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HomeMy WebLinkAbout11492-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13240 Date March 1 ., 19.8..5 THIS CERTIFIES that the building ...... .N.e.w..D..w.e.l.1. i..n.g ............................ ResevQir Rd. PvL.Rd. Fishers Island -~ Location of Property ~$ b Ho ......................................................... s . Street Hamlet: County Tax Map No. 1000 Section 004 .Block 05 .Lot P/O 004 Subdivision .............................. .-U-4He6 Map No. F.I.D..C.O...Lot No. 12 conforms substantially to the Application for Building Permit heretofore fled in this office dated Nov. 20 19 81. pursuant to which Building Permit No. 11492Z dated ..... .B.e.c.: .... .3 ............. 19...,81 was issued, and conforms to all of the requirements oftheapplicableprovisionsofthelaw. Theoccupancy ~rwhichthiscertificateisissuedis ......... The certificate is issued to NELSON t ROBERT (owner, le~ of the aforesaid building. Suffolk County Department of Health Approval 11- S O - 125 UNDERWRITERS CERTIFICATE NO N 576172 Building Inspector Rev. 1/81 FOEM NO; TOW BUiLDiNG TOWN HALL SOUTHOLD, BUILDING (THI'S PERMIT MUST BE KEPT ON-FHE P~,£~ISI ~ UNT!L COMPLETION OF THE WORK AUTHOR[Z~ED) F~ULL Date Rev. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natura~ 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.C. $5.00 $15.00 Date New Building . .~.-~/~ ...... Old or Pre-existing Building ............ Vacant Land ............. House No. Street ~ ~ Ham/et Owner or Owners of Property ..... ~--h~.. ~..~..'~. ~.. ~ ........................... County Tax Map No. 1000 Section ~.-~.. !.~.. ..... Block ~ ~ Lot ..... /2 ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1.1.~..cl..~, .... Date of Permit I ~.-.~ .~.~. ~.~..Applicant .... ~..U'~....~1...~.~/~ .~. · ....... Health Dept. Approval .... '~ .................. Labor Dept. Approval ........................ Underwriters Approval. ~...'~.. 9. ~.. ............. Planning Board Approval ..... r ................ Request for TemporarV Certificate ..................... Final Certificate ., .~,,~(Z~,c~. ............ Fee Submitted $...~p.%Q ~ ................... Construction on above described building and permit meets all applicable~codes and regulations. ~kg~L~ ,~5-r'/|~j Applicant ..... . .~. ~...~.'..~f'.~.~ ................ ~t~o Rev. 10-10-78 ~ tq~~ iooii~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC. ITy ~ 85 JOHN STREET, NEW YORK, NEW yORK 1OO$1~ N 576[72 THIS CERTIFIES THAT only the e~c tricaJ equipment ~ described below and introduc~ by the appllcat~t ~ed on the above application number in the pren~ises of in the followlng location; ~ Basement ~ 1st Fl. Lot ~.~...~.odo. SepC~ 9, 1982 FIXTURE OUTLETS 28 RECEPTACLES 4i [] 2nd FI. O~SLC]~ Sectiott Block and fouttd to be it~ cotnpliance with the require~ments of this Board. SWITCHES FIXTURES RANGES OVENS DISH EXHAUST FANS FLUORESCENT 3i DRYERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPAEATUS: E R V C E AWO OF H~ LEG NO, O~EUTRAL AWG, OF NEUTRAL 2/0 P~cors~t-~HP J~;lec. Room Heaters;5-1 ~4, Z-.75 i~ Water Heater. Bohr:on 1k~:506 , Fox&~resc6a%t Ave. Fish-SA Isled, N.Y. 06390 / This certificate must not be altered in any manner; return to the office Board if incorrect. by credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF ANY MANNER. FI EL~D IN~?ECTION FOUNDATION (1st) COMMEN'~S ~ FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: HENRY E. RAYNOR..Ir., Chairm~n SAMES WALL BENNETT ORLOWSKI, ~'r, GEORGE RITCHIE LATHAM, Jr, William F. Mullen, Jr. --.O~?S 0 U~{~L D Southold, N.Y. 11971 · TELEPHONE 765-1938 A special meeting was held by the Southold Town Planning Board Friday, October 30, 1981 at Fishers Island. Present were: Chairman Henry E. RAynor, Jr. Member William F. Mullen, Jr. Member Bennett Orlowski, Jr. Member James Wall It was the decision of the board that the Building Inspector the following lots for consideration of building per,its, by" ing inspectors, regarding maps dated October 1981. (Fishers