HomeMy WebLinkAbout41728-Z �p�4g11FFQ4��pG Town of Southold 12/27/2017
P.O.Box 1179
o ! 53095 Main Rd
4,, p� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39422 Date: 12/27/2017
THIS CERTIFIES that the building ALTERATION
Location of Property: Reservoir Rd.,Fishers Island
SCTM#: 473889 See/Block/Lot: 9.-8-3.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/12/2017 pursuant to which Building Permit No. 41728 dated 6/12/2017
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:
ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Harvey Jr,R Dixon&Janet
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41728 08-17-2017
PLUMBERS CERTIFICATION DATED 10-20-2017 m Raving
ut d Signature
SUFFo�,r. _ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 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#: 41728 Date: 6/12/2017
Permission is hereby granted to:
Harvey Jr, R Dixon
2004 Stringtown Rd
Sparks, MD 21152
To: Interior alterations to an existing one family dwelling as applied for.
Replaces BP# 39453.
At premises located at:
Reservoir Rd.,Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-8-3.3
Pursuant to application dated 6/12/2017 and approved by the Building Inspector.
To expire on 12/12/2018.
Fees:
PERMIT RENEWAL $308.40
Total: $308.40
uildin pector
TOWN OF SOUTHOLD
�vat Fot,t
�o eo�y BUILDING DEPARTMENT
H a 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#: 39453 Date: 12/30/2014
Permission is hereby granted to:
Harvey Jr, R Dixon & Harvey, Janet
2004 Stringtown Rd
Sparks, MD 21152
To: Interior alterations to an existing one family dwelling as applied for.
At premises located at:
Reservoir Rd, Fishers Island
SCTM # 473889
Sec/Block/Lot# 9.-8-3.3
Pursuant to application dated 12/16/2014 and approved by the Building Inspector.
To expire on 6/30/2016.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $308.40
CO -ALTERATION TO DWELLING $50.00
Tot $358.40
wildin gj Insp
Form No.6
TOWN OF SOUTHOLD
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 the following:
A. For new building or new use:
1. Final survey 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 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 I%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
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.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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. December 10, 2014
New Construction: Old or Pre-existing Building: X (check one)
Location of Property: 3 Reservoir Rd Fishers Island
House No. Street Hamlet
Owner or Owners of Property: Janet&Dixon Harvey
Suffolk County Tax Map No 1000,Section t Block Lot ,
Subdivision Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary C tiificate Final Certificate: X (check one)
Fee Submitted: $ U
Applic Signature
nt
UTSO
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �., ® �� roger.richert(a)town.southoId.ny.us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Harvey
Address: Reservoir Road city Fishers Island st: New York zip: 06390
Building Permit#: 4172$ Section- 9 Block: 8 Lot: 3.3
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Connected Systems License No: 45453-ME
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation X 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures
2 Smoke Detectors
Main Panel 200A A/C Condenser Single Recpt Recessed Fixtures 8 CO Detectors
Sub Panel A/C Blower Range Recpt 40A Fluorescent Fixture Pumps
Transformer Appliances pW Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches g Twist Lock 1-1 Exit Fixtures TVSS
Other Equipment: 4- Under Cabinet Lights, 1- Paddle Fan, 1- Exhaust Fan.
Notes: Kitchen and 2nd Floor Bath Renovation.
Inspector Signature: Date: August 17, 2017
0-Cert Electrical Compliance Form.xls
so
Town Hall Annex g Telephone(631)765-1802
54575 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUELDING DEPARTMENTD D TOWN OF SOUTHOLD
NOV 9 2017
B 7
TOWN OF scftj-k fial"i) CERTIFICATION
Date: 9Gjgj tj/ 061
-3
Building Permit No. 1-117t� Y rcalaas 37t-15
Owner: -Parv.C4 7- r- Z
�+Iease-prdnt)-- --
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Plumber: A10--
(Please print)
I certify that the solder used in the water supply system contains less than 2/10 of I%
lead.
