HomeMy WebLinkAbout21777-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22986 Date MAY 9, 1994
THIS CERTIFIES that the building ALTERATIONS
Location of Property EAST END ROAD FISHERS ISLAND, N.Y.
House No. Street Hamlet
county Tax Map No. 1000 Section Black 2 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 12, 1993 pursuant to which
Building Permit No. 21777-Z dated NOVEMBER 12, 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to ARTHUR A. HOUGHTON III
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-308409 - MARCH 24, 1994
PLUMBERS CERTIFICATION DATED MAY 3, 1994 - ROBERT E. WALL
.1114,
Bu' in 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...
N°_ 21777 Z
Permission Is hereby gr Wed
~
. .
I
31,
90
.......F
t
t
at premises located at.... ......i'...A r
V~~
County Tax Map No. 1000 Section ...........1 Block ............5. Lot No.
pursuant to application dated 19-2,;.3..... and approved by the
Building Inspector.
i ~
Fee $..:r,.....
I oa:~
I c' 41nsecfor
uildRev. 6/30/80
I
Form No. 67 /P
TOWN OF SOUTHOLD
Cr
BUILDING DEPARTMENT O
TOWN HALL Mqy 6
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY TOwN~ SO
A. This application must be filled in by typewriter OR ink and submitted to the bu ng
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 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 $15.00, C er ial 15.00
Date
New Construction........... Old Or Pre-existin Buipld ng,.,...
Location of Property........ A. I ...lti
House No. Stree Hamlet
Onwer or Owners of Property.J~.yY~
County Tax Map No 1000, Sect ion... ~..Block....(.......... Lot I.........6......
Subdivision..)........ % FilQdMap......... Lot.
Permit No.~Z/271.7-..Date Of Permit..1{. J`6 7 7 .Applicant.. ~A .{P..1%.
Health Dept. Approval ..........................Underwriters Approval. n1.t-4..x
Planning Poard Approval .
Request for: Temporary Certificate........... Final Certicate.. y.......
Fee Submitted: ?
gam G(M 'U.
APPLICANT'
THE NEW YORK RVAR.Cp? OF ,It` ` UN"C? F t~IIR~TE 5 !
1000913
• BUREAU C..l 1EIC .4{,~ ~``.=7f f 63,"' tT t 3 xr.
F , 6$ JOHN $Tf~EEim»,Ng1n(' RK,"NE1(V 90k( ,003EI,,, " t"
Date MARCH 24F199 yea
4 ppliA.}{ilan A'o,;,gn f¢!esfx£30` PAW"
'f„ ES
THIS CERTIFIES THAT I >xs t " >3a ' ~
only the electrical equipment ab deseri6ed bebrp and tnLrodryEaed by bite apQBsont r,}o 4meF on the rboos ogp/r¢afkoa nurpber i the:pSemuea of
ARTHUR HOUGHTON, FISHERS ISLAND.; ,ht.
in the following 16cacion; Q BaPgmeKt jqt F( ~ rEnd { M R f . S P,Lwd'* 11Q, is ~ . 4ut"_
uwa examined on MARCH , 22 ,1994 and fqund tahe rn pL!t ,lui a lr ' ¢ iVa o
P.,,Q N4t_ Ur,:, L4 jjgLlgCtnczTl Codg"
G 1
FIXTURE FIXT4RES I R9PLGES : irOGll(!1G DECKS S'ar DI ASMERS E AUST N$' .
OUTLETS ECEPTACLES 'SWITCHES INCANDESCEN `FIUdQ$CO# O7,SR; ,.AMTr 1t,yi,~, ,„A~n11•! .Yl. n:1fMT} .S'[3„.RMTx K:''}/„
P
R'
15 61 :1 7,
DDRYERS, I tFURNACE MOTORS PUTURR APPUANCE FEEDERS StPEQ, 4'R CPT TIME.CLOCNS 'BECK UNI dEALEES MULTI- UU•TIEJ plMAkF,ttS.
