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Home My WebLink About10740-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y, Certificate Of Occupancy No...Z12~41 ........ Date... June .11 ... ............................. 1984 .~. g.il, t~ q~'~t ................... THIS CERTIFIES that the building ... dec~k, ad.d, igio~ tion Greenwood Road Fishers Island Location of Property ~$$s~ Ho ........................ ~}r'e~( ............................ · Hamlet County Tax Map No. ]000 Section ,. D2L2 ...... Block .. 0J. ........... Lot .. ,03.3.: .2 ......... Subdivision X .................. Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... Jnne. iL1. ...... ,1980. pursuant to which Building Permit No .... 1.0..7.4.0..Z. .......... dated ....... J.Un¢. 2.6. ............ 198. g., was issued, and conforms to all of the requirements of the applicable provisions of tile law. The occupancy for which this certificate is issued is ......... .... a. d.eck. ~ddition. &..al~er.a~ion .~9..o.~r.f.a.~i..lY..d.w..e.l.l.i.n. g~..s.e..a.s.o.n..a.1..u, se. The certificate is issued to ..... JAFIEa .V., ,a ,ANNIE .R,. ~I;GgT.I~I~ ....................... (owner, I¢"~"oT'r~gYrt) of the aforesaid building. Suffolk County Department of Health Approval .......................................... 500694 UNDERWRITERS CERTIFICATE NO ............ N. ..................................... Building I specter Rev, 1/81 FOX,VI NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUYNORIZED) No. 10740 Z Permission ~s hereby granted to: .~..*.(L..:......~.~.!..~.~ ........ ~/.~-.?..C.<. ...... ................. premises located at '~;,':,'~'"'~'""~;;;;;'~;; ...... 7';;;'b"='"'~3'"':'"'7 '% ............................................................................. /~,~ pursuent to epplic~tion doted ..................................................... 19 ........ , ~nd epproved by the Building Inspector. Fee $ ........................ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building 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 topograph lc featu res. 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 us~s, or buildings and "pre-existing" land uses: 1, Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topegraphic 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. C. Fees: 1, Certificate of occupancy $5.00 ! //$5.00 2, Certificate of occupancy on pre-existing dwelling er land use $ 3, Copy of certificate of occupancy $1.00 / Date . .~/?~'/~.~t .. New Building ............. Old or Pre-existing Building(Z). -~.. ..... =/Vacant Land i ........... Location of Property ........... ~.~ ....~ ~.~ ~.~...PC),..E~.~ ~ ~. House No. Street Ham/et Owner or Owners of Property ...~.~..~'..~t.~' V..~. ~'.~'~v .................................. County Tax Map No. 1000 Section .... {..~:. ........ Block ..... [ .......... Lot.../.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~ O~ '~O ~. Date of Permit ~./~/.~.O. Applicant .,,~).¢~..1~2¢~.,~,..~.....___~,~.~ .~.~. ,~.~".. ......... Z~t~ .4PP~'.~-L. - ~A-'~.~"7~. ....... Health Dept. Approval ....... ~J:.~.. ............ Labor Dept. Approval . ~..~.; ................ ,.. Underwriters Approval. N .~O.~..~.~.~ .......... Planning Board Approval .~... ~.'..... ........ ~ ,. ~ Request for Temporary Certificate ..................... Final Certificate ..~. .............. * Fee ~ubmitted $..~.. :¢..~ ....................... Construction on above described building and perm~t'mee[s all apP~cable~co,des and regulations. Applicant . , .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICIT~ ~-~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 B~t~ I~m~er 1~, 1~0 08~24 THIS CERTIFIES THAT ~ ~ ~ only the e~ctr~cal~ · eo~iDment~~ describe~ ~low[~o ~ iptmduq~~,~y tl~ qp~cant ~med o~ t~ above application number in thepremises of inthe/ollowing locatlon; [] Basement [] lstFl. ~] 2nd Fl. &t[~J,O%l~f~ Section Block Lot ~b~r 13, ~ 980 and found to be i. compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OUTLETS tECEPTACLES SWITCHES OVENS DISHWASHERS EXHAUST FANS 21 43 20 DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS. 2-$mo~e Deteccor~ S E R V I C E ~/0 t AWG F~k~rd~ ~lec. Fish, rs ~6390 1297 This certificate must not be altered m any i office ~ Board ~f i James Volney Righter A r c h i t e c t t I4.6 Chapel Street · New Haven · Connecticut .o 6;5 ~! · tele~lJone · 203 777-32 ~ 2 FORM NO. 3 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ .................. PLEASE TAKE NOTICE that your application dated : .