Loading...
HomeMy WebLinkAbout34743-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Zr34614 Date: 10/18/10 THIS ~RTIFIES that the building SWIMMING POOL Location of Property: EAST END RD FISHERS ISLAND (HOUSE NO.) (STREET) (H~4LET) County Tax Map No. 473889 Section 1 Block 1 Lot 3.3 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2009 pursuant to which Building Pe~T~it No. 34743-Z dated JLYNE 3, 2009 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. be certificate is issued to JONATHAN D BRITT (OWNER) of the aforesaid building. S~-FFOLKCOI~YDEPAR~T OF ~TH;%PI~RO~-AL N/A EI~t-rKIC~J~ CERTIFIC3~TH NO. 34743 05/07/10 pLI~BE~S CERTIFIC-ATION DATHD N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34743 Z Date JUNE 3, 2009 Permission is hereby granted to: JONATHAN D BRITT 7 SURREY RD SUMMIT,NJ 07901 for : CONSTRUCT IN GROUND SWIMMING POOL WITH FENCE TO CODE PER NYSDEC & TRUSTEES AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 001 pursuant to application dated MAY Building Inspector to expire on DECEMBER EAST END RD FISHERS ISLAND Block 0001 Lot No. 003.003 15, 2009 and approved by the 3, 2010. Fee $ 250.00 Authorized Signature Rev. 5/8/02 ORIGINAL Form No. 6 TO~N OF SOUTHOLD BUILDI~IG 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 For new building or new use: 1. '6. Final survoy of preperty with accurate location of all buildings, property lines, street~, and unus topographic fenture~. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber aertifying that the solder used in system contains less than 2/10 of Commercial builal,g, industrial building, multiple residences 'and Similar buildings and installa~io~ of Code Compliance from architect.oi~ engineer responsible for the building. Submit Planniug Board Approval ol~ompleted site plan requirements. B..For existingbuildings(prior to April 9, 1957) non-~nforming 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 1. Ce~A~cate ~f Occupancy ~ New dweliing $25~~~~ Additi~ns t~ dwe~ling $25~~~~ A~teratinns t~ dwe~~ing $25~~~~ Swh'nmlng pool $25.00, Accessory building $25.00~ Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre~existing Building - $ t00.00 3. Copy of Certificate ofOecupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate ofOceupancy - Residential $15.00~ Commercial $I5.00 New Construction: Location of Pmporty: Old or Pre-eXisting Building: (check one) House No. OWner or Owners of.Property: · Suffolk County Tax Map No 1000, Section Street Subdivision Vemit. 3 q T q Y. /'Datc0fPermit. ~t¢¢ Health D~t. ~pmv~: Piing Bo~ ~Pm~l: R~ucst for: Tempor~ Ccaificatc Fee Submitted: $ ~ ~. 0 0 Block- . ~ O / Filed Map. Underwriters Approval: Hamlet Lot O4~, 003 Lot: Final Certificate: (check one) ApPlicant Signature 54375 M~dn Road P.O Box 1179 SOU~lo]d, ~hr¥ 11971 0959 TeJephone (631) 765-1802 Fa, (631) _roqer. riche~town.souihold, nv.u,q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued Ts: Jonathan Britt Address: East End Rd. City: Fishers Island St: NY Zip: 639 Building Permit Cf: 33701 &,3.4743 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: BD Electric License No: 35821 SITE DETAILS Office Use Only Commerical Outdoor I st Floor Poo~ New Renovation 2nd Floor Hot Tub Addition Su~ey Attic Garage Service 3 ph Hot Water Main Panel NC Condenser Sub Panel A/C B}ower Transformer Appliances Disconnect Switches Other Equipment: INVENTORY Duplec Recpt GFCI Recpt Single Recpt Range Recpt D~er Recpt Twist Lock Ceiling Fixtures HID Fixtures Wail Fixtures ~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~ Pumps Emergency Fixture!L~.~ Time Clocks Exit Fixtures TVSS 400a service-house-pool. 1 pool light, 1 gas pool heater, 1 pool pump, ¢'~ol bondi 4 exaust fans, 4 arc fault circuit breakers, 25 dimmers Inspector Signature: Date: May 7 2010 81-Cert Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [~L ~-~_.~ FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS 4 FOUNDATION(1ST) FOUNDATION(2ND) O ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. y STATE ENERGY CODE �.l FINAL ADDITIONAL COMMENTS ,70 O �--1 m d � y O z x d TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork.net/Southold/ Examined ,20 Approved ,20 Disapproved a/c Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 set~ of Building Plans Planning Board approval Survey_ Check Septic Form N Y.S.DEC. Trustees Contact: Mail to: Phone: Building Inspector INSTRUCTIONS Date ~l 19 ,20ot~ g Inspectorwith3 to schedule. tend ofbuildings on premises, relationship to adjoining premises or public streets or sets of pl~/~4~c~gag~dl~l~lan to scale. F 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 the Building inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months alter the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition 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 