HomeMy WebLinkAbout15026-zNO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No Z-20142
CERTIFICATE OF OCCUPANCY
Date AUGUST 13~ 1991
THIS CERTIFIES that the building. ALTERATION
Location of Propert~PRIVATE ROAD~ WEST HARBOR RD. FISHERS ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 2 Block i Lot 5.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 16~ 1986 pursuant to which
Building Permit No. 15026-Z dated JIEqE 26, .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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS A.ARMSTRONG 111 & WHITNEY ARMSTEONG
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-076562 - JUNE 19, 1989
PLUMBERS CERTIFICATION DATED JUNE 30~ 1988 - MIXHAEL J. BARONE
Rev. 1/81
· ' Building ~nsp~ct6r '
FORM NO. 0
TOWN OF SOUTHOLD
BUILDING D£PARTJv~£NT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Z
Permission is hereby gronted to:
· .............
..~..~k~.....~ ............. ~.~ ................... ~. ,
o, ,,emi,,~ ''~loco,e~ ot .~.~..L%..4... ...... ..~...~.....~..~......~.~....,~.-.~...
County Tax Mop No. 1000 Section ...... .0....~'.. ......... Block ...... ..~....) ......... Lot No.....~.:....~... ........
Building Inspector.
Fee $...~w~,~....~.,,' .......
opproved by the
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
?65 - 1802
11971
APPLICATION FOR CEETIFICATE OF 0CCDPANC¥
NEW CONSTRIICTION ....... OLD OR PRE-EXISTING
Locatlou
Owner or Owners of
County Tax Map No.
HUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
,000 Seetion . ~ Hlock ~ ~o~ ~q~.~.
Subdivision ....................... Filed Map ........ Lot ..........
Health Dept. Approval ..................
Planning Board Approval ................
Request
Fee Submitted:
for Temporary Certificate ....... Final
Certificate ...... .~. .......
APPLICANT .......... <
Co -2.-2o I '-/,22.
rev. 10/14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'1000'~ 2O
BUREAU OF ELECTRICITY
J 85 JOHN STREET, NEW YORK. NEW YORKlO038
13 if
OUTLETS EC PTACLE~ SWITCHES
i. 8 ;12,3
DRYERS FURNACE MOTORS
FIXTURES
FLUORESCENT OTHER
FUTURE APPLIANCE FEEDERS
RANGES
~PECIAL REC'PT
COOKING DECKS OVENS DISH WASHERS
TIMECLOCKS EELL UNIT HEATERS MULTI-OUTLET
I ' 2,8
OTHER APPARATUS:
15 4MP
3 TON, 2:1/2 TON f,/('
aZ~ ~KNDbE~ J,/3 ~LP, 240
S R V I C E
NO. OF CC. CON[3 A. W, O, NO OF HI-LEG A, W, G,
;t 50O
EXHAUST FANS
BOX
DIMMERS
Per~ I ,~ r
This certificate must not be altered in any manner; return to the office of the Board if incorrect, fnspectors may be identified by their ,crede~nti~[s.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
GENERAL MANAGER
5¢>0^ w o
FIELD INS£~ECTION
FOUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
Examined...~ ~ .~..~e.., 19 ?.~.
Approved .. 7....'3'"~L'~....~..~. ·., 19 .~. Permit No..} .~."~. · .~.~..'~..
Disapproved a/c .....................................
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTIVIENT
YOWN HALL
gOUTHOLD, N.Y. 11~71
TEL.: 765-1803
Received ........... ,19...
(Building Inspector)
APPLICATION FOil BUi LDiNG PERM iT
Date .................. , 19...
INSTRUCTIONS
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 regulations, and to
admit authorized inspectors on premises and in building for necx~sary, in~e~tions. ~
'1¢~.. k~ ~.~ ...... Harr.y.. P ,. ,Br. eom.,.. Jr .....
(S~nature of applicant, or name, if a corporation)
.~.e.r.r.y..R. qa..d.,..H.a..d.ly.m.e. ,..C.T....0.6.49 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 .... .N.r.....W.h.i.t.n..ey..B.: . .A.r.m.~..t.r.o.n.q .........................................
(as on the tax roll or latest deed)
If applicant is a corporation, ~gnature of duly authorized officer.
...... . ..... .H.a.r.r.y...P....B..r.o.o.m.: . Jr.
'~(te and title offcorporate officer)
Builder's License No ...... .6.6. Q ................
Plumber's License No ..... .2.1.!5. P. ..............
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
Private Road, West Harbor, Fisher's Island~ NY
House Number Street Hamlet
County Tax Map No. 1000 Section ....... .2 .......... Block ..... J:. ............ Lot ...... 5...2. ..........
