The URL can be used to link to this page

Home My WebLink About22462-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCCUPANCY No Z-24066 Date DECEMBER 7, 1995 THIS CERTIFIES that the buildin~ Location of Property EAST END ROAD House NO. County Tax Map No. 1000 Section 8 Subdivision ADDITION & ALTE~ATIONB FISH~RS ISLAND, N.Y. Street Block 1 Filed Map No. Hamlet Lot 6.5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 13, 1994 ~ursuant to which Building Permit No. 22462-Z dated NO%~EMBER 11, 1994 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 ADDITION & ALTERATIONS FOR KITCHEN AS APPLIED FOR. The certificate is issued to PETER BRINCKERMOFF (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-368327 - OCT. 30, 1995 PLUMBERS CERTIFICATION DATED SEPT. 7, 1995 - MARIO ZANGHETTI, JR. Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUll. DiNG DSPARTMENT TOWN HALL SOUTHOLD, N.Y. N9 22462 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CounlyTax Map No. t000 Section ............ ~. ......... Block ...... l ................... Lot No. ....~..:..~... ........... pursuant to application dated ........ .,Z...-../~.,.~ .................................... 19..~.../......., and approved byihe / Building Inspector. Fee $.,7.,~:,.'~ ....... Rev, 6/30/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' This application must be f'illed in by typewriter OR ink and submitted to the building inspector with the following; for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '¥re-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a. Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .ate ..?77f2. ................................ Old ildi ~ Construction ........... Or Pre-existing Bu ng...~ ............. :ation of Property? ................. East End Road, Fishers Island,N.Y. House No. Street Hamlet ~er or Owners of Property.~g~ Peter Brinckerhoff ~nty Tax Map No 1000, Section .............. Block ................ Lot ...................... division .................................... Filed Map ............ Lot ...................... mit No.. 2~$. ~ ...... Date Of Permit. ~.~/10/94 .... Applicant.~$. Contractin~ Inc. lth Dept. Approval .......................... Underwriters Approval ......................... nning Board Approval ........................ uest for: Temporary Certificate ........... Final Certicate..~ ........ Submitted: ~ ~25.00 TOWN OF SOIJTHOLD OFFICE OF BUILDING INSPECTOR' P.O. BOX'728 ' TOWN tlALL " SOUTttOLD, N.Y. 11971 C E,~ T I F 'I C ~'T I'O N TEL. 765-1802 ' BLDG. DEPT. TOWN OF SOUTH(DI 'Date 9~/7/95 Building Permit No. 22462 Z Owner ~{r. Peter Brinckerhoff · (please print) Plumber Mario Zanghetti Jr. (please print) certify that the solder.6sed in the wgter · contains'l~ss than 2/10 of ~% lead. supply system ,Sworn to before me this, Notary Public, Notary Public EILEEN G: WALL NOTARY PUBLIC, NEW YC~ ~T~T~ NO, ~'1WA9509185 QUALIFIED IN SU~QLK TERM EXPIRES OC FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & ~PLUMBING' INSULATION PER N. STATE ENERGY CODE~ FINAL l/ ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG 100~656 BUREAU OF ELECTRICITY --- EB JOHN STREET. NEW YORK, NEW YORK 10038'< ' Oate OCTOBER 30,1995 /Jpplication No. on file 8~296494/94 ~ 3(~8327 THIS CERTIFIES THAT only t~ el~tricnl equipment ~ ~scrib~ be~w a~ int~uc~ by t~ applicant ~d on the a~ ~plication number in the p~m~ez of ~. PE~R BRINC~OFF, EAST END, FIS~RS IS~, N.Y. ~ ex.,nin,d on OCTOBER 24 ~ 1995 and found to be in compliance with the Na~on~ Elect~c~ Code. fiXTURE FIXTURES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 2 6 4 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCK~ LJNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET $ERVIC~ DISCONNECT S E R V I C E NO. OF CC. COND. A.W,G, NO.O~ HI-LEG A W G ~0 OF NEUTRALS A,W.G. OTHER APPARATUS: Z & S CONTRS. INC. LIC.#924-E P.O. BOX 202 FISHERS ISI~ND, NY, 06390 GENIRALMANAGER COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE N!US~iNOT BE ALTERED N ANY MANNER TOWN OF SOUTIIOLD BUILDING DEPAI1TMENT TOWN tlALL FOLLOWi~u~ ~h~C:PECUO~,'q APPLICATION FOH BUILDING PERMIT IJOARI) or IIr..Ai.'rll ........ 3 SET~e OF' PLA~IS .......... SURVEY ................. t · CIJECI~ .................... SEPTIC FO[tH .............. ttOTl P'!: (~ALL HAIL TO: Date ............ , -~. . .~ .. , N¢cTR CT,ON E,' ~T . . a. ~[~iso~p.,~9.a.~ll~.,~{)~je comp ete y f I ed m ) tvoewritcr or in iuk and su mit d to t ~e Build~ Ins ector with e .' ~._,.' ' '~w~i,~.~, Y -- b tc g p , ts o[ p.lnn~a~X~i~ O&~-u. to sc.a~e~ according to schedule. b~),'~l°'~~[~l~$'fi~b,~'0,at and or bt, ildi,,gs on premises, relatio,,sbi0 to adjoining premises or public streets Jr ar~!~g'~O~g~l~.dd~¢ii~n or laym t of properW must be draw,; on tho diagram whirl, is part'of this appli- CG '~ N ' · , ' . . . c. ~lt;~'v ~)~ ~ t ion ma n oJ 'upO~l~t~VM'Opi~{~.