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Home My WebLink About22702-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24584 Date August 21, 1996 THIS CERTIFIES that the building alteration and addition Location of Property Equestrian Avenue, Fishers Island House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated A~ril 11, 1995 pursuant to which Building Permit No. 22702-Z dated A~ril 26, 1995 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 a deck addition with ram~ for handicapped accessibility and alterations as ap~lled for. The certificate is issued to Canio A. Toglia (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A j~,/ 'Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 22702 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) , / Date..~...~..~....~ ............................................ '/ Permission Is hereby grantecJ, to: // . ,~ ,/ , ~ .. .................................................. Counh/TaxMapNo. 1000 Section .............. ..~..?.. ..... Block ........ ~ ......... LotNo ......... ~ ............ pursuant to application dated ......... ~ ..................................... 19.....~..'~and approved by the Building Inspector. Fee $,,,,~,,~, Rev. 6/30/80 TO~N OF SOUTHOLD BU~I.D~NG DEPARTHENT TO~N HALL SOUTIIOLD, NEW YORK 765 - 1802 11971 A~I'LICA~IO~ FoR C~:~T~CATE ol,' occ.~aNc~: ~/~ , DATE.. ............. ....... OLD OR PRE-EXISTING BUILDING.~VACANT LAND~ NEW CONSTRUCTION Location of Pop ty - HOUSE NO. STREET HAHLgT Owner or Owners of Property.. k~ ' O ' Subd[vls~on Filed ~ap r~ row .'. llept. Approval .................. Underwri App 1 Permit lleal th Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ............ Fee Submitted: $ ( i :/ rev. I0/14/88 $0 0 GRAPHIC SCALE IN FEET REVISIONS DATE DESCRIPTION .I ',:.:I)ATE, JUNE 28, 1994 FOUNDATION FOUNDATION 2. ROUGH FRAME & iPLUMBING~ (1st) (2nd) INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~ (}V rN 0',' GO[.} I HOL.L} Approved FORM NO. 1 TOWN OF SOUTHOLD . BUILDING DEPARTIVIENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., ., 19..,.z. _ ermit~.~P No ........ Disapproved a/c ' . ............................... APPLICATION FOR BUILDING PERMIT ' OF HEALTH BOARD ......... SETS Or PLanS .......... SURVEY ................... .................... SEPTIC FORH .............. t:OTI~Y ~ ~z] CALn ('5.16.)..788-5508 HAIL TO: 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 tot and of buildings on prenaises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram y~hich is part of this appli- cation. ¢. 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 w~rk. 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 ali applicable laws, ordinances, building code, housigg code, and regulations, and to admit authorized inspectors on premises and in building for necessary/~nspe/t_i°ns' >7~//~,x ~// /~//) .. :. ............. -- /(Signature of applicant, or name, if a corporation) ·.P~: .O:..B.o..x. 7.7.:..F.i.s.h..e.r.s..I..s.lla.n.d.:' .N.Y.....0.6.3.9.0 (M~iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contracto. r Nameofownerofpremises Canio A. Togiia' (as on the tax roll or latest deed) If applicant is a borporation,.signature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No .... Z 1,793.-~H I ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locatiop of land on which proposed work will be'done... Eql~.e. atr;Lp~ A. veuue ~ ?.i.~i.~.e.r.s..~}pzd..NY .... House Number Street Hamlet County Tax Map No. 1000 Section .. OO.~t Block 004 Lot. 004 - ' ................................. .-'- ~ ':.'g: CS'- ...... Subdivision .. Filed Map No. · .. ~,- ................................................. Lot.,, ..... ; : .... uName) - - 2. State exisfing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Seasonal Beauty ~aion a,.nd Store , b. Intended use and occupancy ... Same ' 3. Nature of work (check which applicable): New Building ........... Addition .......... Alteration ...X..' ..... Repair ............ Rem, oval .............. Demolition .... ..' ......... Other ,V,j[~I~ ~. ~.. ~!~I ........ 4 Estimated Cost $ 11,0O0 . g 150 00 (Description) Fee · (to be paid on filing this application) 5. If dwelling, number of dwellingl, units · Ifgarage, numberofcars .... ! .... iii.iiiiiiiiiii.Numberofdwellingunitsoneachfloor ..1. (2nd £ioor 6. If business, commercial or mi;celd occupancy, specify nature and extent of each type of use ...................... 7. Dimensions ' x .... et e. ~stmg structures, if any: Front ..... . .......... Rear .............. D. epth .............. Height ............... Number of Stories ...................................... ' Dimensions of s~ime structure with alterations or additions: Front ................. Rear ................. D pth ' : Hight ' Numbe of Stories ' L 8 Dimensi fentire truet Fr '" · ohs o new cons ion: ont ......... . Rear ............... Depth ............... Height Number of Stories 9 Size of lot: Front ' Rear .............................................. Depth ...................... 10. Date of Purchase ........... i ......... ' ......... Name of Former Owner .............................. 1 I. Zone or use district in which pr~mises are situated ........................ 12. Does proposed construction violhte any zoning law, ordinance or regulation: i 13. Will lot be regraded ' ~' ' ................................ ......... ................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises Address · ' ...................................... Phone No Name of Architect ' Address .............................................. Phone No ............ ;... Name of Contractor ........ '3~)~' 'f~'e't ..........Address ................... Phone 'No... ............ ... 15. ~ Is this property within , of a tidal wetland? *Yes ........ No ......... · If yes, Southold ~own Trustees Permit may be required. .... i PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whethe'r existing or proposed, and. indicate ail ~et-back dimensions from property lines. Give street and block rmmber or description' according to deed, and show street names and indicate whether interior or corner lot. STATE OF.NE~O.RK, S ~' . ...... J .~..rTl ,q /4, ~J~ ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing' contract) above named. '{e is th~ ' Contractor (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly ahthorized to perform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner se~ forth in the application filed therewith. ;worn to before ra, e this N0t~w Public grate of Now Yore ' ~ ......... · ........... No, ~ooo~ o~ (Signature of applicant) Te~m Expires