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FOtlM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldini Inspector Town Hail Southold, N.Y. Certificate Of Occupmncy Z12355 ... ........................ . ' "" ' N .............. Date THIS CERTIFIES that the buildin$ Dwe 11 i nig ......... Location of Property . · .H~y. ~acb~'.~ · YP~ .~7.e ...... .F. j~9.he.r~. Island Hou~ No. Strut Harnl~ ~ Block 1 Lot 3 County Tax Map No. 1000 S~ction ........................................... Filed Map No Lot No · · · Subdivision ................................................... conforms substantially to the Application for Building Permit heretofore filed in ~ office ti*ted 0.~.T 1. 19.8.2 pursuant to which Building Permit No. 119.4..0.Z.. .... ......... .. · dated .... ~) ~.T.... ] ................. 19..8.2, was issued, and conforms to all of the r~quir0ments of the applicable provisions of the law. Thc occupancy for which this certificate i~ i~ued iz ......... New dwelling replacing dwelling destroyed by fire 10/15/81 certif'mate is issued to ~.t.r. ~ ~ a $ ~.e d~OP ........ (owner, ~ or of the aforesaid building. Suffolk County Department of Health Approval .N/.A ...... ~623931 UNDERWRITERS CERTIFICATE NO .................................................. ' Buildin~ Inspector Re~. 1/81 TOWN OF BUILDING DEPARTMENI~ TOWN HALL SOUTHOLD, 'N~. Y. BUILDING pERMIT (THIS PERMIT MUST BE KEPT ON tHE PREMISES UNTIL F;ULL COMPLETION OF THE WORK AUTHORIZED) Permission' is hereby granted to: ......... ': .......................... ~"';""" "";'T"I ...... '.' ....... ' ....... ~ ................................. ~o ...... ..... ~....~ .................... at premise~ located at ............................................................. ..,.:: ............... ~r ............ ~ .......................... ~o~ *~ ~ ~o. ,00o ~s~.o~ pu;su~nt ~o opplicotlon doted ............... : ...... : ....... ~i~...~ ~nd ~pprovoa by tho Building Inspector. Fee .$.Z..~...~ ............... FORM NO. 6 TOWN OF SOUTHOLD Bu ilding 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 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. 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/ land use 3. Copy of certificate of occupancy $1,00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5,00 New Building .., ~.. ....... Old or Pre-exi~ting Building ~ ........... Vacant Land/, ............ Location of Property .'~./~?, ~. /~.~..~.~. 4C . .~.~.~./J- ~..~.~,. j/?.~t ~J~:;P~_ ..... House No. / , __ __ Street Ham/et Owner or Owners of Property ..... ' .......... ' ........................ ; ................. County Tax Map No, 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No .......... .Lot No.. ............ Health Dept. Approval ...... ; ................. Labor Dept. Approval ........................ Underwriters Approval /~ ~ ';2 ~ 3 { .Planning Board Approval .A/? ' Request for Temporary Certificate ..................... Final Certificate ....................... ' Fee Submitted $ ........................ Construction on above described building and per~ m~ ts all applicable codes and regulations. Applicant..~,f .... ,,,¢~',~-~¢~. ~ .................... Rev, 10-10-78 ROBINSON, ROBINSON ~ COLE April 4, 1984 LAW OFfiCES Curtis W. Horton, Building Inspector Town of Southold Town Hall Southold, New York 11971 Dear Mr. Horton: As you can see, the attached certificate of occupancy was issued to both Mr. and Mrs. Stedman when it is my understanding that title to this property is solely in Mrs. Stedman's name. I am making inquiry just on the off chance that the real estate records of the Town are not in accord with Mr. and Mrs. Stedman's understanding of the state of the title. If it is not too much trouble, could you jot an answer to this problem on the bot- tom of this letter and return it to me in the attached envelope. Very truly yours, Sorry but we issued it as it appeared on the application, CJC/fco Enclosure cc: Mr. T. W. Stedman zo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS THIS CERTIFIES THAT only che elect~cal equipment as described below and S~troduced by the applicant named on tke ab~ application number in the premises of in the fotlowlng location; Y~ Basement ~ ls~ FI. ~ 2nd FI. ~SidO Section Block Lot was examined on ~v~r 8 ~ ~ and found to be in compliance with the rdquirements of this Board. FIXTURES RANG$S ~OVENS DISH WASHERS EXHAUST FANS FIXTUR~ 61 19 DRYERS SYSTEMS NO. OF FEET E ~F~e~fC~'~C mu heaters; l~-.ESO0.~. ,9.