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