HomeMy WebLinkAbout20260-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21031 Date SEPTEMBER 18, 1992
THIS CERTIFIES that the building ACCESSORY
Location of Property BELLE HILL & EQUASTRIAL AVE. FISHERS ISLAND, NY
House No. Street Hamlet
County Tax Map No. 1000 Section 9 Block 4 Lat 13.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 6, 1991 pursuant to which
Building Permit No. 20260-Z dated NOVEMBER 7, 1991
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 GARAGE IN THE REAR YARD AS APPLIED FOR.
The certificate is issued to JACQUES APPHLMANS
(owner)
' of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-243251 - JULY 20 1992
PLUMBERS CERTTFICATION DATED N/A
Building Inspector
Rev. 1/81
aoass xa a
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)
N 2 ~ 2 6 Q Z Date .....l~ : 19.9.1..
Permission is hereby granted to:
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to ...:~::.'.:^..~':^.':'::srl.....~4:::t...a..C~..~`......~.ar..:tia.....~..~..~....~~`.:.~a.~c1,.....Q::
~~..~..~.:!~:41...~'.~:~ ......J...... :.I.........................
of premises located at .1~"~.. ~A.......L~.^~~..".:?:`:?^... C.?.~e.: ~O t#~a"'t~
County Tox Map No. 1000 Section ...Q~..41........ Block Lot No....~..~,~.l..l...........
i Pursuant to application dated 19~.~.., and approved by the
Building Inspector.
^f
Fee 0(,5
~c~' '^t. AA-~--~
' wilding Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ''s,,
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Date...Aug. 28, 1992....
NEW CONSTRUCTION..X..OLD OR PRE-EXISTING BUILDING.....VACANT LAND.....
Location of Property........Equestrial Ave
Owner or Owners of Property .....Mrs. Jacques Appelmans
County Tax Map No. 1000 Section ....9... Block ....4... Lot..13.1.....
Subdivision .....................Filed Map Lot............
Permit No...20260Z..... Date of Permit 11/7/91.. Applicant.J.Appelmans
Health Dept. Approval ................Underwriter Approva1.N243249...
Planning Board Approval
Request for Temporary Certificate ...........Final Certificate...X...
Fee Submitted: $...25.00.........
Applicant A. John Gada General Contracting, Inc...
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THE NEW YORK BOARD OF FIRE UNDERWRITERS pflGti ~
1~750L! BUREAU OF ELECTRICITY
88 JOHN STREET, NEW YORK, NEW YORK 10036
Date JUTIY ?~+f'~~Z Application No. on fete .l~h~ft39L/9Z tt .~.432~x1
THIS CERTIFIES THAT
only the electrical equipment as described 6ebm and introduced by the applicant named on the aboce application number in thepromiaes of
~T,~,C,~IIE;S Ap,£f;Gf{ANS, EiJIfLSl'h'IAN .AYERUtI, FSSttY~RS If3LlS,Npr N,Y.
in thefollominq location, ? Basement ? lst Fl. ? 2nd FT. GA" .Section Block Lot
mss examined mt ~ flf ~ ~ ~ f ~ y ~ and fourzd Go be in compliance with the rer{uirencents of this Board.
FI%TURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS =
OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W AMi K.W PMi K.W AMi K.W AMT. N.P.
4 ~ 3 4
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMi. K. W. Oll H. P. GAS N. P. AML NO. A. W. G. AMT. AMP. AMi. AMPS TRANS. AMT, H p SYSTEMS AMi. WATTS
NO.OF FEET
SERVICE DISCONNECT NO. OF S E R V I C E
AMT. AMp, TYPE METER I 1W I ~ RW 3 ~ JW 9~ AW NO. Of CC COND. A W. G. NO OF HI~LEG A' W' G NO OF NFVTRAIa A W G'
EQUIP. PER .9' Of CG COND OF HbIEG OF NEUTRAL
OTHER APPARATUS:
C•At~1RLBOARD911.-'t CI R. 3f~0
G.P.C.Sr-'L
GAGA. CONTRACTOR L7:C.~246_g
ORAWRR B
@ISH~R`i .i ~LANRt NY, 0&~9f? GENERAL MANAGER
1. i
Per
ertificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
a ~r~l-~I-~.n~~~nrnrr-~~n~sss~s~n ~r~n~nn~~n~~.n~~nrn~~l-~l-~l-~l-~~~l-~I-~l-~~I-~ ~~~~~~n~l-~rss~n~ss~l-~l-~n~l-~nr.r~l-~ co
5 rl ~ I BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY C5
5 ~ aoa 40 FULTON STREET _ NEW YORK, NY 10038 5
5 ~IU l CERTIFIES THAT 5
5 5
5 a (U Upon the application of upon premises owned by
5 WALSH SERVICE JANIO SPINOLA 5
5 P.O. BOX 325 EQUESTRIAN RD 5
FISHERS ISLAND, NY 06390, FISHERS ISLAND, NY 06390
5 Located at EQUESTRIAN RD FISHERS ISLAND, NY 06390 C5
c5 Application Number: 2007480 Certificate Number: 2007480 5
Section: Block: Lot: Building Permit: BDC: ns11
C5 Described as a Residential occupancy, wherein the premises electrical system consisting of e5
electrical devices and wiring, described below, located in/on the premises at:
5 Outside, ~5
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
5 authority having jurisdiction, and found to be in compliance therewith on the Day of
5 11th August, 2005. 5
5 Name 2 Rate Ratine Circuit Tvoe 5
5 Service
5 1 Phase 3 W Service Rating 250 Amperes 5
tj Service Disconnect: 1 200 cb 5
5 Service Disconnect: 1 50 cb 5
5 Meters:2 5
5 5
5 5
5 S
5 5
5 5eai 5
5 1 of 1 S
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
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' B0~\FD OF HEALTH
FORMNO.1 3 SETS OF PLANS
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT cliccl: . . .