~01i~'tj$i~, the Buildb~8 Inspector will issued;a Buildb~g l'e~it to the applicant. Such pe~it ;.ball be kept ou the premises available for inspection throughout tire work. ~ .e. N0 building shall be occupied or used in whole or in part for ally p~rpose whatever tint a Ccrtifi~te~9;f:~ccup~cy hall have been granted by tile Building Inspector. ~ ..... APPLICATION IS IIEREBY MADE to the Building Departmeut for tile issuance of a Building Pe~it pursuant to the luilding Zone Ordinance of the To~n of Southokl, Suffolk County, Ne~y York, and other applicab e ~ws, Ordb~ces or [egulations. for the construction of buildings, additions or alterations, ~tfib}al or demolition, as herein described. Hie applicant agrees to comply with all applicable laws ordmauce~OdlMi~gtO6de,?hOusmg cod~, and regulations, and to tdmit authorized iuspectors on premises and in buikling fbr necess~~ m~peotlons.,. ...... ............... ' ' (Signature of applicant,~r name, ifa corporation) (Mailing addrexs of applicant) '~tate xvhetb6r applicant is owner, lessee, ageut, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pre lises ................................... /. ..................... (,~ on the t;~ roll or latest deed) , (N~me a~title or~orporat~ or~0r) Bt Ider s L cense No .................... · Plunlbcr's License NO ..... . ,.~?...5/.~ ............. Electrician's License No .... .~?...~.'-:'. ff. ......... Or} er'Trade's Lice,de No ...o2~..'~..'7. d?. ....... IIouse Number 'Street Ilamlet County Tax Mal, NO 1000 Seclio. Block Lot Subdivision Filed M:lp No Lot (Nalne) State existing use and occupancy of premises and inlended use and occupancy or proposed construction: a Existing nsc and occupallcy ~ : · ..... b Intended Use and occupancy ~ ' ~ ..... Repair ' ~ ~ ' . ...... . - ' .' ......... ' 'or ...... Alteration . . ........ ~qemovat ~ .............. ' Demolitiot~ ....... ~v ..... Other Work ....... Eslimated Cost .... ~ ., Fee ... ' ~ (to be paid on .... ~ fihdd this apphcahon) l~garage number of cars I ............... Number ofdwelhng umts on each floor ............ ~' ,. If hUSh'SS commetc-' '"'', .................................................. a, or n ~xeu oc¢~ pallcy s mc fy nature and extent of each typo of use .......... Dimensions of existing structures ' if~any: Front Rear .................... tleight NunH;er br Stories ............................ Depth ............... Dimensions of same stntcture with aherations or athlilions: Front ................. Rear .......... ......... Number ~ol Stories ................ Dimensions Of entire new constmctign: Front ............... R Depth ... [~elglt{ .... ' ........... Number of Stories . . ,. ear....; ............ ....j... ~lze of lot Front . ' ...... ............... l~ear . pti DateofPurcbas, ... . ,. · ................ De 1 . . ........... Z ...... ' . ........ ' ' '.' r .... : ......... ~ame orFo mcr Owner ...... ' ..... ......... .......... Does proposed construct on violat~ a' .... n*tl~t,, I ,' ' ...............~ ................... SVlII lot DO regraued , Name of Owner of premises fill be removed from premises: Yes No ............ , ............... Will excess ' Address : Phone No Name of Architect ...... ' ............ Address ' Phone No Name of Contractor .. ~. ! , . I$ th~s ~ron~rev wiving' h~h' teLL2' ' ~' ' ' L'.'.' ~ddress .......... ; ....? ....Phone No ......... · ....... ' " ... ~ PLOT DIAOI~M locate clearly a"d distinctly,all bt d~m~s, whetlmr existin~ or proposed,' and, indicate all set-back dimensions from ~pcrty lines. Live street and block hum )er or descriptio~ accordtn~ to deed, ~nd sb0w street amies and Indicate whether :Her or comcr lot, UNDERWRITERS CERTIFICATE REQUIRED ' ,-~ "pLUMBING ' AIJ~ pCUMBIN6 WABT~ , & W_ATER LINES NEED ~.? ~ TEST NG BEFORE COVERING ! EFt cERTIFICATION ~ ,-~ ~. pLUMB~_..,.A~TENTSEFOR~. CERTIFICAUc ! ER uSED IN wATEIt sOLD . -"erEM cANNO[ ExcEED If copper tubing is used "for water distributing system; piping shall be of types K or L only_ kTE OF NEW YORK, ,~'~ u~rrY OF (Nmne of individual ' s g~ ng cqntract) being clnly sworn, deposes and says that he Is the applicant ye ~anled.' :s the ...................................... ' {Contractor agent corporate officer ere) ~aid owner or owners, ami is duly aut ~orized to perform or have performed the said work and to mak~ and filo thh lication that al state~ ~ · · , . u ..:. ,._ , . ,. n~nls contame~ tim nppbc,llion are /rue to the best of I.s knowledge and belief; and that the ~ ,vm uc per~orm~u III tile in.lief s~ Iqrth Jn the applicat on fi ct t mrew Ih, ' mi 1o befo~~ ~. ~ . ....... ..... N TYJR. : '~J' · .......... ' e~ ~UbfiC State of New York , ~ (Sfgnalure of applicant) Ouallfle~ In Suffolk County I Term Expires 1~1/~ i