HomeMy WebLinkAbout12242-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N,Y.
Certificate Of Occupancy
No. Z12940 Date October 29 ..,198.~.
THIS CERTIFIES that the building 0 n e..f. a m.i.l.M..d.w.e.Z..1 .i.n.g .............
Mansion House Fishers Islnnd
Location of Property ........................................................
County Tax Map No. 1000 Section 09 .Block 1 . .Lot 15
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore ~ed in this office dated
.... .F.e.b...... 1. 8. ........ 19 .8.3. pursuant to which Building Permit No... 1 .2.2.4.2 $ ............
dated .... ?.p.p. ~..1..1.1 ............... 19 .8.3., 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 .........
... 3.d.d. $ .~ Lqn...o.n.~.o., .e.x.~.s..~ .~.n.~, 9 .n.c..~. a..~.~.z.~, .~.w.eA ~..~.n~ .~..~.~.h., ~ ~.f.~ ~ ~ ~.e.d. .......
non-habitable third floor.
The certificate is issued to ................. J....&. D....Rie~e. 1 .........................
(owner, t1~e;~]~~ ~t~e~ X
of the aforesaid building.
Suffolk County Department of Health Approval .... N../..~ ...................................
:/)N651165
UNDERWRITERS CERTIFICATE NO ................................................
Building Inspector
Rev. 1/81
BUILDING FEF, MIT
(THIS PERMIT MUST BE KEPT O THE PP, E~IS~ UNTIL EULL
COMPLETION OF THE WORK AUTHORIZED) ·
N? ~2242 Z
PermiSSion is hereby g
...... ' ......... ........ ~;;"~ '7;~;~ '~ ~ ~J ~,~, ' ......
at'ptemise~ located at ........................ ~ ....... .~....~ ...... ?./.-:.~'~...,~,~ ......... ,~.~ .......... ,~ .........................
Coufi~ T[g Map No 1000 Secton ...... ; ..... ~....:; 8~E .~:~:..,..;..,~.~ NO.; .......................
pumgont ~o ~p~licetmn det~ ........ ~ ...................... .....,.....~..~?.~.....~ I~.....~... ~nd app~ by the
Building I~spector. : ~
Fee ~ ........ ~ ........... '; ~ ~ "
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
,%uthold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
Instructions
A. 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.
B. 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 $I.00 ~
--Pre-Existing C.O. $15.00
Vacan~ land C.O. $ 5,00
j Date ..........................
New Building .... ~ .... ~OId or Pre-existing Building ...~.[~. ·. · · ..
Vacant
Land
House No. ?~/ St~e/t~ ~ / Hamlet
Owner or Owners of Property .~.~/ ~4~<~r~.~ ...... /, ,~,~,. ...... ~',~. · · ·
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No, ate of Permit ,Applicant ....................
Health Dept Approval Labor Dept Approval
Request for Temporary Certificate ..................... Final Certificate .........
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Z & $ CONTRACTING INC.
P.O. BOX 202
? FISHERS ISLAND, N.Y. 06390
1~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY :
~ ~,,.,,~.o~ ~o. o~,,~ N 651165
THI~ CERTIFIES THAT
in the followlng location; ~ Basement ~[ Ist FI. ~ 2nd FI. ~* ~ Section Block Lot
47 68 39 ~7 1 1.2 2 F
3 F 1 ~ 1
2-~ ~t~tors
Fi~rs Isl~d~ N.Y, ~3~ L10~92~
Per 11 /~../~ /
/ Th~s c~r~hcat~ taus* not bo ~l~r~d m ~ny m~nn~r; r~urn *o *h~ offtc~ of ~h~ Board if incorrect. Inspectors mo~ b~ identified by their er~d~n~i~l~
} · .. .~ '~' "" -- - ~-- --:- ' ~,~.~F~B~ILDINGDEPAR~MENT. THiSCOP~,OFCER~!CAT~E~U.~TNOTBE :LTERED!NANYMANNER
FI~D ~NS?ECTION
1.
FOUNDATION
COMMENTS
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
PA~TIA L,. PI.A~l.
