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)