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HomeMy WebLinkAbout19131-zFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19737 Date FEBRUARY 19, 1991 THIS CERTIFIES that the building Location of Propert~ House No. County Tax Map No. 1000 Section ACCESSORY BUILDING WINTHROP DRIVE FISHERS ISLAND Street Hamlet 09 Block 09 Lot i8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1990 pursuant to which Building Permit No. I9131Z dated JUNE 13~ 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 ACCESSORY BUILDING AND ATTACHED GREENHOUSE. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WILLIAM R. & MARY ALICE HAD~E ' Buildin~ - Rev. 1/81 ]POw`we NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N. Y. BUILDING PERJ~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 17t3t Z ....................................................... ............................................. : ............ County Tax Map No. 1000 Section .... .~.. ...... .~.. ..... Block ....... .~., .......... Lot No ..... ./..~/.. ......... pursuant to application dated ...~ ......... /.~ ....... , 19~...~.., and approved by the Building Inspector. Fee $(./.~....~ · ...~.....~... Building Inspector Rev. 6/30/80 TO~N OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE .... /~cc~ ~u/c~//~ c~ ,,f77~c',,/'~b C~a~-~o~~ NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property .... HOUSE NO. STREET HAMLET Owner or Owners of Property· ~_~_/_Z_~/~/ ~.'--?~- -~--~.~-~ .~.~<.~...Z~.X~'~ County Tax Map No. I000 Section ·.~.~.. Elock ..~ .... Lot:'-.dX .... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ~/ff/....o.. ~ .Date of Permig ~/-/~Zfe-.Applicant ~.~<~.~, ~, //~/~ Health Dept Approval .. . ~---~ ' ' .............. Underwriters Approval. ..~'~... Plamning Board Approval ... Request for Temporary Certificate ....... Final Certificate .... ~ ......... Fee Submitted: $..~.2~.,~_~ · ~-~ ........... APPLICANT .............. , .. Co FORM NO. 6 TOWN OF SOUT~IOLD BUILDING DEPARTMENT TOWN HALL 765- 1802 APPLICATION FOR CERTIFICAT~ OF OCCLrPANCY INSTRUCTIONS 'This application must be {filed in typewriter OR ink and submitted to the Building Inspector with the following; for mew buildings er new use: ]. Final survey of property with accurate location of all buildings, property lines, streets, amd unusual e'atnral or topographic features. 2. Final approval of Heallth Dept. of water supply and sewerage-dlsposal(S-9 form). 3. Approval of electrical{ installation from Board of Fire Underwriters. Sworn statement from plumber certifying that solder used in system contains less than 2/IO of 1Z lead. ] 5. Commercial buildings, .zndustrmal buildings, multiple residences and similar. buildings and znstalla.tzons, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board ~pproval of completed site plan requirements. For existing buildings (Prior to April 9, J957~ non-conforming uses, or buildings and p e-ex,sting land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed a~plication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate Ownership of the entire lot prior to April 9, ]957. · If a Certificate of OcCupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing eo~e or safety inspection of b~ildiags or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificaie of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract o~ title issued by a title company showing single and separate ownership of the entire lot prior to April 9, ~957 shall also accompany the application. If aiCertifleate of Occupancy is denied, the Building Inspector shall state the reason~ therefor in wrlting to the applicant. F~ES: J. CERTIFICATE OF OCC.~.ANCY - New Dwelling $25.~0, Additions to Dwelling Alteration to Dwelling $25.00, Swim~in~_Pool, $25.00. Accessory Addlt ou to AccessOry buildi. Bnsl.esses $ o.oo. 2. Certificate of Oecdpancy on P~s~ng dwelling - $100.00. 3. Copy of Certificat~ of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certlf~cate of Occupancy - $20.00 5. ~pdated Certifieat~ of Occupancy - $50.00 fi. Temporary Certlfie~te of Occupancy - $25.00 Residential $50.00 Commercial FOU~IDATIO.~I ( 1~ t) FOU:~DATIO~I ( 2nd ) ROUGH FRAME & .PLUMBING I~SULATION PER N. STATE EI~ERGY CODE Fi::AL FORM NO. 1 TOWN OF ~OUTHOLD ' BUILDING DEPARTMENT TOWN HALL ~OUTltOLD. N.Y. 11971 TEL.; 765.1802 Exantincd ................. 19... Disapproved aM ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY CHECK sE T:c' J ................. NOT:FY~ CALL (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Buildin~ lfi~eetor, 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 premise~ or public stree;~ or areas, and giving a detailed description of layout of property must bc drawn on the diagram which ispart of this appl~- cation. C. 