HomeMy WebLinkAbout36272-ZTown of Southold Annex
54375 Main Road
Southoid, New York 11971
6/27/2011
CERTIFICATE OF OCCUPANCY
No: 35027 Date: 6/27/2011
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
EQUESTRIAN AVE FISHERS ISLAND, N.Y. 06390,
Location of Property:
SCTM #: 473889
Subdivision:
Sec/Block/Lot: 9.-6-4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/29/2011 pursuant to which Building Permit No. 36272 dated 3/29/2011
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 an existing one family dwelling as applied for.
The certificate is issued to
Guimaraes, George & Guimaraes, Mary
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED Peter Mrowka
36272 6/27/11
A/I 6/7/11
ho r~:t Sigr(ature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36272
Permission is hereby granted to:
GEORGE & MARY GUIMARAES
90 ROCKLAND AVENUE
YONKERS, N.Y. 10705
Date: 3/29/2011
To:
WINDOW REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING & MINOR
INTERIOR ALTERATIONS. REPLACES EXPIRED BUILDING PERMIT # 31345
At premises located at:
EQUESTRIAN AVE FISHERS ISLAND, N.Y. 06390
SCTM # 473889
Sec/Block/Lot # 9.-6-4
Pursuant to application dated
To expire on 9/29/2012.
Fees:
3/29/2011
and approved by the Building Inspector.
PERMIT RENEWAL
CO - ALTERATION TO DWELLiNG
Total:
$345.00
$25.0O
$370.00
Building Inspector
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. 31345 Z Date AUGUST 9, 2005
Permission is hereby granted to:
P KR3tKOWSKY (GUIMAP~AES)
C/O HAROLD COOK
for :
WINDOW REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at EQUESTRIAN AVE
County Tax Map No. 473889 Section 009 Block
pursuant to application dated JULY 28, 2005
Building Inspector to expire on FEBRUARY 9,
FISHERS ISLAND
0006 Lot No. 004
and approved by the
2007.
Fee $ 345.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Tow .ALL
765-1802
This
application must be filled in by t~ewriter or ink and submitted to the Building De~me~
A. For new building or new use: 1. Final skyey 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-disposal (S-9 fora).
3. Approval of electrical installation ~om Board of Fire Unde~hters.
4. Sworn statement from plumber ce~ifying that the solder used in system contains less than 2/10 of 1% lead.
5. Co~ercial building, indust~al building, multiple residences and simil~ buildings and installations, a ce~ificate
of Code Compliance from amhitect or engineer responsible for the buil~ng.
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 to inspect signed by the applicant. Ifa 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00~ Accessory building $50.00, Additions to accessory building $50.00, 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.
New Construction: Old or Pre-existing Building:
Location of Property:
Hous~ N/~
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
(ch_e, ck pne)
Block ~/")t~ ~tS) Lot
Subdivision
Permit No.__ -._ c~! Date of Permit. ~
Health Dept. Approval:
Filed Map..~ Lot:
Applicant: ?[~ ~._~ ~/'~
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $_.
Final Certificate: ~V (check one)
/ Applicant S~gnature
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971 0959
Telephone (63 l) 765-18B2
Fax (631) 765-9502
ro.qer, richert~,town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: George Guimaraes
~,ddress: Equestrian Ave City: Fishers Island St: NY Zip: 639(:
~uilding Permit #: '~,~ ~.r-~-,~.~..~'~.-Secti°n;~ ~"' Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Harolds LLC License No:
SITE DETAILS
Office Use Only
Residential ~] Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment: basement alteration
Ceiling Fixtures L~l~ll~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures I I TVSS
Notes:
Inspector Signature:
Date: June 27 2011
81-Cert Electrical Compliance Form
TOWN OF $OIJTHOLD
OFFICE OF BU1LDING INSPECTOR
P.O, BOX 728
TOWN HALL
SOUTHOLD, N.Y. 1197!
