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HomeMy WebLinkAbout22391-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24427 Date JUNE 13, 1996 THIS CERTIFIES that the building ADDITION AND RECONSTRUCTION Location of Property EAST END ROAD FISHERS ISLAND NY House No. Street Hamlet County Tax Map No. 1000 Section 5 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 1994 pursuant to which Building Permit No. 22391-Z dated OCTOBER 17, 1994 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 AN ADDITION AND RECONSTRUCTION OF BOARDWALK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARY DENNY SCOTT WRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL-RIO-94-0078 MAY 31, 1996 UNDERWRITERS CERTIFICATE NO. N365088 & N365089 OCTOBER 2, 1995 PLUMBERS CERTIFICATION DATED SEPTEMBER 11, 1995 MARIO ZANGHETTI JR. G it ng Ina ector Rev. 1/81 3 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 N® 22391 Z 19.. Permission Is hereby granted to; °.r.....,r..?.- .......................................0 eoaa. s...... ~ - ~ ~ - ~ t at premises located at... . I I .......y.J/ County Tax Map No. 1000 Section Block .....Z Lot No. pursuantto application dated ' I9..1.. and approved 6y the f Building Inspector. Fee $ ~~~/..e..., r , . . uilding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY gLDG.DEPT. f TOWN OF SOUTHOLD , This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form), 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ,6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and pre-existing land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a.Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. '2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ,,,,9;11/95 Construction........... Old Or Pre-existing Building..:{ ation of Property,...., East end road, Fishers Island,N.Y. No ....................Street...... House Hamlet or or Owners of Property. Mary.nennX.Scott Wray . my Tax Map No 1000, Section Block..?.............Lot...6.................. livision ....................................Filed Map............ Lot...................... nit No., 2391 Z......Date Of Permit.1M17/94' Applicant2&S. QntYaC.ti,n5.I1iR........ Lth Dept. Approval ..........................Underwriters Approval...... . ining Board Approval test for: Temporary Certificate........... Final Certicate..:t........ Submitted: $~5 ;00„ tom` S(~'31 i~ayga7 APPLxcANT I TEL. 765-1802 oc~~FFOLk~oG TOWN OF SOUTIIOLD a? ~c OFFICE OF BUILDING INSPECTOYt P.O. BOX 728 U~ ~ TOWN HALL ~dy 1 0! SOUTHOLD, N.Y. 11971 G•~ • y~l ~a OTC 'r C E. R T I F 'I C A' T I' O N 'Date 9/11,95 Building Permit No. 22391 Z Owner Mar Denn Scott Wra please print) i.' Plumber Mario Zanghetti Jr. (please print) I certify that the solder.used,in the water supply system " contains less than 2/10 of 1% lead. (pl be s s ature) . r Sworn to before me this- ay of Notary Public Notary Public, C nty- v: EILEEN U`. WAIL NOTARY PUELIC, -NEW YORK STATE NO. 01 WA9509185 QUALIFIED IN SUFFOLK COUNTY TERM EXPIRES OCT0 9t?M 31, 199 m a H~ FOUNDATION w (1st) a + / c ti FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING y~ 3. INSULATION PER N. Y. STATE ENERGY CODE x~ 4. 31 FINAL ADDITIONAL COMMENTS: m x 333 H x O~. . y1 • a Q~ rn fib James Volney Righter ~T a r c h i t e c t s H i n c WRAY HOUSE FISHERS ISLAND, NY SPECIFICATIONS 22 September 1994 The work covered by the specifications, corresponding drawings, and related documents, the "Contract Documents", shall consist of an addition to a house for Mary Denny and Michael Wray at Fishers Island, NY. 1 - GENERAL CONDITIONS 1) It is the contractor's responsibility to ensure that work progresses in accordance with the Contract Documents. The Contractor shall provide all labor, materials, equipment, and services necessary to complete all work as required by the Contract Documents unless specified otherwise by such Contract Documents. 2) The Contractor shall pay for all applicable permits. 3) The Contractor shall take every precaution to see that the site is protected according to the requirements of the relevant environmental agencies. 4) The Contractor shall be responsible for noticing any structural deformation, decay, or inadequacy as work progresses and shall notify the architect immediately. The contractor is responsible for all repairs to work done by the Contractor deemed necessary by the inspecting building officials and the architect. 