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Home My WebLink About17459-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18239 Date AUGUST 4 1989 THIS CERTIFIES that the building ADDITION Location of Property RESERVOIR RD. FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 9 Lot 4 Subdivis filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 12, 1988 pursuant to which Building Permit No. 17459-Z dated SEPTEMBER 23, 1988 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 pNE FAMILY DWELLING AS APPLED FOR* The certificate is issued to GEORGE K. CONANT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-064932 - APRIL 5 1989 PLUMBERS CERTIFICATION DATED JULY 17 1989 - Z&S CONTRACTING INC. *NO KITCHEN FACILITIES ALLOWED IN ADDITION. Building Inspector ~` Rev. 1/81 It"O8M NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ 0 0174 5 9 Z Date „!,,~~~..~:..~ ................. 19.(.7..l~ Permission is hereby granted to: /~ „ . ........ ..~......... .. /l .... s. r~*r~r+~~.. P.:~i4Rx.1. J,... ...r'J....d~. /.CIPi........ ct premises I ated at ..... .......~ .. .. ................~eP.:`......................... ..................................................................(.~...Y.....r~.~+........................................................................... County Tax Map No. 1000 Section ..•••!• ................ Block ......~..........~ryyLot No.......~............ pursuant to application dated ..........~~~'..........,~.~......., 19.~l.~' and approved by the Builds ng d~l~Jnspppe++ctgo~r. Fee `~.QC.Q'.../•.....~~ /~ i Building Inspector Rev. 6/30/80 FORM NO. B TOWN OF SOUTHOLD. Building Department Town Hall Southold, N.Y. 11971 765 - 1602 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apDlieation must be filled in typewriter OR ink, and submitted 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, rtreets, 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 inrtalla- lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.5ubmit Planning Board approval of completed site plan requirements where applicable. 8. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exizting" land user: t. Accurate survey of property showing all property lines, streeu, 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: Addi'cions 525. POOLS 525.00 ALTERAT20N 525.00 1. Certificate of occupancy Nev Duelling 525.00, Accessory 510.00 Business 550.00 2. Certificate of occupancy onpre-existing dwelling S 50.00 3. Copyefcertifieateofnecupancy S 5.00, over 5 years 510.00 4.Vacant Land C.O. $ 20.00 5 Jur/Y S.Uodated C.O. $ 50.00 Date.:?r.~....... .~!/......... NewCorstruetion!~,,,OldorPre-existing Building ............ VaeantLand ............. Location of ProPerry. ,~, ,~,~.A 61~ .. ~. ......... ~~~~ 15LIF,N, ~......... ~:'~'!:. Hours No. / ,~,~ Street Ham/et Owner or Owners of Property ...C+Fi~.~.~gr..K :.~N~~ ...... . .......................... . County Tax A1ap No. 1000 Section ...... (........ Block ..... ~ ........ Lot ...... ........ Subdivision.......pQ. D ......................Filed Map N_o.I ... .....Lot No. .. U....... • .. Permit No.Q ~.~~34.'~ Date of Permit .Z~ S~t.~Applicant . v~:~. ~Q~ .~~ i,!N; ~!'~ ; Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval ........................Planning Board Approval ....................:. Request for Temporary Certificate . ,'."~ .................Firal Certifitate . S' .................... Fee Submitted S .. 1':? ....................... Construction on above described building and permit meets all applicable codes and regulations. . APPlicant.~\;J~'~ ................................. n.v. t0.10.7a 6~~. 378 ~:3 Co 2 11;x,39' JAMES V. RIGHTER ARCHITECTS 58 Winter Street BOSTON, MASSACHUSETTS 02108 (617) 451-5740 ro ~IJI'~r~~t/U11 ~~~~~ `~` ^ Approved as submitted ^ Approved as noted ^ Returned for corrections _ WE ARE SENDING YOU Attached ^ Under separate cover vial~.St d V'~(IC~ the following items: ^ Shop drawings Copy of letter ^ Prints ^ Plans ^ Change order ~~ L1=~~1 ~~Q 0~ ~G°t3Q~~~~ l~~°~. ~ ^ Samples ^ DESCRIPTION __/ ~ .- THESE ARE TRANSMITTED as checked below: ^ For approval or ur use s requested ^ For review and comment ^ FOR BIDS DUE ^ Resubmit copies for approval ^ Submitcopies for distribution ^ Return corrected prints 19 ^ PRINTS RETURNED AFTER LOAN TO US COPY TO (/ SIGNED: PRORIICI2162 ~ In<. GMm, Mac RIUI. If B/PCIOSUleB e!! not as nofeO, kindly negfy us df once. James Volney Righter a r c h i t e c t s i ~ c ~,v~"1' ~~oN g yr ~py~ c~- D~'~~~~ 7'OGt1N 4~ ~~~ ~ ~vcrl~ t-U, N. Y. l l q'I ~rv~~T 2 j' , Iq 4~$ ;~r ' dear r ~vL V~~.~tra~S `~ ~ a ~~'~l~~~i~~l Tyr ~DUrric~tt~ ~;?~V" v-~c" (' ~'o f ~G''o rqF? ~ t ~~{rl'°~" 5 U G~ ~-'- t '~ c~ ~ 1 o ~ r p~~'i'~e. we ~e~ (aQ ~~' ~CQ "~ fro cue-2cP a5 -~~ I~JS . W~ w w 11 rew~oV~°_ -k~. (~r'-~-c.lne,v~ -~ro~ -I~- plans ~y way a~ ~~s I~~~-r ;~ o~~er no-~" -~ c~t~ ~r(~.-~ ot~. (a ~ ca us e~0 ~ y a~~'a (I ~ ~~o~.l~n.~ ~ ~racNr'~9s , t~tte w~l( -'~ak~. 5~re 'I'(n a~' ~1 ~ ~e ~~ r ~ ~ (nR K S G r~ w~ ct.¢. i v~ Ce~Z'fYvc.~'t `avl -Fo ronn~O ~,u~-(-~ out' ~ ~a fi~on S . ~ y ~~' ~'b~ ~ v-~, we Gov l~ trl~~'(~- -f~ w~a f~, a ~ (~~pca~ ~~"' ~. ~r-f-~1~2..~ T~I~OrNIn~ ~S~ivq'~'!~-2 .lac ob D. ;~Iber t Cra i g D. Gi h son ~ James V. Rig h t er Lawrence 1~. Thorn 58 Winter Street ~ Boston ~ Massachusetts 02108 - telephone 617 - 451 • 5740 James Volney F~.ighter a r c h i t e c t s r~ i n c ~S' ~ rn~(osecl ,'s a c. ®wt ~Oav~ c:l~a.~~' -fir U ~~, yjQ .?O a~ ~-~Je 5'~ ~'K ear p~la~.a.. •tt. r LonV~°-V'~au~'1 °~^ e~ "f"~urscQac~ `~`~ '~ ._ SF ~ ~ ~~ -f~ s ub N,t~' -}-- .~~ ~r P~2-ayz C ~-~ZC,c.-¢' vs . `~~nak ~ 4~ ~ar ~ldV f° ~R.~ ~ . U 5'-~ `~ ~~'s, Jacob U. A t b c r t Craig U. G i b s o n James V. R i g h ter Lawrence T. Thor n 58 Winter Street Boston ~ Massachusetts 02108 telephone 617 • 451 • 5740 Z & S CONTRACTING, I~VC. 80X 202 ~ FISHERS ISLAND, NEW YORK 06390 _-_ 7~~(~ Waste Water flanagement Suffolk County Health Services Ceunty Center „'. Riverhead, N.Y. 11901 To Whom it may concorn,. We at Z&S Contracting on Fishers'Isla,nd,N.Y., have installed the septic system at the ~; k^ L~o,~rrr~ property according tD all.'Suffolk Count Codos. n Respectfully Submitted ~'~ Thomas J Shillo ,' Pres3.dgnt Z&S Cnntractin.g Inc. TTJS/rz TEL. 765-1802 ~Oc~v~ ~ uur~4~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPEC'T'OR I'.O. BOX 728 TOWN HALL SOUTIIOLI), N.Y: 11971 C E'R T I F I C,A T I O N Dat'e' ~ ~c~l~ Buildirig.