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Home My WebLink About16735-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17836 Date MARCH 13~ 1989 THIS CERTIFIES that the building Location of Property T-2 WINTHROP DRIVE House No. Street County T~x Map No. 1000 Section 009 Block 10 Subdivision Filed Map No. ALTERATION FISHERS ISLAND Hamlet Lot i0 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 1, 1988 pursuant to which Building Permit No. 16735Z dated FEB. 11~ 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 INSTALL ROOF WINDOW AS APPLIED FOR. The certificate is issued to THE FISHERS ISLAND U.F.S.D.#4 (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFJtLTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A .... B~ilding Inspect-or Rev. 1/81 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 16735 z Permission is hereby granted to: .,~ ~ .~ x'~ __ \ ~-_~.~.......~...~......(.:.~fl.......~.~.~.......h/~~-~,~ .~..~,,~ ................................................... ...~~...~.?~.,~..~...~.,, , ............ ,o .......................... County Tax Map No. 1000 Section ......~...~..~... ....... Block ........ ./.~.. ....... Lot No .......... ,/,...~... ....... pursuant to application dated ....... ~...~.. .................................. , 19..~....~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. ]'his application must be filled in typewriter OR ink, and submitted ... ~ 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 Cede 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" [and uses: I. Accurate survey of property showing all property lines, streets, 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: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling~$25.00, Accessory~,~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date..f~-~t~t~..l v..~.~.~.c[... NewC°nstructi°n ...... OIdorPre-existingB.uildng ..~ ........ Vacant Land ............. Location of Proj3erty ...... House No. ' Street Ham/et County Tax Map No. 1000 Section .... .~).Q ..... Block . . .IQ 10 ........... Lot ........... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ kabor Dept. Approval. ...................... . Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .O~.. ................... . Fee Submitted $. ~ . 2~).~OO building a__nd permit ~s all appl~able co/~s and regulations. Construction on above described S~TATE OF NEW YORK) COUNTY OF SUFFOLK) ' //~ I, ...~./ c/}MMISSION EXPIRES FIELD I~SP]~CTION 1. FOUNDATION FOUNDATION ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS (1st) (2nd) BLDG, DEPT. TOWN OF SOU'IlqOLD 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~././ .......... , 19 .~..~ Approved ~./·/ .......... 19~..ff. Permit No./~..7.~'..~.. ? Disapproved a/c ..................................... (Bffilding ~:4spector) · BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: BUiLDiNGPERMIT ~'~' ......... : - APPLICATION FOR INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 the applicant. Such permit shall be kept on the premises available for inspection throughout the work. '~ ~. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shal~ hgve 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 co/4e~ regulations, and to admit authorized inspectors on premises and in building for necessary inspections, f'~,~/////. (Signature o[~pplicant, or name/if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... Name of owner of premises .. ~./:Sh~'S ~-~ ./L~?!.¢.. 0. ~ ~..q~ ........................................... (as on the tax roll or latest deed) If applicant i~ a corp~ratio~ature of duly ~uthorized officer. ......... ........ (Name and title o[ coppora~e of~cer) . ALL CO~TRACTOR ~ S Builder's License No .......................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... i. Location of land on which proposed work will be done .................................................. - 15. ...................... .. ............ 56: J. .............. House Number Stredt Hamlet County Tax Map No. 1000 Section .... O.~..~ .......... Block .... ~ ........... Lot .... .~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...-~./.~'x.~l~-... 4 .M.~. t [t~?} ................... . .......................... b. Inten&''~ -se and occupancy .......... ~3FA Pa-q~ ................................................... 3. Nature of work (check which applicable): New Building ' Addition . ~ ....... Alteration .; ...... R}P~i~r ~'' Y~r-~'(~,o '"~0 ..... ,haa~)l~em°val .............. Demolition ........... :... Other Work ............... (Descriplion) 4. Estimated Cost .~. ~O.0 ....... .................. Fee ...... ~.O. (to be Ipald on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor... 1~.-7 ......... If garage, number of cars ..... gJ/,,q ................................... i. · · i ........................ 6. If business, commercial or mixed dccupancy, specify nature and extent of each type of use .. J.J.f~ ............ 7. Dmaenmons of ex~sting structures, ff any: Front ...... '~.1 ...... Rear . .~...! ....... Depl~h ...,¢g ......... i , Height .... '.. hO ...... Number of Stories ...... ,~ ................................................. Dimenlions of same structure with alterations or additions: Front .. &~.m~- .......... Rear .................. Depth ...................... Height ......... , ............. Number ol Stories ...................... Dimensions of entire new construction: Front ...,t2/q .... . ..... Rear ..... i ....... Depth ............... Height ............... Number of Stories ................. 9. Size of lot: Front .... ,U./,~, .............. Rear ...................... Depth ...................... i0. Date of Purchase ....... ].c)~ ................. Name of Former Owner i ................. 11. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.O ........................... 13. Will lot be regraded ....... XJO .................. Will excess fill be rerooved from pr~,ises: Yes X' No 14. Name of Owner of premises 2q~lu~. ~J~..~'.~0~J Address c~y~k~e~.. ,4/.~T'~s &)~one~o. g].6: '7r~g. 7¢H.q.. ~ . Phone No. Name of Architect ........................... Address ............ ~' 'i .................. Name of Contractor ...................... .... Address .... : .......... i ....Phone No ................ ].5. Is this property located within 300 feet of a tidal wetland? *Y~s ..... No ~(... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. inJdicate all set-back dimensions from property lines. Give street and block number or description adcording to deed, and sh.9.w street names and indicate whether interior or corner lot. ' ~;}D/~/~' BUILDING ',~8~1~02 9 ANI TO 4 PM ir'Off FOi~OWtNG INS~ONS: ~UNDA~ON '~O REQ~D ~ED CONCRETE ~UGH FRAMING ~ ~U~ING tNS~TIOH {'Co( 'USE IS UNLAWFUL WITHOUT CERTIFICATE ~O ~ is the '. (Name of individdal signing contract) above named. ....... ............................................................................. He is the (Contractor, agent, corporate officer, etc.~ of said owner or owners, ~d is duly autho~zed to perform or have perfomed the 8eld work and to m~e and file this application; that ali statements contained ~ this application are true to the best of hi~ ~owledge and belief; and that the work will be perfo~ed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ~d ........ ............ o'f.:.. ....... i, Nota~ Public, . ........ ~..~.. ~q~ ~k Cou~y u~ 8. PA~gl[W[~ ........................ NIIIAR~ PUBH0, SLATE OF N~ Y~K J of applicant) NO, 52.826705~ .: sUFFO~ ~UN~ ~(,mm~uN exP,res ~/aolS~ i .