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Home My WebLink About33036-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33533 Date: 02/10/09 THIS CERTIFIES that the building ADDITION/ALTERATION I~)cation of PropeI~cy: PRIVATE RD (HOUSE NO.) (STREET) (HAMLET) County Taxx Map No. 473889 Section 4 Block 6 Lot 5.2 subdivision Filed Map No. __ Lot No. __ FISHERS ISLAND conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2007 purs~,~nt to which Building Per~it No. 33036-Z dated MAY 30, 2007 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 AND ADDITION, INCLUDING SCREENED PATIO, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN DEC BLONDEL JR ( OWNER ) of the aforesaid building. SO~OLKCOUN?YDEPART~H~qTOFl{EALTHAPPROV2%5 N/A R~CTRICAL CERTIFICATE NO. 4009734 08/18/08 PLU}~ERS C~TIFICATION DA'r~u N/A Rev. 1/81 BUILDING DEPARTMENT ///O)/ ~'~// / 765-1802 / ~.~ ~' 2009 /L~ APPLICATION FOR CERTIFICATE O~/b~~ Tiffs application must be filled in by typewriter or ink and submitted to the Building Departme~mg: A. For new buildiug or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and umtsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statemeut from plumber certifying that the solder used in systmn contains Jess 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 Plarming 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 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. Fees I. 3. 4. 5. Certificate of Occupancy- New dwelling $25.00, Additions to dwell/fig $2_5.0~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to acc-~s"6Ty'-building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00 House No. Date. Old or Pre-existing Building: ~ (check one) Street Hamlet Filed Mai). I or: Applicant: __~ Uoderwriters Approval: ~ New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permil No. ~ 0 ~(~ Date of Permit. ._ Health Dept Apln'o~al: ~ Planuing Board Approxal: . Reclnesl t'or: ']'cmpora~> Certificate Fee Submitted: $ Final Certificate: ~ (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT ...~/ Upon the application of upon premises owned by Z & S CONTR. INC. JOHN BLONDEL JR PO BOX 202 723 EAST END RD FISHERS ISLAND, NY 06390-0202, FISHER ISLAND, NY 06390 Located at 723 EAST END RD FISHER ISLAND, NY 06390 Application Number: 4009734 Certificate Number: 4009734 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second Floor, A visual inspection of the prem~jses electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard by York, Department Code Enforcement and Administration, or other promulgated the State of New of State authority having jurisdiction, and found to be in compliance therewith on the lsth Day of August, 2008. Name QTY Rate Rating Circuits Tyne AdditionalCharges addition Appliances and Accessories Electrical Heat Unit 1 0 500 Watts Wiring And Devices Dimmer 2 0 120v Fixture 6 0 Incandescent Outlet 4 0 Gen, Purpose Outlet 6 0 Fixture Receptacle 2 0 Gen, Purpose Switch I 0 Gen, Purpose seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 33036 Z Date NLAY 30, 2007 Permission is hereby granted to: JOHN BLONDEL E E ROAD FISHERS IS.,NY for : ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at PRIVATE RD County Tax Map No. 473889 Section 004 Block pursuant to application dated MAY 23, 2007 Building Inspector to expire on NOVEMBER 30, FISHERS ISLAND 0006 Lot No. 005.002 and approved by the 2008. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved ,20.__ Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying Board of Health tl/l~ sets of Building Plans Survey V'/ PERMIT NO. Check v/ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: ~'~/-S &}~t~, .~. rhone: b,~/- 7oC~ Building Inspector c~ (-f-.) _ , INSTRUCTIONS Date O"~&~(L.'