(PYimbe—rs Signature)
Sworn to before me this
day of &E26g 20L;t_
Notary Public sL�—.�'Countv
SO(/ryo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I SOLATION
[ ] FRAMING / STRAPPING [ FINAL
[ f FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: I �Dj (-�, ►�
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DATE 1 INSPECTOR '`
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 a g 4 sets of Building Plans
TEL:(631)765-1802 Planning Board approval
FAX:(631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.,Application
Flood Permit
Examined 20 Single'&Separate
Storm-Water Assessment Form
o
Contact:
Approved 20 Mad to
Disapproved a/c
Phone
11
xpu�o on
s-0s X20
Building Ins ector
DEC 26 2014 �~
k' L CATION FOR BUILDING PERMIT
BLDG DEPT Date December 10 20 14
TOWN OF SOUTHOLD INSTRUCTIONS
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 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 Pemiit 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.
H.P.Broom Housewnght,Inc
(Signature of applicant or name,if a corporation)
P 0 Box 70-162 Ferry Rd Hadlyme,CT 06439
(Mailing address of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder
General Contractor
Name of owner of premises Janet&Dixon Harvey
(As on the tax roll or latest deed)
If applicant' a corporati!�,sigvaVre of duly auth rized officer
N�
(Name aned tit f corpora a officer)
Builders License No. 13061 HI
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
3 Reservoir Rd Fisherds Island
House Number Street Hamlet
County Tax Map No. 1000 Section 9 Block 8 Lot 3.3
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Single family dwelling
b. Intended use and occupancy Single family dwelling
3. Nature of work(check which applicable):New Building Addition Alteration x Interior
Repair Removal Demolition Other Work +replace three windows
(Description)
4. Estimated Cost $120,000 Fee
(To be paid on filing this application)
5. If dwelling,number of dwelling units 1 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 Rear Depth
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 Depth
Height Number of Stories
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?YES NO
13.Will lot be re-graded?YES NO Will excess fill be removed from premises?YES—NO—
Janet
ESNOJanet&Dixon Harvey 10055 Red Run Blvd,Suite 130
14.Names of Owner of premises Address Owings Mills,MD 21117Phone No.
Name of Architect Addrestjox _ one No
Name of Contractor H.P.Broom Housewdght Inc Addresses' one No. (860)526-9836
adlyrne CT 06439
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.
18.Are there any covenants and restrictions with respect to this property?*YES NO
*IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
COUNTY OF SS. r 4z-�TVs)J
being duly sworn,deposes and says that(s)he is the applicant
(Name of indivr signing contract)ab a named,
(S)FIe is the Cv,6`f9.14 "10K
(Contractor,Agent,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 true 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
1 day of �9–C – 20 I�'
Notary Public Signatur of cant
p ,5UFFq f 4 ST(� RI��IC���"A T]EJk,
Scott A. Russell � �s -��
SUPERVISOR - IM[A\NA\GJEIM[JENT
SOUTHOLD TOWN HALL-P.O.Sox 1179 p �
53095 Main Road-SOUTHOLD,N]CW YORK 11971 'own of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT)
DOES 'B'A-IBS PROJECT INVULVE ANY ®& THE FOLLOWING-
DOES
ALL THAT APPLY
yes NO
�[ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
j '0 B. Excavation or filling involving more than 200 cubic yards of material
r within any parcel or any contiguous area.
f
�! �c_pxpti� s1zp �_chxceei e1 eet vWL.ical ri-e Co ._-_
100 feet of horizontal distance.
E10 D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
E. Site preparation within the one-hundred-year f loodplain as depicted ;
on FIRM Map of any watercourse. -
El((F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your 1711i1ding Permit Application.
