HomeMy WebLinkAbout28789-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30546 Date: 11/12/04
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: OFF EAST END RD FISHERS ISLAND
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 3 Block 2 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 18, 2002 pursuant to which
Building Permit No. 28789-Z dated SEPTEMBER 30, 2002
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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR & AS PER CONDITIONS OF ZBA #5159.
The certificate is issued to HARRY 0 & SANDRA L. HURLBURT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1156207 08/06/04
PLUMBERS CERTIFICATION DATED N/A
ut rized Signature
///
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. 28789 Z Date SEPTEMBER 30, 2002
Permission is hereby granted to:
HARRY 0 JR HULBURT
7014 SHEAFF LA
FORT WASHINGTON, PA 19034
for
ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR AND AS PER CONDITIONS OF THE SOUTHOLD TOWN ZONING BOARD OF APPEALS
at premises located at OFF EAST END RD FISHERS ISLAND
County Tax Map No. 473889 Section 003 Block 0002 Lot No. 010
pursuant to application dated SEPTEMBER 18, 2002 and approved by the
Building Inspector to expire on MARCH 30, 2004 .
Fee $ 235 . 80
Auth r ' zed Signature
ORIGINAL
Rev. 5/8/02
G'F1-
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL 4
765-1802 12 5 200
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 1X lead.
5. Commercial building, industrial building., multiple residences and similar buildings
end 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 Pro-existing Building - ;$00.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential ;15.00, Commercial ;35.00
Date .� '� 0 ..... ..........
onstruction. ,.. ....... Old Or Pre-exist Building...
!-OC/9on of Property......... T. :v
House No. �•••••••
Street Hamlet
or Owners of Property ,e
.�.
. .�. ..�.. .. ..... .... .... .
. . . .... . .... ... . . ..
13
Tax Map No 1000, Section. ... ..... .B1ock. .. . . .... .. . ..Lot. �. ........ ... .....
ision.... ..... .. .. .. ...... . ..... .... .....F31ed Map.... .. . .. ...Lot................ ......
N3 No ,i. '.Date Of Permit.. .!..:,.�J..��Applicant . e;e, D�C/RGfjyRTT
,OALT.4 Dept. Approval..... ............ ....Underwriters Approval�fl�n/F/eA'T,f-.��S 6.�cl 7
a0'"/'U'04 Board Approval..�!.. . ...........
for: Temporary Certificate... ........ Final Certicate.. . .... .. .
0
,witted: ;. .
C0 -F-- 3osL/6
APPI✓ALS BOARD MEMBERS Southold
l
Gerard P. Goehringer, Chairman
� OGy� 53095 Main Road
Lydia A. Tortora ti Z P.O. Box 1179
George Horning Southold,New York 11971-0959
Ruth D. Oliva y �!� ZBA Fax (631) 765-9064
Vincent Orlando l �►a Telephone(631)765-1809
http://southoldtown.northfork.net
BOARD OF APPEALS
TOWN OF SOUTHOLD
FINDINGS, DELIBERATIONS AND DETERMINATION
MEETING OF SEPTEMBER 5, 2002
Appl. No. 5159 -HARRY AND SANDRA HURLBURT.
Property Location: East End Road, Fishers Island, bounded north by Walker, east by
Sorenson,west by Spofford; County Parcel No. 3-2-10.
SEQRA DETERMINATION: The Zoning Board of Appeals has visited the property under
consideration in this application and determines that this review falls under the Type II
category of the State's List of Actions, without an adverse effect on the environment if the
project is implemented as planned.
PROPERTY FACTS/DESCRIPTION: The applicant's property is a corner lot with frontage
along two private roads. The property consists of 1.8+-acres in size and is improved with a
single-family dwelling and two accessory structures as shown on the map dated March 21,
2001, prepared by Chandler, Palmer and King L.S.
BASIS OF APPLICATION: Building Department's May 6, 2002 Notice of Disapproval for
proposed additions and alterations to the existing nonconforming single-family dwelling,for
the reason that the new construction will not meet the code's minimum 75 ft. rear yard
setback.
FINDINGS OF FACT
The Zoning Board of Appeals held a public hearing on this application on August 22,2002,at
which time written and oral evidence was presented. Based upon all testimony,
documentation, personal inspection of the property and the area, and other evidence, the
Zoning Board finds the following facts to be true and relevant.
