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Home My WebLink About18242-z . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20144 Date _ AUGUST 13, 1991 THIS CERTIFIES that the building ADDITION Location of Property PRIVATE ROAD, WEST HARBOR RD. FISHERS ISLAND NY House No. Street Hamlet County Tax Map No. 1000 Section 2 Block 1 Lot 5.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 1989 pursuant to which 'i Building Permit No. 18242-Z dated JUNE 22, 1989 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 ATTACHED PADDLE TENNIS COTTAGE & PERGOLA AD APPLIED FOR The certificate is issued to THOMAS A.ARMSTRONG III & WHITNEY B.ARMSTRONG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-158372 - OCTOBER 31 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 nosaa xo. s TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ ~ 8 ~ 4 ~ Z Dore .....cfi..a:S........., 19..f!..~ /J Permission is hereby granted to: ~ ! %~~^%y~`/7 ....G'..:~::........r~..6....,~~..~..q , to ....~C%GYM..t.~~.:~.ta`.....P.~.......... ..............~..Q!~E~~:ff.......~ ~ . at premises located at .........~r.%~trL~7f/, rt~~....~Q/.`~.~ .t~........ Ali,,rrlL~'~...~„/>'!,~,.,.,.,~,1,...1.r.~ .~.~.....~~ilEi~~/~'f .........4.!l... ..........................................................~.1..!...~~~.............................. County Tox Map No. 1000 Section Block .......[..............,tLot No.....Ut.~. pursuant to application doted ........~l..l..... 1g..~!/„~ond approved by the Building Inspector. v Fee i:••l•.Q~.../.. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART2fENT TOWN HALL ~ ~ ~ SOOTHDLD,-.N.EW ~[ORK ~.,~1=1,971 ~ 1, 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE `D,/? . NEW CONSTRUCTION ....".,,OLD OR PRE-EBISTING BUILDING..._..VACANT LAND........ Location of Property. ~QI?~~`~U/fiD.VVC~~ ~ts~~~xS~~L„¢7~~~..i1/~_ HOUSE NO. STREET HAMLET Ovner or Owners of Property..~~~d'K ,iT'.. ~c~tt~T~t?_!//(C~. _~_~_~1~~~~/~ County Taa Map No. 1000 Section a„ Block ....1,. Lot e~sv Subdivision Filed Map ........Lot.......... Permit No. 1.~~?o~~,~Date of Permit ........,.Applicant .rv:~~J.*~''G/,~1,~'[~r.!~/f~ Health Dept. Approval Underwriters Approval.l.`k~ J 7~ Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: ?~'~~a s~ APPLICANT.......... ~ r..'. ID ~ ~o~~~,~~:~~~ ~Ai ~ f AU6 - 81991 ~1 Q.~c. , Y~~,3 9 4 a.~.. ` 1 rev. 10/14/88 ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1502 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted w 9~~ to the Building Inspec- torwith 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 installa- tions, acertificate 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 px~perty showing all property lines, 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 inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Cwellino $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 0.00 4. Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date...,June,28.,. 1988 NewOonstruction,,,~XOIdorPre-existing Building ..,XX,,,,,,, Vacant Land Location of Pro ert Clay Point Road, Fishers Island, New York P Y House No. Street • ~...~~Ham/et Owner or Owners of Property , . , ,Mr. Whitney B. Armstrong County Tax Map No. 1000 Section .....2 Block 1 Lot..... 5.2....... Subdivision ....Filed Map No. . 7/x%86 Lot No . . Permit No. 15426 , , Date of Permit .9~27~86 ..Applicant ?3,• P. ,Broom. - Housewri' ht Inc. ~ Health Dept. Approval ........................Labor Dept. Approval 'Underwriters Approval , , , , , , , , , , , , , , , , ,planning Board A PProval Request for Temporary Certificate .Final Certificate , , XXX, Fee Submitted $ . , ,75.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant $a1=xy. , Broom,, , r. _v/ Rev. 70-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS Ibat..