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HomeMy WebLinkAbout19943-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19985 Date JUNE 14~ 1991 'County Tax Map No. Subdivision THIS CERTIFIES that the buildin~ ACCESSORY Location of Property PRIVATE ROAD, EAST END FISHERS ISLAND{ N.Y. House No. Street Hamlet 1000 Section 4 Block 6 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11~ 1991 pursuant to which Building Permit No. 19943-Z dated JUNE 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 SMALL STORAGE BUILDING "AS BUILT" The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A FISHERS ISLAND DEVELOPMENT CORP. Bulldlng Inspector Rev. 1/81 IFORM ~0. fl 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- 1 !? 9 4 3 Z Dot, ~ ........./..~.. ............... , ,9..~../ Permission is hereby granted to: . _., .~..~....~~......£ .... ,~._~..... , ,,,,,,,,,,~,~.~ ...... /....;~....i..'~..../.~ .................................................... .................................................. ~..~..~~ .................. ,. .......................... ...................................................... ~~~.,,....~..~... ~,,,,,, To. Mop No. ,000 Se.,~on ......... ~ .......... ,.~, ....... .~.. ......... ~o,,o ...... .¢ ............ ,,,,,,,,t to opp,¢o,o, aoted ....... ~.....Z./ ............. , I,...¢...~on,~ oppr~ed ~, E~ui/dJflg Inspector. ~ Building In.q:~ctor ............ Rev. 6/30/80 TOWN OF $OUTHOLD BUILDI~4G DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION PLEASE TAKE NOTICE there exists a v elation of: Zon n90 once ........ YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the conditions above mentioned forthwith on or before the ................ .~....~'.. ......................................... day of ..~ ....................... , 19..~....ff ~, .~.., The premises to which this ORDER TO REMEDY VIOLATION refers ore situated et may constitute an offense punishable by fine or imprisonment or both.- Form No. 6 TOWN 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer responsible for the building. Submi~ Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" 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 $15.00 .ocation of Property ................ ~. ~.../~]~L ...... ~w- .... .~...,....--~.~.'.. House No. Street / Hamlet rower or Owners of Property..~.~~.~.~ ....... ounty Tax Map No 1000, Section ..... ~ ...... Block .... ~. ......... Lot...~ ~bdivision .................................... Filed Map ............ Lot ...................... ~rmit No..~.~ZDate Of Permit~.~..Applicant.~...~~.~ ~alth Dept. Approval ...... ~ .Underwriters Approval ~ .. . [anning Board Approval ........................ ~quest for: Temporary Certificate ....... ,e S~bmit ted: $...~ ~.~ .......... . " n ....... ....... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION TO FISHERS ISLAND DEV. CORP. (owner or authorized agent of owner) % FISHER ISLAND UTILITY CO. DRAWER E,FISHERS ISLAND (address of owner or authorized agent of owner) N.Y. 06390 PLEASE TAKE NOTICE there exists a violation of: . Zoning Ordinance ....... C~{.....1.0. Q .................... Ot~er Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ..B...u.i.l.t ut±li.t.y building, no (state character of violation) Building Permit. in violation of .~H SQ.Q,. Art XI,V.. 100T..1..41 . ' (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the condltions above mentioned forthwith on or before the ..... 2,3.r.d ....................................................... day of ,...~..~..,Z.~. ........................................... 86 19 ........ The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ,..~e:ct...C,o...~e~%n£s...Co.ur.t ............................. County of Suffolk, New York. Fishers Island Country Club. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow may constitute an offense punishable by fine or imprisonment or both.. ' 1000-4-6-9 Building Inspector Curtis W. Horton FOa~ NO. 1 TOWN OF SOU~THOLD BUILDING DEPARTMENT TOWN HALL , SOUTHOLD, N.Y. 11971 TEL.: 7G5-1802 xamined ................. 19... .ppro,.ed ,C . . . .. 1, P=n,t Y. . f. ? z tsapproved a/c ..................................... iOAKD OF HEALTtI ......... SETS OF PL.I;t!; .......... CIICCK SEPTIC FOa:l ,,O, iF'/; CALL ................ I'IA I L TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Da ........ 