~.~.. ~l ~, 19 ~ for pe~it to construct .... ~.~ . . ~. · .~.. · ~ ~. ~'; }~ House No. ' .......... S~{ ....................... ~mlet County Tax ~ap No. ] 000 Section ..... ~ .~ .... ~]ock .............. Lot ........... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ~ - [ 7- ~ .~. ~: ....... ..... //x. s.~./.e. ~-.~!.7. ..... ./r~: .,Z,'(. .... .'f.. ?.~..*'..~....Y~ .~. · .-~... ·, ................ Building Inspector RV 1/80 Cot~n~:y ti: S~ffotk~ ,%'t.a%e of New Yosk~ boin9 bounded and Toget'he~: v,J_th ~?r:.d ~.%{7, je{:t %o the rig]Its of :~hese e:{istin6 d}.'i-.;cway t,Nich crosses said {~racks, S:Xoj~,<.'.',:: also ye !~he righ% of otNers %e use %lie sai~i ~}crti':aastes!y if. ne of Green?ood Road. z 0 0 TO~N OF SOUTHOLD, NEW YORK DAT~ ..3/2,0./8.0 ACTION OF THE ZONinG BOAI~D OF APPEALS Appeal No. 2657 Dated Dec. 21, 1979 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Fishers Isla.nd Development Corp. by Richard F. Lark, Esq. Main Road, Cutchogue, NY 11935 at a raeetln~ of the Zoning Doard of Appeals nn March 20, 1980 waa considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) l~equest for a special exception under the Zoning Ordinance (X) Bequest for a variance to the Zon~ Ordinance Art. XIV, Secti6n 100-144A (2) ( ) Art. VII, Section 100-71 AppeUant the appeal and B and 1. ~~By ~s~ution of ~e Bo~d B was determined th~ aX~X~r~e~ ( ) be ~a~ed ( ) be ~ed pureuant ~ Article .................... ~n .................... Subs~tton .................... para.apb .................... of the ~ Ordnance and the &ctsion ~ ~e Building l~p~tor ( ) be reve~ed ( ) be combined b~au~ (SEE REVERSE) 2/28/80 9:00 P.M. Application of FISHERS ISLAND DEVELOPMENT CORP., Fishers Island, New York 06390, for a Variance to the Zoning Ordinance, Article VII, Section 100-71, Article XIV, Section 100-114, for approval of insufficient area and width of parcels to be established within a subdivision. Location of property: Greenwood Road, Fishers Island, New York; bounded north by Town of Southold; east by Congregational Christian Churches; south by Greenwood Road; west by Barmache and the Town of Southold. County Tax Map Item No. 1000-012-001-13. 2. VABIANCE. Dy resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because · (SE . REW, RS .) practical difficulties or (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE) (c) The variance (does) (does not) observe the spkit of the Ordinance and (would) change the character of the district because (SEE REVERSE) (would not) and therefore, It was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector ( ) be confirmed ( ) be reversed. FORM ZB4 ZONING BOARD OF APPEALS ¥ ,STUOSTaD .~ Kq pspuoass ' ueKoa '~H Xq uo~om uo ~n~sqo II':~ pu~'pooqxoqqBT~u sqq ~o ~aqO~qo ~qq ~5~qO qOU ~q~ .dTqqpx~q ~xussaoauun =o S~T~inOT~3p i~o~o~xd ~onpomd ~s~o sTq~ uT ~es~md seoueqsmno~TO ~q~ ~q~ spuT; pm~o~ ~q~ p~s~aosp ~q qou PInOa ~z~ sq~ uT s~ni~n K~ado~d sq~ pu~ P~I~T~ eq ~xom ~0 PoTasdie ao~ snonu~%uoo ussq s~q s~uTpITnq ~q~ ~o ~sn ~uT -~mo~uoouou oq~ ~q~ po~oTPUT s~q aouoT~T~od oq& '~qBTmM 'D'H _~ST~o qoTqa ,~UTii~p KiT~e~-oiSuTs ~uo pu~ sSuTII~ap 6u~sTx~d 9~aq~ 5UTA~q pu~ '~Uoz I-~ ~ UT '~s~ s~nbs I ., FORM NO. 1 TOWN OF SOUTHOLD BUiLDiNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .................. ..,/~T......':~.. ......... , 19 ........ Approved .................. .~ ........... ;f 19..,~..b/ Permit No ...... C ............................. Disapproved o/c ....... (~..-..:..-~.~.~.:~ ............................................................. Application No ................................. (Building Inspector) APPLICATION FOR BUILDING FERJ~IT Date ........ I.~.~ ................... , 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, relatiohsh~p to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drown 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or Regular ons, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described. The applicant agrees to comply with oil applicable lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ...... ........ ...... ' (Address of applicant) 0~'~1 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ............ ~...L...F~..~..~ ............................