HomeMy WebLinkAbout42079-Z O�c,U�FOd�t�� Town of Southold 12/19/2017
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39412 Date: 12/19/2017
THIS CERTIFIES that the building HISTORICAL
Location of Property: E End Rd.,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 5.-2-10.12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/23/2017 pursuant to which Building Permit No. 42079 dated 10/23/2017
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:
REPAIRS TO AN EXISTING POOL HOUSE AND DECK AS APPLIED FOR
The certificate is issued to King,Henry&Margaret
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42079 11-15-2017
PLUMBERS CERTIFICATION DATED
th rized Signature
gn TOWN OF SOUTHOLD
,,z �°� ' BUILDING DEPARTMENT
. TOWN CLERK'S OFFICE
o� • F 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#: 42079 Date: 10/23/2017
Permission is hereby granted to:
King, Henry
115 E 67th St
New York, NY 10021
To: REPAIR EXISTING POOL HOUSE AND DECK AS APPLIED FOR. THIS PERMIT IS FOR A
REPAIR AND NOT A TOTAL REPLACEMENT. Replaces BP# 24912
At premises located at:
E End Rd., Fishers Island
SCTM # 473889
Sec/Block/Lot# 5.-2-10.12
Pursuant to application dated 10/23/2017 and approved by the Building Inspector.
To expire on 4/24/2019.
Fees:
CERTIFICATE OF OCCUPANCY $50.00
PERMIT RENEWAL $17.50
Total: $67.50
ilding 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. 24912 Z Date MAY 28, 1998
Permission is hereby granted to:
HENRY L & MARGARET G KING
115 EAST 67TH STREET
NEW YORK,NY 10021
for .
REPAIR EXISTING POOL HOUSE AND DECK AS APPLIED FOR. THIS PERMIT
IS FOR A REPAIR AND NOT A TOTAL REPLACEMENT.
at premises located at EAST END RD FISHERS ISLAND
County Tax Map No. 473889 Section 005 Block 0002 Lot No. 010 . 012
pursuant to application dated APRIL 27 1998 and approved by the
Building Inspector.
Fee $ 35 .00
B din Inspector
ORIGINAL
Rev. 2/19/98
pF SOUTyo!
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 aQ roger.rich ertO-town.Southold.ny.us
Southold,NY 11971-0959 Q
ly�OUNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Henry King
Address: 2875 Castle Road (E.End Road) city:Fishers Island st: New York zip: 06390
Building Permit#: 42079 Section. 5 Block: 2 Lot: 10.12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: BD Electric License No: 35821-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor X 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 7 Ceiling Fixtures 2 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures 4 CO Detectors
Sub Panel 60A A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer RecptEmergency Fixture Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment Pool House - 2-GFCI Circuit Breakers.
Notes: Swimming Pool to Include: 1- GFCI Circuit Breaker, 1- Pool Pump, Gas Pool Heater,
Pool Bonding, Pool Light.
"AS BUILT" - "ELECTRICAL SURVEY' - "NO VISUAL DEFECTS"
Inspector Signature: Date: November 15, 2017
0-Cert Electrical Compliance Form.xls
souls
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courm,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND- [Y] NSULA;fION
FRAMING / STRAPPING [ FINAL WSJ- 4 min
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH [ ] ELECTRICAL (FINAL)
REMARKS: U ✓'S D
40
DATE lI -W INSPECTOR
pF SOU
�l'�OOUNTI,��
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ;ROGH PLEIG.
FOUNDATION 2ND [ ] LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: -kv vw� A,,.,
Ii
AM61
YNI�I /
DATE INSPECTOR
.'IELD !;;s Z07 7 ON 11DATE il COMMENTS l
FOUNDATION ( 1st)
cn
FOUNDATION ( 2nd ) — =5
2. z
ROUGH FRAME &
-PLUMBING
c
3.
c�
y
INSULATION PER N-. Y.
STATE ENERGY
CODE x
a V`
(f - j; --
4 . f l y
At'r4wI IG
FINAL
Of
ADDITIONAL COMMENTS : x
Wi&
h-
�t-i
Z I �
• x
y
.3
` FOnMNO. 1 7 SETS 0r PLANS . . . . . . . . • .
TOWN OF SOUTHOLD SURVEY ► . d . . . . . . d . . . . d . . 6 .
