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Home My WebLink About12226-z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .413060 . . . . . . . . . Date . . . . . . December . . . . .13 , 1984. THIS CERTIFIES that the building . . . .Accessory. . . . Location of Property . . . . . . West End Central Ave: Fishers Island House No. Street Ham/et County Tax Map No. 1000 Section , . 006 Block . . . 03 . . . . . . . . . .Lot . 0 0 7 Subdivision . . . . . . . . . . X . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .Feb... . . . . 2.2 . . . . . . 198 3. pursuant to which Building Permit No. . . . . . . 12.2.2 6 Z dated . . . . . . . . . . . . . . April 8 19 .83 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 . . . . . . . . . .Accessory, ,Garage, i. ,Studio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . . MRS THOMAS OAKES _ (owner,4ewee- orter;an . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . N 6 6 4 7 8.3. . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLiCATiON FOR CERTiFiCATE OF OCCUPANCY NOV23198 ,;il 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: 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. Commerc a bu Id ngs, ndustr a bud ngs Mult pie Residences and similar buildings and installa- tions, a certificate of Code compliance from the Arch tact 'or iEngineer responsible for the building. 5. Submit Planning Board approval of completed site plan requ!rements where applicable. B. For existing 'buildings (prior to April 1957), Nomconforming 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, occupar~cy 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. Certificateofoccupancyonpre-existingdwelling!landuse-~re-~;×±sting C,O. $15.00 3. Copy of certificate of occupancy $1.00 ¥ a c an f.,/[ a[~ C.O. $ 5 · 00 ate ............... New Building ............. Old or Pre-existing Building ........... Vacant Land ............. Location of Property · '~ ~ House No. Street Ham/et Owner or Ownersof Property..~,.¢¢~.'..~.~,~¢~... ~ · .~t¢'¢ ..................... County Tax M ap No. I000 Section .. 0.(~ ..L~. ....... B lock .... ~..~. ....... Lot ............... Subdivision ................................. Filed Map Nh ~. · .... i2ot No .............. Permit No.'. ~.~.-~.~..~-Date of Permit ¢. !.~.~. .... Applicant..~cP?f/-+,¢~'..~'. i..~.~ .... Health Dept. Approval ..... ~).~ ............. Labor De~. Approval ........................ Underwriters Approval .~...~ .(Q,L[..~ ..~.~ ......... Planning Board Approval ...................... ~equest for Tampore~ Cfi~'tificata ..................... Final Certificate ............. Fee Submitted $.....~¢~..~'" ' ,'~ .~-&~. ........ described building and perppit meets all applicalHe codes and regulations. App ica t ................. ..... Rev. 10-10-78 FIElD,INSPECTION FOUNDATION ( FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N STATE ENERGY G,ODE FINAL DATE COMMENTS ~. Y. ADDITIONAL COMMENTS: / 1000656 THE NEW YORK BOARD OF UNDERWRITERS BUREAU OF ELECTRIqlT~ ~-- ES JOHN STREET, NEW YORK, NEW ~,ORK 10:O54 THIS CERTIFIES THAT only the electrical equipolenr ~ described below and int~duced by tl~ applicant ~d on t~ able application number in t~e premises of '~oatasO*ks, Private Rd. Fishers Zslaad,N.Y. · inthefollowinglocation; ~ Basement ~ tst~'t. ~ ~.d rt. sarage S.ctio. .to¢~ rot w~sexa'ninedf}~t, 16,1984 a,*dfoundto~ei,~co,*~tl,Scewlththerequirementsof~hlsBo~rd. FIXTURE OUTLETS 9 ~ECEPTACLES SWITCHES 11 6 9 FIXTURES RANGES OVENS ~SH WASHERS EXHAUST FANS ~LUOR~SCENT DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DI$C~)NNECT S E - I C NO OF CC, COND PER OTHER APPARATUS: Elect. room heaters: Hot water heater: 1-4,5kw. 1 CFC%. OF CC, CQND NO, OF HI-LEG OF HFLEG OF NEUTRAL E NO OF NEIJTRALSJ 1-1.SkWSo-- Panels.