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Home My WebLink About20275-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20873 Date JULY 21~ 1992 THIS CERTIFIES that the building. Location of Property WHISTLER AVENUE House No. County Tax Map No. 1000 Section 9 Subdivision ALTERATION FISHERS ISLAND~ N.Y. Street Block 10 Lot 14 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17~ 1991 pursuant to which Building Permit No. 20275-Z dated NOVEMBER 13~ 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 ALTERATION TO EXISTING APARTMENT AS APPLIED FOR. The certificate is issued to THOMAS J. SHILLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-228993 - MARCH 20~ 1992 PLUMBERS CERTIFICATION DATED JUNE 23, 1992 - MARIO ZANGHETTI~ JR. Building 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) NO. 20275 Z .......... ~ ................. ~.........~. ........................ . ......... .............................. at premises located at' ....~..~..k"~:1~._J..~ ................................................ ..................................... : ........................ .~......~..~ ....................................................................... County Tox Map No. 1000 Section,, ...... ~ ............Block ....... L..~... ....... Lot No ....... Z....'~.. ....... a licotion at /~.-../ ,,~. ~/.. · 19 pursuant tO pp d edY .... ~;~,.....,~-.4 ............ , ........, and opproved by the Building Inspector. Fee $.../. ~..~..~..~. ~... Building Inspector Rev. 6/30/80 1~01~ NO. S TOWI~ OF:$OUTHOLD Building Depmtmenf Town Clerks Office. Southold, 14. Y, 11971 ~PPLICATION .FOR CERTIFICATE OF OGG instruction! ' :'/A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building' ,.,,, .Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, ' property lines, streets, .and ,~i unusual natural Or topographic features. ~ 2.' F}neJ approval of Health Dept. of water suppiy and sewerage dlsposalm(S*9 form or equal). ~ :'i~h'3, iApproYal of electrical Installation from Board of Fire Underwriter0,' .' ' :, i" 31 Commercial buildings, Industrial' buildings, Multiple Residences ~0nd 'similar buildlnr.g.s and '~-' ' nsta arians a cert flcate of C~e comp ance from,the ~r~hitect or'Engineer responsible for ,' :: ~ ~the building. ~ ': ~ ' ",'~ .S, Sub~lt Planning Board approval of completed site pl?n requirements'where apphcable~ ~' B. Fo~ existing buildings {prior to April 1957), Non-confo'rming uses, or bui d rigs ond "pre-existing' ; ~L' J~' ' ~ land uses: ' '~' , ' ~':'' :~,"Accurafe su~ey of property showing all property lines, streets, buildings and "unusual 'n~tural SWOrn statement of owner or previous owner os.to use~~ ~cup~ncy ~ndconditton of buildings. Date of any housng code or safety inspect on of buildings rot premses, or uther'peal nent n-'~ ' d ')' L~k~formation requir~ ~o prepare a certificate. ,. ' ~ , . ', ~ ' 1.'Certlfl'cote of ~¢uponcy $5.00 ~ ' ' '/2. Certificate of ~cupancy on pre-existi~ dwelling or land use $5.00 , *. ~ 3. Copy of ce~fficate of ~cu~ncy.$1.00 .... .~ . ~ .. ...... , ,,,, New Building ................ Add~hon ............. Old or Pre-exishng Budding, ........ ~..., Vacant Land ...... ............ ,.,, ............ , ......................... ~.,.,.,..Lot No. ']'~""'t' B ~k No. , No~,,,~.~, ......Date Of Permit .., ( ,~,~ ...... Applicant// He0!th~ ~pt,, Approval ,..., ..................................... ~bot ~pt, Approval ,..,. ........ ~, ........ .,., ...... ,..,,., ~e~ritets, Approval ,~.~..~.~.~ ..........................Planning, B~rd Approval ,,,...,,~... ~...,,, ,,?.,~ Tempo~ry Ce.iflc~te ...................'7~ ~ : ':~'~ .~(.,,.. day of~,.~ .................................... Jstbmp or ,eol; ....... j~ r~ ~ub C ~,,~,%,~; .,~., ~o~ ) //~ it' ' ' ,'" ~%~'~ ~ 4806559 , TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Building Permit No. ~ ~ ~ ~ Owner~-h o~S ~". ~._~ (please print) Plumber/?l~ ~% 2~ ~ ~e~l~..~_~_ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swoy/~___to before--me this ~ day of Notary Public, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN ~TREET, NEW YORK, NEW yORK 10038 ~s examined on ]~.~ ~. 7 ~ [ 9 9 ~ andfour~d to be in compliance wi~h the require,tents qf this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLI[TS SWITCHES ~-LUORE$CENT OTHER DRYERS SYSTEMS HO. OF FEET OTHER APPARATUS: E R V I C CON,RS. :[MC, BOX 2G2 FISHER3 I~h~ND, NY~ ~390 GENEI~AL MANAGER ./ Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CER:TIFICATE MUST NOT BE ALTERED IN ANY MANNER. FOU~DAT!ON (1st) ?OU:;DATIO:! 2. (2nd) ROUGH FRAHE & .PLUMBING 3. I~;SULATION FERN. Y. STATE ENERGY CODE Fi;;AL ADDITIONAL COMMENTS · NO O0 'A'N ::IH.L dO £BB~ qqVHS IOIJ.OI¥4.LSN03 qq~ '0'3 ~Od g,L=rld~O:) :ag i NOU.V'InSNI :a.LaEIONO3 CF~J:lnOd uo.4 :$N01.1.O3dSNI ~)NIhAO:I"IO'4 J.