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Home My WebLink About33653-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33716 Date: 05/15/09 T~IS c~KTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: CRESCENT AVE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 6 Block 1 Lot 4.1 Subdivision Filed Map No. __ Lot No. __ FISHERS ISLAND conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 2008 pursuant to which Building ~ez~it No. 33653-Z dated JANUARY 29, 2008 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 ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BRYAN N D~/qFORTH (OWNER) of the aforesaid building. S~FOI~ C~D~DEPAR~OF~J~{APPRO~q~L N/A E~t-£KIC~%L C~K'rIFIU~%~ NO. 4022244 03/27/09 PLUMBERS CERTIFICATION DA-r~ N/A Rev. 1/81 Form No. 6 TOWN OF SoIYrHOLD 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 l tL For new building or new use: 1. .e fo I~Utl Final survey of property with accurate location of all buildings, pwperty lines, streets, and unusual natural or topographic f~tu~s. 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 1% lead. 5. Commercial building, indus~al building, multiple residenc~ and similar buildings and installations, a certificate of Code Compliance from architect or engin~r responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements: B. For existing buildings (prior to Aprilg, 1957) non-conforming uses, or buildings and ,,pre_existing, land us~: I. Accurate sUrVey of property showing all property lines, street~, building and.unnsual natural or topographic featums. 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. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelllng $25.00, Alterations to dwelling $25.00, ~wimmin.g pool $25.00, Accessory 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..~g~- I'D , ~/_~, Old or Fre-existing Building: V (check one) Street ~' Hamlet Subdivision Permit No. ~-9(o~ -~ Block I Lot Filed Map. Lot: Underwriters Approval: Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~2~5 t I~) / Final Certificate: ~t/ (check one) - ~%~licant Signature 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, PO BOX 202 FISHERS ISLAND, NY 06390-0202, BRYAN DANFORTH 20 NORTH HILL RD FISHERS ISLAND, NY 06390 Located at 20 NORTH HILL RD FISHERS ISLAND, NY 06390 Application Number: 4022244 Certificate Number: 4022244 Section: Block: Lot: Building Permit:. BDC: ns11 Described as a Residential occupancy, wherein the }remises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Third Floor, A visual inspection of the premises 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 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the2?th Wiring And Devices Dimmer Fixlure Outlet Outlet Receptacle Switch QTY Rate Rating Circuits Day of March, 2009. Tvt~e 2 0 120V 9 0 Incandescent 9 0 Fixture 19 0 Gen, Purpose 14 0 Gen, Purpose 3 0 Gen, Purpose 1 of 1 seal 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. 