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 applicmat agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicaa/or name, if a corporation) (Mailing address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremiscs ~lff. ~ ~'~. d~ ~r[~ (As on the t~ roll or latest deed) If applic~t is a co~oration, s~gnature ~ duly authorize~ Officer (N~e ~d title of co,orate officer) w Builders License No. X~qS~ Plumbers License No. ~]~ ~? Electricians License No. ~ ~ ~ Other Trade's License No. I. Location of land on which proposed work will be done: House Number Street Hamlet I Lot '~. ,~ Filed Map No. Lot County Tax Map No. 1000 Section O01 Subdivision (Name) Block 0 6,3a}t 2. State ~xisting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~[~) ~*,.~O Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~J J~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent ofeach tTpe of use. 7. Dimensions of existing structures, if any: Front ~,J/~ Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front ~J/A Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front '~O~ Rear ~01 Depth Height Number of Stories 9. Size of lot: Front Rear .Depth I0. 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? YES NO ~ 13. Will lot be re-graded? YES )~, NO Will ex?ss fill be removed from premises? YES NO 14. Names of Owner of premises~t'~ ~41t~J ~1~11~1 ~ddress~Phone No. 6~ Name of Architect Address Phone No Name of Contractor ~1~ ~lOd~ielO/¥ Address ~ ~ Phone No. ~31 15 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. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on proper~ is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ~ O~ I~'-. [~V-~,."~ ~" being duly swom, deposes and says that (s)he is the applicant (Name o f in~_~dlual signing contract) a~ove named, (S)He is the f"~,(~t( A~o~or a?e O t. fi cer, etc. ) of said oumer or oumers, 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 tree to the best of his knowledge and belief; and that the work v~be performed in the manner set for[h in the application filed therewith. J/ Sworn to before me thi~ ~, ~ / ~/ NOTARY PUBLIC COMMISSION EXPIRES OCT. 31.201~ Jun 03 2009 10:248M BD REMODELIMG + RESTORRTI 631-788-7192 p.2 Albert J. Krupski, President James King, Viee-Preeident Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 l~oute 25 P.O. Box 1179 Southold, New York ! 1971-0959 Telephone (631) 765.1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 17, 2003 Mr. Glenn Just JMO Consulting Services PO Box 447 Quogue, NY 11959-0447 RE: SCTM#I-I-3.3 Property of John Britt Private Road Fisher's Island, NY Dear Mr. Just: The Southold Town Board of Trustees reviewed the site plan prepared by CME Associates dated 9/2/03 proposed construct/on ora single family dwelling, sanitary system, pool, driveway to be out of the Wetland Jurisdiction under Chapter 97 of the Town Wetland Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised however thai no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that all necessaxy precautions are taken to prevent any sedimentation of other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result frown your projects. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale bem~. However any activity within 100' of the Wetland line and/or seaward of the Coastal Erosion Hazard Line, would require action from this office. 3un 03 2009 lO:24RM BD REMODELIMG + RESTORATI 631-788-7192 p.3 If you have any further questions, please do not hesitate to call. Sincemty, Albert J. ICrupski, Jr. ~' President, Board of Trustees AJK:cjc cc: Building Department Jun 03 2009 8:43RH BD REHODELIHG + RESTORRTI 631-788-?192 p.2 New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) ~,~.~.~0365 FAX: (631) 444-0360 LEal'ER OF NON JUI~I,~I}ICTION - FRESHWATER WETLANDS E~in Crott,/I Commission ~' April14,2004 Mr. John Bdtt 7 Surrey Rd. Summitt, N,J. 07901 Re: Application #1-4738-03296100001 Private Rd. SCTM. 1000-001-1-3.3, Fishers Island Dear Applicant: Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that: Your proposal to construct a single family dwelling, sanitary systen~, p ~oo~, driveway at Private Rd., Fishers Island, SCTM 1000-001-1-3..3, as shown on the survey ~by CME Associates Engineering and Land surveying, PLLC, dated February ~ more than 100 feet from regulated freshwater wetlands. Therefore, no permit is~uired under the Freshwater Wetlands Act (Article 24 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies, CAF cc: JMO Consulting Sincerely, IH ,ILl)IN(, I)L1 ,\R 1 hll,.N 1 TOWN OF SOUTHOLD September 2 2010 BD Remodeling PO Box 447 Fishers Island, NY 06390 RE: Britt, East End Road, Fishers Island TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 411184) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 34745-Z swimming pool