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HomeMy WebLinkAbout15349-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18163 Date JULY 5, 1989 THIS CERTIFIES that the buildin~ Location of Property EAST END House No. County Tax Map No. 1000 Sectio~ 05 Subdivision ADDITION FISHERS ISLAND~ N.Y. Street Block 02 Lot 06 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1986 pursuant to which Building Permit No. 15349-Z dated BEPTEMBER 27~ 1986 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MARY DENNY SCOTT WRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-80-148-JUNE 9~ 1988 UNDERWRITERS CERTIFICATE NO. N-831548-SEPTEMBER 11~ 1987 PLUMBERS CERTIFICATION DATED JUNE 14~1988-THOMA~ SHILLO Rev. 1/81 I~OF,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDilqG PER~41T (*THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) No. 15349 Z Permission is hereby granted to: ,.-"--3 , ~~ ~. ;...~..,.~,.. .. ..... ~:":L .............. : ................. '" ............ i .............. ....~.~..~~ ....... ..o...~.~..t~ ...... ................................................................................... County Tax Map No. 1000 Section ..... ..{~....~ ........ Block ..... ...(~...'...~'... ..... Lot No.....(~...~.. ............ pursuant to apptication doted ....~..~.Jl~:~.~...e,~..~. ........... , 19.~..~.., and approved by the Building Inspector. Building Inspector 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 A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Finat 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 disposa[-(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. B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings, and "pre-existing" land uses: 1. Accurate survey of p~operty 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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 00, over 5 years $1~.0~ 4.Vacant Land C.O. $ 20.00 ' 5.Updated C.O./ $ 50.00 Oats..~.l~y~..~. ............. New C OhS truct i on. V.... Old or Pre-existing Building ............ Vacant Land ......... Location of ~[operty .F~...~.,. .~.~..~.,..~...,~ .~.~..~7 ....... ~..~.... House No. t' ' ...... Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, . Date of Permi ./~.~_~,Applicant .................................. Health Dept, Approval , Labor Dept, Approval ...... Underwriters Approval ........................ Planning Board Approval ..... /, ............... Rdquesl: for Temporary Certificate ..................... Final Certificate ,, ,~,, ................. Fee Submitted $ ............................. Construction on above described building and permit meets~_all ;/~o~ licable codes and regulations, ............... z -/;' ': ......... i ........ PAY AMOUNT OF TJS ENTERPRISES, INC. ,/,~ ~ d-.i, ~'. D/B/A Z & S CONTRACTING INC. P,O. BOX 202 FISHERS ISLAND, NY 06390 51~44/119 DOLLARS I CHECK AMOUNT NUMBER S CONNECTICUT NATIONAL BANK REFERENCE LD INSI'ECTION COMMEN'i'S !DATION (1st) ~DATION ( 2nd ) FRAME & FLUMBING JLATION PER N. STATE ENERGY CODE FINAL ADDITIONAL 'COMMENTS: James Volney R ghter a r e h i t ~ c t s i n c 24 September 198~' Town of SoUthoid B~ild~ng~ Dept,. Town~Hall Main Road Southold, N.Y. 11971 Attention: Curt Horto~ Gentlemen: ATtached is abuilding permit applie8 and fe~ for an :addition to a hou~'e~ c e sets~of p~an+s I~t ig &n unheated gues~ studio for y., ~I,t~msto be substantially connected t~.thee~,: by' a. w~ooded walkway, as shown on ~he,,plans.~ W~iwoul~ appreciate your ,cons'id'orate5 t:h~a,-a fi,~ to hear :from you soon. i .l ~ e o b' D. A I b e r ~ r a ,i' gi,D.' ,, . ,, ' ,,. ii :i ,i . ' ~,, ' ' ', ~,,~,[~t:'- ~ , 58 w,nlter S 'b'et ,'. Bos'toff .',i"Massacl : ' ~ ' TOWN OF $OUTHOLD OFFICE'OF BUILD1NG INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Owner "~' ~z (pltase 'print)// (please pr£n~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plu/ber's signaturei' - Sworn to before me this [ /7/ day of ~-C Notary Public, .