Y BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . • . . . .
TOWN HALL SEPTIC rORN . . . . . . . . . . . . . .
SOUTHOLD, N.Y.-11971
TELnc;y ., 765-1862 n0'F 1 r--Y ;
L � CALL . . . . . . . d . . .
Examined . . . . . e- . 19 . I HA I L T o .
9 ' ) � i • d o • s . . • d
Approved . . . . . . .�9f 19 {/Q. Perrmlt No. ¢,
. . . . . . . . . . . . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
dillInspector)
�ar,r U�.1� APR � ,_, ( k �1 APPLICATION FOCI BUILDING PERMIT
(f,• a,p��=- v-�-�- _ Date , .�.1 . . . ., 19 .
t;•+dJi 1 u�� {fie t �p�0 '
a. 'flus application must be completely filled in by_typewriter or iit_i!ik and'submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule. '
b. Plot plats showing location of lot and of buildungs oil premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which Is part of this appli-
cation.
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 Issued a Bulldhng Pernit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the wotk. .
e.= Io building 'shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
-t
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 applicant 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.
. �fo� �vn.,lhc..
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant) 3GV
State whether applicant is owner, lessee, agent, architeci, engineer, generai contractor, eiectrician, piumber or buiider.
ec/&I . . . . . . . . . . . . . . . . . . , . . a . . , . . . . • . . . . . . . . . . . . . . . . . . . . . . .
Nameof owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(UJ
as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer)
Builder's License No. �.-1�(1Ct:3.-.�l1 1 . . . . . . . . . .
Plumber's License No. .`f ja. D. I . . . . . . . . . . .
Electrician's License No. �� . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
I. Location of land on which proposed work will be donne. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . riShevs ,I sly.
Ilouse Number Street Hamlet ,a
County Tax Map No. 1000 Section . . . . , . . . . . . . • . . . . 13lock Lot : . . . . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . , . Idled Map No. . . . . . . . . •.. . . . , Lot . . . . . . . . . . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:l
a. Existing use and occupancy . Rp 1 . . . . . . . . . . . . . . . . . . . . . . . . 6 . . . . • . . . . . . . . . . . , . . . . . . .
b. Intended use and occupancy . Cbl. . .► .1�� �- . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition Alteration
to
Repair . .`� . . . . . . , . Removal . . . . Demolition . . . . . r
�� �_Cjl, -�lC�c� VV fj y��. .J .s Oth% er Work . . . . . . . . . . . . .
4. Estimated Cost . .r.� .�Q�� .. (Description)
i' , . . . . . . . . Fee . . . . . . . . . . .
. . . . . . . . . . . . . I . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling, number of dwelling units . N. / . . . . . . , . .. Number of dwellin units on each floor . , . . . , , , , ,
If garage, number of cars , ,J.v/,A. , , , , g
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front . . . . . . . . . . . Rear Deptlu
Height . . . . . . . . . . . . . . . Number of Stories . . . . .
Dimensions of same structure with alterations or additions: Front Rear
Depth . . . . . . . Height . Number of Stories . . . . . . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . Rear Dept!i
Height . . . . . . . . . . . . . . Number of Stories
9. Size of r F
lot: ront . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
se . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Dept!. . . . .... . . . . . . . . . . . . . . . . .
10. Date of Pt: F
. . . Name of Former Owner
11. 'Lone or use district In which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded , , , . , , . , , , . Will excess fill be removed from premises: Yes
`' ' No
14. Name of Owner of premises My.- .>yt?� K(v�, . . , . Address `1 Sfj-ee.fPQ. hone No.
Name of Architect . , + . . . . , , . Address . Phone No. . , , ,
,
Name of Contractor D).i�.2/► ��e ff COON' f ck, Address ��? ,c !(7 hsh��(S%Phone No.�/6:
15. Is this property within 300-feet: of a tidal wetland? *
*If yes, Southold Town Trustees Permit may be required. " • No. . t . , , , "
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate �petller
interior or corner lot.
