HomeMy WebLinkAbout10857-zFORM NO. 4
TO%~N OF EOUTt{OLD
BUILDING DEPARTMENT
Office of the Buildmng Inspector
Town Hall
Southold, N,Y.
CERTIFICATE OF OCCUPANCY
No Z-20692
Date APRIL 30, 1992
THIS CERTIFIES that the building_
Location of Property GREENWOOD AVENUE
House No.
County Tax Map No. 1000 Section 12
Subdivision
Block 1
Filed Map No.
ADDITION &ALTEtUtTION
FISHERS ISLAND~ N.Y.
Street Hamlet
Lot 13.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 25, 1980 pursuant to which
Building Permit No. 10857-Z dated SEPTEMBER 12, 1980
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 DECK ADDITION AS PER ZBA ~2718 & ALTERATION TO EXISTING ONE
FAMILY DWELLING.
The certificate is issued to
WILLIAM GILMAN
(owner)
of the aforesaid buildmng.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
· Building ~n~ector' ' '--
No. 10s57 7
PermisSion is hereby gra6ted to:
BUILDING ,DgPAR,'rM!~N'
SOUTHO~D, N~ ??
BUILDIHO~ P,E~i~ ~:
,
(THIS PERMIT MUST BE KEPT ON THE P~,S
COMPL~IdN OF THE WORK AUTHORIZED)f
D~e~ ~
at'premises located at
UNTIL EULL
County Tax Map No. 1000 Sect,on ....O~...J.....~;.....? Bilk ~..:..., ............. ~Lot N° .......... ~ .......
Building Inspector. ~ ~
/~
~o~ $.....~ ...............
R~v.; ~/$0/80
FIELD IN~PECTION DATE COMMENTS
--
FOU~DATION ( ~ st)
FOUNDATION (2nd)
ROUGH ~ &
PLYING
INS~A~IO~ P~ N.Y.
STATE EN~GY
CODE
FINAL
ROBERTS ~¢ ROBERTS
April 28, 1992
Southhold Building Department
Town of Southhold
Town Hall
Southhold, New York 11971
Re: Greenwood Avenue
Fishers Island, New York
Attention: Kurt Houton
Enclosed are two checks for $25.00 and $100.00 respectively,
covering my temporary certificate of occupancy in the above
premises. I am not sure what the fee is, so please cash the one
in the proper amount and return the other to me in the self
addressed envelope I have enclosed.
Please fax me the temporary certificate of occupancy immediately
at (212) 274-0109.
Thank you for your cooperation.
Very truly yours,
FO~ NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
F,le No ................................................................. Dote ......................... 19. .
........... d.~.L~.~>..!.~ ........ ..(.~v.., .......... .o...~..~! ~
PLEASE TAKE NOTICE that your application dated ..................... [.ff...~..~(.... ~'~, 197....0...
for permit to construct ...... .J.~....~..C...~. ................ at the premises located at ....................................
~;'~[, ~ I~ I4/OU.~., .~..0 I~ br Street EI -~/~ ~ )'~ ~ '-~('
................................................................... ~_oJ.l~-~J ~ I~
Mop .................................... Block .......................................... Lot ................................................ is
returned herewith and disapproved on the following grounds ~ I~ .~U ~-J~l~ F_. N T T~ ~
.......... :..9,..9.:.Z/. ......................
Building Inspector
FOBM NO. 3
TOWN OF SOUTHOLD
BUILDII~G DEPARTME~4T
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAI~PROVAI.
............. ~.~.~.~..~.~.~.~.., ....... ~z, .......... ~d.9.~ ~
PLEASE TAKE NOTICE that your application dated
for permit to construct ~-~ at the premises located at
....................................... ~ ....................... Street
Map ................................... Block .......................................... Lot ................................................ is
returned herewith and disapproved on the following grounds ...... ~,~..~.~.~..~.,[.~.~..~] ......... .~(..~..,.IS
.: ~.~¢~ .............. ~;~z~ ............... ~.~t:z.....~ .............. ~.?.:,Z~ ......................
/o~ -/2. - /- t3. /
Building Inspector
Wilfred G & Kristine B. Gilman
22 Scotland Avenue
Madison, CT 06443
--.'Tel: (203)- 245-2966
May 13, 1980
Mr. George Fisher
Building Department
Town Hall
P.O. Box 728
Southold, NY 11971
Subject:
Applications for building and Fence
Permits. Lot 12, Greenwood Road
Fishers Island, NY dated 5/13/80.
Dear Mr. Fisher:
My wife, Kristine, and I would like to erect a 6' high
stockade fence along our Northeast boundry llne. As you
suggested, we have enclosed a drawing which shows you
exactly where we would like to erect the fence.
Please let us know what must be done to obtain fence
permit approval.
