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HomeMy WebLinkAbout16061-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20229 Date SEPTEMBER 19, 1991 THIS CERTIFIES that the buildin~ ALTERATION Location of Property WHITE CAPS, EAST POINT FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I Block 2 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19~ 1987 pursuant to which Building Permit No. 16061-Z dated JUNE 14, 1987 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 ALTERATIONS TO BATHROOMS IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JONATHAN BARRES (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A .. UNDERWRITERS CERTIFICATE NO. PENDING - SEPT. 19, 1991 PLUMBERS CERTIFICATION DATED SEPT. 16, 1991 - F..I. PLUMBING & HEATING Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUiLDiNG PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-1606t Z Permission is hereby granted rgb, __ ..~.~...~....TL~ .................................................. ,o ..~.....~.~...,~~.....~..:...~;,......~...~~.. ..... yy~.:f......;;.~ ........... i ............................ at premises Ioca ted at....~......~.....~.....~.~'" '~f.~ ~-~ ~ ....o~....,~...!~ County Tox Map No. 1000 Section ....... ..O.L ........... Block .....~.,..~.,. ......... Lot No.....~....L~. ............. Building Inspector. and approved by the Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTllOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOIl CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date / .............. :ow Construction ..... ~ .... O.l~d Or Pre-existing Building~ ................ Location of Property..~~..~../~~...~~.~ House No. ~ /. Street~~Hamlet ;ubdivision .................................... Filed Map ............ Lot/ ........... ~ ......... '~=~t 0~ Permit.~.Z.. · . ' altb Dept. Approval ....... ~ ............. Underwriters Approval .... ~~. I ~ riling Board Approval ........................ -eq.est for: Temporary Certificate ........... Final Certicate~ ee Submitted: $.~ ................ q tqo ...... ............ c0 E TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HA. LL SOUTHOLD, N.Y. l IP71 TEL. 765-1802 CERTIFICATION [,~te ~r~, I G, l ct qL I certify that the solder used in the water supply system contains les~ than 2/10 of 1% lead. Sworn to befoy me this /~, ~,~, o~/~/7-z~ ,. 19_~/ . NOtary Public, /~ County ~ (p~umber's ~-~ature) //~ Notary Public OUNDATION ( 2nd OUGH FRAME & FLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FIZ~AL . ADDITIONA'L COMMENTS: ¢onst ru tion ' P. O. Box 79 OLD MYSTIC, CONNECTICUT 06372 19 May 1987 Curtis Horton Town of Southold Building Dept. Town Hall Southold, NY 11971 RE: WHITE CAPS CASTLE - FISHER'S ISLAND Dear Curtis: Enclosed please find a $50 check with plans and application for a building permit for the above referenced project. On the plan, the dotted lines indicate the existing walls and fixtures. New walls and fixture locations are drawn in on top. The work proposed requires no structural changes to the existing. This has been confirmed on two separate site inspections. If there are any problems or questions, please give us a call. Sincerely, / Lightning Construction 623 Warburton Ave, HASTINGS on NUD$ON, NEW YORK 10706 (914) 478-2442 / //?7/ WE ARE SENDING YOU ~ttached [] Under separate cover via [] Shop drawings .~P~nts [] Plans [] Copy of letter [] Change order [] _the following items: [] Samples [] Specifications. COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: [] For approval :~F'or your use ,~"~s requested [] For review and comment [] FOR BIDS DUE [] Approved as submitted [] Approved as noted [] Returned for corrections [] 19 [] Resubmit [] Submit ~ Return copies for approval _copies for distribution corrected prints [] PRINTS RETURNED AFTER LOAN TO US REMARKS Examined Approved .1.5.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL g43UTHOLD, N.Y. 11971 TEL.: 765-180:3 ., 19~.?. Permit No. }.¢..~.~..~..'~. Disapproved a/c ...................... ............. f~ APPLICATION FOR BUILDING PERMIT Date ./.~.. d.~ ......... , 19 .R7 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. 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 authorized inspectors on premises and in building for necessary inspections. .. ....... (Signature of applicant, 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...~}. 9.~. ~.~.'./-/..~...~.'~.~./~. '../.~. ~...~.~ ........................... - /(as on the tax roll or latest deed) If ~ co, portion, s(gnature of duly authorized officer. ·..-..//z¢ ........ /o],~ctd (.~am~f corporate officer) ~ L3o ~;- A~... Plumber's License No. ,.PSb · 'Pd~2 6~,'c;~ .......... Electrician's License No. ~h .... a,~. o Llcense ........... 1. Location of land on which proposed work will be done...~.~..U.~, fl.o?.~. House Number Street Hamlet County Tax Map No. I000 Section ...... ~ .I ........ Block ...... .~...2~-. ....... Lot .... ~.~. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy ..... ~ ~ ~l~~.~ ........................................ b. Intended use and occupancy ....... 1 ............ / ................................................. 3. Nature of work (check which applicable): New Building .......... 'Addition .......... Alteration X Repair ......... Removal .............. Demolition .............. Other Work ............. i ~ (Description) Fee .'~...~. 4. Estimated Cost.../..~7~.~.... ........................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling utfits on each floor ............... If garage, number of cars .......................................... ! ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe 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 6f Stories ...................... Dimensions of entire new construction: Front ............... Rear ...... i ........ Depth ............... Haight Nomber of Stori~q ' 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10 Date of Purchase Name of Former Ownarl ' 11. Zone or use district in which premises are situated ....................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . .~.0 ........................... 13..W. ill lot be regraded ... ~..O4~ ... '.,-i', b' · ',' · · '~ ...... Will excess,fil! be r. em~-~ed from premises:. Yes 14. ~ame of Owner of ptemises~..~.4~d~. ~t/(~tt~.~.,9..,~.~-lgtt~dAddress~. ,w~.'¥/..a~..r0?.t, .C~, ..... Phone No??.3, .o~..~?.-;~ .,~..,:~.. Name of Architect~.4~ -r~,4,~ .e-/rig.._ ............... Address~.~t/.Ma..J.,.~P]. i .... Phone No.~.Y'r.C. 7.g. 7 ?..¢?..;~. Name of Contractor~.~({/flY..~./.'~ . .~.,q..~.,~...c~..o.~.... Address ,r~/.o'~. q-:...F-~.. [ ..... Phone N .~. ~.-..~...-~. 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 number or description according to deed, and show street names and indicate whether interior or comer lot. / q2OUNTY OF~.' ........... ~, .~.'\ ................... 2/.. ..... ; ....................... being duly sworn, de ,oses and says that he is the applicant (Name of ifidi~jdual sig~n..ing..., contract) above named . He is the ....-~(-.~................~"4~J ~-~ ..................................................... < (Contractor, agent, corporate officer, et~.) of said owner or owners, and is duly authorized to perform or have performed th~ 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 b~ performed in the manner set forth in the application filed therewith. Sworn to before mR this ......... i[.~~,~ ....... day ~... '%, ~,.d( kl ......... ..., 19 N°tary Public,; '~'~~'~' ........ County - (Signature of applicant)