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HomeMy WebLinkAbout15368-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19612 Date DECEMBER 24~ 1990 THIS CERTIFIES that the building. Location of Propert~ House No. County Tax Map No. 1000 Section MINOR 9/20/82 ONE FAMILY DWELLING CRESCENT AVE. FISHERS ISLAND Street Hamlet 06 Block 01 Lot 4.1 Subdivision ANNETTTE ZABOHONSKIFiled Map No. Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 1986 pursuant to which Building Permit No. 15368Z dated OCTOBER 6, 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N036380 SEPT. 28, PLUMEERS CERTIFICATION DATED MARIO ZANGHETTI 9/14/90 FISHERS ISLAND WATER WORKS LETTER 12/3/90 JAMES V. & ANNE R. RIGHTER 86-80-168 12/20/90 1988 - §uilding In~p~ct6r' ' ' ~ Rev. 1/81 FO]~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~tALL SOUTHOLD, N. Y. I~UILDING PEI~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 15368 Z Permission is hereby granted to: .......... County Tax Map No. 1000 Section ....... ...~...~ ...... ,lock ....... ..C~.....( ....... Lot No. ,Cj ~.l ~,,rs,ont to opp"cot~on dot,d ..... .O...~~.....Z:', ............. , 19.~..g., o,d opproved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. O TOWN OF $OUTHOLD Building Department Town Hall Routhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPA Instructions A. This a0plication must be filled in Wpewriter OR ink, and submitted ,C. to the Building In~ec- tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, ~treets, and unusual natural or topographic features. 2.Final apl~rovat of Health Deot. of water s'dpoly and sewerage disposal-(S-g 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 comDliance from the Architect or Engineer responsible for the building. S.Submit Planning Board approval of completed site plan rec~uirements where aoplic-~Ple. B. For existing build~ngs (prior to April 1957), Non-conforming uses, or buildings and "pre-exi~ing" land user, I. Accurate survey of p:operty showing all property lines, s'treeL% buildings and unusual nasural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildlngt~ 3. Date of any housing code or safety inspection of buildings or premises, or Diner pemnent reforma- tion required to prepare a certificate. Fees: Addi,,,Clons ,. $2,5.00 POOLS $25.00 AL~'ERATIOH 1. Certificate of occupancy ~'-~ D~eJ'[~7' $25'00~ Accessory $10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy ol certificate of occupan:¥ $ .5.00, ovet~ 5 yeats $10,00 4.Vacant: Land C.O. $ 20.00 /O 5.Updat:ed C.O. $ 50.00 Date .~... .. ..l ................. NewCon$ :ruc l;ion ....V'... Old or Pre-exi~ing Building ............ Vacant Land ............. Location of Property ........ ~.... ......................................... Owner or Owners of Property....~.~, .O~'fi~,. ~, .~., ,~,. ~A~, .~. :~_.~.~...~,. .......................... .... .... County Tax Map No. 1000 Section, ...... - '~'~4) ....... FJ~t~-I°ck ...... '?' "L Permit,o.. ........ Date of Fermit ............ ^=p,ioant ...-... _-.. ....... Health Dept. Approval ~0 ' yO, I O~ ........................ Labor Dept. Approval ........................ Underwriters Approval Planning Board Approval - Request for Temporary Certificate....'~. ................ Final Certificate ....................... brai teds 00 ~ ~d ~ FeeSu t .....fl~ ...... & ....... ~ ..... Construction on above described budding and permit meets all al~olicable codes and regulationS. Apphcant.., ~,. 10.10.78 TOWN. 