HomeMy WebLinkAbout31494-ZFORM 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. 31494 Z
Date OCTOBER 4, 2005
Permission
is hereby granted to:
GEORGE R & ELIZ W IRELAND
ONE INTERNATIONAL PLACE
BOSTON,MA 02110
for :
DEMOLISH AN EXISTING SWIMMING POOL AS APPLIED
FOR
at premises located at
EAST END RD
FISHERS ISLAND
County Tax Map No. 473889 Section 004 Block 0007
Lot No. 003.001
pursuant to application dated SEPTEMBER 19, 2005 and approved by the
Building Inspector to expire on APRIL
Fee $ 87.20
4, 2007.
Signature
ORIGINAL
Rev. 5/8/02
TOW~ Or 501~TllOl.i)
TOWN ILll~S
Q. lq .~,o5'-
ROXANNE SPAuLDING
NO'I'ARYPUBuC, S'EATEOFNEW¥ORK 1
No. O1Spfi 3.q42
NEW YORK STATE CODE COMPLIANCE CHECKLIST
CLI]~LA_TIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45
Weathering: Severe
Design Temp: I1 __ Ice Shield Underlay: YES __
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITER/A: ENGINEERED/PRESCRIPTIVE
FULL FP, AMING DESIGN ELEMENTS: Y/N
HEADERS: YfN WALL STUDS: YfN
CEILING JOISTS: Y/N FLOOR JOISTS: Y/N
LUMBER SPECIES AND GRADE: YfN
DESIGN LOAD CALCULATIONS: Y/N
LIVE: Y/N. _ DEAD: Y/N SNOW: YfN SEISMIC: Y/N WIND: YfN
WINDOW AND DOOR SCHEDULE:
MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: YfN
LIGHT 8%: Y/N
VENT 4%: Y/N
NAILING/CONSTP, UCTION SCHEDULE: Y/N
MEANS OF EGP,.ESS: YfN
PLUMBING RISER DIAGRAM: YfN
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TP, USS DESIGN: Y/N
CERTIFICATION: Y/N
ENERGY CALCS: YfN
TOTAL COMPLIENCE? YfN (RETURN TO PAGE ONE)
Wind Speed: 120MPH__ Seismic Design Category: B
Frost Depth: 36" __ Termite: Moll __ Decay: S-M
Flood Hazards:
GIRDERS: YfN
ROOF RAFTERS: Y/N
· BUILDING PERMIT EX3aMINER CHECKLIST
APPLICANT:
SCTM# DISTRICT: 1,000, SECTION:
ADDRESS: CITY:
BUILI~I~G PERMITS OPEN/EXPIRED: PRE CO: Y OR N BP
BP -Z / C/0 Z- , INFO /BP
SINGLE & SEPARATE CERTIFICATION-REQUIRED
, BLOCK: __ , LOT:
ZON1NG DISTRICT:
-Z / C/O Z-
-Z / C/0 Z-
NOTES:
DATE REVIEWED: / /04
DATE SUBMITTED: / /04
SUBDWISION:
CONFOR/~flNG?
, INFO
, INFO
LOTS 40,000SF -100-24. Lot recognition.(CREATED before JuTe 30, 1983 ). UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger.(A nonconforming at an3' time after 7/1/83
REQ. LOT SIZE:
REQ. FRONT
REQ. RE~a~
ACT. LOT SIZE:
PROP. FRONT
PROP. REAR
PROJECT DESCRIPTION:
REQ. LOT COV.
REQ SIDE
REQ. HEIGHT
ACT. LOT COV.
ACT. SIDE
PROP. HEIGHT
ESTIMATED PROJECT COST:
ARCHITECT/ENGINEER:
WATER FRONT'?
BULKHEAD?
DESCRIPTION:
DISTANCE?
APPROVALS REQUIRED
PANEl. #
SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): __ DTE:
TOWN SEPTIC RECEIPT: Y or N SEPTIC CERTIFICATION: Y or N
FLOOD ZONE:
/ / PERMIT #:
NEW YORK STATE DgC:_ ~ YES or NO
SOUTHOLD TOWN TRU"S~YEES: YES or NO
TOWN ZONING BOARD APPROVAL: YES or NO
TOWN PLAN. BOARD APPROVAL: YES orNO
TOWN IIISTORICAL PRE (SPLIA): YES or NO
DTE:
DTE:
DTE:
DTE:
/ / PERMIT #:
/ / PERMIT #:
/ / PERMIT #:
/ / PERMIT #:
NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO
NOTES:
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:_
OTHER:
TOTAL:
t. ( SE)- ( SE)=
2. ( SE)- ( SE)=
3. ( SF)- ( SF)%
SF
SF
SF
SF
SF
~O
SF X,,/5'%5-oV
SF X$
SF X $ =$
INIT OTHER TOTAL
FEE FEE FEE
+$ =,
+$ +$ = $
+$ +$ = $ ....
