The URL can be used to link to this page

Home My WebLink About22561-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24278 Date APRIL 11, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property ROW OFF FOX AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22, 1994 pursuant to which Building Permit No. 22561-Z dated JANUARY 13, 1995 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 INGROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to RICHARD & PAULINE WEBEL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-362758 - SEPT. 6, 1995 PLUMBERS CERTIFICATION DATED N/A BuilvIn pector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N® 22561 Z Date........... 19.. Permission Is hereb rant to, . / r....... io.... Lam.. . ~ . 4 at premises located at.....4..c )..............~,n•...... • • County Tax Map No. 1000 Section 77.......... Block Lot No. .....5.................. pursuant to application dated 19940 and approved by the Bullding Inspector. Fee $..R.~.. / ilding Inspector Rev. 6/30/60 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24279 Date APRIL 11, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property ROW OFF FOX AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22, 1994 pursuant to which Building Permit No. 22561-Z dated JANUARY 13, 1995 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 ACCESSORY EQUIPMENT SHED AS APPLIED FOR. The certificate is issued to RICHARD & PAULINE WEBEL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-362758 - SEPT. 6, 1995 PLUMBERS CERTIFICATION DATED N/A /Bullding nspector Rev. 1/81 ,k Form Vo. Toga or, sox; raac+tsa BUTT.DiNC DEl ARTMEN'r TOWN fie\LL 765--181,2 ATPi 1CATION FOR CEY"IFICATE OF OCCUiS,NC7 A. This applicarion must bo fi?led in by typewriter OR ink ai::: r;,•hnittcxi co rti[t br,.i,i a¢r inspect(~r wlch th" ro:,"Winv,: for new building, or new use= Fiaal survey )t ~:'opert:y with accurate !.ocation of al'. buildings, vropert^f str.ee:ts, and naturr,l or topographic features. Final Appro:.2i fc m 't{e31,t„ I'iept. Of water supply and e:ewarade-di;;;>or, ii (5- f ,rs) 3. Approval ere,tc:caJ. inscall,ation from Board of FCre Underwritete. 4. Sworn stater.enc from plumber certifying that the solder used in s s,n e: r, at :1e:c less than 2/:.f7 c•' 1': lead. 5. Commercial b)%,ilding, industrial building, nitiltiple reci,,fences and sic;,lar b•,:i diners and installaciun•;, a certificate of Code Compliance i:rom architect, or .,ngineui responsi';ie for 'he building. 6. Submit Plan::ir.v, 3o.=.Td Approval of completed s to plan roquiremcnts. 'B. Fnr existing hulldine,=, (prior to Apr.e1 9, 1957) nor.-tonfoxm..og uses, oz bol ldlag:, and "pre-existing" 1,=ad uses; 1. Accurate survey of pruperty show;-ng all (property 1!a-S, ,.,;oa-t~' ring .aav,~ ur.usual natural or topogr.ap7aie features, 2. A properly coapler.ed application and a consent to in;,pecc sly;nod 6y nppifc.n.. if a Cert;ffcat,• A Occupancy is denied, the Building InsCert„r .-}aaL't otacc tA-W reasons there[--r in writing to t},e applicant. Pees 1. lercIf.icate cf Occupancy - New dweIIing SZ`i.CC, Add itic:ns co duel:Lriv. $'.S.CO, A'teracioo~, to dwetlint; $25.00, Swimming pool $25.00, ,e_c,:es.„ry blolIdinr> $25.(;61, Addi-t:ions t o icc,sscav building $25.00. Bu sLe,sscs x50.00. 