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Home My WebLink About18657-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20880 Date JULY 21, 1992 THIS CERTIFIES that the Building ADDITION Location of Property EAST END, PRIVATE RD. FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 6 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 31, 1989 pursuant to which Building Permit No. 18657-Z dated NOVEMBER 20, 1989 was issued, and conforms to a.Ll of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ALEXANDER GASTON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. T-001693 - AUG. 21 1991 PLUMBERS CERTIFICATION DATED JUNE 23 1992 - MARIO ZANGHETTI JR. Building Inspec Rev. 1/81 FOSM N0. A TOWN 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) 18G57 ~r N Z Dote .../,1~ , 19G.1~.. Permission is hereby grante to: 7°0,..~ .~~........~.a.. . of premises located a ~ .......................................~~t'l...f'f.~..~~f~-+....rYr.~.~...~i County Tox Map No. 1000 Section .........~Q........ Block ..........f......... Lat No........I~~. pursuant to application dated ....1~. .w?,.rZ 1 and approved by the Building Inspector Fee 5....~~.rfl..:/...Yr1.Y /~7 ilding Inspector Rev. 6/30/80 99 F5° ~ i; , . 4 ~ . 111'~iGM 'NO. ! ~ . . f ,~~j,:; TOWN OF''SOU7HOLD Building Department i i Town Clerka Office , "~~'I~~P~ ~ Southold, N. Y. 11971 },f:.. ~ , ?at~ll~'~, i~~': APPLICATION FOR CERTIFICATE OF OCCUPANCY ,h'„~. Inatruotiona' ,~}i~:;~ .;1::1.1^ , -,~.'t.~~' 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: ` ps.~~sp, ~;~~,i,j...~ L Final survey of property with accurate location of ' all buildings, property lines, streets, and i~+jl~~," ~ i unusual natural or topographic features. `2, Final approval of Health bept. of water supply and sewerage disposal--(S-9 form or equal). i!i~~!e„ 3, Approval of electrical Installation from Boo rd of Fire Underwriters. ~l,~~%;i'" 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and ~~~j"I'; > Installations, a certificate of Code compliance from the Architect or Engineer responsible for I.;,`~..~;~ ~ ,i3,!~, ~ ~ the building. l~~`~`+~~~ ~ 'S. Submit Planning Board approval of completed site plan requirements Where appUcable. s;~;,;~.~t., i.y~~.?, B. For existing buildings (prior to April 1957), Non-conforming ;uses, or buildings and "pre-existing' . land uses: ,';Pf-,;.; ' ~ ),'Accurate survey of property showing all property Imes, streets, buildings and unusual 'natural '1~9"~" or 'topographic features. ;I?.i.tr i.+- ~ 7, Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. a..,.. 3. bate of any housing code or safety inspection of buildings or premises, or other pertinent in- ' .formation required to prepare a certificate. C pees. ate.." ~ 1, Certificate of occupancy $5.00 ~ (~l s;, r,'~~t.~`, ~ . 2.' Certificate of occupancy on pre-existing dwelling or land use $5.00 {l;r.! 3. Copy of certtficate of occupancy $L00 , ' eN i =i bate yWJ1u~. ~'../..1.~...,..u„u,,,o„u.... 1~ ~ 1, i ~ F ~ 1, 1 fi'~~ k':' !.NeW.,Building Addition .....Y......,... Otd or Pre-existing tuilding ....7.»....... Vacant Land I~~'J , il.i! ~~,!!:.1 rlt,,, ~ , ~i - Il~ .7 i, . 4) ~°1~.~ ~ i kr..