FINAL TOTAL: $ ~
FORM NO 4
TOWN OF SOUTHOLD
BUILDING DEP~.RTMENT
Offic~ of the Building Inspector
Town Hall
Southold, N Y.
COPY FOR YOUR
INFORMATION
CERTIFICATE OF OCCUPANCY
No: Z-27789
Date: 07/06/01
THIS CERTIFIES that the build/ng ACCESSORY
Location of p~x~x~y: EAST END R0~D FIS~IERS ISLAAqD
(HOUSE NO ) (STREET) (F~L~LET)
~%~lty Tax ~ap No. 473889 Sectio~ 4 Block 7 Lot 3
Su~v~slon Filed~%ap NO. __ Lot NO. --
conforms substantially to the Applzcatlon for Building Permit heretofore
filed ~n t~s office dated MARCH 30~ 1988 pu~r~,n--t to w~/ch
Bu/ld/ng Permit No. 16877-Z dated APRIL 1~ 1988
was ~ssued, and conforms to all of the requirement~ of uhe applicable
provlszons of =he law. The occupancy for which Chis certificate =s ~ssued
is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR
~ ce-rt~flcate is mssued to EDW~D P ~%DDEN & ORS TRUSTEES
(OWNER)
o~ the aforesaid building
SD~)I~K COIFA~I"~ DEPANT~NT OF ~ALTH APPRO%rlLL N/A
~Cz~ICAL c~-rIFICATE NO. PENDING
~T/A
07/0~/01
Rev 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEPJ~AIT J~AUST BE KEPT O~1 THE PREMISES UNTIL FULL
COA&PLETION OF THE WORK AUTHORIZED)
NO_ 1,5 8 7 7 7.~,,, ...~. ....... ~. ...................... , ~9.~
Perm~ss,on Is hereby gra~ote~' ^ ~
- _,~, ~..~......~ ...o¢~....~.. ,¢. ,..
...~...~.~..Y ........... .'... .....
L.,., .
T ....................................... ;..:"'"':"-";:";i ....... .Z~'"%'"'= ..... ~"T_"'~' ...................
at premises located at ......... ~.e~..~....,~.s~..~ ........... .~7....A~I~,~......~ ....................
¢o,,~ Tox Mop No ~000 S,ct, o, ..... O...~. ..... 8~ock ........ ..~...q ...... U~ No ...O..~.
,:,,..~,.,,,,, ,,o ,-,p~,l,~,,,,,o,., ,,,,~ ..... .."~o,u~ .so. ............ ~.~., ,,,,:, ,,,:,,,,.o,,~ ~,.
/
Building Inspector
Rev 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
An
This application must be f~lled zn by typewriter OR Ink and submitted to the building
inspector with the following: for new building or new use:
I. F~nal survey of property with accurate location of all buildmngs, property tines,
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 certifyi~g that tke solder used in ayete~ contazms
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 buxldzng.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buzldings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. Accurate survey of property showing all property llnes, streets, building and
unusual natural or topographic features.
2. A properly completed applzcatzon and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Buzldzng Inspector shall state the
reasons therefor in writing to the applicant.
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,
Addztzons to accessory building $25.00. Businesses $50.00.
2. Certzfzcats of Occupancy on Pre-existzn~ Buildzn~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co~nerczal $15.00
ata .... ................
New Construction ..... ~ ..... Old Or Pre-existing Building .................
Location of Property....(no ~/~ ............................... East End .R.o.ad... . . .. ..... .Fishe.rs.... ...Island.....
House No. Street Hamlet
Onwer or Owners of Property ...... 7~. ~P~. ~. E9~atATrust
County Tax Map No I000, sect ou. PPA'PA ......Bloc .P3.'PA ......... Lot. PP):?P?. .............
Subdivision. ~. of Fishers. Island Dev. Corp. ~ ~ A-421. Lot.l~-~ pip. 11~ l~r9 % 15-1
.............................. z-~- Map .....................
Permiu No. .JDDJ7 .... Date Of Permlt..~.~% I%88 ..Applicant ........
Health Dept Approval Underwriters Approval .....
Planning Board Approval. Septmmber 9, 1991
X
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submit:ed: $ 25.00
~/09~001 19:33 ~3178B7011
FISH~S ISi_AND WATER
TLS.ZIG2
BUILDING DEPT.
INSPECTION
PAGE
FOUNDATION
FOUNDATION ZND
FRAMING
ROUGH ~
INSULATION
FOUNDATION {1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FIUAL
ADDITIO~AL COMMENTS:
Town Hail, 53095 Mom Road
PO Box 1179
Southoid, New York l [971-0959
BUILDING DEPARTI'AENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
June 15, 2001
Edward Madden
C/o Gertrude Legendre
300 Medway Rd-
Goose Creek, SC 29445
RE: East End Rd., Fzshers Island
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy because of the
An application for Certificate of Occupancy is
not on file (Enclosed)
No Underwriters Certificate on file.
