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Home My WebLink About15912-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICA_~E OF OCCUPANCY No Z17636 Date DECEMBER 27, 1988 THIS CERTIFIES that the bulldin~ Location of Propert~ WHISTLER AVE. & TRUNBULLDR. House No. Street County Tax Map No. 1000 Section 009 Block 10 Subdivision Filed Map No. ONE FAMILY D~,LING FISHERS ISLAND Hamlet Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH llf 1987 pursuant to which Building PermltlNo. 15912Z dated APRIL 15f 1987 was issued, andlconforms to all of the requlrm'r~ents of the applicable provisions of the law. The occupancy for which this certificate ~ssued is ONE ~AMILY DWELLING WITH SUN PORCH AND DECK. The certificatells issued to JOHN R. & PATRICLA H. KIBBE I (owner, ~{~) of the aforesal~ building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-20 DEC. 16~ 1988 UNDERWRITERS CERTIFICATE NO. N036369 SEPT. 28~ 1988 PLUMBERS CERTIFiCATION DATED MARIO ZANGHETTI 9/13/88 Bufldlng'I~pector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO BUILDING PERMIT CI'HIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15912' Z Data ..... ~-~......./.,~. .................. , County Tox Map No. '1000 Section ..... ...~...~. ........ Block ..... .~....O.. ......... Lot No .......~....(~.. ........ pursuant to application doted/ ............ iL ........... , 19.~..~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ddmg Department Town Hall Southold, N.Y. 11971 765- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fdled ~n Wpewmter OR ink, and submitted ~ ~ to the Building Inspec- tor w~th the following; for new buddmgs or new use: 1. Final survey of property with accurate location of all buddmgs, 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 electmcal msta[latlon from Board of F~re Underwmters. 4. Commermal buddings, Industrml buddmgs, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the buddmg. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buddings (pmor to Aprd 1957), Non-conforming uses, or buddings and "pre-ex~stmg" land uses' I. Accurate survey of property showmg all property lines, streets, buddmgs and unusual natural or topographic features. 2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings. 3. Date of any housmg code or safety ~nspect~on of buddmgs or premmes, or other pertment Informa- t~on reqmred to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1.Cartlficateofoccupahcy New Dwellzng $25.00, Accessory $I0.00 Buszness $50.00 2. Certificate of occupancy on pre-exlstmg dwelling $ 5 0.0 0 3. Copy of certlflcate of occupancy $ 5.00, over 5 years $10~0(~ 4.Vacant Land C,O. $ 20.00 5.Updated C.O. $ 50.00 Date .... ?.~..~. ............. NewConstruct-~on ...... Old or Pre-exmtmg Budding .......... Vacant Land ............. Location of Property .. ' ........ House No. Ham/et Owner or Owners of Property ...'~P~' ~"..~:. ~....~0..~!9./~....~.% ~e.~ County Tax Map No. 1000 Section .. d.~. ~. ..... Block ...~/..~. ........ Lot ... ~.~?. ..... Subdw~slon · · i ................ Filed Map .......- , ......... ............ Permit No./~./~' Date of Permit Apphcant ......... c. ....... .Q: ....... Health Dept Approval ....................... Labor Dept. Approval .................... Under~mters Approval ............ Planmng Board Approval ...................... Request for Temporarg Cerbficate .................. Final Certtfmate ..... Fee Submitted $ .................... Constroctlon on above described buddm~ and permit meets all gOphcaJ~le godes and regulations. .e d ,z / OUNDATIO.U ( 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 BUREAU OF ELEGTRICITY 85 JOHN STREET, NEW YORK, NEW YORK ~t~ ~pplieution No. on file THIS CE~IFIES THAT ~R. ~IOHN ~.~I.B~i~ PRIVATE ROAI), F]S~(~S [ShA~I), N,Y, ~ examin~ on and found to be in compliance with the r~quirements of th~ ~rd, fiXTURE FIXTURES RANGES COOICIN~ DECKS OVENS EXHAUST FANS OUTLETS SWITCHES 3O 28 23 30 SERVICE DISCONNECT S E R V I C E NO. OfCC. COND. OF CC. COND. 'I ~:~ YORK NY This ~.ifi(. m~l not ~ =,ered in uny munner; return to the office ~ F~ Bffi~ DEPARTS. THIS TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTttOLD, N.Y 11971 CERTIFICATION TEL. 765-1802 D.ate . Building Permit No. Owner ~"~,? ~_ ~ ' (please print) Plumber (pleaJe print) I certify ~hat the solder used in the water supply contains less than 2/10 of 1% lead. system STXTE OF NEW YgRK) 'COUNTY OF SUFFOLK) ss; Sworn to before' me this 14thday of September 19 88. Notary Public, Suffolk County '~ 'TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1802 Examined ! ~.. ., 1.9~'1. Approved ~ I,~ , 1'9~? Permzt No D~sapproved a/c ., . (Bulldzng Inspector) APPLICATION FOR BUILDING PERMIT Received ....... Date INSTRUCTIONS a. Th~s application must be completely filled m by typewriter or in ink and submztted to the Bmldmg Inspector, wit] sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stre or areas, and glvmg a detailed descnphon of layout of property