S_C.T.M. : 1000 date
APPLICANT: (Property Owner,Design Professional,Agent,Contractor,Other) Dstrtu o
NAME. 1��C�J _ J J
fL
C Section BlockLot
°s"„ `•' Q f}— — ...`..FoTi BUILDI :.:a DIE FAlETNIF NT U S
Contact Information �_�/���
Pevte�ued Lty. _
Dale-
Property Address / Location of Construction Work: -
- v� µ — Aporoved fc- proce,mng&Jdr;Ig Perrltit
�//�� —
1"� Stormwatei Nl:neguiic:nt C:onlrol Ylar;N::t Reg1_11lred.
J/ __ _.. 5torn;water:�9an. em.°tit Cor;ii o!Talar i�liectnrca.
(�0'>v,i(;l10t�ilyil'.'!'r'rl Depu�-Ijew "o.'RevIt-1i
Of SQ�jlyo`
Town Hall Annex Jf O Telephone(631)765-1802
54375 Main Road c�+ 6502
I
o
P.O.Box 1179 ro er.richertwn.sou5.n .us
1
Southold,NX 1197I-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
. C&'1,&JM &J4Zpyl LDate:
Company Name: C1 0y)r) T4_6M LL&
Name: aeon
License No.: 45q 53—/h E
Address: 15� , 1 a0161 W w
O3� 1�1 �C
' Phone No.: - -
i
JOBSITE INFORMATION: (*Indicates required information)
*Name: DY Sn-) 4a,-I/
*Address: - 3 e5L iY h �
*Cross Street: W 1 r
*Phone No.: &O, q3q,n 8, _
Permit No.: C n �� 3�1N53
Tax Map District: 1000 Section: Block: -
�E Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ►Ye i6D
wrYe rw betkh ram Ma/,
(Please Circle All That Apply)
*Is job ready for inspection: YES/ NO Rough In Final
*Da you need a Temp Certificate: YES/ NO
Temp Information (if needed)
*Service Size: 1 Phase 313hase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead !
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
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HARVEY RESIDENCE - Bathroom Tub/shower area
Etched label on the newly installed Tempered sashes.
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TOWN 4F SO-O, T,_,OLA
OCT 0 201
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HARVEY RESIDENCE
9/29/17 Delivery Receipts for five of six Tempered sashes for the
Bathroom Tub/shower area.
MON TUE WED THU FRI SAT
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�T CA AAM 777---��� ❑ AM ❑ PM ❑ ANYTIME
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Since 1902
Bothol,CT Branford,CT Darton,CT Lowlaboro,NY
(203)797-1212 (203)488-3651 (203)655-2525 (914)$33.2517
P. O. Box 714 (8001797-65 t 7 (866)758.3551 (800)390.1000 (8881 533-2617
Niantic CT 06357
T: 860-739-5441 New Landon,CT Now Milford,CT Niantic,CT Wilton,CT
(860)439-0155 (8601 355.5566 18601 739-5441 (203)761-1000
F: 860-739-5822 (866)439-0155 (888)360.8966 (8001303-6526 (866)842-7883
TRANSACTION
TYPE
STORE
Charge Invoice * * * LIKE US ON FACEHOOK * + Niantic, CT
BILL TO: SHIP TO:
H.P.BROOM-HOUSEWRIGHT IN
162 PERRY RD F. I. FERRY DOCK
P.O. BOX 70
HADLYME CT 06439 NEW LONDON CT06320
860-526-9836
I
CUSTOMER TRANSACTION CUSTOMER !
CODE DATE I UMBER I TIME PURCHASE ORDER NUMBER SALESPERSON _
EBROOSK 09/27/20171 864471 12:35 DIXON HARVEY 96 - David Lee
OAIQINAL
APPLY TO ORDER DATE I ORDfQTE N0. TERMS _ TAX JURISDICTION
t_. 0 08/28/2017 200782 -_ Special Term 1125-15-5 6.35% - CT SALES TAX
-- f
_ITEM _ ORDER OTY SHIP OTY LOC DESCRIPTION PRICING UNIT PRICING PER UOM NET AMOUNT
PLEASE CALL TO ARRANGE DELIVERY ^'
MARVIN SASH ARE STONE WHITE
ALUM CLAD EXTERIOR, PRIMED PINE
INTERIOR, TEMPERED LOW-E 2 WITH
ARGON, 7/8" SDL WITH SPACER CUT
3W2H, WHITE SASH LOCK.
