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Home My WebLink About11500-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Halt Southold, N.Y. Certificate Of Occupancy No..g~L.235.7 ......... Date March 14, 1984 ................................. 19... THIS CERTIFIES that the building ..... One..£amil.y.. dwell in~. .................... Location of Property .E.a.s..~..~.n.d...R.o.a.d. ,. Choco.m. ount Hill . . .~iskers. J~sland House No. ' .......... 'S'ttJe~i ............ Ham/et County Tax Map No. 1000 Section . .4. ......... Block ...5 ........... Lot . ;..5 · 9 .......... Subdivision ............................... Fi]ed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Ma~ 21 ,..... ,19 82 pursuant to which Building Permit No' l1500Z .datedM. a.7...2.1., ..................... 19 .8.2. ,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 ......... construct .o.n.e..f.a.m.i..l¥ dwelling .a. mended to. include deck The certificate is issued to Isabel Du Bois ..................... ...................... of the aforesaid building. t of Health Appro al 11-80-119 Suffolk County Departmen v .................. 623930 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FOIt~ NO~ ~ TOWN ~OF ~ BUILDIN~ HALL TOWN SOUTHOLD, N. Y. BUILDING' ~ERJ~IT (THIS PERMIT MUST BE KEPT ON' 'l~H,i~ PP, E/~IS~S UNTIL f ULL COMPLETION OF THE WORK AUTHOR!ZEDi Date ...... Permission is hereby granted to: ~f p~emises located ~t ........................ , ...... ~ .......... , ...... d ........ . · ~. ....... ]"' · .,.' ................................... ................ ~ ................................................................ < .............. ~,...~ ................ : ............. ,....:...; ................ ~cd~&ty T~K Map No, 1000 Section , ...... ,.'; ..... ',;.'Bloc[ .,; ;,,.,.;.,, bt No, :; ......,~J, .:... pursuant to applicahon dated .............................. <;..~; ...... ,.,......, ..,,.. ¢pprov~ by the Bulld~ I~spector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 featu res. 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: Certificate of occupancy $5.00 1. Certificate of occupancy on pre-existing dwelling 2, 3. Copy of certificate of occupancy $1.00 landuse--?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 ate New Building r- ~ Old or Pre-existing Building . Vacant Land ............ ....... Cg Hou~ No, ~ ~ ' S~eet . . Ham/et Owner or Owners of Property .......................................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map ~ ...... ~Lot No .............. Permit No././?.O.q..Z~... Date ofPermit .///~..~,~./...Applicant . .~.--.~.~ .~....L~.O. ~.?.~?.(YJ.~c.~.-T, .......... Health Dept. Approval ........................ Labor Dept. Approval ..... ./Y~..~, ............... Underwriters Approval . ~ ~ ~ jr/ d 0 Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $... ~.'.~. O. ................... Construction on above described bulldog and pe~.~eets all applicable codes and regulations. Rev, 10-10-78 ~JFI~LD INS?ECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~Ov~b~r ][~ l~~ JOHN BUREAU OF ELECTRICITY STREET, NEW YORK, NEW YORK ~OO38 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the ab~ application ~umber in the premises of Is~l ~is~ l~ ~ I~ad~ '~t ~11- Fi~rs Is~d~ N~Y. in tae yollowi.. Io~.tion; ~ a.seme.t 'LJ ~st ri. was examined on i~OVO~' 8~ ~ FIXTURE FIXTURES OUTLETS ~ECEPTACLES SWITCHES FLUORESCENT 19 8~ ~(5 19 [] 2n{~' J'{~D Section Block and found to be in compliance with the requirements of this Board. RANGES ~OOKING DECKS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS MULTI-OUTLET SYSTEMS NO. OF FEET Lot EXHAUST FANS DIMMERS SERVICE DISCONNECT S E R V I ,2-1.2kw., C OF HI4EG I AW, G, OF NEUTRAt Ga,da, Contr~ct~ I~rawer B Fishers Island, N.Y. 16390 This certificate m,ust not be altered in any manner; return to the office of the Board if incorrect. COPY FOR BUILD NG DEPARTMENT. THIS COPY OF C MANNER. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~ SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date .................... ~. .....,19 .... .. File No ................................ fi,/ ,- ~i~ t~E'~~ -~ /:~//l~;z ~-Fll~,V,:, ,~,,,~. /,'h .~B o · ~tdLzLl'-t~ at for pemit to constmc~ .......................................................... Location of Property h3G~ ~o~ ....................... ~&i ....................... h~t~ County Tax Map No. 1000 Section .............. Block ...... ~ .... Lot ~,~ .¢.~ .b~... Subdivi~on ................. Filed Map No ................. Lot No .................. is return*d herewith and disapproved on the following grounds.. ~.~.