~.~t.lr[uuT . . u....u.,u....,,...un.- ~1~1 '/Lyo,,t~a4ion Oyf~~Property ~f,'~r~.f...,~~.s~...y..,p~.~~:r;,...~} r~4~f9.C'1.~. ~i ~,~I ~~ii`hi~Fi ~~OWneN Or OWn@rs Of PfOperty u~..~r('~fl.~..'.Y..~,~.'.1,...~~~~~.~.......a.u.n.,u.b..,,uu.ou.a..uu..uoh.ur,.. I 1~, Subdiv~ision ......................................................L4..u..LOt No. ~~:,6...., Block No, .~~~fl...,.. House Na.....,...y~~, fl ~„+~l tlk~~iii~' ° e 'p~ ;.,permit No..~,~.bt~.~.,.., bate Of Permit ~$9....AppUcant, ~P~::4'...~+3,K!?„1.03,~i,S,f,.i.tk~,,,.ct.~~,i,.., ;'.'i ~r ~fA',i7, ~ 1}.y ~ ~ Health bept. Approval Labor Dept. Approval .............:..................1....,..,.~..,... I.r ~,I x ~I t,.,;, ' r,,. / 1- ig 7 , +~,~i,I;'t'Underwriters Approval ~,(~.a.1..i2..1..1 ...................Pianning Board Approval .,1.......,.+,i„ ,i .n ;,.r~°u~,_.~~ ~45rz 1 , '12equest For Temporary Certificate Finat Certificate '~~t~it:.. ~;t f`ee Submitted $ .°~,t~',~..°b g < 1 ~ tiytt~r ~ ~ `Cdnstruiaion on above described building a it meets II appii le c es, and regulations. }'~~~'r,~~ ~ ,II ' ~ ~ t' PQI l ruT .l Applicant Mud I~) . ~ 5wotntt~ before mythic .A nt ~ 1. ` ~~{~i~19+, ~ .auu„,,.,.-day of (s);~tmp a'r seap ~ttw~ydw ~ ,t v ~l ~GolfL-- ;7a0Mda e. se el~~; y Nota public ou ~~~Y,i, ~~xi, ~ ~ry ~ ~ - -Holfiry Aubtie State of New Vork f;l~t ~ ~ ~ No. 4606SSi ' ~~'a ` tl ~ ~ ~ ftf / Ouat(tfsa In Buttolk county i~~; Qtr ~rl~ ~?~V ~ Tsrm Expires l2/91~9~" ~ . . ' TEL. 765-1802 ~~~f~~Cp~ TOWN OF SOUTgOLD ' , • ti, ~t OFFICE OF BUILDING INSPECTOR P.O. BOX 728. • TOWN HALL ' y0''~ SOUTIIOLb, N.Y. 11971 • 1 ~ ~ ~ C E • R T I F I C' 1~ . T I ~ 0 . (J ~ ' ' Date ~o~a3~42 . Buil'~:knq.~Permit'No. Ighu~~'? ~ ~ Owne~cw~u~x/~NcIEA G(-iSToN (Please pr nt)• , PlumlaeY.'M/-lr~to Z/~1rU he T" lpleaser~pr nt) ~ ~ ~ t certify that the solder used in the water supply system j contains less than 2/10 of 18 lead. ' t " ~ ',(plum r's' ignature)' ~ ~ ~i ' Sworli.~to before--me this I - 19`~~. Notary Publi ' Notary; Public,~~'~p1'"" County 1k1l9MAffi F. DONEBTy J'~. N~tAry Public State of New Ya•b • ~ No. 4806559 . _ OUallllsa in Suffolk County - ~ ~-Term Expirss 12+3119~~ ' , I, THE NEW YORK BOARD OF FIRE UNDERWRITERS ` i ft~t)tih6 BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW-YORK 70038 t31)<ati;4~P),"+,1~t1'+ ~i7py~i'i?~f4j4ir ^t= Ui~Ila~}i Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the above application number in the premises of AidS$.l1l~l)h; it <;AS'f`{1A(; k'i~IVR'I'N: li T)„ l'! Ili ~iNS fli C~tli1G?, ltl,Y. fill f> in the follouinp locatipp(~? I~Q~plr~ent ? 7st Fl. ? 2nd Fl. .Section Block Lot uqs examined on arzd fourzd W be in cmnplionn uirh thr requiremeats q~ this lfoard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLET$_ INCANDESCENT FLUORESCENT OTHER PMi K. W. AMi K. W qMT K W AMi K W, AMT, N P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCKi gELI UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. Oll H P GAS H. P AMT. NO. A W. G. AMi AMP qMT AMPS. TRANS. qMT H P, SYSTEMS AMT. WATtS NO. OF FEET SERVICE DISCONNECT NO.DF S E R V 1 C E AMi. AMP. LYPE METER 1 ~6' ]W 1 ,e nW 3 A3W 3.a 4W NO OF CC COND. A W. G. A. W G EQUIP. PER 9 OF GC COND NO Of HI-LEG OF HI LEG NO OF NFUTRAlS OF NEUTRAL I slit CH d i fi i ;L OTNER APPARATUS: *(311~i~ Oiy LY) 'i'hT ill,k d C'E;Pf If'•-1.