~-~-- County Notary Public · 4707878, Suffolk Iooo6~6 THE NEW YORK BOARD OF FIRE .UNDERWRITERS ~ BUREAU OF ELECT~RIClTY ~- Sept:ember 1! [987 85 JOHN STREET, NEW YORK, NEW YORK 1OO3B ~pplieation ~o. on fil~ 460~17/~7 THI~ CERTIFIES THAT only the else trlcal equipment ~ ~scrlb~ belo~ ~ i~troduced by t~ app~t~nt ~med on the ~ve ~pplication nu tuber in the prem~e~ of Mr. & ~rs .Michael Wray,East End Private Road,F~shers !sland,$ou~hold ,New Y~rk in the followlng locatlon~ [~ Basement [~ let FI. t~sexaminedon U August 25 1987 21 24 16 21 [] 2nd Fl. .Section Block Lot attd found to he in cmnpllant'e with the req~irement s of this Board. ' RANGES ~OOKING DECKS OVENS EXHAUST t:ANS VAPO£ DRYERS FURNACE MOTORS TiME CLOCKS UNIT HEATERS MULTI-OUYLEI' DIMMERS SYSTRMS NO. OF FEET $ERVIC~ DISCONNECT S R .o l OTHER APPARATUS: I ~FC~ ! Smoke Detector Electric Room Heaters,-l-.2.5 ~ 2-~.25 ~ R V I C AWG. OF CC, COND i/o NO. OF NEUTRALS AWD. OF HEUTRA[ t/o Z&S Contrasting Incorporated 1~ Box 202 Fishers Island,New York 06396 Thiscerfificate mustnotbealteredln any manner;returntothe COPY FOR BUILDING DEPARTMENT, THI: ~ , ~ GENERAL MANAGER Per _ of the Board if ihcor~rdct, Inspectors be identified by their credentials. CERTIFICATE MUST NOTBE ALTERED IN ANY,MANNER: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner Plumber (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. STATE OF NEW YORK) COUNTY OF SUFFOLK)ss; Sworn to before me this )q- of ,. ~9~ Notary Public, ~ County MAR? B. PANKIEWICZ ~O~y PUBLIO, ~ATE ~ NEW NO, 5~8267~0 -- SUFFO~ ~UNT~ ((P-1 umb ~s- s~ture) Notary Public Ex 'n .~ . . .,19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved~~....~.'1., 19~.~. Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILOING PERMIT INSTRUCTIONS , DI..OG, DEPT. TOWN OF SOUTHOLO I~ece ~.ved .......... ,19... Date .......... ~ .... a. This application must'be completely filled in by typewriter or in ink and submitted t0 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 detatled description of layout of property m, ust 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 Occ~pahcy 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 reg~otioEb and to admit authorized inspectors on premises and in building for necessary ~p~ections. ~ Pi ~[s iFIl''~ '--': .................... ~ignature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~.a...r~t ....... ~ ...................................................... (as on the tax roll or latest deed) ~ If applicant is a corporation, signature of. duly authorized officer. (Name and title of corporate officer) Builder's License No ......................... Plumber's License No. ~'~'q ' ~ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................... HoUse Num6er Street Hamlet :" ~' ' ' ' ' ~MapNo ~ 000 Section County Fax- . .............................................. Su~divi~iCn'. ............................ FiledMa o. ~... ... Lot ...,.........,. (Name) 2. State existh]g use and occupancy Exi s ting and occupahcy ................... b Intended use and occupancy ............................ 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration ....... ,.. Repair .............. Removlal .............. Demolition ............. Other Work ............... .~ ' (Description) 4. Estintated Cost...~'..? ~ .? 9.°. ........................ Fee . .1~.~} 9: .*. ? ............................. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits .~.D.~.. ......... Number of dwelling units,on each floor If garage, number of cars '~.'.~.'.'.' ........ ' ' 6. If business, commercial or mixed bccupancy, specify nature and extent of each type of use . .~.,.h.:.., ............ Dimensions of existing structures~ if any: Front...%.02......... Rear .~...~. ~. .........· Depth. tteigbt '. }.o.~ ...........Nu,nber of Stories..+~0 .o. ............................................ Dimensions of same structure witil alterations or additions: Front S.q, {'~,t~,tO Rear ' ' '" Depth ..................... :. Hel ~t ........ .q ............. NumberofStories *r ......... 8. Dimensions of antiro new constru!ction: Front Rear .I.~ De H 'ght ~.7~ -6,." Nub' rofStori .o..~.q. ' el ........... t m e es ...... ~l ............. 