5) Fire prevention: The work shall be performed in such a manner as to prevent fire. The Contractor shall take precautions against fires starting and spreading on the site and within the building and temporary structures. The Contractor shall provide adequate means of extinguishing fires, (dry chemical fire extinguishers rated for A, B, and C fires) during all phases of the work. There will be NO SMOKING inside the building at any time. No fires may be built on the premises. 6) Gasoline and other flammable liquids shall not be stored within the building. They shall be stored in and dispensed from U.L. listed safety containers. Tarpaulins used on the site shall be made of fire-resistant material and be U.L. listed. 7) Field Measurements: Before ordering any materials or doing any work, the contractor shall verify all measurements at the building and shall be responsible for their correctness. No extra charge or compensation will be allowed because of differences between actual dimensions and measurements indicated on the drawings. Any differences which may be found shall be submitted to the Architect for decision before proceeding with the work. 58 Winter Street • Boston • Massachusetts • 02108 • telephone • 617 • 451 • 5740 8) Temporary Light and Power. The contractor shall make all arrangements to provide any temporary electric power distribution required during construction and temporary electric lighting for all portions of the work. The contractor shall furnish, install, and maintain a safe and adequate temporary electric system; make all necessary connections and furnish all necessary wiring, outlets, lamps, and sockets. All such work shall be done in accordance with Underwriter's Laboratory requirements and of authorities having jurisdiction. Provide a sufficient number of outlets so that 50' extension cords will reach all work requiring light and power. Electricity usage charges as billed by the power company will be billed directly to the owner without markup. 9) Temporary Heat. The Contractor shall provide and pay for such temporary heat as may be required to carry out all portions of the work and to prevent damage due to cold weather. Temperatures to be maintained during any stage of the work shall not be less than those required and recommended by the manufacturers of materials and finishes being installed. The Contractor shall be responsible for all damage due to failure to maintain required temperatures for any phase of construction or improper use of equipment, and shall make good any damages which may result, both direct and contingent. 10).The Contractor may use the permanent heating system of the building. Nonelectric types of heat shall be properly ventilated to the outside of the building. If permanent systems are used during construction, maintenance and attendance shall be provided, and the systems shall be in perfect operating condition at the conclusion of their use, subject to the architect's approval. On substantial completion of the contract, the contractor shall remove all temporary utility devices. 11) Weather Conditions: In the event of temporary suspension of work and during inclement weather, work and materials shall be adequately protected against damage. All work and materials of any kind that is found to be injured shall be removed and replaced by the Contractor without cost to the Owner. 12) Cold Weather Construction: The Contractor shall take special precautions to prevent damage to materials and work installed in cold or freezing weather, by providing adequate temporary heat and suitable enclosures or covering. The ground surfaces under footings and under pipe lines, and all concrete and masonry work, shall be protected against frost and freezing. 13) Pumping and Draining: The Contractor shall do all pumping or dewatering and provide drainage as necessary to keep the site free of standing water and to keep the excavations and the building free of water during progress of the work. All pumping and draining shall be conducted in such a manner as to avoid endangering or damaging surrounding property. 14) Upon completion of each phase of the work, the Contractor shall leave the premises free from all debris and waste, in a broom clean condition. The Contractor shall be responsible for keeping the site free of rubbish and debris, and in a neat, orderly condition at All times. The Contractor shall provide trash barrels for use by workmen. 2 - SITE WORK 1) Clear brush and/or trees as directed by archit&c,ts'Protect trees to be saved near construction area from damage during construction. 2) Site addition and establish levels of finish grade on site with architects. 