release the build~ Island) Lot 93 Ckocomount Lot #16-12 Lot #15-11 entitled "East Portion" Lot #25-5 !rom information rede board regarding the~e proposed sites, he names of DeBoisl~els?n(/~L~herford, and Bogart should correspond o these application~rd reviewed th~' access to each lot and oted them as-being .rou~h~/l~aded and suitable for emergency equipment. ~ I~ agreement were FI~CO directors, Peter Sang'r, Mr. Dupont, Mr. Stoepher, ~ ~lchard Baker and various citizens from Fishers Island. The maps ~ forwarded to the Planning Board office are to be revised to reflect the corrections and additions on maps dated October 1981. They Will be forthcoming from Chandler, Palmer, and King. Covenants and restrictions are to be forthcoming from FIDCO with regard to properties designated on these maps as u~determined properties of FIDCO. The covenants will restrict any dwelling units on these areas and will run in perpetuity with the property. A resolution is expected by the FIDCO board to this '~-eff~ct tke first week of December. It was the concensus of the Planning Board to have Jack Davis inspect the access to the property of Rose DeMaio, lot #136~ On the ma~ entitled "Cedar Beach Park", and report his findings before the November 9th meeting. HER/sel Henry E. Raynor, J~., Chairman Also discussed was a recommendation for an e~tablishment of a part~' time Building Inspector on Fishers Island ~cause presently all buildings, other than those on the one macadam road on the east end, must apply to the ;ZBA for a 280-A. It would be suggested that the. Building Departmenlt spend several days on Fishers Island to incorpor- ate into their bas~ maps, which are being worked on through this de- partment, those rohdways found suitable so that build%ng permits could be applied f~r directly. Susan E. Ldng, Secretary Southold Town Planning Board'· / pg. (2) Today's Date: Members Absent, if any: Appeal No. c~'~O 0 :' '' ...... P~LSON Agenc~a Item/bIatter of: Type of Variance or Appeal: '~CC THURSDAY~, NOVEMBER 5, - 280a Resol'ution made by: · Seconded by: 1981 Action: ( ) Approve as applied for ( ) Deny as applied for ( ) Deny ( ) Deny without prejudice ( ) Withdrawn without Prejudice ( ) GCharles ~erae r~goms ~o~-ey?ug~.ass ^ Gerard ose . ( ) (' V) ) .( ) .. ( ~ Approve with the following conditions: ( ) Subiect to D.E.C. radiations ( ) Other: Findings of the Board are as follows: OtbE Not Within the Character of the Neighborhood ( ) Granting the Relief Requested is wi%h Variance is Substantial in Relation to Code spif~it of the zoning code Not .in, h ~a~..,.o. ny .with purposes of the Code ( ) Relief is not substantial Hardship not sufiicient ( ) Burden of hardship or difficult~ shox Circumstances are. Not Unique ' ( ) Circumstances are unique Will set a precedent in the neighborhood ( ) Variance will not change character Area is already very congested the Deighborhood Interests of justice served by denying .( ) Interests o£ Justice served by granL; ( ) Othez; for Special Exceptions of the Board : Ayes: ( )~CG (/SD" ( R~D )~)~ ( )'~JS Nay: ( ) ( ) ( ) ( ) ( ) Abstain: ( ) ( ) ( ) ( ) ( ) Absent: ( ) . ( ) ( ) ( ) ( ) Vote Notes: To Choc° c,'l ~0 om i-o_ r~O FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOt.D, N.Y. 11971 TEL,: 765-1802 (Buiming ,nspector) INSTRUCTIONS Application No..~.(.~..~.~.. ...... a. This application must be completely filled in by typewriter or in ink and submitted ip. triplicate to thc Buildi Inspector. with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plet plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~ et areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc.'al of this apphcation, thc Building Inspector will issue a Building Permit to the applicant. Such pern q~all be kept on the premises available for inspection tl,roughout tile work. c. No buikling shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall !,ave been granted by the Buikling Inspector. APPLIC,VFION 1S ItEP, EBY MADE to the Building Department for the issuance ora