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HomeMy WebLinkAbout14465-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z..1.6.0.9.4. ......... Date . Au.~ .u.s.t. .2..6.,..!9..8.7 .............. THIS CERTIFIES that the building ..A..D p.I.T.I. 9.Iq..A.~Q. AL. T..E.RAT. I..0.Iq ................... Location of Property Mansion House Drive, Fishers Island House No. Street Hamlet County Tax Map No. I000 Section 6 .... Block 6 .Lot 18 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated D e c. 9, I 985 pursuant to which Building Permit No. 14465 z dated p.e.q ....I .1.,.. ! .9.8.5. ............. 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 and addition to existing dwelling. The certificate is issued to R. RICHARD ZANGHETTI (owner, 7~I~K~r X,~ X of the aforesaid building. Suffolk County Department of Health Approval .... .N./.~. .................................. I, I797044 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Aug. 25, 1987 Building Inspector Rev. 1/81 l~O~l~ NO. ~ TO%VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥, BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WO~K AUTHORIZED) 14465 Z Permission is hereby granted to: .... ~un,¥ Tox Ma,, No. ,ooo Se,:tion ......... ~ .......... B,,~,~ .......... ~ ....... ~t No...Z..~ .......... ,,,,r,,~ant ,o opp,,cot,on do,~, ...... ..'YZ.~ ......... Z..~.. ....... . ,,.~....'Z-,ond opprov~ by t,~e Building Inspector. ..~q ~,~o Fee $ ...................... Building Ir~spector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte :d~_.~TJ~c=,'~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 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), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use --Pre-]~x±s t,±ng C.O. $15.00 3. Copy of certificate of occupancy $1.00 ~'~c~f. ]_~n~ C.O. $ 5.00 ~Date ..~J..~ ~'~ ,~.~. d~. ~...... New Building ............. Old or Pre-existing Building ... ~ ..... Vacant Land ............. Location of Property ,¢/~4~-'~-~ .,~-~...~..~.~.~.....~.~...~-4~?~./...~.; .~.~. ............. Hduse No. Street / Ham/et Owner or Owners of Property ..,~.'..~'~¢¢'.{~...~--~.~~ .~ ........................... ---~;' County Tax Map No. 1000 Section ...... ~ ....... Block ........ ~. ..... Lot ..... /'. ' .~. ::'; .... Subdivision ................................. Filed Map No ........... Lot No .............. /'R~, ~ ,$';~-Applicant Permit No./.~.~z/~.~....~. Date of Permit ..~ . .,~'~d_~'.~+~4.~ .4~.. TM ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval . , ~ ,~,,~ ........... Request for Temporary Certificate ..................... Final Certificate ...~ ................... Fee Submitted ~. ..........................~,~. ~ .~...~. Construction on above described bu i lding and permit meets all applicable codes and regulations. Rev. 10-10-78 ~ -~ 0 "~ , - r ~ooo~6 THE NEW YORK BOARD OF FIRE UNDERWRITERS  BUREAU OF ELECTRICITY · 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,ate ~aroh ~,~9~7 App,i¢.,io. No.o./ile 3Sg~'/4/SS N 797044 THIS CERTIFIES THAT ordy the electrical equipment as described below and introduced by the applicant r~med on the above application number in the premises of Marlo Zanghetti, Mansion ~ou~e Dr., Fishers Island, N~Y. in the followlng h, cation; [] Basement [] Ist FI. [] 2nd FL Section Block - Lot tc~s examined ot~ ~ch ~ t 1 9 ~ 7 and found to be in compliance U'ith the requirements qf this Board FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I ~,!~31~ 43 31 32 1 ].. 2 4 F [~K~ FURNACE MOTORS FUTURE APPLIANCE FEEDERS ;PPCIALREC'PT TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS 3 ~ 1 30 SERVICE DISCONNECT NO. OF S E R V I C E ! 200 eb 1 × 1 2/0 1 2/0 Penelboard.~; 1-14 (~ir) 100amps o 3-~.F.Io, 2--Smoke Detectors Z & S Cont., Inc. lic.#924-E P~O. Bo× 202 GENERAL M~NA~ER Fishers Island, N~., 06390~,r_ 11 ~/~/i~117;/ .............. OF CERT!EICATE M~ST NOT BE ALTE~E~D IN~ ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1 g02 CERTIFICATION I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~'re) Sworn to before me this .