TEL. 765-1802
CERTIFICATION
Date
(~ l~se print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Sworn to before/me this
of
Notary Public,~OLF-
County
KARLA S. HEATH
NOTARY PUBLIC, STATE OF NEW YORK
NO. 01HE6222563
QU,ALJFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES 05/24/2014
FIELD
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGIt FRA.~I~G &
PLUM~BI2q'G
INSULATION PER N. Y.
STATE ENERGY CODE
ADDITION.aL COMMENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ,
SOUTHOLD, Ny 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Exan'dned ~/r~ , 205
Approved ~ , 20 ~
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey_
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Expiration ~7'~203
~ [ ....... . Building Inspector
i'~ii ';i '}~j[' Z 8~~ ~ APPLICATION FOR BUILDING PERMIT
~t~,~ "". '~P~ Date
~O~ INSTRUCTIONS
0"~O [/-J ~(-l~, 20 0'-~
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months fi.om 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, Suftblk 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
applicant agrees to comply with all applicable laws, ordinances, building code, housing~,od~gu~lations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(~igllal~e f~nffor name, if a corporation)
(Maihng address of applicJtnt)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~ ~'tr') rFJ~ ff (~ U i If~ a I~'~_ "~ ~
- ' 0 (As on the tax roll or latest deed)
If applicant is a corporqI~on, ,signature of duly authorized officer
(lq'ame an3 title 3f ~orporate officer)
BuildersLicenseNo. ~l q q ?--
Plumbers License No.
Electricians License No.
Other Trade s License No.
Location of land on which pro_posed work ,will be donedh~0~
House Number Street/
County Tax Map No. 1000 Section
Subdivision
(Name)
Block- ¢
Filed Map No.
Hamlet
Lot q
Lot
2. State existing use and occupancy of premi..ses and intended use and occupancy of proposed construction:
a. Exishng use anal occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition A1JAration
Repair Removal Demolition - Other Work/~)~
-- - .../.' ,. '"' (Des omT:,. '"
4. EstimatedCost~ V~0(~, (r)(x) Feec/~4L/,~
' "' - -("Fo Be paid on filing this appli'oat-iO~)'/
5. If dwelling, number of dwelling units ~ 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.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
.Depth
9. Size of lot: Front Rear .Depth
10. DateofPurchase Name of Former Owner ~<~ ~'t~.\~_3[L3~!<~
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__
13. Will lot be re-graded? YES __ NO XWill excess fill be removed from premises?
NO /,,
YES NO~x
14. Names of Owner ofg)rem~se~, :g~f'?'}A/d~.~.z_Address~,t:b't~[\g{ .' '
Name of Architect ~)a~r~c' D--w~?tk~'.~, STg~- [ Address~~.~Phone
Name of Contractor ~,l?~L_h C'_,-~3 [~ Address~5~_~_Phone No.~
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 property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF
~-I .~. ~r~L..~T~) 2("~I~. being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agcnt, 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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this_..._
t~O ~ dayof _]t~.Jt..4 200,
- / Not~'-ryl~J6"blic -
ROXANN[ SPAULDING
NOTARY PUBLIC, STATE OF NEW YORK
No. 01SPB113942
] (iUAI II I[ i) tN Sill I 01K COtlN IY
I MY (;L)MMISSION LXPIIIL8 AUG 9,
OWNER
~O~R,~WNER / ' /
LAND
AGE
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
Brushlana
House Plot
Total
SEAS.
IMP.
NORMAL
Acre
OF SOUTHOLD P~OPERTY RECORD
STREET
VL FARM COMM.
TOTAL
VILLAGE
W 'J '
BUILDING CONDITI(
BELOW
DISTRICT
DATE REMARKS
Value Per Acre
ACREAGE
SUB.