BuildiugPermit pursuant to t Building Zone Ordinance of thc Town ;of Southold, Suffolk Connty, New York, and other applicable Laws, Ordinances Regulations, fro' the construction o£ buik!iugs, additions or alterations, or fer removal or demolition, as herein describe The applicant agrees to comply with all appticable laws, ordinances, building code, housing code, and regulations, and :~dmit authorized inspectors on premises and in buiid, ings for necessary inspections. (Signatnre of applicant, or name, if a corporation) . (Mailing address of applicant) State whether applicant is owner, Icssec, agent, architect, engineer, general contractor, electrician, plumber or build (as on thc tax roll or latest deed) If applicant is a corpon~tlon, signature of duly authorized officer. (Name and title of co, pm'ate officer) Builder's License No..' ..... ff' ' 'x ............. Plumber's License No. X'..J.~2. ~ ~ Electrician's License No~..~....~... ~ - --~. O,,er r,de's ce,,so No ...................... i'.Y.e ' Location of land on which proposed work will be done ....... ¢F_4/ ............... ....... ........... ..................... House Nmnber Street Hamlet County Tax Mai2 No. i000 Section Block \ ............................. "~ ....... Lot ................. Subdivision ................................. Filed Map ,No ........... Lot .... :-. ..... (Name) State existing use and occupancy of premises and intended usc and occupancy of proposed constrnction: ,/-~ __ ......... ~. ~. .P_-,,,. . . ~.4?,.//JO././.l/. .'. ~.. ~.F.c! ¢.?r~ .l:,.,~, ..................... Existing use and occupancy Ix. II/ b, Intended use and occupancy .................................................................. Repair Removal D~m~oliuon i Other Work. /K~. %' (Description) (to ~e paid on filing this application) ;. If dwelling, munber or dwelling units ............... Number of dwelling uldts on each floor .............. If garage number of ears ~ ' ,. If business, commercial or mixed occupancy, specify ~atnre and extent of each lype of nsc .... ~. ............... ,' Dimensions of existing structures, if any: Front .... ~' Rear ..... :.: ~. . ..... Depth ......... - lleigbt ~ Number of Stories Dimensions of same structure with alterations or additions: Front , .~. ............. Rear . ...~ ...... Depth ............ ~... [ .... Iteight ......... ~ ........... Number ~of Stories ..... ~ ....... L Dimensions of entire new constrnction: Front,. ~ ......... Rear ..... ~.~. ..... Depth ...~J,. Height .... ~ ~ ....... Number of Stories .... ~ .................... ~ ................... ,~.. >, s~e or~ot. Font ...a,. ~..~.:.,, ........ ~ear ...... /&~. .......... . mpt~ ~.L~.~.~. ). Date6fPurchase .~ l~l~/. ............... .Name°fF°nnerOwner. ......~/~C~C .... , ....i.. i. Zone or use district in which premises are situated ...... ........... i .. ' 1. D,oes proposed construction violat~ any zoning law, ordinance' or regulation: . .i~.~ ~ ...................... ~.x~ iu ~ot be r~g~aa,a ...... ~ ................ win cx,~ess fill be rmo?~d from premises: Yes Name of Contractor ~. ~.~/~¢ ....... Address . W~~ .. Phone No ..... ; .......... PLOT DIAGRAM Locate clearly ~d distinctly all buildings, Whether existing or proposed, and(ineicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and si}ow street names and indicate wh,ther terior or corner lot. ' ' I'ATE OF NF~ORK, .Z ' - - being duly sworn, d~poses and says that he is the applicant is the ..................... ~t4.e~q.-g-Ak~ ........................ i .............................. (Contractor, agent, corporale officer, et~c.) said owner or owners, and is duly authorized to perform or have performed th~ said work and to makd and file this )plication; flint all statements contained in this application are true to the best of:l s knowledge and belief; and that the ork will be performed in the rammer set forth h~ the application filed therewith. ,yom to before nip this ~ ' ~ARY PUBLIC, ~ate/of, Now..Y~k ~ ..... ~ ' ~, $~-81~SSO, s~ffo~k oo~ty~ ' .... ~J ........... [ ....