James Volney Righter
A r c h i t e c t s
58 Winter Street. Boston · Massachusetts · 02108. telephone. 617/451.5740
Riegel House : Setback requirements
~rlel~uced
setback/
.'
/
I
;
1.6ft,,
addition
A District I Single Family
Minimum setbacks
a. One side yard 15ft.
b. Both side yards 35ft.
100-36 Substandard Lots
a. Side requirements may
reduced by 25%
15ft x .75 = ll.25ft
Site Plan
l"=40ft.
James Volney Righter
A r c h i t e c t s
58 Winter Street · Boston · Massachusetts - 02108 · telephone . 617/451-5740
James VOlney Righter
A r c h:i t e c r s
58 Winter Street. Boston
Massachusetts
:..0.2108,'- :telephone:, .61 .451.5740 .'
James Volney Righter
A r c h i t c c t s
1~.oo
Street Boston Massachusetts
.57
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................ Date .................. 19---.-..
o ..~.....,~l-~, ...... ~ .
ta~ ~t ta can~t~ct .... 6~-: ............................................
Location of Property ~s; ~o.):]/~,.~,,,,,. . /~ '~ ~;:'"
. ' .......... ~/o~ ....................
County Tax Map No. 1000 Section ......... ~... Block ...... ~ ....... Lot
Subdivision..... ............ ~' Filed MapNo...........~- ...... LotNo ..................
is returned kerewitk and disapproved :n the 2~wing grounds ...... ~~. :~:~
. .~._~ ....
.~..~. o..~..~ .................... ' ..... :.~ ..... ~ .................. , .............
Building Inspector
RV 1/80
6,.
q. ?/N61tR.~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
£xomined ...................... , 19.
/-~
/%oproved ................ .~/...~./~...//.~....:./.'.~]9.~'~Permit No. /~<~
Disapproved a/c ................................ ..-) ........................................................
(Building Inspector)
Application No..,/....~....~....(./...~....' ...........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 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 adioining premises or public streets ox
areas, and giving a detailed description of layout of property 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.
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 o 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. ~-
.............. .........
(Address of applicant)
State whether applicant is owner, lessee, agent,_ar_c_hi_t_ec_t,_en§ineer, general contractor, electrician, plumber or builder.
Architect
Name of owner of premises John Riegel and Debra Riegel
If appllcant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No...Z.°.....b..e.....s..e...]...e...a.~e..d. ................
To be selected
Plumber's License No .................................................
To be selected
Electrician's License No .............................................
Suffolk Co. Tax Map
Other Trade's License No ...............................................
1000 009 1 15
Location of land on which proposed work will be done. Map No.: ........................................hot No .........................
Street and Number Mansion house cottages, Fishers Island, New York
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy Single Family House
Single Family House
b. Intended use ond occupancy ................................................................................................................................
3. Nature of work (check which!applicable) New Building.. ................. Addition ...,y.e,s ........ Alteration .................
Repair ),es Removal Demolition .................... Other Work
: (Description)
4. Estimated Cost $ 75,000 ....................... ~.:...'....~.i...Fee
(to be paid on filing this
One - - '
5. If dwelling, number of dwellJ[ng units ............................ iNumber of dwelling units on each floor ............................
i None
~'f garage, number of cars i ............................. ~ ......................................................
6. If bbsiness, commercial or imixed occupancy,;, "specify nature and extent of each type of use NA.
' - 25'4" 25'4" ' Depth 28-'4"
7. Dimensions9f existing structures, if any: Front ....... .7. .................. Rear ....................................................
29-3" Three
Height ........................ Number of Stories .................................................................................................................
Dimensions of same structure with alterations or additions: Front 36-'0" " Rear 36-'0"
Depth 28z4" Height 32'3" three
.............................. : ....... .z. ............... ~...Number,. of Stories ................................
8. Dimensions of entire new construction: Front ...~0.v.8 ........................Rear .%0...m8. ............... Depth ...~6...v..6r ..........
Height 32 ' -3" , three
.................... Numbe~ of Stories ,, ........................................................................................................... ~ .........
