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Home My WebLink About18877-z ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20874 Date JULY 21, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property PRIVATE ROAD EAST END FISHERS ISLAND N.Y House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 1 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application far Building Permit heretofore filed in this office dated MARCH 9, 1990 pursuant to which Building Permit No. 18877-Z dated MARCH 15, 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 & ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN SPOFFORD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-214624 - NOVEMBER 26 1991 PLUMBERS CERTIFICATION DATED JUNE 23 1992 - MARIO ZANGHETTI Building Ihspe Rev. 1/81 rosai xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL gqCOMppPL7ETION OF THE WORK AUTHORIZED) NQ .~L~U I ~ Z Date ~~tll.L............~.~ 19.~~ Permission is hereby granted to: j~,~Z/~2~~ ......z.d.~~.:..~ ~'...~!../.~r.~.. to .........-~o :...........G..>v............... ~,w..~.~... i at premises located at ..........~.::1?1//.,{Lnl,/..-......~~ ....1.....':~Z(:~'!~..~~~,.'„`i',~,.,,~ f. /~L~r~~.........................................................s~.~..yy............... County Tox Map No. 1000 Section Block Lot No...1....( pursuant to application doted ........'f..l..l..,~............r~........., 19.~~..1~., and approved by the Building Inspector. Fee $...1....~„/..~..(P.. ~ Building Inspector Rev. 6/30/80 r ~ FORM NO. 9 TOWN. OF SOUTHOLD Building Pepartmant Town Clerks Office ~ Southold, N. Y. 17971 APPLICATION POR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 installations, o 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), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic factures. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificnte of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 J Date .\..~D./•~1.3~cP,.z:....... New Building Addition Old or Pre-existing Building Vacant Land Location Of Property ~.l~.:..!. C N ~ ~ u ~3.!. ~....`c•~ G c i-~oa~ o x....,1...:5 ~ t~ N... P Y ~ Owner Or Owners Of Pro ert v ° r F o Subdivision ........................................................l.......Lot No..»....... Block No...~......... House No............. Permit No. 1..$. ~3.~7.a Date Of Permit :~I~:S.~.9°. Applicant z:~.: C.o nJ~-~~+~ C I•, i, rU Health Dept. Approval ....................`..r......................Labor Dept. Approval Underwriters Approval ~.4: ......................Planning Board Approval ~~~~j~j~, Request For Temporary Certificate Final Certificate Fee Submitted $ Construction on above described building and permit meets all app.icobl codes and regulations. Applicant ~ f'RGS i c~E:rU7- , ixy ~2.......». Sworn tcy~befora me Sbis- ~ - = - T'G- e?Y..,.... day of {.4..~. u.Af - fstAtnp or seal) J ~ ~q~MAS F. DOHERTY J`1. Notary Public GF~"u"..•.... Co ,n - Nntiry Publtc slate of Nr.•s vor,~ _ - No. 4908559 dUtltflaa Irt Suttolk County ~~,~y 39~ n Term Explras /2~31r9j~ I • TEL. 765-1802 ~pc~~fFO(~~p~ TOWN OF SOUTHOE,D ':c OFFICF. OF BUILDING INSPECTOR, ~ e~'~ P.O. BOX 728 ; ~ ~ ~ TOWN BALL 'YO ~ ®`t- SOUTHOLD, N.Y. 11971 C E R T I F T C A T I O N Date_~(o1 a 3 14 2- Building Permit No. 1 SR~~ Owner cTu ~t N S~ W• 5 P c F~.