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Home My WebLink About22531-zFORE NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~uumAN~Y No Z-24352 Date MAY 13, 1996 THIS CERTIFIES that the building REPAIR Location of Property EAST END ROAD House No. Street County Tax Map No. 1000 Section 3 Block 2 Subdivision Filed Map No. FISHERS ISLAND, N.Y. Lot 2 Hamlet Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 28, 1994 pursuant to which Building Permit No. 22531-Z dated DECEMBER 12, 1994 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 REPAIR TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ROBERT & JEAN CALHOUN N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 22531 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) CounlyTax Map No. 1000 Section ........ ~ .......... Block ....... ~ ............Lot No ...... ~ ................ pursuant to application dated..... ¢¢./,~/'~ ................................. 19.7,Z/.~_., Building Inspector. Fee $...~,.q~,,'~'~. ,'- and approved by the Rev. 6/30/80 FormNo. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 365-1802 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 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. 15. 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 r~quirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. 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 $15.00 Old ' :Construction ........... Or Pre-existing Building...P~ ............ · ion of Property East end road, Fishers Island,N.Y. ]louse No. Street Hamlet O f p~.er.. Robert & Jean Calhoun nty Tax Map No I000, Section... 3 ~ 2 · .......... Block ............... Lot ...................... division File~' Map Lot nit No..~$..~ ...... Date Of Permit. j2/12/94 .An-licant Z&S Contracting Inc. [th Dept Approval Underwriters Approval ~ning Board Approval ' ' iest for: Temporary Certificate ........... Final Certicate..X. ........ Submitted: ~ 25.00 .......APP£ S ..... CO ................. FOUNDATION ( lstl FOUNDATIOI~ (2nd) ROUGH FRAME & ~?LOMBING' INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. ! TOWN OF SOUTIIOLD 'BUILDING DEPARTMENT TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL.: 765-1802 Disapproved ale ...; .................................. (l.}fi llding I~pector) APPLICATION FOIl BUILDING PERMIT D'nte .............. ,19. INSTRUctIONS : a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .e? of plans3 accu?.ate plot plan to scale. Fee according to schedule. b. Plot plau showing location of lot and of buildings on pre roses, relationship to adjoining premises or public streets rr areas, aqd giving a detailed description of layout of property must be drawu on the diagram which is part of this appli- ration. c. The work covered by tiffs application may not be cbmmenced before issuance of Building Permit. d. Upon approval of fiffs application, the Buildb~g Inspector will issued'a Btfilding Permit to the applicant. Sueb permit hail be kept on the premises available rot inspcetlon Ihrougbout the work. e. No building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occnpm~cy haft have been granted b~ the Building Inspector. APPLIC/~TION IS ItEREBY MADE to tire Building Department for the issnance of a Building Permit pursuant to the lui d ng Zone Ordinance of the To'va of Southold, Suffolk Connty, New York, and other applicable Laws, Ordlnanees or legulations, for the corrstruction of buildings, additions or alterations, or for removal or demolition, as herein described. fire applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in btfilding for necessary inspections. / -- ' ......................... V'' '; ......... : ...... ' ' (Signatnre of applicant, or name, ff a corporation) (Mailing address of applicant) State whetl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnmber or builder. ne ~ of pre~ .... ,' 5;at ofo vn~r nises ............................................................ (as ou the tax roll or latest deed) If applicanl~ is '~ c'orporation, signature of duly authorized officer. (Nan~o/and htle of corp6rate officer) B Ider s License No. /,~,.~G'o2 ' . ~-~-q_ ?.. PI tuber s Li NO u cease.. ...................... Electrician's License No. Pcg6/.7..~..... Olher.Trade's LicenSe No....o?..~..~5. /~,~' Loca,ion ,~r ~a,,d o, w, ,cl, ~roposed wor~ ,vm ~e do,,e . ~. ~/, ,~.~. ' Ilouse Number . . Street llamlct CorlnlY l'~X Map NO.rlo00 Seetion ..... '~, ........... B~ock ..... ~ ........... Lot ..... '~. .......... .... BOARD OF hEALTh ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................. . . SEPTIC FORH .............. tl OT l p't: CALL ................... tIAIL TO: Subdivision '. ....... , ............................. Filed Map No. (Name) Slate existing t!se a id occt pancy of premises and a. Existing us~ and o.ccupancy .... ~A.. b. Intended Use mid oc'cupancy ...... .............. Lot ............... nte~rded use and oedt3pa'n~y ofp[oposed construction: -....: .......... -: .............. . : ...... : .... :: 3. Nalu~; ofwor, check which ~pp ~h]e)'. ~ow. lh;ildin~ ..... .. · .. Addition .......... Alteration ~. ....... . Repni ..... ~v. ..... . · Removal, ...... · ...... Demolition ............. Oilier Work,= ............. r ,,~,, C0~t ~ ~, ~' ~ ~(D,scdption) 4. Estimated , ~ ~ 7 Dimensionsof existing ..... structures i~a~"~'aH~Y'y: FroSpec'y nature aaa extent el tacit type or use ......... , ,t ............... Rear .............. Depth .............. Height Nnmber~or Stories Dimensions ................................................... . of Snme structure with alterations or n(hlilions: Front Rear Del)ih ' [[eight ............................ g ............................................ Nu ~ber el Stones .................... · Dimensions of entire new construction: Front , Rear Depth Height ........................................... ~ Size crier: ............ Front : · .Number,?fStories ...................................................... )' Date of Purchase' ' .............. ~ ........ Rear ..................... Depth .. .... ................ ' ~ 'Name or Former Owner 1, Zone or u~ district tn which premises are situated ....... 2. Does proposed construction violate ny zoning law, ordinance or regulation: ..., ............ , ...... 3, Will lot bb regraded . ~ ...... , .......... .... I ................ Will excess fill be removed from premlsea: Yes L Name of Ownerotprenlises ...... I ......... ..... Add~css .............. ..... Phone No .............. .. Name otArchitect', ............. , .............. Address ................... Phone No ................ Name of Contractor ............ ~ . , ............ Address ................... Phone No ......... . ....... ~. lo th~s ~roper~y wt~h~n 300 IEee~ of a ~tdn[ wetland? ~Yes..~:... No ......... qlf ye's, Sou~botd Tow~ TrusLees PermJ.~ may be requtred. '; .... i PLOT DIAGI~M Locate clearly ahd distlnctly.~l buildings, whether existing or proposed, and, Indicate all set.back dlmen~lon~ from ~operty lines, Giv0 street and block number or descrlptioil according to doed, and show street atones and Indicate whether te~or or corner lot, ' Ft'~: ~ , F;w A!'m "7,? -- ~ ~ ..... 2. ~IOUGH , F~'~M ~JG BE (: OMPLEFE FO~ C.O. ALL CO~$'I'R(JCT~OBI SHALL fdEET T~E ~Q[J~EMENTS OF THE STATE CONSTflUCT~ON & ENERGy '"'~'~' "uUIION ERRORs 'ATE OF NEW YORK, )UNTY OF ................ (Name of tndtvldual~" ..................... signing cdntract) being duly sworn, depoaea aud say~ that he ia tho applicant We named~,' ~ (Contractor, a~ent, COrl~erat~ officer, crc.) ~said owner or owners, nn~l is duly authorized to per{otto or Imv~ performed the smd work mul to m~ke and file this )lication; tlmt nl statemc ~ts contained 'in tht~ ~pnlication .r~ tree to the best o~ his knowledge ~rk wdl be p~ffo~od m t re, m~ner set ~orth tn the epphcMion filed tlmrewith. 9m to before ~e~ll~ . ~ -I _ ...... · ..... ~HO~A~ ~, ~H~nTV'JR.' ~, ........ ~ ............... N0ta~ Public. ,No, d~0Os~*Sta~e o{ New York ~ (Signature of applicant) QuaUfleo in Sutfolk County Term Expires 12/31/~