The URL can be used to link to this page

Home My WebLink About13328-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18162 Date JULY 5, 1989 THIS CERTIFIES that the building. Location of Property EAST END ROAD House No. County Tax Map No. 1000 Section 005 Subdivision ONE FAMILY DWELLING FISHERS ISIAND~ N.Y. Block 02 Filed Map No. Street Lot 006 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1984 pursuant to which Building Permit Ho. 13328-Z dated AUGUST 7~ 1984 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 The certificate is issued to MARY DENNY SCOTT WRAY (owner) of the aforesaid building. sUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-148-JUNE 9~ UNDERWRITERS CERTIFICATE NO. N-717247-NOVE~ER 13~ 1985 PLUMBERS CERTIFICATION DATED Jt]NE 14, 1988-THOMAS J. SHILLO 1988 Rev. 1/81 Buildin~ ]~n~pector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 13328 Z Permission is hereby granted to:.~. ~ ....... ~.~z...~~ ............. .... ~,.~";..:~..:~: ....... ii:Z..i..iiii ..... ~z~ ,~. . . . . .z~. .x.x.~ z ........ ~.~ ~ ~ ,a ~.~,~.~..~...~5..~..~.~t~'Z~,~....~gZ..~...~.~...~.~.Z.. ....... ,,;~..~,..~...~....,~._~..~... Z-Z4,~'~'/ -- __ at premises located at ........ ~...~.....~ .................................................................. .............................................................................................. ~,~.z..,,',~..:~/..~ ...... ~.~ County Tax Map No. 1000 Section ..~.(~...,~... ..... Block ..~.~.. ......... Lot No..~.....~....~ .......... pu~uont to o~,,cation dot~ ....... ~.~......Z~. ..................... , ,~......~Z, ond opprov~ by the Building Inspector. Fee $,.Z~../Z.~. Building Insl~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted =-~ 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 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, Industria~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buildings and unusual natural or topographic 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: Additions $25.00 1. Certificate of occupancy New Dwelling,S25.00, Accessory i$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 0.oo 5.Updated C.O. $ 50.00 Date .............. NewConsgruc ~ion ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,. ..~';~'~ .............. .... ~.F~-~.~,~ ................. Hous~ No. Street /-/am/et Owner or Owners of Property .~.~ ......... .......................... County Tax Map No. 1000 Section .... ~. ......... Block ... ~ .......... Lot .... ~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ......... ],~.3.~'. ~..'~ Date of Permit~l~-.~ .... /~'~Y,~pplicant ............................ ...... Health Dept. Approval .J..~..-.~'..~..'. Z~f..~. ....... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... / Request for Temporary Certificate ..................... Final Certificate . .~... ................. Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. .... ,; ........... ~. ........... .................. Rev. 10-10-78 FIELD ~NSP~TION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSU[,ATION PER N. Y. STATE ENERGY qOPE FINAL ADDITIONAL COMMENTS: ]L00~6~]6 THE NEW YORK BOARD OF FIRE UNDERWRITERS /~[ BUREAU OF ELECTRICITY 1 85 JOHN STREET, NEW YORK~ NEW YORK 10031~ THIB CERTIFIES THAT in the following location; ~ Basement [] 1st FI. was examlned on ~OW¢~il}~E2 ~ ~ ~ ~ ~ 0 ~ FIXTURE OUTLETS DRYERS ~ECEPTACLES SWITCHES 60 FIXTURES NCANDESCENT FLUORESCENT [] 2nd FI. Section Block Lot and found to be in compliance with the r~quiremen~s of this Board. RANGES EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: t~lec o Room 2- Smoke Detectors S E R V ic A W G NO. OF H[-LEG' .O.O~pE~C o~o. OF CC. _ OF HI-LEG NO. OFNEUTRAL OF NEUTRAL 3/O Z & S Cont. Inc. liC.#924-E P~ O. Dox 202 Fishers Islandt N.Y.~ 06390 GENEI~AL MANAGER / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 "t'E L.: 765-1809, Examined ,~....7. ...... ,19~. ,~ Received .......... ,19... Approved/?~-~..7.. __ ...... 19~.. l~ermit No.~...~..g/. ~ Disapproved a/c ......................... ~ .... /~). - 7 ' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ........ .-).?.t.¥ .... 19~ INSTRUCTIONS a. Tl'ds application must be completely filled in by typewriter or in ink and submitted 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 issued 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 regu~lations~, and to admit authorized inspectors on premises and in building for necessary inspections. . ..J~ .g:.,.;i .10~. ........................ (Signature of at~ptibant, or name, if a corporation) .~.~...w.! .n...~. r .~. t:...~..~...~m..` .~.~.~.,.q .z.t.q.~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... -- '~ t.~ . .~...~...~. on the tax ru, m ~,[~st deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's Lidense No... 1 ..~..O. ................. Plumber's License No. '...~.~...~..". ?. ............ Electrician's License No. ?..Z...