 4. SITE 15~TO $E 6ERVICED irY MUNI4IPAL WATmR AND ON SITE Ob4AGE DI5P05AL IN COMPLIANCE WITH THE 51ANDARDS u \ ~ 1 \ \ \ 20 AND REQUIREMENTS OF THE SUFPOLK COUNTr' HEALTH' DEPT. 2.6 COMPACTED " 1 BACKFILL •~L 9 ,65'ASF'FeW 1 FVFI C, NFiV L] IQ2Q - - \ y go Y, 6. OOORDINATE 0I5TANCE5 ARE MEASURED FROM U.S. COAST '~s9w'9,~ f+ SFLTt~CE. AND GEODSETIQ SURVEY TRIANGULATION STATION " CHOCOMOUNT 2" Q .V - NI7T'TO SCA~E 84OC~ /9 1 7. TOTAL AREA: 2.74 ACRES 'QesityenoB _ OT 7 5. PERCENT OF LOT COVERAGE: 2% ` A mameMn I 1 q '~1 - M'uniaioo/ ~ot~r F On .~i,~s Seolic N I Q. INSTALL t MAINTAIN HAYBALES AND SILT FENCE DURING ' 'BENCH MARK I ~ .CY CONSTRUCTION PERIOD. TOP OFMON(%MNT 1 1 Q I ~'rr,~^ (2)-2lu2"X3' STAKES ~s~en ELEV. /8.59 ; _J EACH BALE ' NGVD Y929 O Q 10. ALL DISTURBED AREA5 TO BE LOAMED AND SEEDED. f p ~4 a a {~I IZ6 `1995 s~a~Ealraeiroi°py o ii\ S p~E a~ raeiro joQ y GF3r:loH ar,r SlTe PLAN HAYBAhE BARRIER NOT T4 SCALE m ` e vv4y 1m9MvARER POR 0 31l EXYSMV GRAVEL ROAD TO u1 i i less BE EXT£NOEO PER FIDCO OF WA'M ~y REOWREMENTS SUFFOLY, COUNTY 1*p OF l g Fpp APPROVAL OF ~ ENC Y o a5/ / DKIF LL Q s JEAN N. CALHQ~~ / FAMILY to ~ / - /B ,,,,,er~V 30 16 0 _ tJ - .npA(1VEB fWM DAB OF M"WAL ER PHM SCALE IN 0 30 9LQeK IQI, LOT V e, SCALE PISHMS ISLAND, NZH 'I ORK 20 REMS[ONS ~EVISIaNS C'pj &W ' CNAN2?4ER, PALMER 16 FCYNG ' 1 ~ f DATE D1SCR,IP-'Y Arn' DESCRIPTIQN, Arghlkecture. Engineering and Surveying ~ 1\ I' Sam famQtar '.withthe standards for approval and WO glelaYAY NOeV1G4 Gx o6+60 zaa+p-J9n, `lrA~t.[aa•wF~po1 IS construction of subsurface sewage disposal systems for single family residence and wilt abide by the - conditions set forth therein and on the permit to nrone/Mnl ` construct. r ~ DATE: MARCH 18, ,1995 CH 16, .1995 APPLICANT SCALE: 11 30' X30', t SHEET 1 f1F 1' OF 1'