~'~ 20'14' ,20D___2 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 Occupant 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 applic£n~:~ee~.to comply vdth ~'~i apb!/cab!e laws, '..,rdinmnces, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,~f a corporation) (Mailing addres:~ of applicant} State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises 7n~-x,n (as o-n the tax roll or latest deed) If ap~ a corl~ratio~ s!gnature of duJy authorized officer (lqame ~l,f~Tti~e ~i' corporate,6fficer) Builders License No. t-~ I~q' Plumbers License No. ~-'~ L.[ l~ ~ Electricians License No. ~ Other Trade's License No. Location~of Ial3d on whiclxprop..osed worki will be done: House Number Street County Tax Map No. 1000 Section O(h~ Block ~ Subdivision Filed Map No. (Name) Hamlet Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy · b. Intended use and occupancy 5. If dwelling, number o f dwelling units If garage, number of cars Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost "¢'~:,2~ t:r~O, O'~ Fee Addition Other Work Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. 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 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear 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: 13. Will lot be re-graded /V'O Will excess fill be removed from premises: YES (~) Nameof~ch,tect GqrA ....... P., M~Address~oneNo~t,~9 ~9-~32_9 Name of Contractor Z, % ~o~ra~q ~. Address O.O. 202 ~,~r~9~hone No//ob~q~ ¢ ~% ~ff ~o 15. Is this prope~y within 100 feet of a tidal wetl~d? *YES . NO · ~ YES, SOUTHOLD TO~ TRUSTEES PE~ITS MAY BE ~QU~D 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. 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~cc4~! .Il. ) /'--~4-~ x["'~ *~//~t.~ being duly sworn, deposes and says that (s)he is the applicant (Nam~ of individual signing contract) above named, (Contractor, Agent, Corporate Officer, etc.) of 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 flied therewith. Sworn to before me this o~.0''//I day of /l//_~./P_.~ 20 0 "7 Notaw P~blic · ,. ROXANNE SPAULDI,NG ~-~ NOTARY PUBLIC. STATE OF NEW YORXI No 01SPfif~3942 J OIIAI _MY C[!MMI.5.;itlN I XI Illl S ature of Applicant 06/0?/200? 10:40 631-708-§600 Z S OONTRAOTING PAGE 02 ~-01-~? 07:18 ~]UTHOLO 8UTLDIN~ DEPT 16~t?~595~2 Erosion. Sedimen tion apd Storm-w ter,Run ff pn lPlan ASSE MENT FOR / A. ~o~ ~ p~j~t A~IONS ~OU~NG 'r~ SUB~SSION OF ~ STOW*~ATE~ ~ D~INAGE & ~ROS~ON CObOl, PIAN CER~D BY A D~SlGN Item Lq#tuber:, (A Check Maxk (7) for each qu~Siic~ is required for complete applieafion) Will this project ~ctain ail Storm-Water Run-off [pmerat~l on (This will i~ludc all n~a.off created by site cleating and/or cot~Stracfloa ~ttvtties az well as all Site Improvement~ and the pea'man.at ¢reafitm of il~ouz L Will this project r~quir¢ ~ land filling, grading or ~oavation wht~m thczc, ia a chang~ to thc natural exk~ting 8r~lc involving more than 200 cubic yard$ of material ~lb~n any p~el? Will this application require land disturbing a~ivltics eneomp~ing an area of five thousand (5,000) square fcct of groined surtbce or mom? Ts them a Natoral Water course running IMough thc aisc or i~ this project within One htmdzed (100) feet 'of wothmda or a beach? Wi/1 Lhe~ bo sitc prcl~watign on .slopes which exce.~d fifio~n (15) feel of vertical ri~ to O~e hundred (1 PR}) f~et of horl~,ontal diztanc~? Will drivCrways, parking aroaz or ofl~cr impervious sur'fiw,~s dir~,-t Stom~-Wator Run-off Into and/or in the dkeotion of a Town Right-of. Way9 Will this application require the pla~ment o£mmcflal, ~emov~l of vegetation and/or the ,c, ons~c~ion of ony item ~4thin the Town Right-of-Way or re~d shoul~r at'ca? (This item does n~ Inctuds the Installation 04 driveway ~prons.) 