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Home My WebLink About15561-z~OR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22t91 Date MARCH 11, 1993 THIS CERTIFIES that the building ONE-FAMILY DWELLING Location of Property EAST END ROAD, FISHERS ISLAND, NY House No. Street Hamlet County Tax Map No. 1000 Section 7 Block 3 Lot 3.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Per~it heretofore filed in this office dated NOVEMBER 20, 1986 pursuant to which Building Permit No. 15561-Z dated DECEMBER 9, 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 BAGLEYREID (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 86 SO 149 JUNE 20, N 036386 SEPTEMBER 28~ 1988 SEPTEMBER 13, 1988 1991 .... ~ Bu~iding~ Inspe~tor ~' ~ Rev.- 1/81 FON2a: NO. ~1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 15561, Z Permission is hereby granted to: ............................... ...~..o..~....~D,~~. ................................................ ..~~ ................ ~....~...~.~ at premises located at ............................................................................................................................ County Tax Map No. 1000 Section .,..,.(~.....~. ........... Block ...... ..~....~.. ...... Lot 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 8LOG, TOWN OF SOUTHOLD A. This application must be filled in typewriter OR ink, and submitted -- ~,,-------- to the Building Inspec- tor with the following; for new buildings or new use: 1. Final 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 disposal--(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 instatla- 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 existihg buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ', 1. Accurate survey of pz~perty 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: Add±t±ons $25.00 ?oogs $25.00 ALTERATION $25.00 1. Cartificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 .~.,.~. 5.Updated C,O. $ 50. O0 Date ..... .~.,.[.~.~.. .......... NewC OhS truct i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... O.~.{g.%'"~t~,, . .~ .................... .~...~., .~.~.%.~..~..v~.li~. .... House No. Street I Hamle't Ownar or Ow.ersof ....................................... ......... County Tax:.Map No. 1000 Section .... Block ~ Subdivision ................................ '.Filed Map No ........... Lot No Permit No ....... Date of Permit . ,Applicant ................. Health Dept. Approval ..."~. ................ Labor Dept. Approval ~ Underwriters Approval .~J. ~<~.w~, ~.~/' ........ Planning Board Approval ..................... ~ Request for Temporary Certificate ..................... Final Certificate ., .~ ........... Fee Submitted $ ............................. ~ ~ nstru t~on on abov 'e ' /"t t,o c' ea scriued building and per~t meet~.all j~jpli.cable/~/~'/'~/~//I~D codes and regulations. Yo K) ss, App,icant ..... ............................. COUNTY OF SUFFOLK) ~ ~ Sworn to before me this t~ ~,~ /~,~' 29 th day of September 1988. '']Vi)A%qY~3~ P ANKIEWICZ c~ ~ ~~ ~(IrARY PUBLIC, STAT~ OF NEW ,'JO. 52~.8~7f~0 -- SUFFOL~ COUN TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 'TOWN HALL SOUTttOLD, N.y. 1197i C ,E R T I'F I'C A.T.:I O N TEL. 765q 802 "' BLDG. TOWN OF SOUTHOL~ Date.' Building Permit No. Ow.er ' ~please print) Plumber (please print) I certify Chat the solder use'd contains less than 2/10 of 1% lead. in .the water supply system STATE OF NEW YORK) COUNTY OF SUFFOLK) ss Sworn to before me this 14thday of September 19 88 Notary Public, Suffolk ~qounty '~plu r g slg/ature) No%ary Public ' MARY B, PANKIEWIcZ ~or~ll¥ POl~l, lc, STATE OF N~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 10006~,F, BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 SEPTEI'~IBER 28 ~988 ~]347687/87 ~ 03~86 ~t~ Application No. on fil~ THIS CE~IFIE~ THAT ~ exomin~ ~ a~found to be in com~iance with the requlmments of this Bmr. RXTUJtl EXTUII~S RANGIIS OVENS IXHAUST FANS OUTIJTS SWITCHES ;LUO~ESCEIqT S~RVIC~ DIS~ONRICT S E R V I C E B:I,EC. ROO}'{ I'lgATERS:I-3.0 SI, iOKE DETECTOR :-2 3 / 0 Z & S CONTR$. ~NC. FISHER ~ShANI) P.O. BOX 202 NEW YOR~, N¥; 