TYPE OF BUILDING
LOT
IND.
o%.~ /-2:. o"o 0
ABOVE
Value
FRONTAGE ON WATER,.//,~.2/~/a~7 _ -- re'/9
FRONTAGE ON ROAD
5/l~'/oS- B,P'~.311?3 ru~o~ ~P-~
DOCK
/~ ~ / ~'= / ~¢ Porch Roo~ l s, Flor
Breezeway ~ ~ ~ ~ '~
" ~ ~ Patio Rooms 2nd Floor
~ t"f if
B~ING D~E~
A~PL[GATION,,~Q~ ELMOTRICAL
Company Name: ~. ___~/~ ~
~cen~o No.:
Phone ~.: ~~ I - T ~- ,~,W ~
JOBSITE INFOR~TION: (*lndic~s required information)
*Cross Street:
Block: Lot:
Permit No.:
Tax Map District: 1000 Section:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
~NO
YES / NO
Rough In Final
Temp Information (If needed}
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400
*New Service; Re-connect Underground Number of Metem Change of Service
Additional Information: PAYMENT DUE WITH APPLICATION
Other
Overhead
82.Request fmc Inspectian Form
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 119714}959
Telephone (631 ) 765- 1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
June 7, 2011
Harold Cook
PO Box 661
Fishers Island, NY 06390
RE: Guimaraes, Equestrian Ave, Fishers Island
TWO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy:
/Application for Certificate of Occupancy. (Enclosed)
/'Electrical Underwriters Certificate.
JA fee of 50.00.
Final Health Department Approval.
'--/~Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
__ Trustees Certificate of Compliance. (Town Trustees #765-1892)
__ Final Planning Board Approval.
__ Final Fire Inspection from Fire Marshall.
__ Final Landmark Preservation approval.
BUILDING PERMIT · #3134~ - Window Replacement
QLIES'i:,R AVE,
RESIDENCE FI'St-tER'S ISLAND, NEUJ YOi K
I~INDOU, I REPLACEMENT SPECIFICATION6:
I. AIL. IUINDOW5 ARE BASED WPON PRODUCT5 MANWFACTi~IED BT LOCKI4EED WINDOW CORP.
2. aLAZING 6~,AI I BE IN6ULATING, LOW~, IMPACT RE6E, TANT,
DOUBLE WIJN~ MONARCt4/NWCONN WINDOW PERFORMANCE:
AAMA P.~,.F. AR lUATER U-VALUE 6HOC MJ~R,
LCd5 6~ O JO 6~ 052 O~
3. MUNTIN$ 6HALL BF. ~/e" 61MULATED DIVIDED LIGt4TS,.
4. AL[- OPERABLE tUINDO~J~ 514ALL BE 6BPPLIED Wt'fN SCREENS.
6, PROVIDE EX'rENSION JAMB6 A~ NECE~AR¥.
6, WINDO~ 6~AI..L BE CLAD IIJOOD.
1. GLAZINr~ IUNERE INDICATED bT ~?" 6HALL BE ~MPE'RED.
~,. REPLACE ONLY WINDOW6 ~I-IO~N IN PLAN WITH SIZE6 INDICA~D. FIELD VERIFT
61ZE6 T'rPICAL PRIOR TO
/~. AI~.L NE~ REPLACEMENT II,IINDOW 5HA[J. BE BE PROTECTI"D FI~OM lUlNDBORNE DEBRI6= I
PROTECTION ~NALL CON615T OF PREC, UT I/2" CD× PLTI,UOOD PANEL6, PREDRIL.LED
FOR 2-1/2' e8 ~CREUI$ AT E" OC-o PANELS 5WALL BE MARKED FDR LOCATION
ORIENTATION ~11-1 6CREtlJ5 AND WA6HER6 PROVIDED IN P!..,'~,6TIC PACKAGING.