~Permit Nom. (~I'7ylS"'I' .~ (pl ase prx.nt) Plunioer /{~//91llCy 7~k~u~j ~~ (pleasenp 'nt) I certify that the solder used in the water supply system conta:.ns less than 2/10 of 1~ lead. STATE .OF NEW YORK) ~~~~•--~•---- COUNTY OF SUFFOLK) aa' (plu er signature) Sworn to before me this 21st day of July , ~• ~/CttdCa 19 89 ---~~,~tary Public ~-.. Notax' Public, Suffolk County p9ARY T3. RANKIEVVNCZ y NOFARY PUNIC, STATE'OF NEW YORK ~. 52.8257950 - SUFFOLK CUURi7~ ' (29MMISSIOM, EXPIRES Y/?o~90 =1cLD It:S:'EC:iU:J ~ ~UATE ~ ` %OMMLNT° 1. ___ H FOUtJDATION (1st) ~ r ~~ FOUNDATIOId (2nd) - ~ l' 2 . G, ~ 0 ROUGH FRAME & ~ .PLUMBING ( ti .3 3. ~,y ~ m IIJSULATIOPI PER N. Y. • • '3 ; ~ STATE ENERGY ~" CODE x ..., a _ 3 FI;JAL --- , ~~` o~ ADDITIONAL COMMENTS: xc •c x ~ ^ ~" x a~ '" cn • r H m o m ^c H '`j: JAMES V. RIGHTER ARCHITECTS 58 Winter Street BOSTON, MASSACHUSETTS 02108 ~~~~~a ors ~r aa~~~o~~p~ ~'~~ (617) 451.5740 TO ~y~~'~V ~,, t..,S.~ ~I, yU~p~ G'/~Il~J~/~ ~I ~',~/~~~/~O/ _„ WE ARE SENDING YOU Attached ^ Under separate cover via(,YS fi'r'/G1r 1' the following items: ^ Shop drawings ^ Prints lens ^ Samples Specifications ~py of letter ^ Change order ~ ~/~_~/C COPIES DATE NO. DESCRIPTION ~ ° (~ n _ rLiL ~ ~ ~}'~ ~ ~r ~Y~ ~ ~ /r THESE ARE TRANSMITTED as checked below I { ^ For approval ^ Approved as submitted ^ Resubmit copies for approve f or your use ^ Approved as noted ^ Submit copies for distribution E- ^ As requested ^ Returned for corrections ^ Return corrected prints j ^ For review and comment ^ w ^ FOR BIDS DUE 19 ^ PRINTS RETURNED AFTER LOAN TO US COPY ' PFOWC1110.1 ~iz,aMm.Mm 41411 SIGNED: 1/ enclosurea are not as noted, kintlly notify us New York State Department of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11794 ~-,~", ~'10'~ V1 Jc~~n~s ~~~~~ ~~~~h~eC ~~ ~ ~~~~ S~~ P~ ~~h, M ~- oa Ib~ Dear m~. ~tio(n~ DATE: Y/~!/O ~[-~'1~`~ ~ I~-~~ -O~~I Thomas C. Jorling -~~ \ m ~ 1 V ~ ~ - ~ ^- ( Commissioner A review has been made of your proposal to: CQh5~~1.IC~k- cJl~tl~ ~(i.tl~~i~ dwQll~rc ~ ~~CK~ Sc~h~~~'~ S~S~-gym ~- wc~~~~cc,~. C15 ~~.r u~-~~~~ 1~~ c~~~~~Q `~/7 8~ 1 occ~~ec9 d~ u~~~~CU~ ~~ ~~ P~~SheYS ~ ~~ -~~ Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the parcel project is: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure greater than 100' in length which was constructed prior to 9/20/77. _ Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. Zt is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please contact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, c- 7~/'/~~~'~~ /, /,~L~. Depu y Regional Permit Administrator ~^- James Volney Righter a r c h i t e c t s i n c ~~t ~-~ // wo o,~ ~o~i ~~~ %6 w7 ~, y1 ~ovt~i o~cr~ 1U. Y, ~P.,~r ~,~" ; ~i~fose~ ~~ avr u~(o/i'c~'~- far *~~ ad~'v'`7~j ~a •fZ~.e- lyo~5e. did Gea~~e. /c. ~*a~r~1` °h ~i~~'"5 ~/9.,~/. we ~~5f ,~wf U~/~ ~,~. ~e~5~~y s~~~,'~ta/s ~~ ~~5o e¢,~~e~. ~e ~~'- ~/5-r~ Sahrr~,~fec0 avr /2ffvr D~ D.