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HomeMy WebLinkAbout32078-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33019 THIS CERTIFIES that the building ALTERATIONS Date: 05/08/08 Location of Property: CENTRAL AVE FISHERS ISLAND (HOUSE NO ) (STREET) (HAMLET) County Tax Map No. 473889 Section 10 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 2006 pursuant to orhich Building Permit No. 32078-Z dated JUNE 6, 2006 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 ALTERATIONS TO EXISTING BUILDING (CLUB HOUSE) AS APPLIED FOR. The certificate is issued to FISHERS ISLAND DEVELOPMENT CORP. (OWNER) of the aforesaid building. SIIFPOLR CODNTY DHPARTMENT OF HEALTH APPROVAL HLSCTRICAL CERTIFICATE NO. PLDMIDSRS CERTIFICATION DATBD N/A J Au ized Signa re Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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-disposa] (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. 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 consent [o 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. Fees 1 Certificate of Occupancy -New dwelling $25 00, Additions [o dwelling $25 00, Alterations to dwelling $25.00, Swiruming pool $25.00, Accesspry building $25.00, 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5 Temporary Certificate of Occupancy -Residential $15.00, Commercial $15 00 /Date. J p ~ , o~ I , ~cQ~ a New Construction: Old or Pre-existing Building: ~/ (check one) `' Location of Property 1~T YACI~i `"" V t3 . C~TiLtC}~ X1,17, Fb.SI~I~~ ~,S L/~b, ~.(y G~ aC/D House No. Sheet $ pv'~av ~ N.Y. Owner or Owners of Property _ ~ S ~ ~ ~ t Suffolk County Tax Map No 1000, Section Block Lot Subdivision --- Filed Map '~- Lot: ^- Perntit No. _3 ~• 078 ~ Date of Permit. G I G I D d ~pliRoant: fVFla7 E~c..w-~ RQSTo,2t4`R,~J Health Dept. Approval: ~V ~J4r Underwriters Approval: r.J~R Planning Board Approval. Request for' Temporary Certificate Fee Submitted: $ SO ~ Final Certificate: ~/ (check one) S~LF,dse. SEa~ CP3~ ~T bCGVA~rJG'( 10. n~ 13t~k`o,a) G.~~~/1'-.atn~E Jam- i' ~/J ~• O ~ ~~ ~!S A~yp)ic"d't Signature r~ ~ya.~ ~~s~~a Ts~ NY b63Qo -~~„rFrre- ~~aF 6ov. r c~,2 e~iu~E'c~•.,w~ CO Z 3 30 t4 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. 32078 Z Date JUNE 6, 2006 Permission is hereby granted to: ISLAND DEV CORP FISHERS DRAWER E FISHERS ISLAND,NY 06390 for ALTERATIONS TO AN EXISTING BUILDING AS APPLIED FOR at premises located at CENTRAL AVE FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0001 Lot No. 009 pursuant to application dated MAY 25, 2006 and approved by the Building Inspector to expire on DECEMBER 6, 2007. Fee $ 200 00 Rev 5/8/02 ..._- Authorized Signature ORIGINAL FIELD INSPECTION REPORT DATE COMMENTS ~ro ~ 9- G ,, FOUNDATION (IST) , l~„3 at m FOUNDATION 2ND) ~' C~ ( a O ~. ~ y r ROUGH FRAMING & PLUMBING ~ y ~. y INSULATION PER N. Y. STATE ENERGY CODE ~ _ L~ 3 ~ C `~ FINAL ~~ <~ _ 1 ADDITIONAL COMMENTS U ~> O ~ i ~ m. z L ~ ~ G" '+ ~ o `; z x ~~ x c b y a wva11VLL Blyl'LDING DEPARTMENT WN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631). 765-9502 www. northfork.neUSouthold/ Examined /~~' Zp Approved ,b Zp~ Disapproved a/c Expiration 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Boazd of Health 4 sets o'f Building Plans Planning Boazd approval Survey PERMIT NO. ~ U ~~ Check Septic Form N.Y.S.D.E.C. T _. Contact: Mail r1 _(_....n ...^.. ~~~ ~ ti ^' ';,, ~ (~ _ !,,, r.~_~ _''-_^._R_ ~~', Building Inspecto ',~ . ~'~~ s " ~" ° -.