8. Will there b~ site proptmtit~ within the one hundred (100) ~ floodplain of ~y war.cunt? ~er ancot ~ative of g~ O~er or ~s. ~ ~ duly aug~d to ~ ~ ~e ~ornzd the ~id ~d file ~ a~atio~ ~ut aU statet~nts con~J~d in this appUeafion ~c ~ to the b~t of Ms ~w~d~ end ~lier; work 611 bc p~rfotmcd in the m.,umer set foOJ~ in the applicafl~ fi~d ~owith, Sw~ to ~farc ~ t~; ...... .......... ,....;; ...... ..................... ~ QUA{,IFI[t~tNS~,tlOI. K [~ COMMISSION [ XI IHLS AUG. O. 06-07-R007 10:06 SOUTHOLD BUILDING DEPT 1G~1765950~ PAGER GORDON C. HYDE 368 Northwest Corner Road North Stonington, CT 06359 phone/fax: 860.887.8329 e-mail:gcharchitect@sbcglobal.net 5 August, 2008 RE: Alterations to the Blondel Residence To whom it may concern: This letter will certify that both the floor (over the screened patio) and the roof at the above captioned Project have been insulated with approximately 9~" of Icynene foam insulation. (This provides an R value of 34 as well as a continuous infiltration barrier.) In addition, the new exterior walls have been insulated with the same material. Very truly yours, Gordon C. Hyde Architect °""-" ..... NU, U1U H, 1 '-' ' GORDON C. HyDE ARCHITECT 368 Northwest Corner ROad North Stonington, CT 06359 phone/fax: 860.887.8329 e-mail:gch erchitect~sbcglobal, net 22 May, 2007 Town of Sout~oM Butldir~ De~u~¢m Via fax 631.765.1823 ATTN: Pat RB: Blordcl B, esidcaee Bast Bad Road Fishcxs Islaud Dea~ This will confirm orr conversation re~a~;ng complian~ with the F.~er~y Code for the abow captioned Project. The proposed small addition (approx. 125 st) will comply With ~'1.¢ Pre. sctil:~iYe Ettvej,ope Component Ckitzria of Table 502:2.5 as noted lglow:. · Fenestration U-£actor .................. 0,38 · Ceiling/Roof R-valu~ ................ 40.00 · Floo~ R-value. ........................... 40.:29 · Wall R-vai~e ............................. 17.97 I trusl: this information regarding the project will m:~arer imy xcmaining questions you had. Should you requite claxificalion~ please contact me at your convenience. Thank you for your assisiance. · Gouton C. H.vd~ 05-83-8007 i4:84 SOUTHOLD BUILDING DEPT 16317659508 PAGE1 STORMPL~$ IM~ ZONE ~ CLAD CASEMASTER - OPERATOR 1--4 t~ 1-e ;-o ~ 1) MAItVlI -: ~ldi~mal infom~tion applies to Ule products ~ ~ Please refer to 248 05-22-2007 14:12 SOUTHOLD BUILDING DEPT 16317659502 PAGE4 MAY, ~2. ZUU/h 05-~-~007 14:11 SOUTHOLD BUILDING DEPT 163i7659582 PRGE3 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N-.~ J S W TYPE OF BUILDING' ..~--~/~ ~ RES.,-,---~ /.' ,? S~S. VL. ~ FARM CO~. CB. MICS. Mkt. Value ,' ~ND IMP. TOTAL DATE R~RKS ~ z-- ~ ~) ~ i ~-t~ ' '-~'" Tillable /,~ /4 ~ /5-p~ FRONTAGE ON WATER W~lond FRONTAGE ON ROAD Meodowlond DEPTH Total ..~ VI. Bldg. ;×tensio~ 'orch )eck lreezewa =arage ? Foundation Basement Ext. Walls Fire Place Pool Driveway Bath Floors Interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor LOCATION MAP SCALE 1":400' & CHANDLER, PALMER · KING; NORWICH, CONNECTICUT; JUNE 15. 1989; HEREON. ANY EXTENSION OF THE USE B~OND THE PURPOSED AGREED TO 8~EEN THE CLIENT AND THE SU~OR ~CEEDS THE SCOPE OF THE ' 2,) IT IS A VIO~TION OF THE STATE EDUCATION ~W FOR ANY PERSON. UNLESS ACTING UNOER THE DIRECTION OF A LICENSED ~NO SURV~OR, TO ALTER AN ITEM IN A~ WAY. MONUME~ SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT U~U~ 4.) COORDINATE DISTANCES ARE MEASURED FROM U,S, COA~ AND GEO0~IC E~C ~ SURV~ TRIANGU~IION STATION "CHOCOM~UNT 2" ~ -OUARDHILL FINANCI~ CORP,, N/F t -JOHN dec "LONDEL. JR. JANE TUCKER/ IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SUR~S OF ~E VASILIOU / I ~UALi~ CONTROL CERTtFI~TION + ~ OCCUPANCy USE, IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY P 't CERTIFICATION OF NAILING & CONNECTIONS REQUIRED. AP~,CVED AS NOTED !802 8AM -~0 4PM FOb THE )UNDATION - ~,',¢0 REQU D '~ULATION I' STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUGTION ERRORS. '(JNDERWR~RS CERTIFICATE, oo0 ALL CONSTRUCTION MEE]' THE REQUIR:~ CODES OF NEW