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Home My WebLink About14458-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z15029 No .................. Date October 23 86 Addit io~.~s THIS CERTIFIES that the building ............................................... Location of Property .. Th.a .~:b; .............. Fishers Islan House No. Street Hamlet County Tax Map No. 1000 Section ....0.0.8. ..... Block .... .~ .......... Lot .... ,7 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · Nov .. 20 19 8..Spursuant to which Building Permit No. ~..4.4.5.85 dated .. .D.e, ,c :. 9 .............. 19..., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .Addit.ions t.o existing dwelling. (Addition and deck) The certificate is issued to NATHAN SAINT AMAND (owner, 7~Xtl~l~t]X of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N760961 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATE Sept. 18, 1986 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14458 Z Permission is hereby granted to: at premises located a~t ......;.....~...,~, · ....... ,~- ~ ~"~;'~ ................................................................ County Tax Map No. lO00 Section ....~.,. .............. Block ...,~ ........... Lot No ........ ~ ......... ~,.rs,,ont to opp,cotion dot~ ......... ~..~ ............. ~.., ]9/....,~C~.d opp~v~ by t~e Building Inspector. Fee $..~....Z....~..~.. 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 A. This application must be filled in typewriter OR ink, and submitted m ~ 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 natura[ 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 installa- 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 existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~_/~6~ ..~.~. 5.Updated C.O. $15.00 Date ..x..--:.¥..-~ ............. NewC°nstruCti°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........ -I--t~ .~....~..C~,~, ........ t ........ .~.'~/g~' ~ House No. Street Ham/et Owner or Owners of Property ~xJ~'~.~. J~.(~/~1. ..... .~...(~. ]~J.~.... J~. ~...~. IV. ~). ........... CountyTax Map No. 1000 Section ~ C~ ~ Block ~ Lot. '~. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No?.~.~.O~. ~. ~ .. Date of Permit/.~.-.~T~.~i .'-Applicant . l~.c?. )%..~..~.' ~ .... .~...~--..~.Z~..~..L~..~.. Health Dept. Approval " . ........... Labor Dept. Approval .....'7'7~7~... ................ Underwriters roval ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~.~..O..~. .................... Construction on above described building and pe.rmit meets all applicable coj~es and regulations. s-f3 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this /~ day of ~ 19~. Notary Public, ~ Qualified in ~ufi~lk ']'e~m Exoiros M~rch 30, Notary Public F1ELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMidENTS ADDITIONAL COMMENTS '3- 0 I~l +. 5~(! ~/.,,~.,..,..~-- r. ~ s~-t,- 4,. 7. Approved FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .... , 19 Permit No ......... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~ 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 street 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 permi 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 Occupancl 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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, ordin~nces,_}uilding code, l~usi~g code, and regulations, and tt admit authorized inspectors on premises and in building for necessary]~[speetions: [~ [ } .x"---[hlna, Il g .......... ' i 5 p' lilant, or name, if corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 5's= ....................................................... Name of owner of premises . ./ff..~.~..7-/.-/.,~....As/.....~.<~../.A/..7"....~...//?.r~.../~../--,?' . ...... ~ ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly autliorized officer. (Name and title of corporate officer) Builder's License No ...... ./.,~..~. .............. Phimber's License No .... ~ f./..~./'~... ........... Electrician's License No .... 442.Q~..'7 .~-.. ........ Other Trade's License No ...................... Location of Iand on which proposed work will be done ...... 7-.,~./.~..~:.../.'~.