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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 0 ,0 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