The URL can be used to link to this page

Home My WebLink About9171-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25644 Date: 04/15/98 THIS CERTIFIES that the building ADDITION Location of Property: MANSION HOUSE DRIVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 6 Block 6 Lot 16 Subdivision Filed Map No. -- Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 1977 pursuant to which Building Permit No. 9171-Z dated APRIL 7, 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 TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS PYLE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/14/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM X0. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 9111 Z Date .......................... .......7........, 1917. Permission is hereby granted to: ►r;.xGua,d#S.Q.Ata... LlC...+e. ... QA.. f1....... ...................M hRteq....1.4011A.4........................... to ............................. ................................ at premises located at ...." .M@22!!30n PIOtL89 A !................ ............................................. . .................................................... ............................ ................................................................................................................................................................. pursuant to application dated .................. ..AeP31 y. 77, and approved by the Building Inspector. Fee $15'00 ........... Building In � �� r �.r 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 inspector with the following: 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 installationg, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $I5.00 :ew Construction ........... Old Or Pre-existing Building...~ .............. · ocation of Prooerty..(no #) Mansi~on House Drive Fishers Island House No. Street Hamlet ~nwer or Owners of Property T.h. qm.a.s O. Pyle :ounty Tax Map No 1000, Section.q0.q..0.q ..... Big k. 06 00 016 000 · · · · .' Lo~ · ;ubdivision ................................... · Filed Map ...........· Lot ...................... 'ermit No. 9171Z .Ap?.i.1 7 19~7 ............... Date Of Permit ~. Ap ....... plicant. A. Gada Contractors lealth Dept. Approval .... N./.A. ................... Underwriters Approval ......................... 'lanning Board Approval N./A. ~equest for: Temporary Certificate ........... Final Certicate ' $ 25 O0 ee Submitted: · .......... : ......... , ........................ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" _ land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1,00 landuse--Pre-Existing C.O. $15.00 Vacant lan~ C.O. $ ~.00 Data, . . .~ ../.,~,/~.r ?,. ............ New Building ...~. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................... ~ ............................................ H°useN°'~/~/']./../'/.~..F~..~... ~/~.//~'~2~ Street . Hamlet Owner or Owners of Property . . ./. ~ . . ....................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ...... ~,¢.Lot ~o .............. Permit No.C//'7/. 7_ Date of Permit .Applicant Health Dept. Approval ....... .~//~. ............. Labor Dept. Approval .... .~/A. ................ Underwriters Approval [ %~..c'..-"~ · .Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ~.,..~. " . .... Construction on above described building and perm~m~t¢~_ all applicable codes and regulations. Rev. 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filted in typewriter OR ink, and submitted in duplicate to the Building inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-e~isting~'-~ land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. "Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date....~/.~,/~...~. ............. New Building .% ........ Old or Pre-existing Bpilding ............ Vacant Land ............. Location of Property ., ~ ............................................................ Owner or Owners of Prope~ ...................................... ... .. . . . . County Tax Map No. 1000 Section ............... Block ............... Lot ............... Subdivision ................................. Filed Map No ........... Lot No ............. Permit No. . Date of Permit .......... Applicant .. ~ ~.~(~ Hea~th Dept. Approval ...... ~/././~. ............. Labor Dept. Approval ..... ./(/~//~. ............. Underwriters Approval ........................ Planning Board Approval ................ Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ Construction on above described building and permit meets all applicable codes and regulations. 6' An open s~ed as part of a building doubles its usefulness in countless additional ways. As, for instance, a shelter for wheeled imple- ments and toys, for firewood, or for bulky storage o~ anything. Use it, too, as a park- ing place for the barbecue gear and have your cook-outs directly in front. What coul~ be handier ~-or more fun9 The shed lends an extra note of interest to the building ~ gives it a longer, lower look ~especlally with its carrbge shed roof. Here's a happy combination of pleasing design and prac- tlcality. "V~Xe are tremendously pleased with our too[ house. Mr. P. says it is the o~dy house he ever boa~ght that is exactly as he wants il, down lo the last detail. In fact, each of us wmdd secretly like to oust the tools and live there. 1Vie also very much appreciated the thoroughly workmanlike wa)' in which )our men set it up. The), seemed as eager as we could possibly be to have eveo~thing exactly right, lg/e look forward to having other things o] yours in the future." Framtnghsm 1~01~1~ NO. ! YOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. IS pproveo a/c ............. ~,-~,,~< ...................................................... ~' ........................ .......................... (Building Inspector) / APPLIGATION FOR BUILDING PERMIT Date ..~(j..~,.......,.~.. .................. , 19.,'~,~ ...... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sate of plans, accurate plot plan to scale. Fee according to schedule. b. Plat plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o7 areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. ""b~.. ~'-Upon~epl~ro~/al 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.----Np building shah 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 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 buildings for necessary inspections. .... ............. ................. (Sigr~a~ture of applicant, or na~e, if ........................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ........ .............................................................................................................. Name of owner of premises ..~..O.?...~,~.~;.....~..:...~.~...c.~.~.?.~ ................................................................................................ if applicant is3 a corporate, signature of duly authorized officer. ............ ( ' porate officer) ' Builder's License No..?.~..~...!..T....~..;...~. ............................ Plumber's License No..~..~?.,.:~..Z..,~., ......................... Electrician's License No..~-..c?l..~..:...~.. ......................... Other Trode's License No ............................................... Location of land on which proposed work will be done. Ntap INa.: ...~ .................................... Lot No ......................... Street and Number ~..~...~ ~.~.. ~.~...~..~lg.~.., T~.?~,J~-~...~..L~....~....~. ............................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .... ~ ............................................................................................ b. I ntended use and occupancy ..~.~;.i.~...~...~..'.!...~...,C.:.......~(/...~...~.~;.;.....~t. ................................... ............. Nature of work (check which applicable): New Building.. ................. Addition .....~ ........Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... ~ ~ -. ~ (Description) 4. Estimated Cast ...l.[,0..~.,~....]..O..:..~..~. ............................. Fee ,.f..9....~ ............................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... /. ................... Number of dwelling units on each floor ........ ./. .................. If garage, number of cars ............................................................................................................................................. n ~f nature an extent of eac' t e of u-e 6. If business, commercial or mixed occupa c~, spec' y~ d n yp ~ "'t ........................ 7. Dimensions of existing structures, if any: Front ....... ~..~ ............. Rear ....'tX...77..~ .................. Depth ...~..~....u. ........ Height ..~..~....r.O..[i ......... Number of Stories .......... ./. ..................................................................................................... Dimensions of same structure with alterations or additions: Front .....~.'Lc(T[.~..'.' ................... Rear -~ ~O" /~ 'O" Depth ~ ............................ Height ............................ Number of Stories .../. ............................ 8. Dimensions of entire new construction: Front ..~2,.~0,'....O. ..................... Rear ....~...O.~..O, ............... Depth c~.:.O, .............. Height/..~..¢...O. ........... Number of Stories ............... ( ..................................................................................................... · 'Z_q'-~ - Ra V-~L~zo O 9. S~ze of lot: Front ........................................................ e r .......................................... Depth ........... : .................... 10. Date of Purchase ...[.?...~..~: ......................................... Name,of For,ruer Owner ~'~L~...~.i~...~.....~ ...................... 11. Zone or use district in which premises are situated .....~....~L~..~...~..?..\..(~....~. ............ ~ .................................................. ]2. Does proposed construction violate any zoning law, ordinance or regulation: .... .C) ................................................. 13. Will lot be regraded ...~..~ ..................... Will excess fill be removed fram premises: ( ) Yes (~) No 14. Name of Owner of ~remises?...~..~L~¢ O,¢glL~z Address~&~.'J~. Phone No ....................... Name of Architect:'eT~.~..~.~..C.M~ ........................ Address .4~f.~.O'~."~P~5 ...... Phone No ....................... Name of Contractor~'~.~.~.(~.~..°...~.....~.,g:J:....iP..~....-~..r. .............. Address~.~..~...~...!..~.~.......Dv. ....... Phone ' ~o N o."l.R, .~.. :~. _z:.:..~., / ..... PLOT DIAGRAM Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate all set-back dimensions frorrl property lines. Give street and block number or description according to deed, and show street names and indicate STATE OF NEW~ORgl ~J _ ~c c COUNTY O,5' ............. ~'~'~ ................. ........................ being duly sworn, deposes s .s he is ,.e (N~ of i~u~ signing c~tracf) above named. He is the ............. .~.~ ............................................................................................................................ (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.~efore me this ~ . _ '~ ~ ~ ~..~ ......day of ~..~ ......................... , 19..~,.~ ~ ~ / Notc,~ Public .........~ ............... Coun~ ~...... ~..~ ......~.....~. ................................. ~~ ff.~ "-- (Signature of ap~ant) Not~ry Pubhc, Slate of New YOr~ qu~ljf;¢.i in 5uhuik County~ ~ ,,7 BREEZEWAY & SLEEPING PAVILION SCALE :'1/4"=1'.-0"