<", ~3TH_ 'I'~t•~d 14 $ H7 f.l Pnc Sa~rttirfl;a RR•rlrl,,r-sari pu.ly. i. ~r S CUlq'PIIS. '(p!C`. f~fC<$~<t:2~i.N; ~i~~%~ z F',p, f9tiF: '?f1. t'IRKd;kB I:a.t;1~,+, FJY, 461':In I GENERAL MANAGER ,rt f Per ~Y I I This certificate must noT be altered in any mpnner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THtS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r'lELD II:SPEC,iU,~ ~,UATc. ~ COa~thtENTS m 1 . ~ ~~~t - - - ~ FOUt1DATI0N (1st) C FOUNDATIOtJ (2nd) 2 . z~ o P,OUGH FRAME & I PLUMBING _~d~ ti H 3. ~ H IldSULATION PER N. Y. STATE ENERGY CODE a ~ 6 ~y~ FIidAL 4 z ADDITIONAL COMMENTS: { >e a H H O 2 \VU 1 x rn b d m -o H _ looo~~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 September 1 Y ].9$7 Date Application Nu. on file 29771 E,1 THIS CERTIFIES THAT EM only the electricol equipment a¢ deacrihed below and introduc~pead 6y the applicant Homed on the obuve application numher in the premises of AlexandE,x CastoTt,~~~~i°ezsai~~an~ ~au~BtPsI~°~ev ~°ozd,iEla~ella Sea~Dh in thefolfowinq location; ? Hosernent ?{fxt Ff. ? 2nd F7• .Section Bloek Lot una examined on At1f.~UaG 25 l9$7 arzdfound to 6e in conepfiance with the requirements q(t{Lis Board. FIXT ~E FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLE $ ECEPTAClES SWITCHES INCANDESCENT FLUORESCENT A A vnA A AMi K W. AMi K W. AMi K W qMi. K W AMT. H P. l~ 37 20 10 k p ~ DRYERS FURNACE MOTORS FUTUR~E`APPIIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET BEU DIMMERS SYSTEMS AMT.i K. W. Oll H. P GAS N. P. AMi ~ -'ISO A. W G AMT AMP. AMT AMPS TRANS. qMT N P. NO. OF FEET AMi WAILS »CC j SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP, TYPE METER I,b' 2W I ,e' JW 3 9 JW 3,e' 4W NO OF CC COND A W. G. A W. G. A. W G. EQUIP. PER % OF CC COND. NO Of HI{fG Of HbIEG NO.OF NEVTRAlS OF NEUTRAL 1 200 CA i ~ a. 3/0 1 3/0 OTHER APPARA7U5: Panels-1-1.3 Cir 200 Arapa ` 1 GT+CI -fauna Unit 1-b.0 TC«l1 Elec:t •yc goom beat:,I;.~_2-4'..OKW 1-3.OKW Txack lighting 21°-0" G Y,ites Motets- ?-2 I~ Z&S Contracting Incorporated ~ ~%C i~%ec-~t-~ -c~~ P.OaPox lox G~~~ k'ishera Island,NawT York 06390 l~ic~`92/a_S GENERAL MANA~iER ~ ~ 11 l~J t Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors ;inoy be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE,MUST N®T BE ALTERED IN ANY MANNER. BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY • TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORt•f " TOWN HALL SOUTHOLD, N.Y. 11D71 NOTIFY • 7EL.:765-1II02 CALL Examined 19~/. ~i/ MhIL PTO: .\pproved 19~PermitNo.~r/..t?,.~~.1.~ tt !S`' ~j DisapProveda/c U . . . ' RL.UG. OEPT. . . . > s~I~ TOWN OF SbUTHOLO (B ding Inspector) ~~~~-..,.s.,.. APPLICAT N FOR BUILDING PERMIT Date - 19 INSTRUCTIONS a. Tltis application must 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, relationship 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 issued 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. {Signature ot" applicant, or ame, if a corporatron) (Mailing address of applicant) State whether applicant is owne/r, lessee, /agent, azchitec~tJ, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~A'GK (as on the tax roll or latest deed) If applic/aXnt is a corporation~,~sig/nature of duly authlo~riz-ed officer. (Name and title of corporate officer) Builder's License No. .,.