3) Remove any top soil from the construction area before construction and replace and regrade top soil after construction. During construction, store all top soil and all other earth removed for foundation excavation on the site--do not remove from site. 4) Provide and install septic system as shown on Chandler Palmer & King Engineers' drawings of July 19, 1994. 5) Excavate for house foundation, as required. 6) Back-fill and grade with machine blade finish for good appearance and proper drainage. 7) Remove existing Bilco door and relocate as per drawings. Excavate as necessary and provide new footings. 8) walkway to be relocated with architect on the site. 3 - CONCRETE AND MASONRY 1) Foundation walls to be 8" thick concrete block with steel reinforcing, parged above grade, as shown on drawings. 2) Materials: _ Concrete-- for slab and work below grade shall be 3,500 psi with 3" max slump, aggregate to be 1" with no admixtures. vapor barrier-- one layer of 6 mil. polyethelene sheet with 4" overlap at edges. 3) Provide metal-framed basement vents as shown on plans, with window wells. 4) Provide one coat brush-on asphalt waterproofing on outside of foundation below grade. Parge above grade. 5) Backfill only after first floor deck framing is complete. Use heavy equipment near foundation only after.first floor framing is complete. 6) Chimney to be concrete block, furred out and shingled where exposed above roof line, with one 8x12 clay-lined flue for furnace and hot water heater, and two 12x12 flues for the fireplaces. 7) Do not lay masonry or pour concrete when the temperature of the outside air is below 400 F. Protect work from cold and frost, and insure mortar or concrete will not freeze while hardening. No anti-freeze ingredient shall be used. ~5 I n7°_ 7 i 8) Masonry work must not be done in full sun at temperatures above 80 degrees Fahrenheit unless shading and water misting are provided to control evaporation. 9) Newly laid masonry work shall be protected from rain until hardened. 10) Discard and do not use mortar which is unused after 1 1/2 hours following the initial mixing. 11) Unless otherwise indicated on the drawings, make the masonry plumb, level, and true to line, with square angles and corners. 12) Use only bricks and blocks that are clean and free from dust and other foreign materials. 13) All masonry to be flashed adequately with lead flashing to prevent penetration by moisture. 4 - CARPENTRY 1) All work shall be installed by those skilled in the trade in a solid, workmanlike manner. Contractor will replace or repair at his own cost any work not up to standard. 2) Exterior walls to be 2 x 6 stud construction. Interior partitions to be 2 x 6 or 2 x 4 as noted. Pieces with knots affecting structural integrity should not be used. 3) All sills and framing in contact with masonry or in moist areas shall be pressure-treated. 4) Frame structure as required for firm, permanent construction. Cut- materials accurately. Frame structure level, plumb, and square, to indicated dimensions. Leave no gaps between sheets of plywood wall sheathing. 5) Double frame around openings. Select best materials for structural members. 6) Use metal hurricane clips on all roof rafters: Simpson H 2.5. 7) Provide adequate blocking for installation of all finish work, including work provided by others. Place blocking behind towel racks, built-ins, and lighting fixtures, as required. 8) Provide CDX plywood flooring in all unfinished attic spaces. 9) All adhesives used shall be water resistant construction grade. 10) Hand-select the best materials for exposed finish carpentry work. 11) All materials shall be fully protected at the job site, kept under cover and out of contact with the ground. (ACT 1994 . TOJAIf~j 5 - WINDOWS Windows #1-14: Marvin wood windows, double-glazed with true divided lights (ADL). Primed outside and inside. Supply windows without exterior casings. Casings to be installed by contractor. Double-hung windows to have aluminum triple-track storms/screens with black baked enamel finish to match existing house and with horizontal band lining up with the middle of the window. Double-hung windows to have sash lifts and locks. # Type/Size Layout Remarks Quantity 1 WDH 4030 8/1 9 1 WDH 2626 6/1 5 6 - DOORS # Mfr. Type Size Remarks 1 Morgan M-5911-15 R 31-0" x 61-8" With storm/screens to match existing 2 11 3 Morgan M-1051 3'-0"_x 61-8.. 4 O 11 p 5 1. 6 7 Morgan M-1051 21-6" x 61-8" each (pair) 8 Morgan M-1051 11-8" x 61-8" each (4 total) Hinged as specified by architect. Door hardware to match existing 7 - THERMAL AND MOISTURE PROTECTION 1) Roof and wall shingles to be red cedar. 