~..o..~. ............ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............ ..... ..................... House Number Street Hamlet Couht? Tax-Map No. 1000 Section . .~..(~...~. .......... Block ~ 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 . V&t;~..v~.~. lo~l' b. Intended use and occupancy .. ' ............................................. Locate clearly and distinctly all property lines. Give street and block interior or corner lot. 3. I~lature of work (check which ahplicable): New Building ....~.. .... Addition .......... Alteration .......... Repair . ............. Remgval .............. Demolition .............. Other Work ............... 41 Estimated Cost.. · 1 '. ..................... Fee ........................ ! (to be paid on filing this application) 5. If dwelling, number of dwelling )nits ..~..10..~ ........ Number of dwelling units on each floor ................ If garage, number of cars .... i ................................................................... 6. If business, commercial or mixe~l 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 .~.~t. ~.~... Depth ... :~,~ 'tLi/ .... Height . .~O..'~'q~, ..... N~ber of Stones . .~ 9. Size of lot: Front .... ["]~L .J~-,. ........... Rear .... .~O.~. ~.~. ....... Depth ...~,,.~.~]~., ........... 10. [)ate of Purchase .......... ~ ........ Name of Former Owner ....................... 11. Zone or use district in which pr~mises are situated ........................ 12. Do6s proposed construction violate any zoning law, ordinance or regulation: DO. ............................ 13. Will lot be regraded . Ih ~.... ~ ................... Will excess fill be removed from~mises: Yes, (~ 14. Name of Owner of premises ~r.,.~. P~.~/~/,o~.~r~Address ~-~.~:/.~o~..r,~..m,._.~.~.j~p~.ne~gNo."Ll.'5.-.:. ¢.~.O...l~g~.. Name of Contractor ?-~.~,¢~B~ ......... Address [:~ .1~.~. I buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF ~ S S COUNTY OF. ~.~. ~...~. ) ./.c~. .... · ... m .... r,- .............. . (Name of individual sig~ing contract) above name'd. ~ being duly sworn, deposes and says that he is the applicant ' ) He is the .... ]~..C/2g~. 7~-. ! . . . ~..~ a'~cy/ (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 are true to the best of his knowledge and belief; and that the work will be performed in the mann~ r set forth in the application flied therewith. Sworn to before me this ....... ~/ ............ day of .............. ,19 ,.: / LKATHtEEN F. MARTtN NOTARY [q J'iCllLtC .......................... My ~lr~q~o~ Exp[;'~] Jmnu~ry ~, l~ ' gnature of applicant) o W Fi sh 22 /, R C r S Island, A Nc W Y Y ork q .)UL..'T ~ Pc.o~' pbAkl Frank R. Cheney Architect ~ James V. Righter. Associated Architect 58 Winter Street. Boston. Massachusetts · 02108. telephone. 617/451.5740 , .J I I I I I I i , 71 -Li: ..... Ti l ......... I .... I- I t -li × () -t w ~ ! IlL, ~," W Fi she r s R Island, A Ne Y York JL~L.y e e Sr..~,L.S: 114.'"*J-'OI .Frank R. Cheney Architect Jamesv. Righter Associated Architect 58 Winter Street. Boston · Massachusetts. 02108. telephone. 617/451.51 W Fi she r s R A /r Island, New Y o'r k -, I~., Frank R, Cheney Architect James v. Righter Associated Architect ~~v~ ]~ ........................ 58 Winter Street. ~ston · Massachusetts- ~J~ ~ telephone. 617/451. 5740 , , 'W Fi shers ~ cO~-O" {I / ? R Island, Ne ~v York ~e.,~,o ~ p PL, oOlZ- Frank R. Chcney Architect James V. Righter Associated Architect- 58 Winter Street. Boston- Massachusetts · 02108. telephone. 617/451-5 W R Fi she r s Island, A New Y York ,,~ . r~/..,~l.,~ : l/&~ ~i~ ~" Jan, es X. Righter Associated Architect _ 58 Wintrr Stm~t · ~ton Massachusetts · 02108 · t~l~phonc · 617/451- :-II I~.oeco ~4lo~ ookl'rINUOUS ~0 UIM. PT'. ~iMI~M W Fi s he r s R Isl'and, A Ncw Y York i i, i1,1 ] , i~ i ~F~oTIOW P~'I'AIL~ ,, Frank R. Chcncy Architect James V. Righter Associated Architect- 58 Winter Street · Boston · Massachusetts · 02108 · telephone · 617/451.5740 t xx.: ::'.. ~ ': ' ...-~X . .... :.:,~ .... :,,:: .-~ - ~ ....... .. ,, ~ ,, ~ ~.: , ~ ~~ .--'~ ~ ',~ ~ ~_ ~. ~ , ._~]'~ ..... _ · ~ ..... ~ ~ ..... ~-~-~ ..... ~~ ,, '~ ~ L. X' ~ ~ ! ~ .. ' ~ ~ ~ - _: :- ....... ~~.~ . -: ~~~ ~'-~ >~~~~ I ,. . ,. ,, , ~.. ~ .... ~ .... ~-~ ~ . :~ ~' .., ,, ~ · ~ .... ,, ~ '..,. ',, ..~, ~ ~ ~ I , ;~- T r .-" j' ',, ~ ~ Ill --- ..... ~ . '.~~ .... ..~ .... .j. ~. ~ __. ~ , ~ .- . ~ ~ ~ ) , i Ii[ ' - , ' '> ',, ~1 ~ , / . ~ / · '~ ~, ~-' ~ . . ~ :~_~ ~"-" ..... ' ',L :, f-: ~-: ': . ~ ..... W R A Y I:~ s h ¢ r s I s I a n d N ¢ w o r k. Frank R. Chcnc¥ Architect James V. Righter Associated Architect 58 Winter Street. Boston- Massachusetts · 02108- telephone · 617/451-5740 i. t i W Fi sleets R A Y I s I and, · · Y () r k / · ~, ,,:., . ; ., .. .-:, James V. Righter Qssociated Architect- 58 Winter Street. ~ton Massachusetts-02108. telephone. 617/451 57hnl.. ..... FOR APPROVAL OF CONSTRUCTION OF