AREA VARIANCE RELIEF REQUESTED: A Variance is requested under Sections 100-242A,
ref. To Section 100-244 for proposed additions and alterations to the existing nonconforming
single-family dwelling, with a setback proposed at 52 feet from the westerly rear property
line at its closest point.
REASONS FOR BOARD ACTION: On the basis of testimony presented, materials submitted,
and personal inspections,the Board makes the following findings:
1. Grant of the area variance will not produce an undesirable change in the character of the
neighborhood or detriment to nearby properties. The modest addition proposed by the
applicant will have a greater rear yard setback (65.4 ft.) than the existing building setback
(60.2 ft.)
2. The applicant seeks to add an addition to the westerly side of the house. Although the
proposed construction does not infringe upon the established side yard setback, it will
represent, out of logistical necessity, a slight increase in the total square foot area of the
pre-existing, non-conforming rear yard setback.
Page 2—September 5, 2002
Appl. No. 5159—H. and S. Hurlburt
3-2-10 at Fishers Island
3. The requested variance is not substantial. The relief requested is 10 feet less than the
code requirement of 75 feet.
4. The proposed variance will not have an adverse effect or impact on the physical or
environmental conditions in the neighborhood. No evidence has been submitted to suggest
that this minor variance will have an adverse impact on physical or environmental conditions
in the neighborhood. All disturbed soil will remain on-site. There will be no change to the
site topography with regard to grading and elevation. There are no wetlands nearby that
would be impacted by the construction.
5. Grant of the variance is the minimum action necessary and adequate to enable applicant
to enjoy the benefit of an addition to their home, while preserving and protecting the
character of the neighborhood and the health, safety and welfare of the community.
BOARD RESOLUTION: In considering all of the above factors and applying the balancing
test under New York Town Law 267-B, motion was offered by Member Orlando,seconded by
Chairman Goehringer, and duly carried to
GRANT the variance as applied for, regarding the proposed deck extension, addition
and new stairs, as shown on the survey map prepared Chandler, Palmer and King,
Land Surveyors, dated 5/6/02.
This action does not authorize or condone any current or future use, setback or other feature
of the subject property that may violate the Zoning Code, other than such uses, setbacks
and other features as are expressly addressed in this action.
Vote of the Board: Ayes: Members Goehringer (Chairman), Oliva, and Orlando. (Member
Horning of Fishers Island was absent; Memb ra abstai m vo ause she was
absent from the 8-22-02 public hearing). his Re lution as dul opt -0, plus one
abstention).
GG:GH
pproved for Filing -GerAK P. Goehri er
Coe 01, 4LI
D cJ�rJrJ� rJ�rJ� cJ�nc.ncl� cn r�c1�rJ� rJ� cl�cn rJ'� ME
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5 BY THIS CERTIFICATE OF COMPLIANCE THE S
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
S S
S BUREAU OF ELECTRICITY c5
5 40 FULTON STREET — NEW YORK, NY 10038 S
S S
5 CERTIFIES THAT S
S S
SUpon the application of upon premises owned by
5 5
WALSH SERVICE HARRY HURLBURT
SFISHERS ISLAND, NY 06390, FISHERS ISLAND , NY 06390 S
S 55
SLocated at 1 SOUNDVIEW RD FISHERS ISLAND, NY 063905
S5 1156207 Certificate Number: 1156207 5
Application Number: c�
5 Section: Block: Lot: Building Permit: BDC: NS11 5
S5 Residential
SDescribed as a occupancy, wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at: S
5 Basement,First Floor,Second Floor,Outside,
S S
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
Spromulgated by the State of New York, Department of State Code Enforcement and Administration, or other �5
5 authority having jurisdiction, and found to be in compliance therewith on the 6th Day of August,2004. S
5 Name OTY Rate Rating Circuit TTe 5
5 Wiring and Devices
5 Outlet 9 0 Fixture 5
SFixture 5 0 Incandescent C5�
Cj Fixture 4 0 Fluorescent 5
5 Outlet 17 0 General Purpose 5
SReceptacle 17 0 General Purpose 5
5 Switch 3 0 General Purpose S
5 Paddle Fan 1 0 S
5 Receptacle 2 0 GFCICjc
5 5
5 5
5 5
5 S
5 5
S seal 5
5 5
5 I of I 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
O rJ�rJMpr Pfflr3rJSrJc�l� cP D
FROM HURLBURT PHONE NO. : 5167887802 Sep. 12 2002 10:47AM P2
VIA FAX
September 12,2002
P.O.Box 98
Fishers Island,NY 06390
Town of Southold Building Department
P.O.Box 1179
Southold,NY 11971
Re: Harry&Sandra Hurlburt
Building Application No. 5159
SCTM No. 1000-3-2-10
Gentlemen:
Please reinstate my application for Building Permit No. 5159 as a result of action by the Town
of Southold Board of Appeals granting approval to my request for variance at their meeting
held on September S*2002. Enclosed for your information is a copy oftheir Findings,
Deliberations and Determination applicable to this matter.