SOMW 3 3 CUDH2O24 UPPER SASH ONLY 3.00 464.360/EACH 1393.08
SOMW 3 2 CUDH2O24 LOWER SASH ONLY 2.000 464.360/EACH 928.77.
L 1 1 LOC: SHED 5, E 2 1.00 0.001/EACH 0.00
R 1 1 RECEIVED BY- M.B. ON 9/25/17 1.000 0.001/EACH 0.00
HASTINGS 1191022 / MARVIN
AWB76678 �e (��/
OR IV -fjr.L
OCT 3 2017
41NC'S EN D
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RECEI N GOOD CONDI BY: SEE REVERSE SIDE FOR TERMS AND CONDITIONS
JAMES FLOR
MISC SALES RE0.IAINING INVOICE
NET AMT CHAROE FREIGHT TAX DEPOSIT TOTAL _
X 2321.80 0.00 1 147.43 1 2469.23
OFFICE CO
HARVEY RESIDENCE
9/29/17 Delivery Receipts for one of six Tempered sashes for the
Bathroom Tub/shower area.
MON TUE WED THU FRI SAT
www�� ❑ ❑ ❑ ❑ ❑ 11I���I���fflnlll��ll�lll�l
A�®A AM PM ANYTIME page #
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Since 1902
Bethel,CT Branford,CT Darien,CT Lowieboro.NY
(203)797-1212 (203)488-3551 (203)655.2525 (914)633-2517
p, 0, Box 714 (800►797-6511 (866)758-3551 (800)390-1000 (888)533.2517 i
Niantic CT 06357 New London,CT New Milford.CT - Niantic.CT Wilton,CT
T: 860-739-5441 (860)439-0155 (860)355-5566 (860)739-13"1 (203)761-1000
F: 860-739-51322 18661 439.0155 (888)350.8966 (800)303.6526 (866)842.7883
TRANSACTION STORE
TYPE
Charge Invoice * • * LIKE US ON FAC13BOOK * * CT,
BILL TO: SHIP T0: _7
H.P.BROOM-HOUSEWRIGHT IN
162 FERRY RD F. I. FERRY DOCjjjf4^jL% �D
P.O. BOX 70
HADLYME CT 06439 NEW LONDON CT06320
860-526-9836
CUSTOMER TRANSACTION CUSTOMER
CODE DATE NUMBER TIME PURCHASE ORDER NUMBER SALESPERSON
EBROOSK 09/28/2017 866034 12:55 DIXON HARVEY 96 - David Lee
ORIGINAL
APPLY TO ORDER DATE ORDIOTE NO. TERMS TAX JURISDICTION
- OT 08/28/2017 200782- Special Term 025-15-5 6.35 - CT SALES TAX
ITEM ORDER QTY SHIP OTY LOC DESCRIPTION _ PRICING UNIT PRICING PER UOM NET AMOUNT
PLEASE CALL TO ARRANGE DELIVERY
MARVIN SASH ARE STONE WHITE
ALUM CLAD EXTERIOR, PRIMED PINE
INTERIOR, TEMPERED LOW-E 2 WITH
ARGON, 7/8" SDL WITH SPACER CUT
3W2H, WHITE SASH LOCK.