REV. el -
EXI6TING EXTERIOR L~ALL TO REHAIN,
DEMOLITION NOTES=
i, ,ALL D~HOLITION ~m~RIAL ~HALL S~ ~IS~O~ O~
FIRST FLOOREXISTING CONDITIONS DEMOLITION PLAN
FAX,
PETER.SPRING~,TEEL'gSNET.NET
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~PG~,CH
NEW ~>OU~.E -
~LO~
CL08. _ .... u
KITCHEN
BATH
FIRST FLOOR NEW CONSTRUCTION PLAN
SCALE: 1/4". I'0"
BD~M, ~3
WALL
pOl~M. ~4
SECOND FLOOR -EXISTINO CONDITIONS DEMOLITION PLAN
SCALE: I/4" ~ I'0"
ARC}I[T~CT
DATE: ~ AUGUST 2009
N
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SECOND FLOOR -NE CONSTRU TION PLAN
TABLE! OF CONTENTS:
TI TITLE PAGE
Al FIRST FLOOR PLAN
A2 SECOND FLOOR PLAN
A5 ELEVATION5
A4 ELEVATION5
CODE:
5INGLE FAM(LY DETACHED R4
COMESUSTItBLE UNPROTECTED
120 HPH EXPODURE 155
PERSCRIPTIVE DESIGN PER 2OOI UJOOD FRAHE CONSTRUCTION HANLIAL
COPYRIGHT ~ 2005 E,¥ PETER J, fiPRING, DTEEL ARCHITECT, LLC
CE~'~IFI~AT~ON OF
NAILINO ~ CO(urql:CTIONS
~ b~- REQU"~,BD'
~)~'O~LJ PANCY OR
G U I M A R A E S R E SIDE N C E
SINGLE FAMILY WINDOW REPLACEMENT
E Q U E S T R IA N A V E N U E
2. ROUGH - F~MING & PLUMBING
INSULATION
YORK STATE. NOT ~SPONSfBLE FOR
DESIGN OR CONSTR~TION ERRORS.
JULY 2OOfi
KITCHEN
P4,~LO~
LIVING
CL05.
REMOVE AND REPLACE ALL l, UlNpOtgS,
FRAME5 AND TRIM AT LOCATIONS
51-!OUJN tglTP! DIHENSION5 TYPICAL
FIRST FLOOREXISTING CONDITIONS/DEMOLITION PLAN
MAIL:
PETEE,~PRINr-~TEEL'~ ~NET,NET
~A RC H IT ~,C~"
Z,4n~
DATE: 2~* JLIL¥ 2005
POFC~
WALL ~1o"
BDRM, #B
pDRM,#4
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ARCHITBCT
SECOND FLOOR EXISTING CON ITIONS DEMOLITION PLAN
DATE: 23 JULY 2005
N
RIGNT 51DE / LUEET ELE',/~,TION
NEUJ CA~EHENTE IN PLACE DF
EXIETrN~ DrNDO~5 - INFILL A5 NEC.
DOUt~L.E ~JlNDDUJ UJ/
DELETE DDUEELE [~INDDLU
AND INFILL UJALL TO HATCH
5~RROIJNDIN~ CONSTRUCTION
FRONT / NORTH EI-EVATION
23 JULY 2005
U~INDO~ REPLACEi'1ENT 6PECIFIC,4TION$;
I, ALL LUINDO[U5 ~,RE la, ASED UPON PRODUCTS MANUFACTURED BY LOCKHEED [UINDO[~) CQRP,
2, GLAZING SWALL BE INELJLATING, LOUJ-E, IMPACT RESISTANT, AS FOLLOtUfi=
DOUBLE HUNG MONARCN/NUCONN UJINDOL~ PERFORHANCE:
AAMA Pm.F, AIR UJATER U-VALUE 5NGC M,P.N.
5. PROVIDE EXTENSION JAMBS AS NECEES.4RY,
e, UJINDO[US SHALL BE CLAD ~JOOD,
1, ~LAZIN¢ UJHERE INDICATED tEY "T" EI4ALL BE TEMPERED.
8. REPLACE ONLY UJINDO~JJfi fiNol/JN IN PLAN LUITN SIZE~ iNDICATED. FIELD VERIFY
SIZE5 TYPICAL PRIOR TO ORDER.
-'VATION
FT 51 / ~,ST
~IEA~ / 50LJTN ELEVATION
[J u U U
FAX,
E - MAIL'
PETER.SPRINe'-STEEL~0NET,NET
&RCHITI~CT