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Home My WebLink About21216-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22747 Date NOVEMBER 29~ 1993 THIS CERTIFIES that the building Location of Property EAST END ROAD House No. County Tax Map No. Subdivision ALTERATIONS Street 1000 Section 7 Block 6 Lot 10 Filed Map No. Lot No. FISHERS ISLAND, N.Y. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27~ 1993 pursuant to which Building Permit No. 21216-Z dated FEBRUARY 8, 1993 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 ALTERATIONS TO KITCHEN & PANTRY AREA AS APPLIED FOR. The certificate is issued to F. BARTON HARVEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-174660 - FEBRUARY 15~ 1991 PLUMBERS CERTIFICATION DATED NOV. 2, 1993-MARIO ZANGHETTI, JR. Rev. 1/81 lrORM' NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-*N? 2121SZ Do*e ....~.- .~./..... .......... ~ ...................... Permission is hereby granted to: /'zJ~/c ..... ~Z.~..~..~...~ ... ~. ~ ..~...~..~.~ .... __ ..~~.....~...~.~ ~ ~ ,o....~ ...... ~ ......... ~.~.....~ ...................... ........ ~...~....~....~ ...................................................... ,,,r.,,,e,,~,.~, ..... ~...~~~.~ ...... L, .................................................. ...................................... .~~ ....... ~~....~...~ ..................... guildln~ Inspector. Building Insf~ctor Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled 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 I% lead· ~ 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ~ responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: i. 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 I. 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 - $i00.00 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.O0 ~ Nov 2, 1993 Date ................... , .............. ew Construction ........... Old Or Pre-existing Building...{( ............. ocatlon of Pro~ert,, East end f~ad, Fishers Island,N.Y. House No. Street Hamlet ~wer or Owners of Property F. Barton Harvey )unty Tax Map No 1000, Section .... ? ......... Block.. 6 ~bdivision .......................... Filed Map Lot 1/27/93 'rmit ....... Date Of Permit ............ Applicant. Z&S Contractin~ Inc. 'alth Dept Approval · · ......................... Underwriters Approval ........................ arming Board Approval ...................... quest for: Temporary Certificate ........... Final Certicate. x TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECrOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 i. Date' Nov 2, 1993 Building Owner F. Plumber Permit No..21216Z Barton Harvey '.(please print) Mario Zanghetti Jr. (please print) I certify that the solder used contains less than 2/10 of 1% lead. in the water s'hpply system SW~ to be~/~e th?.s Notary Public, County. No. 480655~ Ouaflflea in $utfolk Count~ Term Expires 12/31/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS J CJ00(~i() ~UREAU OF ELECTRICITY J~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 ,x. Date ~pplicatlon No. on file THI~ G~RTI~I~ THAT only t~ ~lectrical equipment ~ ~scrlbed b~lo~ a~ int~duced by t~ applicant ~med on the a~ve application number in the prem~es of in the following locotion; ~ Besement ~ I.st FI. ~ 2nd FL f)it']~ Section ~l~k Lot ~s examined on ~'~R}'}~ ~?~'J~] attd found to be n co npliance u'ith the requlrement,~ t~f this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC, COND. PER ~' CC, COND. 3 / 0 NO OF HI-LEG AWG, OF HI.LEG E GENERAL M~AGER Pe~ This certificate must not be altered in any manner; return to the office of the Board if incorrectv Inspectors may be identified by their credentials. COPY FOE BUILDING DEPARTMENT. THIS COPY OF CERT F CATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF $OUTHOLD 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, an~l submitted =, Immmmmmm to the Building Inspec* tor with the following; for new buildings or new use: ' " 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features.' ' * 2. Final approval of Health Dept. of water supply and sewerage di~posal-(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 compli~ince from ttie 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 195~). Non*conformb~g-~ses; or buildings and "pre-exis~ing" land uses: ' 1. Accurate survey of p~operty showing all prbperty iines, 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 i~spectlbn of buildings or pre,raises, or other pertinent informa- tion required to prepare a certificate'· C. Fees: Additions $25.00. POOLS/$25.00ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessor.y '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling . $ 50. O0 3. Copy of certificate of occupancy $ 5·00, over 5 years $10.00 4.Vacant La~cl C.O. $ 20.00 pd 5 U ated C.O. $ 50 00 Date 5/26/93 NewC°nstructi°n Old or Pre existing Buildlng x Vacant Land Location of Property Eas% end road,~ Fishers Island,N.Y. House No. Street Ham/et Owner or Owners of Property 7. Bar,,on ~arYey J~'. r County Tax Map No 1000S cti Subdivision ................................. Filed Map Ne ......... : .Lot No .............. .1./.2. 7. ./. .9 .3 Z&S Contracting Inc. Permit No. 21216Z Date of Permit ~ Applicant ..... ~ .......................... Health Dept. Approval ......................... Labor Dept. Approval ........................ Underwriters Approval ' Planning Board Approval Rdquest for Temporary Certificate Final Certificate 0. g ' Fee Submitted $.. ~.5.. ...................... ~Construction on above described bu lid ing a n..d p~p~.?~...~it mee~s ,~1~ ap~/..~/d./e s and. regulations.. Applicant · ~..