9. Size of lot: Front 103 -i 26 185
................. : ....................................... Rear .......................................... Depth ................................
............................ ;,.,..: ..................... Name of Former Owner ..........
11. Zone or use district in which premises are situated .................................... .S..i...n..g...1.~...f..a...m..i..,1..y. ..................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...,N.,o. ................................................
13. Wifl lot 6e regraded ....N...o.....;.!....::.; ..... Will excess, fi~,l /?e rerqgyed frqm premises: ( ) Yes ( ) No
~ I ' ~ · c ~
and ueDra ~zeeez
14. Name of Owner of premises' ..................... jonn Kze.~e~ ........................... Address~ ................................ Phone No .......................
Name of Architect Ja.m..es V. Righter Address 58 Winter St. m~,,,~ No. 45J,-5740
Name of Co'ntractor .,,T.~....b.....,s...e..1.,e.,c..t...e..d. ......................... Address: ............................... Phone N° .......................
PLOT. DIAGRAM
Locate clearly and distinctly ail buildings, Whether existing or proposed, and indicate all set-back dimensions fram
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
: ,,~ ...... . ..... ~ :, , setbaCk/ / A District '[ Sinsle _Fa_mily
~. .... Minimum setbacks
STATE OF' NEW, YORK, lis S
COUNTY. OF ...Su£fo.Lk~ ........... f '
i.6ft.
/ ·
addition
a. One side yard 15ft.
b. Bot~ side yards 35ft.
§ 100-36 Substandard Lots
a. Side requirements may
reduced by 25%
15fc x .75 = ll.25ft
i J.a. mes V..R.z~g.h.,ter be n duly sworn, deposes and soys that he is the applicon.
~ (Name of individual signing contracl0
above named/ '
' , Agent . , ~ '
He is the ..........................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or 0where, and is dqly 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 ~{[J 'be performed in'the manner set forth in the application filed therewith.
Sworn to before me this '
18t~.' , da of..F..ebruary 1983 -- ~
Noto pub,,c, ....... ................................
...... .~ ....... ~ : ~%~ -~~ D <S~nature~f applicant)
S~T~, ?pAN
OCCUPAHC¥ OR
USE IS UNLAWFUL
VdI'H[I~T C[RTH:iCAT[
I I
NOTIFY BUILDING DEPARTMENT A-T
765-1802 9 AM TO ~4 PM FOR THE
FOLLOWING INSPECTIONS:
l. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBSNG
3. INSULATION
4. FINAL - CONSTRUCTION MUS~-
BE COMPI ETE FOR C, O.
ALL CONSTRUCTION SHALL MEEff
THE REQUIREMENTS OF THE N)~.
STATE CONSTRUCTION & ENERGY
CODES NOT RESPONSIBLE
DESIGN OR CONSTRUCTION
James Volncy Righter
A r c h i t c c t s 1
58 Winter Street · Bnsto]~ · M;]ss:]cllusctts · 02108 .~tclcphonc · 617/451'5740
~,A'T"H' J t
I
James \Tolney Righter
A r c h ~ t e c t s
58Wmter Street. Boston - Massachusetts · 02108. telephone. 617/451.5740
$OUT~
~P~VATION
p~AST ~L~VA-~ OM
james Xblncy Righter ~
A r c h i ~ c t t s
58Winter Street. tlo~um · Massachusetts .02108' telephone. 617/451.5740
James Volney Righter
A r c h i t e c t s
58 Wrater Street. Boston. Massachusetts . 02108. telephone . 6171451.5740
11'
i i i[
4
James Volncy Ri.<htcr
A r c h i t c (' t
DH ~in cr Street · B~>qmt , M,Jss,mtJmsctts · 02108 · telephone . ()17/451'5740 i
I
4
C
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James 5blncv Righter
58 ~¥mle[ Street . l~osl(~ll , Massachl~sctls , 0ZlO8 . ~clcpll~me . 617/451.5740
SOc~T~
~AST ~L-~¥A-~O~
3
James Xblncy Rightcr
A r c h i t c c ~ s
5gkVmntcr Street. Boston · Massachusetts . OZlOg. tclcphonc. 617/451.5740