2) Flash and caulk interior and exterior joints as required to leave the building weather tight, including all exterior joints at windows and heads and jambs of exterior doors. 3) Step-flash all joints between sloping roofs and side walls. 4) All flashing shall be lead-coated copper. 5) All exterior wood doors to have brass or bronze interlocking flat- strip weather-stripping. 6) Fiberglass insulation: all exterior walls to have 5 1/2" foil-faced Fiberglas batt insulation; roof: 9" Batts; first floor: 5 1/2" batts. 7) Use 1" foil-backed polyurethane insulation with foil side up under bathtubs. 8) Provide aluminum gutters as shown on detail drawings and roof plan, with matching downspouts. 8 - PLUMBING 1) Provide water service to new addition. All plumbing systems to be installed by licensed mechanics, respecting all code requirements and manufacturers' recommendations. Contractor shall pay all necessary fees, licenses, and permits, and shall arrange for required inspections. 2) All water supply piping to be copper. 3) All fixtures and appliances to have shut-offs which should be located in the existing basement where possible. 4) Waste pipes from first floor plumbing fixtures and from house to septic system to be PVC Schedule 40. 5) Test and prove tight: soil, waste, and vent plumbing with water as required by code. Domestic water lines shall be proven tight at 125 psi. 6) Metal water piping should be electrically grounded. 7) Provide 40 gal. oil-fired hot water heater to be installed in crawl space. 8) Plumbing fixtures: Bar sink: ELKAY LR-1722 Faucets: Allow $800 for all faucets including the following: Bar sink, 2 bathroom sinks, shower control, tub faucet. Installation of faucets to be included in contract price. Toilet: Kohler K-3458 Wellworth Pressure lite with elongated bowl, white. Tub: Kohler K-812-VH with hand grip rails K-9616, white. 9) Provide and install outdoor hose spigots as shown on plans. 10) Bathroom sinks to be white Corian, integral with countertop. 1994 aiu~. eeT. „T t3WNeOt'SC)UTt.1 u) 9 - ELECTRICAL 1) All work to be done by licensed mechanics to applicable code requirements and following manufacturers' recommendations. Contractor shall pay all necessary fees, licenses, and permits, and shall arrange for required inspections. 2) Provide connections for all appliances, including dishwasher, ice maker, refrigerator, and for heating system. 3) Connect TV outlets shown on plans to existing antenna. 4) Allow $50 each for light fixtures numbered 1. Allow $150 each for light fixtures labelled 4, 5. This is for those fixtures themselves. Include all other fixtures and the installation of all fixtures in the contract price. 10 - HVAC 1) Heating to be oil-fired forced hot air. Furnace to be installed in crawl space. 2) Provide 2 zones, one for living room and a second for bedroom and bathroom. 3) HVAC contractor to adjust system until it works properly. 11 - EXTERIOR FINISHES 1) Exterior decking to be 5/4 x 4 fir, blind-nailed. 2) All exterior trim to be cedar. 3) Provide custom milled cedar mouldings for water table and exterior window backbands to match existing house mouldings' profiles. 4) Use stainless steel nails for all exterior work, including shingles where nails are exposed, and trim. 5) Paint trim and doors one prime and two finish coats. Prime back, sides, and ends of all wood trim. Seal end grain before priming. 6) Exterior metal doors to be primed and painted with 2 coats oil-base metal paint. 7) Paint shall be top-grade exterior alkyd resin paint. Use primer recommended by manufacturer of paint. All primers and paints used for the project shall be manufactured by one of the following manufacturers as approved by the Architect: Pittsburgh Paints, Benjamin Moore, Sherwin Williams, or Pratt & Lambert. Color to match existing house. 8) Sealants shall be paintable. All window and door frames shall be caulked after prime coat is dry. Apply caulk in smooth bead to completely fill joints. 9) Furnish and lay suitable drop cloths for exterior painting to protect roof and decks from paint drips. Lay plywood over all finish decking to protect it. 10) Protect all finish hardware at doors, lighting fixtures, or other finished items from paint spatter by removing them, carefully painting around them or using masking tape and tarps to protect them. 11) Sand all surfaces before priming and between coats of paint to assure smooth even finish. All surfaces to receive paint shall be smooth and free of sandpaper scratches, millmarks, and other imperfections. 