The URL can be used to link to this page

Home My WebLink About7198-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19196 Date JULY (, 1990 THIS CERTIFIES that the building. Location of Property CENTRAL AVENUE House No. County Tax Map No. 1000 Section 10 Subdivision ACCESSORY FISHERS ISLAND~ N.Y. Street Hamlet Block 1 Lot 8.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVE~BER 21, 1973 pursuant to which Building Permit No. 7198-Z dated APRIL 22~ i974 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 ACCESSORY UTILITY & TOILET BUILDING The certificate is issued to GOOSE ISLAND CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-823435 - JULY 29~ 1987 Building Inspector Rev. 1/81 FORM NO, :B TOWN OF ~OUTHOLD BUILDIN~ DEFARTMENT TOWN ~ERK'S ~ ~T~LD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 7198 Z Permission is hereby granted to: ........... F.~the~l-..i;t~a~d .............. : .................... at premises located at ...~..~t,F~3,.,&t~ .................................................................................... ............................................ ~.:t~ezs..~z3~ad.i .....ll.,~ .......................... , ...................................... pursuant to application dated ................... J~.,....~T~I~ ............... , 19~.,~..., and approved by the Building Inspector. Fee $..~IQ,~G ......... Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 fmrm). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from~architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd unusual natural or topographic features. '~ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ./ Date .... ~..~.~....~..~.~.~ ........... New Construction .... ~. ..... Old Or~Pre-ex~sting~~ ~_ ~Building ................. ~ ~- .'. '''. House No. Street Hamlet Onwer or Owners of County Tax Map No 1000, Section...~.~. ...... Block ........ / ....... Lot ....... .--~..f"~..' .... Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~./.~t~... Da~ Permit..~.'~.~..~-Z~. Applicant ~~~/~O ~'~~~~ .... Health Dept. Approval .......................... Underwriters Approval~.~Y~.%~.~.~'''[.... Planning Board mpproval,~.~j.~.~ Request for: .Temp°rary Certificate ........... Final Certicate.. Approved ........................................ , APPLICATION FOR BUILDING PERMIT Date ..................... 114~I~Bi~.~.~, 19...~..~ .... INSTRUCTIONS a. This application must be completely filled in by typewriter o~. in ink and submitted in triplicate to the Building Inspector, with 3 sete of plans, accurate plot plan to scale. Fee according to schedule. b. Plotplan sho~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets oz areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 iss;,;ance 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, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. "' ......... (AdcTr~ss ~State whether aPPlicanf is owner, lessee; agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..i.~l;~j~j..~j~l~ ................................................................................................................ If applicant is a corporate, signature .of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... I. Location of land on which proposed work will be done. Map No.: .............. ~ ............... ~... Lot No. "'31~t ............. Street and NUmber "~'~"~11~I:~'~'"/~1~ ........ ~I~z~t'~'"~:~']:I~KI'"-.~.~.~.~. ...................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy '~¢~z"r~'"81;~t;ol~'"~;l~:"~;L~"J~l:lrl~"~"~t.lllz'~llL~l;:~ .................... b. Intended use and occupancy .3... Nature of work (check which applicable): New Building ..... ~3~ ....... Addition .................. Alteration ................ ~ Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) Estimated Cost ............................................................ Fee ..... ~ ......................................................................... t~obe paid on filing this application) If dwelling, number of dwelling units ...~gl~ .............. Number of 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 ...~i~.dl, e~r~ ..... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height Number of Stories Dimensions of same structure with alterations or additions: Front .................................... Rea~ ............................ Depth ................................ Height ............................ Number of Stories ................................ Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ~- / ........................................................ Rear .......................................... Depth ...../, ......................... 10. Date of Purchase ........................................................ Name of Former Owner ' I, ~ , · 11. Zone or use district in which premises are situated .....~.~.~....3-~.~,t,..~l~l~t~.~l~ ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ........................................... 13. Will lot be regraded ...../~g ................ Will excess fill be removed from premises: ( ) Yes ( ~ No 14. Name of Owner of premises -'~!111~..~ .................. Address ........ ~l~lll~e~..~,ll Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and 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 indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ...Jll~J~l~l.1~ ........... ......................... Jl~l~ll~J'...,J~l~...'....~ .......... ~ .................. being duly sworn, deposes and says that he is the applicam' (Name of individual slgn~ng contract) · above named. He,is the - O'~2eF - '~b~tldeF (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~4authorized to' perform or have performed the sold work and to make and file this application; that all statements ~ontained in this application are true to the best of his knowledge and belief'; and thar the work will be performed in the mcinne~ ~et forth in the application filed therewith. Sworn to before me this ............... ~,~.... day of ................ ~..~.~.~. ........ , 19..~..~.. Notary Public, . ................................................... County ....... ~ ........................................ (Signature of applicant) ooo9~3 THE NEW YORK BOARD OF FIRE UNDERWRITERS ll~ - "UREAU OF E'ECTRICITV i IF ~ . . 85 JOHN STREET'. NEW YORK, NEW YORK 10038 Illi~ ouiy 29, 1987 490774/t7 _ ~,~ I THIS CE~IFIES THAT ~[~ ~yt~t~u~ment~ri~wa~int~byt~ant~ont~a~ap~t,~n.m~r~nt~p~mmso~ '-lin ' illS°undeide ~st'' c~escent Avenue' Fis~- Island' n N'~' I -- ' T FIXTURES RANGES C~KING ~KS OVENS ~SH WASHERS ~HAUST FANS { I~ DRYERS I ~RNAC, ~TORS ] ~,U. ~AN~, N,~. ~S~AL R~',Tt TIME CL~KS [ .K ~ M~TI-OUT ~ Per ~ COPY F~ BUILDING DEPARTMEHT. ~IS COPY OF CERTIFICATE ~ST NOT BE ALTERED IN AHY ~NNER. -- f