36{PO [,'I~C~NS~; NO. This certificate must ~t ~ al~ in manner; ~urn to ~ offi~ of t~ ~rd if in~r~. Ins~Oon ~ ~ , ~ir c~entials. ~ DEPARTS. TInS ~ ~ CERTIFI~TE ~T ~ BE ALTE~ I~ ~~ . OUNDATION ( ls t) OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL C IMENTS: ir]c, November 18, 1986 Mr. Victor Lessard Toun of Southold Building Department Town Hall Southold, New York 11971 Dear Mr. Lessard: Clarence Dixon had a building permit appli- cation which I have filled in and enclosed. I am also enclosing a copy of the plot diagram with the Health Department's stamp of approval. I have asked my architect, Jonathan Isleid, to send you three copies of the plans. Thank you very much for your help. Sincerely BR/mfp Enclosure IsLand, o6 9o z6-788- September 25, 1986 Mr. Roy Reynolds County Center (Room 204 Riverhead, New York 11901 Dear Roy: Re: ~86-SO149 I am enclosing a copy of the revised survey as requested. When Dick Strouse was here last week following our meeting, he revealed that the western boundary of my property extends further than we realized. With Mr. Horton, Ken Edwards and Dick Strouse it was ascertained that the proposed dwell- ing would best be moved somewhat to ~he west, per- haps 20 feet further than we had agreed earlier. This serves to bring the proposed dwelling further back from the Pond and would allow the septic sys- tem~to have a better location. As you know I am extremely anxious to get this whole matter settled and and will very much appreciate your earliest attention to the matter. I look forward to hearing from you. BR/mfp cc: Mr. Kurt Horton Mr. Richard S. Baker Mr. Kenneth Edwards Mr. Richard Lark Mr. Victor Lessard Bagley Re~id Enclosure IsLand, 06590 16-788- 78 9_ October 30, 1986 Mr. Curt Horton Town of Southold Building Department Town Hall Southold, New York 11971 Dear Curt: Apropos of our conversation I am enclosing a copy of the foundation plan for my proposed house here at Fishers Island. You will note there is a full basement called for under the original house and crawl space under the kitchen addition. The screen porch will have a slab foundation. Roy Reynolds indicated to me yesterday that everything had been approved in their department and I will obviously send you confirmation to that effect as soon as I receive it. Once you have received that notification, is Lhere anything else that I have to provide you with. I will call you on Mon- day to double check on this. I do appreciate your help and interes in this prolonged endeavor. with best regards, Sincerely, BR/mfp Enclosure ]2ist2er s IsLc2 d, o6 9o " 6.788.788 rr2 stic Mr. Curt Horton Town of Southold Building Department, Southold, New York eaLt i c, July 17, 1986 BLDG. DEPT. ,, TOWN OF SOUTHOLD Town Hall 11971 Dear Mr. Horton: I am enclosing an application for a building permit filled out to the best of my knowledge as discussed. This is to cover the reconstruction of an 18th century house I am bringing from Virginia. The house is supposed to arrive in pieces the latter part of July and we would like to start construction at that time if possible. Obviously time is of the essence and I would appreciate any help you might give me to expedite approval of the building permit. I have sent Mr. Reynolds of the Health Department my application also. Thanks so much for your help. BR/mfp Enclosure ]2isl~e~zs IsLand, ~.~ o6~9o ~'16-788-7889 FOR APPROVAL, Si,~gle EXPIRES ~fO YFAR / NOTE: COORDINATE DISTANi~ES ~11471.55 lt9,14 ARE MEASURED FROM u.s. COASt A~m 6EO~-rlC TEST HOLE DAT~ "~HE WATER $~,IPpLY AND SEW~ FOR THE WILL COIVFORIv THE SUFFOLK APPLICANT'S SIGNATI,~'RE I ,'APPLICANT BAGLE'Y REID FISHERS ,/SLANQ, N~ ~ SI~ ~ IN THE T~ OF SUFFO~, TAX MAP D~ SECTION &583.6 ~HOOL O~T. 4. EXC~AnON ~AD~G ~E P~OSED. 4. ~ NEW ROADS A~E ~OSED AND WILt BE M~E I~ GRADES OF EXI~I~ 5. NO NEW DRAINAGE DA TE PLAN OF PROPERTY TOBECONVEYED BY FISHERS ISLANps DEVELOPMENT COR BAGLEY REID Block ~ L~ 18~3 F' - Scale: I"'= I00~ ' HANt:AJEE.PALMER ,O:CTOBER' '$~ '1978 ADD)TIONSr ,dULY~ 14r 198~ 'FORM NO: 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .'~a.~..~.., 19 ~.(~ Approve~..~.., 19~..(P. Permit No./.. ~.~.~.G../..