HomeMy WebLinkAbout19491-z
r
FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19990 Date TUNE 14, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property EAST END ROAD FISHERS ISLAND N.Y.
Flouse No. Street Hamlet
County Tax Map No. 1000 Section 5 ~ Block 2 Lot 7.5
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 29, 1990 pursuant to which
Building Permit No. 19491-Z dated OCTOBER 31, 1990
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 TO CLUB BEACH HOUSE AS APPLIED FOR.
The certificate is issued to FISHERS ISLAND DEVELOPMENT CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
BOH11E N6. 8
TObYN 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°- 1949 i Z Date ...~,~.....i.~...~ t9..~~...G
Permission is hereby granted to: G7'~~
.~~s.~ ~
.................~....,~,r...~..~...
of premises located ot ........~....slLfGiT......(.~............./~
~f.~~:s
County Tax Map No. 1000 Section/..1~L.~.~..~~..^..~jBlock .....Q.~........../~~jL/ot No...../.....~....
pursuant to application dated ......1.~!...ul....••••••da.S••••~~••••••••••••••. 19.1...~!ond approved by the
Building Inspector.
Fee $....~:/..(~i..~ l/
Building Inspector
Rev. 6/30/80
0.
,r Form No. 6
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL `
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1. 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 17, lead,
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate o£ Cade Compliance from archi'-ect 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
"pre-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, Comml/ercial $15.00
Date 1. F~ ...9
ew Construction.... Old Or Ppre- fisting ildin~~~'~"~
t..
ocation of Property........./'~"'~o~.....~~J~...-.:~_......... ~
House No. Street n Ham e
nwer or Owners of Property. ,~."„Q;r2!%:"?(~ . • • • • • • • • • • • • • • L/~•
ounty Tax Map No 1000, Section....Q.V.......Block.... ......Lot.......~i.
ibdivision ....................................Filed Map............Lot..........
q uu ? p• .A
~rmit No. ~~~Date Of Permitlv.'.?. L:': •ApplicanC~~~~
:alth Dept. Approval....•.::~f ................Underwriters Approval.
anning Board Approval..."":~ . /
quest for: Temporary Cert-ificate........... Fi tic fem..
e Submitted: $..,~:~.4.1 U
~
~,zc., y 193 ~ .
CO ~ ~ y 9 ~ ~ - APPLICANT '
r I ~
44 ~
-
4 N~
'OUtlDATI0;1 ~ (1~t) ~N
' T
?OUtJDATIO;J (pnd) -
_I ° 1~
~ o
.'.OUGH FRAME &
PLUMBING
y
3. m
n
ItJSULATION PER N. Y. 4 ~
STATE EP!£RCY
CODE 4
~ ~ .~1
4,
4
FI;IAL 4
• 4 ~ ` ~
ADDITIOPIAL COMMENTS: x
. •
c*1
x~"~
a
• a ~p
H R
H`
O\\
.
m
• r
• - / H
- o .
m
,9
~
TEL._765-1802
p OG TOWN .O~ SOUT~iOLD „ ; ` i
~~,-rt,
~~,'y' 3~` ~c OFFICE OF BUILDING INSPECTOR _~y ~ i
o a P.O. BOX 728 1~~~
•
cr : r~ yc TOWN HALL v~.a
yO~a! SOUTfkOLll, N.Y, 1,1971 p~~ff 'i('^ ~
f~~
gs>
C E R T I F I C 1a T I O'N
i
Date
i
Building Permit No.~~ly~` I'i
Owner ~ ~~scGc~!? G~ct rv- I
' (please print)
Plumber f//!ol.~/~ .GQl2y' 1
(please print
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
~ _
(plumbe s ignature)
Swo~to before/-me this
day of JLlA/~
19~' - Notary Public
Notary Pub~.S.c,~.J 4(,ri'/~(AG.C- _County
TNOMAA F, AONBa~N,IR.
' NONry FUkllo Bute of New YarK;
No, 4900SS9 '
C1UYilllep in Sutlolk County '
Term Expires 12~91/9ds'
James Volney Righter _
a r c h i t e c t s p L5~ (1~
IS pf s
i n c ~ ~ _ --~i(;,.
OCT 2 51990
October 24, 1990 Yowni or=s§~ur~tsotD ~
Mr. Curtis Horton
Southhold Town Building Dept.
Southold, New York 11971
Dear Mr. Horton:
Enclosed please find three stamped sets of plans and a completed building permit for the
Fishers Island Beach Club. Tom Shillo JndJCated to me that he would forwazd to you a
check for the building permit fee.
Tom Shillo wondered if the plans were satisfactory could you phone him and give him an
approval to begin work.
Thank you for your very prompt attention to this permit- I know everyone involved really
appreciates your help. I will be in the office Thursday and Friday if you have any
questions or are in need of any additional information.
I hope you have a great vacation!
