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Home My WebLink About9085-z FOKI~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, FI. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UFlTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N.o 9085 Z Dote ..................... Mai' .......... .1.~. ............. , 19....2.7 Permission is hereby granted to: Z & S Contracting A/C Jos. Rodriquez & Wife Box 202 Fishers Island 06390 Build an addition on existing dwelling Fishers Island pursuant to application dated .........................~.a...r.......8. ................. , 19...~..7., and approved by the Building Inspector. Fee $..1.,~ ....0...0. ........... FORM PlO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southotd, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec* tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusua~ 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, a certificate 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 ! 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .... ~..~. bT.~a.,Vy,.~..,~.,..1.9. ~ ,~.. Addition to New Building ............. ~:~ke~r Pre-existing Building ...~ ........ Vacant Land ............. Location of Property Winthrop. Drive/ Fishers ~sland, .~.e.w..~..o..r]q ................. .....................................Street Ham/et HouseNo. Jansen Noyes, Jr., Trustee u/a datecl Owner or Owners of Property .6./.1./. 7.%,.. f. Fb./.o., ~ .................. County Tax Map No. 1000 Section ., .0.0,9, ~ Q.0 ...... Block .qg,, D.0 ......... Lot.. 0~.4...0 0 ....... Subdivision X ............... F ed Map No .... X. ...... Lot No .... X. ......... .......... Ja~sen~ N'oye~, Jr., Trustee u/a/ PermitNo.9085Z Date of Permit ,3./,.1.4./.7.7.Applicant c~atec~ 6/1/72, f/b/.o .~.L.d.~.e.~. .......... s ..... Health Dept. Approval ....... .~./.A. ............. Labor Dept. Approval ...~/.~ .. 7 .............. Underwriters Approval ~/A .... Planning Board Approval N/.A Request for Temporary Certificate ..................... Final Certificate ........ Fee Submitted $ ~5...0Q ........................ Construction on above described building and perm. it meets all applicable cpdes and regulations. , Applicant ... ~F//~ .......... ,. ·.; ............. ~ .~d ~' J~n~en Noyes, ~r., //l'rustee ~/a oared Rev. 10-10-78 6 ~/72, f/b/o ~il~ed~ Dorothy Noyes BUILDI~IG DEPJd~TI'[ENT TOI';N OF SOUTHOLD, N, Y. HOUoING CODE INSPECTION REPORT Location Winthro~ Drive [n--]-~mer~ & stree~ -- Subdivision ~ ~[ap No. f'ishers Island X Lot(s) X Name of Owner(s) M~ldre_d Dgxothy~Nc~~_Jr., Trustee~) Occuoancy ..... R_~-]_L- ....... - owner Admitted by: ---___ Accompanied by: Key ~vailable__~ __ ~ Suffolk Co. Tax No. 009-09-014 Source of request. Jansen No~ J~. _.~__~Date 2/29/84 ' DWELLING: Type of construction wood framed #stbries 2 Foundation~~ cement Cellar__Partial Crawl space~ Total rooms, 1st. Fi 7 2nd. Fl__~_2 __Srd. FI Bathroom(s)____2 9]oiler room( s Porch, type .... __Deck, type_~Patio, type___ Breezeway. ...... Garage ...... _~Utility room Type Heat oil fired 'Warm Air .Hotwater x Fireplace (s)___1 __No. Exits 3 Airconditioning____ Domestic hotwater___yes .__~___.Type heater tankl_ Other ACCESSORY STRUCTURES: Garage, type const.~___Storage~ type const. Swishing pool Guest~ type const. Other VIOLATIONS: Location Housing Code~ Chapter 52 Descr?~tion --~ __~o rail-cellar step_s_. This includes B.P. 9085Z issued 3/14/77; Art I Sec II t52-27-B Certificate Remarks:__ of Ocqu_p_anc ~~ a~ 18~ 1~84 NO. __Z124_75 .... Inspected by:~Da, te of !nsp. 3/15/84 curtis W. Horfon -Time start_j~k00 end i:3_~_ .-,.,'>, : ',1., : · .' . '' FO~ NO. 1 TOWN OF $OUTliOI.D BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×amined ....... ....... , ,praved .................. ....... ...... , ,d..l. Perm,t .......... Application No ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................... ~¢.h..~.~ .......... 19-7.?- ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 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, and regulations, and to admit outhorized inspectors on premises and in buildings for necessary inspections. ..~/.~:,(~"~'..~..~.~......Z&t,'~ CO~TRA~TI~G. .......... / (Signc~C~re 6T applicant, or name, if a corporation) · Bex...aG3...Pishe.~..Islan6 ,l~, ~.,...0&.~gD ................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... ~enez, a t. · .C on.t,~., aa ~or .................................................................................................................... Nome of owner of premises ....il/!,z,.~...a~d..$1t~..J~se...l~o~l~'lq~a ............................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~.~O.-tt;[ .................................... Plumber's License No..~.6/~I~. ................................... Electrician's License No. .~)~1~..~ .............................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ......... .l~t!;,.l~t~.,~lll~l~,.lj~l.~.l,O~egL ................................................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ....p.~t.~,a~i;~...l....~i~ai.:L~...liw~l].:j. lQ~ ............................................. b. Intended use and occupancy .....l~i~,.:J..Vl~,'t;e....i...~t. iLy..~w~l,l~:J.I~ ............................................................... 3. Nature of work (check ~hich applicable): New Building~· ................. Addition .....~ .......... Alteration ................ Repair .................. Removal .................. Demolitior ..................... Other Work ................................................ .... (Description) 4. Estimated Cost l~Qtl~.~t~...~l~11~. ................... Fee ..... ~.:l.~.~l'l,..d~,l.:14e,~'~ ................................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..~D~I ................... Number of dwelling units on each floor ............................ If garage, number of cars ....................................... : ..................................................................................................... 6. If business, commerciQJ or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ......... ~1~1~...~1~0.],.0.1~1, ................. Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ....~.~.~l,l~..~,..~.~.....l~[t.~. ................... 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ~ ................................................... 13. Will lot be regraded. ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Nome of Owner of premises ~*...~..~}~'.~.~...~.~...~.~.~.},~1~lt~ddress .~',~.~}~l~...~.l~a~.~hone No ....................... Name of Architect ....... ..~..O...~.~ ............................................. Address ................................ Phone No ....................... Name of Contractor ........ ~..&..~.....g..O...~..%...~..~..~,.~....r~ ................ 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 end block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ~ORIg, I.~ {cc ........... ~ ....... ./~~ ........................ being duly sworn, deposes and says that he is the applicon~ '(Name of in~i/viduel s~lning contracf) above named. ~:~ ~,.,,~,~ ~ _ He is the ....... ~~.~ .......................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tk.a~ the work will be performed Jn the manner set foffh in the application filed therewith. Sworn to~efore me this ~ ....... .J. ............. day of~1~ ~'"~~ ............ , 19 ....... ~,~ ~ ~~ ~ ........ .............. ....... co,. ........ ................................ ~ ~ · ~ ~ a ~ / (~atu~ of applicant)