~.G, R,b~i~/*t/ ~r yov~'' h°~/'~~. G~ Ga~rve aof 5err~' ~ - but ~v~'/I S~d1 •'f- r,~-~f away e~ yev ~~~ ~/ ~ ~ ~~'~~"2•xo~~: ~~ rife ~~ ?~ ~~'~ ~ ~ ~~~'''I •~a~e -~ q~raul~'no~s 9~'- s~~,~ by d'~ r~r~~•~•ers ~, rt.Gii ~~; ~~ ygv Lilo cy~ ~/ Yv ~~~5 er' ~~D ~PaOi ~fr'~i a~ ~'*~ ~ rr~ ¢r ~1 ~Cac~.e c.~z.P.l . Jac o b D, A l b c r t C r a i q D. G i b s o n James Y. Rig h t e-r •' L a w rye n c 'r. T h o r n 58 Winter Street ~ Boston Massachusetts 02108 telephone ~ 617 451 • 5740 a ~~-~ ~ ~- ~~~~~~~- ` 7 z o ~~ ~~ ,~y~~~~~'~~_ -`~-d- _ t~ ~ - - 9 -t` '- ~_--- T~~ wit ,~"~~ ~` c. ~'~~ ~- ©_ -- ..~ - --- THE NEW YORK BOARD OF FIRE UNDERWRITERS ''~I'_i~ } 1")tj u:y Lv BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Pli`Ot1!_ Oki J9Ei~' q 5?'i'.~4't34f~~` ii t1a`~r~~5t x pp[ication No. on file THIS CERTIFIES THAT only the electrical equipment as described 6etow and introduced 6y the applicant named on the above application number in the premises of CiFi Cl,S'I:r~ GtINf114 Fs Pt~4(f~6i k4 41,151 i1 pIF'#1' ~i'~7)r [-1.*'.ii1~R T;.i (.9f Pd t7y R4, Y. /xz Ft. ^ 2nd F'[, lafi~f .Sertion Block Lot in the fo[lotcing location; ^ Basement r was exarnfned on Ili"ht.. kl l rl ~ 1 ' y>,_~ and found to be in conzp/ianre with the requirenaeatc q(this Board. FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS FI%TURE ECEPTACLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W AMT. N.W. AMr K W AMT K. W. AMT. N P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEGAI REC'PT TIME CLOCKS RELL UNIT HEATERS MULTI.OUTLEi DIMMERS AMt K. W. Oll N. P GAS N P AMi NO. A. W. G AMT, qMP AMi AMPS TRANS. AMT. N P SYSTEMS NO.OF FEET AMi WATfS SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP, TYPE METER EQUIP. i a. 4W I $ OW 3 % JW 3,e' 4W NO Of CC. COND PER % A W G CG COND OF NO. OF N4lEG A W G NO Of NEUTRALS OF N41EG A W G OF NEUTRAL I OTHER APPARATUS: ~ ~ ~ ~ e~ -~~ G!~ ,. M ~, Ck)I91rt`3, II=I;~. ~If..~vz"a e f~iSIIFR ~~;I.t~laf, GENERAL MANAGER t<' 3C1X '<'( I' . U. 1 G {{ t 1 1 1I f.1`! S1)h.I~." P.f ~` y II~:'. :~tl 3I ~ ~ I ` Per .W /"'~t'~ °' This certificate must not be ahered in any manner; return to the office of the Board if incorrect Inspectors may be identified by their creden ials. COPY FOR BUILDING DEPARTMENT. THIS C®PY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I .~~'~ rr ~., t" N r .... I ~. <-, ? ~ ~~i p . ~~'~r •'"'j.F is V ~'~` S ' a • .1 i ~~ 3 :;.: ~~; •3 i. yti.': ~. i ~ . ~~ ~, .f.a !, i, \• '.r!#~t rIG i~t~f .~2~ J `,: 'p,.y<~i~:~~ 'Y: ~' JI t ...!'F ~ ".1 . ~. •Ai~.t~r''g ..w ia~~.;.Y,. ~ S T 4~t .f2'. .er' ,'j~~ ~,, .t`, . r•:N~ 'ZM . •'~~ •~~ ' 1 ~( ,', ,i ` l i ! , I~ ~.~ , r--' . ~ ~'i, , ~~ i f~~i { ~ '~" s'. 5 •t • i .