The URL can be used to link to this page

Home My WebLink About19937-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20021 Date JUNE 21~ 1991 THIS CERTIFIES that the buildin~ Location of Property FJ~ST END ROAD House No. County Tax Map No. 1000 Section 5 Subdivision ADDITION FISHERS ISLAND, N.Y. Street Block 2 Lot 2 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1991 pursuant to which Building Permit No. 19937-Z dated JUNE 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 12' x 10' ADDITION TO EXISTING ONE FAMILY D~tELLING AH BUILT The certificate is issued to EDWARD CRANE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFL~LTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~u~ NO. ~ TOWN OF $OUTHOLD 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_e 19937 Z Permission is hereby granted to: .... .~..~...~,..~..,..~...~~o., ,o .......... ~..~ ........... /...~.'....~.../.~..'......~ ............. .~....~~..~,.~ ,,,,~,,~,:~ ~~ ........... ~ "~~/ ............ ~~~--~""~"~/ ...... ~-~-~-: ..... , ........ ~-~- ~ ................. .~...~..~.. ....... ~...~.~...~ ..... ,...~.~./....'..~..~.....~ ( ~,~ Tox ~ No. ~000 ~c,,on ..... ~../..; ........ ~,o~k ...... .~.~.... Lot No ......... ~..~ .... pursuant to application dated ........ ~ ....... ~ .........., '9...~.../and approved by the Building Inspector. Fee $.L~......~..~..: ..... Rev. 6/30/80 Form NO. ~ TOICN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 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 prqperty 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 df 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. 5. Commercial building, industrial building, multiple residences and similar buildings ~ and installations, a certificate of C~de Compliance from archiuect or engineer responsible for the bu:'.lding. 6. Submit Planning Board Approval of completed site plan requirements· ;- For existing buildihgs (prior to April 9, 1957) non-conforming uses or buildings and pre-exzstlng 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. :' ~eScertificate 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 ~ertificate 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 $15.00 Date ................................... ew Construction ......... Old Or Pre-existing Building ................. oeation of ..... ..... }louse No. Street Hamlet ......... .~wer or Owners of Property../_..~... Z'./~..~.$-~. .~,. ................................. · .. )unty Tax Map No 1000, Section ..... ~."~. ..... Block.. . ~.. .... Lot. ~---- ~bdivision .............................. Filed Map ............................... · '' Lot ~ ~ Z Permit..~.%/~Z .... Applicant... ~ .'~,.,. .......... .......... ate Of .alth Dept Approval · ' ...... · Underwriters Approval arming Board Approval ..... . 'quest for: Temporary Certificate ........... Final Certicate ~// e Submitted. ~. ~- (~'g~' ~ I ~ ~ I " ROBERT EVANS CO g~O0~/' APPLICANT INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD June 18, 1991 SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Robert Evans P.O. BOX 546 Fishers Island, N.Y. 06390 Dear Mr. Evans: Enclosed please find the receipt for the Building Permit 919937Z for Edward & Jean Crane. Also I am enclosing an application for the Certificate of Occupancy. The fee for the C.O. is $25.00. Please return the application along with your check so that we may issue a C.O. for you. Thank you. Yours truly, Secretary HKD:Enc. INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIEGZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIs, Supervisor Sou&old Town Hall EO. Box 1179, 53095 Main RoaSt Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OI~'I~'ICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD FAX COVER SHEET ROBERT EVANS TO: FROM: CURTIS HORTON~ SENIOR BUILDING INSPECTOR DATE: JUNE 24, 1991 # OF PAGES: 1 Additional Comments: IF ALL PAGES ARE NOT RECEIVED, PLEASE (5~6) 765-]802. CALL THIS OFFICE AT ROBERT & LOUISA EVANS LICENSED REAL ESTATE P O BOX 546 FISHERS ISLi~ND, NY 06390 (516) 788-7101 FAX 788-7466 Curtis Horton Building Inspector Town of Southold Town Hall Southold, NY 11971 June 5, 1991 Dear Mr. Horton: As per your instructions I have filled out the enclosed permit application for an existing structure for the Crane property and have included a check for the fee. I have also enclosed a blowup diagram of the entire structure with the addition indicated. The purpose of this application is to gain a current Certificate of Occupancy for the Crane residence. I am sorry for the delay, but we have been waiting for the parties to get into contract. With that finally done we are hoping to have a final closing on June 22, 1991. Please let me know if that will give you sufficIent time to process the application. If you have any questions or comments please call me at above phone. Thank you for your cosideration. Best regards, enc. INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 June 18, 1991 Robert Evans P.O. BOX 546 Fishers Island, N.Y. 06390 Dear Mr. Evans: Enclosed please find the receipt for the Building Permit %19937Z for Edward & Jean Crane. Also I am enclosing an application for the Certificate of Occupancy. The fee for the C.O. is $25.00. Please return the application along with your check so that we may issue a C.O. for you. Thank you. Yours truly, Secretary HKD:Enc. 2 ~ST HA~BO~ 9 7,4 8 7,7 6.8A SEE SEC. NO. / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~0 UTFtQLP-. ~L¥. TEL,: 765-1802 Exanffned . ^p,ove .7. ..... Disappr6ved ale .... (Building Inspector) . ~ APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK SEPTIC . .. CALL ..