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 throu~out the Work. e. No building shall be occupied or used in whole or i-n part for any purpose whatever until a Certificate of Occupy. ney 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, ~nd other applicable Laves, Ordinances or Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and regulaaons, and to admit authorized inspectox~ on premises and in building for necessary inspections. ~-, // ..... ...... · . (Signature ot applicant, or name. if a corporation) ' ' ' pp ant) ~ ~0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... · Nameofownerofpremises ...~]../..~..,t~.~q...,~..', .~[...~.,~./~..~. ~.~.~.~. ~.:.~..~.,?~ ( d) "' as on the tflx roll or latest dee If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) cr's uild License No ................. Plumber's License No Electrician's License No Oil,er Trade's License No ...................... I. Location of land on which proposed work will be done; ~a. Existing use and occupancy - Intended Use and occupancy House Number Street, Hamlet C tyT M pN 'IO00S ti .~.e ~.i ' Z /,a~ /.~' Oun ax a o. ec on ............ BlOck ....... ......... Lot ..... Subdivision .... ................... ~ilcd """ No " (Na~n,J) .................... '" ........... Lot... ' · : ', .??" .....:,7., .: State ex~sting use and occupancy of premises and in tended nsc and::oc~up~am:y ~f:proposed constrnction: , -- '-" 3; Nature of work (check vhich applicable): Nes Building Addition %lIcratlon Repmr R~moVal DcmolRion ' ' ' pool Tennis Court ~ccessory Building ~ ' ~ence ......... ' O:her Work ~ ~ (to bc paid on filing this applicat.ion} 5. Ifd~etling, number of dwelling ~nits ' Number ofdwelling units on each floor Ifgaraac number of cars ' 6. If business, commercial or mixcd]ocCupancy, specify nature and extent of each':tEpe of Usa, ............. 7. Dimensions ofexiating stmctures , irony: .... . Rear ...... ~*.~. }.. Depth ....~.{ Dimensions of same structure wi~h alterations or additions: Front ... Depth ....... = }Iei~t ........... Number of Stohes ............. 8. Dimensionsofentire new constriction: Front ..... ~{ .... Rear ... ?~{ .... Denth .. 9. ~zeotmt:~ront ..... (/~ ~' ~ , //o, ~7'/ n . 10. ~ate o~ rurch~ae . .~...4~/..(~.~'~ ...... .. Name of Fomer Owner ~P~. 1 I. ~one or use district in which premises are situated .~ZD~ .... Does proposed construction vip te any zoning law, ordinance or regulation: ........................... 13. W~llot bere~raded .. ~O r · · ~ ........ ~ .................. Wdl excess fill be removed from premises: '14. N~e.o[ Owner of premis~ ~/~,L/~.~ ~.~.' .... Address ~P~.~ ......... Phone No. N~e of Architect .... -[.-~ ~P?~ ~dress ~(~ .~q~ Phone No...,. ~ ......... N~e of Contractor ~6~. ~. ,. ~Xff~. Address Phone 15.I~ this property' loeaeed ~ithin I00 fee~ of a ~idal wetland? *YgS .... · If yes, Southold To~n] Trustees Permit may be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly ~I ~bu~d~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Hnes. Give street ~d block ~umber or descffiption accord~g to deed, ~d s~ow street n~es and ~dicate whether inteffior or ~o~er lot. ,X . . (Name ofindiv dual sign ,g contracO being duly sworn, deposes ~d says that he is the applicant above named. ~ is the , .' (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the said work and to m~e and file this application: that all statements cont{ined in this application are true to the best of his knowledge and belief; aaa that the work will be perl3mmd in the m~ner set forth in the application flied therewith. · ~..~.;~-"~';~-,-, ....... (Signature of applic~n.l BFNCH MARK lop of monumen! £1ev ation 20.99 NGVO 1929 ~£4 9 ~ £5.5 dm/well %, ,' ~.¥ ,, £1.0' 21.0 ' - -', s )( ss ,' /$G2°RG 00 W AREA = 0. TAX 512 Acres 22, 55 8 sq. ff. A SSESOR 'S No. Secl/on 009 Block LOT '~oec~' RESIDENCE GARAGE ~'20, 4 'j.. DR/VEV~4 y ~ron p/'pe 2S 2 ........... 20. J 2O, 7 t 20.5 monument WIN THROP DR/ VE 20. 79 TEST HOLE DATA 0'*-3" topsoH J"- 18" subsoil /8"- 72" sand ~ rate I "- Im/~. .......... --~ /nd/~ate exist/r~ contour~ ~, 20.1 /nd~ate exist/n9 grades ? L ,~ N M A D E FOR PROPOSED RESIDENCE WILLIAM WIN TIfROP R. ~ MARY ALICE HAA, DR/VE - FISHERS ISLAND, ~ MA/~K Top ¢lmon~ment Elevation 20,99 NGVD 1929 ./ e'z¢' ( %, Zl.O ?0.6 N ~£" Zl 'O0"E I T~X ~SSESO~'S__/Vo Sec Bio ~ LO IG ', L,E.? 65' 2O po/: x 20.5/ WINTHROP... HOLE ............. /nd~c~.te exL~tf~ Cn