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Home My WebLink About26265-Z FORM NO. •1 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30948 Date: 05/31/05 THIS CERTIFIES that the building ALTERATION Location of Property: FOX AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 9 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 13, 1999 pursuant to which Building Permit No. 26265-Z dated JANUARY 11, 2000 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 INTERIOR ALTERATIONS & RENOVATIONS FOR TWO EXISTING BATHROOMS FOR AN EXISTING SEASONAL SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CALVERT BARROWS HALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2053627 05/20/05 PLUMBERS CERTIFICATION DATED 09/10/01 EMERY NEMESKAY //71ed S gnature Rev. 1/81 FROM SOUTHa_D TOWN PLANNING BOARD FAX NC. : $16 765 3136 Nov. 09 2000 0U:5,5AM PS TOWN OF SOUTHOLD s BUILDING DEPARTMENT TOWN HALL tCl f \ j 765-1802 ` J APPLICATION FOR CERTIFICATE OF OCCUPAN V � A, This application. must be filled in by typewriter OR ink and su itte#'-the building Inspector with the following: for new building or now use: / 1. Final survey of .property with accurate location of all build ngs, 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 12 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. F04a 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 325.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2%A 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... .. ... . ... 9/17`.0'.55. ... . . . . . . . . .. New Construction. . . . . . . . . . . Old Or Pre-existing Building. .. . . . .. r Location of Property. ... . ft A. LLE. . .. .. .. .. ... . .. .6LS E House No, Street // - Hamlet Onver or Owners of Property.. . .Y L1lE_-,�a. . . / - /2E�b1�5 H7i'LL . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . .. . . . County Tax Map No 1000, Section. . . .. . . .Block. .�.(!:)� . . .. . . .Lot. . .<<.:y. Subdivision. .... . .. . . ... . . .. . .. . . .... . ... ... ...Filed Map .. ... . .. . .Lot. .. . . . .. ... .. . . . . . . .. . ... . permit No. . . .. .. . .Date Of Permie s`{� IJ.). �`....Applieant:1 . /2{>L�, . . _• , , , Health Dept. Approval.. . ... . ........... . . .... ..Underwriters Approval. .. . ... . . . . . .. . . . . . . . . .. . Planning Board Approval... ... ............. ... .. Request for: Temporary ^Ce�rtif.IcaL'e.. . . .. . . .. . Final t to . Fec Submitt*di 3. . . . . .72tt :S-.!.'.. . .. . .. . . .. . . . .. . . . . . . . . . . . . .... ... .. . .. ..... PI �. yr/ c0 -2-- 30Y� rJ arJ arJ arJ�rPcPrPr�rJrJ arJ�rJrJc1c1 acrarJ arJr1iJrJrJ�rJ�rJ�JrJrJ�rJrJrJrJ�rJrJr�rJ��frJ�rJrJ�rJ�r�rJ�rJLrLFffi�1'Por-3PLrJrJ'a I B 25 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERSBURE5 5 TY 40 FULTTON ST EETTF NEW YORK, NY 10038 5 5 5 5 5 CERTIFIES THAT 55 5 Upon the application of upon premises owned by C� 5 5 5 WALL ROBERT E. C. BARROWS HALL11 5 5 FISHERS NY 06390, FISHERS IAVENUE LOWER SLAND, NY 0 390 5 C5 55 5 Located at LOWER SHINGLE HILL RD. FISHERS ISLAND, NY 06390 5 5 CC7 5 Application Number: 2053627 Certificate Number: 2053627 5 Section: Block: Lot: Building Permit: BDC: ns11 C� Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Second Floor, C� A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed C 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated 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 Day of 5 20th May, 5 Name QTY Rate Ratine Circuit Tvpe 5 5 Wiring and Devices C 5 Switch 3 0 General Purpose 5 5 Fixture 3 0 incandescent 5 5 Receptacle 2 0 20 amp GFCI 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 5 I of l c5 55 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 5 D rJLPLPLLPLPLrPLpdrJmrlrJ@mmmuuirJapdU o TEL. 765-1802 �cVfFOur TOWN OF SOUTHOLD :c OFFICE OF BUILDING INSPECTOR io P.O. BOX 728 W TOWN HALL `a0 t SOUTHOLD,N.Y. 11971 gyp! 411 