2. Certificate of C rvpancy on Pre-existing BuiidinF - $t0O,p6 3. Copy of Ca'rtif I_Le of. Occupancy - $5.00 over 5 year, - $1O.0`t 4. Updated Cerct.ff:at e of Occupancy - $50.00 5. Temporary Cerrifi ,ate of Occupancy - Residential $iS'00, C•.r,:;11 crc1 $15.60 Date fd~cai~a, Nc-t' Construction..,...~.{~.... Old Or Pre-existing Building, , t.oration of Proper 1`l^c' ....!'f? . 8~0e house No. Street b, Unucr jr Owners of 'r 1,~1T~.f/c4'..~`•y.~',~P?r'.!'`bf:"'....,.... Couoty Tax Map No It!f'0• tion.... . Subdivi:,i.on.... .....................T•'iled M.:ap............. hor....... Fec.nit !4A .,p/4~bp P~eru+it, ..rr~ f • e , ...A( ,i ltantfdtA;Q~ .`r axA(Gi9 Health Dcpc. Approv:•1..... 12114 ..............Un'ea'Writer:,' Approval ~ X11 " . P W 6 . Hnnnin,; lio.ird Appro .i... .4-..... Request for: Tempoa.a%v ;:c°:i.`icute............ Final Cer:[ate..,., Fee Submitted; ..:TX' 1 \•1013 APPLICANT ' 03/21/1996 12:15 5167885549 HAROLD 'S PAGE 08 Form .4o. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION F04CERTIFICATE OF OCCUPANCY A. this application must be filled in b ,t inspector with :he !ollowing: for new buildingror nowkuse~ submitted to the building 1. Final surve° 0: ,,roperty with accurate location of all buildings, prop ert y lines, streets, and ur:. -A.1 natural or topographic features. 2. Final Ap~ro,i 'T_ Health Dept. of water supply and sewerage-disposal(S-9 forth). 3. Approval o? installation from Board of Fire Underwriters. 4. Sworn stater :er, rc- plumber certifying that the solder used in system contairs less than 21,10 12 lead, 5. Commercial rux ;r.g, industrial building, multiple residences and similar buildings and instal;:;i r:., a certificate oE' Code Compliance from architect or engineer responsib'Le for the building. 6. Submit Planri^.g 3.>ard Approval of completed site plan requirements. B. For existing buildings (prior to Apri1'9. 1957) non-conforming uses, or buildings and ','pre-existing" land ases; 1. Accurate purvey if property showing,:all property lines, streets, building and unusual natural >r topographic features. 2. A properl•: r..t•:....ed application and a consent to inspect signed by the applicant. If a Car,, f,.a:r .)ccupancy is denied, the Building Inspector shall state the reasons [herd;,., ;n writing to the applicant. C. Fees 1. Cartificare -~f Occupancy - New dwelling $25.00. Additions to dwelling' $25.00, Alteration, d:eiling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions cc. Kr.-t-ic,ry building $25:`00. Businesses $50.00. 2. Cartificace of ":c:upancy on Pre-existing Building - $100.00 3. Copy of Ce.:.f: Occupancy - $5,00 over 5 years - $10.00 4. Updaced Certificate of Occupancy -,$.,P0.00 5. Temporary Certif;•are of Occupancy -(Residential $15.00, Commercial $15.00 Date f . dew Construction.... Old Or~P~re-existin,~g,~vBuilding...__............ .ocatlon of Propercy.Aloo..warwr...0101F1l•"^.',J~ • • • • • • • • _ Hot, ;C No. Street Ham"" nwer or Owners 01' tJ4A6 )eCN/Rt QK.W - ouncy Tax Map No !')On Co..rinn,...g Block. . p? Loc ubdivision........ ' 'riled Map . Loe.......... A ermit No.7lfQ •.)f Permit.. Ap /asl7ateFe •~A•~ plicant. Ft~IVR ~A,r ¢alth Dept. Appr,v:• rY 1Underwriters Approval. s . it.. Canning Beard Apprc-, ! A,,,,,,,,,, lquost for: Tempor.,r•v Certi:lc¢te.......... ..rFinal Cercicate........... to Submitted; 41 VLICANT' Co Z Dye v k , THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 r1000913 BUREAU OF ELECTRICITY I 83 JOHN STREET, NEW YORK, NEW YORK 10038 ' Date SEPTEMBER 06,1995 Application No. on file 10067995/95 N 362758 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MRS RICHARD WEBEL, MANSION HOUSE DRIVE, FISHERS ISLAND, N.Y. in thefollowing location; ? Basement ® Ist Fl. ? 2nd Ff. OUT Section Block Lot was examined on AUGUST 29,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTAClES SWITCHES INCANDESCENT FLUORESCENt OTHER AMT. K W AMT. K.W AMT. K.W. AmI K W. AMT. H R 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIT HEATERS MUL71.OUTLET DIMMERS T. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. MIT. AMPS. TRANS. AMT. H, fl SYSTEMS AM AMi WAtIS NO. OF FEET 1 F SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. "P. TYPE . METER 1 q tW t,e 3W 3,e 3W 3,e 4W NO. OF CC COND. A. W. G. NO.OF MFIEG A. W. G NO. OF NEUTRALS A. W G. EQUIP. PER % OF CC. COND. OF NbIEG OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 MOTORS 1 H. P.-1 G.F.C.I.-1 PANELBOARDS-1-12 CIR. 100 *(SWIMMING POOL) This certificate covers compliance at the date of -inspection only. Because of unusual p environments it is advisable have have e frequent test/and or repairs Continued on Page 2 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. p ~R BOAPD OF liEAL.TH 6 D ~ y V ~S FORM NO.1 :l SETS OF PLANS 'TOWN OF .,cOUTHOLD SURVEY l BUILDING DEPARTMENT C31LC.: DEC 221994; POWNHALL SEPTIC FORK SOUTHOLD, N.Y. 11971 BLDG. DEPT• TEL.: 765-1802 tt0'7 c FY 70W ; OF SO D anuned ; 19 ,7. ALL » _ . IA 11. To; pp,oved . 19/4 . Permit No. . .sapproveda/c A7 uil o nspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a- TWs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. 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 ,11 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 Il 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 Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees to comply with all applicable laws, ordinances, budding code, housing code, and regulations, and to nu authorized inspectors on premises and in building for necessary insp®reof (S',nppli can , or name, if a corporation) (Mailing address of applicant) to whether applicant is owner, lessee, agent, architect, engineer, genera contracto , electrician, plumber or builder. ...........................................^r..,..................... ne of owner of premises V~IAI . (as on the tax roll or latest deed) pphcant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. cnv .....17. 9-A Plumber's license No . Electrician's License No . . . Other Trade's License No . Location of land on which proposed work will be done. 4o~ Fio A.Vl Uousr_ Number Street Hamlet ounty'fax Map No. LOCO Section St f Block Lot'.., , >ubdivision Filed Map No. Lot (Namc) state existing; use and occupancy of premises and intended use and occupancy of proposcdcgitstruction: .+a1~1 u,c astct Occupancy ....~v/,N.~. ;1A r8 xp& 4"O .",31 i flR YwfATC7D1 n.:,;Jed use and occupancy >3tP.