The URL can be used to link to this page

Home My WebLink About19656-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23454 Date JANUARY 19, 1995 THIS CERTIFIES that the building Location of Propert~ County Tax Map No. ADDITION & ALTERATION Subdivision EAST END ROAD FISH~RS ISLAND NY House No. Street Hamlet 1000 Section 4 Block 6 Lot Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5, 1991 .pursuant to which Building Permit No. 19656-Z dated FEBRUARY 7, 1991 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is A DECK ADDITION AND ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to US TRUST CO TEXAS N.A. AS TRUSTEE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner) N/A N/A N/A / ~il~ding/I n~PectOr Rev. 1/81 FORM I~0. fl TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) . · .... r.. . at premises located at ./...Z.~~.. .... ?~ ...... _ .~..~.~ ........ .~, ............................................... County Tox Mop No. 1000 Section ........ pursuant to application dated .... ~.~........~ .......... , 19..~.../ and approved by the Building Inspector. Building I~sl:~ector ~s Rev. 6/30/80 TOWN OF SOHTHOLD BUILDING DEPARTMENT TOWN HALL 265-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must 5e filled in by typewriter OR ink and subx~itted to ~he building i~spector 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. 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 stata~ent from plumber certifying that the solder used in system contains less than 2/10 of 1{ lead. 5. Co=~ercial building, indus~riel building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or em~inear responsible for the building. 6.Submit Planning Board Approval of complstsd site plan requirements. Bo For existing buildtngs (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, buildin~ and unusual natural or topographic features. 2. A p~operly ¢omple%ad application and z consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the C, ~eea Certificate of Occupancy ~ New ~elling $25.00, Additions to ~welling $25.00, Alterations to duelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certifica~a of Occupancy on ?re-existinK Buildin~ - $100.00 3. Copy of Certificate of 0ccupanc7 - $20.00 Updated Cert[ficata of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residel%tial $[5.00, Co~ercial 1/17/95 Date .................................. . . . .. . . New Construction ........... Old Or Pre-existi~g Building .... ~ ............ East End Road Fisher's Island Location of Property ......................................................................... ~ouss No. Street Hamlet Onw~r or Owners of" ..... "= U.S. Trust Company of Texas, N.A., Trustee o~ ~. ~..~...p~and .Trust County T~x ~p No ~000, Sec~lon..99~=PP ...... Block...qPqq ......... ~o=PPA. PPP. kD9A.~A% .... SubdivisXon Filed Hap Lot ............... Permit No ~)}}~ Date Of Permit Applicant .' .... Health Dept. Approval .......................... Underwrlter~ Approval...... ...... ............. Plann/ng Board Approval ........................ Request for: Temporary Certificate ........... Final Csr:lcate ........... Zee Su~mittnd: $..~P:99 ...................... qflo 5- ............................. JAN 14 'B5 14:40 PAGE.OOZ EUGENIE VERRILLO (203) 863'6537 VIA FEDERAL EXPRESS CUMMINGS ~;~ LOCKWOOD January 17, 1995 Building Department Town of Southold P.O. Box 1179 Southold, New York 11971 Re: East End Road, Fisher's Island, New York To Whom it May Concern: Enclosed herewith is an Application for Certificate of Occupancy and a check in the amount of $25.00. Please arrange for an inspection of the property in connection with Permit #19656 and advise the undersigned when a'Certificate of Occupancy has been issued. Si~,ffrely, . ,~/~ EV/mw Enclosures C&LDOC: GG251231.DOC 01/17/95 FOUIIDATIO~! ( 1 s t ) (2nd) ?OU~;DATIO:4 2. ROUGH FRAME & ·PLUMBING iNSULATION PER.N. STATE ENERGY CODE FI;;AL ADDITIONAL COMME~ITS: .,I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1BB2 BOARD OF HEALTH ........... 3 SETS OF PLANS ........... SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Examined ................ , 19... Approve . . . ..... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. The work covered by tiffs 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 shat/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 the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with. at/ applicable laws, ordinances, building code, housine code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. A. 3ohn Gada General Contracting, Inc. · I)?a~t-or, ~ · O-,- · F i s~.e ? s..l.s 1 and; - NY .... 06-390. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... g.eg.e.r..a.l..c, gn..t?.a.c.t. 9?. ..................................................................... Name of owner of premises ............ ~e.].l.. 0...KY..0 Ch ............................................... (as on the tax roll or latest deed) It' applicant is a corporation, signature of duly authorized officer. 'dtig or cowo/al; Builder's License No.., .2.8.1.-..H.I ................ Plumber's License No. .46.2.-..P ........... Electrician's License No 296~.E ....... Other Trade's License No..1. 9..4 tAR. ............. Location of land on which proposed work will be done...(lac ] e.y.~i e.l.d ~0rj.v.e,. o.f.f.. Ea. st. EB.d..A.y.e.. ..... .................................................................. F..i sh.er s..l.s! and ........... House Number Street Ha~nlet County Tax Map No. I000 Section ..... .4. ........... Block . .6 ............... Lot .... 1 .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~ne. f~mi l .y..d~e.l.l. ing ............................................ b. Intended use and occupancy . line. f~.mi I y..d~e.l.l, gng ............................................ ature of work (check which applicable): Ne~y,,t~ing ..... ' ..... Addition .~ ~.t,-."i: · - Alter t'bn .......... epair .............. Removal .... ~ ....... Demolition ............ '.~.' Ot~V~ ........... I~l I ~l~)es~fip tion ) :stimate'd Cost . . $.1.~, 0O.0 ............................ Fee $50 . , ...< ......... (to be paid on filing t[iis [f dwelling, number of dwelling units ..... 1 .......... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front ............... .Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .. 2.6~ '. ......... Rear ............... Depth ..... Height ............ 8' . ........ . Number of Stories .l ................................................ . · Size of lot: Front ...................... Rear ...................... Depth ...................... - · Date of Purchase ............................. Name of Former Owner . .Norx3an. R~_A.¢hn~.r. .......... · Zone or use district in which premises are situated ..................................................... !. Does proposed construction violate any zoning law, ordinance or regulation: ................................ ). Will lot be regraded ...... no .................... Will excess fill be removed from premises: Yes No 4. Name of Owner of premises [~II. O,.t,,v[~ ......... Addressll~ll~a,.~ .......... Phone No ................ Name of Architect . .Kaith lqgga, ................ Address .~....aS, ............. Phone No..~.~. ! Z31~246~ . . . Name of Contractor ~,,~d~l flad~ .~!1 !~21;i.~... Address ~ ~F.i...S~"s...l.s:... Phone No. . .7~...T~.. :... 15.Is this property located within 300 feet of a tidal ~etland? *¥F.$ .... ~ yes 8outhold To~o ~rustees Permi~ 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. A. ~ Gao~, 3r. being duly sworn, deposes and says that he is the applicon (Name of individual signing contract) above named. He is the... General Contractor (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti- application; that all statements contained in this application are true to the best of his knowledge and belief; and that ti work will be performed in the manner set fortb in the application filed therewith. Sworn to before me this .......... ......... day ..... ?. Notary Public .......... 9 ...... %'.~.d/..~. ...... ~ MARY B. PANKIEWICZ ...... County . ....... (~iture of applic~