12) Painting materials shall be applied in strict accordance with manufacturer's recommendations, including all temperature and weather limitations. Do not apply paint when temperature is below 50 degrees Fahrenheit, or when temperature is expected to drop below 50 degrees Fahrenheit within twelve hours. Do not apply paint on surfaces in direct sun or where dust is being generated. Do not apply exterior paint within 48 hours of rainy weather. 13) Contractor shall perform all touch-up and restoration of damaged surfaces, and clean-up of adjacent surfaces at the completion of the work. 12 - INTERIOR FINISHES 1) 1 x 3 red oak strip flooring throughout to match existing house. Oak flooring to have three coats of polyurethane, satin finish. 2) Use building paper between subfloor and finish oak flooring. 3) Use 1/2" gypsum board on walls and ceilings. Double layer as noted on drawings. Use 1/2" green board on bathroom walls and ceilings, except where tile is shown. Use wonder board behind wall tile. 4) Ceramic wall tile in bathroom shower: Allow $5.50/sq.ft. for the tile itself. Include installation in contract price. 5) All edges and corners shall be left square, all surfaces in true plane, smooth, flush, plumb, straight, level, and ready for painting. 6) Joints shall not occur within 12" of door or window frames openings. In no case shall joints on opposite side of partitions be allowed over the same stud or post, unless specifically indicated. 7) Interior window and door casings to be Brosco 8753A casings. Windows to have sills, except where noted, with Brosco 8753 aprons. Typical baseboards to be pine 1x6 with Brosco 8455 to match existing. 8) Use biscuits in mitred joints of door and window casings. 9) Counterset all finish nails throughout interior and putty holes. 10) Paint walls and ceilings with one prime coat and two finish coats flat latex paint. Paint wood trim with one prime coat and two finish coats semi-gloss oil paint. Painting specs in Exterior Finishes section apply here, too. 11) Paint firebrick inside fireplace black. 12) Both fireplaces to have one piece bluestone hearths and bluestone fireplace surrounds. 13 - CABINETS/MILLWORK 1) Bar cabinets: Allow $2,200 for the cabinets and installation. 2) Bathroom vanity: Allow $1,500 for the cabinets and installation. `s) Living room mantel: Allow $1,500 for the mantel and installation. Bedroom mantel: Allow $1,000 for the mantel and installation. 4) Include all other shelving, etc. in the contract price. 14 - EQUIPMENT 1) Appliances: Allow $900 for the appliances themselves, including dishwasher and ice maker. Include installation in the contract price. 2) Bathroom accessories: a. Towel racks: Nutone HM-694, sizes and locations shown on - drawings. b. Toilet paper holder: Nutone HM-675, recessed. c. wall mirror and medicine cabinet in master bathroom. as shown on drawings. COUNTY OF SUFFOLK I, « P; illi'Ll LIOCT - V otv`l„ ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HISSERO. M.D., M.P.H. COMMISSIONER PERMIT THE ATTACHED PLAN, WHEN DULY SIGNED BY A REPRESENTATIVE OF THE DEPARTMENT, CONSTITUTES A PERMIT TO CONSTRUCT A WATER SUPPLY AND/OR A SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY AS DEPICTED. CONSTRUCTION MUST CONFORM WITH APPLICABLE STANDARDS INCLUDING THE STANDARDS FOR CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND STANDARDS AND PROCEDURES FOR PRIVATE WATER SYSTEMS. THE PERMIT (PLAN) EXPIRES THREE (3) YEARS AFTER THE APPROVAL DATE. ANY MODIFICATIONS WHICH MAY AFFECT THE PROPOSED SEWAGE DISPOSAL SYSTEM OR WATER SUPPLY REQUIRE SUBMISSION OF A REVISED PLAN AND ANY ADDITIONAL FEES, PRIOR TO CONSTRUCTION. NO INSPECTIONS WILL BE PERFORMED BY THE DEPARTMENT ON EXPIRED PERMITS. PERMITS MAY BE REISSUED UPON THE SUBMISSION OF NECESSARY APPLICATIONS, PLANS AND FEES, AND WILL BE REQUIRED TO MEET THE STANDARDS IN EFFECT AT THE TIME OF REISSUANCE. A PERMIT MAY BE TRANSFERRED INTO ANOTHER PARTY'S NAME UPON RECEIPT OF WRITTEN PERMISSION FROM THE ORIGINAL APPLICANT AND THE RECEIPT OF ANY REQUIRED TRANSFER FEES. IN THIS CASE, THE PARTY PAYING THE ORIGINAL APPLICATION FEE WILL BE CONSIDERED TO BE THE ORIGINAL APPLICANT. WWM-058 PAGE I OF 2 DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD. NY 11901-3397 852-2100 18-380..12/92 INSTRUCTIONS FOR FINAL APPROVAL OF CONSTRUCTED SMEMS It is the applicant's responsibility to call the Department to arrange inspections of the sewage disposal system and water supply facilities prior to backfilling:, These include inspections of the soil excavation for the sewage disposal systelt and inspections of the water supply