I trust that this will satisfy your requirement and that a building permit will now be issued£vr
my project.
Thank you for your attention to this matter.
Very truly yours
6 _
.Hurlbu rt 12 T02
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REMARKS: Q• F- �� � f �
DATE IN8PECTORZ�������s*'�
10/15/2004 10:11 FAX 631 788 7798 FITELEPHONE 2002
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New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 40-SUNY,Stony Brook, New York 11790-2356 Erin M.Crotty
Commissioner
Phone:(631)444-0365 • FAX: (631)444-0360
Website:www.dec.state.ny.us
LETTER OF NON-JURISDICTION
TIDAL WETLANDS&FRESHWATER WETLANDS
Mr.Harry O.Hurlburt
7014 Sheaff Lane
Fort Washington,PA 19034 February 8, 2002
Re: NYSDEC Facility# 1-4738-02953, East End Rd.,Fishers Island
Dear Mr. Hurlburt: "
Based on the information you have submitted, the New York State Department of Environmental
Conservation has determined that:
The proposed deck extension, addition and stairs depicted on the survey prepared by Richard H.
Strouse,L.S. on March 21, 2001 for the property at SCTM# 1000-003-2-10, East End Road,
Fishers Island, Suffolk County are both greater than 100' from any NYSDEC regulated
freshwater wetlands AND above the topograhic crest of a slope that is greater than 10' Mean
Sea Level in relation to tidal wetlands.
Therefore, in accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 66 1) &
Freshwater Wetland Permit Requirements Regulations (6NYCRR Part 663) no permit is required
under the Tidal Wetlands Act or the Freshwater Wetlands Act. Please be advised, however,that no
construction, sedimentation, or disturbance of any kind may take place seaward of the wetlands
jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all
necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the
ground surface or vegetation within Tidal&Freshwater Wetlands jurisdiction which may result from
your project. Such precautions may include maintaining adequate work area between the wetland
jurisdictional bounds and our ro'ect i e a 15'to 20'wide construction area or erecjtln _'.....
J boundary Y p J (�. . � ._...__-- �-
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve you of the responsibility of obtaining any
necessary permits or approvals from other agencies.
Very truly yours,
Ro Evans
De ty Regional
Permit Administrator
cc: CME/CPK Design Group
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD,N.Y.
NOTICE OF DISAPPROVAL
DATE: May 6, 2002
TO: Steven Hamm A/C Hurlbert
45 Hampton Road
Southampton, NY 11968
Please take notice that your application dated April 16, 2002
For permit to construct additions and alterations to an existing single family dwelling at
Location of property East End Road, Fishers Island,NY
County Tax Map No. 1000 - Section 3 Block 2 Lot 10
Is returned herewith and disapproved on the following grounds:
The proposed addition/alteration to an existing non-conforming single family dwelling on a lot
measuring 78,408 square feet, located within the Residential R-120 District is not permitted pursuant
to Article XXIV Section 100-242A which states:
"Nothing in this article shall be deemed to prevent the remodeling reconstruction or enlargement
of a non-conforming building containing a conforming use provided that such action does not
create any new non-conformance or increase the degree of non-conformance with regard to the
regulations pertaining to such buildings_"
The existing single-family dwelling has a rear vard setback of+/- 60.2 feet and a proposed rear yard
setback of+/-65.4 feet,which is not permitted pursuant to Article XXIV Section 100-244-which
states that, on lots measuring between 80,000 and 119,999 square feet the minimum rear yard setback
is 75 feet.
Total lot coverage, following the proposed addition/alteration is +/- 3erp cent.
----------------------------------------
Authorized Signature
Note to Applicant: Any change or deviation to the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Z.B.A.