~e~d'5. ......................... House Number Street Hamlet County Tax Map No. 1000 Section ...... 0.O...~:~. ...... Block ..... .Z7. ........... Lot ..... ~. ............ 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 ...... .~. .~.. /.~. . g~;2. .,.,.,~. . ., .~. . . . ~,',{).~. .,.,C./.~. .~.. .~. . . /.'0 ......................... b, Intended use and occupancy .................................................................... : I 3. Nature of work (check which applicable): New Building .......... Addition ~ Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4 Estimated Cost ~ ' (to be~ipald on filing this application) 5. If dwelling, number of dwelling units... / Number of dwelling units on each floor If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each t, ype of use .. ~ .... 3 .......... 7. Dimensions of existing structures, if any: Front .... ~.c,~ ....... Rear ...~..~'. I ....... Depth . ..~.. ~ ......... Height .../.o'2 ........ Number of glories'. ..... ./ .................... i ............................ Dimensions of same structure with alterations or additions: Front .... .~..~.... ~ ..... Rear ...~. ~ ............ /fi- Number of Stories /. Depth .... ~,~. .............. Height ........................................... 8. Dimensions of entire new construction: Front ...... :'~T ..... Rear .... f~ ,'7'7 ......Depth . ~.~.. .......... Height .... /..~. ........ Number of Stories ./ 9. Size of lot: Front .... ~.,. :7....,¢..~ .3':.. Rear ...................... ,' Depth .................. .... 10. Date of Purchase '~'~'/7" · ·/.~.PT: ............ Name of Former Owner i. · · .~...~f.~.z,~-~-~:~.' ....... 11. Zone or use district in ¢~hich premises are situated....c/...2~. 4't;~4/~ .... ' .............. ~. .............. 12. Does proposed construction violate any zoning law, ordihance or regulation: .. v'.~'</. ~ .......................... 13. Will lot be regraded ...'~Z..~. ,.., .... , ............. Will excess fill ~be removed from premises: Yes 14. Nam e o f Own er o f p r cruise s ~F~4~,~r..~e~,~. c~:~Ad d re ss .~?f/TtC?ff?.i. ........ PhoneNo.~./.~,7?~.~:ff,~/~.~ Name of Architect fl~¢~.'~...~..~,~ .~d~... ....... Address ;(p,~,,~7~i~.'. ?~..~.. Phone No.~;/.~.: Name of Contractor ~,-'? .~. r~.~~./¢~. Address .. ?.-'..~,',.~: ;, 4 ;. ...... Phone No.;: ~:,Y.,, .~: '/. . ,, PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ihdicate all set-back dhnensions from property lines. Give street and block number or description according to deed, and sh6w street names and indicate whether interior or corner lot. G,eat BHtain and E0rthe~n iceland ) : London, England ) 81t ~^ te OF NEW YORK, £mba~..~ of the United 8tate~ of Amerlo~) ......... -24 ....... ~.. bciug du sworn, deposes an ,says th~lt, l'/e-!s, a ant (Name of individual signing contract) . ",.:,.., ' above named. !'3 r He is the . .r5~..~. . ~ (Contrac~[or, agent, corporate officer, et&) . of said owner Or owners, and is duly authorized to perform or have performed theI said woik anO,.B~make-and~f4i/~his application; that all statmnents contained h~ 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. 'Bworn to before me this ~'%la Novernbe~ ~_ {,,e, , ........................ dayof ..................... ,19.~. glaine Garland / Vlc~ Consulo~ ~.. ~'( · ...~. ~ ~d Steres o~ ~ (Signature pplicant) I! APPROVED AS NOTED ::E_E:tZ' Z V'~' By, (¢. ~'/,./'~' NOTIFY BUILDING DEPARTMENT AT 76B-1802 9 AM TO 4 PM POR THE FOLLOWING INSPECTIONS: I FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMBING 3. INSULATIOH 4 FINAL CO,~ISTRLICTION MUST B~ COMFt ~ F[.}R C 0 OCClJP~ OR USE IS UNLAWRJL WITHOUT CERTIRCATE OF OCCUPANCY James Volney Righter A r c h i t c c t s 58 W:ntcr Street . Boston . Massachusetts . 02108 .tclcphone , 617/'451.5740 I P-LF~VAT l o14 $OZ'~R t/$gO IAf WAT'[R y SY$?£M CAtV/V07' 2/I0 of James Volney Righter rs'- ~'-o" A r c h i t e c t s 58 Winter Street. Boston · Massachusetts · 02108 · telephone . 617/451.5740 ~ Z~%~ 0 ® ® ® po t~,c I?-.-L,ZM td ~OoM.~T L~C~HT ~UpPL. f~YOU./~F=.p,. ~EkITP-P,-,?_D ~ 1'-~" AI:~OVE FLP-.,. .) ,/ / II II * II LIVI k161 'James Volney Righter ' ~)' 58 Winter Street · Boston · Massachusetts · 02108 · telephone . 617/451-5740