33653 Z Date JANUARY 29, 2008 Permission is hereby granted to: JAMES V & ANNE R RIGHTER 68 BEACON STREET BOSTON,MA 02108 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 006 pursuant to application dated FEBRUARY Building Inspector to expire on JULY Fee $ 200.00 CRESCENT AVE FISHERS ISLAND Block 0001 Lot No. 004.001 22, 2008 and approved by the 29, 2009. ORIGINAL Rev. 5/8/02 Fl]ELD INSPECTION REPORT I DATE FOUNDATION (IST) ~OUNDAnO~ (2~D) ROUGH F~G & *S~ATION PER N.y. -- STATE ENERGY CODE .~DITION~ COUNTS -- -~TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined 3 ,20_~,~__ Approved ~ 20__ Disapproved a/c PERMIT NO. ~.,~-~--~ BUILDING PERMIT APPLICATION CHECKLIS3 Do you have or need the following, before applying Board of Health z/,3' sets of Building Plans v Survey_ v Check v/ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Z~ts ~--tm~, d~. Phone: ~3/-?~: ~' --7F~7' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 / a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, a~urate 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 Occupanc 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 a~ herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, aha regulations, and to adrmt authorized inspectors on premises and in building for necessary inspections. 5~n~ature c~f ap~pp~'cr~ar !o~nam~ aC'; orporation) (Mailing address of applicant) t~5/O State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (as on th~ tax roll or latest deed) If applicant i~ a corpg[ation,,§igp~.ture of duly authori.~.zed (Name ah~le bf corporate officer) Builders License No. Plumbers License No. Electricians License No. officer Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block / Filed Map No. Lot z't/, / Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. hntended use and occupancy 3, Nature of work (check which applicable): New Building. Addition Alteration Repair Removal Demolition Other Work Estimated Cost _,~'~ O7,,O~ OLD If dwelling, number 'of dwelling units If garage, number of cars Fee (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 !4. Names of Owncr ofprcmiscs Name of Architect Name of Contractor~&$ Address Address Address?O Will excess fill be removed from premises: YES Phone No.KOT- ,~ST- Phone Nodal7- ~/5'/- 5'7¢0 Phone No. ~.$1- 7~$- 7g 15. Is this property within 100 feet of a tidal wetland? *YES V/ NO · [F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 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 ) '"-T],tOvi, ua~ ,-./"~-'. x.~"Jxl'[[o being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Ite is the ~v~ (Contractor, Agent, Corporate Officer, etc.) >f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; :hat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be >erformed in the manner set forth in the application filed therewith. ~wom to before me thig ~ day of [ J~'2~ ....... 20o~ Notary Public CONSTANC~ ~,'I. ROSE Notary PuNic, ~¢~ c! Connoctic~ MyComm~ 7: ~ Expires fture of Applicant , -'4~ ~ ¢.~/-,/, / TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE/ DIST. SUB. LOT ~--..