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Home My WebLink About18803-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20299 Date OCTOBER 22r 1991 THIS CERTIFIES that the buildin~ Location of Property EQUESTRIAN ROAD House No. County Tax Map No. 1000 Section 9 Subdivision ADDITION FISHERS ISLANDr N.Y. Street Hamlet Block 4 Lot 11.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5~ 1990 pursuant to which Building Permit No. 18803-Z dated FEBRUARY 15r 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 ADDITION TO EXISTING MUSEUM AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED HENRY L. FERGUSON MUSEUM~ INC. N/A N-198129 - JULY 31~ 1991 N/A ~ " Buildin~ Ih~pecto~ J Rev. 1/81 FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN HALL SOUTHOLD, N. Y, BUILDIHG PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18803 Z C~unly Tax Map No. 1000 Section ............... ~ .... Block ............. ....~.,... Lot No ........ ../'.../.~....Z,.. Building Insp~tor. Fee $....,Z'..~~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART}lENT TOUN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ........ NEW CONSTRUCTION ...~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Owners of Froperty ..... . ......... County Tax Hap No. I000 Section ~.. Block Subdivision .... .%~..~ ............... Filed Map Health Dept. Approval Plamning Board Approval ................ .................. Underwriters Approval .............. Request for Temporary Certificate Final Certi£ica£e Fee Submitted: $ .................... FORM NO. 6 TOWN OF SOLrI~/0LD BUILDING DEPARTmeNT TOWN HALL 765- 1802 A~PPLICATION FOR CEKTIFIC~TE OF OCCUP.~CY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. 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 amd sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar· buildings and installations, a certificate of mode compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, 19573 non-conforming uses, or buildings and "pre-existing" land uses: [~ Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ~957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or ocher pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single amd separate ownership of the entire 10t prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor iu writing to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swim~ing Fool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.0~ Commercial 10/14/88 JAMES V. RIGHTER ARCHITECTS 58 Winter Street BOSTON, MASSACHUSETTS 023.08 TO (617) 451-5740 WE ARE SENDING YOU '~.ttached [] Under separate cover via [] Shop drawings [] Copy of letter [] Prints [] Plans [] Samples [] Change order ~ ~ [] Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ~ For approval [] For your use ~ requested [] For review and comment [] FOR BIDS DUE [] Approved as submitted [] Approved as noted [] Returned for corrections [] 19 [] Resubmit [] Submit [] Return copies for approval copies for distribution corrected prints __ [] PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: James Volney Righter a r c h i t e c t s i n c January 23, 1990 Mr. Curtis Horton Building Department Town of Southold Town Hall Southold, New York 11971 Dear Mr. Horton: I hope the new decade is going well for you! I have enclosed a building permit application and a set of drawings for a small addition to the Ferguson Museum on Fishers Island. As you can see on the application I have not completed the portion which indicates the name of the contractor, this is because we just sent the project out to bid. If this is a problem please let me know. I will send the information to you as soon as possible. Thank you for your help. I look forward to hearing from you soon. Very truly yours, Brooke Trivas Jacob D. A I b e r t · J a m e s V, R i g h t e r · B r o o k e S. T r i v a ~ · Cynthia N. W a r d e I 1 58 Winter Street · Boston · Massachusetts · I)2108 · telephone · 617 · 451 · 5740 FOU.~DATIO:; 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENEROY CODE Fi:I AL ADDITIO~A'L COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,$OUTHOLD, N.Y. 11971 TEL.: 765-1802 Exanlincd~./- ............. 19 -~.. D~sapproved a/c ..................................... APPLICATION FOR 5UILDING PE[~MI / BOARD OF HEALTH t./~. ..... 3 SETS OF~PLA~tS .% ........ CHECK .;~/D~/~!~ ............. SEPTIC FORN ............... NOTIFY I CALL .................... blAIL TO: INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building I~spector, witt- sets 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 strc~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. o. