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Home My WebLink About19942-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-19984 Date JUNE 14~ 1991 THIS CERTIFIES that the buildin~ STORAGE BUILDING Location of Property PRIVATE ROAD, EAST END FISHERS__ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I Block 1 Lot 2 Subdivision Filed Map No. __Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11r 1991 pursuant to which Building Permit No. 19942-Z dated JUNE 12r 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 METAL STORAGE BUILDING AS APPliED FOp The certificate is issued to FISHERS ISLAND DEVELOPMENT CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-669405 - NOVEMBER 29~ 1984 N/A - ' Buildin~ inspector ' Rev. 1/81 IPOlUi ~0. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. T. BUILDING PERMIT (THIS PERNUT MUST BE KEPT ON THE PREN~ISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 199~2 Z ~/~../....~?,~Dot, ............... ...... ., .................... County Tax ~op No. ]000 ~ction / Bilk ......../ ............ Lot No. ~ ....... pu~uant to 'application dat~ ....... ~ ......... ~..~ ......... , 19.~, and appr~ by ~e Bu~ld~ng ~lnsp~or. Buildlr~ Inspector Rev. 6130/80 , "~ Form No. 6 TOW-N OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 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 property 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 of 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 i% lead. 5. Cormmercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer responsible for the building. 6. Submi~ Planning Board Approval of completed site plan requirements. ~. For existing buildings (prior to April 9 1957) non-conforming uses, or buildings and pre-exzstzng 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. ;. Fees 1. Certificate 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 - $I00.00 3.Copy of Certificate 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.O0 / / ew Construction .... -~--... Old Or Pre-o0risti.~ nuil;~'''7-' ~/ ''' o cation of Property ...... ~'''~';.~..~~fi'i['.~.'~~. ~/~/~ / ~bdivision ...... ' ~ ' ....... ............................. F~lcd Map ........ L~t . g d//2/g/ ..................... .... t/ -~ . ~ ..... .......................... arming Board Approval... ~ .............. ~ .... ~ ................ ~..~..~ ....... CO ~ I~gg~ - ~ APPLICANT ' [ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 .JOHN STREET, NEW YORK, NEW YORK 10038 ~V~% ~.~'~ .~pplic.tio,~o. on~iIe =97,~70/~ N 669405 THIS CERTIFIES THAT only the electrical equipment os described below and introduced by the applicant named oft the above application number in the premises of in the followlng location; [~ Basement [] 1st Fl. [] 2nd FI. Section Block Lot was examined on ~[[~r ~ ~ ~)~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RAI~GES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS DRYERS NO OF HI-LEG 'OTHER APPARATUS: 'Robert E. ~'all , P00. Box 595 Alpine Avenue Fishers COPY FOR BUILDING DEP~RTMENT. THIS COPY, OF CERTIFICATE MUST NOT BE ALTERED FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAL[. SOUTHOLD, N.Y, 11971 TEL.: 765-1g02 xammcd ................. 19 -ppro,'edb;."F.'Z-','.~C..Z~, I,FI. Pern,,t No.. 1. lsapproved a/c ..................................... OF HEALTII ......... 3 SETS OF PLA;,'S .......... SURV£¥ .,.~ ................ CIIECK ..................... SEPTIC F 0 R~'I .............. (Building Inspector) APPLICATION FOil BUILDING PEil[VIIT Date ....... Other Trade's License No. ·°cation of la~ on which proposed work w bedone..~----~;k~'T-.~-r_15 '-" --P75/4'~ r~o/,b-~, ' rJ . ~. ' '~ .'" ' '~ .... ; ................ · .':~'..---~&~(~.~.'.-4 ........ ......... IX.,,,Mz ~ ./1. - ~...w~...d.U~ ~, .,~. ouse N'um~-e- ' ........ '"'" "~'~" .'...~ ........../. M~//~.,'ZO' .... Ham/et ounty Tax Map No. I000 Section ....... /. ....... BIock ...... I ~.. ·' · ........... Lot .............. ~bdivision Filed Map No. (Name) .............. Lot ............... ate existing use and occupancy ofprcmisesandintendcduseandoccupancy fproposedconstruct/on Existing use and occupancy .......... ~,, ~. ~. . : (N d titl ......................... amc an e of corporate officer) udder s ,L cense No .......................... Plumber's License No Electrician's License No. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appLi- ion. c. The work covered by tkis 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 1I be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in wltole or in part for any purpose whatever until a Certificate of Occupancy 11 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance o ' ' g ' pursuant to the lding Zone Ordinance of the Town of Southold, Suffo k County, New York, and ofhaerBa~dd!n Pez~t · iulati,o, ns, for the construction of buildings, additions or alterati-~;~5-~x~*-,,~ ~i.'~.u~pp~.c~hie Laws. O. rdmances or · appucant agree~;, to comply with all apvlJcab e laws cw~u---,7"~~,at or. ue)no~tio;lg as heffem described. ,it au,ho,,ed =~eoto,~ on premises aha'in budding £;;;;~? n°=L.W'¢°?/"~?¢pti°ns, and to -. d s n :e whether applicant is o~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .............. XlGe,.~ F5. t ' ' (as on the trot roll or la'est deed) ~plicant is a corporation, signature of duly authorized officer. ,' 3. Nature pt'work (check which applicable): New Build/ag . . Addition ........... \Iteration . Repa.tr .............. Rem~vat .......... Demolition ......... · ' ' ............. Other Work ............... 4. Estimated Cost . . , (Description) · .. · .................. we ....... 5. Ifdwel ns, number ~f .... ! -- (to be paid on filing this application) · ,- u w, Velltng '~nits "~" ' · x, . · u garage,/lumber of car~ i, ~ .......... rqumoer of dwcUing m/ts on e: cb 6. If business, comme---'-, _ , i .......................... - -"- ' ............ ,-. . ~ulal or mrxed[occunancv ..... :c- · ' ................... ~.~ , 7. LJIII cnsl. ons o$['existin ....... ~ . - a, ,,~,c,..~y nature: lo extent o 'each tv,lc of u`'~ He~gbt .... ., 2 ~,. v~unt., .. ,. .......... {ear n, ,h ' '" ...... ....... ~'qumller of Stories .......... ' ............. ep,. .............. Dhncnsions of same structura with alterations or additions: Front .................... Depth ~ ................ ~ Rear $ ..................... [. Height ....... · ................ Dimensions of entire new c .. ........... Nu u ber of Stories ,, . ~..o~u~lun: vront ...... Rear ................... nmgnt Number of Stones ........................ Depth . 9 Size of lot: Front ................ ' ............. Rear .......... 0 Date of Purchase .................... ' ' ' ' ' ' ~ " .............. Depth ............ ......... i ...... ~ ....: .... Name of Former Owner 1. Zone or use district in which .-fl..', F eul~ses are sltUatet~ ..... ' ........................... 2. Does proposed construction vicm.~x .... , ....................... · ............ ~ .,., , _ ~ ~.-r~g~t~ u.y Zoning aw, ordinance o re,,,,~ ' · a. wul lOt De regraaed r-~ ,-- r r...,atlo I. ' ........ 11 exf,~ss ' ' ............ ....... ' ........ Wi flill be removed from premises: Yes 4. Name of Owner of premises , Name of Architect ... ' ........... Address .. Phone Name pfc ......... ~ .............. Address ................... Phone No ........... ontractor ............ i ........ . .... 3. Is this property wit:h±n 300]£ee'e of ~a .... Address ................. Pbon~No ....... · If yes, Southold Tow~ tidal wetland? '*~'e~ ' ........ Permit may be raqui~''j ' TrusCees ed .... No. t77-. ,". i PLOT DIAGRAM Locate clearly and distinctly all buii,d~gs, whether: existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block numeer or descriptioh according to deed, and show street names and indicate whether ~terior or comer lot. 'i ......... being duly sworn, deposes and says that he is the applicant e named. the , (Cog,racier agent Cdr orate officer ) ' id owncr or OWncrs, and' is duly auihorizc~ to pcrform or havc peffomncd thc said Work and to make and file this :~ t'o before me tiffs~n the manner set forth inl the aP'i}/ication fil~d therewith, Y Public,