As a separate issue, we have also enclosed a copy of our
survey showing where we would like to build a deck which
would look out onto Silver Eel Cove.
Thank you for your help in this matter.
Sincerely, ~
Kristine B & Wilfred G. Gilman
22 Scotland Avenue
Madison, CT 06443
WGG/cw
Enclosure
Home Tel - (203) 245-2966
Bus. Tel - (203) .634 - 1155
,a. o3 - ~.,t ~' -,,).q L./. H, ,,
2.c)3.Ll, u(-! I;% w
La, m
~r~,,,~d ~eck +
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-1803
Approved~ /~. , 190~' Permit No /t~ O~7'-~
Disappr0ved a/c ......... ~,~ .........
/~' ~C Date.~f*X ............ 19 ~
~'~ 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 prope~y 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 Pe~it.
d. Upon approv~ of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such pemit
sh~l be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pa~ for any purpose whatever until a Certificate of Occupancy
shill have been granted by the Building Inspector.
~PLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pemxit pursuant to the
Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances or
Re~lations, for the construction of bnild~gs, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable ~ws, ordinances, building code, housing code, and regulations, ~d to
admit authorized inspectors on premises and in buildings for necessa~ inspections. ~ '
(Signature of applicant, or name, if a corporation)
;,x S~& .0v~-...~.0~k v.~.> .~}~: .9~.~t~.'~ ......
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.... 0.~.~¢.-. .................................................................................
~ O,¢-- ' '~ .~. /~,~..~.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
'(Name and title of co, orate off~
Builder's License No, .[~..~..~5~ '
Plumber's License No ............... ~ ......
Other Trade's License No .....................
1. Location of land on which proposed work will be done ..................................................
.... ~, ............ ~.~,..~..-.~3....~.'~..~-~:.~...~,;.X.~ ~.~.,..&..~.,,,.,.~.o..,:.~ .............
House Number Street Hamlet
County Tax Map No. 1000 Section O I?-_ ~ OO Block .O. 1: .O.O. ........... Lot'..~. ):7.O..~.:..OQ.O....
d Map N ' ~ L
Subdivision ..................................... File o ........ - ....... ot .....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of pr0posed const;u'ction:
a. Existing use and occupancy
b. Intended use and occupancy
Repair .............. Removal' .............. Demolition .............. Other Work ...............
. q~ I ~t, (Description)
4. Estimated Cost.. . ° ........ .'. ...................... Fee./. ...............................
~ (to be paid on filing this application)
5. If dwelling, number of dwelling units .. [ Number of dwelling units on each floor "--" .
If garage, number of cars ...-~... '. ............................................... )G,Y~ .............
6. If business, commercial or mixed o~cupancy, specify nature and extent of each type of use ..... ,..,/. ............
..... ' " ~0'"' " 0'" '~ ' ~
'7. Dnnenslons of existing structures, ff any: Front...~. ......... Rear ,~Of. .......... Depth../~.. 4'~i ......
............. ' .................. .... ' ............. ............
· '.' ..... . ............. . '' , '*~'~,' ........ , . ....... ?..*?? .....
:~8, Dlmensmns of.entire new construction: Front · . .~.o. ......... Rear . ~'~ .O ........ Depth .,~1, ./**O. ........
10. . F'o' d6w~e;',i ii'. i.. i. i ....
11. Zone or use district in which premises are situated..~..~..t .~..t~.. ~..~..O~.b~..*.~..~.~q?~ ............ ~ ........ .... , .~
12. Does proposed construction violat~ any zoning law, ordinance or regulation:~ .~.~.c.~.".~..~-~..~. '. V.~¥U.~Y.~., ./1~1.~. !.ti ~IH
13. Will lot be regraded .~. ...... ~ ................. Will exces,s~fill be removed from premises: Yes
14. Name of 'Owner of premises~*i .1~ ~ .~.~. ! .~.~.t..~.;[ .t~. Address~O ~q~.!~..~,/O, V%r... Phone N~I~3 .~7Y.~.5 ~.
Nmne of Architect ........... i ............... A~ddress .t~...~. ~.~. ~. ~.~..[~..'. ...... Phone No.~.~.3 F.~.~.~. y.l.l~.-.~..~.
Nmne 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 n~mber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATL OF lxY2,. ..... ~. --
COUNTY OF .Zi(.g'· ·W. .~.~.~.e~.t'/... S.S f14,4'g>, ,r0/,3
(Name of individual signing contract)
above named.
~i~the .... ~ .o. ~.W,,~ ....... . ...................................................................
(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 that the
work will be perforrg~ e~t~lh the manner set forth in the application filed therewith.
Sworn to before me this
............. ....... ...... ·
Notary Public,..~(ff, ~z~,~