Ver
tru~ s' ,
Brooke Trivas
Iacob D. Alb er[ James V. Righter Brooke S. Trivas Cynthia N. W ardell
58 Winter Street Boston • Massachusetts 02108 • telephone 617 • 451 • 5740
D c~~<~rt <<~a.~.~t~_.r~ ~o. t
~ TOWN OF SOUTHOLD
TOWN CLERKS Ot;F CE .
BLDG. DEPT. SOUTHOLD, N. Y.
TOWN OF SOU7StOLD i
A licotion No.
Examined 19........ PP
Approved 19.~~.e~l. Permit No....1..~..1.../..~.~:..
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ..~GTd.~Ciz- 2`f 19..9... _
.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building
Inspector, with 3 seta 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 description of layout ofproperty must be drown on the diagram which is port of this applicotion,
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 issue 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 MADE to the Building Department for the issuance of o Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, SuffolG; County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, os herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit outhorized inspectors on premises and in buildings far necessary inspections.
(Signature of app scant, or Home, if a corporation)
SG....!~!!/.?rr~,r...:s~.:.....dosra/v rr!~ ?JZ/08.........
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
A I2GH /TFFT
/SH,E..tS /St.,gn/D _CaUnr~e G'LV
Name of owner of premises ...............Y...............~
If applicant is a co orgte, signature of duly authorized officer.
(Name and t t of corporate officer)
Builder's License No. ....1..~~..~
Plumber's Licensi± No .
Electrician's License No.
Other Trade's License No ,$,,,[:'lot4. Le. Tcx YMap x# lovo-~S'- Z= S"
1. Location of land on which proposed work will be done. Map No Lot No.........................
Street and Number ~O '~0~~
Municipality
2. State existing use and occuponcy of premises and in"ended use and occuponcy of proposed construction:
~CLV E~1Gi-l f/Of/5~~'
a. Exisiting use and occupancy ...............~...!f.......................
b. Intended use and occupancy ....,5/.t.e?.2.4>'
3. Nature of work (check which applicable): New Building Addition Alteration .
Repair Removal Demolition.................... Other Work
~~yy~~// ~p ~~D~s~r~tion)
4. Estimated Cost~.~Gl..f! ..~1~..~ ......................Fee .........~~f~t...~J..l
r~.,............
(to be paid on filing this application)
S. If dwelling, number of dwelling units N:..'~ ...............Number of dwelling units on each floor
If garage, number of cars N'~
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use M.:
p
7. Dimensions of existing structures, if any: Front y S.. Rear r.~ Depth 9.~.........
i
Height ...:~-7 Number of Stories .......Zr......................................................................................~...............
r
Dimensions of same structure with alterations or additions: Front Rear ..~.~:5...........,......
r r
Repth .........c~.~ Height ........~.Zr...............Number of Stories
. _ r ,r
B. Dimensions of entire new construction: Front ......:~~R Rear ....~.7.~.................. Depth ..3.'.
I
Height ...~~i........... Number of Stories
9. Size of lot: Ffeni ...H:.~~..:3... ac!'!!i •Flear ~Bepth....:............................
10. Date of Purchase ................;...........:...........................Name of Former Owner
I1. Zone or use district in which premises are situated .RES!!a,~'NY`i~f. - Loi2•/;GVGTY~G14
12. Does proposed construction violate any zoning law, ordinance or regulation: ....tt~4
13. Will lot be regraded Will excess fill be removed from premises: ( )Yes Na<,
uB 5/b .
14. Name of Owner of premises f~SHEKS /S~WI?D Godn7,[~~dress fi:t.iNY A.fi:3'."1.~QPsh o
~ Nod,.7..~.gr~..7..s?r.~S
.
Name of Architect~13n'F.F".~..::? RllOHI'E74,•GF{ /n/C. Address kl/n/Ti!7iG.TT' Ph N .'~,17,;;~t:•7,~!p;
Z+s con7rx~nwa r-/ N a ~j/~'
taame of Contractor Address ...~....y......4!.3~..'l.Q... Phone o...ZB.B.:T..A.s'7
• 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.
($EE pG iq NS~ .
COU ~.~OF~ f'
~•••••S~ .•••~~:~?.~:~~q~!.~..........being duly sworn, deposes and says that he is'the applicanr
(Name of individual signing contract?
above named.
He is the ':['J~~!'A:~-`:J.:.:..::
(Cont~e~tery egewtt c~mparrr9e of7fieer, ete:) ,
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and fife
this application; that all statt~monts r~ntained in this application are true to the best of his knowledge and belief; and
than the work will be pen°orn,~d 'in tPi~ manner set forth in the oppiication filed therewith.
Swam to before me this (
`at.`.'f........ da of R~ Pt 19.YR... ,
Notarybl.•~••1 •,~~Ou-.-.--.,Su~.~.o.l.k........ County
(Sig tune of applicant)