HomeMy WebLinkAbout23090-zFORM
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N,Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
23090 Z
Permission Is hereby granted to: ~
................................
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..... ~.~, ....... '~........, ........ ../..~¢~.~ ....... .
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CountyTax Map No. 1000 Section .... ,~,,, ................Block ...... ~ .............. Lot No....~.¢....,~.. ..............
Building Inspector.
Fee*..m.~,...~..
and approved by the
/ ~' BulJding inspector
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25514
Date: 02/04/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: RESERVOIR RD. FISHERS ISLAND
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 9 Block 8 Lot 3.2
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 15, 1995 pursuant to which
Building Permit No. 23090-Z dated OCTOBER 30, 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 ACCESSORY STORAGE SHED IN FRONT YARD AREA AS APPLIED FOR.
The certificate is issued to RICHARD C GILBERT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
Form No. 6
, . .Z'L L ,
TOWN OF SOUTIIOLB
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF.OCCUPANCY
· %. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new bdilding or new use:
I. 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(i-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 I% lead.'
· 5. Commercial 'bdilding, industrial building, multiple residences and similar buildings
and installationS, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Flanning Board Approval of completed site plan requirements.
buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
l. 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. ~ees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swiping 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 - $1.0.00
4. Updated Certifica~e of Occupancy - $50.00
5. Temporary Certificate of Occupanc~ - Residential $15.00, Co~ercial $15.00
Date December 18, 1997
C:ew Construction .......... Old Or Pre-exis~ing Building .................
Location of Property .... ~Rq.~) ............. Reservoir ~oad Fishers Island
House No. Street Hamlet
~Onwer Owners of Property Hichard C. Gilbert
~County Tax Map No Section..~q%'.0.q ..... Block... 08.00 -~.' .003~002 ' ' '
~' B~ ~ ''
..................... Filed Map ........... ;Lot .....
~Permi~ No...~3Q~Q .~ ...... Date Of Permit... ~ .... *
?lc ltl D pC Appr 1 ' App 1 '
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.; 765-1802
3 SETS OF PLANS .... . ....
SURVEY ..................
CIIECK .....
.CALLH^iL
/ .' (Build(ng Insp~or)
APPLICATION FOR BUILDING PERMIT
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 muJt be drawn on the diagram which 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 i~sued 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 descr/bed.
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 in spections. /~/~/2 ~// .
' -- . (Si,,nature of app~ic~a'nt, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician, plumber or builder.
Name of owner of premises to {4--fi t~ - ~c~T-- ' ..
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
· (Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be'done ..................... }.. '. ........ ; ................
House Number Street Hamlet
Subdivision ........ . ......... ' .................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... . ............................. ; ....
b. Intended use and occupancy . . --~.C>o L- ~ ~..~_;.~..
· 3. Nature of work (check which pPlicable): New Building ~b;~'... · ,~ddition ...
Repair .............. Removal .............. ' .... ~.. Alteration
Demolition ..... : .... Other ~,9,rk . , ' .......
i ~.~ .~' . . (Descnptmn)
(to be prod on filing' this application) '
5. If dwelling, number of dwellin~ units ............... Number of dwelling units on each our ............
If garage, number of cars I . ~ fl ....
6 ' Ifb .......................................... ' ......................
i Ad ify n hd .........
. usiness, commercial or m x occupancy, spec atur a extent of,each e of use .......... ,....
7 Dimensions exis ngstruc es, any: runt ....... Rear . Den
H.eight .../.0 ........... Num bee of Stories ..... I .... ' ........... r .............
lm nmons o same structure a era ohs or a s: Fr
......... ,. · · ne~gnt ........... · ........ :.. Number of Stories ........... 2 i .....
8 Dimensions of entire new constyuction: Front ~ Rear
Height Number of Stories ........... i .................. Depth ..............
9. Size of 10t: Front ......... , ~ ........ ~..
10. Date of Purchase .~~A~.. Rear ...................... Depth ................
11. Zone or use district in which pr~mises are situated... ,< .~.~.(1>~. ~.'t-ff~ ./,. ........... . .
12. Does vroposed construction violate any zoning law ordinance or regulation. ~.t~ ..............
.... r-/~ }%' ' '~-h.,., ............ WUl excess Inl oe removed ~rom premises:
Name of Contr ,,*,,~ 0 h) tO ,Eft- ~ ~ ~ . .................
15.' &s en~s property wzthin 300 feet of a tidal uoe~.~* ~,. · ..... .,,m,,~jJ..o. ~.~-~ .....
xz yes, ~ounnolo Town Trustees Permit may be required. ' ........
PLOT DIAGRAM
Locate clearly'and distinctly alii 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 cornerlot ........ ~' ' I ' ' '
COU~y OF. ,~~.,
...' ......
.... · ........ being duly sworn, deposes ~d says that he is the applicant
(Name of individual signing contract)
a~ove named.
.
I (Contractor, agent, co[porate o{ficer, etc.)"' '
said owner or owne s ' ' ' ' ·
, r, ~d ~s duly authorized to perform or hav~ p~rfo~ed tim said work and to m~e and file this
~Ppdcation; that all statements contain:~d ~ this application am tru~ to the best of his ~owlodge and belief; and that the
~ork will be perfumed in tho manner s~t forth in th~ application filed therewith.
~wom to beforo me this
.......
~ ' (Signatur~ ofapplicnt),
AI.L that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situ-
ato. lying and being~,~x on Pishers Tsland, Town of Southold, County of
Suffolk and State of New York, bounded and described as follows:
BEGINNING at the corner formed by the intersection of the
northerly side of Winthrop Drive and the westerly side
of Reservoir Road, said point of beginning also being distant
North 383.28 feet of a point which is 5366.98 feet westerly
from United States Coast and Geodetic Survey Trangulation
Station PROS;
RUNNING THENCE North 86 degrees 08 minutes 00 seconds West,
along the northerly side of Winthrop Drive, 237.00 feet
to Silver Eel Cove;
THENCE along Silver Eel Cove, the following two (2) courses
and distances:
1. North 12 degrees 15 minutes 30 seconds East, 15.35 feet;
2. North 35 degrees 25 minutes 30 seconds West, 11.43 feet;
%%'"~.,$/_THENCE North 74 degrees 46 mlnutes 30 seconds East 64.73
%,c.,:%' feet;
THENCE NORTH 59 degrees 46 m~nutes 30 seconds East, 130.70
feet to a spike on the westerly side of Reservoir Road;
THENCE South 27 degrees 38 minutes 00 seconds East, alon(
~.OC~h.e westerly side of Reservoir R~ad, 172.70 feet to
po~..Dlace of.