The URL can be used to link to this page

Home My WebLink About9575-zcZ Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/7/2015 No: 37705 Date: 8/7/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: Mansion House Drive, Fishers Island SCTM #: 473889 Sec/Block/Lot: 9.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/11/1977 pursuant to which Building Permit No. 9575 dated 12/6/1977 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: addition & alterations on existing dwelling. The certificate is issued to H Ashley Smith & Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N 576930 9/21/1982 t Aut�ed Signatu Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY JUL 22 20g� �► 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 1% 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 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. 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 New Construction: Location of Property: No. Owner or Owners of Property: Old or Pre-existing Building: T1 -- Date. -7 f -,? DC (check one) rs If lie Hamlet Suffolk County Tax Map No 1000, Section Block I Lot Subdivision Filed Map. Permit No. �� Date of Permit. Applicant:_ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: 'h b t~ k(- �, . �o �� ,/� `tCC4,�t A c el Lot: (check one) /,P/ J a '. a , e Applic re t Signatu Crc a - N9 9575 7 Date.............................. .......................... 197.... 4t, t Permission is hereby granted to: ,/PC,I - 6 Lest-( ............. D...................... ...................................................................... ......... to ... .......T//j6 .... . ............... .................. ..../.... ..h_.... ....................................... ......................................................... at premises located at.. I....w .... ............ .............................. ra U Cs Tp- A 0 AVC -7 PV T T�- .................... e .................. , ............................................................................ .. .................................. ............................................................................................................................ I ................................... pursuant to application -dated ............................ ...... 19.72..., and approved by the Building Inspector. Fee, .... .. Z, R`3}'Y I k ..... .. kl�11 71 Tow, A,f BUILDII -j TOW 3 so _,kA, jrJ"; BUILDINO"'PaP040 (THIS PERMIT MUST BE KEPT ON THE, 0REMISE,,SUNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 9575 7 Date.............................. .......................... 197.... 4t, t Permission is hereby granted to: ,/PC,I - 6 Lest-( ............. D...................... ...................................................................... ......... to ... .......T//j6 .... . ............... .................. ..../.... ..h_.... ....................................... ......................................................... at premises located at.. I....w .... ............ .............................. ra U Cs Tp- A 0 AVC -7 PV T T�- .................... e .................. , ............................................................................ .. .................................. ............................................................................................................................ I ................................... pursuant to application -dated ............................ ...... 19.72..., and approved by the Building Inspector. 313,01 Id! 5" Fee, .... .. R`3}'Y I k ..... .. kl�11 71 A,f -j _,kA, jrJ"; 313,01 Id! 5" R`3}'Y I k ..... .. kl�11 71 A,f IOU091.3 THE NEW YORK BOARD OF FIRE UNDERWRITERS zap 'BUREAU OF Y- YORK, W ��,�xs � JOHN STREET, NEW YORK, NEW YORK 1003$ Date Application No. on file nom — 82 N 57693(,-) THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of wox& L I1O, EisWrs Island, N.Y. in the following location; 1!9 Basement ❑ 1st Fl, ❑ 2nd Fl. Section Block Lot was examined on septetuber 90 1982 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RAN ES COOKING DECKS I j OVENS 11DISHWASHERS EXHAUST FANS OUTLETS 171AI SWITCHES INCANDESCE Tj FLUORESCENT MypFOR AMT. K W. AMT. K W AMT. KW AMT. K W AMT H.P DRYERSFURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPEC,'IALRECPT.1 TIME CLOCKS I BELL ' UNIT TRANS, HEATERS AMT H p MULTI -OUTLET SYSTEMS NO.ST FEET DIMMERS AMT 'W. OIL H. P. GAS H P WT j NO A, W. G I AMT. AMP I AMT AMPS. AMT. WATTS SERVICE DISCONNECT NO.OF METER EQUIP. S E RV 1 C E AMT AMP TYPE i �, 4W I 0 3W 3 A' 3W 3 p 4W NO OF CC CONO PER0 A W G. OF CC NO OF HI LEG A W G NO OF NEUTRALS OF HI -LEG A W G OF NEUTRAL x { �yy 4VV clu x 1COND G G OTHER APPARATUS: Pura lbuardlls. 1--160ir.100sulips Robert L. Wall Alpha AVO. Fi8bsrea Island, N.Y. 06390 lie. 2455—B GENIRAL'AANAGIR xl Per This certificate must not be altered in any _manner; return to the office of toe Board A ,incgtrecf. Inspectors may be identified by their credentials. COPY FOR BUI4DING DEPART ENT; THIS COPY QF ,C, Iti F40a -T �l g1t16.IN ANY. MANNER. r .. ,, Ellam[ NO. I TOWN OF`SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OPNCB SOUTHOLD, N. Y. Examined ............tl? m.......lf!..... 1921 Application No ...... G..c? .%...�.......... Approved .................. `.,............ br........ 19.7.7 Permit No.. .Jr..7.5.. ....... Disapproveda/c...........................:........................................:....................... /1, �\ -\ ...........................................I...................y.............. .. .................... . ................. ................... (Buildup Inspector) APP�.ICATION FOR BUILDING P RMIT Date...Ko..wnbar...11.................. 197.7........ INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 seta of plans, accyratgplgt plan to sale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or .11 areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is port of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 alteration;, or for- removal ordemolition, 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 buildings for necessary inspections. ...... A. Jobn dada General Contraeting, Inc ............................................................a............................ (Signature of applicant, or rams, if a corporotion) Fisbers island, New York 06390 ................................................................................................. (Address of applico6t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. I I ......................................................................................................................................................Ed Name of owner of premises...........A.RbQr�',..LtiQif4,L1:P......................................................................................................... If applicant is corporate, signature of duly authorized officer. R(Name and title of c poste officer) Builders License No. Plumber's License No . ................................................ Electrician's License No . ............................................ Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Street and Number ....ECjU VAM.Avenue ......... Map No.:. pl*n- eon..Sou�& No. CotdtWtage >Ikl ................................................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... 1d4..Aq............................. . �j b. Intended use and occupancy ...... esidence (�.�i— ......... ........................ 3. Nature of work (check which applicable): New Building .. Repair .................. Removal .................. Demolition,....... ........... Addition ...... A......... Alteration .......... . . . ............. Other Work ..................................................... (Description) 4. Estimated Cost ..........$12.t.000.r�a .......................'...Fee .........,5..15.00.................................................................. .. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, number of cars............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify natuYe and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ... 2.5!.-0.'!........... Rear 2.55.!.-.Q.') ............. Depth ...35!-Q Height .... I...... Number of Stories ....... ...... ................................................................................................. Dimensions of salve structure with alterations or additions: Front....2�..'.-.0.'"................... Rear .....4.1':nQ ......... Depth ... a.5a..'-0"-...... I...... Height ..25!.-0.............Number of Stories .........2..................... 8. Dimensions of entire new construction: Front ...i6!.-0!',,,,,,,,,,,,,,,,,,, Rear .... 16!,-0............ Depth...20�,-0"',,,,,,, Height. 1Q... -On.... Number of Stories ... Q110.......................................................................................................... 9. Size of lot: Front ' — " ........... Rear .... 120!„-O!,,,,,,,,,,,,,,,,,,,,, Depth .100' —0” 10. Date of Purchase ........19.!..2......................................Name of Former Owner......y��,H1Ck3............................ 11. Zone or use district in which premises are situated ..... ReSid0pttia1„,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,I................ ,, 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ...Yes ................. Will excess fill be removed from premises: ( X) Yes ( ) No 14. Name of Owner of premises .... obert, Leslie Address F+1r..eR!Xi........... Phone No.788-7478 Name of Architect ...........none ......................................... Address ................................ Phone No....................... Nome of Contractor .... .A...xTaba..Gdda.......................... Address .Xr.1.r.jrfiP ........... Phone No...7.�$r. X231, 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 whether interior or corner lot. See attached Plot Plans and drawings. a STATE OF NEW YORK, t S S COUNTY. OF ............ ................ ....... A-: .. �c�4`n..,.., c��o�;,..�:r.:...................being duly sworn, deposes and says that he is the applicam ...... (Name of individual signing contract) above named. He is the...............................C... h\r .= ¢...................................................................... .............................................. (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 tobeforeme this I ........... ... day of ..... �U'V.Q):a6.R.C... 19.7.. Notary PublG. ............. SVA tklQt J........... County GG' /ter. ure o7a plic-1r ............................. ......................................................... �. (Signature of applic t) MARY 13. PAtMILWICZ_ IJOTARY PUBLIC, ST, ,, OF NEN! YORK NO. 528261950 — SUFFOLK COUNTY CL h1NH5S10N EXP'2 S MARCH 30. 1979 v ! •09�F Aa+ IJJ < y GLQN OF 1,1.41V5/01V LOUSE COTTAGE 5/7E5 F/5 NC R5 /5(4N0, KY. fN<NO[F4 �PA[NFp 6NG/NCE.VS /2 `IR Q3j A�.e i°rt'BM1S'.��xr-f t a w 9'4 0324 tP - 039n I 9 �0 2- '��`.::ta'i$ -_ _ P ��4 '°Yq>o - ms's F/✓C k9 WY, 16 P 0 B."✓` V`. P .i' � A 7��°a Vii'. 5 s &, � i ♦.,,+^. $ 1� l> \Y 13 Ioi \ i q v E N U C t t cT�t h T,J Stet �' '9„(f -x a i t rype .} �- .��6VE 1Y/n1 fJ-v", CWiT C. T -I• —_. ,�. RESET i n�: v, Lnf 7•� oufa H�•4p, �•: i PU, t 3 e.,tr: vl n�.•,ta+a G(•,CY ! �=, 9 [ nn ! 3 Te.y� � h x NO '. � �! '+ate.°:: $ !�.'C� � per+♦ �_'J �� •Pi s� t cT�t h T,J Stet �' '9„(f -x a i t rype .} �- .��6VE 1Y/n1 fJ-v", CWiT C. T -I• —_. ,�. RESET i n�: v, Lnf 7•� oufa H�•4p, �•: i PU, t 3 e.,tr: vl n�.•,ta+a G(•,CY ! �=, 9 [ nn ! 3 Te.y� r x- , r x 0 ,I�j t 5 „tiw [ i•�nIK'�y'� s 7 AI ✓F r, 2 �� _ ' Sir° . �;'�cv��M�7'� ��.sya �� UIl _':.�%w. I It , Ii�FLt •�� SUl7AP � rl I "=v 0 •� rj�r � n[r` Sytw[ � Ce 4 FLS t� -�_. ` - -.. ^ t C [ _ tti cwar , �• r r I-J rte, rt(tt Dv 1,ql, 7nrt.'1 rt..na ,+r a �• µ � I . I Z" 8' C.L. .. � � __. _ —i t It� Fe t I r •A fie T , r Ge.n.ae t- I 1 1514 TILE r;fIL T. 2vtn +�t°t ,•,� o. c. .t 2.. Ce•.,,� t�,,•,r,; M1•: -, r,i i UJh LLAli .�. 1 n ��• f �� C -111 � � � /`_ 1` � ccn�. Ptr' -> , ; q �• t D,o <'