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such peru shall be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for a0y purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the BuiIding Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable Laws, Ordinances. Regulations, for the construction of buildings, a~ditions or alterations, or for x:emoval or demolition, as herein describe Th~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectom on premises and in building for necessary inspections. (S~gnature ut apphcant, or name, ifa corporanon) (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ¢ r Nameofownerofpremises tt./-~'~4tMy ~. '~5~.~ ~3~ /~ (as on the tax roll or latest deed) Ir applicant is a corporation, signature of duly authorized officer. '" haze and title of cd;orate ;,mc;r> Builder's License No ........................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location ofland on which proposed work will be done, t[ousc Number Street, Hmnlct CountyTax Map No. 1000 Section O O '7 " ' Block ,~ Lot .... 4././. ...~ Subdivision fl'J/~' .... Eilcd Map No. ,4,/~' Lot (Name) ~ State e ' ' -. x~st ng use and occupancy of premises and [t~tendcd use and occupancy of proposed construction: a, Existing usc and occupancy.../-.....,. ..................................................... · b. Intended ~.~,~'/"/].~ . . . use and occupancy ............. - 3. Nature of work (check which applicable): New Building .......... Addition .. 2< ..... Altcration .......... Repair .............. R~moval .............. Demolition .............. Swimming pool ........... Tennis Court ...... '... Accessory Building .......... Fence ....... Other Work ........... ~C~ Estimated Cost .~'-. ~/~OO Fee (to be paid on filing this application} 5. If dwelling, number of dwellin,~/units . ./~..' .~c... ....... Number of dwelling units on each floor. ~.: .~... ~ ...... If garage, number of cars ../'M :~- .... ' 6. If business, commercial or mixed occupancy, specit,y ns[tire and e~xLent of each type of use . 7. Dimensions of exist ng structures, it' any: Front. ~"~-, .~-'..~...~/~Rear .... .,~rF~ .~-'~..~.... Heieht . . [.~.: .~. ..... Number of Stories .... .~..//.~. ~. ........................................... Dimensions of same structure with alterations or additions: Front .7d. ~ ......... Rear ...,.~.. ~.~. ..... Depth .... ~. ~...~...~. ........ Height .... [.~....~.T, .......... Number of Stories . tO/[/.~ .............. 8. Dimensions ~fentire new construction:,Front .~(Q.. ,~..~. .... Rear . ¢,'~. ~.. ,.~' ..... Depth . ~..~ ..~-..~. .... Height .. ! .~...~'..'[. ..... Number of Stones .... ~.,'~/.~.....: ...................... : ................. 9. Siz:,,oflot: Front .... /.~ ~,' ~ .O~.... ,~.~. Rear .... ~./.4; .~..'..~-.....~./~.. Depth . .~'//~.O... ~ ...... i0. Date of Purchase .... 7.//.Z.J./.Lq .O. ............. Name of Former Owner ....................... 1. Zone or use district in which premises are situated ..................................................... i2. Does proposed Construction violate any zoning law, ordinance or regulation: ....A~'..O. ......................... 13. Will lot be regraded .... v~O. .... Will excess fill be removed from premises: . Yes .... No. 14. Name or Owner of premisesJ~J/'.~.'~, ff. ~.' .~i~b~.~ ~A~' ~eOss~?:°' ... Phone No. Name of Arcbitect-/.~ O/~.~.... ~f~f~.;~,/~.. ....... Address~.~ f~/t~'~. ,~,rY..,4~!~Phone No.F,~'.~.x ,~,~/.-.~. ?.~.~ · Name of Contractor ................. i ........ Address ................... Phone No ...... , ...... i... 15.Is this property located within 100 feet of a tidal wetland? mYES...~NO .... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property ]Jnes. Give street and block number or descr/ption according to deed, and show street names and indicate whether interior or comer lot. STATE OF N'C°00'¥~4~=K, ~ ~ o o COUNTY OF..__~. '~,, [~/~,.?/.~. ...... ............ .~. S'~{~ ................ being duly swo=, deposes =d says that he is tile applicat . (Name of individual s~gning contract) above named. ~ is the .................................................... (Contractor, agent, corporate officer, etc.) or said owner or owners, ~d is duly authorized to perform or bate perfo~ed the said work and to m~e and file th application: that all statements contained in this application are true to the best of bis knowledge and belief;and that tl Work w~l be pertbrmed in the m~ner set forth in the application qled therewith. Sworn to before mc this ........... 1.7. .... ., ' oa .r n? '- ...... '---I ............... ~ ~ffiml~s~on Explto3 ~ * (Signature of applic~ Feb. 22, 199~