-~ ,f 713~if)93 BUREAU OF ELECTRICITY - 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date i1C."`I'C)H9~,it ,ile1'~~)kl APPlicotionNo.onfile ~'`~1~t~9~iC1{?~fl ~ ,ryH$?7~ THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant Homed on the above application number in the premises of "rr>pq ~kff;a'~`ac~~rco a;ns`r ~el~l~r h~rvi~`a'~;^ pn, t'~f:>s~r;~s ~ar,xras7r lu.v. in thefollowinq location; ? Basement ~ !st F'l. ? 2nd F'l. Section Block Lot axis exarnireed orz f t7A d''lf 'y j r 1490 ¢rzd found t¢ 6e in ronep/lance with the reyuiremea is v( Lhis Board. FI%TURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS _ OUTLETS INCANDESCENT FLUORESCENT OTHER PMi K W AMT K W.. PMi KW. AMT. K W AML. H p. l3 I ~ j DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AML K. W. OIL H, p. GAS H. P, qMi NO A. W G. AML. AMP AMT, AMPS. TRANS. AMT H p SYSTEMS NO.OF FEET AMT WAIIS i{ SERVICE DISCONNECT NO.OF S E R V 1 C E AMT, AMP. TYPE METER I NO. OF CC. COND A. W G EQUIP. ~ 4W L % 3W ~ $ 3W 3,e' 4W pER B' OF CC. COND NO OF HbLEG OF HI LEG NO OF nEUiRAlS A G OF NEULRAL OTHER APPARATUS: tdt".">C, f7.112TN1, I1V 9'EN~lltl 4IOih;f; r71VGY~-i. - LZ~~~ F7~1~$Yi .a'=RV1c:N: I,'I~`.{#9'3~iti M(~NTA[i(Q A9F:~ N'7 FICtiR~i (tiL~Nf), i~`C, 4; F'~390 GENERAL MANAGER i a. Per_ ~ 1 This certificate must not be altered in any manner; return to the office of }he Board if incorrect. Inspectors may be identifeed by }heir credentials. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE MIJ~T NOT 13E ALTERED IN ANY MANNER. AR/~`~l-"IZO1~~ ~ ~s- Fa~r,/v~L bl":: ~ ~I L. sc~~ ~ = I F"o~ Got~i~k ~~c"~. F\N t~ ch. ~`dIVELTl~71'~~ ~~-F_ OG.'~ft\ L i ~_L i ?3 "X ~}"s ~ c i i .i ~ Ci lnc\S C3w~~< -t i _s ~ ~ ~ a i r 05/19/89 14t 37 'd 203 388 ~4~61~.3.y. BGN ENGINEERS 0f JOB--~'-...1~f~A1Cr BESIER (316BLE NORDEN SHEET NO. OP Contulting Engineers Incorporated 190 Elm Street Post Office Bax $02 CALCIIlATEO BY DATC OLD SAYBROOK, CONNECTICUT 06475 Telephone (203) 388.1224 CHECHEn By GATE bCAlf i y~~ IJ _ 'CIS C '"L 8t•.pG , . ~ z _...u_...._.... ~ T `/3 ~InsT`s L -Con4x~'lG 2 • LNG Lrzb, V~LT'~ U ,P~., y - w Cale e,~,.1~ ~P1;~,`~ .1.9..,. g • . . BOARD OF HEALTH 3 SETS OF PL.1NS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORri TOWN HALL SOUTHOLD, N.Y, 11~J71 NOTIFY - TEL.: 765-1802 CALL Examined `Q„ 191'../ MAIL T0: Approved .d`:.~,, 19P/.~ermit No.. fC C7. O.~ 7~ Disapproved a/c M{~Y _ ~ . BLA O&P7 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .........r'.~1......, 1589. 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. 1 c. The work covered by this application may not be commenced before issuance of Building Permit. R 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 c 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 all applicable laws, ordinances, building code, housing code, an_ d regulations, and to admit authorized inspector on premises and in building for necessary inspections. H P Broom-Housewright, Inc. - (Signature of applicant, or name, if a corporatton) P O Box 176, Hadlyme CT 06349 ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises . , ,Whitney B. Armstrong (as on the tax roll or latest deed) IC ap Ii nt is a cor at' n, signal re of duly authorized officer. President (Nam and title of corporate officer) Builder's License No. 660 Plumber's License No. 2115P Electrician's License No. E 1297 Outer Trade's License No . . 1. Location of land on which proposed work will be done . Private Road, West Ha,rbox Road, ,Fishexs•IsJ.and NX House Number Street Hamlet - S•~ County Tax Map No. 1000 Section ? Block 1 r ~r--C r, Lot r:~:ra-~... , Subdivision Filed Map No. Lot...:.......... (Name) - State existing use and occupancy of premises and intended use and occupancy of proposed`cons[ruction; a. Existing use and occupancy , ,Single, Famj_,ly -13aS,i,d~nce , • b. Intended use and occupancy .Paddle Tennis Cottaqe & Pergola 3. Nature of work check which Re air , , , , , _ • . • • . • R` applicable): New E3uilding X', , , , , Addition .Uteration . P moval Demolition Other 1Vork . 