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Home My WebLink About15426-zFORM NO. 4 TOWN OF S0UTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20t43 Date AUGUST 13~...~991 THIS CERTIFIES that the buildin~ ADDITION Location of Property PRIVATE RD. WEST HARBOR ROAD, FISHERS ISLAND~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 2 Block 1 Lot 5.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1986 pursuant to which Building Permit No. i5426-Z dated oCTOBER 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 ONE CAR GARAGE & FLOWER PLANT ROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS A.ARMSTRONG 111 & WHITNEY B.ARMSTEONG (owners~ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-076562 - OCTOBER 31~ 1990 PLUMBERS CERTIFICATION DATED_JUNE 30~ 1988 - MICHAEL J. BARONE Building Inspector Rev. 1/81 TO~N OF SOUTHOLD BUILDING D£PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15~26 Z Permission is hereby gronted to: ..~.~.~~.:...~..~...~., .......... ..~.~~..,....~, ...... ..~..~.~..~ ..... ~ . ~..~.....~..~....~, .~....~.~...-~....~~~ ~ .-~.-.~.:..--~: County Tax Map No. 1000 Section ........ .~....'~:'.. ....... Block ...... ..c~...~ ......... Lot No ..... .~.:.....'~.. ....... pursuant to application dated .... ..~...~.~..~....~......~.~ ............ , 19..~...~.., and approved by the Building Inspector. Bullding Inspector Rev. 6/30/80 TOWN OF SOUTBOLD BUILDINC DRPARTMENT TOWN BALL SOUTROLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .......... . ....... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET BAMLET O.~e~ o~ O~r~ o~ Prop~rt~ ....... ~(~ ..: //~W~. . ............~,r..... Coun~ Ta~ Uap No. ~000 S~tlo~ ...~... Ulo~ ..d... Lot ..~.~... Subdzv~szon ....................... Filed Hap ........ Lot .......... Perm,= No. /n.¢.~Bate of Permit .......... App~ca,t ~/...(~.~:..~.~.,~: Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: 10/14/8B TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. (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 30th day of June 19 88 Notary Public, Suffolk County Public ~J MARY B. PANKIEWICZ .(mmv m,UC. Sl'~TE ~F NEW vom~ 'OUNDATION (1st) 'OUNDATION (2nd) ~OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FERRY ROAD HADLYME, CONNECTICUT 06439 AREA CODE 203-526-9836 June 28, 1988 Town of Southold Building Department I, Thomas A. Armstrong, hereby do swear my intention to use the premises described as County Tax Map 1000, Section 2, Block 1, Lot 5.2 on Clay Point Road as a single family residence. Thomas A. Armstrong .q?..: : ./ / 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 Approved ~ .~....~.....~.~ ·., 19~.&. Permit No./. .,19... Disapproved a/c ..................................... .......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This application must be completely tilled 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 cod. g, and regulations, a~/1 to admit authorized inspectom on premises and in building for necessary inspections. ~ 4~w~/~vt~~0M~/~, - · · · .Harr.l~ 3? ,. ~z:®om.,..Jr,~; .~:1 ~t .~'~.'- .' rlt/~'t' · (Signature of applicant, or name, if ~cVorporatioR) ....F.e..r.rZ .R. 9.a.d.,' .g~.d.l.~m..e.,..~T...0.6. 4 ~9 ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of.owner of premises .... ~r....Wbitneir. B....Arms.trong .......................................... (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 .... 66.0 ................. 2115P Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be donel ................................................. Private Road, West Harbor, Fisher's Island, New York House Number Street Hamlet County Tax Map No. 1000 Section .... . . .2. .......... Block .... .1 ............. Lot .... 5., ~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 6 r. 9.s a. Existing use and occupancy. .... ....S ±nql .... .~, . .c]:. e. .ng .e ................................... b. Intended use and occupancy Sinqlo- car qarago & plant room 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .,i.X.X..X ..... Alteration .......... Repair Removal Demolition I Other Work : (Description) 4. EstimatedCost.. $20 ~0. 00 Fee , . ....... '..' ........... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uhits on each floor .......... If garage number of cars One .... : ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of Use ..................... 7. Dimensions of existing structures, if any: Frqnt %0.0: Rear 1-00 ' Depth 46 Height ............... Number of Stories ...... .2 .................... i ............................. Dimensions of same structure with alterations or additions: Front .. J-.2.1t '. .... : ...... Rear...~ .2.8.' ........... D pth .46 ' Hight 27 ' N tuber of Stories 2 e .... e ..... u .................. Dimensions of entire new construction: Front .28 ' ...... Rear .2 .8.'. Depth 20 ' Height 20 ' Number of Stories 1 ' Siz of l Fro t R ' Depth 9. e ot: n .................. ear ................... 10. Date of Purchase . . . p.e.c.e.m..b.e.r.,...1.9.8.5. .........Name of Former Owner i .... .B.R.~.G..~ ................... 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning iaw, ordinance or regulation: ...i .............. ..... ,);i" 13. Will lot be regraded ....... ye.$ .................. Will excess fill be removed from premises: 14. Name of Owner of premiseslqh. &g,qq~.;-~:~4:P~¢l~dress ................... Phone No ................ Name of Architect ........................... Address .............. ! .....Phoc~ No ................ Name of Contractor . .l:I.a.r.r. 7..P....B..r.op.m. ~. ~;r.,.. Address F.e.r.~. y..R.d. 15. Is this property located within 300 feet of a tidal wetland? '~Yes ~Y~S) No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, . - ~ COUNTY QF... ~.ql{~q:~.l~. ..... S~8 ........ .¢tO~. V'~...k~.~..~O.~'d<l....~. ~ ............ being duly sworn, deposes and says that he is the applicant (Name/of individual signing contract) above named, l He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed th~ 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 tha. t the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. t..~. ....... dayof ..... . . .'~-~..~. ......... , 19 ¢~...~.. ' · .Couni~ ~ ,