AMT. K.W. OIL iH.P. GAS ;KfY. AMT., `y „NQ, WG„iAMC,n, AMPt,i ,wM AN(P$ ttt TRANR. NO.SF~FEET.•»AMi..::ffi WALIS.S
ski{
X e fi E
B AL d # ~S v 9
m
-SERVICE tlISCONNECT, E i Rf IV 21 il L - d ' CL s z . r, s
METERNO.OF GCtGOND A W{G a
PE EQUIP I ]W 1 ,6' 3W i.0' JW 3,11'AW 0"O"" of
ENO OF1 lEG' A W3 G `OR N UT Ala A W G
AMT. AMP. TY NEUTRAW ,
PER A' OF CG COND OF HI lEG , "..•.OF
OTHER'APPARATUS: - '6°` zx t d »r d r
G.F.C.It er-4 A, t
1€',. vts #y t P. n,tl, ~I F
LS 1J%Uo § as 6 l I 6.
P Z,
L s
- t ~ . Tt tt S Kz is
M,AYF' a~
Jl;
P 70WNOKSOUTHOL'D X 4r. _
13-
WALL ROBERT E LIC *245SS E
lihPlN]C AVE a» i'~' 3~ L
io t'.
FISHERS ISLAND,,`NY, 06390 ¢ pinsRAt'MAPIA,
er. {y
This certificate must not be; altered in any mgnner,,rgWrnlto the :gfftce, 4j-16; aO, grt ,,{,iQiriei J[i pett by',0p ,l nii $t 413y }hed; t~slden3ltllt:;~
INSPECTORS
~~SUFFat~-c
0
SCOTT L.. HARRIS, Supervisor
Thomas Fisher `a £ " } 2 Southold Town Hall
Building Inspector P.G. Box 1179, 53095 Main Road
Gary Fish Southold, New York 11971
Building Inspector Fax (516) 765-1823
Telephone (516) 765-1800 q
Robert Fisher FLMAY Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD 1994
C E B T I F I C A T 1 0 N TOWN Of sOUTwni n
DATE:
Building Permit No. / 277
Owner: Arl b Ovi
p ase print)
Plumber: I.
(please print
I certify that the solder used in the water supply system
contains less than 2/10 of 11 lead.
Plumbers ignature
Sworn to before a this C~
3 %u( day of 19 /
Notary Public, County I
EILEEN G. WALL W~
NOTARY PUBLIC, NEW YORK STATE Notary Public
NO. 01WA9609185
QUALIFIED IN SUFFOLK COUNTY
TERM EXPIRES OCTOBER 31, 19 i
1ELD 1 S:'ECT1ON I~DAT E-E
OaKMEN7S
1 . I mV
~V
7OU11DATI0N (1st)
FOUNDATION (2nd) w
2.
o~
ROUGH FRAME &
PLUMBING
ti
3.
I1ISULATIOA! PER N. Y. ks,
STATE ENERGY
CODE
ti
4. a
FINAL
O
ADDITIONAL COMMENTS:
rri
H
0
H
H L
O z
A
[T7
b
H
BOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS .
TOWN OF SOUTHOLD SURVEY . . . .
NOV ~ 2 BUILDING DEPARTMENT CHECK _ . • • , , .
TOWN HALL SEPTIC FORM . . . .
SOUTHOLD, N.Y. 1197.1
3 _ TEL.: 765-1802 ttOT iFY
/
Examined ~l 19 9J CMAAILLL TO . . .
Approved ..~~5....... , 19 Aermit No. X77
Disapproved, a/c .
(Bui 'ng Inspector)
APPLICATION FOR BUILDING PERMIT 2
Date . ..Y 1?•
INSTRUCTIONS
a. This, application must be completely filled in by typewriter Orin 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 sheets
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
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of 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 co e, housing co , an ns, and to
admit authorized inspectors on premises and in building for necessary inspec 1
.
ibnature of applicant, or name, if a corpo ation)
do 601-0
( aili ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general ontractor electrician, plumber or builder.