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... $ .i.n.g%e..f.~l!l.~ly..re~.J~cle~c.a. ..............................
b. Intended use and occupancy .......... S. J:..ng.~e...f.a.m.& 1.7' r.e a id~nce ...............................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration . .Xg,X. .....
Repair ...X.X.X. ........ Removal .............. Demolition ........... i' ' ' Other Work ...............
Fee-~..~..~ ~, (Description)
4. Estimated Cost $2~0,000 : ~ .......
(to be paid on tiling this application)
5. If dwelling, number o f dwelling units ..... O..n.e ....... Number of dwelling units on each floor ................
If garage, number of cars .............. Q.n.e ........................... ............................
6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ....... i ....... Depth ...............
Height ............... Number of Stories ............................ : ............................
Dimensions of same structure with alterations or additions: Front ............ ! ..... Rear ..................
Depth ...................... Height ...................... Number ofiStories ......................
Dimensions of entire new construction: Front ..... .N/A ...... Rear ........ i .... Depth ...............
Height ............... Number of Stories ............................ i ............................
Size of lot: Front ...................... Rear ...................... Depth ......................
Date of Purchase .Decer~be~.,..3.9 [15 ............ Name of Former Owner . [ ....... BP~.GA ................
11. Zone or use district in which premises are situated ......................... I ............................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... I~0 ..................
13. Will lot be regraded ....N.Q ...................... Will excess fill be removed from premises: {';i ~'~
14. Name of Owner of premises .~/h;i.t~rley. A~r~.tx:on~ddress .................. Phone No ................
Name of Architect ........................... Address .................. Phone No ................
Name of Contractor . .H.a..r.ry..P. :..B.r. qg.ra.,' .J..r:.. Address .F~r.z:7. Kq~c:t. ! .... Phone No..203..526v9.83~
Hadlyme, CT
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 sho~ street names and indicate whether
interior or corner lot. :
~ll work to be ±ntor±or romodol±n~ w±th oxeept±bn of new roof and
exterior paintin~.
9.
10.
1. Install heating system
2. Remodel bathrooms (enlarge master bath)
3. Remodel k±tche~
4. Remodel laundry room
5. Interior pain%lng
6. Insulating
STATE OF NE~-,Y.O~K, ~ £ S S
COUNir,Y OF ·
........ ...~,/a~... '. ~. o..~ .... ,.. ~ ............ being duly sworn, deposes and says that he is the applicant
(Nal'fle of individual signing contract) ,
above named, i ,
'
He is the
(Contractor, agent, corporate officer, etc.)!
of said owner or owners, and is duly 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 hislknowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
£1L££N G. WALL.
Public, Slate of Now York
No, 52-9509185 ,
~ualiHed in SrUJJOJk
~xpire~ March 30,
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If copper tubing I- used
for water distributing
system; piping .hall be
of type. K or L only.
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2~fO of 1% LEAD.
APPROVED AS NOTED
F~ ~--$,¢' "' aY. V. ~. L ,
NOTIFY BUILDING DEPARTMENT AT
BER cERTIFICATION .
PLUM - '-""~cNT cEFORE
ON LEAO
CERTIFICATE ur ~'~"
766-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 F:OUNOATION 'I'WO.IiQUIRE[} 06cUPA~CY OR
FO.,~.~ ~o~,~ I S UNLAWFUL
4. ~ COHST~¢IO~ MUST
, COM~TE ~R C.O.
ALL ~N~RUC~N ~ MEET
T~ ~MENTS OF T~ N.Y
CODES, NOT RF..~RDN$18LE FOR
~I~N ORrC~N$1'R~CTION ERRORS,
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!xlVIN~
klVl~ P-.~OM ~
~ fOd~Op '/~ oF~Y ~X,
SOLDER USED W WATER
SUPPLY ~YSTEM CANNOT
EXCEED 2/10 ~ 1~ LEAD.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
ff ~opp~' tubing I~
fo~ w~ter d~wibutt~
~t~nl piping ah,il
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APPROVED AS NOTED
dOTIFY B~ILDING O~AR~I~ AT
'65-1~2 9 AM ~ 4 ~ I~R ~E
FOLLOWING INSPEC~ONS:
1 FOUNDA~ON ~ REQUIRED
FOR ~URED ~E
2 ROUGH FRAM~G & ~UIdBING
3.
4. FINAL C~C~ON MUST
BE COMmiE ~ C,O.
ALL CONSTRUC~
'r~ REQUI~S OF ~E N,Y
~A~ ~U~ON & ~Y
CODES ,NO1' RESRO~EILE F~R
~f~:~,iO~ c~s ~ r~c'noN ERRORS.
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