well, well lateral, public water supply line, disposal system, piping and final grading. Other inspections may be iequired. Following satisfactory construction,' and inspections: 1. The applicant must submit 4 prints of an as-built plan (up to and including 11"x17"), by a licensed design professional, of the subject property showing the following: a. the lot location and dimensions; b. the lot number(s) and the na;ne of the subdivision, if applicable; c. permanent structures (i.e,, buildings, driveways, walkways, swimming pools, decks, etc.); d. the exact location of the private well, if applicable (give at least 2 dimensions measured from the corners of the building); e. the exact location of the public water line, if applicable; f. the exact location of the septic tank and leaching pool(s), if applicable. Give 2 dimensions from the building comers to the covers of the septic tank and each leaching pool; g, the exact location of the sewer line from the dwelling to the street; if applicable; and h. have a clear area at least 3"x5" for the Department's approval stamp. 2. The applicant must submit a certificate from the sewage disposal installer attesting that the system has been installed according to the criteria of the Suffolk County Department of Health Services, when applicable. 3. If a well has been installed as the potable water supply, the applicant trust submit a current well water analysis (within one year) and a well di iller's certificate. If the well or water quality does not conform to standards, proof of corrective measures will be required. Refer to "Standards and Procedures for Private Water Systems." 4. In those cases where public selwers are utilized for the dwelling, the applicant is also to submit one (1) copy of the sewer line inspection approval' from the public sewer district. In districts operated by Suffolk County, two (2) copies of Form S-9, duly executed by the Suffolk County Department of Public Works, are required. 5. In those cases in which the installation and connection of the public water service line has not been inspected by the Department of Health Services, a tap letter from the appropriate water company is required. HEALTH DEPARTMENT REFERENCE NUMBER MUST BE ON ALL CORRESPONDENCE OR DOCUMENTS SUBMITTED. SUBMIT ALLiNECESSARX FINAL PAPERS AT THE SAME TIME. PHOTOCOPIES OF DOCUMENTS WILL NOT BE ACCEPTED. WWM-058 PAGE 2 OF 2 18580-12/92 r )iHE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 02,1995 Apliliedtion No. on file 87100395/95 N 365088 THIS CERTIFIES THAT - only the electrical equipment as described below and introduced 6y the applicant namedon the above application number in the premises of MARY DENNY WRAY, EAST END PRIVATE ROAD, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement ® lst Fl. ? 2nd Fl. OUT .Section 81"A Lot was examined on SEPTEMBER 26,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT.fIUORESCENi OTHER AMT. K. W. AMT X, W. PMT. K.W. AMT. K.W AMC H.P 29 24 29 27 2 1 1.4 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS WT, K. W. 011, N. P. GAS H. P. AMT N0. A. W. G. AMT. AMP. MIT. AMPS. TRANS. AMT. 'P SYSTEMS AMT. WATTS E NO. OF FEET I I SERVICE DISCONNECT NO. OF S E R V 1 C E "T. AMP. TYPE METER I 2Wj I SW X SW T X AW NO.OF CG COND A. W G. NO. OF Hill LEG A. W G. NO OF NEUTRALS A!W G. EQUIP. PERe Of CC. COND. OF MIdEG of NEUTRAL fffl i OTHER APPARATUS: PADDLE FANS-2 WHIRLPOOL BATH-1 f MOTORSt2-F H.P.,1-F H.P. f SMOKE DETECTORL-1 I TRACK LIGHTING:-40 Z & S CONTRS. INC. LIC,#924-E E P.O. BOA 202 GENERAL MANAGER FISHERS ISLAND, NY, 06990 Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cradeITtials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUBTNOT;BE ALTERED IN ANY MANNER. r 4 ;]s,HE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 F i Date OCTOBER 02,1995 gpplieation No. on file 87100595/95 N 365089 THIS CERTIFIES THAT only the electrical equipment" described below and introduced by the applicant named on the above application number in the premises of MARY DENNY WRAY, EAST END PRIVATE ROAD, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement ® 1st Fl. ? 2nd Fl. Section Block Lot was examined on SEPTEMBER 26,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVEN5 DISH WASHERS EXHAUST FANS OUTLETS ECEPTAGLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K W. AMT. K.W. T. K. W. AMT. H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. Oil H. P. GAS H. P. AMT. NO. A. W G. AMT. AMP. AMT. AMPS TRANS. AMT, H P. SYSTEMS AMi. WATiS NO. OF FEET SERVICE DISCONNECT MlTEIi S E R V I C E AMi. AMP. TYPE EQUIP. 