-1.2kw., 1-1~. G.F.I. (~. ~e R V I C 2/0 1 2/O Gad~ Contracti~g Co. Drawer B Fishers Island, N.Y. L~#2~ This certificate most not be ahered in any manner; return to the office of the Board if 4~coK~rect. Iqspecto~ may be COPY FOR SUILDI~G DEPARTMENT. THIS COPY OF CERTJF CAT~ M~USTi~.O~T BE ALTERED IN, ANy MANNER. ~FIE~~o INSPECTION COMMENTS FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY GODE FINAL ADDITIONAL COMMENTS: Day, BERRY & HOWARD ............ November 19, 1981 Mr. and Mrs. Theodore W. 27 Main Street Farmington, CT 06032 Stedman, Jr. Dear Ted and Teedy: I have now been formally advised by Jim Benkard, counsel to the Hay Harbor Property Owners Association, that there are no restrictions in the governing instruments of the Association that might affect the reconstruction of your house except that no'building, outbuilding, or structure can be erected within five feet of a boundary line. Presumably this will not present a problem for you. Sincerely, Robert J. RJM:bb cc: James W. B. Benkard, Esq. Mr. James V. Righter ~J Miller December 23, 1981 Mr. James V. Righter 58 Winter Street Boston, Mass. 02108 Patricia Stedman County Tax Map No. 1000-009-07-003 Fox Ave. (Manson Ave.) Fishers Island, N.Y. Dear Mr. Righter: My decision of the set backs are as follows. ~he minimum set backs are: from Fox Ave., (the average)--34 feet~ from the Private Road, (the average)--15 feet, and the side yard is 11 feet 3 inches. Enclosed is a copy of the area. The building(s) can not cover more than 20% of the lot are~. Very truly yours, George H. Fisher Senior Building Inspector GHF:e¢ Enclosure Novembe~ 10, 1981 l~r. ,Yames ~i~htor 5;8 Winte~ Street Boston. Nass. 0~108 Ret Per,Joia Ste~, Co~y Tax Eap 1000-9-1-3, Pox Avenue (M~son Avenue), Pishers Isled, New Yo~k Dear ~. Ribbon: ~y requir~en~ of Zoning ~ha~ did not confo~ ~ if ~he b~lding is ove~ ~0% d~age, ~y new st~ctu~e must comply. ~e~e~o~e: ~y p~oposed must comply. As this lot ia ~all, the~e is possibili~y you may need ya~ va~i~ce. I surest that you send a su~ey o~ plot ~ag~ of the foyer building (if possible), also the adjoining buildings along ~x Avenue within 300' of the fo~or b~lding. F~om ~his, I will a~e ~ desalination. You mi~t also show the app~ximate location ~d la~gea~ size dwelling ~ey may w~2 2o build. Yours t~ly, George H. Fishe~ Sr. l~ildtng ~nmpeotor § 100-13 ZONING § i00-13 publicly displayed on the premises and no sign or ad- vertisement is shown other than a sign not larger than two (2) square feet in total area, bearing only the name and occupation (words only) of the practitioner. HOTEL -- A building occupied as the more or less tem- porary abiding place of individuals, who are lodging with or without meals, in which there are more than ten (10) rooms usually occupied singly and in which no provision is made for cooking in any room or individual apartment. JUNKYARD -- Land occupied or to be occupied for storage of old wood, paper, cloth or metal, including old automobiles, trucks, equipment, machinery, fixtures and appliances not usable as originally designed, and also including any portion of such old automobiles, trucks, equipment or machinery as may be sold as and for junk or .salvage.' LOT -- Any parcel of land, not necessarily coincident with a lot or lots shown on a map of record, which is occupied or which is to be occupied by a building and its accessory buildings, if any, or by a group of buildings accessory thereto, ii any, together with the required open spaces appurtenant to such buildings or group of buildings. LOT, CORNER -- A lot at the junctio~ of and abutting on two (2) or more intersecting streets where the interior angle of intersection does not exceed one hundred thirty-five degrees (135°). A.lot abutting a curved street shall be deemed a "comer lot" if the t~ngents to the curve at the points of intersection of the side lot lines with the street lines intersect at an interior angle of less than one hundred thirty-five degrees (135°). LOT DEPTH -- The minimum distance from the street line of the lot to the rear lot line of such lot. LOT LINE -- Any boundary of a lot other than a street line. LOT LINE, REAR -- The lot line generally opposite to the street line; if the "rear lot line" is less than ten (10) feet in FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1~02 Examined ....... ,19... Application No.././. ?..~..~. ....... Disapproved a/c .... ~..............~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Dat ............. 