SOMW t 1 1 CLTDH2O24 LOWER SASH ONLY 1.00 964.360/EACH 464 3b
is HASTINGS 1191022 / MARVIN
AWB76678
L 1 1 LOC: SHED 5, E 1 1.000 0.001/EACH 0.00
R 1 1 RECEIVED BY: MB. ON 9/28/17 1.000 0.001/EACH 0.00
HASTINGS 1191022 / MARVIN
AWB76678 ,
RECEIVED IN GOOD CO I - �a � E R VERSE SIDE FOR TERMS AND CONDITIONS
JAMES F RIAN MISC SALES REMAINING INVOICE
NE A T CHARGE FREIGHT TAX DEPOSR TOTAL
V ! n 201*
01 , 46 0.00 29,49 493.85
OFFICE COPY ' J I
-BMD (;DEPT-
T® 0'F So DEPT-
-0'r
H. P. BROOM - HOUSEWRIGHT, INC.
P. O. BOX 70- 162 FERRY RD.
HADLYME, CT 06439
(860) 526-9836
FAX (860) 526-2647
LETTER OF TRANSMITTAL
LL55 UU ��// l5
DD
Date Job No.
12/10/14
n To: TOWN OF SOUTHOLD
9
NOV 2017 BUILDING DEPARTMENT
TOWN HALL, 53095 MAIN ROAD
P 0 BOX 1179
BU,DING DEPT. SOUTHOLD, NY 11971-0959
TOW,1 OF soumom
Attention: BUILDING OFFICIAL
TELE: (631)765-1802
Re: PERMIT #41728
WE ARE SENDING YOU
X Attached Under separate cover via the following items:
Copies Date No. Description
1 10/20/17 LEAD FREE SOLDER CERTIFICATE
1 10/4/17 PHOTO OF SIX CODE REQUIRED TEMPERED
SASHES IN PLACE
1 10/4/17 PHOTO OF CODE REQUIRED ETCHED LABEL ON
TEMPERED SASHES
1 10/4/17 PHOTO OF CODE REQUIRED ETCHED LABEL ON
TEMPERED SASHES
1 9/29/17 COPY OF DELIVERY INVOICE FOR ONE OF SIX
TEMPERED SASHES
1 9/27/17 COPY OF DELIVERY INVOICE FOR FIVE OF SIX
TEMPERED SASHES
THESE ARE SUBMITTED as checked below:
_x_ FOR APPROVAL _X_ AS REQUIRED/REQUESTED
RFMnRKS: ATTACHED PLEASE FIND THE REQUESTED INFORMATION TO COMPLETE THE
CERTIFICATE OF OCCUPANCY FOR PERMIT #41728
IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US AT (860) 526-9836.
THANK YOU
JIM FLORIAN
H P BROOM HOUSEWRIGHT, INC
H. P. BROOM-HOUSEWRIGHT, INC.
P. O. BOX 70- 162 FERRY RD.
HADLYME, CT 06439
(860) 526-9836
FAX (860) 526-2647
LETTER OF TRANSMITTAL
Date Job No.
12/10/14
To: TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL, 53095 MAIN ROAD
P 0 BOX 1179
SOUTHOLD, NY 11971-0959
Attention: BUILDING OFFICIAL
TELE: (631)765-1802
Re: HARVEY RESIDENCE
PERMIT APPLICATION
WE ARE SENDING YOU
X Attached Under separate cover via the following items:
Copies Date No. Description
1 12/10/14 BUILDING PERMIT APPLICATION
1 12/10/\14 APPLICATION FOR CERTIFICATE OF OCCUPANCY
1 11/20/14 5 PAGES INTERIOR PLANS
1 12/10/14 CK # $358.40 FOR BUILDING PERMIT
& CERTIFICATE OF OCCUPANCY
THESE ARE SUBMITTED as checked below:
X FOR APPROVAL X AS REQUIRED
REMARKS: ATTACHED PLEASE FIND OUR BUILDING PERMIT APPLICATION FOR THE
HARVEY RESIDENCE ON FISHERS ISLAND - RENOVATONS/ALTERATIONS.
THE INCLUDED CHECK WAS CALCUTATED AS FOLLOS:
FLAT FEE - ALTERATION = $200.00
271sf OF ALTERATIONS @ $.40/SF = #108.40
CERTIFICATE OF OCCUPANCY = $ 50.00
TOTAL $358.40
IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US AT (860) 526-9836.