~ ...... ~(~ ......... Building Inspector iv - Fl ~ cO. TOWN OF SOUTHOLD, NEW YORK ACTION OF THE ZONI/~'G BOAI%D OF APPEALS Appeal No. 2908 by application Dated October 9, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To Gada Contracting for Isabel DuBois, Drawer B Fishers Island, NY 06390 DATE 12./.12.f,8.1 Appellant at a meeting of the Zoning Board of Appeals on November 5, was considered and the action indicated below was taken on your ~ ) Request for variance due to lack of access to property ) Request for a special exception under the Zoning Ordinance ) Request for a variance to the Zoning Ordinance ) 1981 the appeal ganted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... para~aph .................... of ~e Zoning Ordinance and the decision of ~e BuRding I~peetor ( ) be reversed ( ) bi. c~X~f~e Public Hearing held 11/5/81: Application of Isabel DuBois by Gada Contracting, Drawer B, Fishers Island, NY 06390, for approval of access, New York Town Law Section 280-A. Location of Property: Private Road, Fishers Island, NY; Chocomount Lot 3; bounded north by Musser and Private Road; east by F.I. Water works; south and west by Fishers Island Development Co.; County Tax Map Parcel 1000-4-5-part of 5. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) practical difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of %his property and in the same use district because (SEE REVERSE SIDE) (e) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (would not) (SEE REVERSE SIDE) CG: lk FORM ZE and therefore, it was further determined that the requested variance ( that the p ~eviousRECEiV,~DdeCisio~.~of the_ Buildin~t_Lusrmct, orAND 'lh'lP THE SOUTIiOLD TOWN', ~L~E?K DATEI~/t~[M HOUR ) be granted ( confirmed ( ) be reversed. 5~ING BOARD OF APPEALS ) be denied and By this appeal, applicant seeks approval of access pursuant to Section 280-a, New York Town Law, over a private road approxi- imately 50 feet Wide and extending northerly off East End Road (also known as Qriental Avenue), at Fishers Island. Applicant iproposes to construct a new dwelling and without approval of access cannot obtain a ibuilding permit for same. It is the opinion of this board that ithe provide road is suitable and adequate for ac- cessibility for ifire, police and other emergency vehicles as well as private vehicles. The road has a stone base to a width of approximately 14 feet. It is also the consensus of the Planning Board at a special meeting held on October 30, 1981 that they agree the acces~ is rough-graded and suitable for emergency vehicles. In considering this appeal, the Board determines that the variance request is not substantial; that the circumstances here- in are unique; that by allowing the variance no substanial detri- ment to ad]o~n~qg properties would be created; that the d~ff~culty cannot be obviated by a method, feasible to appellant, other than a variance; that no adverse effects will be produced on available governmental facilities of any increased population; that the irelief requested will be in harmony with and promote the general purposes of zoning; and that the interests of justice will be .served by allowing the variance. On motion iby Mr. Doyen, seconded by Mr. Goehringer, it was RESOLVED, ithat .~sabel DuBois be qranted approval of access pursuant to New iYork Town Law, Section 280-a, as applied for and SUBJECT TO THE FOLLOWING CONDITIONS: That the subject access road be macadamized to a minimum width of 15 fee~ up to applicant's property (approximately 1,185 feet in length).i That prio~ to the issuance of a Certificate of Ocoupancy for new construction on this property, applicant furnish the board of appeals a letter lndlcat~ng that the subject right-of-way has been ~mproved as ~nd~cated above. Location Of Property: Off Private Road No. 7, Fishers Island, NY; Chocomount ~ot 3; bounded north by Musser and Private Road; east by F.I. Water Works; south and west by Fishers Island Development Co.; County Tax!Map Parcel 1000-4-5~part of parcel 5. Vote of t~e Board: Ayes: Messrs. Doyen, Douglass, Goehringer, Sawicki and Gri~onis. This resolution was unanimously adopted. APPROVED Chairman Board-~ FOR~ NO. ! TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned ....................... prov,d ...................... ,9. r it No .............................. Disapproved a/a ........ ~ ........... . ............................................... ~ .......... ......................................................... , ............ .... (Building Inspector) ^pplicotion No.//.~0 ~ APPLICATION FOR BUILDING PERMIT Dote .~.~..'~.~.~' ~ ............................. ~ ~9....