The URL can be used to link to this page

Home My WebLink About27607-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29312 Date: 03/14/03 TI{IS CERTIFIES that the building NEW DWELLING Location of Property: RESERVOIR RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 9 Block 9 Lot 29.6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 2001 pursuant to which Building Permit No. 27607-Z dated SEPTEMBER 11, 2001 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 ONE FAMILY DWELLING WITH COVERED FRONT ENTRY, DECK AND SCREENED PORCH AS APPLIED FOR. The certificate is issued to JEAi~NE A MAY of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPART%~EA~f OF ~]~ALT~ APPRO%rAL R10-00-0168 ELEC'~RICAL CERTIFIC3~ NO. PENDING PLI~4BER~ CERTIFICATION D;~r~u 11/19/02 EMERY NEMESKAY 02/27/03 12/23/02 /d'gnature 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) PERMIT NO. 27607 Z Date SEPTEMBER 11, 2001 Permission is hereby granted to: JEANNE A MAY 25830 COLLINS AVE CHESTERTOWN MD, 21620 for : CONSTRUCTION OF A NEW DWELLING WITH COVERED FRONT ENTRY, DECK ADDITION AND SCREENED PORCH AS APPLIED FOR (MAINTAIN TWO STORY BUILDING) at premises located at County Tax Map No. 473889 Section 009 pursuant Building RESERVOIR RD Block to application dated AUGUST Inspector. Fee $ 1,931.70 FISHERS ISLAND 23, 2001 0 0 0 9 Lot NO ~-~ .~ (~'5- '~ and approved by the/ ORIGINAL Rev. 2/19/98 F ~ LIIZLZ], r F,rm Na, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildiog l~Spector with tbs following: ior ncw building or new 1, Final survey of property with accurate location of all buildings, property 2. Final Approve2 from Health Dept. of water supply and sewera~e-disposal{S-q Approval of electrical installation ~rom Board of ~ire Unde~wliters. 4. Swor~ ~tatement from plumber certiiying [hat the solder used In system contains less than 2/10 of 1% lead. 5. Co~mnerciai building, industrial ouilding, multiple residences and Siltlllar bu~idin~ responsible for the building. 6. Submit Plannin~ Board Approval of comple:ed site plan requirements. For existing buildings (prior to April 9, 1957) non-conform£ng uses. or buildings am 1. Accurate survey of property showing all property lines, streets, building and unusual natural or ~opographic features. 2. A properly completed application and a consen[ to inspect signed by the applicant If a Certificate of Occupancy is denied, ~he ~ui]dlBg iRspector shall state the reasons therefor in writiBg to the applicant. i. Certificate of Occupancy - New dwelling $25.00, AHditions to dwel]lng $25.00, Altera~iona to dwelling $15.O0, Swim, lng pool $25.00, Accessory building $25.00, Additions to accessory buildin~ $25.00. Businesses $50.00. 2. Certifi~ate of Qccup~cy on Pre-~lstinR Buildine - $~00.00 Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certlficatm of Occupancy - Residential $15.00, Co~erciai $15.00 Location of Property. ~¢C~0~, ~ ...... ~,S~ ~ ~ .............. Horse No. 5~r~et Subd ivision .................................... Filed Map ............ Lot ~oaI[h B~pr. ~pprov~l .......................... Underwr~er~ Approval ~que~[ for: Tomporary Cerr~f~ea~ ........... F~nn[ Cere~c~te...~..... TEL. 765-1802 TOWN OF $OUTHOIaD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 4AR I 3 CERTIFICATION Date Building Permit No. (please print) Plumber (please prxnt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, ~Y~ County VERONICA ~ NOTARY PUBU~ ~-~ OF N~RK ' '~A606~8~ ~ IN SUFFO~ ~ Nota~//P ub 1 ic CME/CPK Destgn Group ~~ 110 Norwich, CT, 06360-4452 Broadway, CHANDLE~PALMER & KING Tel: 860-889-3397 Fax: 860-886.7801 Town of Southold Building Department Town Hall Southold, NY 11971 ATTN: Mike RE: May Residence - Reservoir Road, Fishers Island Dear Mike: At the request of Walsh Contracting, I am forwarding a copy of our 2/05/01 site plan with dimensions to the house fi.om the property lines added. Please contact me with any ~ further questions. Ve Richard H. Strouse