The URL can be used to link to this page

Home My WebLink About10541-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19989 Date JUNE 14, 1991 THIS CERTIFIES that the building Location of Property. EAST END ROAD House No. County Tax Map No. 1000 Section 4 Subdivision ADDITION FISHERS ISLANDr N.Y. Street Hamlet Block 4 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10{ 1979 pursuant to which Building Permit No. 10541-Z dated JANUARY 11r 1980 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ADDITION TO KITCHEN AS kPPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ UNDERWRITERS CERTIFICATE NO. N-485963 PLUMBERS CERTIFICATION DATED FISHERS ISLAND DEVELOPMENT CORP. Rev. 1/81 FOI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHGLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 105~ z Permission ~s hereby granted to: ....... ~.¢~z.c~ ,¢.,... ~r_,.~ ~,./. ~z,~ .... . ,o....~.~'Z~ ~....~.~z~z ~.zO.... ::~ ...... ~;~.~ ....................... pursuant to application date~:J.~.~.~.~;¢~...[.O-.! ...... , 19~...~'..., and approved by the Building Inspector. Fee $../..~....~ ...... ~/Building Inspector Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY k. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installstions, a certificate of Code Compliance from archi:ect or engineer responsible for the building. 6. Submi[ Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1.Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ]. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Busznesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $I00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Connnerciai $15.00 .! ...... .... ocation of Property ..... ~.~...~ ..... P~.~...i[[i'.~..~....~.. .... House No. Street Haml~ ' ~unty Tax Map No 1000, Section .... ~ ..... Block .... ~'M ........ Lot...O.~ .............. ~bdivision ................................... Filed Map .......... Lot .................... · ' ~rmit No.I.q i. ..Date Of Perm.. Z~Applica~t. ~alth Dept. Approval ............... ~~.~.~ · · ......... Underwriters Approva .... anning Board Approval ....................... uest for: Temporary~Cer t ifica t e ........... ............. ( / / THE NEW YORK BOARD OF FIRE UNDERWRITERS ~- 'pt BUREAU OF ELECTRICITY, 83 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the elec trical equip.tent as described below and introduc~ by the applicant named on the able applicatio~t number ~n the premises of in the following location; ~ Basement ~ 1st FI. [] 2nd FI. OLl~S~d~ Section Block Lot and found to be in complian¢c with the requirements of thts Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS DRYERS SYSTEMS NO OF FEET OTHER APPARATUS E R V ~ C O~ CC COND AWG OF HI-tEG NO OF NEUTRALS 506 06390 GENERAL MANAGER · Per- ~ ~ff~c~att.must .n.~o!.~.b.e.~.a_lt.err~edr~n any ~ann~r, return to the office o~the Board if ~c~r~ec,. Inspector~ may be dent fed by their credentials ~Oa BUILDING DEPARTMENT. THIS CO~y OF ~KKnF!~ ~t ,NOTB~ALTE~KD IN ANY MANNE~. FORM NO. 3 TOWN OF SOUTHOLD BUILDING D£PARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL for permit tO construct ~.~g.~ .......... a~ the premises located at ..~~....~.~..~ ................. ~,~- ~<~ ~,'~ r~d herew,~h ~d d~,~p?~d o~ ~h~ fo,ow~o,~d~/Z¢~.~....~. /Z,.....Z~./Z~Z~ ........... ~5~ ........ ~...~~...=...~~...~ .... 476 JAMES VOLNEY RIGHTER, ARCHITECTS Pay to the .19__.~-- 51.4-4T19 $ 15 ,bc~ _____.~~Dollars ,. ~:Oi, l, qOOt, t, 51: Otq, 3 O21Z, SIt' ~OTIFY ~b~ m~ - '- 765-1C02 9 ~M ~O ~' PM FOR THE FOI~ OW'~q~ IN$pECTIONS: fi. FOUN~,T; Io~"~ - -tWO REQUIRED FO:~ pOUPJ:D CONc~FTE 4. FINAL - ~,~, " B~: C'~tx~I~ Fi'1 ~'O~ C O. ~LL CONSi'2~;C'Y!ON sHALL THE REQU:~LPA~N'rS OF THE bLY~ STATE CON~3'RUCTION & ENERGY CODES NOT RESPONSIBLE DFSIGN OR coNSTRUCTION ERRORS. § L9 A / 9 1.7A 0 200 4OC 60',/¢ 12 NOTICE MAINT£NANCE~ ALT£RATION~ SALE OR DISTRIBUTION OF ANY PORTION OF THE SUFFOLK COUNTY TAX MAP IS PROHISITED WITHOUT WRITTEN PERMISSION OF THE REAL PROPERTy TAX SERVICE AGENCY COUNTY OF SUFFOLK JTOWN OF SOUTHOLD Real Property Tax Service Agency IVILLAGEOF ' H Russell Haase, D,rector J;,-STRiC---~i~O, JO00 Riverhead, L. I, New York JDo,. :;~;~.::,o. o SECT 2 -! o( - [ PROP~RT James Volney Righter A r c h i t 'c c t ~ ~4-6 Chapel Street · New Haven · Connecticut · o ~>5 i i · telephone · 2o3 777-.3212 - TOWN OF $OUTHOLD ~ .... BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. ~proved ~...Z/. ....................... , 19.~., Permit No ~--¢/ ~ No. ~.~ ......... Oisopproved o/c ,..2=:~ .................................. ,**.****.~.***.. ................. APPLICATION FOR BUILDING PERMIT Date December 10 19.,,.7.9. ...... INSTRUCTIONS i~ec This application must be completely filled in by typewriter o~ m in,k and submitted in triplicate to the Building tar, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. 0/'~) Plot plan showmg location of lot and of buildings on premises, relationship to ad oinmg premises or public streets o~ oretor, and giving a detai ed 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 w~ll issue a Buil&ng 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. Bouton Services , Ihe. (Signatur9,of applicant, or name, if a corporation) (Address of applicant) State whether opphcont is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder. ............ .G..e.D..e..r.~.!...9.9~...t.T.g .c.~.9.X ................................................................................................................................................ Name of owner of promises ..... .F..i..s..h..e...r.s.....I..s..l..a.n.d....C..°...u~...t.~.Y...~...12~ ........................................................................................ If applicant is a corporate, s~gnature of duly authorized officer. Anthony J. Marshall, Pres±dent (Name and title of corporate officer) Home Im. L. # 120 Builder's License No ..................................................... Plumber's License No. 450-P Electrician's License No....8..7..2..5. .................................. Other Trode's License No ............................................... I Location of land on which proposed work will be done. Mop No....1..9..2..6....7..3..3.2. r..4..5. .............. Lot No....C..1..u..b....H..o..u..s.e.. Street and Number .................................................................................................................................................. Municipality 2. Slate existing use and occupancy of premises and intended use and occupancy of proposed construction: o Exisiting use and occupancy ..... .q;.~t..u,b.....H.9.t.t~..e...l~t,¢.h..e.p, ...................................................................................... Addition to kitchen b. Intended use and occupancy ................................................................................................................................ C'o 7-x,x ff' /ooo - oD ¢ - o¢- oo? 9 10. 11. 12. 13. 14. property lines. Give street and Neck whether interior or corner lot. Nature of work (check which' applicable): New Building .................. Addition .................. Alteration ................ Repair .................. Removal ................... Demolition .................... Other Work ................................................... (Description) (to be paid on filing thru application) If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ........ ~ ............... If g~rage, number of cars ..... ; ...................................................................................................................................... If b'usiness, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ....... ~[ ........................................................................................................ Dimensions of same structure with alterations or additions: Front t[IJ~ Rear I~ ' ' Depth ........ .~1,! .................. Height ...J[lf~.J ................. Number of Stories ....~. ......................... Dimensions of entire new construction: Front ' 4t4"* t ............................... Rear ...... ~4 .................. Depth ... J,~[ ............... Height 22~ 6" Number of Stories ! Size aT lot: Front , . ................... Rear ................ , ......................... Depth ................................ Date of' PuFchase ................. I ....................................... Name of Former Owner .................................................... Zone or use district in which .:premises ore situated ................................................................................................. Does proposed construction violate any zoning law, ordinance or regulation .................................................... Will lot be reg~aded . ............. i ............. Will excess fill be removed f~om premises: ( ) Yes ( ) No' dress' ~ r Name of Owner of premises .................................................... Ad .,.~ ........ ,.. ...... , ........... Phone No ............. 1...~,...~. Name of Architect ' Address .,,,i ...... ~,,~, ............... Phone No.. · Name of Contractor ............ ~ ............................................ Address ................................Phone No ............. ;...,.;..~ ! PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or. proposed, and indicate oil set-back dimensions from number or description according to deed, and show street names and indicate STATE OF' NEW YORKsui~'Eej.k S.S COUNTY OF ................................ ...i...ii.......A~...t..h..°.~?'...J'..'...../~...?....h.?..[! ............................................. ~ . , being duly sworn, deposes and says that he is the applicam ,(Name of individual sigping controct~) a'bo~e narried, j He is the ~ ............. .q~.~l~i~.~r4iC.....J ........................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 6r 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 tha~'the work will be performed in the manner set forth in the application filed therewith. Sworn to b~fore me this ^ , ...... /....~.. ........... day of ...... ,~.~...~ ......... , 19.?'..~.. /~ ,~' /) ~-~ ,, z/ Notary Public, .............. # "'' '~ ............ County .../~'/~-~...~,-~.'.'...../..~/..,.~~ ..... ~ //I/// [ - · % ~,4'Signatdre of applicant) MAP2Y B. PANKIEWICZ J NOTARY PUI)LIC, STATE OF NEW YoRK NO .52-8267950 - SUFFOLK COUNI~. , {;OM~ISSION EXPIRES MARCH 30, 19~,,c~ · '~,t'~ / NOTI~ BUIED]NG DEPArTmENT AT 7654802 9 AM TO J PM FOR THE FOLLOWING INSPECTIONS: NAp¼ J '¢¢-..I D' '¸%. YY~NIlNdrf',~H