TOWN HALL SEPTIC FOarl
SOUTHOLD, N. Y. 11971
TEL.: 765-1802 t:ai1PY;
CALL
Examined .~.~!`:`1 , 19 q. ~ riA I L TO _ . • • • .
Approved 1~.~a~...7., 19 9l. Permit No.RZ.~.°1.~.~.Z~ . .
Disapproved a/c _ .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
D2te . V..: 6 19 ~1.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
,ets 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 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
;hall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in pazt 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
3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
'tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Che applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
idmit authorized inspectors on premises and in building for necessary inspectico~ns.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
O C~ N e
Name of owner of premises ~ 5 ~ p
N.S.....................
(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 . .
I . Location of land on which proposed work will be done. .
~~LLc_ I-~~~-L + C~~~S i2iaf ~l.S~e6L5 ~SLA~-(a
house Number Street Hamlet
County Tax Map No. 1000 Section d.p.9...... Block d.~" Lot ....13: ~ .
Subdivision Filed Map No.' Lot .
(Name) y ' ~
Stale existing use and occupancy of premises and intended use and occupancy of proposed construction:
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a. Existing use and occupancy , .
b. Intended use and occupancy ~ , , z ~ ~ ~A j2,~ G`~; v
v~~ i
( PP }
3, Repair of work check whiRemovl Icable): New Building ? • • Addition Alteration .
• • • • • • ~1 Demolition ..............Other Work .
4. Estimated Cost e (Description)
W J~ v a a
Fee......................................
(to be paid on filing this application)
g
5 , If daraliennumba of cardwellin un~ts Number of dwelling units on each floor , , .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~ , • .
7. Di pensions of existing stru Numbe f any: Front , , , , , ; , , ; • ,Rear , '
. Dep,
Hei ht r of Stories . ti , .
D pensions of s me structure with, alterations or additions: Front ~P........... Rear ..^'r",_•4 . .
3 0 ~ .......Height Srn~c.1~ , •S T~ 4?-;I....... Number of Stories l . . .
8. D'mensrons of entire new construction: Front Rear , ..........Depth .
Height . . . Nur~be,r of Stories r
9. Size of lot: Front ~ z Rear De th .
.............I
lfll, one or use d strict in which rem • • ' ' • • Name of Former Owner ~N~ FF
• P }ses are situated .
12. Does proposed construction violate any zoning law, ordinance or reguiation: .
13, Will lot be regraded N, .p Will excess fill be er~7oved,~'rom premises: Yes N
14. Name of Owner of premises ~ PP?.~m!` n!S, , • , . ,Address ~..°.X . ~'-~.3 ~rsh'a> 1 ,phone No. 697
Name of Architect ...............Address , ................Phone No............... .
Name of Contractor . , , .
15. Is thislfryes,tSouthold To "Address ...................Phone No.
* P P Y 0 feet of a tidal wetland? ~yeS,,,,,,,, No.........
wn Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block nuynber or description according to deed, and show street names and indicate whether
interior or corner lot.
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BOUNTY OFE -`-'.~0. Fl~° ~K S.S
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G~(Name of indiv dual si nin ~ • • • • ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant
contract)
above named.
le is the ~t'`~Ne4- C ~ F- i jc~~ roll
(Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly i4uthorized to perform or have performed the said work and to make and file this
pplication; that all statements contain~d in this application are true to the best of his knowledge and belief; and that the
+ork will be performed in the manner sGt forth in the application filed therewith.
:worn to before me this
.......day o .Li.°. ~'~A:`.~'~~....... 19
lotary Public County
TCa F-- "~~c.S ?'lc_~- ~
i ~G~71+.+-c2
(Signature of applicant)
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