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HomeMy WebLinkAbout26463-Z 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) PERMIT NO. 26463 Z Date APRIL 24, 2000 Permission is hereby granted to: STOWE C PHELPS TRUST 149 EAST 73RD ST NEW YORK,NY 10021 for DECK ADDITION WITH ABOVE GROUND SWIMMING POOL TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at THE GLOAMING FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0009 Lot No. 007 pursuant to application dated MARCH 22, 2000 and approved by the Building Inspector. Fee $ 125 . 00 Aut ' zed Signature ORIGINAL Rev. 2/19/98 f 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 buildin s streets, and unusual natural or topographic features. g Property lines, 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. 3• 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 unusual natural or topographic features. _ 2• A properly completed application and a consent to inspect signed by the ap e ' If a..Certificate of Occupancy is denied, the Building Inspector shall staff e reasons therefor in writing to the applicant. EiiD Fees a. Ln 00 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25. 0 Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $ 0 C22 Additions `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 . . . . . '-w Construction. . . . .. . Old Or Pre-existing Building. . . . . _cation of Property.. . . .. . . ... . . . . . . .. . .. . . . • • House No. • . . . .Street. . . . . . . . .. . . . . .. . .. . . . .. . . .. . .. .. . . . . Hamlet ewer or Owners of Property. . .2 ;°K3; , • C1. B L . . . .. .� ��s . . . . . . . . . unty Tax Map No 1000, Section. . . Block. . . . . . . .Lot.. ©�;�,• , •• •• • • • • • • • - bdivision. . . .. . . .. . . . . . . . . . . .. . .. . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . ... .. . . . . . . . . . . . . . rmit No. � ;3, , , „Date Of Permit. Q1 � � ,� �� -- .. • l . . . .Applicant.�d,s. . . C; w , alth Dept. Approval. . . . . . . .. .. .. . . .. . . . . . . • • • • - • . .Underwriters Approval. fl) ,� 3•I•-k3 inning Board Approval. . . . . ... . ... . . . . . • •• • • • • • • • - ;uest for: Temporary Certificate. .. .. . .. . .. Final Certicate. . .. . . . . .. . Sub itted: $...��. :5:::.. .... .. .... .. 7;z Q�D3 7 � APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1000656 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 15,2001 Application No. on file 12552901101 N 573123 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR STOWE C.PHELPS, THE GWAMING WEST END, FISHER I41,P.NO, NY In the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 01 F 2001 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPIACLE3 SWITCHES OUTLETS INCANDESCENA FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.1 TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET SYS EMS DIMMERS AML K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT, WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. CC COND. A.W.G. A,W.G, AMT. AMP- TYPE EQUIP. 1 0 2W11 0 3W S 0 SW S 0 4W PER 0 OF CC.COND. NO.OF HIAEG Of NI-lEG NO.OF NEUTRAL& OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 MOTORSs1-1 H.P. PANELBOARDS:1-2 CIR. 40 G.F.C.It-1 *(SWIMMING POOL) This certificate covers compliance at the date of -inspection only. Because of unusual . environments it is advisable to have frequent test/and or repairs L <<< Continued on Page 2 >>> GENERAL MANAGER Per This cerIMCgto must not be Owed In any manner;return to the office of the Board IT Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE ,UNDERWRITERS PAGE 2 1000656 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 15,2001 Application No. on file 12852901/01 N 573123 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of MR STOWE C.PHELPS, THE GLOAMING WEST END, FISHER NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 01,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS LET OUTS RECEPTACLES SWITCHES INCMDESCENA FLUORESCENT OTHER AMT, K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. SYSTEMS NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. !I AMP. TYPE EQUIP. I �W I E 3W J JW J E 4W PER a Of CC.CORD. NO.OF NI-LEG OF HIAEG NO.Of NEUTRALS OF NEUTRAL OMER APPARATUS: made by a qualified person. Z & S CONTRS. INC. LIC.