RHS/cpb Enclosure cc: Walsh Contracting Toll Free 1-888-291-3227 Natiom~ide .4'~ £QLSU~ OPPORTUNIT) £LIIFLO)IzR ~x~w clnecngincering.cl~n~ Bruce Hampton Architects 15 Stow Road Harvard. Ma, 01451 September 12, 2001 Michael Verity Office of Building Inspector Southold Building Department P.O. Box 1179 Southold, NY 11971 Ph (631) 765-1802 Fax (63 l) 765-1823 Dear Michael, This letter confirms ~ the plans and design for the May Residence on Fishers Island, NY Acorn lob # 2738 conform to Pa~ 705 (Height ,Fire Area and Special Conditions) and Part 7! l (Space)of the Codes~ Rules and Regulations of the State of New York. Should you have any quesiions, please do not hesitate to contact my office. Bruce M. Hampton, AIA ~ ph. 978.456.3733 fx.603-7~_0.o576 BUILDING PEI ~!_T RE\qEW CHECK LIST Owners Nmne: Engineer: SCTM #: District: 1,000 Section:. 7 Block Single & separate Required cerfifica,o,: (Yes / No} Project Description: Date Reviewed: Date Submitted: Subdivision Name: ./ Rcq I [Rear Yard /~-~ Proposed REQUIRED FOR REVIEW 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: N.A. NO F* Permit YES .Number ~e '}~l c~\) z')".c\'~\'~ 1iIE!ffi!ffi!~~1iI milol . . ". mi ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ WALSH SERVICE WILLIAM MAY ~ ~ P.O. BOX 325 PRIVATE ROAD ~ ~ FISHERS ISLAND, NY 06390, FISHERS ISLAND, NY 06390 ~ I Located at PRIVATE ROAD FISHERS ISLAND, NY 06390 I ~ Application Number: 1097760 Certificate Number: 1097760 ~ I Section: Block: Lot: Building Permit: BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ ~~~~~~~ ~ ~ ~ I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below. was I I :::d to be in compliance therewith on the o~ Rate Day :':in:Ug:::::~03~voe I ~~~~~ ~ ~ Furnace I 0 Gas ~ ~ Range I 0 11.7 KW ~ mi Dish Washer I 0 1.2 KW mi ~ Exhaust Fan 2 0 F.R.P. ~ mi~~~ mi ~ Receptacle 87 0 General Purpose ~ ~ Switch 66 0 General Purpose ~ mi Fixture 72 0 Incandescent mi ~ Fixture 3 0 Fluorescent ~ ~ Receptacle I 0 20 amp Laundry ~ ~ Receptacle I 0 30 amp Dryer ~ ~ Dimmers 10 0 mi ~ Paddle Fan 4 0 ~ ~ Lighting track 500FT ~ ~ Receptacle 10 0 GFCI ~ ~ ~al ~ ~~~ ~ ~ I Phase 3W Service Rating 200 Amperes ~ i Continued on Next Page I of 2 i ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ iii. iii 1iI~.1iI ~\J . . . . ~ ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ WALSH SERVICE WilLIAM MAY ~ ~ P.O. BOX 325 PRIVATE ROAD ~ ~ FISHERS ISLAND, NY 06390, FISHERS ISLAND, NY 06390 ~ ~ Located at PRIVATE ROAD FISHERS ISLAND, NY 06390 ~ ~ ~ ~ Application Number: 1097760 Certificate Number: 1 097760 ~ I Section: Block: Lot: Building Permit: BDC: NS11 I ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ ~~~~~~~ ~ ~ ~ I was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was I ~ found to be in compliance therewith on the 14th Dayof August, 2003. ~ ~ Name OTY Rate Rating Circuit ~ ~ ~ Service Disconnect: 1 200 cb ~ ~ Meters: I ii!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~I ~ ~ ~ ~ ~ ~ 2 of 2 ~ ~ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ 1iI.1iI PERMIT NO. tlUlLJJiN0 t'bKMll MPLlCAflUN CHECKLIS Do you have or need the following, before applying Board of Health ~ 3 sets ofBuildjJlg Plans ~ Survey V ;Z 7 (." 0 7.:c Check 7:i:- :J /1 J Septic Form N.Y.S.D.E.C. Truslees Contact: Mail 10: IV",l~ V.l' ,:)VUlnVLlJ BUILDING DEPARTMENT TOWN HALL SOUTH OLD, NY 11971 TEL: 765-1802 Examined ~. APprove~ . Disapproved ale 1/ II ,20-P,L , 20-.!!.L l~~- 7778" Phone: r.='--r"--r;' r";-;;:;-;:;-'f':;;j , I " I, >I \, t" \ ~ \ r, \ :.-,' _ :'" ,: il ' 'J~ ! r: 1 'i' J "\ \'1 ri"" " j I .i/. 112'1":\ U . I I l .----1 : FLOG. CL....r. "r".':';: n~ ~:~'...:T;:::: n ~~@ Buildin s~tor APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date-APQ I \ ~ l..\ ,2001 a. This application MUST be completely filled in by iypewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to scliedule. b. Plot plan showing location of lot and of buildingS on'premises, relationship to adjoining premises or public streets or areas,-and waterways. 