Name of owner of premises / Z~z . .
(as on c 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. =./7 .9-.-117-7, 7",/..•.. .
Plumber's License No .
Electrician's License No .
Other Trade's License No.
07
I. Location of land on which proposed work will be done. 1 . . .
. .
House Number Street Hamlet
County Tax Map No. 10 000 Section Block Lot .?-7
7 Subdivision r........................... Filed Map Nry.'~7 ° r Lot
(Name)
2 State existing use and occupancy on~t~d~ use and occupancy
S premises panof proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Repair Nature of work (check which
mPPlicable): New Building . * , , Addition Alteration
Re oval , , , ; Demolition Other Work .
4. Estimated Cost ( ~ • • . • • • . (Description)
Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units / , , , , , , , • , Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify n turd and extent of.eacIV ype of use
Height so l? existing if any: Front ~ Rear Al" .
Dimensions of exlstn structures, ber of Stories ...z . , , . , • , • , ,
Depth .
Dimensions Os h a structure with alterations or additions: Front . , ~70!Q1 E• • • • . , • Rear .S,44.9
Depth , • . Height . 4SoeN.5F• ; , . • • • , , , Number of Stories . S,o M £ • • • . • • •
8. Dimensions of entire new construction: Front • Rear Depth
.Height Number of Stories .
9. Size of lot: Fru;1t Rear . Depth .
10. Date of Purchase ' Name of Former Owner
11. Zone or use district in which premises are situated , • ' • • • ' • ' ' • • ' ' . ' ' ' • '
Does proposed construction violate any zoning law, ordinance or regulation: • • • . • •
13. Will lot be regraded Will excess fill be removed from premises: Ye o
14. Name of Owner of premises a Address /C.X _ ~34~
Name of Architect Q2?1left qqQ'F_ , O W ~ ..-J1" Phone No.7~f~
Y • • • • • • . • Address. A~!!' . Phone No;VP / Z'L 5"
Name of Contractor p?/G , • , • , , , , , Address~~ Q
15.' Is this property within 300 feet of a tidal wetland?ty~/*Yes /~'•6e?l..PhoneNo..03 37~-3y
*If yes, Southold 'down Trustees Permit may be required, No. X
PLOT DIAGRAM
Locate clearly and distinctly allj 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.
AP OWD AS MOND
DA4:., B.R #4 777
BY:
T ING DEPARTME 65M TO 4 PM FO?A5
HE
F&LOWINfa INSPECTIONS:
0 FOUNDATION - 'LINO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING; 6 PLUMBING
3. WSULATION
4. FINAL • CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE 'Nx.
STATE CONSTRUCTION & ENERGY
COD12S. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW YORK,
COUNTY 0
S.S /
being duly sworn, deposes and says that he is the applicant
9fAW i v;dua f~ -
signing contract)
lbove named.
Ieisthe............................
(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
cork will be performed in the manner set forth in the application filed therewith.
