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Home My WebLink About15371-zFORi~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20820 Date JUNE 19~ 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property ~EST END~ PRIYATE ROAD FISHERS ISLAND~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 5 Lot 4 8ubdiuision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 29~ 1986 pursuant to which Building Permit No. 15371-Z dated OCTOBER 7, 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 FRONT ENTRANCE ADDITION WITH WINDING STAIRS & NEW BATHROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER & MEREDITH P. RUGG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-831554 - SEPTEMBER 11, 1987 PLUMBERS CERTIFICATION DATED JUNE 14, 1992 - MARIO ZANGHETTI~ JR. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15371 Z Permission is hereby granted to: z~.~.~~.....A/~ /q~ .......................... ~oun,, ~'ax Map No. lO00 Sect,on ...,....~. .......... B,~ ..... ~ ......... Lo,~o ....... y.. ............. pursuant ,o application doted ..... ~....~ ....... C;~....~....., Jg.~.g and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a Certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-c~nforming uses, or buildings and · pre-exzstzng" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $i00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 · ~ Date...~././...~. 2w Construction.....~.. .... Old Or Pre-exist~ing Bu~ldlng...~[~'''..L '~'['~'''''[ ....... ;'''' ~o~ ~o. "-r" ~5~., ~.. .~..~~{ ..... ourcet Hamlet 'unty Tax Map No lO00, Section ..... ~ ...... Block ..... bdivision .................................... Filed Map ............ Lot ............. ......... .......................... . ........................ ........ tuest for. Temporary Certzficate ........... Final Cer~icata..~%.. C0Z RO~2~' " ' :,:_ · ............ TOWN OF soLITHOLD OFFICE OF BUILDING INSPECTOR~ P.O. BOX 72.8 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E R T I F I C A,T I'O N Buil,~ing xPermit ' NO. (please Print,), (please ~print) certify that the ~older used in tho water supply system contai.0s less than 2/10 of 1% lead.' Swor~zO befor~e this /~-' ~ay of Nota:rT Public,~fl~L~- -.~7 (pl~er~bf/. s~g~ature) i u County, ~ooo~,~6 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~) BUREAU OF ELECTRICITy ~- September [! ~98~ B5 JOHN STREET, NEW YORK. NEW460821/87YORK 10038 ~ THIS CERTIFIES THAT Mt.Peter ~u~g~West ~ End~Pr~.vate ~oad~Fieher~ Island,New York ~sex~minedon A~LiB~ 25 [987 andfoundtobeittcompllancewiththerequlreotentsqfthisBoard. FIXTURE i SWITCHES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C NO. OF HPLEG w G, NO OF NEUTRALS HI-LEG OTHER APPARATUS: I GFCI Z&S Con~rastinR Incorporated P,O.Box 202 Fishers Island,New York 06390 GENERAL I~NAOER This certificate must no't be altered in any manner~ return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY F~3R BUILDING DEPARTMENT. THIS COPY OF CERTIF!C~TE;?U~ST NQ~ ;BE A~'I'ERED IN ANY MANNER. FIELD INSPECTION ~ COMMENTS FOUNDATION (lst) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL 'COMMENTS: ~ NOTIF%t BUILDING '~. 7~6'~1802 9 AM TO ~ ~ ~LOWING tNS~C~ONS: F~ ~ED CONCRETE ~ ROUGH 3. iNSULATI~ ~5~" ALL CON~T~Df~T 0~ ---~ '-°~'~'OCCUPANCy OR USE IS UNL4WFUL ~'ITHOUT,,,, CERTIFICATE '~ OCCUPANCy If copper tubing is used' for water distributing system; piping shall be of types ~ 0 PLUI[~IBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OccUPANCY -1 Z & $ CONTRACTING, INC. BOX 202 * FISHERS ISLAND, NEW YORK 06390 (516) 788-7857 June 9, 1992 Mr. curt Horton Town Clerks Office Southold,NY. 11971 Dear Curt, We built an addition for Mr. Peter Rugg on Fishers Island approximately 7 years ago, this is when Ron and Mario owned the company. We have never received the CO for this, Ron thinks that he filed for it but cannot be sure. We can not find any paperwork on this job, not even the build- ing permit. Mr. Rugg is holding $500.00 back on other work that I have done for him untill he receives the CO for this job. Could you help me get this, I have no idea of where to start on it, I would appreciate any help that you could give me. Yours Truly Z&S Contracting Inc. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... Received ........... ,19.,. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~¢ 1 a. Tins application must be completely filled in by Wpewriter 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 Bnilding 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, addifions or alterations, or for removal or demolifion, 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 building for necessary inspections· v -' · ........... . (Si~ature 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 ....... ~ ' :"~..' · ,/~. ~-~,:~- · ~- ~ · '?' ......................... '~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........ ~ ~(~e and title of co.orate officerJ Plumber's icense No ..... ........... . ............ 1. Location of land on which proposed work will be done. . . ( , · · .......... House Number Street Hamlet County Tax Map No. 1000 Section ........ .~. ....... Block ..... .~. .......... Lot....~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and oc.cupancy, of proposed construction: a. Existing use and occupancy ........ . b. Intended use and occupancy .... ~z~q.y. .... ~ ................................ ,8. 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... teration .......... Repair Remdval ............ Demolition .............. Other Work ............... Estimated Cost ...................... Fee i '~' (to be paid on filing this application) , / ./ If dwelling, number of dwelling }mits ............... Number of dwelling units on each floor ............... If garage, number of cars ..... , ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing strncturels if any: Front Rear Depth i i Height ............... Number of Stories ................................................ Dimensions of same strncture with alterations or additions: Front ................. Rear .................. Depth .................... i' · Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nuniber of Stories ........................................................ Size of lot: Front ...........~ ........... Rear ...................... Depth ...................... Date of Purchase ........... i .................. Name of Former Owner ............................. Zone or use district in which pr~mises are situated ..................................................... Does proposed construction violate a~ny zoning law, ordinance or regulation ............. Will lot be regraded ........ ,,~ ./~,~..,~ ............ Will exces~filLbe removed from premises: Yes Name of Owner of premises ,~ .,~. ,, ,~,~,~,~,.,,,, Address *.v~...,~.~...'.~..~ ..... Phone No ................ Name of Architect . . .~/. ~~ . Address ............ Phone No. ..................... . ................... Name of Contractor ......... Address ....... Phone No. Locate clearly and distinctly all property lines. Give street and block interk)r or corner lot. PLOT DIAGRAM 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 N~ S S C U YOF ............. ' ...O~. '~" ...................... being duly sworn, deposes and says that he is the applicant (Nan(~ of i~ddividual sigl'ting contract) above named. He is the ........................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du .y 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 perf6rmed in the manner set forth in the application filed therewith. Sworn to before me this .............. ........ ......... Notary Public, - ~ ~ ...... County' //' Notary Publi~. 8tare of New Yo~ ,: ....... : .... No. 4674306, Suffolk County : Commission Expires, July 31, 19P-.~ - ( ~" / (Signature of apphcant)