HomeMy WebLinkAbout21753-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-27380 Date OCTOBER 31, 2000
THIS CERTIFIES that the building ALTERATION
Location of Property EAST END ROAD FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 3 Block -2 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 15, 1993 pursuant to which
Building Permit No. 21753-Z dated NOVEMBER 3. 1993
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 DEMOLISH & REPLACE EXISTING ONE FAMILY DWELLING AS APPLIED FOR*
The certificate is issued to ROBERT B. & JEAM N. CALHOUN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-358118-7/17/95 & N-358114-7/17/95
PLUMBERS CERTIFICATION DATED SEPT 11 1995-MARIO ZANGHETTI, JR.
*NOTE: THIS UPDATES CO Z-23967 DATED OCT. 19, 1995.
Building 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 . .J../..~` 19.9~.r~...
N°_ 21753 Z
I
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Permission Is hereby granted to,
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l ......r
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7e' 00e
at premises located at......Aar-~/
County Tax Map No. 1000 Section .........:r?......... Block Lot No.
pursuant to application dated ........../4.../. 5- 19..2.--'?....... , and approved by the
Building Inspector,
Fee S..l~rD.
I
uilding~lnspecfor
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Rev, 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23967 Date OCTOBER 19, 1995
THIS CERTIFIES that the building ALTERATION
Location of Property EAST END ROAD FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 3 Block 2 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 15, 1993 pursuant to which
Building Permit No. 21753-Z dated NOVEMBER 3, 1993
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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT & JEAN CALHOUN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-358118-7/17/95 & N-358114-7/17/95
PLUMBERS CERTIFICATION DATED SEPT. 11, 1995-MARIO ZANGHETTI, JR.
oY / 17 -,e_, _
ilding Inspector
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
B. 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.
C. 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date h~/00
New Construction........... Old Or Pre-existing Building.....
Location of Property... C(lf Si ,,t~NL~, deOA~ ~,~1,,(C/2S L~L9N~
House No. Street ¢ Hamlet
Onwer or Owners of Property ./c ~~L~uN 7 ~~q1V IV :.~q~~0 (/~J
County Tax Map No 1000, Section ...o ........Block... .........Lot...
Subdivision...o....... .........................Filed Map............ Lot......................
Permit No.0'~./.!~ . Z.Date Of Permit ................Applicant.............................
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate......
• ~tl
Fee Submitted: Qj>
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Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 t=4 ;
i
APPLICATION FOR CERTIFICATE OF OCCUPANCY p~._ TOWNE:
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 19 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 ..9t~11 !95......
Construction........... Old Or Pre-existing Building..~c
ation of Property,.. East end Road, Fishers Island,N.Y.
House .................Street .......Hamlet.............
cr or owners of Property.8opPx:t.§.iT,ean,caihoun
my Tax Map No 1000, Section............. Block..? .............Lot.. 2...,
iivision.................................... Filed Map............ Lot......................
nit No..?1753 2.. ,,,Date Of Permitll/3.193 „Applicant. Z&S Contracting Inc.
tth Dept. Approval ..........................Underwriters Approval...
fining Board Approval
lest for: Temporary Certificate........... Final Certicate.. 2.......
Submitted: $25,no.........................
C~ SoaBa- . ~ a
eoa39~7 _ APPLICANT
Y
TEL. 765-1802
pc~~FF~[kCo TOWNV OF SOUTHOLD
•.A ni GyG OFFICE OF BUILDING INSPECTOk'
o ' rn P.O. BOX 728
u' TOWN HALL
"O 1 SOUTHOLD, N.Y. 11971
C E R T I F 'I C A'T I'O N
'Date 9,/11,(95
Building Permit No. 21753 Z
Owner Robert & Jean Calhoun U e
(please print) 0, rn
zPlumber Mario Zanghetti Jr. 0g,
(please print)
C; q
. r VVVI certify that the solder used in the water supply system .contains less than 2/10 of 1% lead.
umber s geign
Sworn to before me this
11 day of
19~. Notary Public
Notary Public, Cou Y,
EILEEN G. WALL
NOTARY PUBLIC, NEW. YORK STATE,
NO. 01 W A8509185 '
QUALIFIED.IN SUFFOLK COUNT
TERM EXPIRES OCTOBER 31, 19 to
f
1LtJ,;:SPEC:iU;; ~JUATn COtYMENT° ~9
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FOUNDATION (1st)
FOUNDATION Amu),
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ROUGH FRAME & ~
PLUMBING
3. y
INSULATION PER N. Y. m
STATE ENERGY
CODE
4 . ra
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FINAL
ADDITIONAL COMMENTS:
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ROARD OF HEALTH
FORM NO.1 3 SETS OF PL121S
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CIIGCK ,
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOT( F•1 ;
Examined C ALL
? 19,,, NAIL TD:
r'1410 Approved 19 Permit No. `vZ~7Jrc~ _ .
Disapproved a/c
( dding I p~S ector)
APPLICATION FOR BUILDING PERMIT
Date 1~/./s 19 I,3
INSTRUCTIONS /
a, 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
,r 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
3uilding 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.