Ik
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?,
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans_*
TEL:765-1802 Survey-*
PERMIT NO. Check *
Septic Form
N.Y.S.D.E.C._*
Trustees
Examined ,20 Contact:
Approved___________,20 Mail to: JACK RARIDON CONT.
1 FETER!5 WAY
Disapproved a/c F15HERS ISLAND, NY 06390
Phone: (631) 788 7582
Ir
Building Inspector
7
APPLICATION FOR BUILDING PERMIT
Date ! 2002
INSTRUCTIONS
a.This application MUST be completely filled in by typewriter or in 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 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 throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy 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 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 code,housing code,and regulations,and admit
authorized inspectors on premises and in building for necessary inspections.
gnatur f apoirAk or name,if a corp tion)
7014 SH FF LANE
FORT WASHINGTON,FA 19034
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
OWNED
Name of owner of premise HARRY 0.HURLBURT.JR. and SANDRA L. HURLBURT
(as on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. #21207-Hi
Plumbers License No. FENDING
Electricians License No.WALSH CONTRACTING -#924-E
Other Trade's License No.
1.Location of land on which proposed work will be done:
EAST END ROAD FISHERS 15LAND
House Number Street Hamlet
County Tax Map No. 1000 Section 003 Block 2 Lot 10
Subdivision N a Filed Map No. — N Lot Nie
2.SMe existing use and occupancy of premises and intended use and occupancy of proposed construction:
a.$xisting use and occupancy ttc�lnt=�Ir�
b.Intended use and occupancy RE5IDENCE
3.Nature of work(check which applicable):New Building Addition * Alteration
Repair Removal Demolition Other Work DECK
(Description)
4.Estimated Cost $90000 Fen $150.00
(to be paid on filing this application)
5.If dwelling,number of dwelling units--j—Number of dwelling units on each floor N/A
If garage,number of cars N/A
N/A
6.If business,commercial or mixed occupancy,specify nature and extent of each type of use.
7.Dimensions of existing structures,if any:Front 36-5" Rea 36-5" Depth 24'-6"
Height 24' Number of stories 'L
Dimensions of same structure with alterations or additions:Front 46,-5" Rear 36'-5"
Depth 24'45" Height 24' Number of stories Z.
8. Dimensions of entire new construction: Front 10' Rear 10' Depth 14'-0"
9. Size of lot:Front 1137.47' Rear 272_R5' Depth C 73 9.27
10.Date of Purchase MAY 23,1969 Name of Former Owner SUFFOLK COUNTY
1.Zone or use district in which premises are situated ,per-120
2.Does proposed construction violate any zoning law,ordinance or regulation Nn
3. Will lot be re-graded NO Will excess fill be removed from premises: NO
7014 5HEAFF LANE, FT.WASHINGTON,PA
4.Names of Owner of premises HARRY 0. HURLBURT Address 19034 Phone No.215-646-1863
110 BROADWAY,NORWICH CT
Names of Architect RICHARD STROUSE Address 06360 Phone No 860-889-3397
1 PETER'S WAY,FISHERS ISLAND,NY
Names of Contractor:U ddress 06390 Phone No.631_788-M2
5.Is this property within 100 feet of a tidal wetland?NO–LETTER OF NON JURISDICTION FROM D.E.C.ENCLOSED
*IF YES,SOUTHOLD TOWN TRUSTEES PATS MAY BE 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
(STATE OF NEW YORK)
SS:
(COUNTY OF )
HARRY n NI IRI RI IRT being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 9nMer=
(Contractor,Agent,Corporate Officer,etc.)
If said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application that
all statements contained in this application are true to the best of his knowledge and belief,and that the work will be performed in the
manner set forth in the application filed therewith.
Sworn to before me this
day of ri 20 o L-
Notary Public n we of Applicant
Notarial Seal
John D.Collins,Notary Public
Springfield Twp., Montgomery County
My Commission Expires Oct. 16,2004
Member,Pennsylvania association of Notaries
CME CME/CPK Design Group Awliiwc Lure,Engineering,Environmental Science&Surveying
110 06360-4452 Tel:860-889-3397 Fax:860-886-7801
CpK
I
�`
CHANDLER,PALMER&KING a� September 27, 2002
P 3 0 i I
WN ui
P F3ralhord Chenec.Pe..L.S. Town of Southold
Prr,idrnt/CEq
Building Department
P"'hp B.in P.O. Box 1179
Chairncall ut
(;ROUPI)IRECTORs Southold,NY 11971-0959
Architecture
Gonhm C.Hcdc.R.A.