must be drawn on the diagram which ~s part of this ap cation. c. The work covered by tlu~ application may not be commenced before ~ssuance of Building Permit. d. Upon approval of tins apphcahon, the Bmld~ng Inspector w~I1 ~ssued a Bmldmg Permit to the apphcant. Such pen shall be kept on the premises available for mspechon throughout the work· e. No building shall be occupied or used in whole or ~n part for any purpose whatever unt~l a Certificate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Bmld~ng Permit pursuant to Bmld~ng Zone Ordinance of the Town of Southuld, Suffolk County, New York, and other applicable Laws, Ordmance- Regula~m~, £ot ~I~e co.structmn of buddings, addmons or alterations, or for removal or demolmon, as hereto descnb The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulatzons, and admzt authorized inspectors on premises and in budding for necessary mspechons (Slg~ture of apphcant, or name, ~f a corporatmn) State whether apphcant ~s owner, lessee, agent, architect, en~neer, general contractor, electrzclan, plumber or bulk (as on the tax roll or latest deed) If apphcant ]sa corporahon, sz[nature of duly authorized officer (Name and title of corporate officer) Builder's License No ~/. Plumber's License No.. Electncmn s L~cense No Other Trade's L~cense No .. Locatmnoflandonwtuchproposedworkwlllbedone ff~,~/o~; dF ]_X~/~,3/-~r~- /13;* ./~,¢~.% I louse Num bet Street Hamlet County Tax Map No lO00'Sectmn ?., -/Q 7 ¢ 0 Block . Lot Subdivision Filed Map No Lot (Name) State ex~stmg use and occupancy of premtses and ~ntended use and occupancy of proposed construchon a. Emstmg use and occupancy b Intended use and occupancy 3. Nature of work (check which apphcable) New Building ...... Addition ....... Alteratmn Repazr ..... Removal ....... Demoht~on .......... Other Work .......... ........ ................ 4 '79 ............. (to be prod on filing th~s application) 5 If dwelling, number of dwelling umts. .~O.. g ~. ..... Number of dwelhng umts on each floor.. . .q ~.~ .... If garage, number of cars ................................................... 6. If business, commercml or mixed occupancy, specify nature and extent of each type of use 7. D~menmons of cresting structhres, ~f any. Front. .~.~. t . . Rear .. Z.b~.' ...... Depth ...g..G. i .... Hmght ...... Number of Stones ......................... D~menmons of same structure w~th alterations or addmons Front. z ¥ ..... Rear. · .- ..... i ' Depth '* {5' Helght 5 ( f · · · ~ - · .... q ............ Number of Stories... 7-.~.~ ....... 8. Dm~ensmns of enhre new constructmn Front '~ '/~ Rear .. . ~ '/.' .... Depth ' ' .... Height J: ' ... Number of Stones .... ~-~. ? 9 S~ze of lot Front .. ~.9.' .. Rear o~ ...... ~ ........... Depth .. /:7~.' .... ~ ..... 10. Date of Purchase .. ./. ~.~.~ c. ..... Name of Former Owner .~Qm¢ 'T.. ffo,.n/~.. ('.qt~.C.. 11 Zone or use dmtnct ~n which premises are situated. . ,~ ~ ~,, ,,,/.,.:~.c .... "../~/~.~. -./.:~.,w..~),~ ....... 12 Does proposed construction molate any zoning law, ordinance or regulation· . ....... ~.~:q ............. 13 Wd! lot be regraded ~. . /5/o ...... . W~ll excess fill be removed from premises' Yes ' No 14. NameofOwnerofpremmes~'~..P,'~.~£. .Address~c~/.?~.t~.'43 ..P,. PhoneNo. NameofArch~tect.~V.~?~. ~,~.~'.e~ ....... Address ~*~'~ Name of Contractor ..--~ .~. ~..' .............. Address -,~7/de.~w...~'~/.~. .... Phone No ........... 15. Is thzs property located withinl00 feet of a t~dal wetland? * Yes ..... No .~.. ~ If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and d~stmctly all braidings, whether exmtmg or proposed, and. red,cate all set-back d~mens~ons from property hnes G~ve street and block number or descnptmn according to deed, and show street names and indicate whether intoner or corner lot STATE OF NE~,YORI~, COUNTY OF .~v~tc ~'e.~Z'~,w ,S S ....... (Name of md~wdual mgmng contract) above n~ed. bmng duly sworn, deposes and says that he ~s the apphcant // (S~gnature of applicant) He xs the ........ . ...... (Contractor, agent, corporate officer, otc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tlus apphcatmn; that all statements contained m thru applicatxon am true to the best of hm knowledge and behef; and that the work wdl be performed tn the manner set forth m the apphcatton filed therewzth. Sworn to before me th~s ......... : ........ day of.. ............ 19 Notary Public ............. ~ ............. County ~~~" CATHLEEN A GREICO NO~W Pubho, State o! New YOlk' ' No 4779926 Qualified in Westchester COmmission Expires March 30, , ® OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATi OF OCCUPANCY P CO~ nN ~AD _~ nF OCC c~.,"' PLAN FLOOR fa' ,,mtm' dlluibmlng PLAM~?~ FLOOR, h ,_No ,i SUFFOLK COUNTY HEALTH DEPARTMENT The sewaoe d sposal arid ~*,a(er supply faOlf~t[eP, satisfactory. - FLA, N 'M/:~.DE F'OEL JOHI4 F..-,,¢ FATF. ICIA, H. KI'SBE ./ ./ ./ ,~UEFOLK COU~'IY ~EPARTMEflT OF HEALTH SE~¥1~ES FOR A~P~OYAI OF ~ONST~TION QF ' FLA. N M~..D EE