}~ ~ ~/ i ! .yy 1y ~~~~~ t~lG ~ ~ ,i UY~s° 17i°r LI`/ - "u"y••"i"'I ° b(li Gil ° a,arxi!y.li-•c'~ • uUlil)~ • y7799g jj , ~ ~ ~ ...~~ ; iq l~J !i::5~' ~' r' 1~~~'4t~i~i~.1~ ` ~ i r:~YiA~~; i' .. a ~ ;!c; • ~~~ ~~ ~ ~ ; . :;: ~~..}. ~ ~!`~1d ; i :: : x.1.15 : :: ' ~ .: `d L1~ Ni . . . , .... ;... . . . . . ; . . ! I .. , I I! f (,' „( '' ~ i 1 ~~Vi !1~" I .,, ! r v .~ ~ ~ I w ~ ' ~ ~e^/ F1tQX'V~ ~,vEO Y~ ~ '. ~ I~,~ ~ ~ Y~ ' ~ r w ~ ~ ' 1 ;~ b ~.3 ' M N Y ~~~oO f 00•E _ 1 ~~ 1 ~ y {~~( ~ ` r~V F~ ( I ~ ~ ' \` ~ ~~ ~~ , N ~ $~~ 1 1 ~~ 1 N „ ;. 'ts }-- . . (Ro-e~GD\ ; PNCWN[s' . i p e c+c, Ali ,i j ;1 ~'- ~ GWE~u.a Gf ,~ ~^ ., I _ .._ '~ \' ! N~~ „•O ~!~ I~ ~~ ~- ~~ ~w ~ `~ ! 1~ ~!.1 4~ 49 I a la u !fir 1 .i, ~ 9klt 1 .. J-_ U. ) ~ P ~ -~ -- -^~-" ibV'o ..-fir .., ~_ ~~ FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 .~ /n4~ ~l Examined.~•..//•7•.•,19f(!~BP r~~/ Received..........,19... Approved ~,~~~ / • ., 19L70 Permit No.Q ~. !.:/. ~~z' ~~' Disapproved aic ~ ~~i~ ~ t 5 i~~~ (Building Inspector) TOWN OF SU~~ ~ HOLD __ , APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .~pg.ust..1.2,....., 19.88 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witlr 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 azeas, 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 tkre 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 pazt 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, of for removal dr demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .JatR~s.Yp.7.ney. Righz.er•.Ar.chitt.ct~• (Signature of applicant, or name, if a corporation) ,58, Wir}xp,r, ,$p,.,,, ,$osx.an. MB...02.1.08....... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........Architect ............................................................................. Name of owner of premises .,George,.K;,Conant ..................................................... (as on the tax roll or latest deed) , If applicanC is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . 1 ,~~ ............. • . • • • • • • Plumber's License No. .554-P,,,,,,,,,,,,,,,,, Electrician's License No. .9,~4-E, , , , , , , , , , , , ,,, , Other Trade's License No . ..................... 1. Location of land on which proposed work will be done . ............................................... . . ............................. Re.s@1 yP.1r . Road .................Rishera ~ Island.............. House Number Street Hamlet County 'fax Map No, 1000 Section ........ 9 ........ Block .....4 ............ Lot ... 4 .............. . Subdivision ............... .............. Filed Map No. .............. Lot .............. . (Name) '~ 2. State existing use and oceupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S~pgle .) pm,~l,Y. ~.dCa1:}.44. Ko.uS@ .......... . ....................... b.lntended use and occupancy .........same,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, i 3. Nature of work clieck~which a > >li ` ~ ~ ~ ( 11 cable): New Building .......... Addition ... X...... Alteration ......... . Repair .............. Removal .............. Demolition .............. O7ther 1Vark , . , ....... . 