'OF OFFICE OF BUILDING INSPECTOR ~ . P.O. BOX 728 . TOWN HALL SOUTtIOLD, N.Y. 11971 . ' C E R T. ! F I C A,,T,I'O ~ TEL. 765-1802 ~' 'r 'i certify that the ~older .used in the W~ter'.supply system, cunt,ales less than 2/10 of'l%, lead , , , , NI~ ~ublie State of NeW York , , , TOWN OF SOUTHOLD OFFICE OF BUILDING I,NSpEcroR P,O. BOX 728 'FOWN HALL 'SOUTHOLD, N.Y. 11971 TEL. 765-180~ CER.T'IFI C A~T I.O'N BuildJ,ng ..Permit NO. Owne. r ._~ (please print) ' ' (please ~in~) ~ certify that the solder.used ir, the water supply system~ contains less than 2/10 of 1% lead. STATE OF NEW YORK) COUNTY OF SUFFOLK) ss; Sworn %o before me this 21st day of July 19 89 NotaIy Public, Suffolk (~lumber ~ J~¢3~*~ ure) Couaty .~ ~N'o ary Public MARY B. PANKIEWICZ ' NOTN~Y PUBUC, STATE OF NEW f~O. ~.-8~7050 -- SUFFOLK THE NEW YORK BOARD OF FIRE UNDERWRITERS ,~: ~ ~l} ! ~;~, ~=', BUREAU OF ELECTRICITY --- 85 JOHN STREET. NEW YORK. NEW YORK 10038 D~te l]~C~{}~'~[~ I~,~!'~c) AppllcationNo. onfil~ (,~,(}3~,)/~) ~ 0~0.~ THIS CE~IFIES THAT ~y t~ e~t~ ~uipment ~ ~c~ ~w a~ int~uc~ by t~ ~p~ant Mm~ on t~ a~ .p~ti~ numar ~ t~ p~m~s of Lot RXTUIE fiXTURES RANGES COOKING DECKS OVENS EXHAUST FANS DRYERS FURNACE MOTORS PUTUIE AI~q,IANCE F~EDERS TIME CLOCKS UNIT H~ATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS S~RVIC~ DI~ONNECT S E R V I C This certificate must not be altered in any manner; return to the office of Hie Board if incorrect. Inspectors may be their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FISHERS ISLAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06390 AREA CODE 516/788-72~51 Town of Southold Building Department Fishers Island, N.Y. Gentlemen: 06390 Please accept this letter as certification of Water Service provided by Fishers Island Water Works to The water service co{~sJ~shs of supply through a line from our Island distribution system. inch water REW/ew Sincerely yohrs, Robert E. Wail Superintendent Z & S CONTRACTING, INC. BOX 202 * FIE, HERS ISLAND NEW YORK 06390 Waste Water rlanagement Suffolk County HeeItt~ Services County Center R£verheed, N.Y, 11g~)1 To Whom it may co~cern. We at Z&S Contracting .on Fishers Island,N.Y.,~have instelled the septic system at the ~7~ '~, ~ property according to ali Suffolk County Codes. Respectf,uiiy Submi'tted Thomas,'J~$hillo preSJ, den't Z&S Con'tract£ng Inc, T;]S/~z ?'IELD t~S?ECTiON FOUNDATION FOUNDATION 2. (1st} (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL !!DATE ADDITIONAL COMMENTS: ¢ . s ; crons (516) 765-1802 VICTOR LESSARD, Principal 'CURTIS HORTON, Senior VINCENT R. WIECZOREK, o~{~nd~: ROBERT ~SHER, Assis~Rt Fire ~O~S ~SHER GARY ~SH OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD SCOTT L HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 December 14, 1990 Mr. Charles Brigham Board of Health Dept. Riverhead County Center Room 9N204 (North Wing) Riverhead, New York 11901 RE: JAMES RIGHTER - FISHERS ISLAND Surf. Co. Tax Map ~1000-61 4.1 Health Ref. ~86-SO-168 Dear Charlie: Enclosed please find copies of surveys regarding the above property on Fishers Island for final Board of Health Approval. Please return the final Board of Health Approval to this office. Anything that can be done to expedite this will be greatly appreciated. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Curtis W. Horton, Senior Building Inspector CWH:gar encls. James Volney Righter a r c h i t e c t s i n c 11 December 1990 Mr. Curtis Horton Town of Southold Building Department Town Hall Southold, NY 11971 RE: James Righter C of O Dear Curt: I have enclosed what I hope to be ail of the remaining papers for Jim Righter's C of O. · Completed Application · Check for $25.00 · Septic Instillation Verification · Water Works · Solder Certificate I just spoke with Mr. Papos who indicated to me that he reviewed the Righter house about one year ago. I told him that we were unable to locate the papers. I have asked Tom Shillo to try and locate the underwriters application. If Tom can not find the application'than Mr. Papos must review the house again. If you could let me know when you are next going to Fishers that would be great!! Let me know if you need any more information. Talk to you soon. Very u'uly yours, Brooke Trivas Jacob D. A lb e r t · J a m e s V. Ri g h t e r · B r o o k e S. T ri v a s · Cynthia N. W a r d e 1 1 58 Winter Street · Boston .Massachusetts · 02108 · telephone · 617. 451.5740 James Volney Righter a r c h i t e c t s i n c 19 December, 1990 Mr. Curtis Horton Southhold Town Building Dept. Southold, New York 11971 RE: James V. Righter C of O Dear Curtis: Look what we found~!!!(!!!!?t!!!!!!!!m!!!!!!!m~(!!!!!. I think we now have everything for Jim Righter's C of O. J a c o b D. A I b e r t · J a m e s V. R i g h t e r · B r o o k e S. T r i v a s · C y n t h i a N, W a r d e 1 1 58 Winter Street · Boston · Massachusetts · 02108 · telephone . 617. 451.5740 A review has been made of your proposal to: ~477132~:r~ d- noj A c A.eo[2 lo P' New York S~ate ~pa~t~nt of En~r~n~al Conse~ation has fo~d the parcel ~ pro~ect to M. Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure -- greater than 100' in length constructed prior'"to S'eptember 20, 19~7. ,~..Landward of 10' co:~o~r slaver!em above mean isa level ~n a gradua!~ nat- ural slope, , , , Landward of topographical crest of bluff, cliff or dune in eTcess of 10 feet in elevation above maau sea level. ,-..... Therefore, mo permit under Article 25 (T£dal Wetlands of the Environmental '"'- Conservation Law) is required at this =i~ since the cut-~ent proposal is beyond State mandated ~urisdistion pursuant to this act. However, any additional work or modifications to the project may require a perm/t, I= is your responsibility to notify this office,, in writing~ if such additional work of modifications are conte~plated. Very truly you~, Daniel J. La'kin .Regional Supervisor of ~g~latory Affairs DJL:RNT:cz Examined .(2>.~....0~%.....[e .., 19~..g. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved O.~....,~-~....~.., 19~..~. Permit No. [~-a .~..~. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS i Id i?.'--1986 ?ii! TOWN OF SO~JTHOLD Received .......... 19... a. This 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 reg~ation~ and to admit authorized inspectors on premises and in building for necessary i~e.c.!io~n~s.~t i) ~t~[~ ~ a,~t,,,~ ~nature of applic~tnt, or name, if a corporation) ... ... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises .~J~-I~ V, f- /~i~, ~. (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..~..~..~. ....... I.~..O. ........ Plmn ber's License No. ~ t4k '- ~ Electrician's License No. e~,l~t~ - ~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County 'Fax Map No. 1000 Section ....~..O.~. ....... Block ..... t ............ Lot. .~:1 ....... (Name) 2. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .~/t~. ~. ......................................................... b Intended use and occupancy ~1~4~[.~ ~l[~.~. t~)~ ....................... 3. Nature of work (check which applicable): New Btdlding . ~ ...... Addition . ~ ........ Alteration .......... Repair ............... Removal .............. Demolition .............. Other Work ............... ,,tf. l,j.