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 a permit shall be kept on the premises available for inspection througho\lfthe work. e. No building shall be occupied or used in whole or ip part for any purpose what-so-ever until a Certificate of Occupan is issued 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;Coimty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, oralterations or for removal or demolition as herein described. The applicant agrees tocoinply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for nece~sary inspections. " e.DJ~)(')x 3;(5 I I="\sne.r~ \sOnrl ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder -9eneral ~r( . Name of owner of premises illill'flrY"\ ma u -tas on th~'tax roll or latest deed) .' If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 'llJ 4'1 ~I 01., Plumbers License No. ~51D?-. -p Electricians License No.~P Other Trade's License No. I. Location of land on which proposed work will be done: q Re.sprvOIR Ronn"'. House Number Street (:\sher~ \5 \o.tY1T'~'-\ olo390 Hamlet County Tax Map No. 1000 Section DDq Subdivision , Block q Filed Map No. Lot ~q .S- Lot (Name) ) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy \}aC.nn+ I ^T b, Intended use and occupancy ~Il'l Q.f'5';\C'\pnr p ~( \>..J.\hnm m("llj ./ Addition Other Work Alteration l. Nature of work (check which applicable): New Building Repair Removal Demolition (Description) f, Estimated Cost \ OOO/~')/"). Fee N/A I (to be paid on filing this application) If dwelling, number of dwelling units~Number of dwelling units on each floor 11 I} d2 If garage, number of cars ..2. >, Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use, Nil Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front~Rear lItD l="-f_Depth 1 a ~+ Height 3D ~-\. Number of Stories d ~ , Size of lot: Front----.l.1ffi 1=-+ Rear~ l="-t. Depth~ , 0, Date ofPurchase-19LP~ Name of Former Owner J~nc J 901 n-l C J"\Q.P""1'11lC"f) I, Zone or use district in which premises are situated Q. - 8[) , 2, Does proposed construction violate any zoning law, ordinance or regulation: ~ 3, Will lot be re-graded~t'Cl., Will excess fill be removed from premises: YES QiO) 4, Names of Owner of premises l,l), \ hnm r1l!Uf-Address~~n)(L]hOne No. 4/D' 778.1../;).73 Name of Architect A('ran Addressq'V:l~ ~~hone No IDIl -ot-=;q .qt/."Y) NameofContractorWM!'>h ~dl()j Addressffi ~ PhoneNo'{.I.~1'7Hft'777'R 5, Is this property within 100 feet ofa tidal wetland? *YES NO / . IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAYBE REQUIRED . 6, Provide survey, to scale, with accurate foundation plan and distances to property lines, 7, If elevation at any point on property is at 10 feet or below, must provide topographical data on survey, T ATE OF NEW YORK) SS: :OUNTYOF~ Chl\d J: r<\f()u.)~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ;)He is the r.cn\r(\c.~. (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 application; Jat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith, ~ [l",a..,I- " Signature of Applicant THOMI,& F. DOHERTY JR. Notary Publi. Stat. of Now York No, 4806$59 Queftfleo in Sutfolk C2 Term Expires 12131 ~~lSHCONTRACTING. LTO A Full Service Contractor · 631 -788-7778 · Fax 631-788- 7776 walshfi@fishersisland.net Post Office Box 325 r. -.. Fishers Island, New York 06390 .; ..~ $.J/o3 . .,: MA~ I ::; 2ln1 . '/ ~t111f L; . ..~ ;li.; M IJlafJ /~ Je~WtfrJ OIJ9/ f3/tlC,t. ~ LOt- Cl9.S 1=1: Cl7 (pO 7 z. 7B uJ/(aJ It MCvf (In.L!u1L J ~ jJM wall - ILL f S5)U.d tw1tltlfj "... ~ ff wd1r /;()ri /LiT s~ct /tP- (sO' eaJ 7M~tJlL ~ c.j1J... Ibv..L/ r?!-!I depJ-, tlfJp)IC~ ft - /01 7700, ::r-f2--M-I- plRjL-~ CUI hIM (P3J-;LCf8-'1lltJ .... e.M.lMeLi o.R' 11/.& W5 0-(' ~ /Jiw ..fk}J '/i-L.~. dtpf r _ tz/lfJlosetJ 15 'fll S tJ dif &rI tH co.-b ' Licenses; 26.447 - HI, 4805 - E, 00184823 - CT ?lta;e &AI ()Y {q!3A9! ptJSS1bU ;1' tleJr.e Ink J..-I-o.f1tJn- IS I~ ~ ~~tK /f~~