19 INSTRUCTIONS ' ' a. This application must be completely filled in by typewriter or in ink and submitted to tlie Building Inspector, with 3 ~ 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- c. The work covered by this application may not be c})mmenccd before issuance of Building Permit. d. Upon approval of this application, ~hc Building Inspector wi/l issued a Building Permit to tile applicant. Such permit 11 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 I1 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 Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or relations, for thc construction of buildings, additions or alterations, o$~ryr,,rcmoval :app lii]_:ant ao_ree?, to comply with all apolicable laws ,~ rrt; .... ~.: .~rf.~.,: ~.~' ~ ~-"'~' :aJ"~-~n' as he rein describe ]it authorized respecters on premises and in building ~'o/ne~;;~:~"" d ,egul ions, d to (Milling address of a licant ..... PP ) :e whether applicant is owner, lesse~chitect, engineer, general contractor, electrician,lumber or ' .................... ......... ....... -.. . fas on thOta;~ roll or latest ~eed) ...... >plicant 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 ....... -'"'- .ocation of/and o~ficli proposed work will be done ............... ouse Number Street Hanflet -mntyTaxMapNo. lOOOSection ....... .~, ........ Block ... ~. 7 ~bdivision ....... .............................. Filed Map No (Name) .............. Lot ............... ate existing use and OCCupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy Intended use and ~ ~~. occupancy .......... :operty lines. Give street and block number :terior or comer lot. l.qcpalr ...... . . l~,,.-- ' ...... dltlon ..... Alteration .......... ....... moral .............. Demolition ............ Other Work ............... 4. Estimated Cost. / (Description) 5. If dwelling, n tuber ofdwelhng u~mts (to be paid on filing this application ............... Number of dwelling units on each floor ....... · If garage, number of cars ..... I ..... If business, commercml or m~xed ! .................................. Dimcnsioas of existing stmctures°CCUpancy'specify nature and extent of each type of use ........ ~. .. 7. i if any. Front ....... Height . .. ,.,.. ., ................ Rear .............. Depth.. . .' · · ..... ~'~umo,er of Stories . · .. i1~ ........ Dtmenmons of same structure wit ............... h alterations or additions: Front ............................... Depth ~ ................ i Rear 8 Dimensions of entire new construition: Front Number el Stories .................. Height . Height Number of ............... Rear ............... Depth ............... Stories ........... ' .... 9. Size,o£1ot: Front ... Date, of Pu] .... i ......... Rear ...................... Depth .... . 0. chase ............ 4 · · · .... ' .... Name of Former Owner ......... ' .......... I. Zone or use district in which premlises are situated ..... · ................... 2. Does proposed Construction violtt~ any .................... .. Will lot be regraded ,r'~:o .... ~" .............. ........ · zoning law, ordinance or regulation: ..... ,: ............ '.,, ........ ................... Will excess fill be removed from premises: Yes ,, Name o£Owner of premises .... ...... Address ................... Phone No ................ Name of Architect ............ ! ............... Address ..... . ...... NameofContractor ........... i ........... Address '''i'.iii i.' '' 'Ph°neN° ......... Ia ~his property within 300 feet ~'f a t'i~al wetla;'~'~ ....... i. Phone No ......... · If yes, Southold To~n Trustee ..... --' *Yes ........ No~: .... ' ..... ~ ru~ra~t may be required. .... i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from or descriptioh according to deed, and show street names and indicate whether .................... ~'" ............. being duly sworn, deposes and says that he is the applicant e named~Name of indivktual sJgning contract) the '(Contractor ................................................. , agent, corporate officer, etc.) · · id OWner or owners, and is duly authorized to perform or have performed the said work and to make anti file this cation; that all statements teat'dined i~j this application are trne to the best of his knowledge and belief; and that the will be perfo~etl in the manner set fokth in the application filed therewith. '~ to before me this ...................... .......... Coun · , (Signature o~ plicant)