~,__ (please print) Plumber/Y~ qio ZriNq~,.o'R'i _ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1$'l.ead. (plu er s na ure) Sworn~tb befo2e`me this '"day of Jld~f~. r Q ~ ~ 19 / Z• Notary Public Notary Fublic, V County _ _ ~ ' Tf{~MAS C. DOMERTY JR. Notary Publlo Stata of Now York - No.48o66Sa Ouentlao in Sut}olk County t~ihi pxp~roa ivsv9q~ THE NEW YORK BO#RD OF FIRE UNDERWRITERS PACE ' 10006t,h suRSwu of eucTlMCrrv S6 JONN ST11[ET. NBW YORK. NSW YORK 10030 NOVExBER 25, 1591 Apylleetion No. onJJle 592 4590/90 N IJ 4fi?.® TNIS CERTIP168 TNAT owly tke elestrieel sgnipntent M deesribed 6elste end itttrertteed hY tM yjYeotit ttented an the eltoee eppUcetton nuathsr to tke prentlees of JOHN SPOF'FORD, EAST F;ND PRIVATE .;ECTION, FISHERS ISLAND, N.Y. in thefdbteinR lec ~ IAt FI. ? Ynd F1. OU1' Serttun Ilosk Lat 16t4~~xl~J ;"P441 uw e:omInn/ on end found to !K in t•eetpfience tsitk ehs reyuirotnents q/ thiiJ4aeed. 111e111r 6gti O NAUfT OU1tJR{ A~ HIIOKtiCtlrf OTNliI AMT. K. W. AMi. K. W. NAT. CW. AMf. [ W. AMr. N. r. - - _ _ I I 39 5 19 38 ~-i-1 ~7.1 1 9.5 J I1 _ l J DRYlK IIIt11At! IAOT06 NNtI~ AMJMNq 1t0/O •rn lwtaean tnt uwrwAnlt EIMJwRf AMT. K. W. dl K r. 6A1 N. r. AMI. NO. A. W, O. AMT. AAV. AMT: AMra MANE. AMT. N. r. AMT. wATn 3 F 600 _II StRVltf CMWNIbC? 110. 5 t R V 1 C E AMr. AMr. trre ~ ,,e xw , u aw 1 • tw 1 w sw a~ck No. a N4ua ai w. naa Neutew a F ~iu 1 200 CB 1 X 1 2f0 1 2{0 o11w /IrlyuJtTUC: PANF,LBOARDS:1-16 CIk. 200 G.F,C.L'-2 Z & S CONTRS. INC.. L1:C.~924-FI G!~~'" = P.O. BOX 202 JMeJEMI. iN, FISHERS ISLAND, NY', 06390 11 Per Thi[ cerIJ1J[aN aMtM eroteur; nNm Ni DE/ARTN~JT. CbM'Y Q? ~7~~. #IAMNER.-._. J l~ U 21;9 E N T ~ j0 ! ''~1 -~d y:~~:I _ ~ m~ _ II ouDaTlor! _ c i sc t ~l m )UIJDATION i2nd1 0 t 1 ~C OUGH FRAME & I PLUMBING N l y. m~c. n c~ 3 . ~ y o~. 1 T_rI5ULATZOr1 PER N. Y- C STATE ErlERGY a CODE 1 1 ~ 4. ~ FZ;lAL oe~ • m ADD ITTOrIAL COMME;ITS: . . e • rr~...'~1 ~ X~ "4 N ~ H \ • H O~z m 1 i ~ • o. m ^o !1~UANU UL' UL'ALllt 3 SLATS' OP P1,ANS FJRM NO. 1 SURVEY , ' TOWN OFSOUTHOLD ceecK ' :;;,BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL EOUTHOLD, N. Y. 11971 NOTIFY ' TEL.: 765-1802 CALL • • • • • . . MAIL T0: Examined ...............'.,19... r,, yyJJ~~ ,~pr Approved~~.'r!C'"ti...wl...., 19~dPermit No. /+u,~./..~~ , ! Disapproved a/c ( ~ 'r~ , , ~ 1`, M>;R - 919' " (Building Inspector) TOVl';tiyt,-. ; -_,`~~L~w.,~.~ , APPLICATION FOR BUILDING PERMIT ' 9 Date > 19.~ tNSTRUCTIONS a. This application musk 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, relatidnship to adjoining premises or public streets or areas, and giving a detailed description 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 isgued,a.Building Permik 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 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 of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with alt applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and imbuilding for necessary inspectiZ~~ . (Signature of appli~ca1nt, or naihe, 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 ~O~?v,J... c.?