9 8' oflot' Fro {7~'' ' R 9P ~. Depth ~'.7.G. . lze · nt .......... i .......... ear .................................. 10, Date of Purchase ............ ; ................. Name of Former Owner ........................... I Zone oruse str ¢ whig remlsesare s late . .'. 12. Dots proposed construction violate any zoning law, ordinance or regulation: .............................. 13. Will lot be regraded . O.q ......: ............... Will excess fill be removed from premises: ., Yes (~ PLOT DIAGRAM ' ~ Locate clearly and distinctly all buildings, Whether existing or proposed, and, indicate a/l set-back dimensions from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether, interior or corner lot. © cou . · ri or . ......... ..,..-.~.-....-.........~ being duly sworn, deposes and says that he is the applicant (Name of individual signi~ng contract) above named. lie is the - (Contractor, agent, corporate officer, etc.) of said owner or owne~, ~d is dul~ authorized to perform or have performed the said work and to m~e and file application; that all statements contained ~ this apphcahon ar. true to the best of Ms ~owledge and belief; and that the Obrk~w~l be performed in the m~ne~ set forth in the application filed therewith. Sworn to before me this ~ .~0~ Y ~j,~N~, OEPARTMENT AT 3~/O ~Q~RED ~ ~OUG~ FRAMING & ~UMBING ~. F~NAL CONSTRUC%ION MUST BE COMPETE ~OR C.O. A~ CONSq ~UCTiON S~ALL ~EET THE ~EQUI~EMENTS OF ~E N.Y c~ ~.ic. ~[.oc~.. p.~,~, ' I _. IN WATER EXCEED ~" 0 t h4oTE.: ST',JOtO {5 5z~,~F_ / , / ~[a'mes Volney Righter ..~ _~¢.s~,-~_. 'A r c h i t e c t s 58 Winter Street. Boston · Massachusetts -02108. telephone · 617/451r5740 " James Volney 'Righter :~-~-~ A r c h i t e c t s. 58 Winter Street · Boston · Massachusetts · 02108 · telephone · 617/451.5740 '-' ~-'-=:-- -.& I © © 0 James Volney Righter A r c h i t e c t s- 58 Winter Street · Boston · Massachusetts · 02108 · telephone t 617/451- 5740 d 6 James Volney Righter A r c h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108 · telephone. 617/451.5740 V/t~A Y .STUDIO kl O P...TH F_I-F.-¥AT 1 Obi James Volney Righter A r c h i t e c t s 58 Winter Street. Boston · Massachusetts · 02108. telephone o 617/451'5740 5 ,F-..(--. T lo t-,,i ._- ' ATT C James Volney Righter A r c h i t e c t s 58 Winter Street. Boston - Massachusetts · 02108 · telephone · 617/451-5740 %xfo .JotST$ (~ ~5' $ TP--.,[~..- P'O I.) l,J D'A.T t 0 Iq V/ALL I IL.LE.D 50t,.IOTU'F~F.. PIIEP-,5 5 5T.E.,1E.,L- 15/Np,, James Volney Righter A r c h i t e c t s 58 Winter Street. Boston · Massachusetts · 02108. telephone. 617/451-5740 PtME. T~- F,A.SCIA James Volney Righter A r c h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108 · telephone · 617/45!'5740 I James Volney Righter A- r e h i t e c t 58 Winter Street. Boston · Massachusetts . 02108 · telephone. 617/451-5740 ~ KIAI G - , ' ' , , ' ,, ADDtTION~ AI~IICCI~R;I~,,I~SY, ' :' , ;%.,,,, ¢"o"?~ / o{ t'/pe ~ $3L) E .__/ '~mes Volncy Righter 'A r c h i t e c t~ 58 Winter Street. Boston · Massachusetts · 02108. telephone · 617./451r5740 I YY3- %- 4 James Volney Righter ~ A r c h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108 · telephone . 617/'451.5740 ' ~ -- ® © James Volney Righter ~ ~ ~ A r c h i t e c t s i~ 58 Winter Street. Boston. Massachusetts · 02108. telephone. 617/451'5740 < ,J g/r-.Ay ~TLJr~Io ,e-.OOF FP.A/.AIN~ 'PL.A~-I James Volney Righter A r e h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108. telephone · 617/'451.5740 V./P..A Y 5TLJOI O James Volney Righter A r c h i t e c t s 58 Winter Street, Boston · Massachusetts · 02108. telephone · 617/451-5740 5' '1. 5EC..TLC~ M P~ James Volney Righter z4 =~ag A r c h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108. telephone · 617/'451'5740 ~55~ ToP ol a James Volney Righter A r c h i t e c t s 58 Winter Street · Boston · Massachusetts · 02108 · telephone · 617/451.5740 i / I James Volncy Righter 58 Winter Street · Boston ~assachusctts · 02108 · telephone . 617/451-5740 , I 0 / / James Volney Righter 58 W'~ ~nterStreet. Boston. ~dassachusetts 02108 telephone . 617/451 5740