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Electrician's License No ........ k!..~...~.:.....~.. ................ Other Trode's License No ............................................... /ooo- iq-l- p r' /3 land on which..~ ,-, ... ,~ ,~.n ~,.4,,.. i~.4~._ ,~ ~,,~,pr°p°sed work will be done. Map No.: ......... ,...~ .......................... Lot No .................,. ....... Location of Street end Number ..... ,..~..J,.~...~...l...~-.-t.-...I....v~..~.,..-.?'..~'-'..Z"~"~l'r ............. Munlcipality~! .... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy .................................................................................. b. Intended use andoccupancy . ~....~ ............................................................ 3. Nature of work (check whichlapplicable): New Building,,...-.~.. ......... Addition ...... ...~... ...... Alteration Repair .................. Removal ~ .................. Demolitior ..................... Other Work .................................................... ~( lQ ~O (Description) 4. Estimated Cost ...... ('"'t ......... t ...................................... Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelli]ng units .......... ] ................. 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 ex sting structu'res, f any: Front ..... .~J ................. Rear ..,~2 ........................ Depth .~J.?.~ ....... Height ...~.~ ........... NumBer of Stories ..... ~. ........................................................................................................ Dimensions of same structur~ with alterations or add,hans: Front .................................... Rear ........................... Depth ......~.~. .................... Reight ~ Number of Stgries ~8. Dimffnsions of entire new construction: Front ........ ~.2 ...................... Rear ....... ~.~ ............... Depth ....~J ............... Height ....~.~ .......... Numbe~ of Stories ..... ~ ........................................................................................................... 9. Size 0f Jot: Front .......... ~..~ ..................................... Rear .......................................... Depth ....... ffB...~ ~0. ~te or ~r~h~ ..~.~.....~...2.~ .......................... ~me of ~o~r Ow,~ .....~.~. ...................................... I ]. Zone or use district in which ,Premises are situated ...... .~.) ......................................................................................... 12. Does proposed construction v~olate any zoning law, ordinance or regulation: ~.~.h~.~...~ ........... 13. Will lot be regraded ....... ~.~ .............. Will excess filj be re~ove~ from premises: ( ) Yes ( ~ No 14. Name of Owner of premises~r..~ .................... ,., ....... ~d~ ~ .......... ~v ............. .~.. Phone No. Nam, o~ Archer,ct~ .......... ~...~ ............................ ~:_~._ss ................................Phone No ....................... ~ o~ co,,~,o~ .~...~.~ .......................... ~;,~.' ............................. ~o~ No. ~.:.~.~.~.~ PLOT DIAGRAM Locat~ claarly and distinctly a~l buildings, whether existinG or proposed, and indicate all set-~c~ dimensions fram prap~y lines. Giva strait and bl~ck number or description according to deed, and show street names an~ wh~ther interior or corner lot ~'1A 1E OF NEW~Y~)RKI~ ~ S S COUNTY 'OF ..k~bJ.l~ ......... .............................. ..... -~/,~,,~.'~,.,.~..~,.L..~...~ .......... being duly sworn, deposes and says that he is the apphcam '(Name of individual signing contract) above named. (~A~A _ He is the ................... .~,..~v~....~..~ ..................................................................................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dgly authorized to perform or have performed the said work and to make and file this appli~:ation; that all statements contained in this application are true to the best of his knowledge and befief; and thor the work will be performed in fha manner set forth in the application filed therewith. Sworn to Before me this ........... day ''< ...................... at;, ............... Co,, .......... ............................ : ~I (Signatur~l or applicant) RUDOLPH H. 8RUER Not~/Publl~, State of New ¥~'k , N~. ~2-0465930 QUalified in Suffolk County Commlpslon Ex~lraa March 30, 1981