~ ¥ _aa~, of ~ , Notary Public HELEN&DEVOE NOTARY PUBU~, ~te I~o. 4707878. ~uffol_k FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: / / 3. Nature of work (check which api>licable): New Building .......... Addition .... . .~.../. Alteration .......... Repair ........ i ~':.~t,Removal .............. Demolition . 3~:~' ........ Other Work .......... ~ ,~ ~ (Description) 4. Estimated Cost ...Z,~¢./~7..D.O.,..t~.~.J ............ Fee~....~...~.~...~7. .................... (to be paid on £fling this application) 5. If dwelling, number of dwelling units ...... Z ....... Number of dwelling units on each floor ..... ~. ......... If garage, number of cars ....... f ............................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ........... : i. 2 Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ......................................................... 9. Size of lot: Front ........... > .......... Rear ...................... Depth .... .,x~2 ....... -- ..... 10. Date of Purchase 4' '/~'~'~' .................. ~ame of Former Owner ~ ?..~9:~..~i 11. Zone or use district iff/which premises are situated .... //d4-~., ........................................ ff.. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ~2. .................... 13. Will lot be regraded ............................ Will exces~ fill be removed from premises: Yes 14. Name of Owner of premises ~. ,.~, .~%~,~/ ...... Address .~e~ ~.~. ~. :)tPhone No. al. ?..a~V.~..J:~ ~.. Name of Architect ............ Y .............. Address .... ~a ............. :. Phone No ................ Name of Contractor .,~.Y~ff.~be~*~r .......... 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 show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, 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 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 ............. q.........~ .dayof ..... . .~..x~--r..: ...... .,19,J~..g'~ Nota ub,ic,. ...... County ~~~.7 e of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 E×amined .... ,192. 5-- Approved ~...-'~...//..~ ..... 19~ermit No..l ..~...~..~.~4'-',~_... Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19.g.f- 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 de.scription 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 M~DE 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 ofi 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 necessary inspections.. ture of a lieant, r n me, if a corporation) ~' ~,,~ ~ ~, ~ ;~li~a~' ~l'~s~ 'of applicant) State whether applicant is owner, l~ssee, agent, archztect, eb~ff}~/~nlt~a,tc~:electnc~an, plumber or builder. ....... .... ' ........................ m~ ~ ~,~ .~ p~ ... ~, ~ .~~.. ~~ ~ ~:~ ::. :. ....................... I~pplica~ is a corporation, signatuie of duly authorized officer. ~ ~~ ~/~ / · ................. (N~ an~itle of co, orate officer) Builder's License No../~ ................. Other Trade's License No ...................... 1. Location of land on which propdsed work will be done ................... House Number ~ Street Hamlet County Tax Map No. 1000 SectiOn ................. Block ..... ~ ............ Lot .... /~ ........... Subdivisinn ................ ! ..................... Filed Map No ............... Lot ............... (Name) State existing use and occupancyl of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~.../~~ .......................................... b. Intended use and occupancy ....................... t~,*3~AWI~I ~ ............... FH ^.P.OVm ^~ 7B5-11~02 9 At~tl TO 4 ~ ~R ~ FOLI OW,NG INSPECTIONS: 1 FOUNOATIO~ ~'WO REQUIRED occuP^NC, , OR --- USE-IS -UNLAWRJL w mom' cEmmCA E OCCUPANt"" dSE IS !' ? OF (" OCClJPANg¥ OR WITHOUT CERTIFICATE ~CLIPA~Cy ~ 'I.D£R LI$£D IAI W,4r~R /~UPPLy, SY~?£M CRNNO? //' ~.YC~D 2/10 Of I~ I.~AD. APPROVED AS NOTED NO~F'Y BUILDING DEPARTMENT A'T 765-1802 9 A~,~ TO 4 PM FOR THE FOLLOWING iNspECTIONS: 1 FOUNDATION YWO RFQUIRED FOR POURFD If enAoar hJbinp .