#4798E L P.O. BOX 202 FISHERS ISLAND, NY, 06390 GENERAL MANAGER 11 Per fhb owwwwo must not be altered In any manner,return to the*Nice of the Board If Incorrect.Inspectors may be IdentlNed by their credentials. 00-0 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 03/2212001 19:43 6.317887011 FISHERS ISLAND WATER PAGE 01 INSPIECTIOPO [ ] FOUNDATION 1ST T 1 ROUOM pLM4L J FOUNDATION 2ND INSULATION I J FIRAMINQ !A 1NAL r � DA'rt BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date ! Owners Name: Q / 5 7ns. Reviewed: Architect/ Date . Engineer: Submitted: SCTM #: / District: 1 /000 Section: 0 Block: Lot: 7 Project -�`� J, Subdivision Location: 04�f i - ' Name: Single&separate Required " 11 certification: (Yes No) NO x Req. Req. Zoning District: [Lot size: Actual: ] [Lot coverage Proposed:_) Req. Req. Req. [Front Yard Proposed: j [Side Yard Proposed: 1 [Rear Yard Proposed: �D ] Project Description: Is 1 AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? ' Flood Zone: Notes: _ BOARD OF HEALTH . . . . . . . . . . . . . . . w NORM NO. 1 3 SETS OF PLANS . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . { BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . 1q KV 2 2P TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUT'HOLD, N.Y. 11971 - ----�. TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.................. 19.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.4 1 Z .........,a�19.Q Pemhit No. :_ .......... .................................... Disapproveda/c .................................. .................................... ...................................... .... ........ (Ikhilding Inspe to ) APPLICATION FOR BUILDING PERMIT Date. . .3 4 . . . . . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Tnspector will 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan stowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu0iout 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. APPLICAI'I(N IS HEREBY MALE to the Building Department for the issuance of a Building Permit; pursuant to the Building Zone Ordinance of the Tam of Southold, Suffolk County, New York, and other applicable Iaws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. 4:4 mh.Y1 T ...... .......... A-203 On pplicant, name, if a corporation) Wt'4T3J � 07002 �aa� /V Mailing address of applicant) 3.33 State whether applicahl'%V-*r IP;"Ilgb*eyliW, architect, engineer, general contractor, electrician, pludrer or builder. hq9 A OT M'� ...............'......:Z$Qw, 3�3 OT Name of owner of pre it",::WC13 413 .............. ................. 9 1`l iE 0WIMAAIlas pettbq tax roll or latest deed) If applic tJs,# dilly mhthorized officer. -X ....... (N, and .Mi t!R CWM49Off 3H 3tiT Y 303 A H0JT:)URT8*0:) JTAT8 POI ikisl?,140423 Bn rld 'Af H8&JAOffld1UFI)✓ 9( 7 ..._Y �.,"+-e•t.•),'du 4.1 Y71yi� ?f3'yjll Plihers License No. ...rSY-p .......... un Electricians License No. ...... Other Trade's License No. .................... I. Iocation of land on which proposed work will be done.... r"rt a"" /04�►tin �f�S ....................... /[..... At ....,i... .... c. /. ........................................................ House Number Street Hamlet Camty Tax Map No. 1000 Section ..OZO........ Block ..9............ lot .7............ Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........i;! 9�57L...` �M ( ................................................... b. Intended use and occupancy ......... .fWiMrwj V ....--/ .............................................. . .............................................. 3. Nature of cock (checchdhidh applicable): New lkuilding Addition .......... Alteration .... Repair Removal . 1)emtnlition t y��. (De ri boon) 5�... 4. Estimated Cost �DULP). 07) Outer Work (D al m y................... fee ............... (to be paid on filing this application) 5. if tkxlling, nudber of dwelling tants ............ Number of dta-Iling units on each floor If garage, number of cars ................... ................... G. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front...............• Rear ............... Depth ................. Ileigit ......................... Number of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear .............. Depth .................... IleiglhL .................... Nniber of Stories ............... 8. Dimensions of entire new construction: Dont ................ Rear Ileiglht ......................... Umber of Stories ..................... 9. Size of lot: Front .................... Rear Depth .................... .................... 10. Date of Purchase ..................... Name of Former Owner 11. Zone or use district in which premises are situated ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 14. Nares of Owner of premises ........................... Address ......... Pdtahe No. Name of Architect .................................... Address ... Phone No. ........................... .............. Name of Contractor ................................... Acklress Krone No. ............................... .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... N3 ..X..... *IF YES, S(AMKXD IUM 1RUSIIZr.S PE114rf MAY BE IUAIIRED. PI.vr DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bade dimensions fruit property lines. Give street and block number or description according to deed, and show street nares and indicate %Acether interior or corner lot, "IMMEDIATELY" OCUMMMt"" �pON aP D Al NOTED BEFORE"MTER" DATE: Z o�AA b 3 FEE: r n •r1m, 'a:^� � `,,"'. NOTIFY BUILDINGAT bw 786-1502 8 AM TO 4 PM FOR THE FOLLOWING 048PECTIONS: ULAU FOR POURED CONCRETE SQUIRED 2. ROUGH . FPAMWG t a.® T 0.l I� Ia a -- 3. INSULATION G PLUMBING 4. FINAL - CONSTRUCTION MUST SE COMPLETE FOR C.O. t . P Y' 6 ALL CONSTRUCTION SHALL MEET THE REOIUMEMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY SEND", (A NSI Y(A(K, UNDERWRITERS CERTIFICATE CODES, NOT RESPONSIBLE FOR ss OUINIY (11 .�............/....(.r..-�j REQUIRED 068M OR CONSTRUCTION ERRORS ! V1 ....__beirq; duly sworn, (k-poses antl says that Nue is Lie applicant (Kane of individual signing contract) above ranted, Ile is Lite ......................... / (Contractor, agent, corporate officer, etc.) of said owner or owners, and is (July authorized to perform or have performed Lite said work and to make and file this application; that all statements contained in this appl.icaLicmt are true to Lite best of his knowledge and belief; and that Lite work rforined in the manner set forth in Lite application filed therewith. Sworn L b u+ a me this .... .....: ....day of .. ....... r Public :�.................. ................ (Signature of IicanL) THOMAS F.DOWN RW JR. Notary Public State of New York No.4806659 Ousifflea in Sutfolk County Term Expires 1213140 FROM STOWE C. PHELPS F(4X NO. 212-570-9112 Feb. 14 2000 12:49PM P2 \ INN Mfit" \ 9y N, IN ,'�'`'\ t\art �\\• NIM 1 ` % , VI \tk� Vit. \ ` FL IL. To )V-,ATG+i ,, look To m I`I;ST �Iz ,� t�� ./ 'IMII.i.F.�lt`lVjU\rr MoD�L STEPHEN POTTERS ARCHITECTS N WYOORK t1EY/YO NI M9 FROM STOWE S. PHELPS FAX NO. : 212-570-9112 Feb. 14 2000 12:50PM P3 t q./yt� + q! pool. e�.+o'.o'� To 2x woo�a D�G�!t�t(ar it - PDol. I'1 DEL 100 l 1'o " �t-F L PS I. / monument (found) / S 06' 21' 50' W 63.67' �h cross on rock N F HALE / 2 (found) NOTES: monument '9WB, F / I . CCICRDIN/.lL Si :TA1J 'E� =P,E N1 E.'.i!IPED FR�,I/ U S. :r1tiS (found) / AND IGEODEI; SUF.'E. lF'IAII,-UL4Tl : IH ',TATIOh: I r AREA = 0.78 -I- �- cross on rock = SITE IS III THE Ti,Arl OF o�Ji ITHi�Lfi, i,i iUNTI 1�F LUFF �Lr ACRES (found) TA'/ MPP 1;ni0, SECTI'M 110, BLOCP 3, LOT 3 EIIE IS SEFMkED BY NUHICIPAL RATER AND ON 'l° = N /F BARBARA J. McBRIDE & SITE SEWAGE DISPOSAL SYSTEII IH COMPLIANCE WITH m 8 THE REQUIREMENTS OF THE SUFFOLK COUNT' DEPAF,11�EIIf Q zo ROBERT A. DOYEN CIF HEALTH PROPOSED POOL (ABOVE GROUND) �40' PROPOSED DECK y _ 4 SITE IS IN R-40 BONE 5. TOTAL AREA 0.783 ACRES onument I w (found) 6 OWHER, Stowe C Phelps - 149 East 73rd St. I So DECK N/F RICHARD F. & New Yort, N.Y 10011 p LINDA K. HALE (2 12)5—,'1-D t 1 2 T/LAPPROX. ! I 0 � I WOOD TIE 1 SEPTIC OC. L P RETAINING C , r T WALL Z y] J m monument �-•_'-- . W i J2 I (found) SECF N� /�' ,� , - STONE PARKING (j Q p�•L POLE \I� AREA °i �YP�H ST900�.r SITE PLAN / . M 1 439 0 / Q �� N PREPARED FOR Q� i pe �� AqO���• V7 g i I� `_ 049 1. O I r' POLE Y #436 i 0 STOWE C. PHELPS monument (found) / N 1129.86 W 225.09 40 23 0 a', �,o , tcRARrnc SCALE Irl Feer oy / STERLING STREET & THE GLOAMING �f�eo Je FISHERS ISLAND, NEW YORK REVISIONS � = CHANDLER, PALMER Qc KINID DATE DESCRIPTION 1 '10 BROADWAY Englnesi 01 ontl Svr,epcg 110 EPOMWeY NORWICH, CT M]ee eeD-esu-]]11% iA% We-6CG-Ifni DATE 'FEBRUARY _1 , no0 PROPOSED POOL/DECK SCALE, I " = 40' SHEET i OF 1 0�64fo3 _...