y� C E R T I F I C A T I O N Date Building Permit No. 0��--q(D97 - OwnerC,A-t VC-,-0T 19AP— lJAIS 14-LL r (please print) PlumberG-/\/1Ck'y FS/lAV (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. s signature) Swo to before�me this /O4-L- 2,60/ er day of• �t9 C 2,6o/ Notary Public Notar Pu i 4 County THOMAI R OOM€RTY d Notary Public State of New York No.4606559 Cluslifloc In Suffolk County Tam Expires 12.931adt-- � Gam •? M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: 0- In k, G D DATE D INSPECTORWW;G,AOWW 03/24/2000 14:25 COVER PAGE MAR 2 4 2000 TO : FAQ{ : 15167651823 FROM : HAROLD ' S FAX : 16317885549 TEL : 16317885558 COMMENT : HARCOWISHERSISLAND . NET 3-24-00 PROPOSW FLAN AMENnmf,N-(' 06C,K ADDI-rloa - T-rl:ms Armu1Rw IDR Am6womf-m-f K HAROLD COOK J SU{�V�Y a INmc-o-r qu- EXl5TING f' wDeoSSD gat SSSo 56-SSAGKS To Alwyn " L)NiEs, t RD.►J. S. 14 fftPlfmO: 3-21.00 7F mature E%15-PING � woPDs6a LOT CDVrRaoq& , SoRvEY $ fRAhIMU s IkDl(,KC AU- 'fRAUSIZ Ri(nwf•OF-InYS. PLANS Rt.Qo1RtiC� DF.GK F€iA('111iJG 'PLANS ILIDICASf, Au, StRUcfuR£, — �ODflt((S 1 GIRilf,RS I JDIS7S 75?AGIN 6t &TL, i I i I I I owl Q J�G C i I i NEW I I p I r7 _, p i I I I j C. B ow A L 'r" 1 lilt I SII I I� j j l I I I S I I I I I I �I I • � i � I l i j l l I O'9 lir i6 v6 `� ALL c ;it s . o• ti 4 Qub . tlAu Oftftft 7881988048 �Nt�_Q a . .. �J a3Wlb r/wl/ . 7.V_- a3lQN bN� Wb 00580 00 T 4_ • e-aaW 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. 26265 Z Date JANUARY 11, 2000 Permission is hereby granted to: CALVERT BARROWS HALL HOBE SOUND FL, 33455 for CONSTRUCTION OF INTERIOR ALTERATIONS AND RENOVATIONS FOR TWO EXISTING BATHROOMS FOR AN EXISTING SEASONAL ONE FAMILY DWELLING AS APPLIED FOR. at premises located at FOX AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0001 Lot No. 002 pursuant to application dated DECEMBER 13, 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 i + i i < i i l i j l j I WYOWS COOK HMOLD'S 1.0 BDX 661 0"MAD N.Y. 06398 j ; ? L�,� . ; ; i l j fAX 016-7 0549 ' cl) Lrl LO 1101 Iii ps, T, Isli s n Ivs I ,w Leo !L � -46; ml 610-78845M COOK FISHERS ISLAND N.Y. D6390 ------...... 40 3�Cd s,G-iOSVH 64G688LTS91 GV:TZ 000UTT/00 COOK R,0 60K 661 FISHERSi ISLAND N.Y,106390 p 6 v M I LA QA akqUD ) a( I Q n HAROLD'S 516+788-5550. FAX 516-7$8-5549 �x�sTi N6 GV�flti�� ru to �NC 160 h � � L ' � N ! ROUOMI • FKIAYI /�/y�EoLa is N y 3, INSULATION mwwww ALL CO UIR CTI N SHALL N.V. 1'S'A,71'IE;11`f/yYR' 0MIPME THE REdUIR�MEN1f3 OF TN� N STATE CONS RUC ION I1 E EFOR CODES. INOT�, RE9PONSIBLt FOR DESIGN OR CONSTRUCTION E&WO r i COOK / 1 / I 516488-L5550 f.0 sax 661 l ,, U 79 �, ��f/.S A ( 1 l 2 Q FAX 51:6-788-5549 FISHERS ISLAND N.Y.:06390 - t) ,&) &2� - - Ivo P Ld 71 oxcl A10 �. BOARD OF HEALTH . . . . . . . . . FORM NO. 1 J SETS OF PLANS . . . . . . . . . U;_1 I J TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . " . . . . . . . . L_._..- — .._._..i TOWN HALL SEPTIC FORK . . . . . . . . . . . . . C' T' SOUTHOLD, N.Y. 11971 liJL -3 C' D " TEL.: 765-1802 t:OT I FY CALL . . . . . . . . . . . . . . . . . . . Examined . . . . . . . . . . . . . . . .. 19 . . . NAIL TO : Approved . . . . . 17. it . . . . . .,400. Permit No.�b ?- - Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building nspector) PLICATION FOR BUILDING PERMIT a Date !11G /�.�?�?Z .. 19 1�./ 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 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 BuildiTig_PS�rmit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and othepl 9 Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal o in ios herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, P6, 9 c e, a regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / (S(i�gnature /app icant, or/name Wa corporation) (Mailing address of applicant) State whether applicant is owner, lesse aCgentt, aarchitect, engineer, general contractor, electrician, plumber or builder. 