.i
a�
STAT OFN �W RKY
:OU 1 Y OF ��i��-1� S.S
' ' ' ' ' 'Aur' ��e..rc�.•tiL• • • • • • • • • • • • • • . . . . . . . being duly sworn, deposes and says that happlicant
is the �
(Nam of int 'vidual signing contract) pl It ant
hove named.
leistlte . . . . . . . . . . . . . t^ . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
if Snid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
Illtlication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
voik will be performed in the manner set forth in the application filed therewith.
worn to before n is
Jotary P ic, . . .� . . . . . County 4
� • ,
TH0MA,13 F.D04t=p",_y jn, \
Notary Public State of Piety York
No.4806559
Qua;ifiaarn SutfolkCog ty ✓` 4i ;ureapplic;ull)
Term Expires 12/31/
NV ' p
sk,
�o
Town Hall Annex
54375 Main Road �' � Tel qne(6 )7SIO02
P.O.Box 1179 G roger richert _01AR180 )"IRA nV US
So�old,NY 11971-0959 �O
TOWN OF SOUTHOLD
BU1WjN(;DEPARTMENT
TOWN OF SOUTHIOLI)
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Date:
Company Name: " 9-i9
�r� ( �,
Name: Ah e /f'
License No.: `
Address: 0 fb amain -2
Phone No.: 6
(o3�
JOBSITE INFORMATION: (*Indicates required information)
*Name:
*Address: S
*Cross Street:
*Phone No.. ��S���`•—��—`�
Permit No.:
Tax Map District: 40p_0Section:
_AZ05_ Block: a Lot: oto of
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
Wr
(Please Circle All That Apply)
*Is job ready for inspection:
ES • NO
*Do.you need a Temp Certificate: Rough In FinalYES! NO -
Temp Information(if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 OfFler
*New Service: Re-connect Underground Number of Meters Change of Service Ov
Additional Information: erhead
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form i p o �
t 0 1 t J0�
1
TOWN OF SOUT.HOLD PROPERTY RECORD CARD
)WNER, STREET VILLAGE DIST. SUB. LOT
mg ret ..
:OW9R OWNER N E� /� OP� ACR.
�n+1 2'"n IrCi Ic�are tr�a. - 3 .9
Iw. • • S W TYPE OF BLhtDING °4
Sr . � f6 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
Zpw o / 000 o?G 00
7 QQ (�d �Jca.y 1013 — 7-315z- 1f — wc, = - 3.24
Y0 b �` oG 29 04T 3 - MzzA Hg; u4is4oyica 1 4- Ire-s(+cig -z om A
%300 -D D 3700 S® u y� c ;o?�o ��704,
11 300 asoo d 3(0,130 ,0 i3 e,_ �-4,33 Tz - . t Ea- +5 4o kact - 4.2( A -
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'oodland a i �S-LIl�71 8 , -75aC morn S6hgbbLQ6/ 010
vampland FRONTAGE ON WATER '
•ushland FRONTAGE ON ROAD
ouse Plot DEPTH 4 6cO ::A v
BULKHEAD J27 C5 I � C
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EMENNOMENOMMEMENEEN
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.- •.• Rooms I st Floor
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Patio _
MYSTIC MIRROR & PLATE GLASS
-- " --- — 14 EdgemonCSt-Mystic;CT 06355
(860)536-0015
To Whom it May Concern;
On December 8,1997 we installed exterior railing glass at the King residence.located at 2875 Castle Rd.
Fishers Island. This glass is clear 1/2"tempered safety glass.
Sincerely,
= z
Ross Terwilliger,President
1
Jarski, John
From: Jay Roarke <Jay@bdrrusa.com>
Sent: Wednesday, November 29, 2017 9:52 AM
To: Jarski,John
Subject: permit#42079
Attachments: SKM_C25817112909450.pdf, SKM_C25817112909421.pdf,
SKM_C25817112909420.pdf,IMG_20171128_094423116_HDR.JPG
Hi John,
Attached is the photo of the added fence uprights,tempered glass certificate and Underwriters certificate. Please
review and contact me with any questions or if any further details are required.
Thank you,Jay
M
REWC)Mm a REsroRA-noN
Jay Roarke
Service Manager
Direct Line: (860) 912-2318
Jay(&,bdrrusaxom
New York:
1420 The Gloaming, P.O. Box 447, Fishers Island,NY 06390
Office: (631) 788-7919 Fax: (631) 788-7192
Connecticut:
79 East Putnam Ave, P.O. Box 1355, Greenwich CT 06830
Office: (203) 983-6083 Fax: (203) 983-6084
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