The check is (not on
No Health Department Approval on file.
No final lnSpQctlon has been made.
No Plumber Solder Certlfzcate on file.
(All permits lmvolvlng plumbing being
zssuad after April 1, 1984).
BUILDING PERMIT t 16&77-I
Please contact our offzce on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Approved ~. ~.
D~sapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Ttus apphca~aon must be completely filled m by typewriter or mmk and submitted to the Budding Inspector, with 3
sets of plans, accurate plot plan to scale. Fee accontmg to schedule
b. Plot plan showing Iocatlon of lot and of braidings on prem~es, mlation~p to adjoining premiss or pubbc streets
or ~s, and gms a det~ed descnpUon of layout of property must be drawn on the dt~mm whtch ts peg of thts apph
c ~e wo~ covered by ~s apphcat~on may not be commenced before ~u~ce of Building Permtt
d. Upon approv~ of ~ apphcauon, the Budding Ias~ctor ~1 issued a Building Pemtt to t~e apphc~t. Such pemtt
~i be kept on the premtms or.able for mspectwn ~mu~out the work
e ~o building s~H be occupied or reed m whole or m p~t for any purpo~ wMte~r untg a Ce~tficate of Occup~cy
sha~ have been grated by ~e Braiding Inspector
~PLICATION IS HEREBY MADE to ~e Braiding Dep~ment for the mmnce of a Bmldmg Pem~t pum~nt to the
Budding Zone O~manee of the Town of Soutgold, Suffolk County, New York, md o~er apphcable ~ws, O~ces m
Regulations, for the co~tmct[on of building, addiaom or ~teraUonMr for remov~ or demohnon, as helm de~nbed
~e apphcant a~es to comply wRh a~ apphcab[e laws, ordmanco~b~dmg ~d~ housing c~e, and regulations, ~d to
admit authorized mspectom on prem~s ~d m buadmg for nece~a~ectJ~s~/
.'~~c'~atureo[~ame, lfaco;~orat~)'-
(Madmg address of appbcant)
State whe~er apphcant ~s owner, Ie~ee, agent, ~c~tect, en~neer, gener~ contractor, electrician, plumber or budder
.... .....................................
(as on the tax roll or latest ~ed) ..............
If apphcant is a co~omhon, stgnature of duly authorized officer
(Nameandhtleofco~orateofficer)
T BE SUFFOLK LICENSED
Plumber's License No ---'
Electncmn's License No
Other Trade's Ltcense No
I. Locatton of land on whwh proposed work will be done,
House Number Street
County Tax Map No I000 Sectmn .Z~L, . Block
Subd~vmon .. . Fded Map No
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed constmcnon
Hamlet
Lot ......
~. N'atur¢ of work (check which apphcabIe). New Budd,ng .. Ad&tion r'~,t~"~q~ - ' .
~ ~,.;~ . (Dcscnpnon)
(to b~ ~d o~ Fd~ng thts apphcatton)
5 If dwe~ng, number o~dwe~ng umts , , w .. . Numar ofdwelhng u~its on.ach floor ..........
6 If business, commercml or mined occup~cy, specify nature and extent of each type of uso . .. ~ ......
7. D~ensmns of existing structures, ffany Front ...... Rear ........ Depth . ..
He~t ..... ....... Number'of ~[ones ..............
Depth ......... He~t ........ Number of Stones
Height ....... Number of Stones ....................
I0. Date of Purc~ ..................... Name of Fomer Owner ...................
12. Does proposed constructmn vmlate any zomng law, ordinance or regulation' . ........ ~.~ ......
13 Will lot be re~aded ....... ~ , . Wdl exce~ fill be removed from premises' Yes No
Nme of ~chttect ...... Add~ .... ~ .... Phone No ........
prope~ hnes Give steer ~d block number or descnphon according to deed, ~d ~ow stmet nines ~d indicate whether
interior or corner lot.
coumv OF ~.?'~
C
(Name of individual slgBmg contract)
above named.
He Is the . .~--------.~.~t'~c.-~k'' ....................
.... o
(Con.actor, agent, corporate officer, etc )
af ~d owner or owne~, ~d IS duly auto.ed to perfom or have perfomed ~e smd work and to m~e ~fl file t~s
appheatmn; that ~ s~temenis contmned m th~s apphcat~on am tree to the ~t offs knowledge ~d behef, and that the
work wdl be performed m the manner set forth m the apphcatmn filed therewtth
Sworn~.l, ~t° before '/~/~'~me th~ ~~.~
(S~gnature of applicant)