~ ,APPLICATION FOR BUILDING PERMIT T~Ve"+-= s~,,~;,,,~ o Date , 20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 :ets 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 ireas, 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. Such2 permit hall 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 the Building Inspector sues a Certificate of Occupancy £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of ssuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the roperty have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an ddition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The pplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit uthorized inspectors on premises and in building for necessary inspections. I' _T' rl~ N ., Ena~a -~' Psi trans ignature of appl ant or name, if a corporafion) P~1AY ~ 5 . S S+~,,,; ,~, Cx ~~ (Mailing address of applic ) OG 3 7 ~ tate whether a~iplicaitt is owner, lessee; agent, architect, engineer, general contractor, electrician, plumber or builder /. ame of owner of premises ~ Z 1HS on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) iilders License No. ~$ '7 Q (a - {-1 umbers License No. ectricians License No. her Trade's License No. Location of land on which proposed work will be House Number Street County Tax Map No. 1000 Subdivision ameJ .L s l a,,,e~ , N Section 1D Block ~ Lot_ q Filed Map No. ~t ~ 1. State existing use and occupancy of a. Existing use and occupancy b. Intended use and occupancy an~--dp~i""nt~~ended use and occupancy of proposed construction: 3 Nature of work (check which applicable): New Building Addition Alteration Repair ~ Removal Demolition Other Work 4 Estimated Cost ~ 20, ~O O (Description) Fee 5. If dwelling, number of dwellin units (To. be paid on filing this application) g ~ 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. s~.b ~ , ~ ~_ < n<ar.. Dimensions of existing structures, if any: Front 2 2 Reaz ~ Z Depth Height l~l Number of Stories I I$ Dimensions of same structure with alterations or additions: Front nl~t Rear Depth Height Number of Stories 3. Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premises aze situated 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO / 3 Will lot be re-graded? YES_ NO ~ Will excess fill be removed from premises? YES NO / 4 Names of Owner of Name of Architect ~ Name of Contractor E~tV ~' R Address No. No Sos • 44 3 - 4567 No. 8G0 - 6~i4 - 4 3 4 3 i a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES '~ NO ` IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAYBE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES / NO IF YES, D.E.C. PERMITS MAY BE REQUIRED Provide survey, to scale, with accurate foundation plan and distances to property lines. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 'ATE OF NEW YORK) SS: ~f S AUNTY OF~ /s~, ( ~ ~~ 4n ~. COO p >°r being duly sworn, deposes and says that (s)he is the applicant (Name of mchvrdual signing contract) above named, He is the ~I't'~Sc ~.s~.,~, wrpvrare vmcer, etc.) aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; all statements contained in this application are true to the best of his knowledge and belief; and that the work will be 'ormed in the manner set forth in the application filed therewith. ~m to before me this ~~dayof ~~ ~ OO~ ~~NARY PCi~ - 31, ZOtd o ary blic r " a e of Applicant i© ~,,, - /a ~ /- 9 TOWN OF SOUTHOLD PROPERTY ,~~' e~ RECORD-Z~ARD ~h -~ OWNER STREET VILLAGE DIST. SUB. LOT ,,~~ff FORMER OWNE ~ N .