· 1-4 cir, 1 smoke de~ector--- 125amps. Z & S Contrg., inc. P.O. Box 202 Fishers Isladd, N.Y. 06390 This certificate must not be altered in any manner; return to the office of the Board if 924 E Inspecto 11 be identified by their credentials., C~YiFO R B~ILDIN( JNE". '~ASEf'2 ON 5¢R..V6¥ ~y NOP,.t~,I C N, OCT~ 1~5'T ~e_.v. FEW>. 5CAL.~ : 1~.-- tO0~ k/ ...¢/~. o ? ,,,/.,q e/..¢', e.5' .'/'J ~7 7Z, & 2- /-,J 03G. /./0-4o o. ~ ~'Tt~3CT L~ J ¢.~o ~ /93,~5 // TOWN Or SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OF~IC, E SOUTHOLD, N. Y. ~proved /~ ~ ~ ' -- ' ................... Di~pproved a/c .............................................................. t ............................. (Building Inspector) .' APPLICATION FOR ~UIL~IN~ ~ERMIT ' Application Not~ ..~. ;~...~.~L~.. ................... Dote ....~...~...~ ..........i ................. , 19.1....~....-. 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 accord!rig to schedule. b. Plot plan showir~g location of lot and of buildings on premises, relationship to odjbining premises or public streets "' areas, and giving a detaBed 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. d. Upon ~pprov61 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 wo~k. e. No building shall be occupied or used in whole or in part fo.r any purpose whatever until .a Certificate of. Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bui'lding Department for the i~suance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New 'York, and other opl~icoble Lows, Ordinances or Regulations, for the construction of buildlngs, additions or alterations, or for. removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bulldtng 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, architect, engineer, gener01 contractor, electrician, plumber or builder. ........ i .................................................................................................................... Name of owner of premises ......~.....V'.~..:.....'I-.~O--~..~......(~)-...~...['?t~... ........................................ ;: .......................................... If applicant is a co~orate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No .............. : .............................. Other Trode's License No ............................................... 5u,C,z~l,~C. ~. ~.~l~r~.~. '( OOO. OO/~" '~ 1. Location of land on which proposed work will be done. Map No.: ..... , .................................. Lot No ......................... Street and Number .~.~.~Y'..~.~,' '~,..~ ...~.'.~...l"u~'~....~...-l-.~,!.~,-.-~-~,~.....~,.~.?..{.'~.t.....~..:.Y; ...... ~ ..................... Municipality State e:~isting' use and occupancy, of premises .and intended use dnd. ioccuponcy, of. proposed., construction: o. Exlsitlng use and occuponcy . .: .... ~ .... .o..?..~:.~,. ............................................ b. Int.nded .se ~. YNature of work (check which 6pplicable):. New Building .............. Addition .................. Alteration .?..;.....% Repair .................. Removal ~ ................. Demolitiar. .................... Other Work ................................................ . .... (Description) 4. Estimated Cost ~.. .~.;.~..~..................O~ ...... .............. Zee ......................................................................................... (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 ~ .... 6. If business, commercial or ~ixed ~cHponcy, speci~ nature and extent of each ~pe of use ............................ Dimens OhS of existing structu(es, if any: Front .~ .......................... Rear ....................... : ........ Depth .; ......... Height ........................ Numar of Stories ............................................................................................................ - . Dimensions of same structure,'with alterations or ~dditlons: Front .................................... Rear .... : ............... Depth ............................... Hjeight ............................ Number of Stories ................... : ............ ' .................................... Depth .~.~.Z.~ ......... 8. Dimensions of ent re new c0n~truction: Front - ~ ........ Rear ..I.~.~.~.~[ .......... .' · Height J.~.=.t.~ .... Number ~of Stories ..~.~. ..................................... : ................. ; ............................................ - 9. Size of lot: ~ ...................................................................... r' ..............~ ................................. 10. Date of.Purchase ..... ~'.~,&'~ ......... :.:..:: ..................... Name of Former Owner ..... ~. ....... ~ ............................... 11. Zone or use distrJ~ in wh ch premises are s,tuated .~.~.~.d~.~J~J~.(.~.~.~.~.~.~.( · 12. Does proposed car trucHon v[~late any zoning law, ordinance ~or regulation: ........................................... 13.' Will lot be iegrad~:;...~.~.:..f ...... ~ ..... Wdl excess fill be removp~ from premises: ( ) Yes .- ~. ~,(~ N~ ' .~ ' 14. NameofOw~erofFremisest~K~,..E~...~a~ ...... Address ...................... , ......... Phone · NameT0f ~rcHitec ' ,=' , ' ' n ~ 'r r · es ' '., · t.'r ~'~ . ~.~...~..:'V...a~...t.U ............... ' ...... Aadr s ....................... ~ ... none ~o., ...... ~.:.....~w Name'of Co~tro~t · =1 , . ' ' . ..... ~ ~ .~ .... Address: ............................... Phone No ...................... Ldcate ~61datl} ........ ;. ~tlncfly all buddings, whether ex~st~ng ~r' p:ropos~, 'an8 : ' ' ' ' '' '' indicate all sotek dimensions from prope~y, lines. Give and number or d~scripHon ~ccordJng td deed, an~ bhow street names 'and qndi~ate , whether interior or cornel .Jot.' STATE OF NEW YORK COUNTY OF .............. ......... .... (Nome of. inc above homed. '" He is the . ................. this application; that al thai the work will ~ Swom~efore me th,s · Nota~ Pubic, ~ ..v.z..~:.~.lTF,,~... ............................. being duly sworn, deposes and says th~t he is the applicon, iv,dual si~nmg contractO .... : .................................'-' , ': -' ', '-~-' J (Contractor, agent, corporate officer,~etc.) and is duly authorized,to perform or I~ave performed the said work and to make and file I statement~ contained in this application ore true to the best of .h, is, knowledge and belief; end forme~ in the 'manner' set forth' in the '6pplicotion filed therewitho'''~ ............ · .... ,n,. ,.", ........................................... ~' /~ '~ //" - - ~ ~//~/ U (Sign~.)ure of applicant) z,qera/d , 5~COND FLO01~ / Fi R. 2~ FL 0 0 F,. ~4D. PAklEL"OME~-~E~19 y)o0~~' O~ ~00~0 FLUO~ ~.~LOC~CORE No. 400 LET- A~-~TD. ELO~6.~AT~-gAVE~ ~AD~T LIGHT FIX, TUNE5 ' ' ?OF,-,"ICLAIN .5OCN~T5 W/OUTLET PF..OVISION mes A.<~ PR. ~NINGLE 5 ~," I~ATT INSULATION PL, ASH lNG PIN~' t× FASCL~, CS'NTfNUOU~, p1NN Ix TRIM NOTE: Nd;~ INSULATION IHWALL5 Ir'i,: 4C Not~ WALL SECTION ~ ~'copper tubing ts use ;-~= [or water di~tributlng ~ ~ystem; plplng shall be c~ o~ ~peS K or L only 'OCCUPANCY OR USE IS U tLA A, EUL I:EE:~"- B'F: ~ . NOTIFY BUILDING DEPARTMENT AT ~5-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS' ~]oFOUNDATION - TWO REQUIRED FOR POURED CONCRETE A, ROUGH - FRAMING & PLUMBIN~ ~. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEE~' THE REQUIREMENTS OF THE N. 'f. STATE CONSTRUCTION & ENERGY' CODES. NOT RESPONSIBLE FOR. :pESIGN OR CONSTRUCTION ERROR~ ? ~740 '::'~ -bI' C. LAF'I~I2 ~. Pt~JB T-ill 'SHEATHING 1E'A ~ T ~- L ~'VATI O lq 60UTR "v,./AL'L PECT[~)Iq ~T.O. T-Ill ,~ ~AC KPRI~ED ~ PTD. ELE VATIOt4 ~IO~T H ELEVA¥ I O?-I