The URL can be used to link to this page

Home My WebLink About15675-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22265 : Date APRIL 16z 1993 THIS CERTIFIES that the building Location of Property I~ABW3J.~ BEACH RD. House No. County Tax Map No. 1000 Section I1 subdivision ALTERATION FISHERS ISLABMD~ N.Y. Street Hamlet Block I Lot 11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 3r 1987 pursuant to which Building Permit No. I5675-Z dated FEBRUARY 10~ 1987 was issued, and conforms to all of the requirements of the applicable provisions of t~e law. The occupancy for which this certificate is issued is ALTERATION TO KITCHEN & INSTALL BAY WINDOW AS APPLIED FOR The certificate is issued to JOHN F. McGTI,LIANt JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROIrAL UNDERWRI'~S CERTIFICATE NO. N-509615 - FEBRUARY 12~ 1981 PLUMBERS CERTIFICATION DATED APRIL 15~ 1993 - ROBERT E. WALL Rev. 1/81 Building In~pect'o~ ~ TOWN 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) N~ 15R75 Z Dote ...................................... ~-'~~ /. ~ ............ , 19.~.7. Permission is hereby granted to: ................. ...... i~.~..........~.....,~..:...~ ............... ........ County Tax Map No 1000 Section ....... ~l ............ Block ........ ..~....J ...... Lot No ........)..J ......... Building Inspector. Fee $ ........... : ........... and approved by the Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOHTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ........ NEW CONSTRUCTION -..i .... OLD OR~~..___XISTIN UI ..... VACANT LAND Owner or Owners of Plroper~y ........................................ County Tax Map No. lO00 Section --L J-- Block ...~.... Lot ...~.l... Subdivision ....................... Filed Map ........ Lot .......... Permit No. .Date of Permit .Applicant .~ . Planning Board Approval ................ Request Fee Bubmitted: for Temporar~ Certificate ....... Final Certificate ................ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. (please prznt) (please print) I certify that the solder used in the water supply system contalns less than 2/10 of 1% lead. (plumber's signature) Swo~to befor~.m~e ;~hls Notary Public, County EILEEN G WALL NOTARY PUBLIC, NEW YORK STATE NO. 01WA9509185 QUALIFIED IN SUFFOLK COUNTY . TERM EXPIRES OCTOBER 31, 19 c~'~r---- BOARD OF 3 SETS FORM NO I SURVEY TOWN OFSOUTHOLD,. CHECK BUILDING DEPARTMENT ,SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y 11971 TEL.. 765-1803 CALL MAIL Approved .t 9.., 19 .7. Penmt No. I. Disapproved a/c .................... HEALTH OF PLANS FORM TO: :3 - 1987 (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ .~ ....... , 19..~. INSTRUCTIONS a. Tins application must be completely filled in by typewnter 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 buddings on premises, relationship to adjoining premises or public street- or areas, and gwmg a detmled description of layout of property must be drawn on the dlagmm which is part of this apph cation. ¢. The work covered by tbas apphcatxon may not be commenced before issuance of Budding Permit d. Up~nappr~val~fthIsapphcati~n~theBuddmgInspect~rw~issuedaBu~dmgPermitt~theapp~icant Suchpermd shall be kept on the premises avadable for inspection throughout the work e. No burldmg shall be occupied or used in whole or in part for any purpose whatever untal a Certificate of Occupanc~ shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldlng Permit pursuant to th. Building Zone Ordinance of the Tgwn of Southold, Suffoll~ County, New York, and other apphcable Laws, Ordinances m Regulations, for the construction 9f buddings, additions or alterations, or for removal or demohtaon, as herein described The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and tc admit authorized inspectors on premises and in budding for necessary inspections (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant ,s owner, lessee, agent, architect, enDneer, general contractor, electnman, plumber or builder. · ................................................. Nameofownerofpremises ".~-oke~w'x .?...NTN.~k\;ox..~. '~'..~., (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer .... (Na~ne ;n~ title o~' co~p;r'ate office~) Builder's License No. ).~ ~ ~. ~'~ - H,~, Plumber's L~cense No ~ ~ Electrician's License No .a .q ~ .... Other Trade's License No ......... Location of land on which proposed work will be done . '~.~Loo~[[e.%.. ....................... %¢. .............. ................ . House Number Street Hamlet County Tax Map No 1000 Section ~ Block .-~ .... Lot .3,~ ,--·'~. Subdivision Filed Map No Lot .... (Na~e) State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy ~ {z R (~evN C_,e~-- ............. b. Intended use and occupancy . .~c:~ .v'q,O-~- ............................. 3. Nature of work (check which apphcable) New Bufldang ....... Add~tmn Alteratmn .,.F' . Repair . Removal ........ Demohtmn . . , ....... Other Work ...... 4 Est~matedCost '~ICI~OOQ,- .............. Fee .................... ~ (to be prod on fihng th~s apphcat~on) 5. If dwelhng, number of dwelhng umts .. [ ...... Number of dwelhng umts on each floor .... ~ ..... If garage, number of cars 'l ................................. 6 If business, commercml or rmxed occupancy, specffypature and extent of each type of use ....-~ ....... 7. Dnnensmnsofexmt~ngstructures,~fany Front /4/.~ ....... Rear .......... Depth ..... Height ..... iNumber of Stones ..... t't(.~r~/'^- ..... R~ar i ........ D~rnensmns of same structure with alterations or addmons Front ........... Depth ........ Height ............ Number of Stones ................ Dimensions of entire new c',onstructmn Front .t~/~ .... R~ar .............. Depth ............. Height .......... Number of Stones .................... f I ~' '- pth 9. S~zeo ot Front .............. Rear ............... De ..... 10 Date of Purchase ............. Name of Former Owner ...... 11 Zone or use dmtnct m which premises are mtuated ... 12 Does proposed constructmn wolate any zomng law, ord~nanceorregulat~on'' ii'~idii.i 13. Wall lot be regraded S/O ........... WIll excess fill be removed from premises Yes 14. Name of Owner of premises ............ Address ............... Phone No ............ Name of Architect ....... - ......... ~ ........ Address .......----. ........... Pkone No....-- ........ Name of Contractor OsM.O,K'O..~::~e, .c,5o~..i..~, .... Address $% g..w~x..~.~.WS. O~.c?..t'l~mne No o~q$.~5577 ?q: 15. Is this property located w~th~n 300 feet of a tidal wetland? *YeJ ..... No ./~.. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and d~st~nctly all buildings, whether exmt~ng or proposed, and ~nd~cate all set-back dLmenslons fr( property hnes G~ve street and block number or descnptmn according to deed, and show street names and red,cate whetl interior or corner lot STATE OF NEWOr. O.I~ a l S S cou ry qF - . ...~ ~ ,..~o~ ....... bmng duly sworn, deposes and says that he is the apphc: (Name of ~nd~wdual s~gnmg contract) above named He is the .~~ ...... (Contractor, agent, corporate officer, etc.) ~-~% ~__ of smd owner or owne~, ~d is duly authonzed to perform or have perfo~ed the sa~d work and~om~e ~d file apphcatmn; that all statements contmed m thru apphcat~on are tree to the best of his ~owledge and behef, and that work w~l be perfo~ed m the m~ner set for~ ~n the apphcat~on filed therewith Sworn to be%e ~h~s ~ ~7 . day of... ~ 19 (S~gnature of applic*