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Home My WebLink About19331-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20108 Date. JULY 25~ 1991 THIS CERTIFIES that the buildin~ Location of Propert~ WINTHROP DRIVE House No. County Tax Map No. 1000 Section 9 Subdivision ACCESSORY FISHERS ISLAND, N.Y. Street Block 10 Lot 2 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16~ 1999 pursuant to which Building Permit No. 19331-Z dated AUGUST 20, 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 ACCESSORY GAZEBO AS APPLIED FOR. 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 CAROLINE C. CLEVELAND Rev. 1/81 lrOK~ TOWN OF BUILDING DEPARTMENT TOW'N HALL SOUTHOLD, N. Y. BUILDING PERMrr (THIS PERMIT MUST BE KEPT ON TIlE PREMISES UNTIl_ FULL COMPLETION OF THI: WORK AUTHORIZED) N~- ~ 9 3 31 Z gte ......... ~ ........................... , ,~..~.~' Permission is hereby granted to: ~~...~.~...~~..~ ~-,~, ...... £~:......~..~..~. ~,,,"~ ~.~ County Ta~ Map No. 1000 Section ......... ~ ......... Block ......... ~..~... .... Lot No ........ ~ ....... pursuant to application dated ........ .~ ....... /.~. ........ , 19..~..~,, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTUOLD BUILDING DEPARTMENT TOWN ID1LL 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 ali buildings, property lines, streets, and Unusual natural or topographic fnateres. 2. Final Approval from Health Dept. of Water supply and sewerage-disposal(S_9 form). 3. Approval of electrical instal, lation 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 C~pliance from archiuect or engineer responsible for the building. 6. Submit Planning Board Approval of COmpleted site plan requirements. ;. For existing buildings (prior to April 9 1957) non-conforming uses or buildings and 'pre-existmng 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 dnnied, the Building Inspector shall state the reasons therefor in writing to the applicant. :. Fees 1o Certificate of Occupancy - New dwelling $25.00, Additions to dwelllug $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 guildJng - $100.00 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 Date ..... JIILY 22, 1991 ew Construction ..... Old Or Pre existing Building ocation of Property.· WINTHROP DRIVE ..................................................... ·.. FISI~RS ISLAND, N.Y. e o Street Hamlet ~wer or Owners of Property CAROLINR ~. C~VELANB 'unty Tek Map No 1000, Section. 9 10, ............. Block. ......... LOt. bdivision .................................... Filed Map ............ Lot ........ rmit No. 19331-Z ............. Date Of Permit ...... ' .......... nPPiicant ..... -- AUG 20,1990 . . A JOMN alth Dept Approval ' ' ....... Underwriters Approval mning Board Approval ...... /. . f : est er: Temporary Certificate ......... Fi 1 ~ .. na Certicate .......... · ' Submitted: $. 25.00 t.. .... ~ ~ Z~ ~b APPLICANT FIELD FOUNDATION (1st] FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FILIAL ADDITIONAL COMMENTS.' Examined ............... 19 'FORM NO. 1 TOW'q OF SOUTHOLD BU I L'D. ING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765.1802 Disappro,, ed ale ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ...... SURVEY ...~ ..... CHECK .......... SEPTIC FORH ............. : NOTIFY CALL (d: .............. MAIL ' ,~LDG, DEPT ' <aV'q OF S~''~, ....... r.-.,' ,...- ..../.. ~,' ,-m-. ~,,'. -~:-,,,~,'~/ ............. ' ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th.is application must be completely filled in by Wpewriter or in ink and submitted to the Building I~'speetgr, 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 th.is appli- cation. ¢. The work covered by this 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 shall 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 blADE 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 Regt/lations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio~s,,~z/.,~ (Sionature of applicant, or name, if a corporatic~n) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ........ (as on the tax roll or latest deed) If a, ppticant is a corporation, signature of duly authorized officer. ..... .... .......... (Name and title of corporate o£fi~er) · ALL CONTRACTOR'S MUST BE SUF/FOLK COUNTY LICENSED Builder's License No ..... .~/._;/c/..~, .......... HumbcrsLzcenseNo. . ...... " 7 .......... . .. . Other Tradc's License No /¢qT,~. '~ I. Location of land on which proposed work will be done[ ' House Number Street Hamlet County Tax Map No. 1000Section ....... f .......... Boc . ~ ~ k' :: t.:.~ ........... Lot.., ,, Subdivision - Fi[~J Map Nod '. .............................. Lot (Name) ....... ' ............. ' .............. 2. State existing Use and occupancy of premises and intended usc and occ.uPhncy o~ proposed construction: a. Existing usc and .... , occupancy ............................ b Intended use and ' ' · occupancy ........ ... . . ............ ............., ....... Name of Architect ...~ .... ,~ Name of Contractor ~z~.~,~dw 5. Is this property located *If yes, Southold Town Tru Locate clearly and distinctly all roperty lines. Give street and block ~.terior or comer lot. 3. Nature of work (check which applicable): New Building w Repair Remloval .......... Addition .......... Alteration .......... ..... .............. . ............ ......... Demolition . Other Work .............. 4. Estimated Cost .... .~.~ ................... Fee...~ ......... ~ ' (to be paid on filing this application) $ If dwelling number of dwelling]units · ' ............... Number of dwelling units each floor ' If garage number of cars ' on ..... If business. Commercial or mixed occupancy, specify nature and 7 ' ' ' ' if any: F~'ont extent of each type of use ....... · D,mens ons of exsstlng structures ·. · · ·.. Height Number ................ of Stories Rear .............. . Depth. . ...... Dimensions of same structure ~kh alterations or additions: Front ............................ ................. Rear ............. .,.. Depth .....,. ................ I.. Height .... 1 ......... Number of Stories ....... .//f~ .~ $. Dimensions ofentb-e new construction: Front . ii i/ ' .... Rear ... ?.q .........Depth .............. He:=ht ...... ~ ....... Number of Stories. 9. Size of lot: Front ........... i ........... Rear ............ 0. Date of Purchase ..... I ., · ......... Depth ..................... .... ' ...... : ................. ·. c~ame of Former 1. ,aerie or use mstrmt m which pr~mises are situated .~..~q../.~.zz~ ................................... 2. Does proposed construction v:o ate anv zonin- .... .~ ~.~, ,.' .................. 3. Will lot be re-raded ~ ~ .. , ..... ~ lat:on ................................. 4. Name of Ow~o~ ,-r ''""':/~.'--':/~)z~;"~"9"'wu/exc~ssfillb~rem°vedfrompremises: Yea ..... "prem'ses'~r4~..c~. ¢.~.~:t..'~.. Address .'~..~.c~..~ .2fi~:Phonc No. ~qo~ ~.~,~., · ?. ~.~ ~/ .... /. ..... ~',~.;~', '~' Pi' ': %Address ................... Phone No ........... cnxn 50o teet of a t~dal wetland? ~Yes ..... No ..... .~ ' ~tees Permit may be required. ,, PLOT DIAGRAM buildings, whether existing or proposed, and. indicate ail set-back dimensions from mmber or desc~ption according to deed, and show street names and ~ndlcate whether 7ATE OF NEW YORK, , -CNTY OF .................. S.IS ....... ' ~'c:o~ .......... being duly sworn, deposes and says that he ~s the applicant~ ' (Name ofindMdual signin ft;a'c't) ore named. , is ,he ................ ..... [ (Contractor ) ............. said owner or owners, and is duly huthorized to perform or have performed the said work and to make and fire t/tis .~lication: that ail statements contain'ed in this application are true to the best of his knowledge and belief; and that the 'rk x~dl be perlorm~ m the manner s~Lf. ar~ m the apphcauon filed therewith. 'om to before nag.~ ~ ~ 7~ , , ' · .... . ....................... ,,v~,~- rubNc St~et N~ Yor~ ~ " ....... nature of applicant) No, 41081II