Flie 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 necessary inspections/. ~ / _
(Siggnature of applicant, or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......................W!~°yc"~'1....
dame of owner of premises . A~r7 . , . t... - X 640!t41
(as on the tax roll or latest deed)
If applicant is a cor oration, sign ure of duly authorized officer.
a and title of corporatelofficer)
Builder's License No.
Plumber;s License No.
Electrician's License No.
OtherTrade's License No. , f4R
Location of land on which proposed work will be done. . . . . . . . . . . . . .
fls~a~s , ,TV t /VY 01o.3f4 .
(louse Number Street Hamlet
County Tax Map No. 1000 Section ? Block ;2 , . Lot 72
Subdivision Filed Map No.,,.. Lot...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of-~roo'osed construction:
a. Existing use and occupancy ......Vl~+~!S sr!f!,~ , . .
b. Intended use and occupancy ,Y
3. Nature of work (check ` bich 11 lwablc): New Building Addition Alteration /
II
Repair oy al Demolition Other work •
~ (Description)
4. Estimated Cost , „U.0. 0V
Fee G~ l,/.~rJt7
5. If dwelling, number of dwelling u (to be paid on filing this application)
nits , , , , , , , , , , , , , , , Number of dwelling units on each floor
If garage, number of cars L , ,
6. If business, commercial or mixed pccupancy, specify nature and extent of each type of use , , , , , , , , , , , , , , , ,
7, Dimensions of existing structures, if any: Front Rear
Height Depth...............
Depth ions , ~r of Stories , , . bons: .
alterations or additions: Front Rear , .
8. Dimensions oof same f..s... structure
1 Height ' entire new .Number of Stories
tion: Front , Rear Depth
Height Numb
9. Size of lot: Front . . . . r of Stories . .
.
Rear Depth
10, Date of Purchase , , Name of Former Owner '
11. Zone or use district in which premises are situated . .
construction violatcon
12" Does proposed , • • e any zoning law, ordinance or regulation: . . .
13, Will lot be regraded l • • • . Will excess fill be removed from premises: Yes No
14. Name of Owner of remises , . , . Address . . Phone No. .
Name of Architect Address . Phone No. .
Name of Contractor . . Address . Phone No. .
15. Is this property within 30Q feet of a tidal wetland? *Yes.
~
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
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot~
II .
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"ATE OF NEW YORK,
)LINTY OF S.S
(Nh("tVj ...du ' ' ' • ' ' • • • being duly sworn, deposes and says that he is the applicant
signing g 'contract)
ove named.'
is tile i~Mt!..'.............
(Contractor, agent?,@orporate officer, etc.)
said owner or owners, and is duly aupiorized to perform or have performed the said work and to make and file this
plication; that all statements contained] in this application are true to the best of his knowledge and belief; and that the
irk will be performed in the manncr se rift in the application filed therewith.
orn to before trZe t .~tis ~
o ....,19 71
tary Publi 1 ...............a':.. aunty
~W6N1iii Y. Itdl ItNtY JItT, ~C*'~`4 r!
•
Neleiv P0114 CC# of New ,York
No, uoe591 (Signature of applicant)
OYetlffetl {n Su1101N Cowl `
tam 6zplree ty91~e/~
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CALHOUN RESIDEIN m=NCE
D
FISHERS ISLAND SOUND PLUMBING
ALLKWINNO WASTE
S WATER LINES NEED
TESTING BEFORE COVERIN6
FISHERS ISLAND, N.Y. ¦ PL UMBER CECTlrlC/,
ON LEAD CONTENT n UE Fi:,
CERTIFICATE OF OCCUPA,`J„V
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2110 OF 1% LEAD.
K 2.11 Acres
BLOCK 25 LOT 1 wD
o I I\ If copper tubing is used
D for water distributing
system; piping shall be
N m \ of types K or L only
Z
O --i z CA N
jp~ :J
GEORGE COOPER RUDOLPH III ARC H I TEC ITECTS Nz C; Q O O
r m
W
217 WATER STREET, NEW YORK, N.Y. 10088 )088
egg
List of Drawings 7. The contractor shall coordinate the
ordinate the timing and scheduling of
th the owner. Safe access to any 1
T-1 Title Shect the demolition work with the owner » required means of egress within th ss within the area of demolition shall be
maintained at all times.
A-1 First Floor Demolition Plan
8. Remove froo n the site and legally t
A-2 Second Floor Demolition plan and other imaterials resulting from and legally dispose of all debris, rubbish, 309.00 \ ~ I ~I
iulting from demolition operations L?aged) in a timely manner. The S61-27'40"W
(except itenns to be salvaged) in a A-3 Basement Demolition Plan contractor shall coordinate with the
ate with the owner any items to be S. 634.09
returned to the owner prior to the A-4 Cast & North Elevation Demolition ' prior to the start of work. w. 394.40 EAST END ROAD DAD
9. All existing items to remain and tit
A-S West & South Elevation Demolition inspected for stability to ensure pul main and their supports shall be
ensure public safety. Additional
temporary support(s) shall be addec A-6. First Floor Construction Plan minimal dainage to existing areas i all be added as required so as to cause SITE PLAN NOT TO SCALE
sting areas to remain or to be
renovated. If anv of the existing i ie existing items cannot he. sfAhili9elt I TF r- T F ) I A I 1 1~
A-7 Second Floor Construction Plan they shall the removed, but only w but only with the architects approval. SCALE ° r ~ ~ r ~ rte, l-.i l i
SCALE ` , 40-0 ~.IOQT4-I !