Environmental Science
-%7irhacl G schaeler.C P.S.s. RE: Addition to Harry Hurlburt Residence
Hvdroltop&
NNater Resources
Scott G.Youn",P.L.
Private& Gentlemen:
Commercial Development
Richard H.Suou,e.P.E..L.S.
Structural Engineering Paragraphs 763.2 (b) and 763.3 (b)respectively deal with light and ventilation in
Michael R Cnh„o,P.E. buildings.
Surveying
Jellivv.1.stelunik.L.S.
Transportation This letter will verify that the alterations being performed on the above captioned
N110MCJ P.Cuh„o,P.F_ project will result in both light and ventilation percentages,which exceed the
(Acting)
minimum 8% and 4%requirements.
If you need further information,please contact me.
Thank you for your attention to this matter.
Cordially,
Gordon C. Hyde, R.A.
Director of Architecture
*ED ASC
Lt1 C7 � n
ylr
Q29062- COQ'
aF NES
Toll Free 1-888-291-3227 Nationwide AN EQUAL OPPORTUNITY EMPLOYER www.cmeengineering.com
A Division Of CME Associates, Inc. Offices in Norwich&Woodstock.CT and Southbridge,MA
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: `1/19
1�- /a
APPLICANT: krr 4a-16 -� DATE SUBMITTED:— :?
SCTM4 DISTRICT: 1,000, SECTION: BLOCK: LOT: Iy
STREET ADDRESS: ��, ��� ��� CITY r t!L -�stf1N� SUBDIVISION: �p
PROJECT DESCRIPTION:Aw-,mom;- -i,�y� �I.� AS -PER AA
ESTIMATED PROJECT COST: % ARCHITECT/Hh=MR: FAST TRACK?�l
SINGLE & SEPARATE CERTIFICATION-REQUIRED? _ ,K NOTES: _
LOTS 40,000SF-100-24.Lot recogiition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconfon ling at any time after
ZONING DISTRICT: _�,_�� CONFORMING? Wo
REQ. LOT SIZE: 110.o00 ACT. LOT SIZE: �a REQ. LOT COV. ACT. LOT COV. _
REQ. FRONT 6yl PROP. FRONT_ ✓ REQ SIDE =,2 /Vf ACT. SIDE .0-
REQ. REAR ?6' PROP. RE 'r REQ."HEIGHT PROP. HEIGHT
WATER FRONT? No DESCRIPTION:
PANEL #: 3 FLOOD ZONE:), --
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or(O (BED #): DTE: / / PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y on
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES oNO
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: &D or V-&Lr
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES orkto
NYS ENERGY: YES OR NO
EGRESS (18 H min.? 4 sq total) Q. FT. x 4%) SLIGHT (SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRE� -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/o Z- ,
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: �3� –SF
SECOND FLOOR 5c 9_ SF
OTHER: _SF INIT OTHER TOTAL
TOTAL: 3 _SF FEE FEE FEE
I. ( 113(6 SF)- ( 8-r50 SF)= SF X $-.3O =S-0 80 +$ )'5C) +$ = $ 0?35 ec>
2. ( SF)- ( SF)= SF X $—=$—+$ +$ = $
BUILDING PERMIT EXAMINER CHECK LIST
DATE ISSUED: —/—/02
DATE REVIEWED: q/p/02
APPLICANT:AAM 4uz DATE-SUBMITTED: y //b /02
SCTM#DISTRICT: 1,000, SECTION: sf , BLOCK: 2- , LOT:
STREET ADDRESS: ep&-r JG�L CITY: t Z . -- SUBDIVISION: 14LA
PROJECT DESCRIPTION: Amtc`wLs
ESTIMATED PROJECT COST: Or– ARCHITECT FAST TRACK? N6
SINGLE & SEPARATE CERTIFICATION-REQUIRED? Xo NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8.
ZONING DISTRICT: 12e CONFORMING? No
REQ. LOT SIZE: 12a�es ACT. LOT SIZE: Q REQ. LOT COV. 020 SACT. LOT COV.
