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Home My WebLink About20934-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22233 Date MARCH 30r 1993 THIS CERTIFIES that the buildin~ Location of Property CENTRAL AVENUE House No. County Tax Map No. 1000 Section 6 Subdivision ACCESSORY FISHERS ISLAND, N.Y. . Street Hamlet Block i Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30r 1992 pursuant to which Building Permit No. 20934-Z dated SEPTEMBER 2, 1992 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 INGROUND SWIMMING POOL WITH DECK & 7' x 7' POOL EQUIPMENT HOUSE. The certificate is issued to of the aforesaid building. MICHAEL ROTHFELD (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-252019 - SEPTEMBER'29~ 1992 PLUMBERS CERTIFICATION DATED N/A Buildin~ inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Building Inspector. t~uilding inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Date...March 24, 1993 .... NEW CONSTRUCTION.~...OLD OR PRE-EXISTING BUILDING..X..VACANT LAND ..... Location of Property ........ Central Ave .............................. Owner or Owners of Property ..... Mr. Michael Rothfeld ................ County Tax Map No. 1000 Section .... 6... Block .... 1... Lot...9 ....... Subdivision ..................... Filed Map .......... Lot ............ Permit No...209342 ..... Date of Permit 9/2/92.. Applicant.A.J. Gada.. Health Dept. Approval ................ Underwriter Approval.N252019... Planning Board Approval ................. Request for Temporary Certificate ........... Final Certificate...X... Fee Submitted: $...25.00 ......... Applicant A. John Gada General Contracting, Inc... 'OUNDA~ION (1st) ~OUMDATION IOUGH FRAME & (2nd~ .PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FI;IAL ADDITIONA'L COMMENTS: I _~.~..~11 ii~J i1 ~o i'~, I. 11 , I I / [ I New York State Department of Environmental Conservation Building 40--SUNY, Stony Brook, New York 11790-2356 17 June 1992 To: Michael B. Rothfeld 1220 Park Ave., Apt. 4B New York, NY 10128 Represented By: Harold E. Cook A. John Gada General Contracting, Inc. Drawer B Fishers Island, NY 06390 RE: DEC #: Thomas C. Jorling Commissioner Dear Mr. Rothfeld: In response to your request for a frest~water wetlands determination for the property identified below, the New York State Department of Environmental Conservation has determined that the proposed project is more than 100 feet from regulated freshwater wetlands. Therefore, no permit is required under the Freshwater Wetlands Act (Article 24 of the New York State Environmental Conservation Law). Proposed action: Construction of swimming pool adjacent to existing house. Surveyed by: Richard H. Strouse Date: 18 February 1992 Last Revised: 12 June 1992 Location: North of Crescent Ave., Fishers Island, NY. Tax Map Number: 1000-6-1-9 Please be advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. In addition, please ensure that all project activities remain beyond the 100-foot buffer zone. Very truly yours, Deputy Regional Permit Administrator cc' Bureau of Environmental Protection Harold E. Cook _ COMLOG _ PAPLOG _ MAP _ CARD FILE THE NEW YORK BOARD OF FIRE UNDERWRITERS ~a(;~ t [t')?~0[~. BUREAU OF ELECTRICITY ~ BS JOHN STREET, NEW YORK, NEW YORK 10038 Date ~"~JB~;J{ 2'~992 ~pplicatlonNo. onfile 78~O81~2/~ ~ ~2~ THIS CERTIFIES THAT only the electrical equipment ~ ~crJbed be~ a~ ~t~ced ~y t~ a~ca~t ~ed o~ the a~ve appJie~t~o~ ~umber ~n t~e pre~ses o~ in thefollowlng locatlon; ~ Basement ~ Ist FL ~ 2nd ~. ()lit Section ala,k Lot ~sexaminedo~t ~P?SEBgI~ 24~[992 andJoun~tobelncomplianceu'iththerequirementsqfthisBoard. FIXTURE FIXTURES RANGES OVENS EXHAUST OUTLETS SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET $ E R V I C E NO O~CC~,CONDj OF ~c.Wc~NL1 NO OF HI-LEG OF HI-LEO OF NEUTRAL GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.0'1501.2 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 100315 Date EI~P~[ll~IR ~,9~ [~92 ~pplicationNo. onfile 7~2~8].9~/92 ~ 252(~]9 THIS CERTIFIES THAT onty the electrical equipment ~ ~scrlbed below and imt~duced by t~ applicant ~med on the above application number in the prorates of in the fottowin~ locatlon; [] Basement [] I~t Ft. [] £nd Fi, OIlT Section Brock was exarniaed on ~ ,h,] [~ ~ ~ ~{ [} ~} [~ 2.~, ~.992 and found to be ln co.tpiiance telth the require.~ents of this Board. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: nade by a qualified E R NO.O~ CC, COND C NO OF HI-LEG AWG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. f~OJul' I'UI( I:IUII.[~IN(~ I~'~'AK IMI=FIT. TI'II5 ~;Ul'll' UI' LI=K I II-I(~ATI= MUST HOT BE ALTERED IN Ally MANHER. JUL - 2 99'Z FORM NO· 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 765-1802 Examined ................ , 19... .~,~... Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS · -:---: .:..: SURVEY .... SEPTIC .............. NOTIFY$ CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .~.. 7 ........ 1.9 ~.~. t INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter orin ink and submitted to the Building lfispeetor, with 3 set'Jcl plans, accurate plot plan tO~cale. 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- tailoR. ,,~ 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 ~:emoval or demolition, as herein described. The applicant agrees to comply with all pphcable laws, ordinances, building code, housing code, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections. - = Pp , or name, it a corp~g"anon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ( . roll or latest d~e'd) ........ ~ .... ., appbcant ;s a corporation, signature of duly authorized officer. (Name and title o£corporate officerY/ ' · Electrician's License No ....................... Olher Trade's License No ..... · Location of land on which proposed work ~vill be done; 11oase Number Street ............... · Ha:nlet Count x Map No. 1000 Section ................ Block .... Lot.., '' "' Subdivision ..................................... Eiled Map No. (Name) .... ;~ Lot State existing use and occupancy of premises and intended use and occupancy o£ proposedconstruction: A Existing use and occupancy .~ '" B. Intended use and occupancy ..... . .~. ..,~'~.,. 3. Nature'of work (check which applicable): New Building .......... Addition .......... Alteration ........... · I · ' ' ' r, pOOL.. ~ Repair ....... . ........ AcCessory BuildingY'~~ .. '.~...Other Work ............ .4~L· ...... ....... R~mova[ .............. DemolitiOn ............. Swzmmn,, Tennis Court -~ ~· ,. s,ima,ed Cost. L ............. Fee ..... ................. · i (to be paid on filing this application) L If dwelling, number of dwelling uniis ............... Number of dwelling units on each floor ................ I ' If garage, number of cars ....... ~ ............................................................. S. If business, commercial or mixed occupancy, spqcify nature and extent of each type of use ........ ~ .......... ?. Dimensions of existing structures, il' any: Front.,,.; .......... Rear ............... Depth ............ Heieht Number of Stories Dimensions of same structure with {alterations or addit oas: Front Rear D .- . .................. 'He gh ........... Number of Stories ......... ·. ,. .. ' ' ....... i114o.' ~. D,mensmns of enUre new constmctlxon: Front ....... ?.o. '. ....Rear ..... 4.~ ~ ....... t ' Height ............... .Number of Stories ............. ~ ~. ...................................... -) Size of lot: Front ,' Rear ' DepJh 0a,eofPureh se i ameof o mer&n;r ' ' I. Zone or use district in which premises are situated ................................................... 2. Does proposed construction violateI any zoning law, ordinance or regulation: ................................ 3. Will lot be regraded ...... ~....~. ............. Will exces~,fill be removed from premises: Yes .... No ~ 4. Name of Owner of premises [J]~...~1~..~.~.d.'.... Address/?/.~.-~..a~b.7/. ~ ~.~ .... Phone No.oxe/.~; ~.~.~.: .~ff,.q. l' Name of Architect ...~. ~ . .,~... v .............. ,. Address ................. Phone No ............... ~ Narae of Contractor t~..46r~-.d-a..~..~...~..~. ;¢ .~..~-~..,~. Address ~.~... ~/V.' .~'.' .~. qq-~.- Phone No.,.~.//q~.Y,~a'~e2..g//~... .5.Is this property lo~{te!d within 300 feet of a tidal wetland? ~YES .... NO .... , ilf yes, Southold Town 'rustees Permit may be required. PLOT DIAG P. AM Locate clearly and distinctly.all bi ildm§s, Whether existin~ or proposed, and, inuicam all set-back dimensions from roperty lines. Give street and block r nber or description according to deed, and show street names and indicate whether aterior or corner lot. ;TATE OF NEW/YQI~K~ ~_ _ 2 -OUNTY ' ' ;4 ' ~ · · .× ..... ]. deposes and says that he is the applicant .~..;,ja'... ~ ~ "i ................. being duly sworn, .... · ~'5 .?~.'. 59-..' . · . (Name of individual signi ~g, contract) bore named· . te is the ; (Contractor, agent, corporate officer, etc,) ,f said owner or owners, and is duly a;uthorized to pe,rform or have performed the said work and to make and file this pplication; that all statements containdd in this application are true to thc best of his knowledge and belief; and that the ';ork will be performed in the manner s~t forth in the application filed therewith. ;worn to before me this ! ............. d .......... day ot..,.~ ........... , 19 ~4i,. ~.~s0~m~ ......... t.~ (Signature~d'f applican ) ~uilif'.mcl in Suffolk ~.i)'~s ACmmm~ 30,