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HomeMy WebLinkAbout22463-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24356 Date MAY 13, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property EAST END ROAD FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 3 Block 2 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 3, 1994 pursuant to which Building Permit No. 22463-Z dated NOVEMBER 30, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to PETER & SUSAN CHAPMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.-N-365092 - OCTOBER 2, 1995 PLUMBERS CERTIFICATION DATED N/A OZ b' Bu' og Inspector Rev. 1/81 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. 19...~y N6 22463 Z Permission Is hereby granted to, r f. . to 4.o.r-0 AdL...... : Pl. . ~~..V..... . at premises located at..... P!j....... County Tax Map No. 1000 Section Block Lot No. i................. pursuant to application dated 19 and approved by the Building Inspector, Fee $ ~SSot. % !.Building Inspector Rev. 6/30/80 1\ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 1% 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 „11/2.95 'Construction..::....... Old Or Pre-existing Building...... ation of Property ..East end Road House No. Street Hamlet or or Owners of Property..,, Susan & Peter Chapman my Tax Map No 1000, Section ...1.......... Block Lot..... division ....................................Filed Map............Lot.. nit No. .?2463 Z...... Date Of Permit.ll/30/94 Applicant. Z&S Contracting Inc. Lth Dept. Approval ..Underwriters Approval....... nning Board Approval lest for: Temporary Certificate........... Final Certicate..at....... Submitted: $.25;0 . .......Pres......... co 2- --AF35 APPLICANT T THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 r1000656 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 02,1995 Application No. onfile 56276794/94 N 365092 THI CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of y SUSAN & PETER CHAPMAN, EAST END ROAD, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement © Ist Fl. ? 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 26,1995 and found to be in compliance with the National Electrical Code. FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W. AMT. K.W PMT K.W AMT KW AMT. H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME'CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. K. W. OIL H. P. GAS H. P. AMT. NO A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P SYSTEMS qMi. WATTS NO. OF FEET SERVICE DISCONNECT NO.OP S E R V I C E AMi AMP TYPE MFTlR IR,tW 19JW 9d3W ~N.W NO. OF CC COND. A.W.G. NO OF HbLFG A W G' NO. OF NEUTRAIS A. W G. EQUIP. PER.9 OF CC.COND OF H4LEG OF NEUTRAL I OTHER APPARATUS: i j environments it is advisable to have frequent test/and or repairs made by a qualified person. I !I C - j c'O l Z & S CONTRS. INC. LIC.#924-E P.O. BOX 202 FISHERS ISLAND, NY, 06390 GENERAL MANAGER i 11 Per i 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 MUSLNOT BE ALTERED IN ANY MANNER. 15111 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 02,1995 Application No. on file 86276794/94 N 365092 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 1SUSAN & PETER CHAPMAN, EAST END ROAD, FISHERS ISLAND, N.Y. in thefollowinq location; ? Basement ® let Fl. ? 