wom to before me this
~L
ayof... P~ f 199
'otary Publi
tY
THOMAN M, 04HIRTY JA,
KotaN Pub No, lla State 91 eo9 New York
ouantleo in .,utfolk county (Signatures f applicant)
Term Ezplres 12101;w - ^
T
'HOUGHTON
s RESID'~NC
sHIU~LF FtLoF rd HATUH HCAE-~ ~FISHERSJSLA*# `
I'- -j F ILI
NO 4l ~IDrcN L'X15TIUC T~iM
31-'ad TI~I ~ 3-3 FIJ SI-9°pltil 31-Z"Flu ~ f-V~
DPYeV. veN7
i
I
<4 V I _
r _ IIr,Gu e ~ PDIµ1 - ~ n
79 ~XISfIDL / PDIIITCD WOOD -o9°Gbe'f- - TR IM AS ~-Erdl li lltj LF~
TRIM rpm-
a' I - @.uo5 w 1IT,
+ ~ I ,i I DGt]F1S - ~ ~ I L ~ 'i N
Ore: e 6%: zd_e za 2'-g i" Fu % I
= ci L GR V ease
: i,~, . rywE. she SAV/ -i PEPP6, 011 GON iAL 'S - U 0' t. 11 IJ
°P P I Ili ~ I .S ~ I - -
II ~ m i - - I I
N JT
_ Ili kt~ob E N
E%15T'G ve T I
S - Saari IIeG N!E a ' TW75 I f- -_tI 2 O
~J ~IGIG I115dL„•f(P I I - rELLd GLAD -,r I- F1aWNIre
[Ell T ,
r (.l6 iR.6'.glZil oRrep v ~I 72DK di N sr b
I I ~ ~ a•nw. ~ -.1y L_ f ~ CoFITIUNoJS 5/4 hlll I - - ~ -'T 2 - G' L66'T IB°LS6Y I "Cpb'f ~L:~LoD4J6SIILL ~ '~I~\ ~ ~ - ! ' L
vhc OIT
lIZA5FI 7'/.O'(J Cl6'T `f 4? 'p--_~ IyWJLDoV5~ x4 _-1•I~ - i
I r N F.0 -mole H41 M
3~>tY 1 I LEVATION,I # Tell -
5 P-O"
N 1 P-+~RhUZE ~
I
REVISIONS
I Ir IV I 11/4/13 ADD zi ro lsLULD H51GHr
1 1 1 U SJL4TJok (,OIL -1`- LoMgl~6ibl~ I'IILIC01JnvE
1 II III l 1 ti' 3'~'I - - FbLY• YD~~ P~°FGeZ f vel~1 Nooo
Y, l
Y.;S T
gLINO IT~
- -3d G=.~ y41~GO ec'ue'f 60. sowlT
x.84' o
° PLAN • = EXISTING CONDITIONS_
ti AY THRUB SECTION .U _BAY ELEVATION OF BAY .
LILIiTIUC~TYP 12
Y = - 3/4"=1`-0' V-1`0" 3/ 4"=1'-~0"
er tubing is used ¦ -
I fCOPweter distributing
II system: Piping shall be OCCPP P1PICY OP2
OftypesKor USE PS um pp"J;FUy
MI 'I If-!J NP.LI SRJV~ ~ ~I'PE D'RIGENJTOW ORYEF - WITHOUT CERTIFICATE Oliver cope • architect Ct
µ4 EK15T'L ~ ~I OF OCCUPANCY 109 w. 17th st., new york, n.y.10011
y , f ( 12"(p6't 30u 7,T^c~b'T 9G° I. \ \ PLUMMO (212) 727-1225
r4 ) L62Y SdSM,! ~ I 1 VdKM UNES HM .