~ ~ z° y t E ACR.,/ y -~ ~.:_ 1 ~ 0 V _ l ` ~~ ~ ~ W ~ hR ' `. TYPE OF BUILDING~~ "~ ~ ~+ 2ES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value ~ ~ 1 ~ ~,~ ~~~ ~~ LAND IMP TOTAL DATE REMARKS (`f+~^ ~ ' ~ i3 ~I O 8 t~ __ Z - Aal~ 7e-.Q"cde. Ec 1~aoe,-' ~`7`vo ~' .o ~j 7io a ~ 3 L a o 5 z ~.~ /~o ~~.~,,,~~ E ~./"_ ~ ~c v 2 e-v ~'2 v n / / o G cv ~` / AGE BUILDING CONDITION ~ ~~ ~ ~ ~,~ ~~ ,~ NEW FA NORMAL Acre BELOW ABOVE ~-~_ Value Per Value ~ ~ Cia ~o ~ Acre / d 3 3 6 ~-t .u!c ~ -f' ~ ~S'/ G f Tillable 1 Z_ f--jj X 4 C~ ~ 3 ~ J'-o _ Tillable 2 o G~S ~ C~ / ~''" / tillable 3 Noodland iwampland FRONTAGE ON WATER ~~ irushland ~' FRONTAGE ON ROAD ~ tf . f. louse Plot DEPTH ~,~ 6'v '~ „~ .,,, BULKHEAD . total DOCK I COLOR // ~ 7 ~ ~ ~ P7 A ~ TR6M ~: r i a, ~ II .. ... '.~ -~ J 11 I • ~ Y ~ '; ~ ~ d +i be ~ ~~ i "~ u ,~ ~ ~ ro 6 3 p R~ // M. Bldg. ~/ ~ Q _ J-y~ ~ So ~ ~~ / Foundation "'~ Bath Dinette Extension C~ Z ~ _ ~ J7 Z ZS ~ B;~ Basement ~' ~ w L Floors ~~ R K. ___ Ex sio a~ /d X / ~ /96 ~ ~ .Z ~ t.~ Walls U u' S ~ ~ L.9- ~ s`~ t3 c Interior Finish G~~4 iiv ICo l~- - Extension Fire Place Heat /,/ Q DR. /'~oR~ /vY ,>'a 300 ~j" 2 ype Roof Rooms lst Floor BR. Porch ~ ~ 9 < ~ ~ • ~~ /4 k ~ r d$3 S3 ~ ~~o z ~ 7 _ ecreation Room Rooms 2nd Floor FIN. B. ~'"~T ~` o ~~ ~ Dormer Breezeway Driveway Garage __ Patio O. B. _ Total ~~ -- ~-~ ~~ vvvauvLL BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~/~O Zp Approved ,~ 20~ Disapproved a/c Mail Phone: Expiration Zp rs svl _R_ ~ Building Inspecto -- APPLICATION FOR BUILDING PERMIT !-,,'~,., `n' ~~_~':^_~ Date b , 20.E INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 gets 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 perrnit hall 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 the Building Inspector slues a Certificate of Occupancy £ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of ssuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the roperty have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an ddition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the wilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The pplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit uthorized inspectors on premises and in building for necessary inspections. ~---- - - ~,a•.i 1 G CCZr I ~ N ~,, En a ~a•• -r ~ES~r~tr ons ignature of applidant or name, if a corporation) ~,IN; - ~ J ~y~ ~ /L~ ~/~aruv~ 0'N l_.C (Mailing address of applic ) OG3 7 & Late whether a~pircaij is owner, lessee, ag ne t, architect, engineer, general contractor, electrician, plumber or builder BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? PERMIT NO. ~ U ~~ Boazd of Health 4 sets of Building Plans Planning Boazd approval Survey Check Septic Form N.Y.S.D.E.C. Contact: ame of owner of premises _ ~ ~. ~ C O (As on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) xilders License No. 3$ ? q (a - }I tunbers License No. ectricians License No. her Trade's License No. Location of land on which proposed work will be House Number Street County Tax Map No. 1000 Subdivision (Name) .Ls 1~,,,e~ , N Section ~D Block ~ Lot -t Filed Map No. Lot Z. Mate existing use and occupancy of~r--emises and intended use and occu ancy of pro osed construction: a. Existing use and occupancyStsi~r~< Tc(Q„~ •~t Gtr ', 1, h~< <,. b. Intended use and occupancy_ n/1PC{,;~ ~ ~~ ~ 3 Nature of work (check which applicable): New Building Addition Repair ~ Removal