4!I` p�F?4� [i�u !QCt ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . !`.�G ws / '/�LL (as on the 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. l.N.. . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's Licen-e No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J1 / .4' w. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. House Number �j'Street Hamlet County Tax Map No. 1000 Section . . . : . l. . . . . . . . . . . . Block . . . . . . . . . . . . . . . . . Lot . . . . ��). . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) '_: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . 60....... ./+(Jmc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . .. ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . , . . . . . . . . Demolition . . . . : . . . . . . . . . Other Work . . _ . . . . . . . . . . . . 'l - ' _LSU (Description) 4. Estimated Cost . . . . . . . . . . . . . . . I. 0-M �C. . . . . . . . . Fee . . . . . . . . .;I 7.�3.'. . . . . . . . . . . . . . . . . . . . . . . (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 nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . .. . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . .y�/4 . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . :. . . . . . . . : . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . .IN/.lk. . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number ofStories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Fro,tt . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . I . . . . . . . . . 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: . . . . .I&C-'. . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . .. . . . . . . . . . . . . . . . . . . . Wille ess�till e remo d front premises: Yes \ Nom 14. Name of Owner of premises G.I��F?�I1!s. �. . . . . Address :�tf�P��PL . . Phone No. . . . .-. . . . . . . . . Name of Architect . . . . . . . . . . . . . Address Phone No. ._. . . . . . . . . . . . . . . . . . _. . . reji Name of Contractor . i4 �A040A. . . . . . . . . . . . Address ok ) . / k y Phone No. ?F.�s��-5 %. 15. Is this property within 300 feet of a tidal wetland. * es. . . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andindicate 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. - ��1�'10f�EL � 8A-77F•P-dalt'[5 TATE OF NEW YORK, S.S 'OUNTY OF . . . . . . . . . . .elp '/ COOX . . . . . being duly sworn, deposes and says that ho is the applicant . . . . . . . . . . . . . . . . . . . . . . . (Name of individual signing contract) •nve named. i e is the . . . . . . . . . . . . . . . . . . . . . . . . . �> /JF !�C Al'7L?.1C!71U� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent,corporate officer, etc.) said owner or owners, and is duly authorized 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 ark will be performed in the manner set forth in the application filed therewith. vorn to before el � . . . ° . . . . . , 191. tory ic, . . . . . . .\. . . . . County __. THOMAS F.DOHERTY JR. (Signature of applicant) Notary Publle State of New York No.48%559 Oualdlao in Suffolk County - Term Expires 123100 BUILDING PERMIT VIEW CHECK LIST AppI Owners N ( .�*�� Date Owners Name: �- ve. w$ _ [( Reviewed: Architect/ Date Engineer: _ Submitted: SCTM #: District: 1.000 Section: Block: l Lot Project F-O K '4're— Subdivision Location: _MCt..5n e- auCf Name: Single&separate Req Wef �15t Jiu, J -[1`5 certification: (Yes//p{dj �{ R Zoning District: (Lot size: � Actual: •39 ASG] (Lot coverage Proposed: ) Req r/1� ""\ iVq�OQi' .`�� YI OX-1 S ---- Req (Front Yard Proposed: (Side Yard .-/� Proposed: (Rear Yard Proposed: J Project Description: PetlrOV4T1&5 y 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: X, Town Planning Board approval: Flood Plane Elevation??? Flood Zone: V Notes: f 6Xt5 i rte U N-�� S)!!!n Imo, PA MIi-- (O iv A-L-