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 7.6 ,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 FLUORESCENT OTHER AMT K W. AMT K. W. AMT. K.W. AMT K. W. T. H. P. 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS PMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. NAT. AMPS TRANS. AMi H. P. SYSTEMS pMT. WATTS NO. OF FEET 1 F SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. ME METER 1,e 3W 1.9 SW 3 a SW 3X 4W NO. OF CC COND. A. W G NO. OF HbLEG A. W. G. NO OF NEVTRAlS A W G. EQUIP. PER .9' OF CC.COND. OF HHEG OF NEUTRAL OTHER APPARATUS: SWIMMING POOL--1 TIME CLOCKS-AMP.40-1 G,F.C.I-1 PUMP MOTOR-1 MOTORSil-2.0 H.F. G.F.C.II-1 '"(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual «a Continued on Page 2 GENERAL MANAGER u. I Per This certificate must not be MW MmIn 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. ® > 1 r R~I'~. ~ YI I,i' , I n {Y 11,' 14 Y 4 + n r ~ /I 41~ ~u CHAP A0 Bp LrK, iq~j -1 rt LOT 4.9 ACMS . AYr #f,~ SF '~G If£'. , ~ nrt ¢ a n t. I t,) iY rAE'~'„ ~ M-,~, { ~ t1 a t~`~1 i ~R~I~~1V¦W ,~~{.F'<A^~Wy n~ t~yr~N~yiT~ £Y~dlit.y _,u ' y or•1B 1.1,~~~ I £ W, t i. 5Q i T ) , t ~W4 ' r n rs zjw y - f o t ivC *wF+ . r,sr A tr r 2 r i irc ~'a4~.*y..M.yt`*'dn. xi: ncOs7 I+~QU9 `t 7+s l: a r ~a (p`~!~ i let Rl~ mr r a - , r +a Wz,j 1 F+TFI 1 £ N4 a' t 7 ~ vHS ~J'C~$AAe °}~iA li) c 9 J A.;: ~rt°°r _ ~ } a i r 1)1, P'~i ~'PTs)' ~Y f c )r' £ A i. s t sc a Is'i q,'RjP4 3~Cr~ i J c i ti r ) t v k) ¢t~~. 1t. f~ c rl' t~'ct +t # d :+n k w r S r qS f V. r r i~+fr'~n+ )41 t p d .A A Y N m ~ +IS 44 , ; 1 , a 9 ) ~ f t 14tq.~; ;'R ~,k Ian ~ ' "h£ r f ~ c ~ Y i 'a~f7~ ~ r d,~ r: ~ t } x it 40 t R n( t yq r"' r, ~i tp It Att SAM: Fy,~ i / , A it 1_4 l r ap x + v~( rr ~ - -0P r{ r r'p~ ~ SSY' r i 9~5 , v° ~ 1y',{~w1~~,6, ~N } R ~ 4 y, f ~ ~~v ~ m m ~ a3 i ) t ~eMi Q~ ~ ~c PJi P tM i r°J"'*Pw4w .y~__ q •y'~ WY f ~,l p)d ~{~~~yy~r t ~ e2n f~~~ £ ~ ! t f rw err: d h~ Yx T' i +e~i ':c r,ttMt SAL' r }y. l°r ~t ~ '}!7 J 5 ~x~ ! ~ Kx/i a. ~T1K'F PSr~ ~ yyJ'A°,I~' "RAJ d Y.I.+.' . - S 5, ~v' "}I r ati nr£Sed~ktiz~5, ~'rt~ , _ 2- O 4~% 9 a0.%r.n of 11FALT11 FORM NO. t 3 SETS OF PL.1kIS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT C11ECK . TOWN BALL SEPTIC FORtl SOUIHOLD, N.Y. 11971 n TEL.: 765-1802 NOT1 PY ; 8--: ExamincJ.I~. 19CALL 2~ 7....... ttAIL TO: . Approved . ,~1 .d 19r~yermit No. . Disapproved a/c , . . . • M~Q1A~o~YQ~.~. NOV - 7 1994 Ilu' g hlspcc or) 1M ~pDEpO~p i%ob ?bNV~NCt1pTER" APPLICATION FOR 13UILDING PERMIT TOWN OFSOUTHOLD Date NQv. 3.,. 1994. I j INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 cis 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 1r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ration. I . c. The.tvotk 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 j .