(x~titgWtQ ,GRI 41 1AU 3. Nature of..w...ork . (check , RGtnOVal applicable): New Budding 66 which) Repair Addition Alteration i ; Demolition Other Work , uT' _57 .9~' (Description) 4. Lstimatcd Cost . , Pee (to be paid on filing this application) 5. if tiwrllina, ntunbcr of dwelliunits . . Nhn t,er of dwclliut; r;nits on c:n.h toot . ]f •arage, mtmberof'cars . Al ,6~V~ fi. if business, commercial or mixed occupancy, spcci[y r Cure and extent of c. c„typ~ of use . l7iutensions rl' existing structt}ns, if any: front . `J...... Rear , a~Z ~3 f)cpthra..,...... Nitmbcr of Siurics ~.l?! . 17unensions Of saute structure with alterations or additions: Front r~ IJc; th . f.Q ll i.......... Rear . ,.7, , . eil;ht K' . , . Number of stories 8. Dimensions of entire new car~truction: Front . Rear . . . I luigltt , . Depth . Number of Stories . 9. Size of lot: Front Rear . Depth . 0. Date of Purchase ••r••••••••••'•••......NameofPotmcrOwner I . Zone or use district in which premises are situated , „ • , • • , • „ • . Does ;proposed construction vi, . . . . . . ~l~te any zoning law, oxrlinancc or 3. Will lot be regraded y15, Will excess fill be removed from premises: Yes Nc i. Name of Owner of premises~!Ax Ay~~~!•fYF~f~ Address Name of Architect ~fo%". !a Phone No. eT K!gbt Addres~o.cu sT•. f .<<!y Phone NoW-67fr-4!200 q Name of Contractori¢!Ir,pG . . . . . . . . . = AddressMl Phone No.~../, Is this property 300 feet of a ticlal wetland? a *IfYes, southold''Town Trustees Permit may be required. No.......,. PLO'D' DIAGRAM Locatc clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from operty lines. Give street and block number or description according to deed, and show street names and indicate whether tenor or corner lot. ll , ,TE OF NEW YORIcl IN.I'Y of- being ~ • • • • being duly sworn, deposes and says that lie is the applicant (Name of individual signirhg contract) ,e named. (Contractor, agent, corporate officer, etc.) :id owner or owners, and is dulylauthori:ced to perform or have performed ilte•said work and to make and file this cation, that all statements contained in this application are true to the best of his knowledge and belief; and that the wdl 1w performed in the manner ~ct forth in the application filed therewith, it t;, toeforc me this Aay 01r. ~ ...L C ~p~ y I'ubltc, , ~ . , . 19 Cur n y EILEEN Q. WALL NOTARY PUBLIC NEW YORK STATE NO. 01WA1809188 QUALIFIED IN SUFFOLK COUNTY {Sig tu,r, ri'a?+nlicnnt) TERM EXPIRES OCTOBER 31, 199 ,t. 71 1 . v I I ro 1 I I 4 ~,a•~ ~ ~ge„~crlc m u ~on.l ~.l ie"xio rra ~ ---i- 7UeA<7~ ~ufLPlh~C~ _ %9"=f,o„ _ . Mi ~yv~e ~ W'•4n. w~\Ya NY. EAR (gypp _ ~ d~~ WAF'1., ~'bT Qpeb .'IMMEDIATELY"Q, N"iLX~ III _ ,...11'Ib eINCLOSEr04CNCM ~ "ff uP9 1 ~ }imp BE" ulaaKes ~,I II Rip ~t ..IMMEDIATELY" ~I I `o c0yw EN •p '~C UF~IDEM ~pm~m~11 Lw~aea COMPLO 904m mm _r . II nib I 7 yljrtt -7714 11 V 77 Q H! 'Lq i T~IaK,fbAWP.T . ~ 4 k0', CrlibilCft ~ 11~11 11 jai ItiZaidy. , ' ' I 1 \ AI 'O j pN rn~ ~~a / ~ ?Uwauq 1 01 8 lip rlr~lv_ uRRf~l RfQ q~RAF/ CH" OF OCCUR OF Nin14~'.r ' OCCUPA NCY rRnrc~tn~trrrrnY CAI T~XATPFI ~nw^ f u n ~Ysurs iur klow mw= +pNq Wk~L ~ kl+w+N ~'7 . IHHGLFH'TI * went r-t- . , .~i,ii~:--„ P•c+~~f^+Y. Y~/.I LcYa.t'aT VA.I'.~.Dt 11.~L 1154G> .:;,;,;-rr L'-~+-Iu~1N YitaPd'tz ,a,l.,a„ ASP-~I-IN1$GrT, o rf+e,aP, 6510rra4 Arai Pr,f-C~Y,-M 41A I _ old p;'i, ".C PICi4.f f" l5O RhYIF:lfil - O sl?~I'IPrka~P~~fIPL ~!1", t1.;tl"1c.;AHFiV1'`s i1F TCYSi fr41d°i=.36~494:1'ION & FILkF'u=v F, plOq F1r FpCiP761E1, F YY=Ei6t Y'ov'd'~"° ~e=~:Pr;+tlp:4'iRlDCYlv9fi~°~6iRC4r`i, 1 - %AW,; M9-Iii' pFU K!q Y Ii', Dkl~ kl0 4P", T 11