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HomeMy WebLinkAbout10249-zFOPJ~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19628 Date JANUARY 3, 1991 THIS CERTIFIES that the building. Location of Property EAST END ROAD House No. County Tax Map No. 1000 Section 5 Subdivision NEW DWELLING FISHERS ISI2tND, NEW YORK Street Hamlet Block 2 Lot 1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 9, 1979 pursuant to which Building Permit No. 10249-Z dated JUNE 4~ 1979 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 ONE FAMILY DWELLING WITH ATTACHED DECK The certificate is issued to DRUSILLA R. & MAARTEN VAN HENGEL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 9-SO-44-AUG. 14, 1990 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-476427 - APRIL 29, 1980 N/A Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING P~R~iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? Z ' Permission is herebygrantedto: ~7-~/~iL/ p~ ~ ~ ~//', ~ '~l: ^/ P"/~I~I li~:/V,4 ffL .. ~!.....'.... !~. ,~. ........ ~.:~Z~..~ ....... ~.~..~/..(? ~ ~ ....... .~.,...~.x.~..~.o.~......~...,~ ...... '~','"'r~ ~ [~ ~ w~ ~*. '/ to ...... .~5~2w..,o ........... ~ . A./~:. ~X. .~,':.~..x~..;.~n~ ~ ............. d'w~:' ............ 7r"~"mr'rC .......... /~/~//- / t ~/~ . .. . ~t premises l~oted ot ................... /M~hl.&..~,..~ ........... ~[***.~.k.~..l,&.&~ ............. A.~***t~ ........................ pursuant to ~ppllc*tion doted ................................. ~Jh..t ...... .~.., r~..., ond opproved by the Buildin~ Inspector. Foe $...~7. ................. FORM NO. 6 TOWN OF SOUTHOLD . .~.~.~ Building Depar[i~ent Town Hall ~ ,~ / ~; :.~:~,~.L;~ t ,~... fI11///~ :' '" Southold, N.Y. 11~71 ' ~ - ..... ~: ~ 7~3 - ~80~ ~ ~ . ~PLICATION FOR CERTIFICATE OF OCCUPAN~. ~. ~, ~ ~/~ Inst~ctions A. This application mu~ be filled in ~pewriter OR ink, and ~bmi~ed to the Budding J~ec- r tor with the follow, g; for new buildings or new use: 1.Final ~ey of pr' ~per~ with ac~rate location of all buildings, prope~ lines, ~reets, and unu~al neural or topog~phic fea~re~ 2.FinaI approval of Health Dept. of water ~Dply and sewerage disposal-{S-9 form or equal). 4. Commercial buildings, Industrial buildings, MuJtiDte Residences and similar buildings and in~all~ lions, a ce~ificate of Code compliance from the Archi[ecl or Engineer responsible for the ~. Submit Planning Board approval of completed site plan requirements where applicable. B. For ex~ing buildings (prior to April 1957), Non-conforming u~s, or buildings and '*pr~exi~ing" land 1. Ac~rate ~ey of p~pc~ ~owing all prope~ lines, ~ree~, buildings and unu~al neural or topographic feature~ 2.Sworn statement of owner or previous owner as to use, occuDanc~ and condition of 3.Date of any housing code or safew inspection of buildings or premises, or ot~er pe~ment informa. lion required to prepare a ce~ifica[e. Fees: Addiclons $25.00 FOOLS $25. 00 ALTERATION $25,00 1, Ce~ificate of occupancy New Dwellin~ $25,00, Accessory .$10,00 Business 2. Ce~ificate of oc~oanc~ on pre~xistin~ dwell~n~ $ 50. OQ 3. Copy of certificate of occupancy $ 5,00, ove~ 5 years $~0,00 4,Vacan: Land C,O, $ 20,00 NewConstruction .... ~, OIdorPr~exi~ingBuilding ........... . Vacant Land ............. CounW Tax Map No. 1000 Section .... ~ ......... Block ... ~ Lot .............. Subdlv~sion... . Filed Map No ~ Lot No Underwriters Approval ........................ Planning Board Approval .................... . Request for Temporary Certificate ..................... Final Certificate .. ~ ................. Fee Submitted $ ..... Cons:ruction on above described building and permit meets all aD431icable codes and regulations. J imes Volney Righter a r c h i t e c t s i n c 18 December 1990 Mr. Curtis Horton Town of Southold Building Department Southold, NY 11971 Dear Curtis: Enclosed please find the remaining items needed for Mr. van Hengel's C of O. The items are as follows: · Completed Application · Septic Instillation Verification from Z+S · Fishers Island Water works (copy) · A check for $25.00 Please let me know if you are in need of any additional information. Thank you again for your help!! I look forward to hearing from you soon. Very truly yours, Brooke Trivas J a c o b D. A lb e r t o J a m e s V. R i g h t e r · B r o o k e S. T r i v a s · C y n t h ia N. W a r d e 1 l 58 Winter Street . Boston · Massachusetts · 02108 · telephone · 617. 