~~ ti.~^~ . . as on the tax roll or latest deed) If applicant is a corpor~/yj!on, s!gna ure of duly authorised officer. (Name and title o rporate officer) Lis ALL CONTRACTORS ST BE SUFFOLK COUNTY LICENSED Builder's License No. ...../.3~.$l,~...~6l~..... . Plumber's License No. ..:~5, . l;lectrician's License No. .~`~y-~ ' Other Trade';; License No. .~3~.~~~......... 1. Location of land~oln wJhich_ pr~oj~posed work w/i11 be done. . . House Namber Street ~ Hamlet County 'l'ax Map No. 1000 Section Block ~ Lot Subdivision Filed Map No. Lot............... : (Name) 2. State existing !!se and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......,..~4~.. . b. Intended use and occupancy , 3 Repair of wor}: icheck whiRemovalable): Netv,F3uilding~.d~,~"litid. ~ . Addition i. Other Vorkat~on . , ~,t n ,,i, -7 / (Description) 4. Estimated Cost . Fee . ~ .,...?..~e .Q.~J ...!I.:..... . • . •(to be paid on fling this application) 5, If dwelling, number of dwelling units .....1......... Numberof dwelling units on each floor • : • . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature: and extent of each type of use . • , , 7. Dimensions of existing structures; if any: Front ~ Rear Depth , ~i....... . Height ...............Numberof Stories Dimensions'of same structure with alterations or additions: 'Front ' .Rear , L , . . Depth , ~ :.....Height .........:...Numberof Stories . 8. Dimensions of entire new construction: Front , Rear . .Depth • • . Height . ...........Numberof Stories , . , , .....'i.'. . 9. Size of lot: Front . . Rear . , , Depth , . . 10. Date of Purchase . : , ,Name of Former Owner ....'L . 1 I. Zone or use dasS'rict in which premises are situated . . . . . . 13, Will lot be re varied truction violate an zonin law, ardi Nill excessgfill be removed from premises: Ye p p g y g 14. Name of Ownei of premises , ? , ,Phone No . Name of Architect . . . • . • .....Address ~ ~ ~ ~ ~ ~ ~ ' ' ' 'Phone No, , No ' Name of Contractor . Address Phone No....... . p p y ed within 300 feet of a tidal etland? 15. Is yhia ro ert loCatTrustees Permit •LO"I' DIAGKAMea~ *Yes No ~ *If ea, Southold Town P Locate clearly -ir.l 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 indicatle whether interior or corner lo:. 'i , ~ ~ i ' ~ i ~ , STATE OF NEW YOi2K, ~ S' ^ COUNTY OF ~~~2~~ors'.c'..... , b a ng duly sworn, deposes and says that ]te is th ~ i~ ~ ~ ng contract) ei a pplicant (Name of individua ~ nip ~ above named. He is the , .......G~°r?4'~..:4, GF?~1V`~:'~..... , . (Contractor, agent, Corporate officer, etc.) of said owner or ot~~aers, and is duly authorized to perform or liave perfot7ned the said work and to make and file this application; that a)1 statements contained in this application are true to the best of his knowledge and belief; and that tha work will be, performed in the manneP set forth in tha applicatioh filed th6rewith. Sworn to before me this {r : ................4... ::day of ....,191.d ',1~~Iotary Public, ~Y. , . ~L~ K!L..~F~- ,County , NQl'IIRYPUeL~C~Sm~otENewYMk.'~-~ (Signature ofapphc~r)t) `h` a ~ No.470787R SuNOlkCounty ~ ~Ln'~f.~~ TerlnEKpiresMarch 0,19....~~~' ~