1 q tW I ,B' 3W D 9 RW 3,e 4W PECC A. W. Of C COND NO OF Hi LEG OF H LEG NO. Of NEUTRALS OF NEUTRAL 4 OTHER APPARATUS: SMOKE DETECTORt-1 'E I ~C - f c9 i Z & S CONTRS. INC. LIC.#924-E P.O, BOX 202 = FISHERS ISLAND, NY, 06390 GENERAL MANAGER f 11 Per 1 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ROArO OF HEALTH FORMNO.1 3 SETS OF PLANS ~I TOWN OF SOUTHOLD SURVEY . . BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORA SOUTHOLD, N.Y. 11971 ~Q TEL.: 7651802 NOT I FY ; CALL Examined 19 / 01OH100S 10 NM01 hIA I L TO: 1d30' Ole Approved 19 1ennit No. . . L - l~o son ! _ . Disapproved a/c • ea 5~ fi~ ...............................................0 2J 2J ll (Building nspec APPLICATION FOR BUILDING PERMIT Date 19 9f! INSTRUCTIONS la. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 it areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 hall 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 hall have been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to idmit authorized inspectors on premises and in building for necessary inspections. / J (Signature of applicant, 0 name, if a corporation) All ..d~~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................"P~........`.~............................................. Vame of owner of premises ~ ..Aln'?1!.... ^a (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Na and title of co'rpo&tc officer) Builde'r's License No...~ Plumber's License No. .Electrician's License No. . gay, . . Other Trade's License No. Location of land on which proposed work will be done . . ........r` ~s /,~..~y Ilouse Number Street Ilanilet County Tax Map No. 1000 Section ..5...... Block Lot . . Subdivision Filed Map Lot , (Naimcj Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy .......5? b. Intended use and occupancy cS~~e, c'! . 3, mature o.f w. • .ork ch..ec.k ' which a> rli,cable): New Ihiilding Addition , Alteration . Repair , , Removal Demolition Other Work 4. Estimated Cost YO,QUV, C' (Description) Fee !i.......................... (to be paid on filhig this application) S, if dwellinp", number of dwelling units Number of dwelling units on each floor . If garage, number of cars C. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7, Dimensions of existing structures, i' any: Front , • • • • ' ' Height Rear Depth............... Number of Stories Dimensions of same structure with alterations or additions: Front • . • • • • llcpth...... Rear.................. ' Height • , , , • • • • . Number of Stories . 8. Dimensions of entire new construction: Front . ' ' ' ' ' ' • • ' . ' • • ' Height Rear............... Depth Height Num her of Stories , 9. Size of lot: Front Rear Depth , . 0, Date of Purchase Name of Former Owner I. Zone or use district in which premises are situated • . es proposed • • • construction • • vi• . •olate ;any zoning law, ordinance or regulation: . 3. Will lot be regraded 4. Name of Owner of remises . . . . . . • • Will excess fill be removed from premises: Yes No premises ..............Address Phone No............... . Name of Architect Address . . Phone No. Name of Contractor . . Address . Phone No........... r i. Is this property within 300,feet of a tidal wetland? No *yes, .W* . *If yes, Southold Town Trustees Permit may be required. No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. i i i I ATE OF L YUNTY OP\9! S P S.S ........(Name l 4s s ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that ire is the applicant of individual signin c'ntracl) rvc named.' is the C9riHe/A~( GOrI?~2.-- (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly aut;norized to perform or have perforated the said work and to make and file this rlication; that all statements contained in this application are true to the best of his knowledge and belief; and that the rk will be performed in the manner set forth in the application filed therewith. on) to before met 's 199/4.-, tart' Publ; t curtly TNOMA9F,99f~Rfi1'dR:' Notary Mublia State of New York (Signature of applicant) 'No.4s06ssa i , Ouallfisa In Suffolk Count ?inb Expires 121311 I I qc, Or° I I Hof-rµ INDEX TO 5HEE75 + I '~Vlll NT I SIrE PLAN 2 rOuNOATIoN PLAN 5 I:IM1gT,~LOO~- PLAN 4 ELEVATIONS 5 SEGTf0NS b INTEtZlVt~ ELEVATIONS JS i \ T INTEf lO1z ELEVATIONS J3 rCFEA ~I: ~,(oOt ,4pp-E3 1 8 p9 UN DA-TION 17ETA- IL5 t WA $ t WALL SEC-TI0N6 DETAIL ELEVATIONS 9 EAvE pETA, ILJ + PFTAIL E ID DETAILS / 1. I INTEFIOP- dErA. ILS ' oP o iTtvE T:oN ~ ~ I //'ll 96pTC eYSTEM ~7./ ~ ~ ~ !V-~~ V%~' PFIVE ~h`( r / Exl9T~~ DWEL xl9 i'G 7WELLI NG ' cOTt E{ ELEGTpIGp~ PLAN ~r - a, MUNIINCY OR 1'Po Pa 4~6D j~~l, A PIT IiN :LL,LI:: k ppp "rp 4~,q~q P~LOaK- a LOT IZ FGLacniED II~~GI'~I;i! ppUt3, IM M U N I L I rn L WnTE !'li~~!a.lu~l.lLil!: OF OCCUPANCY LIMITS of INLAND V4TLANv", A5 FLAGVED PY NN.S. D.E.