~.l .... I NSTEUCTIONS a. This application must be completely filled in by typewriter ac 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 ofproperty must be drawn on the diagram wh ch s part of this applic0~i~on~''~ c. The:work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicdtion, 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 eccupiedlor used in whole or in part for any purpose whatever until a Certificate of Occupancy ~hall have been granted by the Build!ng Inspector. APPLICATION IS HEREBY MADiE 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 ibuildings, 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, (Signature of applicant, or name, if a corporation) ...... .............................. (Address of applicant) State whe~r,~applicant is ~,,~ner, lelssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ .k~.~.~ .~.~/.......~... ~.c¢.~.~ ............ ~ ....................................................................................................................... Name of owner of premises ....~_~/~,E./ ...... .j...[.~...(~ ......................................................................................................... If applicant is a ~rporate, signature of duly authorized officer. ....... ......................... ~- ~ame'bnd~le of cor~ate officer) ~d~r'~ L~.~ No ........ G.~../ ....... /Y~ ..................... Plumber's License No. , ~ec~,c,~.'~ Ucen~e ,o. ~J.~.::..~ ........................ - Other Zrade's License No ....... ; ........................................ ~ ~ 1. Location of land on which_prb~osed work will be done. Map No.~-~.~.~.~.NJ .............. Lot No ......................... street and Number ..~.~.....~.~.~.~.~..~'.~.~ ............................................................... '~;~i;1~;ii~ ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupbncy ............................................................................................................................... b. Intended use and occupancy .... ~ ..~.~ ................................................................. 3. Nature of work (checF, which apl~licbble)?l~l~'Buitding, ... -~]]...JL.;~.~ddit)on ~ ................. Alteration ................ Repair .................. Removal .................. Demolition...]]] ............ Other Work .................................................... ..~.../.~ :~/.~,~. ~ (Description) 4. Estimated Cost ..L) ~'~'~'=./...~...~......~.....~.. ................. ;....Fee ............ ~.;....r. .................................................................... . / (to be paid on filing this application) i_ 5. If dwelling, number of dwelling 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 existing structures, if any: Front . ...j(:~ ~D./df ~., ........ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front '1'7 ............ ~ ............. Rear ............................ Depth ................................ Height ............................ Number of St~e~)./~r....C.~.. .................... z/' £,, 8. Dimensions of entire new construction: Front ..... .',~. .......................... Rear ........ .~...~. ............ Depth Height ...~..,..~.. ......... Number of Stories .......... ~'.. ......................................................................................................... 9. Size of lot: ~ ..... ..~.!.~.~. ......... /~C~.¢,f>~. ............. Rear .......................................... Depth ................................ 10. Date of Purchase ......... ~'..?.8.~. .................................. Name of Former Owner .....~..:.~./..~:..~.;-..~...: ........... i ............... 11. Zone or use district in which premises are situated .......... .~.?~.~./..;h~ ................................................................ ]2. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will tot be regraded ....k~...~...~. ............... 'vYill excess fill be removed from premises: ( ) Yes ~ No 14. Name of Owner of prem.ses,~.~..L.....~.~.~?..-S.. ................ Addre .-~f..~....~.~+...'~.i.gl... Phone' ' -'~ ' ~ " , No.J..~....~:..~.~,,~,,~.~... -,',lame of Architect .....~.¢./~A]~.. ...... .~...o...~...~.S. .................... Address ................................ Phone No ....................... Name of Contractor ~,.~ ..... .~.~.~.~f~.~ .................... Addres .ff.~.c..~...~.~J.~...~.'~ ...... Phone 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 X~DRK, ii, [ ¢ ¢ COUNTY ~QF ..... .~F+F'~ I.~ ........... ~' '~"~ ......... ~.~....~...O..H..~.....~].~.]~.~......~..~., ........................................... being duly sworn, deposes and says that he is the opplican~ (Name of individual signing contract) above named. /'~ /,~ · He is the ~.~..,~..~.~.i.~./. ......... (~..~..~.Z..~..~..~,,O.. ,~.~. .......................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application ore 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 before me this ..... ......... of ........... .......... , . ~--~. ~ ~ [.Z. ,L ~ ~e,_.--(Signature ' "~ "~ot appdcdd~) NOTARY PUBLIC, S1/~]F- OF N'r.W ~u~n / NO. 52.8267950 - SUFFOLK CouNTY COMMiSSiON EXPIRES MARCH 30, 19 ~"~--