~ .................. MAIL TO ....... : ......... , I9 ... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in. ink ~nd submitted to the Building I~peetar, wi~ $ sets ~£ pLa~%aCCurate plot plan to scale, lae~ 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 lhyout of property must be drawn on the diagram which is part of tiffs appll- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. xl. Upon approval of fids application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on tile 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 ~uilding Zone Ordinance of tlm Town of Southold, Suffolk County, New York, and other applicable Law% Ordinances or ~,eguiations, for the construction of buildings, additions or alterations, or for femoral or demolition, as herein described. ['he applicant agrees to compty with all applicab"le laws, ordinances, building code, housing code, and regulations, and to tdmit authorized inspectors on premises and in building for necessary inspections. ;rate wh~ther applicant is owner, lessee,' agent, architect, engineer, general contractor, electrician, plumber or builder. ..... lameofownerofpremises .,ffff,/e....-f..~.~.5.. ~..~./f,p. ........... . . (as on the tax roil or latest deed) 'applicant is a corporation, signature of duly authorized officer. B dder s License No ................... tx Plumber's License No ........... ~~ Other Trade% License No .................... Location of land on which proposed work will be done; tlouse Number Street, Hmnlet ........... ty Ta p N 000 S 00~ ' ~,0~ oO Coun x Ma o. I ection ................. BI~ ' O~;~ ........... Lot. . ..... , Subdivision ..................................... Kiled Map No. (Name) .............. Lot ............... St~te existing nsc and occupancy of premises and intemlcd use and occupancy of proposed constrndtion: A. Existing use and occunancv /~1~ ' Alteration · Nature of work (check which applicable): New Building .......... Addition ...................... Repair ............. ,J~, ~,/... R~moval ......... ;..:. DemolitiOnFee .............. ~.~. ¢ ~ -~. ~.Sw~'"m'a£ng, pool ............... Tennis Court .... Accessory Buzldzng .......... Fehce ....... Other Work; .' ......... ,., · EstimatedCost/,...~,,v~...~...~'. ........................ ..... (to, he paid on filing this a~l~lication}, . If dwelling, number of dwelling units ..../ ........... Number of dwelling units on each floor ................. If garage number of ears .................... · If business· commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions of existing structures, if any: Front.., ............ Rear ................ Depth .............. Hei=ht Number of Stories /.. ................... Rear Dimensions of same structure with alterations or additions: Front ................................. · Depth ...................... Height ............. Number of Stories.,-,~-'~:'[ · ii ~[¢~( ...... .....' Dimensionsofentirene,.vconstrnction:Front.. ii~'~..f, il Rear..../.~ ! .......... th' ...... L ~ / Number of Stories /. ' *'<~ ' Height .............. . ..................................................... · · ~ De th ... ,. s= of ot. ...................... Rea ....................... :i' I. Date of Purchase ............................. Name of Former Owner /a/..~ . ',.Zone or use district in which premises are situated. ~.~..4~.~. .......................................... ~ Does proposed construction violate any zoning law ordinance or regulation: · · I. Will lot be regraded ............................ Will excess fill be removed from premise~:.. Yes .... N~.. ~. Name of Owner of premises,-..., ..... ..,.. "..,.Address ............. .... .. Phone No ................. Name of Architect Address .. . Phone No ................ Name of Contractor ................. i .. .......Address ................... Phone No ......... : .~ .... 5.~La t_h~a property located w~th~ 300 feet of a tmdal wetland? YES .... ~10... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from ' block number or des~n,,~ption accorAi~g, to deed~ and§how stree,{: n~nes and indicate whether roperty Hnes. Give street and /o / OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ~TATE OF NEW YORK, S.S 2OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove na~ed. '-t-e is thc ...................................................................................... J · · (Contractor, ageot, corporate officer, etc.) >f said owner or owners, and is duly authorized to pc,rform or have performed thc said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge a~nd belief; and that the work will be performed in thc manner set forth in the application qled therewith. gworn to before me this ........................ day of ...................... 19 ... (Signature of applicant)