THANK YOU
JIM FLORIAN
H P BROOM HOUSEWRIGHT, INC
Southold Town Building Department
�o�sufFot,��p�y P.O.Box 1179
Permit#: 39453
53095 Main Rd
o • Southold,New York 11971 Permit Date: 12/30/2014
'yfjol �o� (631)765-1802 Expiration Date: 6/30/2016
Parcel ID: 9.-8-3.3
BUILDING PERMIT RENEWAL LETTER
Dated: 5/24/2017
Applicant: Harvey Jr, R Dixon&Harvey, Janet
Location: Reservoir Rd,Fishers Island
Work Description: ALTERATION
Interior alterations to an existing one family dwelling as applied for.
A FEE OF $308.40 IS REQUIRED TO RENEW THIS BUILDING PERMIT.
Owner: Harvey Jr,R Dixon&Harvey, Janet
Address: 2004 Stringtown Rd
Sparks, MD 21152
The permit listed above has expired.No work is permitted or authorized beyond the expiration date. Please
submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building
Department, P.O. Box 1179, Southold, New York 11971
THANK YOU,
SOUTHOLD TOWN BUILDING DEPT.
TOWN OF SOUTHOILD Ty Rq pRD
"' 6 VILII�GE DIST. SUB_ rrraR LOT "
NER rr STREET
• - �� Ilex ham• �s��.�.� mss. - SFS
t V 4 t�' � ACR.
`L� i 1FORMER OW E�. �1t�1.,L 1 w TYPE OF $U1LD1lG
:.1.-
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rCOMM. G8. MiGS. Mkt. Value
R;-RES. fj SEAS. YL. �j FARM f"
TOTAL. ! DATE REMARKS
LAND Imp; e ,r 6v
PIC) - a�? 79 •
ov -
05
- �� � •fir aY - ��• .=-��J�'
A
C•erd rin
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FRONTAGE. ON WATER 96,9 D
Tillable
k FRONTAGE ON ROAD
i Woodland 1 DEPTH
Meadowland
- BULKHEAD
House Piot
Total
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H. A Broom - Housewright, Inc
162 Ferry Rd.
P. O. Box 70
Hadlyme, CT 06439
Telephone (860) 526-9836
FAX(860) 526-2647
APPROVED AS X90;"D
HARVEY COTTAGE—RENOVATION DATE: 2 X11 B.P.
KITCHEN&BATH PLANS
Revised 11/20/14 FE 3Y:
Scale 1/2" = 110" NOTI Y BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
Kitchen - 121f sf I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
Bathroom - 132f sf 3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR Co.
ALL CONSTRUCTION SHALL MEET THE
Closet - 18 sf REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
OCCUPANCY OR ALL CODES OF
NEW YOB K STA 1 E & TOWN CODES
USE IS UCLA WFUL AS REQUIRED A�
WITHOUT CERTIFICATE � ��-
OF OCCUPANCY sou
Tn1AM TO ICTEE$
-7,
c UIM
Sink 2'4"
Cut-out
f
'10'-2"
HARVEY COTTAGE
Fishers Island N Y
KITCHEN RENOVATION
Room size 121±sf
Replace Kitchen Cabinets,Appliances&Counters
00
Lo 0
1
HOOD
2'-8'
3'-0"
1'-6"
O_ 07. C) c) U 0 O_ O
cc
HARVEY COTTAGE-Kitchen
North Elevation-Tile splash
-ILI
f
O
HARVEY COTTAGE-Kitchen
South Elevation-Tile splash
HARVEY COTTAGE
REVISED BATHROOM PLAN
REVISED-1112-0,114 9�6-VYW��NA L
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i�RE Comer milE,ame
k i I N
New taii et/
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BATHIROG
132±sf
vo
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