4, Estimated Cost , ~ 1401,000...00, ................. . .. . .. Fee ~ O.'`Z~, !/, ./.~.~, ...... (Description) . . (to be paid on Cling this application) 5. If dwelling, number of dwelling units ....... ....... Number of dwelUng 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. Skructures, #f any: Front : ~ 4. , . ... , . , ; .Rear . S ~...... Depth. '' 25 Height .:2S1:;„>;,: .. Number of Stories ...,.?.......,.. ~~~~~ ~~ ~~~~~~~~~~ bhnensions of same`stm'gture withi alterations or additions: Front ....130.. Rear .. l ,~.0, , Depth ....45.1. :. , .... !Height ....2 S ......... . ......Number of Stories . 2 ......... , . 8. Dimensions of eht~ely constmc'tion: Front .. , . , , , . ,_, , Rear .......... .Depth . .Height ...... . ... . ....,Number of Stories.. ~. ~ :....................... , ........... , , ... . 9. =.Si~e, of Iot: Front , ....3D0....:'. , .. Rear .... 3~.6 ..:.......:. . . Depth . ,3,82 ........:: , :. . i0. I)ateofPurchase ...May...1.96$,,,,,,,,,,,,,,,,Name of Former Owner ,William„B,,May,,,Jr. ..,.... 11. Zonearusedistrictinwhichprem5sesaresituated,.JZesid.ential..Agra.cultu.r,al ...................... -12. Does proposed construction violat¢ any zoning law, ordinance or regulation: . ,H4 ......... . .. . . . . . .... . .. . .. . 13. Will lot be regraded ...NP, , , , , ; , , , , , , , , , , , , , . ~yill excess fill be removed from remises: Yes No 14. Name of Owner of premises Geor8e„K: Conant Address ,Fishers. Island, p7~~neNo788'~2~3 ,..... Name ofArcltitect .:lamps„V;~Ri,ghter,,,,,,,Address58,Wintpx,,,,))QSto,tPhone No.(6,1,7)4~1,-$7,4,0, N~neofContractor Z&S,Contrac.tinS .,,,,,,Address Fishers,Island,,,,~~oneNo. ~$$-7857..... ~~ PLOT DIAGRAM Locate clearly and distinctly al! 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 hrdicate whether interior or corner lot, See Attached ~'~ --- ~- ~~ ~~~ ~~ ~~ Fib ~~ STA'CEOF Massach~~etts COUNTY OF Suffolk,,,,,,,, ........ , James..~4~pe.Y..8~gJlter . . . .... . ....... . (Name of individual signing contract) ,b / ~~~ being duly sworn, deposes and says that tie is the applicant a ove named. lleisthe...,Agent.......... w ...................................'...............,......,.,...... ' (Contractor, agent, corporate officer, eta) of said gwner or owners, and is duly authorized to perform or have perfomred the said work and to make and file this application; that aU statements contained in this application era true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn ,to///b'e~fore me this l " /wKl~~.. , . ...day of~.^~~,,~U,57 ... , ....., 19 b~ Notary Public, G~~2~~~..r~~r~!1/.°.'Z.:...... County Suf~~lk ~- ~, (Signature of applicant) f r't ~rr+t~f' .a FYI r'" .~. . '•f i -M I` p ~t ~( < ~ Lj~~ o' ~u n. ~{ d 0~~7 ~~~~ ~,a ~- o ~ ~~ ~~~ aYiTd ai~ .rw ~ '+`~' r ~iVL.I'a°I~~~~~Elp ~e+tSZSilca~~~'a'Y ~+~l~dE~F" ~+i3'fi'YYY~=s".Y~;$Q~~° Yt;1StY~ ' ~! 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