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Home My WebLink About21187-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22114 Date JANUARY 19~ 1993 THIS CERTIFIES that the building Location of Property BEACH ROAD House No. County Tax Map No. 1000 Section 9 Subdivision ACCESSORY FISHERS ISLAND, N.Y. Street Block i1 Lot 8.1 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 12~ 1993 pursuant to which Building Permit No. 21187-Z dated JANUARY 15~ 1993 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 BUILDING "AS BUILT" The certificate is issued to RICHARD HOWARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I~'sp~ctor- ' J Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~Io. 21187Z .......................,..__.)/ ~... L/.~........'.~..........." "~'" '" ~-/~.......~ ............................. .~ ........................... at premises located at · ~...-~.. ........................ pursuant to application dated ......... ....~-- .......... /...~...., 19.~...~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 BUILDING DEPARTMENT SOUTBOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY .......... NEW CONSTRUCTION ... D OR PRE-EXISTII~G BUILDING ....... VACANT LAND ........ Location of Property ............ ~ · ~' ~'~.ff~ ' · H(~USE NO. STREET HAMLET Owner or Owners of Property. .'~. .............. County Tax Map No. 1000 Section . .loc~ ./Z .... ~.ot ..%.f .... Subdivision ....................... Filed Map ........ Lot .......... Fermit No~./f~Z~.Date of Permit///.~..Applicaut /-~-i.~.-'~-~. Health Dept. Approval ........ .~-7.. '~. .... Underwriters Approval .... ~ ..... Planning Board Approval ~ Request for Temporary Certificate ....... Final Certificate ...~.. ............ Fee Submit ted: $ ~~ ~ rev. 10/14/88 ROBERT January Town Of southold Building Department ?own Hall Southold, NY 11971 Attn: Curtis Norton Dear Curtis, P'[~ase ~%nd enclosed app~i, icat ions for a building p~r~!t and ~ ~ P~chard ~ Martha property on B~ach Rd, F~sher~ Island NY. Thes~ ar~ for al~ accessory gard~r'~ ~hacR which was .... r ha~ a footp~'~ of 14' x 14" and has enclosed si'ace of approximately 12~ X 6' (the r~maillln9 spac~ is fo~m~d by a large ~' ........ ~ ..... for the above . to~!m o~ Q~h cop[es and two ~h~c~a for $2'~.00 and $35~00 to fe~:~ for the building par~lt alld th~ Ci~rt~f[cate Occ.apagcy- I haY9 also included a surwey w~th th~ structur~ drawn in, and a akatch of th, Pl~a~ l~t me ~now if the ap ~lications ar~ completc~, whether it ia r6.~sonab!a to ~;~pect a C~rtlilcat~ Occupancy by our closing dat~ ~ thank you for your attention. -? ROBERT & LOUISA EVANS REAL ESTATE BROKERAGE PO BOX 546 FISHERS ISLAND, NY 06390 516 788-7101 Fax 788-7466 January 12, 1993 Town Of Southold Building Department Town Hall Southold, NY 11971 Attn: curtis Horton Dear Curtis, Please find enclosed applications for a building permit and a Certificate of Occupancy for the Richard & Martha.Howgrd property on Beach Rd, Fishers Island NY. These applications are for an accessory gardner's shack which was constructed without permits in 1971. The structure has a footprint of 14' X 14" and has enclosed space of approximately 12' X 6'(the remaining space is formed by a large overhang). I am applying for the above items on behalf of the Howards in preparation for a closing that is scheduled for January 25, 1993. I am faxing the documents and also sending by mail copies and two checks for $25.00 and $35.00 to cover the fees for the building permit and the Certificate of Occupancy. I have also included a survey with the structure drawn in, and a sketch of the structure. Please let me know if the applications are complete, and whether it is reasonable to expect a Certificate of Occupancy by our closing date. I thank you for your attention. Best regards, Robert D. Evan~ ix) ~0 271' 0 dil l I 41993 Examined ...... ..... 19... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTIt ......... 3 .SETS OF PLA~IS .......... SURVEY ................... GIIECK .................... SEPTIC P 0 R,~I .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT ~,~z,¢,~ ..... CALL ................... HAIL TO: INSTRUCTIONS : a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~'t,s 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 .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by this application may not be c~>mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 hall 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 ;uilding 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. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary .......inspect~ns~,.~~.._D ~ -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ;rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 4amc of owner of premises .... /~7~4d. ~.2~. ............................................. (as on the t~ roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No .... ~./~. ............... Electrician s License No.../?./Z/'7 .............. Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. l~g Number Street Hamlet County Tax Map No. 1000 Sectlon ......... f ........ Block...// .............. Lot.?.: .'! ............. 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 3. Nature of work (check which pphcable): New Building ...... Addition .......... Alteration .......... 1 ~ ~ /<~ ~ escfiption) (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ Ifg ' . arage, number of c~s ..... ............................................. If b 4 fly .... . mens ons of existing stmcture~, if any: Front ..... ~ ~ ...... Rear ./~ .......... Depth . .Z ~ ...... Height . .//. ........... Number of Sto~es I ' ' ' D f ith It dditi ................ ~enslons o same stmctur, w aerations or a OhS: Front Depth ~ Height ................. Rear .................. ............ ~ ....... : ........................ Number of StoNes 8 Dimensions of entire new constN~ction: Front .................. ' Rear Depth Height - Number of Stories ............................................. 9. Size of lot Front 'Rear D .......... [ ..................... ' De th I0. ateofPurchase ...l~$~ . . NameofFo ~ ''" ~ ..... ~;:'" ........... 11. e t m wmcn prmmses are situated ./ffg~d~4~ ..... . .................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .~.~. 13. Will lot be regraded i .......................... ........ i .................. Will excess fill be removed from premises: Yes No 14. Nme of Owner of premises ~ .~ .... Address ................... Phone No ................ Nme of Architect ........................... Address ................... Phone No ............ N~e of Contractor .......................... Address ................... Phone No ................ t5. Is this property within 300 feet of a tidal wetland7 *Yes.~... No ......... *I~ yes, Southold Tbwn Trustees Permit may be required. 5~6~f3 .-. ~. PLOTDIAG~ Locate clearly and distinctly fll ~uild~gs, whether existing or proposed, ~d. indicate fll set-back d~ensions from propeay Hnes. Give street ~d block n¢mber or descfiptioh accord~g to deed, and show street nines and ~dicate whether ;TA,TE OF NE~Y.I~jR.I~,// ~ e (N~me ~ indi&ual signing [co'nt~&t being duly sworn, deposes and says that he is the applicant bore named. is the ........................ ,~ (Contractor , agent , corporate officer , etc . ) .............. said owner or owners, ~d is duly afithorized to perform or have perfomed the said work and to m~e and file this ~plication; that all statements containe8 in this application are true to the best of his knowledge and belief; and that the h ' ork will be perfo~ed in t e m~ner set forth in the application filed therewith. .yom to before me this ............ f.. ....... ). Otaw Public,~ ~ ~ ...... x ..... '. County N~ Publlo, ~te~ N~Y~ . ~omml~lon ~, Jgl~ ~, 1~ , (Signature of applicant)