° (Description) 4. Estimated Cost ...... , ....................... Fee (to beepaid on filing this application) 5 lfdw lli ~ber. ofd elli its Nunbe ofdwelhngun~tso' ' eachfloor If garage, number of cars .......................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each tyDe of use ... :.: .... , .......; ..... 7 ~Dimensions of existing structures if any: Front Rear ' · ' ..................... ~ ....... Depth .............. Height ............... Number of Stories ........................... ~-Dimensions of same structure with alterati6ns el additions: Front ....................... · ' Rear ' ' Depth ...................... .Height ......... ~ ............ Number of Stories ............ ~ ...... 8. Dhnensions of entire new construction: Front ... ~.~ ......... Rear . .~.O.'...! ....... Depth . ./..[~ ........ Height t~4Db~.... [~! .... Number of Stories ] . ' . . .~ ........... 11. · wmcn premises are situated ..... I ................... 12. Do~s proposed construction violate any zoning law, ordinance or regulation· . .~.i .~. ............ PLOT DIAGRAM I Locate .clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lin~s. Give street and block number or description accon!ing to deed;and sho~ s~reet names and indicate whether interior or corner lot. · ~TATEOFI~, / /fi' S ................... ~ .... ~ r..r/. ¢ ~ ;~ .~ ....... being duly sworn, deposes and says (Name of individual signing contract) above named. [te is the ........ L" (Contractor, agent, corporate officer, etc.) >r said owner or owners, ~d is duly authorized to perform or have perfo~ed the sa~d work and to m~e and file this ~pplicatiOn; that all statements contained ~ this application are true to the best ofh~s ~owledge and belief; and that the uork w~l be performed iu the manner set forth in the application filed therewith. ~worn to before me this , , ~ .' ~ ~ ~ ~ a ~ ~ ~ (S,gnature o1' apphcant) that he is the applicant .MINOR SIJI~IIV1SION PLAN ~AOq: ~R ANNETTE ZABOHON~KI - ·ames Volney Righter Architects,Inc. (617) 4~1-5740 "The water supply and sewage~ disposal systems for this residence Smffo'lk~ y Tax Map Numb r: I000-006-1-4.I b bE'TJ. 1 L f~./"~ ,SUFFOLK COUNTY DEPARTMENT OF HEALIH SERVIGES ,,,.] SINGLE FAMILY DWELLING ONLY DAT~H.$. REF NO. -% LOT /: ~ ../ . , ~/ / Siteis inTownof Southold, C~nty ofSuffolk, T~xm p I0 0 ec. ~ ,- . ......... ~ - '% . . / '. ~ /~' 4 Site to be ~rviced by Mun/c/polWo/er ~d on site ~wage dispo~l ,.~ , - x /.~/ ._.-.- ~ ;' ,__,,. ~ J/ff '~' ~Au~ tu~ GUEST THOMAS RUSSELL JR, ~ss~,~v"a' ~ t~)~ .~;'~,~s~ o~ " ; ~~ ~/~g::~ Revised 10/14/81 Ii A~ROVED ~i NOTED ~0~ ~U~DING DE.ARgOT AT ~5 ~8~2 9 AM TO 4~ ~ ~ THE r'O~ ~NG INS~C~O)NS: ~ ~OUG~ F~AI~ING ~ ~ ~A~r CONSTRUC~r~ MUST ~ COM~E ~R CLO. A~ ~O~;STRUC~ON ~ M~ THE R~QUIREMENTS ~ ~ N.Y ~A~ CONS~U~ON' & ~ CODE6, NOT ~ ~R ~IGN OR C~ON UP III ,~, I IlL_ ~ ,~,.,UPANCY OR USE IS UNLAWFUL for ~,mm dl~lbufln9 WITHOUT CERTIFICATE OF OCCUPANCY "'"'~ ~ ~"~* SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% £~,-: .... PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY '.O[ lc,' I I 4 James Volney Righter A r c h i t e c t s 58 Winter Street. Boston · Massachu etts · 02108. telephone · 617/451'5740 James Volney Righter 58 Winter Street. Boston · Massachusetts -02108. telephone . 617/451.5740 N Ol~.T H Fr-L- P-.V~,TI 0 ~ 5ouq'rH El F,W'~,TIOi~ James Volney Righter A r c h i t e c t 58 Wrater Street · Boston - Massachusetts · 0Z108 I telephone 617/451' 5740 ' I James Volney Righter A r c h i t e c t s 58 Winter Street. Boston · Massachusetts · 02108. telephon~.~ . 617/'451.5740