The URL can be used to link to this page

Home My WebLink About15238-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bufldln§ Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy Date April 8, 1988 THIS CERTIFIES that the building .,. 6 d.dA g .ip.n. .......................... Locat:on of Pro err The Peninsula Fishers Island House No Street Hamlet County Tax Map No I000 Section 1 p ....... Block 4 .Lot 1 1 & 1 £ Subdlvis~on. P.lan.pfl .P.e..ni.n.s.u.l.a ..... FiledMapNo 223 .LotNo. 67~68,69~70 conforms substantially to the Application for Building Perm:t heretofore filed in tins office dated A u g. I I , l 9 8 6 pursuant to wluch Building Permit No I 5 2 3 8.Z dated . .S.e.p.t ..,. 5. .,..1.9. 8..6 .......... was issued, and conforms to all o f the requirements of the apphcable provisions of the law. The occupancy for winch tlus certificate is xssued ts ..... Alteration and addition to an existing one family dwellxng. (seasons] The certificate is issued to HERBERT A. AHLGREN AND WIFE (owner, ~YeToX ~eNf~IPX X of the aforesaid building. Suffolk County Department of Health Approval N [ .A ................................ UNDERWRITERS CERTIFICATE NO .... ,N 8.3.1.5..55..9./. .11/87 PLUMBERS CERTIFICATION DATED: Z & S Bmldmg Inspector Rev. 1/Sl TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERi, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15238 Z Perm~ssron ~s hereby granted to, ....... w...~z....~., ...................... L~.~,...ct: ....... c~ ~..g.~ ~ ...... , ,o ..~~...~....~:et,.~;. ~...~...~...~ at premises located o, ...,,~s-~ ....... ~.~ ...... ..'~......~.: . . County Tax Mop No lO00 Sect,on .. ~:~ ! 0 Block ...... ..~....~ ....... Lot No . IL.dc...[..~ .=. .... pursuant to oppllcot,on dated C~.~ .A .~ ..... , 19.~..(~0., ond approved by the Budding Inspector. . / Fee $., .N~.. ........ Building Inspector Rev 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION 0wner~~Bulld~ng Permit N.O.~ (please pr~nfa) Plumber ~/~A~~~ I certify that the solder used in the water supply system contalns less than 2/10 of 1% lead. Sworn to before me th~s [~4~ day of ~;I , 19f~ Notary Public, Sk~'~0[~ County MARY B. PANKIEWICZ NOTARY L~tlELIC, b'TAT£ OF NEW vGl~ NO 52-82~7g~0 - SUF~ ~' t=ORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcatlon must be filled in typewriter OR ink, and submitted ~n duphcate to the Budding Inspec- tor w~th the following; for new bmldmgs or new use: 1. Final survey of property with accurate location of all buildings, property hnes, streets, and unusual natural or topograph ~c featu res. 2. Final approval of Health Dept of water supply and sewerage dlsposal--(S-9 form or equal). 3. Approval of electrmal installation from Board of Fire Underwriters. 4, Commercial buddings, Industrml buddings, Multiple Residences and s,mdar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the budding. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-exist~ng" land uses' v' 1. Accurate survey of p~operty showmg ail property hnes, streets, buddings and unusual natural or v, topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. ,/3. Date of any housing code or safety ~nspection of braidings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees' 1. Cemficate of occupancy $5 00 ~'Q. Certificate of occupancy on pre-ex~stmg dwelhng or land use 3. Copy of certificate of occupancy $1 00 $5.00 Date .... .~./.~..~.'~.' ............ New Budding ............ Old or Pre-existing Building ~ Vacant Land Loc, at,on of Property ...... f.'~..~.'.~.?, .~......~. ?..~....~4,~ ~~... Owner or Owners of Proper~ .. ~~.. ~'.. ~ ~. ~..~.~ ......... /o County Tax Map Ho. 1000 Semton ............... Brock ............... Lot .............. Health Dept Approval Labor Dept Approval .................. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ................... Fma[ Certlfmate ....................... FeeSubm.tted$ ...~. '-~ .................. Constructmn on above described building and permit meets~fl applicable codes and regulations. ~ O/Z m:W ¥omr / S'~pplIc~_~ ...... ~ ...... '- .~~ ................ ~ and ~om ~ Rev 1 ~TEPHEN R. FENWICK · 0 ~ me t~ L-~T-~ NOTARY PUBLIC, S~te of New ~ 0. z./¢Tg FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcat~on must be filled ~n typewmter OR ink, and submitted m~ to the Building Inspec- tor w~th the following; for new buildings or new use' 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographm features. 2 Final approval of Health Dept. of water supply and sewerage dmposa!--(S-9 form ur equal). 3. Approval of electrical installation from Board of Fire Underwmters. 