- ON MAY 21 1991 A i UNDEmnERs MATE REQUWo CT / M1ELa cAT ED IEPTIc 5Y9T Ef'- 0 D GhLLON pLock- S LOT to TD~Y~oG G OFSO(~T ThNK~ 2,. y„Ii DIh, r~' //z2: P PY W ELL b VACANT" GFS~'N ' Ok putimBNO ALLFURAMAW&M ~y"m y~~~y~ ~&VAUMLmsp~y/~~~~FMCOVERNr ?3?/ PLOOr- b LOT 13 ^H7DNI OIPAb WaT E('-° I IMMOME NM ffM THE PLUMBER? CERTIFICATION ST•I1h54:.fj' c=Ec TB")N5. ON LEAD CONTENT BEFORE PL,`N r0G 1Z MAI:Y DENNY Wt-AY CERTIFICATE OF OCCUPANCY c:,'ac;ur ,F.a,i:,-•Irfs w NLLIMMS OLDGKb LOT It SOLDER IUSEDIN WATER FI 5NEp-5 IaLAND, NEW Yof~K SUPPLY SYSTEM CANNOT rf 1tius41RI, C:ror N f"I BS EXCEED 2110 OF 1% LEAD. ! III i'• 6r CON TR1P:;"riON SH U L NUT 'CH- 2EOUIRUVIENT3' OF ThIE N.r" scare; I'= 40' ~ ' T':TC' l..0NiFTi OCTION e4r ENFRG" Rowe du"kwed a1rDT RPSPONS16LE FOR o Zo 4o Bo for wow dfsvbAno CRi d 7ON17, rRUC:TIMI ERRORS sptow, aping dwi be of typ~r K o?L I SL7M 1OOD D05-2-1a punn. tgtt9f ARCNq r4 'R EG F 5i lF, N5 James Volney Righter Archit cts, Inc. 51 Tfi FLAN 20 5Ep %f C • a" ' '22 seP9qFishers Islan ~a m} 58 Winter Street W A Y Boston, Massachusetts 02108 6' I Tel. (617) 451-5740 17 l a n d , New. Y o r k 71P rr' HE ~c~~, Fax (617) 451-2309 I I I ~ ~ I I I ~ I I I I I~ I I 20' - to n I I I I I I I I it II ~ B" So NO Tu ESE r--~ r--r r--* it--T pmp TYP• I I I I I I p I I I C I ® I~ I I~ I I i I I I µe LOCaT Eb PILCO Door-• - - - j I I I r 7 I I C' 1- - - i I + ~ ~ ~ FGho VE eecTioU aF u~w+ ~RGaYaTt To LEVEL I I HEtb OFF NE~iW OPE NINA p . II op PastM ENT1 I i I ~ i W. 60NL, 66OCp. VlEr TY? • - j „7~i`k; 'ur~~a'-'"•~_ EXI'~T'(c %a gGMeN oAodrlm "T V FUhu. GF i GF4WL 9PP~E ~ ~ i _ 6, HIT LIGV17 co NG. $LAb ~ O }---r o GP-AWL ~pAUE HW - + I w:iN - T LIGHT LoNC, yL4 ~j ' Exl sT'~ cpa WL e~aLE ~ ~ ~--"-4 ~ I ~ I I cr" AcG , B5 I I<--rewo~e ex15T'~ o~l-oc I „I - - - - - I I pooh + FOU NDhTION \ I I i . a~ul:; I h I Ib" METaL VENT w/ I WINDOW WELL 7F- 0 V. ~I l'jl CX15TiNb _ Jl.- - -1 NCW GO N4T F~LTioN BGO NL. Pj LOL~ PON, H." trri Z0@- ( ~ 3 6-Z -7) i cr l6' h Z D 1 14 bfz' AN I'"D" 12 3Ep 9¢ R 10 9Ep %t 4 James Valney Righter Areh 22 gEp 9Y 58 Winter Street W A Y ~ Boston, Massachusetts 0210 Tel. (617) 451.5740 F i s. h e r s I s l a n c l and , New 'Y o r k Or In Fax (617) 451.2309 x~0~ lil A I WooD bECk. (6/1 *4 fl k) O O O SN"T~ O O O i i poa PS O O O O i TF•LY cEILNV O i t1 i7 TT rj I I pook0 I I I I I I I I I I p•p ~ I II II II i ~ LIVING room II eEbrooM ow o<.h ~~p•. b G D I oi.v- rl-r. 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G. r lo'~ a IN" v,c, ' LI+.~NL 9pP LE b" LaNG DL OGp , ~ ~ CRAWL eoAGE Ib" co NG. ~yLOUF GhANI 9phob P~eY- D eNp PI6~- PE'(o NA t 7 5Ec TION 6EDP OoM 9ELTInH OEc,tInN Cs P~ATNQ-oohs Aa 5FeMOM LIVIN(, p-Oof1 c-c r 9EG T10 ht3 1~4 ~~-O° I Auv 9{ IV auP 94~.;? s,_aW9 James volney Ri hteir Ax~hite tsa } Inc. I?- 5Ep 9•f 58 Winter Stroot Boston, MassaChitg tB bs i1 gEp 9t ~ ' ; ~ - °s, Tel (617) 51 ,-'ft 40,". ih: e x sI s I a-ri,:,d_ N e w Y o r k FfBE S1F1E A~~ - - ^ ro ' t %1 L, - Fax 617 - - I I [I II I1 II a' 0 0 0' 0 0 O O 0 O Elm TTT El Q Q L l -l a a. L! ?o - - I -l ~o I-J 0 a El 0 Q pppp a~ L~viN~ r-pon 0 O I F r I 41: HIT 7i h1Aa~'E~ DE7 (^`aAM f Q +n I r' Q u I r 15•: a as ± N TE~IR N CE~ioF oNS i ~uv g4 ~,o~~q Jiies©X~y. Righter r~"~~~aIne,~,,• to a.U~ 9Q 58 Winter Str4et>bw is" tl~ Y a Bo&t'on, Mossachuaetts;~(2~R8 20 eeR it s^-. 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K'inc~ 2o~rrp gt a s 0n, Masea to rr. e ' 72ZI ~ay8 Tel. 1617 NE 91Att~d' ;p ~Fax I 1 'I 2 C i ' REb cEnAK SH Iti4LE ~ ' SKI KT t4 MATLFI SI~IKj ' ~ pASE of pLbr{' 9HAKK'S TOOTH 'bHIN4ILE5 ;y SEE BLEV e E- QED LEDAp-5H I N4LL5 ,b LEDAP- CpoWN, SAME, AS SKl ICT - C S" T. VJ. F`LASH INq 5'Ii" '~ATf INSULATI°N LEDAK S/~ * 4 GASIH(i ' e cEDA~- pp.IP Up WI DM-Ir ED[IE LOX PL.YWDOV 9~"F cEGAW Ix M°uLDINy a" ~l P• pp ~n VEIL -x~ Yi" 9ATTs - III 4YF I'b, -I-En SNINCILES h° cck PLY C 5" TW oAr- epos 8455-'~ s455 TYVEµ pyzosco ei55 ai55 cEDAY- I"G T'q WAINScoTIN4 ~9" 1'LTWpQp suCP~=°I~ PhINTED 5'/~ P&Tf• INsLil, 1~6 MI z q a 6.7 V41 'I-YwooD CAP WI DIY EpyE b?LOSGO 2.6 p y z. sHlnyr-En swat T° Y y MATCH E%ISTINy NouSE I 6Loc` n5 K°~~'D PRY KCASH 1}Id LUST°M LEDAIL GK-WH M-ULOJHy LEDAR C°VE Yo ALTO WI CASE ot1f LM°WH M°IILDIryCI 2 off sMILT z ~-T=MATCH EVSTIHS sKIAl' IHSUL~I _I. C-EDAO hALl4 w/ 0=TT°n I I LEpAw- 5/9 " ~ . 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