~ FORM~ER OW~NER i ,r N ~ · E ACR. ,~,HH~-~¢ S W ~PE OF BUILDING w/~ ,-~ COMM. ES. ~/~ S~S. ~. FARM CB. MISC. Mkt. Value ~ND IMP. TOTAL 1~/~' ~ . ~ ~, .. . :ARM Acre Value Per Value ' " Acre liable 3 l, %10~ ~1~ ~ 'oodland (ampland FRONTAGE ON WATER ~ ' ushland FRONTAGE ON ROAD ~ ' ~use Plot DEPTH BULKH~D ~t~l DOCK M. Bldg. Extension Extension ~Extension ,, ) Foundotion Basement Ext. Walls I Fire Place Bath Floors Interior Finish Heat i Dinett~ LR DP,. COLOR TRI,M ]- M. BIdg· i ~ Extension Extension Foundation , '~Bosement ~[xt. Walls Both Floors Interior Finis Dinett~ M. Bldg. Extension Extension .~Extensien ~ Foundatio-'i'~n'~ ~Bosement ~_Ext, Walls Fire Place __pc_ Bath Floors Interior Finish Heat Dinette LR. R30 [NSULATIDNll Il I~ RED CEDAR SHINGLES, I ~ _ STDRAGE UNFINISHED '"~,/..~ ~ ./ STUDY / j ~ STORAGE ~ ~l~V/ll~/l~ ~ ~ ~ ~ L ..... ~ /' ~ ~- ~6 HEA~ER ~~~~ ~ ALUMINUM ~RIP E~GE ~ -- -- ~ ~~~ ~ -- ___~ ....... ~ [(~ ~ ~ % ~ CUSTOM C[gAR MDL~ING, ~ ........... - ~ ~ ' ~ ~ ~ ~ ~ ~[[ FULL ~CAL[ TEMPLATE / 7 ~ ~ ..... . _ ON ' ~x~ I ~ EXISTING PLAN ~ ~1[, ~LY ~ I~11 ~ ~- ~XIO ~ ~( ~ ~ ~ ~ EXIgTIN~ RODF ~ ~ MATCH HEIGHT NE d C~PET ~ ~ ~ ~ ~/ EXIST'G 2XlO JOISTS, 16 0,C, ~ .~ ~ ] // ~ ' ' ~ /// / ~ ~ ~ eX8 RAFTER e 16' EXISTING SECTION ~ DORMER '3 PROPOSED SECTION ~DDRMER . / C CUSTOM MOLDING ~' / ~ 4, USE iS UNLAWFUL ALUMINUM DRIP ~ WFrHOUTCERTIFICATE ...... ~= ~ ~ ~ ~ ~ OF OCCUPANCY ~x" CEDAR ~ - ~ ~ ' ( R.D,~ R,D. 4 JJ" ...... II I" mil H ' m ..... x , ~ ~ ~ CEDAR CASIN6 J MARINA'S J EAVE OETAIL ~ SOUTH SCALD 1 1/E' = 1,-0, ~RYAN'S EXISTING STUDY STORAGE I STUDY J ALL CONSTRUCTION SHALL CLIMATIC AND GEOGRA~IC ~8tGN C~TERIA DOOR ~ ~ MEETTHE REQUIREMENTSOFTHE : : ~ ~~ ~ ~ CODES OF NEW YORK STATE. - ......... . ...... ' . ....... ~ 4'-1' ~ BE COMPLETE FOR CO. ~jud~io(iou,hlll~lin~m~of~emble~th~S~g~i~o~dct~inedflom~fiou~O1.2J.l. . RETAIN STORM WATER RUNOFF PROPOSED PLAN PURSUANT TO OHAPT~ SCALD ~/4': 1'-D" ~ NEW WALL OF THE TOWN OODE ' ' ... . .. -. . . ____ . ._ ....... ~ ,.,,, , , .... ~ . , , ...... ~, ~ , NORTH ELEVATION TYPE QTY MANUFACTURER STYLE/WIN~ WIDTH , HEIGHT WIDTH HEIGHT ! .. , , / / x, -- ,, ' , , ' ~f' ''~' ' , ~ ~ . , ..~ . - ~__ ~_~ . . . . '. ' ----. - - ---. --, - ' ---- --. _--- --- -- .... ' SOUTH ELEVATION SCALD 1/4' = ,/ \ \ /AREA SUBdECT TOP OV IRON ROD ,~ EL~ON = 20.76 -- -- ~ AVERUE N FOX AVENUE FISHERS mS'ND, NEW YORK SCALE 1"=50 FE~ N ~ 1.) FHIS SURV~ WAS PREPARED FOR THE PARTIES AND PURPOSE INDICATED iI B[~/EEN THE CLIENT AND THE SURV~OR EXC[EDS THE SCOPE OF THE ~ ENGAGEMENT- m ACTING UNDER THE DIRECTION OF A LICENSED ~ND SURV~OR, TO ALTER AN ~ ~ -- 3,) ONLY COPIES OF THIS SURVEY MARKED WITH THE ~ND SURV~OR'S SIGNATURE ~D AN ORIGINAL EMBOSSED OR INK S~L ARE THE PRODUCT OF 0 THE ~ND SURV~OR. SURV~ TRIANGU~TION STATION "PROS" N F 5,) SITE IS IN THE TOWN OF SOUTHOLD, COUN~ OF SUFFOLK TAX MAP ~000, SECTION 006, BLOCK 1, LOT ~.1 7.) StTE IS LOCATED IN R-80 ZONE. 8.) BASE FOR LEVELS: NGVD 1929. ~ z / ~ ~ ~ ~ ~ ~ ~ BRYAN N. DANFORTH COMMONW~LTH ~ND TITLE INSURANCE COMPANY Z ~ ~ ~ % IN ACCORDANCE WITH THE M~NIMUM STANDARDS FOR TITLE SURV~S OF THE 0 o NEW YORK STATE ~ND TITLE ASSOCIATION, TITLE NO. RH04501758 DATE: 02/21/2005 QUALI~ CONTROL C~RTIFICATION HA~ SCALE: ~" = ~0' Y LE ]4940 I