4. Commermal buddings, Industrml buildings, Multiple Remdences and similar buddings and mstalla- tions, a certificate of Code compliance from the Architect or Engineer responmbte for the building, 5. Submit Planning Board Approval of completed s~te plan reqmrements where applicable. %. I-oF ex~stmg buddings (prior to ~rd 195~'), Non-conform~ng uses, or buddings and pre-existing" land uses' /1. Accurate survey of property 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 inspectton of buildings or premises, or other pertinent mforma- t~on required to prepare a certificate. Fees' ,,~g. Certificate of occupancy $5 00 2. Cerhflcate of occupancy on pre-exmtmg dwelhng 3. Copy of cert~fmate of occupancy $1.00 $5.00 $15.00 4.Vacant Land C.O. 5.Updated C.O. New Budding ....... Old or Pre-ex~st~ng Budding $15.00 Date .... .~..Y~./.°c. ? ...... ......... Vacant Land ............. Locat,on of Property ....... ~3.?~ .,~. ,..~?,.57.' .~,~.....,~...~1o, y..,~ .~.~. ~ ~ 3~o .................... Hou~ No. Street Hamlet Owner or Owners of Prope~y /~~ ~:, ~~ ...................... County Tax Map No. 1000 Section / ~ Block ~ Lot // ~ / ~ Subd~vm~on. ~ "~ ~'~"~ .Flled Map No ~ .Lot No. ~7~~9" ~ Perm,t No ).~t ~Date ofPerm,t ~[~/~ Apphcant .. ~~...~.'.. ~.~.~. Health Dept Approval .... ~ ............ Labor Dept. Approval ....................... Unde~mters Approval .................... Planmng Board Approval ...................... Request for Temporary Certificate .......... Final Certificate ................... Fee Subm,tted $.. ~..'.'~ ................. Construction on above described building and ~.pphcable codes and regulat,ons. Apphcan . H -- .J~.....4~..~.~...., .................. Rev 1a-10-78 1. FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd} INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: co Ihe Inch 4 Squares 4 Squares to the Inch 4l Old Road Westport, Connecticut 06880 August il, 1986 Mr. Curt Horton Building Inspector - Town of Sauthold Building Department, Town Hall Southold, NY 11971 Dear Mr. Horton: Enclosed please find an Application for Buildin~ ~emit for work to be done on my cottage at Fishers Island. Included is a $50.00 application fee, three sets of plans, a map of the Peninsula prepared by Chandler & Palmer of Norwich, Connecticut. As you will see by the plans and accompanying photographs, we would like to tear down the shed roof kitchen and erect a slightly larger kitchen with a gabled roof. The Z & S Construction Corp. will frame the structure and be responsible for electrical and rough plumbing - existing water and waste lines will be used. The structure will be on concrete piers with proper footings and skirted with pressure treated plywood. All materials used shall meet the requirements of the New York State Construction Codes. Should you have any questions, please call me collect at (203) 255-3018 or they can be transmitted via Ray Edwards, who is my neighbor. Thank you for your cooperation on this. If everything is in order, ~ hope to demolish the existing structure during September so that Z & S can do the rough framing, plumbing and electrical at their convenience during the Fall and Winter. Herbert A. Ahlgren HAA:jsa Sincerely, Enclosures CC= Mr. Raymond Edwards Mr. Mario Zanghetti ,) I-~[~ ~RD OF FIRE UNDERWRITERS --.-/H September ll 1987 ~UREAU OF ELECTRICITY ~ 460820/87 I ~ ~, THIS ~ERTIFIE~ THAT o~y ~ e~tr~c~ ~uipmen~ ~ ~scri~ be~ a~ mt~uc~ by t~ applwant ~m~ on t~ ~ ~mc~t~o~ number m the prem~s of .*fr.H lhl~reU,Peninsula P, oad,rishers lslsnd,$outhold }low York in the follow,rig location, ~ ~ement ~ 1st FI ~ 2~d FI ~tion Bilk ~ examined on A~ 25 1Q87 andfou,td to be tn rotnpJtance utth the requtre.tentx of this Board 7 9 8 7 OVENS ~SHWASHER$IEXHAUS? FANS COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER ~1 & H AHLGREN ~ ~! OLD ROAD WESTPORT, CT 06880 June E3. 1987 Mr, Curt Horton Building Inspector - Town of Southhold Town Hall Southhoid, NY 11971 An application for Certificate of Occupancy, copy of prop- enclosed. As described in my letter of August 11, 198&, Building Permit No. 15~38Z covers the erection of a replacement kitchen for my cottage on Lot &9 of the peninsula (see "A" of Plan of Property). The work was done by Z & S Construction, Inc., under the supervision of Tom Shillo. Plumbing, insulation and electrical inspections were completed during the various stages of completion. The cottage is occupied on a part-time basis by my wife and I and will continue to be used a~ a vacation home. Thank you. Should you have any questions call me at (E03) ~5-3018. Tom Shillo hal the key to the cottage. ~llo~ my neighbor Ray Edwards will be glad to be of assistance, if Herbert A. Ahlgren Mr. Thomas Shillo Mr. Ray Edwards C H,4 /~L C,5 I,v'. HZ'D EZ- 4~ /-;, 4~,d / YC .Z',S /..~/~. ,/ fit, 75 ~oz- ~ T ,'V 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL,: 765-1802 Examined ~A.~Jl,u~,a~ ~., 19~ b Approved~.'~.~...