Demolition Alteration Other Work 4 Estimated Cost ~ 2Q, pp p (Description) Fee 5 If dwelling, number of dwellin units (To be paid on filing this application) g ~ 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. ~^.1'~'~ , ~ c •'•~~ ~ S ncin.. 7. Dimensions of existing structures, if any; Front 2 2 Rear 2 Z Height lti Number of Stories 1 Depth 18 Dimensions of same structure with alterations or additions: Front IV R Depth Height Rear Number of Stories 3. Dimensions of entire new construction: Front Height Re -~_Depth Number of Stories ~. Size of lot: Front Rear Depth 0 Date of Purchase Name of Former "O"caner 1 Zone or use district in which premises are situated i v~r-nn ~, f1/t_ ~ 2. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO / 3 Will lot be re-graded? YES_ NO ~ Will excess fill be removed from premises? YES_ NO / 4. Names of Owner ofpremises~l'DCU Address (=I's~ers Name of Architect l^hgrt ce VMUgo r , ~ Isl c...d Phone No. Name ofContractor (= NiER h Address~4^tu-Btd~on~ IYtA Phone No~oB - 44 3 - 45[,? Address $tr~~~_phone No. &0 - S44 - 4 3 4 3 i a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES '~ NO ` IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES / NO IF YES, D.E.C. PERMITS MAY BE REQUIRED Provide survey, to scale, with accurate foundation plan and distances to property lines. If elevation at any point on property is at 10 feet or below, must provide topogaphical data on survey ATE OF NEW YORK) SS. ~f S tUNTY OF /}S'~1 ~ `~ r'~ Q~ 1~. COp p >°r being duly sworn, deposes and says that (s)he is the applicant (Name of mdrvidual signing contract) above named, He is the T't'~S~dinnt (Contractor, Agent, Corporate Officer, etc.) aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; all statements contained in this application are true to the best of his knowledge and belief; and that the work will be ormed in the manner set forth in the application filed therewith. irn to before me this _~_ day of /n~ ~eos~~ rt~~o o ROTARY PGSLI 31.2010 o ary ublic at e of Applicant A~ DURLAND •VAN VOORHIS ,_~ ~f TRANSMITTAL DATE: May 24, 2006 TO' Building Department Southold, NY 11971 FROM. Charlie Van Voorhis ATTN: Mr Damon Rallis RE: Fishers Island Yacht Club Renovations, Fishers Island, New York MATERIALS TRANSMITTED Quantity Date Description 4 sets 4/26/06 Storm panel detail 4 sets 5/24/06 Door drawings and details THESE ARE TRANSMITTED las checked belowl: For approval Approved as submitted X For your use Approved as noted As requested Returned for changes Other Resu bm i t_copies Submit copies X Review/comment COMMENTS. These drawings should be included with the permit application that Bill Reed may be bringing to your office later today If you have any questions or need any additional information, please do not hesitate to call me. - - --- Pd;~ r ~ 5 ~~ CC. Bill Reed _ yy Signed: „~a_,~,~ ~P,~ ~ ~ ~ _ _~l u z' N. W JANE ~. N 1 VIF J V VIF ~ 1 L VIF SEE DETAIL BELOW r - 1/2" PLYWOOD PANELS i -CONTINUOUS HINGE BETWEEN PANELS z f 0 (V FACE OF DOOR/WINDOW CASING EDGE OF STORM PANEL • SURFACE MOUNTED STANLEY 763800 - 6" MECHANICALLY GALVANIZED (ST2H) HEAVY BARREL BOLT ~ -~ 5 C NOTE: PROVIDE STORM PANELS & HARDWARE FOR ALL REPLACEMENT DOOR AND WINDOWS ~t v DURLAND 025717 VAN V O O R H I S STORM PANEL ANCHOR DETAIL 6tB pleew~ Y1s wn ]Z1 m.. bdbd~v oz~~" dole A d 26, 2006 Fishers Island Yacht Club f" ~~~~~ .~ Club House Renovation SK-060425 l ~.~s.~, =role i iz" _ t.- o. AvwdMmcem orchltec l• ___.