451. 5740 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 in thefollo~i,~g Iocatio,~ ~Base,nent ~ 1st FL ~2,~d FI. ~ ~ Sectlo,~ Block Lot was exa,nined on ~ ~ ~ ~ ~ ~ and found to be in contplian~'e with the r~quiretnents of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS MOTORS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OE FEET SERVICE DISCONNECT S E R 'V I C OTHER APPARATUS: Elec. Room ileat:ers Z~,,ZSOwatt tieat NO, O COND OF ~C. COND, NO OF NEUTRALS 1 AW, G OF NEUTRAL 3/o This certificate must not be altered in any manner; return to the office of the Board co~Y ~Fo~ SW[mNS o~A~mm~, mm .... corer o~ GENERAL MANAGER may be identified by their credentials/ IN ANY MANNER. FISHERs ISLAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06390 AREA CODE 516/78B-725! Town of Southold Building Bepartme~t Fishers Island, N.Y. 06390 Please accept this letter as certification of Water Service provided The water service consists of supply through a ///,/~/'~ inch water line from our Island distribution system. REW/ew Sincerely yours, ~obert E. Wall nerintendent Z & S CONTRACTINGi INC. BOX 202 · FISHERS ISLAND. NEW YORK 06390 May 31,1990 Waste Water Management Suffolk County Health Services County Center Riverhead, N.Y. 11901 To Whom it may concern, We at Z&S contracting on Fishers Island,N.Y., have installed the Septic system at the Maarten Van Hengel (main house) according to all Suffolk County Codes. Respectfully Submitted President Z&S Contracting Inc. TJS/rz james Volney Righter A r c h i t e c t ~46 ChapelStrcct - N~v Haven · Connecticut · '0;65~: · tfilebhone . 2o3 777-32~2 FORM NOi 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 .... .... ......... ...... ....................................... .... (Building Inspector) 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 adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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. ~ ~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ....................................... Name of owner of premises ~..~0~... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No Plumber's License No ' Electrician's License No ..... r ................. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ........ . .~-~...~. ~...~.. ......................... l$t. ,w ..... ............................ House Number Street Hamlet County Tax Map No. 1000 Section .... .~..O..~. ........ Block .... 0.~ ........... 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 and occupancy t~ ~ ~ 3. Nature of work (check which applicable): New Building .. I,(... .... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ...................................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... l ......... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial 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 with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. N~o, rrne~Owner ..~,D.~.O ..................... 11. Zone or use district in which premises are situated ........................................... --[[1~-~.. 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes [ ~o~t 14. Name of Owner of premises t~. ,~/4/~.~.~.... Address . _l'!Jl~../9~!.. Phone No.q.h~.'.O.$.U.~/.~. f./..'~. Name of Architect .~J .~.~.~.. ,~ .......... Address . .J~... }..~. ~4~....(~.*... Phone No..t~. ,..~.'['.'I%(~,.. Name of Contractor ~. .... (~~ ........ Add e . ~,. ~w, .~ .................. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YO~K, 2'/ ~ ~ ~ ~ ............ ' .~. ~<~...../~.'.. ~~.. being duly sworn, deposes ~d says that he is the applicant (Na~6'f individual signing contr~) above named. ~ Heis the .............. ~.~ .................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and ~e this application; that all statements contained ~ this application am true to the best of his knowledge and belief; and that the work. will be perfomed in the manner set forth in the application filed therewith. Sworu to before me this ~.-- .~.~day f ~~ ..,19 ~ NOTIFY BUILDING DEPARTMENT AT L BEFORE BACKRLLING FOUNDA: 4. FI.AL WHEN JOB COMPLETED 5. ALL CO~STEUCTiO~ MUST RmUIR~EmS OF N.Y. STATE CODE ©© / I HF..A DF..I~ -- ~Y P ~J H ;'FF.,. ~.x.4 ~"K'uD~ b~JAb. D I~c ~J~P FIN ii . I V~L-x4 ~y' r~la brrprz, ,,~'"4dH ITS~TS I I -~ I I I I I