TESTING BEFORE COVER" • - I- I\
~~t
6.~
II I r -I_ sS~Ev F°PcoosfW~11a1 13 ~
GI ~ •J .111,611 2'•5 Id~1
- - - PLUMBER CERTIFICATION ik ik
I , I I - - ON LEAD CONTENT BEFORE „I h~
CERTIFICATE OF OCCUPANCY
I I ~ I I I I _I - SOLDER USED IN WATER
I I I SUPPLY SYSTEM CANNOT UNg~
EXCEED 2110 OF 1 % LEAD. NOUI ED
r u - - RtF DRY6 I I ~ I I i i I I lr is
~ SHtL
I r~ I I I I I I 2•
14 - r ~ ~ I ~J 5O~ i - -3 ` UrELI -q - I~ I I~ I I
I I- I ~ 'I I , ~ 1 Ff~
I I I
OKAY LICDI2 -s - ~eu TCee@ I,
';;Pl'~m„-tlSG IST1 r a f~LOGx- r-- ~r - t PJ1.1Lfi i i ~ 2 WAcn E. w o Cv 8 I D Y
r V 11 . a N I ;r
J DJPo1J'r lAKN1J
GOLNiE!'4oe Wi41 'R wpm I ~ ~ - I sHEtvWo - - I -o~enl-, o~ a ~ ~ II ~i, A
uuoc~t 41cOFIDN SF'LAS~ - - 1 ouuTe. w ` MA7 ~hv LAfuG U3 74:6 ~ I fi I _ I. oF~es - ~~to^ceeP rlni- f w I\ 3 ~ `I 3 r
1x4.11 A11 / \ . / - noUE 2 O rccKEf cook. - - - - . \ r I
b s F, pxnef'L
~ v~ , ~ ~ (R IP1 DCe.ESSO~Bs ~ c
swwoo TI
tis Rta1D 1r~l 1 - I I I \ \ 8
I I I - _ rlFCO_ JOB NUMBER °I3a6o `i
3'.01 all ~'3.01 Its PGI.~o Gl.bp GbSEYIEFIr
0 42'wY I6~a/xq8/I~4b "_,A DRAWN Na ~oa""
~ wlrN 1e~e ~IvlD~u W-Ires
STRIP EXIS7111C, rl-L 6u, 6Ly'p,I:SW. RI xTu45 ! ca/EKINGUNPEftlol'ni I, spLO .bo W/ w•~Rr 1 71 ELEVATIQrL LAYOU T O BAY 3AY CHECKED o~ J,y
u 4 sAU pNO KCPINK o s N., 1/;
\ Gx1571NGFINISIiFLcb~C a.na~o 199,kYnq9er PLAN DETAIL OF BAY WINDOW SCALE AG JoTEp
_ \ 3. HPLO Z 551
' - 4. uNO~i~a,'( L1GrIfILLL ",7WFi urElll - A G~ FLW~Es GUTCefr. DATE 1 saPr I°Ig3
- _0411 f6112GH PLYWD DV PDT COR~PfJ'~
I1` - TITLE
I pu~L.DUi SNELr - PtlLL.OJI ~'I i ,
" (-bl-E: INLRB?51~ KIiICK fR~aN - fR~aN - A ~ \ RED Aq
"re Grnf ~ t -'L+l'hL7 ISGZ HQ I, ~ I r...,.Z'~~ ~ LI~I-ID d.11.Y PO.
1 3 I
IB ue'r 9E' CAwr fib. _ 'Ili
-i TAIL -B DETAIL of NE yQr
- WALL MDJNIED 8 8 ELEVATION -ISLAND 9'1 ELEVATION -ISLAND A DETAIL _0. .3
LIG N7 FIr1JpE T I wr Nu0
~Op'JSTptl L[ \
fir(' gpltl5(A64.8 SFICLVES ~ I~~ Sh ELVES ~
LOR.Ib~ ,-6JiGHEIC ' x P' oPaRT p.ol, o.c, PLANS, AND _ . ~1113,PGN PbYI+ID 0" - I
~ BLOLC: I
SIpLLOHI
' L- y~- I El gVATIONO,
4MBlV ES iH15~, N T~- IAEGE~E 2tlR•o6 ~Dl - 6NE,.F 6dpFb R'(4W? I
510E W Ly _ I I 262.50.}0'} S~EaVE 8~ ~
- - - uell+er Z ~p ~ SHELF
I
S. 4 cw T- 0L cpEf ~ I / _
h ~
to - `ELEVATION -ISLAND 11 ELEVATION EVATION - ISM AND I7L'T AIL FAIL DETAIL
` ' ~ weSUE¢ - 1 10 1/2'=r-Q
s' ,f - t t
r EL-EVAT ONE 4 E EVATIONi
C': u..
i§~~,~~ •yA~N ~"~,N
yY.~' rv~ ,y 'ryf
1 COfYRHiHT 0 19 bllver aoDa ReEitect ALL RIOX7E'AP.ip1YEt1+~ Ti~'yt~ r
~__~.tG~~hw