4. Estimated Cost •$55•, 000; 00 (Description) ~ Fee IC 7..Q 5. If dwelling, number of dwelling units (to be paid on filing this application) Number of dwelling units on each floor . If garag~ of cars ...i . r~ " r p~tpancy, s coif' . 6. If busing c ~ p y nature and extent of each ty a of use . 7, Dimensia~n eXsting'struct res; tf any: ProntHcJ.0,0, ; 2 ' P ' H-46' • G-20 Hcigftt H- 7, ! ' G-• $ • • Rcar H;-100 , • G, ;28, Depth •2 . Gn2Q N~}mber of Stories .13PUse-2 Garage• 1 ' ' Dimensions of sdiltc strucl~f~',with alterations or additions: Front ~ ~ • ~ ~ ~ • ' ' ' ' ' ' ' ' ' Depth I .Height . Rear ' 8. Dimensionsl`6'f e' ' ' '2 p''' ' ' ' ' • • • • • • • • • • Number of Stories , , , . ~ ~ ~ • • • • . nitlr.Q;jnety"~rm~tttttctipn: Front . Rear 20 De th 20' ~ . Height . ,1~6 t'Y'kY.e;y:as ~?!"+.i~Idi ber of Stories .l P . 9. Size of lot: Front r.w......, r-A,...-.. . 10. Date of Purchase ,7,2/,„~~. Rear . . Depth . P p Name of Former Owner . $raga . 11. Zone or use district in which remises are situated • 12. Does ro osed construction vi 14 Polatc any zoning law, ordinance or re elation. • ~ ~ ~ ~ • ' ' g l3. Will lot be regraded ' . , I3q , , , , , , , , , , , , , ,',Vill excess till be removed from premises• XIKo°sX No Name of Owner of rcmrses4~I P A.xrgS ~xRn4..... Address ...................Phone No.............. . Name of Architect • Address ' _ Name of CantractorHp$rooni-Housewri •ht In ' ' -Phone No. , , , •g • .cAddress P. Box• ~~'76Iiac11 2035269836 • IS.Is this property looted within •••••Y~o{reTNo *If 300 feet of a tidal wetland? *YES....NO.... yes, Southold Toren Trustees Permit may be required. . PLOT DIAGRAM Locate clearly and distinctly al,l 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 whetheri interior or corner lot. I~ I i I i III . • i STATE OF KEN YORK, COUNTY OF '.S Y Harr P Broom ,Jr, • , , , • , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual si nitg contract) above named. Ile is the , , ~ontractor• & Pr•~si,dent ,of, H ,P, ~x;ggm• IiQUSewriglaty..Iricr, , , , , , , , (Contractor, agent, corporate officer, etc.) ~ ~ • • • • • of said owner or owners, and is dulylauthorizcd to perform or have performed the said work and to make and file this ~PPlication; that all statements contained in this application arc true to the best of Iris knowledge and belief; and that the '•vork will be performed in the manner het forth in the application Gled therewith. >worn to before me thi<_•' • t , . lst ~~day~oJf .'i,...May 19 .89 ~otaryPublic, ,~~~~R~2''F.urLG',/~„_,. a -.z~. County I /........F\1 (Signature of applicant) ARMSTRONG ! / I I / / / / I RESIDENCE / ~ / / / I /'/ ~ / // ~/ // // // ,, // //// //.7/ / I / i i / /// / / I I I i / I / / / / / / / / I /I I / Ii////// // ///// 111}fl/,'' '1//////// / i/ii//I I///////I/// ,,I ,' / / i117. i/ / ////// ,' \\\ / / + 4 +'\ + \ \ \ \ \.\, 'x \ \ X, FisherS ,Island, New York,', / '~ / , / , / ~--~ / t / // / / / / / / ~ /..- / / / / / / / , , X k x .- '"''''"''''''''''"'''''''"'''''' ~%..'x .; k x , ~ ' k % x. X ', I. / / / / / -3 I I I \ I ,, .. \ , ._ / ~/ /.?" __ -.,., ', _ ,: I I / ~- ~-/ , - ...... ~. -.., / . , / J ,,,, ~ -.... / \ \ ii / / / / ', :~., ~,,_, _ ,.'..~"~-~. ~ -, ,'-:'. ---. I .Al_,' x x,, I ",, -.7= ' ~- ..... ---- %. l LA--. - x\ ' " x, , / k -'---..4,, ~.~--,---- -~ >' -- "- "'"- -~ / .--' ---k · -4 ~ ~ ~""~".. N. ~ ~ 1 / \ REPORT' ANY LAYOtJT' DISCREPENCIES' '"" 'FO TBE' ~ANDSCAPE /~-~xx k ~ ~ ~ ~ ~'~ ' ~L -'- I '"'" " '" X "~ ~ ~ ~ ~ '' '~ ~ ~ I ' I,. 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