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Home My WebLink About19419-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the BuiLding Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19388 Date SEPT. 26, 1990 THIS CERTIFIES that the building Location of Property House No. County Tax Map No. 1000 Section PATIO GREENHOUSE EAST END ROAD FISHERS ISLAND Street Hamlet Block 006 004 Lot 04.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 25, 1990 pursuant to which Building Permit No. I9419Z dated SEPT. 26, 1990 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 AS BUILT PATIO GREENHOUSE. The certificate is issued to CAPITAL BANK~ TRUSTEE, ORAND TRUST (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ' -'Buiiding I~'spector ~/ · O~f,~ NO. ~' TOWN O~ $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) N°- 1941"'1 Z County Tax Map No. 1000 Section ~..~......~.. ......... Block ...... ..~'... ........... Lot No ......./"~./..~..... pursuant to application dat~ ..... ~ ......... ~..~ ............ , 19.~.~and approv~ by the Building Inspector. Rev. 6/30/80 New Construction Locatlon of Property Owner or OwNers o£ County Tax Map No. SUbdivision P~r,~it NO,/~-~te of Health Dept. Aping'oval · Pl&n~lng Board Approval Property Capita~ Bank ~ Trustee, Or,nd Trus~ 1000 Section 004 Block 06,00 k,ot 4.2' Field ~ap , I~ot ........ Capita~ Bank, Per.i t .~/_~_~ ./~ppl i~ ant or and ~ r u~ Underwriters Approval Reque~t-for Temporary Certificate ~'ee Subm]tted:_ ~ ......... Final Ce~tif~oate Successor Truat~ of Trust u/DWT Jo B, /John F, Car~on, Vice President and ~r~ust / FISHERS 15LAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06:~90 AREA CODE $16/788-7251 Town of Southold Building Department Fishers Island, N.Y. 06390 Gentlemen: Please accept this letter as certification of Water Service provided by Fishers Island Water Works to~//~'~f~-- -.~Z~/'~ The water service co~s[sts of supply through a ~// inch water line from our IsLand distribution system. REW/ew Sincerely yobrs, Robert E. Wall Superinte~dent Exanffned ...... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.: 765-1802 Disapproved a/c .., BOARD OF H£ALTH SETS OF PLANS ............ SURVEY CHECK SEPTIC ........ NOTIFY: CALL MAIL : (Building Inspector APPLICATION FOR BIJILDIN( INSTRUCTIONS DEP'L Date. a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building lfispector, with 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 i~ pan of tiffs appli- cation. ¢. The work covered by' this application may not be commenced before issuance of Building PerrniL · d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throuahout the work. e. No building shall be occupied or used in whole oran part for any purpose whatever until a CetJtificat~ of O¢cuptmey 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 buddings, additions or alterations, or for removal or demolition..~ herein described. Thc .applican.t ag[ecs to comply wit~ all app. licab~e laws. ordinances, bu' din- code ' ,- . . . .... · . t~n, atur.e ot appli~nt, or name, if a'~o}po'r~l~a~n')' ' ' (Mailing address of applicant) State whether -~pplicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. . . (Name and title of corporate officer) Builder's License No ...~T777..- Plumber's License No.. '-"-'- ...... " Elcctrician'~ License No ' Olher Trade's License No ...................... 1. Location of land on wi,ich proposed work will be done; ......... . . ......... HOuse Number Street ' Ha,n~t ' ' ~'' ................ Coun Tax Map No lO00 Section ............ Blbck ......... Lot .. Subdivision ............ ' ........ .-: · ......................... Eilcd Map No. ' (N ) L · · ffl~ii:i~ii~et~ and Occupancy of prcmiscs arid int.~c~d usc U~Vcct,pancy of pro.~ con,tructiom - ,-- · ' ' d occupancy ....... S~,~..*.d~'~.. .3. Naturs of work (check which applicable): New 0uilding .,. ~ ..... Addition .......... Alteration .......... ~ Repair. .............. Romoyal .............. Demolition .., ............ Swt.,'mxng poet ............ ~ Tennxs Courc .~.,,.f ....... Accessory nu£1dlng .......... Fence 4. ~'timatedCost ~OZ.,..~.~..~..i .................... , f.~.:~..°~e~.r<'- ................... t~or~ ............ .. f 77 i ..... ,'ce ..... ~to be .aid on a~i~ this fi. Ifdwclling nUmberofdx cltingfinits ] ' Nomberofd . v .............. welling units on each floor ............. If garag.e., number of cars ..... l .................................................... If business, commercial or mixed: occupancy, spec fy ~a,t ~,. ~'il ...... 6. ute and extent of each'-type of u.se.::. 7. Dmmnsmns of ex~stmg structure:;, :f any: Front..., ........... Rear ............... Depth .... Height ............... Number of Stories...~v.. ........................................ . . .. .... Dimensions of same structure wiih alterations or additions: Front Rear Depth ' Height Number of Stones 8. Dimensions ofentirc new const~tg}ion. Front ' Rear., .... Depth · '" ~'~:" ' ' ' .... i"iiiiii ' i .... ii ....... : ..... Hm=ht .......... mtb'ei' of Stories .", .... -;. ...,, ..................... 9 Size of lot: Front ~ ' Rear ' ' Depti~ 10 Date of Purc,~ase ' .............................. Name of Former Owner ................... ..... 11 Zone or Use district in which premises are situated 12. Does proposed construction viot~te any zoning law, ordinance or regulation: ..... '. .... ' ' ~ 'f;om'~' ;'' "il;sl ........ ~'~ 13. Will lot be regraded .... i .................. Will exce~s fill be removed r m Yes . c~.. 14. Name of Owner of premises ... i ............. ' ....Address ................... Phone No ................ Name'of Architect .......... . ................. Address ................... Phone No ................. Name of Contractor ~ ' Phone No ~ ' ......... ~ ............... Address ........................ . ' ........... 15.Is this property located within 100 feet of a tidal uetland? *¥11S .... Isle .... ~If yes, Southold 'retie! 'rrustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property tines. Give street and block Oumber or description according to deed, and show street names and indicate whether interior or corner lot. ' STATE OF NEW YORK. COUNTY OF ................. S.S (Nameofindvidua sgningcontract) abovenamed. being duty sworn, deposes and says that he is the applicant (Signature of applicant) Sworn to before mc this ' ........................ day of! ..................... 19 ... ,. Cotmty Notary Public ................. , ................. He is the , , i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du y authorized to pc,florin or have performed the said work and to make and file this application: that all statetnents contained in this application are true to the best of his knowledge and belief; and that the Work will be perfom]ed in the manne( set forth in the application filed therewith.