~. Received ........... ,19.,.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs 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 rem~al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co~/housing code, an~t~lulations, and to a~mitaut~mri~e~ins~ect~rs~n~remisesandinb~il~ingf~rnecessaryinspec~i~n7/~~-v/~e/ (Mailing address of applicant) C)(~ ~¢[C State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises . .~~..'.~...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 ......... . .~...~.. ?. ........ Plumber's License No ............. /' Electrician's License No ........... }~. ~ ........ I/ Other Trade's License No .......... .v ........... 1. Location of land on which proposed work will be done. "~YO\OC,¥, ~ ....... .... House Number Street Hamlet County Tax Map No. 1000 Section .... '~ ............. Block ....3 ......... ii... Lot~,S.$~/~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises aud intended use and o~cupancy of proposed construction: a. Existing use and occupancy ~ ~ b. Intended use and occupancy ................................................ Nature ofwork (check which applic'able): New Building .......... Addition .......... Alteration ...'~...J.., Repair .............. Removal. ............. Demolition ............ .. Other Work ............... Estimated Cost ....... ~ ~ .............. Fee .......... ~ (to be i If dwelling, number of dwelling units.. '! ............ Nfimber of dwelling unit (Description) taid on filing this application) ~ on each floor ........ ........ If garage, number of cars ............................................ , ........................... If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..; .................. Dimensions of existing stru4turcs, if any: Front ............... Rear ....... i ...... Depth ............... Height ............... Number of Stories ............................ i ........................... Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .................. Depth ...................... Height ...................... Number of Stories .............. ' ........ ' 8. Dimensions ofantire new construction: Front .......... : .... Rear .............. Depth ............... Height ............... Number of Stories ............................ 9. Sizeoflot: Front ................... Rear ...................... ~f, pth ...................... 10. Date of Purchase ~ ~ ~.~ .~.'~. ................ Name of Former Owner . ~.~:~>.~.O ................... 11. Zone or use district in which premises are situated .............. :. ......... . ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ............................ Will excess fill be remove~ from premises: Yes No 14. Name of Owner of premises .................... Address ............... i ....Phone No ......... ........ Name of Architect .' .......................... Address ............... i ....Phone No ................ Name of Contractor .......................... Address ............... i ....Phone No ................ PLOT DIAGRAM 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 sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY S.S .......... ecf . . l d ........................ (Name of individual signing contract) above named. being duly sworn, deploses and says that he is the applicant Notary Public, . ..... ~.. .~.o.~-o ~o. §2,.82670~0 - SUIrFOLK COUNTY (Signature of applicant) He is the ..... .O.o9..~1~. ff. ............................................... j ............................. (Contractor, agent, corporate officer, ere0 of said owner or owners, and is duly authorized to perform or have performed the isaid 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 performed in the manner set forth in the application filed therewith. Sworn to before me this I ~'~' .day of...}':?97.e..n~..1~.. ......... 19~t' ~TAIL Lo~ I PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICA T£ OF OCCUPANCY sOLDER USED/N WATER SUPPLY SYSTEM CANNOT EXCEED 2/I0 of I% LEAD, FOUNDATION PLAN ', OCCUP~,NCY OR USE IS UNLAWFUL WITHOUI' CERTIFICATE OF OCCI]PANCY DETAIL DETAIL, ~FI,RST FL,,OOR INTiERDESIGN Old L[yme, Connecticut 06371 203 434-8083