REQ. FRONT ,56' PROP. FRONT–SIZE:
SIDE_ ' ' ACT. SIDE
REQ. REAR 03�5' PROP. REAR ./
WATER FRONT? DESCRIPTION:
PANEL #: FLOOD ZONE: ,
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED#): DTE:_/_/_ PERMIT#:RIO-
TOWN SEPTIC RECEIPT: Y or N
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO
SOUTHOLD TOWN TRUSTEES: YES or NO
TOWN ZONING BOARD APPROVAL: YES or NO
TOWN PLAN. BOARD APPROVAL: YES or NO
TOWN HISTORICAL PRE (SPLIA): YES or NO
NYS ENERGY: YES OR NO :
EGRESS (18 H min.? 4 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%)
BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- ,
HAVE PRE CO'S : Y OR N BP -Z/C/o Z--
NOTES:
-NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF IIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- ( SF)= SFX$ =$ +$ +$ = $
2. ( SF)- ( SF)= SFX$ =$ +$ +$ = $
e � 8
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BLOCK 19 — LOT 9
J
DRILL HOLE 'cl 212
IRON PIPE IN BOULDERm 1 VAm m
(FOUND) S88'40'20"E 216.42' TOTAL 11'1 gL 4, _
56.43 MONUMENT
S 48.47 u uH
uND T
W 2286.23
e/ERNIY
z No I
NF m V
PFLAG
OLE° LOCAfiION MAP SCALE 1 "=400'
N� W,
82• .y",. •�N. O,
EXISTING .'
SCREENED •+�- - +';r p
PORCH \ --_--___ �Q
EXISTING Of
Y a
2ND STORY
DECK ��
WOOD DECK
0.06 AOS um R RENES O_ O w Z
EXISTING PORCH % 1 1 c�6 , AA• 0. O
1,J SURVEY MAP PROPOSOD ADDITION PREPARED FOR HARRY 0. HURLBURT, ¢ <L J Z
STONE i 1 1 / , 1 JR.; BLOCK 19 LOT 3; CHANDLER, PALMER & KING; NORWICH, CT.; DATE;
DRIVE / 0� i m MARCH 21, 2001; SCALE: 1"=40'; SHEET 1 OF 1 Ow D O Q
P U
NOTE
S 5 oCL L) o J
\ i 1.) THIS SURVEY WAS PRIJPARED FOR THE PARTIES AND PURPOSE INDICATED Q W
IRON PIPE o ,�y j HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO 00 S J
J'}1 BETWEEN THE CLIENT ANDITHE SURVEYOR EXCEEDS THE SCOPE OF THE
(FOUND) i POLE >
i 1 ENGAGEMENT, Z
u 906 _
I 2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON,
o_ UNLESS ACTING UNDER Th{E DIRECTION OF A LICENSED LAND SURVEYOR, TO LL
ALTER AN ITEM IN ANY WAY. Q
5NE0 i o h 3,) ONLY COPIES OF THIS! SURVEY MARKED WITH THE LAND SURVEYOR'S
O I +moi R'3.4j q0"W 1/9 THE ENATUR ANDSURAN
ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF
LAN»3 �l
F o 4' \ 4,) COORDINATE DISTANCE
p ARE MEASURED FROM U.S. COAST AND GEODETIC
SURVEY TRIANGULATION STWTION "CHOCOMOUNT 2"
1
S.) SITE IS IN THE TOWN 'OF SOUTHOLO, COUNTY OF SUFFOLK TAX MAP
1 j•� i �^, 1000, SECTION 003, BLOCK 2, LOT 10.
�O� O j i 11 6.) TOTAL AREA = 1,8t ACRES. Z
iv z
-P ` END 7.) SITE IS LOCATED IN RL-120 ZONE. O N
To EAST /
'20"W >
� 48,00' �
48,00'
i w
5g POLE
838 w
��O• i a
IRON PIPE
(FOUND) •p o, •} ¢ a` n
n
N O
O K 1 O
m w
p p p J
O Jw
w x 3 w 00 w
TIFICAION m mo a Oa
U NUQUALITY CONTROL CERJ
LARCH�MURAL
ED DATE
19. .� IFCENQ DATE: 10/04/2004
L /
N/F NOW OR FORMOLY 40 20 G 40 SCALE: 1 " - 40'
GRAPHIC SCALE IN FEET
SHEET: 1 OF 1
FILE F
___._ '_""_—;C,"„_� ._'^- _ __. _ — __ -.-zT' . e -- '^F1
CNOCOM V,V 1
9_g 19-1A
19-8 19-10
✓ • • 19-9A
19-7
vamax\ v9-2\ $ITE 19-2 19-2 .
