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Home My WebLink About19851-zNo Z-22465 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JULY 22, 1993 ALTERATION THIS CERTIFIES that the building Location of Property EQUESTRIAN AVENUE FISHERS ISLAND, N.Y House No. Street Hamlet County Tax Map No. 1000 Section 9 Block 4 Lot 11.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15~ 1991 pursuant to which Building Permit No. 19851-Z dated MAY 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 ON EXISTING STORE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Z&S CONTRACTING INC. N-214627 - NOVEMBER 26{ 1991 N/A Building Inspector Rev. 1/81 I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N0_ lC)851 Z Permission is hereby gronted to: ....~:~.~...~....~, , ..~...~......~. ~'..~.~ .................... O,p.m,~,~f......~.~~. ......... ~_ ..................................... ................................................ Coun~ Tox Mop No. ,000-'ec,,on ........ .Y... ........... B,o~k ........ .Y.... ........ Lo, No. ./.../..;...~..~'X / pursuont to application doted ...... ~ ......... /.....~........., 19.2../°nd opproved by the Building Inspector. Building Inspector Rev. 6/30/80 FOnM NO. I~ ' TOWN OF SOUTHOLD Building Depar tmeri't Town Hall Southold, N.Y. 11971 765 = 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in tvpewriter OR ink, and submitted m ~=~ to the Building Inmec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-g form or equal). 3.Approval of electrical installation from Board of F're Underwriters. 4. Commercial buildings, Industrial buiidings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from tH.e Architect.or Engineer respons!ble for the building. 5.Submit Planning Board approval ,of completed s tep an requ ,tenants where apphcable. B. Fo~ existing buildings (prior to April 1957), Non-contoKrni~g U~s, or buildings and "pre-existing", land uses: ' ' 1. Accurate survey of pzoperty showing all prciperty lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety iilspectibn of buildings or pre,raises, or other pertinent informa- tion required to prepare a certificate'. , C. Fees: Additions $25.00' POOLS '$25.O0 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, ~Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling ' $ 50. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant La~td C.O. $ 20.00 5.U ated C.O. $ 50 00 Date NewCons truc tion Old or Pre-existing Building x Vacant Land Equestrian Ave,' Fishers Island,N.Y. 06390 ' Location of Property ................. House No, Street Nam/at .Z&.S, Co,n. tr.act, in. 9 INc Owner or Owners of Property County Tax Map No. 1000 Section ... 9 Block ,, 4 ,, 11.3 part .1 .......... ,r' ....... Lot..... Subdivision ................................ '.Filed Map No ......... ; .Lot No .............. PermitNo. Date of ,ermit Applicant ?.S..Contra?t .n? Ino. Health Dept. Approval ........................ Labor Dept. Approval ........................ Ubdervvriters Approval ' Planning Board Approv,~ Rdquest for Temporary Certificate ' Final Certificate x Fee Submitted $ 50.00 Construction on above described building and perm, it_j~eets all ,appllcabl~ j%~,des and regulatio?. ' THE NEW YORK BOARD OF FIRE UNDERWRITERS~;~'~,'~ 1000656 , BUREAU OF ELECTRICITY [~- BB JOHN STREET, NEW YORK, NEW YORK 10038 /).,e NOVEMBER 26,1991 Ap~,,~.tlo. ~o...~,~ 74294891/91 THIS CERTIFIES THAT SHILLO, ' PRIVATE RD.-WEST END, VILLAGE SECTION, FISHER ISLAND, NOVEMBER 19,1991 11 [5 6 3 .nd found ~o be in co,.pliaHee ~'it h the req.t?e,ne~i~ of ~ l~o~rd, '; ~ " r~' TIME CLOCK~ UNIT HEATERS MULTI.OUTLET SYSTEMS OTHER APPARATUS: Z & 5 CONTR5. INC. LIC.#924-E P.O. BOX 202 FISHERS ISLAND, NY, 06390 This certificate muff ~0~ be altered {~ a~ manner; return to the oHi~ of the Board if incorrect. Inspectors may be identified Z & S CONTRACTING, INC. BOX 202 · RSHERS tSLAND, NEW YORK (]6390 ,i//~,~/~.~..~_~:,., Phone: (516) 788-7857 ,~;':'i(.JC,.C"k'~,~ ('~'~4'~/-~. Fax' (516) 788-5600 ·~,,,.,~ . W~43 ,,,,, July 2, 1993 Dear Curt, Enclosed is a copy of the underwriters certificate for my wife's deli. We have applied for the co for this. Please call if you have any further questions. ~ ,, ] ' PiLIII4B£R ~ OIV££AD¢ONI'£NI'B££OR£ ' , ~ , , OF OCCUPiINCy. . SOL D~C~9 ., ,, : [ ' , ,,, PLUMBING , ~'~ ALL PLUMBING W~ , a WATE~ U~ES N[[D .... TESTING BEFORE'COVE~ING APPR~ED ~ N~D ' KP.J ~OTIF? BUY ' LDIN60E 766.1802 9 ,AM TO 4 P~ FOR THE FOLLOWING INSPEC1]ONS;r , ~, FOUNDATION . ~O'REdUIR~D , ~. FOR. POURED CO~CR~E ' ROUGH - FRAMING & PLUMING. s, ~.su~o. ~ ' BE dOMPLETE FOI C.O., , ~LL. CONSTRUCTIO'~ SHALL MEET THE REOUREMENT~ OF ~H,E ,~.y. ':* STATE CONSTRUCT 3N & ENER;GY. CODES, NOT RES ~DNSIBLE FO~ ' ~m~N.O~ cO~S~,,~ON ~O~S ~ ~ r ' occum cv .... ?OU~;DA TIO.~! (1st) FOUNDATIO~ (2nd) ROUGH FRAME & -PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE Fi;IAL ADDITIONA~L COMME~TS: d'. '' 19 Exfimine .......... , . .. Approved.... . ./2. '9?/Pc.nit No / 7 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHQLD, LL¥~ 'Ltg,~ 1- TEL.: 765-1802 BOARD OF HEALTIt ........... 3 SETS OF PLANS ........ SURVEY .................... CtlECK SEPTIC ........... NOTtFY~ MAIL · APPLICATION FOR BUILDING PERMIT Date .......... ,.., INSTRUCTIONS Z~ a. Tiffs application must be completely filled in by typewriter or in ink knd submitted to the Building Ih~pex;'tor, w£tl~ ' se~ o~ p~s, a~urate plot plan to scale. Fe~ording to schedule· b. Plot pl~ showing location of lot and of bulldogs on premises, relationship to adjoining premises or public street eot areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pan of t~s appU cation. c. The work covered by t~s application may not be commenced before issuance of BuUdfng Permit. d. Upon approval of this application, the Building Inspector will issued a Building Pemit to the app~cmt. Such petal' shall be kept on the premises avaQable for ~spection throu~out the work. e. No bulldog shall be occupied or used in whole or in part for agy purpose whatever until a Ce~ificate of Occup~c3 shall have been granted by the Bulldog Inspector.. ,. : ' ,, APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~Idfng Pe~it pu~ant to the Building Zone Ordinance of ~e Town of Southold, Suffolk County, New York, ~d other applicable ~ws, Ord~ces or Regulations, for the construction of bufld~gs, additions or alterations, or for 3emoval or demolition, as here~ desc~bed. The applicant agrees to comply with all applica~e laws, ordinances, bufld~g code, housing code, and regulations, and to . admit autho~zed ~specto~ on premises and ~ build~g for necessa~ inspections. ...... (Mailing address of applic~/) State whether applicant is owner, lessee, ngent, ~chitect, eng:neer, general ~ont:acto:, electrician, plumbeF o: builder. .................. · ................... . ....::: :'.:: Name of owner or premises ...... ~. c ~. ..... -'(2 on ;i~ ~:~ ~o~i o~l~,~,:'fi;g4 .... "" If applicant i~a corporation, signature of duly authorized officer. (Name a~ title of co~orat~ or'ii; ....... . Builder's License No .... Z:X n RX~../f~ ..... Plumber's License No Electrician's License No ..... ~ ~r.~ ......... 1. Location of land on which proposed work will be done; tlouse Number S[ree[ ' ' ......... ~ ................ Hamlet '" ,t~ ........... ' Block j,,.. , , t. . Subdivision Eiled Map No (Name) ..... ; .......... 2. State e" ' - · xatmg use and occupancy of premtses and m tended use and oCCupancy of proposed A. Existing use and occupancy.. B. Intended use and occupancy .... g~ ' 3. Nature of work (check which a lcable): New Building .......... Addition .......... Alteration .......... ,: i . ,~, .... . .... Swimming pool ......... Rep:fir ....... ] .......: . ~,~mova~ .............. u~mou[.on ............ . 4. E,timatedCost .... .... 7.: /e;'. i (to ha paid on filing this application). $. Ifdw¢tling, numberofdwelling~nits............... Numberofdwellingunitsoneaehfloor ................ If gara".e number of cars I .................................... 6. If business, commercial or mixed' occupancy, specify natnre and extent of each type of use .................... ?. Dimensions of existing structure'.if any: Front.. ~ ......... ~.. Rear ................ Depth .............. lteight ............... Number of Stories ....................................................... Dimensions of same structure wi~h alterations or cdditlons: Front Rear ·. Depth : Height Number of Stories 8 Dimensions of entire new construction: Front Rear .......... Depth .............. Number of Stories Height · 9 Size oflot: Front ' '' i ........ Rear .................. Depth 10 Date of Purchase Name of Former Oxvner ....... 11 Zone or use district in which premises are situated · 12. Does o ' ' ' ' law, ordinance or regulation: ... ~ ........ ' ................. pr posed construcnon vmlate any zomng ..... 13. Will lot be regraded ......... } ................... Will excess fill be removed from premise, s:.. Yes .... N~. 14 Name of Owner ofpremL~ ..* ....Addre~ Phone No ' - Name of Architect ......... ~ ................. Address ................ Phone No ............ NameofContractor...] ..... Address : : : ....... PhoneNo ............ [~.~s ~ia property lore;ted within 300 feet of a tidal wetland? *YES .... NO ..... . · 1£ yes, Southold Tow~ Locate clearly and distinctly all property lines. Give street and block interior or comer lot. Trustees Permit may be required. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from mmber or description according to deed, and show streei names and indicate whether STATE OF NEW YORK, I S.S COUNTY O~ ..... .......... ~./~.~d.~... ~:-. ~ ~¢~ ................ being drily s~vom, deposes ~d says that he is the applicant . . (Name ofin~idual sigaingcontract) above named. ~ is the ' (Cofit?actor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to pe.rform or have perfumed the said work and to m~e and file thi~ application: that all statements contained in this application are true to the best of his knowledge and belief; and that thc work will be perl'o~md in the m=n~r set forth in the application filed therewith. Swum to befo~ this ~ ~ ' · ...... ...... ~ ~, ~ ~ .... ~..~ ..................... Ne{~ p~bli~ 8tare of Now Yor~ No. 400~$9 ~ (Signatur~ of applic~t