19 INSTRUCTIONS a. This application must be completely ~led in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plans,'accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildinss on premises, relationship to adjoining premises or public streets or areas, and ~iving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. Thc 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 Buildiy 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 alterations, or for removal or demolition, es herein described. The applicant agrees to comply with all app.licab .1~. laws, ordinances, building code, housing code, and re, g~ulations, and to admit authorized inspectors on premises and m buildings for neces~ya ~inspectio~s. /~ / '~ ex (Sisnature of applicant, or name, if a corporation) ............... {Mailing address of applicant) Statewhethesapp~ican~~essee~architect~en~neer~8~nera~c~ntract~r~e~ectrician~p~umberorbui~der. .................. .. ............................................... Name of owner of premises ...... -t. :....o~,. ~ ....... ,,~, ,:. p.?.'~..~. ..... .O?.: .................. (as on the tax roll or latest de_ed,) If applicant is a corporation, signature of duly authorized officer. ~ ......... Builder's License No ..... .~..~. :.~..~. ............ Plumber's License No.....~..~..~?. .............. Electrician's License No..).gk.~..L~.~. ........... Other Trade's License No...~.qo./..~../,~..~. ......... 1. Locatigll,,Og4and on which proposed work will be done .................................................. ..... ..... ........... ........................ House Numbdr Street Hamlet coUnty Tax Map No~ 1000.Section ............ ~..... Block ......... [ ....... Lot ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. -.' ......... , ........................................ b. Intended use imd-lYceupancy ..;:..';-: ................................... 3. Nature of work (check which applicable): New Building . ..~". ...... Addition .......... .Alteration .......... Repair .............. Remoyal ............... Demolition ............. ,~Other Work ............... 4. Estimated Cost ...... .t. .~..~.~ ....................... Fee ....... : ........................... (to be paid on filing this application) 5. If dwelling, number of dwelhng qmts .... /. ........ Number of dwelling units on each floor ................ If garage, number of cars ..... i .................................................................. 6. If business, commerciai 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 wi~h alterations or additions: Front ................. Rear .................. Depth ! ................... i · Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrtlction: Front ................ Rear ............... Depth ............... Height ! ............... Number of Stories ........................................................ 9. Sizeofiot: Front ........... ; .......... Rear ...................... Depth ...................... 10. Date of Purchase ........... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ...................................... J .............. 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... ,~'..~.,i... :, ............... Will ex~rcess fill be rem,.pved from premises: Yes _ 14. Name qf Owner of premises ?.,~.a?. ~ ~'.~..h/~/~M. ..... Address~.a. g~g6.4q.q~..~..ar.-. .. Phone No.~e.$.-..g77:. cl'9~. Name Of Architect .~b~.~J;..."~'~7~ .......... Address .-~.o..e~. ~z~. ~/~...~ .~. ...... Phone No~./7. Name qf Contractor .~. '. "~9.~.~. ~.~.~.&. ............ Address' ..~.~/g.*.g4. ,~.1~ '. .....Phone No.~'/6 .' 2~'d'."..'7 .~$/.. 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 humber or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF NEW YORK, COUNTY OF . SU~'~.OI~t~ ~S.S ........ A....Joh~ .Gad/a,,.. Jr..~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the C°ntra~ct°r ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and fi]e this apphcatmn, that all statements contained m th~s apphcat~on are true to the best of his knowledge and belief; and that the work will be performed in the mann¢r set forth in the application filed therewith. Sworn to before me this .......... 2.3. .r.d .......... day of .... .S.e.P .t:9.rn.b.e..r ...... ,. 19,8. 2. Notary Public,~,. ..... '/~' '/'~. ~'~~ Y~, ~.f?.o~_..k ............ County . .~..~ ~ / NmMY PUBLIC, STME Oe NaW YOaK (~ature of appHc~t) 5~-8267~50 -- SUFFOLK ~OUNTY EXPIRES MARCH 30. 19~'~ 0 ' ~" ' I~EE: /~ -~' ~. INSULATION THE 'REQUIREME~ ~T~TE 'CONSTRUCTt~ (~D~S. NOT I [ Fo U NDA,I'IO KI / 1 ~/1 I& '-0" ~'UAN 11 Li,./~ b4¢ ~ooP1 __L H~,LL ~ ~O~OOM ~o~ ¢oTrohd OF ~L~, ~0 %o.P. F~L, 4-2 ,.f HIe. ST EbJCVATION ; ~4" -~ I'~o' ~L-, ~o T~O,Ia, - MASO~4~"'F c~hl~6Y © © F~ LT -- ~OU~H F~LBVATION; Y~'l'~l~''O" Fi II [~o%o I-4 o p IST FL, L As FH AL-'1' I ; HOP.TH ULB"VATIOi'4 r, ~41~'~I t~ $ATT Ii,15 UL ~TIO L] I"RI-P~ IN~ULATtO~ '~zZu I~,ATT Ik~SULATIOM '2'w-4 STUDS ¢16 T-}I~ PLVV/D. 5~A'THtMO ~XfO JOISTS- G" ~ATT /MSULATIOM -- 'EXt S WALL ~t~ tv' COIqC. ~-5 5TL. P~A.~. BOTTOm FOOT IMEi '5'- (~~' BELOW SECTION A ~/41' ~ 1'-0tl (C U PIll tqOL T P-T P.] '~LL DECK LU~ER pRESSUR'~ TRTQ GROUND LltqE \/AR. IE~X