[~ ~, 19~ Pe~it No /~a ~7~ D~sapproved a/c ....... APPLICATION FOR BDILDING PERMIT Received. ~~ INSTRUCTIONS a. Tins apphcahon must be completely filled m by typewnter or ~n ink and submitted to the Bufldmg Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing locahon of lot and of bmldmgs on premises, relationship to adjoining premises or public strec or areas, and glvmg a detaaled descnphon of layout of property must be drawn on the diagram which ~s part of tins app cation. c The work covered by tins apphcatlon may not be commenced before issuance of Building Permit. d Upon approval of thls apphcatlon, the Building Inspector will issued a Building Permit to the app,wa~t shall be kept on the premises avadable for inspection throughout the work e No budding shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate of Occupan. shall have been granted by the Building Inspector APPLICATION IS H£REBY MADE to the Bufldmg Department'for the issuance of a Building Permit pursuant to t Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulahons, for the construction of bmldmgs, add,boris or alteratmns, or for removal or demohtion, as hereto describe The apphcant agrees to comply with all apphcable laws, ordinances, bmldlng code, housing code, and regulahons, and admit authonzed inspectors on premises and m bmldmg for necessary ~nspections (S~gnature of app lcant, or name, ~f a corporation) (Mailing address of apphcant) State whether applicant lS owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmld~ ' Nme of owner of prem,ses ~~ ~ (as on the tax roll or latest deed) If apphcant ~s a co~orahon, s~gnature of duly authorized officer 2 (Name and ntle of corporate officer) Builder's License No '~'"~ Plumber's License No Electncmn's L~cense No~'''~ . Other Trade's L~cense No Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section Subd~vlslon ~/--~e *~ (Name) Hamlet Block . ~ Lot 1/'~/~' FdedMap No '3."~' ~ Lot ~7 f~ g2 70 State existing use and occupancy of premises and intended use and occupancy of proposed constructton a Existing use and occupancy b Intended use and occupancy .s~A~.. ~- .............. 3. Nature of work (check which applicable) New Building Addition .. Alteration Repair .... Removal ,.. Demolition .. Other Work. l.-" ..... (to be prod on filing th~s apphcatmn) 5. If dwelhng, number of dwe~xng umts .... I ...... Number of dwelhng umts on each floor ....... If garage, number of cm ............................................ 6. If bus~ness, commercml or mxxed occup~, specify nature and extent of eac~ type of use ................. 7 D~mens~ns ofex~st~ng structures, ~fany Front t .... Rear .t .......... Depth I } ..... Hel~t ~ e ~ ~.. Number of Stones D~ens~ons of same structure w~th alteratmns or additions. Front ... I ..... Rear . (~ ............ Dep~ . ./~' .. He~t . It ~ .. Number of Stones .... ( ............... 8. D~mensmns of enbre new const~ctton Front ....... Rear .......... Depth ........... ttex~t ..... Numper of Stones t ...................................... 10 Date of Purchase .... Iq ~ . . . N~e of Foyer Owner ~r~ ~ .............. 11. Zone or use d~stnct m which premises are s~tuated ..... ~g* ~ .................... 12. Does proposed constmctmn vmlate any zoning law, ordinance or regulatmn ~ ..................... 13. Will lot be regraded .... ~ ............ Will excess fill be removed from premises Yes No 14 Nme of Owner of premises ~F.~ ~/t~ddress Nme of Architect ..... Address ............. Phone No ............. Nme of Contractor ~ ~ ~.~ c~ ~ Address ~.~ ~ ~5~. Phone No.~t~ .2~- .7~ 15. Is th~s property locaeed wzth~nl00 feet of a ~da1 weeland? * Yes ..~ No ..... · I~ yes, Southold To~ Truapees ?emzt may be required. PLOT DIAG~ Locate clearly and distinctly all buddings, whether exlstmg or proposed, and. md~cate all set-back dnnenslons from property hnes G~ve street and block number or description according to deed, and show street names and indicate whether Intenor or corner lot. STATE OF ~ Y~'RK, COUNTY OF ~.~:~, ~.~'~.. S S .. ~'~ffv~-~ .~/'- ,~:~.. ~-) t-//..~,~/. · ....... being duly sworn, deposes and says that he is the applicant (Name of md~vlduaI s~gmng contract) above named. He ~s the ..................................................... (Contractor, agent, corporate officer, etc ) ~f said owner or owners, and ~s duly author[zed to perform or have performed the sa~d work and to make and file this apphcatmn, that all statements contmned m this apphcation are true to the best of his hmwledge and behef, and that the work wall be performed m the manner set forth m the apphcatlon filed therewith ~wom to before me th~s ~'~ 'qo t ary Public, .~,/~ ~j~_ ...... County~:~"q ~'-"---'-'~'- ,t/~..~..~'~., , . · ~ V~RG~NIA ~. LANGE ~ .~..T~..:722~. ~ ..... :... Notary P~bhc (S~nature of apphcant) My Comrmss~on Expires March 12, 1989