~../~. · .'~..~;~.%. · ."'~. ~..'.. P.~.q~..i ~?.~ ....... Rev. 10-10-78 sculpin ' OF~{CE OF BUILDING INSPECTOR' , P.O, BOX 728 ' , ,. TOWN HALL .',. soUTtlOLD,' N.Y, I 19.71 C E R T I F I C A,~T I'O N " ng%Permit'No., 212.16~ ,,OW~ :"" F. Barton H~ey Jr.. ~"" (please p~int), ~} . .... ,.. Pium~'~ Marlo Zanghetti,,Jr. _ ..... , (please~print) ' " " ' TBL. 765-180~, .: " ? 1993 .',. ~ certify that the /~older used'in"the w~er :Sup.ply system, ., · contains less than 2/10 of 1% lead." ,· ~'" . .. . . ,~, , .. ~',,, atur ~ ., .. ~;~ .~ .... . . ,. . .,. . , . , ' ' , , . ,,, ,: No. 486~55~ :, ' ' Oua~feo ' {kCo ' ...... 'in $utfo uflty ' ". . . ., ,, Term Expires 1~3~/~' ', ' FOUNDATION (2nd) ~OUGH FRAME & -PLUMBING ~-I;SULATION PER N. STATE ENERGY CODE FI;IAL ADDITIO~A'L COMMENTS: JAN 2 9 1993 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................ , 19... Approv~d~...~. ~. .... 19F3Permit No...~./..~. Disapproved a/c ...................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ................... MAIL TO: (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 3 ,ets 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%djoining premises or public streets >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .hail 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 .hall 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 luilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. ....... ................. ' ' (Signature of applica#t, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ................... . ........................... Name of owner of premises (a2on( the t,,~x roll or latest deed) It' applicant is a corporation, signature of duly authorized officer. (N~de and title of corp6rate officer) Builder's License No.. Zo'7. ?..~.~.../-/~z~ .. . Plumber's License No... · .~.~..-7...?. ........... Electrician's License No .................. .,... Other rrade's License No... ?..'ff?.7.../ff..~. ....... Location of land on which proposed work will be done.....~J~/...~...~.~:. .................. - ......... IIouse Number Street Hamlet County Tax Map No. 1000 Section ......... ~ ...... Block . . Subdivision ..................................... Filed Map No.-' (Name) ' : "'~ ~ Lot ............... . State existing use and occupancy of premises and intended use and occupanc~ of'pro'posed ~0nstruction: a. Existing use and occupancy .......... .~at.q~.~. ..... ' b. Intended use and occupancy ....... %~,.~f'.~ .. . ...................................... 3. Nature of work. (check which applicable): New Building .......... Addition .......... Alteration .. . Repair ............ Rem?vel .............. Demolition .. 'j j/ ........ Other Work ............... .Z'.~ ~rzr_,9,} ~ ~,__ _... (Description) 4. Estimated Cost .... r.,?, ~.,<?.. .................. Fee .... ................ I (to be paid on filing this application) 5 If dwelling number of dwelling 9nits Number of dwelling units on · ' ............... each floor If garage num her o f cars ................. 6 ' If busine'ss ..... l ........................................................ · , commercial or mixe~ occupancy specify nature and extent of each type of use ........... 7 Dimensions ' ' ' ' · of exmtmg structureS if any: Front ' Rear ' ': .................. Height Num 'bet of Stories ............................. Depth ............... Dimensions of same structure wilh alterations or additions: Front Depth Height ~ ................. Rear .................. .................... ~ · Nutnber of Stories · Dimensions of entire new constrcction: Front ............... Rear ............... Depth ............... Height .... ' ........... Number of Stories ............. · ........................................... 9. Size of lot: Front ...... i ....... Rear Depth .. .......... I0. Date of Purchase ' ' ..................... · ......... 1 1. Zone or use "s ....... i. . · ....... Name of Former Owner ............................. al mcr ~n wmcn premises are s~tUated .................................................... 12. Does proposed construction violaite any zoning law, ordinance or regulation: ..... ~ ............ ~ ............... 13. Will lot be regraded .......... ! .................. Will excess fill be removed from premi Yes No f p ses:~ 14. Name of Owner o remises ... ~ ............ Address ................... Phone No ................ Name of Architect ........... j ................ Address ................... Phone No ................ Name of Contractor ........ '3~b ............... Address ................... Phone No ......... . ...... 15. Is this property within feet of a tidal wetland? *Yes ........ No..~. ' · If yes, Southold T~wn Trustees Permit may be required· '''' ... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from p~'operty lines. Give street and block nOmber or description according to deed, and show street names and indicate whether interior or comer lot. TATE OF NEW YORK, OUNq'Y OF S'Si ............ · -7~.. .... .~.~,.....~.ff?~/o. ............. being dnly sworn, deposes and says that he is the applicant (Name of individual signing Contract) ~ovo ~anlcd. is the ................ ............................................................ (Contractor agent corporate officer ere ) said owner or owners, ~d is duly au'thorized to perform or have perforated the said work and to make and file this plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be perfo~ed i~ the m~ner s~h in the application flied therewith. ,'om to before~this , NO,fy Public State of New No. 4800559 i ....... ' ' Qaallftee In Sulfolk County ? - ~ ( 'g ature of applicant) TerEt Expires 12/31/~