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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Wilding 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. the applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Ij uhnit authorized inspectors on premises and in building for necessary inspections. I Z&S Contracting- Inc. President,,,, ,i (Signature of applicant, or name, if a corporation) Bo)c 202,. Fishers IS. N.Y. X16399.,..,,, (Mailing address of applicant) ii State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i. General Contractor Name of owner of premises , ,Susan and Peter Chapman (as on the tax roll or latest deed) If applicant is a corporation, slg.nw, ure o duly authorized officer. . .Presi dent . (Name a title of corporate officer) TT ( r? Builder's License No. , , 13 242-131 6c, i Plumber's License No. . , 554-P ! Electrician's'Licensc No. ....924-E Other Trade's License No. , . 238AR Location of land on which proposed work will be done. .East, ,end roadr Block, ,19, ~,ot , 5 house Number Street liallilet County Tux Map No. 1000 Section Block ..2 Lot ...5......... P....... Subdivision (Nanl cj filed Map No.. _ Lot . - " Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy i' b.Intended useanJoccupancy ..,Swimming, Pqpj 4 ' i 3. Nature of work (check whirls al,pliOnble): New miming Additlon Alteration Repair Removal, Demolition , Swimmin.. • Other Work, Z . 4. Estimated fast . $40: 00,0.00 (Description) Pee.150.00............................. (to be paid on filirle this application) 5. If dwelling number of dwelling units , . , , Number of dwelling units on each floor . If garage, number of cars 'i. If business, commercial or mixed occupancy, specify nature and extent of each type of use . Dimensions of existing structures, ifluuty: Front . . ' ' ' • . Rear . Depth lieight . Number 'or Stories . Dimensions of same structure with alterations or additions: Front , • , , . • • , . • . . , . . • . , . . , . • . . Depth Rear.................. ' filcight . . Number of Storics . 1. Dimensions of entire new construction: Front ~ " h • ' • Height Roar............... Depth Number of Stories . . Size of lot: Front Rear ear Depth Date of Purchase Depth , . . I. Zone or use district in which premises are situated • • Name of Posner Owner , . Does proposed construction violate any zoning law, ordinance or regulation: . 1. WIII lot bh regraded , , . Will excess fill be removed from premises: Yes No I. Nartie of Owner of premises , , , , , , , . Address Phone No. . Name of Architect Address ...................Phone No.............. . Name of Contractor l Address . . Phone No. . Is this orpperty within 300 Ifeet of a tidal wetlnnd? *Yes........ No. *IE yea, Southold Town: Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from operty lines. Give street and block number or description according to deed, and show street names and indicate whether tenor. or corner lot. I i I I ATE OF NEW YORK, S.S IUN'I'Y OF . • • . • • • r' ~ • • • .`~h'•~~~ being duly sworn, deposes and says that he Is the applicant (Name of individual signing contract) tvc named.' , is the , General Contractor (Contractor, agent, corporate officer, ctc.) said owner or owners, and is duly authorized to perform or have perforated the said work and to make and file this tlicalion; 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'inanner set fords in lire application filet) therewith. oat to befor i is :day of . ! ~i 19 9 lary Publ' 1............ only \ ; s if ThIt5MA5 F, CQHEn1`v dta: s... . . Net ry public stare of New York (Signature of applicant) ' No.A606559 ouslniaa In Sutiolk county Term Expires 1213119 I GD~Gv~'f KNOCKOUT INLET AND OUTLET OPENINGS RIBS INSIDE--C~ 0 0 lOR.o j + - 00 Ira a -J 000 w 0 -JL--J O atr 0 0 O • 1 0000 10^1 BLOCK 1°> Lc 1`7 LcD-F 9 CAST 1 0 51wJC~LE FAMILY CONCRETE COVERS r-a n-, 1 aaa OU ,~P /I k~aTerK P;Z.o~/IOEb F FAMILY iZ~51DE1J G^v >2.o~/IOEb F9Y M-~-11GF~.L PLAN 9 JEFU1EEIM r_. 1 . 1. ~v I SYS-1'~M 4 x 4 12.6/12.6 GA. WIRE MESH 171/2, 6 x 6 6/6 GA. WIRE MESH 4" AJ. 26°40 ZO° kJ. p° 1 \ lCcCo.Gl'7 INLET-3" VENT J1 3' VENT OUTLET (IS TI LEVEL J LIQUID t•ARMf ~DND M1DDL! i0 CONTINUOUS HOT 14 OUTLET ~o N op ASPHALT SEAL BAFFLE 1 N LINED VA1H 191' A' SCHEDULE #40 1/E' PVC 0~ ^ av~ V d' INLET BAFFLE 80' CAS Y .I DEFLECTOR t, 4„ 3" LOCATION MAC G4WI, D 0 :dam ~i~g~ o 400 200 0 400 miiiiimilQ CROSS SECTION GRAPHIC SCALE IN FEET 1000 GALLON , SMOCH M.a~K Z~l 2 COMPARTMENT TOP OF SEPTIC TANK mouumFU ly NOT TO SCALE 6U=v z.1.o4 / P Poo~ - I\\ z "IMMEDIATELY" ~ ~1 ?JcN,y4 Ir g, To CODE UPON COMPLETION BEFORE o e o v o o / I, u c o o v o D o e 4" DIA. KNOCKOUTS NOTES: / I "IMMEDIATELY" 0 0 0 0 0 1 ENCLOSE POOLTO CODE " o v v o 0 0 0 1. COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC SURVEY TRIANGULATION BEEFNORE MWATERN 4"~ 09_ D' ulA STATION "CHOCOMOUNT,2" J p„ ,o• 1 1 ~ 2. SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF I cMAp i CESSPOOL SUFFOLK, TAX MAP 1000, SECTION 003, BLOCK 2, CROSS SECTION LOT 8 V ~ ] 1 \ NOT TO SCALE 3. SITE IS TO BE SERVICED pY MUNICIPAL WATER I I PROVIDE CONCRETE CHIMNEY AND ON SITE SEWAGE DISPOSAL SYSTEM IN 1 6EPflc ~J`'9rEN AND COVER TO 1' FROM FIN15HW GRADE. COMPLIANCE WITH THE STANDARDS AND REQUIREMENTS OF THE SUFFOLK COUNTY rti. DEPARTMENT OF HEALTH PPP 67 AJov -A" 1 ~ eo 4. SITE IS IN R-1.20 ZONE by ELF 5. OWNER: Mr. & Mrs. Peter Chapman 16 Willow Road Np p TEST HOLE DATA (CHANDLER, PALMER ff KING) la8q ~a8q Riverside, CT 05878 (203) 637-8797 ~ 3 J) i Ca _ ~i P 'TS S O" - 6" TOPSOIL 6, TOTAL AREA: 4.9' ACRES - ~ ~ 8 JuL.-r 94 ? \ b" - 24" 51JE SO L (SANDY) m %a i 1MMEp~~C 24" - 15' FINE SAND V DIOM QOM 1010% 7~d NO WATER, NO MOTTLING ENS to o M~~ w, ,()tAp~pTER" 4B.o' uPEFOR voo' Craulc..) Z <ra-uK-> UNDERWRITERS CERTIFICATE o ~ouN REQUIRED 9 - m / g / s / rn" F4)H M ~'J':a V ~tlt ',-1 ~If IVEbI OF IVEW F.p H S7- bryt~1 ~lfCdC'>E ! d~ 4 So 51TE'PLAN a V CMSTR11CTl¢- 7 ' Si ¢ lkl~i n A N FINAL LOCATIONS i 2 r F, FP1R C.U 1 ~~~°0 POOL, SEPTIC SYSTEM ? POUNDATION i, On J;tiidCiT341(,TR;"iL, wHAI C. 7~T={=T ~ r :w, 9jEQ uRENILATS CH THE 5¢,LLCC ,X)wFTRLCTl0N % LNFRC'i R 3 ~I hEl7T RF,^~PCAISIRIE F09 pi Iti o5 ~o xiv-E : Zv' if=.",IfvGW Cpr d:f1N187R11C'R111i~! ERRIORS 1-7 ~=109.54 5 S9LCuo MR. 4 MR50 PETER CHAPMAN L=10 OCCUPANCY OR 40 20 o 0 40 ~/t E USE~} 1IS ~d NLI''~1IFUL GRAPHIC SCALE IN FEET ~y 15L.O&K~ 161 LOT 05 N FEET SCALE I 6'f7ITE1011Iy Y CERTIFICATE PISHIM IeL,;A W, NNN YOMK _ OF OCCUPANCY REVISIONS REVISIONS , K GMAr4DLER. PAII-MER M Klt,,Q SiVGL ~ F4MIL ~-ICE DESCRIPTION A I am familiar with the standards for approval and DATE DESCRIPI w tore. En9lag a .and Surpeyn9 Ila SYS ~r= ~vra p ~ESI p>= construction of subsurface sewage disposal systems 11a MWYMAY'M{IIMA,4 a Oi MDp 1YtW-W'MI4,fp3-sM,-wOf ' M aY Mcx_Ilcfpq~, for single family residence and will abide by the conditions set forth therein and on the permit to construct. APPLICANT DATE:, ove6tgE2 Z8 JE/.CSE2 ZA I9~) SCALE: 1" = 40' 40' SHEET 1 OF 1, OF 1.