19-F
19-5 19-4
BLOCS 19 - LOT 9
I
21_1
I o-
IRON PIPE IN�BLLOILLD�ER
(FOUND)— SW40'20•E 216.42'
56.43 MONUMENT \
—S 48.47
W 228&23
0-3
FLAG
EXISTING
POLE' WOOD DECK \ LOCATION MAP
52'f 1 / 'o�ap \ SCALE 1"=400'
-
PROPOSED
�CK �� --- \ REFERENCE MAP :.
PROPOSED ADDITION EXISTING
RESIDENCE', ,p 1.) PLAN OF PROPERTY OF HARRY 0. HURLBURT JR , BLOCK 19 LOT 3, FISHERS
PROPOSED STAIRS EXISTING STEPS G
_ AND LANDING � ISLAND, NY, SCALE 1"=100 FT. BY CHANDLER & PALMER, ENGR'S, NORWICH,
CONN , APRIL 1969.
EXISTING STAIRS
TO BE REMOVED
EXISTING WOOD DECK / \ \\ �4 4--11NOTE
11
i STONE / 1 ) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED '
/ DRIVE HEREON. ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO
/ Py I I BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE
j
� ENGAGEMENT
2.) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS
I ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM
IRON PIPE ' I IN ANY WAY
(FOUND) w,
y P9AND I ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND S'URVEYOR'S SIGNATURE
I I AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND
l�1 SURVEYOR.
10/
4.) COORDINATE DISTANCES ARE MEASURED FROM U.S. COAST AND GEODETIC
10 SURVEY TRIANGULATION STATION "CHOCOMOUNT 2"
J 11 l \ -14`• -W ti \\ IS IN THE TOWN OF
LOT 1OUTHOLD, COUNTY OF SUFFOLK TAX MAP 10(10,
C SECTION
V4 I
6 ) TOTAL AREA = 1 Bt ACRES.
\ J I
7 ) SITE IS LOCATED IN ZONE R-120
I
a SII
� I \ To sT SN
SURVEY MAP
/ =2610•W PREPARED FOR
46.00' /
POLE
\\O B38
IRON PIPE
vpp ;a HARRY 0. HURLBURT, JR .
(FOUNND)D) �0 \ -
y �
o-o zo D o-0
GRAPHIC SCALE 1N FET BLOCK 19 LOT 3
FISHERS ISLAND, NEW YORK
��� .,� REVISIONS
LIN a CHANDLER, PALMER do KING
1-- 01.; DATE DESCRIPTION
110RM1ec Y DWMK nng antl Swv11— g
tta twotw.Y taws. LT aqw ea-�r-ss7 ral�mt
�.s a
DATE: MARCH 21, 2001 PROPOSED ADDITION
SCALE: 1" = 40 _
00027_HURLBURT—R DWG/MD SHEET 1 OF 1
N
..UNDER}YRITaE¢JMPtFICATE PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
APPROMAS ,O9 REQUIRED BY PART. 714 OF
y� •c1q, N.Y. STATE BUILDING CODE.
FFs �358o Br S�L�---
NOTIFY BUILDING DEPANTMENT AT OCCUPANCY OR
765-0602 9 AM TO 4 PM FOR TNR USE IS UNLAWFUL
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED W11k10UT CERTIFICATE to
FOR POURED CONCRETE OF OCCUPANCY
2 ROUGH - FRAMING h PLUMBING o ,>,
8. INSULATION
v
4 FINAL • CONSTRUCTION MUSTF
BE COMPLETE FOR C.O. PROVIDESMOKE-DETECTING v m
ALL CONSTRUCTION SHALL MEET ALARM DEVICES ppj�
THE REOUIREMENTS OF THE N.Y. AS TO PART.721.1 `q �
STATE CONSTRUCTION h ENERGY
NOT RESPONSIBLE FOR N.Y.S BUILDIN CODE-
CODES. p
DESIGN OR CONSTRUCTION ERRORS .. —_ _!Q' ADDITIwnj 5 D�z[.�, q z
P5644 .�SCr'
DO NOT PROCEED WITH >
FRAMING UNTIL SURVEY � � W
OF FOUNDATION LOCATION nE
i- - -- — HAS BEEN APPROVED. o N , •r
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