~~~~!l02 • • Plumber's License No. .J7.~.`. - Electrician's License No. Other Trades License No. v~3s~:-./`~~•~• • • 1. Location of land on which proposed work will be done. . House Number Street Hamlet County Tax Map No. 1000 Section ..I ~ • • • • • • • • • • • • • Block ....tQ . . . Lot ~~f r.~........ Subdivision Filed Rlap No. Lot . (Name) State existing use and occupancy of prem~ise';s,/`and intended use and occupancy of proposed construction: a. Existing use and occupancy ....-c:~~ . . b. Intended use and occupancy • • • ~._ss~~.~.... _ _ . ,f , _ ~ I. , • ( Addition ...Y.. • • • • .rUtcration ~ 3, Nature of wort. check whichi applicable): New [3uilding ` Repair Removal Demolition Othcc 1Vork . (Description) d. Estimated Cost Fee 'f~j . 5. If dwelling number of dwelli ito be paid on filing this application) li ng units Number of dwelling units on cacti floor , , `l If garage, number of cars I6. 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 Dimensions of same structure ,with alterations or additions: Front Rcar . Hcisht :.....'......,..N~mberofStorics Depth . .~vt;. ; . . IIeight . .Number of Stories . Dimensions of entire new construction: Front ; ' ; Rear : : : Depth ; ' fI Height . Ntjmber of Stories . Size of lot: Front........ Rcar Depth 1 Date of Purchase .........li Name of Farmer Owner I~. Zone or use district in which premises are situated : 1.,. Does proposed construction viblate any zoning law, ordinance or regulation: . n I l~. 1Vi11 lot be re,raded IVill excess till be removed from premises: ,Yes No 1 Name of Owner of premises . i ..................Address ...................Phone No............... . Name of Architect .................Address ...................Phone No............... . Name of Contractor ..................Address . .Phone No. . lIS.Is this property located within~00 feet of a tidal wetland? *YES....NO.~ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from pr~Pperty Lines. Give street and bloc$ number or description according to deed, and show street names and indicate whether in enor or corner lot. I l z , j, j ~ i ii i ST,~TE OF NE\V YORI`, COUNTY OF ~ ~~.5 ~I I (Aa~ vidual signi; ' ' ' ' ' ' • being duly sworn, deposes and says that he is the applicant ~ ig contract) abo~c named. ~ ' lIe i$ the ' ...~i~?e~, . j (Contractor, agent, corporate officer, etcJ of s~id owner or owners, and is duly~j authorized to perform or have performed the said work and to make and file this aPplic:ation: that all statements contaihed in this application arc true to the best of his knowledge and belief; and that the world will be performed in the manner'~c orth in the application filed therewith. awor{n to bcfbr~c this I. ..d of. I~ iota Publ' . r, County ~`„p~ .,~~y°`~~. . j~?idINAS F: g®MHAFY J~t. • . W'otrW I'ubiidsiai~ of New York (Signature of applicant; "Nb, aeoo5s9 II ~,`fjplftljiia in Sunolk CouritY i' 'flrrii Esplros 12191~90~