A-8 Basement Construction Plan 10. The contractor shall remove any er
nOve any existing materials, fixture, 7. All connections to existing materials shall be done in a neat and
devices, sysslems, etc. Not specifica Votspecifically identified on, the orderly manner: All existing items shall be restored to perfect
A-9 East & North Elevations "Demolition i .Plan," but as required as required for the proper completion of condition where disturbed,
the project as 'indicated on the arc] on the architectural, mechanical,
A-10 West & South Elevations electrical, amd plumbing drawings, drawings, notes and specifications. 8. Tile contractor shall repair and/ or replacel all items that are
disturbed due. to demolition, removals or new construction.
11. Remove existing telephones. Coord nes. Coordinate removal with the ' 9. After demolition and removals are complete, the contractor,
owner and the telephone company e company having jurisdiction. . shall notify the architect in writing of any unexpected
General Notes - Demolition ' General Nortes.
conditions that are uncovered.
1. Before commencing with the work, the contractor shall visit 10. All work including glass windows shall be cleaned to the
the site where the work is to be, performed and shall verify all 1. Prior to bidding and start of work, in of work, the contractor shall examine satisfaction of the architect prior to turning same over to the OCCUPANCY OR
the field conditions. Any discrepancies shall be reported to the and verify call conditions and dimen ; and dimensions and notify the owner.
'engineer. architect immediately of any discr I any discrepancies. USE IS IINUWFUU TOR THE
11. The contractor shall familiarize himself with all building rules, VVITHOUT CERTIFICATE r OF OCCUPANCY a,;r_r,t ET~ ;Tj.
2. All work shall conform to the requirements of the New York 2. The contractor shall obtain and pay am and pay for all necessary permits requirements, and conditions and comply with such. F9:rf)(Alid - 4~L::~I:,TS141 N¢ b'LUfNL"°Nu '.t, !''~bAl - C43n1'9 Gfi4}(,$bN I~J'i"0'
State Building Code, and all other applicable codes and and fees for the proper execution o. execution of the work, and obtain sign-
regulations in their most recent version. offs upon completion. , 12. All work shall be done during normal working hours, unless
otherwise approved. PFCOMPLETE FONC J.
3. All finishes in the adjacent space shall be protected from 3. Prior to the, execution of any work, f any work, the contractor shall submit UNDOWRRERSCERTIfICATE rAl.fi. D(2N3TRlaC71ONi SHA.L N`IEEf
roval, a complete, Construction schedule 13. Interruptions to power and other systems shall -he coordinated REQUIRED TE11 REOY11RE"'ENTS OF 'FNE N.1^. •'i ST:1TE CONSTRUCTION & ENERG
demolition/ construction activities. to the archiilect for approval, a con including thoe following: ~"l?FS. NOT RFSPONSIRLE FOR
with the owner. Such outages shall occur only during pre- lyr<nt Ofd OR t:ONSTRUCTION ERRORS
4. The contractor shall repair all existing construction that is a. ;Shutdown of any operat ' any operating utility services. arranged times.
damaged due to his activities during the performance of this b. (Work affecting areas of ng areas of the building other than the
contract. work area. Shop Drawings
5. Disposal of demolished items: 4. The contracuor shall take care to pro care to protect all areas of the A. All existing conditions shall be exposed prior to the preparation
a. Unless otherwise shown on the contract drawings, building adjsacent to the work area work area or through which materials of shop drawings.
dispose of debris, rubbish, and other materials must pass tco prevent damage resulti mage resulting from construction or .
resulting from demolition operations away from the, material harndling. B. All the shop drawings shall be submitted to the architect with
property. ample time to review, re- submit, and re- review. Seal Job No. Yi
b. Conduct demolition operations and disposal of debris to 5. All general construction work shall work shall be performed in compliance E EU \S,~R ARCH/
ensure minimal interference with the use of, or access with the Neaw York City Building Cot Building Code, and all applicable C All shop drawings, including equipment and materials shall be OVER kG~Cl Date 1111?1 V n' it
brawn
to , spaces and site. federal, statep, and local codes. :odes, approved by the architect prior to ordering fabrication and/ or
installation. - Checked 6'
6. The contractor shall coordinate the demolition work shown on 6. Special care shall be taken to keep en to keep the premises neat and clean i
the "Demolition Plan" with work shown on all other' drawings. at all times. Materials shall be store hall be stored only in areas. approved D. The contractor shall submit (3) prints of all shop drawings. •"~v'o 0" 913~~~~ Scale ~?I~OT~7 „'i~lTHE St 11`
by the archiilcet.
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