¥ I N~JJdVd~ DNIQ'II~18 E=..,!~.;._' .m~_ _ _ 9?.s.o.LmSo.. P..., I ... Disapproved a/c ..................................... FORM NO· 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL TEL.: 765-1803 BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK SEpT c';; ................. CALL (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...... -.. ,, I9... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets 9f plan% accurate plot ptan 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,~reas, and giving a detailed description of l~yout of property must be drawn on the diagram which is pan of this appli- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. ii. 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 tee issuance of a Building Permit: pursuant to the Building Zone Ordinance of' tim 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 applicable laws, ordinances, building code, housing code, and regulations, and to . admit authorized inspectors on premises and in building for necessary inspections. / -- ' . ..... (Sig~/t[r'e'o'f'~l;lich~t} ~r ~in~e', if'a'c'o~'l~o'r:;tlc;n')' ' ' ....... ........... x. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ......... Name of owner o£ premises .......................................... (as on the tax roll or latest deed) If applicant is a~corporation, signature of duly authorized officer. (Name anq~itle of corporate officer) ' Builder's License No. /~.. o~.~c2 Plumber's License No. ~-~'z/~ ~ El i ian s Li No .~?.~-- '~' ectr c ' cense ....... Other Trade% License No...~..~..~.-7.~..~. ......... 1. Location of land on which proposed work will be done: .... .... .... House Number Street, ......................... Hamlet ' County Tax Map No. I000 Section '~ ...... t 0 ./.f. .......... Block ..... L Subdivision ..................................... Eilcd Map No. (Name) .............. Lot .............. " State existing use and occupancy of premises and intended use and occupancy of !firoi3os~fl construction: A. Existing use and _ ~ . . .................. ,' .............. B. Intended use and occupancy ....... . ............... 3. Nature of work (check which applicable): New Building .......... Addition . Repair. ........ ~ ..... R~moval .............. Demolition .......... Tennzs Court . ..,/. ..... Accessory Building .......... Fence . . 4. £stimated Cost...'~ -- .~...,$f~......6'j~.. ....................... Fee .... .~.~.~.~. 5. If d~velhng, number of dwelling flnits ............... Number of dwelling un[ts If gara~'e, number of cars ..... I ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type 7. Dimensions of existing structure',if any: Front ....... . . Rear ' Height ............... Number of Stories ......................... Dimensions of same structure w~th alterations or additions: Front ............. Depth i Height ' Number of S 8. Dimensions of entire new construction: Front ........... Rear ....... e ~t ............... um ero ories ...................... 9. Size of lot: Front ....... 2-' .i ........... Rea." ...... : ............ . 10 Date of Purchase ~ Name of Former Owner 11. Zone or use district in which pre'raises are situated .................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... t3. Wilt lot be regraded ......... ! ................... Wiil excess fill be removed 14. Narae of Owner of premJaes . .I J'.... Ad&ess ... Name of Architect ' Address Name of Contractor [ ' Address l..5..'ra ~h.i~ prop~rt~ localt~d within'~O feet of a tidal vet ~If yes, Southold Town Trustees Permit may be required. I PLOT DIAGKAM Locate clearly and distinctly alii buildings, whether existing or proposed, and, indi property Hnes. Give street and biock !number or description according to deed, and show interior or comer lot. on filing thi~.ap_~.~li_~jtjor 7US~ ......... , ......... . .... Depth .............. pth .................... Phone No · Phone No . Phone No and? ~YES .... NO .... :ate all set-back dimensions fr6m ;treei names and indicate whether STATE OF NEW YORK, ~S.~ S COUNTY OF ................. I , ........... .~,a_~....;..~ ................ being duly s~vorn, deposes and says that he is the applicant . (Name ofinc~dual sig~ingcontract) above named. 1 He i~ the · (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to pe,rform or have performed the said work and to make and file thL, application; that all statements con!ained in this application are true to the best of his knowledge and belief; and that thc Work will be performed in the manner set fo~ Sworn to bcforj~me this ....... ..........--- Notary Public ..... · .~..~ No, 4iOg~ ' -' OUlllfl*01. S~IK County Tl~m Expires 1~31/~ Jh in the application Qlcd.thcre~vith. / ~ ' i ~ (Signature of applic~,t