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Home My WebLink About18804-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19128 Date JUNE 11~ 1990 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ ISABELLA BEACH ROAD FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 06 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 5~ 1990 pursuant to which Building Permit No. 18804Z dated FEB. 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 ADDITION TO EXISTING SEASONAL ONE FAMILY DWELLING. The certificate is issued to ELIOT H. PORTER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PE~ING SLIP 5/24/90 Rev. 1/81 FOmwr NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_ 18504 Z County Tax Mop No. ~000 Section ....... ../'.~). ........... Block ......... I~ ......... Lot No ...... ./...~.¢.....~.... pursuant to application dated ........... ~ ................................ , 19.~..~.., and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ...... 5/7/90 ............ NEW CONSTRUCTION..X..OLD OR PRE-EXISTING STRUCTURE ..... VACANT LAND ...... Location of Property...Isabella Beach Road ................ Fishers Island HOUSE NO. STREET HAMLET Owner or Owners of Property...Eliot H. Porter .......................... County Tax Map No. 1000 Section..10...Block...6..Lot...12.3.. Subdivision ................... Filed Map .......... Lot ............ Permit No..18804Z ....... Date of Permit..2/5/90 .... Applicant A.J. Gada .... Health Dept. Approval ................ Underwiters Approval Planning Board Approval ....................... Request for Temporary Certificate ........ Final Certificate ..... X .......... _ Fee Submitted .... $25.00 ............ Applicant. A. John Gada General Contracting, Inc ..... z z o z c3 uJ z z o A. JOHN GADA GENERAL CONTRAGTING. INC. DRAWER B FISHERS I,~ :A~,,, FI~H~S ISLAND' ~3UI~-OIN~ SUPPLy 51-135/119 37306 FOUI;DATION FOU~IDATIO:~ 2. ROUGH FRAME & .PLUMBING 3. INSULATION FERN. STATE ENERGY CODE (1st) ~2nd) FiUAL ADDITIONA'L COMMENTS: BOARD OF HEALTH 3 SETS OF PLANS FORMNO. 1 SURVEY TOWXt OF SOUTHOLD CHECK BUILJD. ING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examincd · Disapproved ale ................................... . . APPLICATION FOR BUILDING PERMIT CALL ................ MAIL TO: .. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Bmldmg Inspector, wltb 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 stre, or areas, and giving a dora/led description of layout of property must be drawn on the diagram which is part of ti'tis app 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 penx sh:d.l be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan. 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, OrdLnanceS RegUlations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein closer/be The applicant a-_roes to comnlv with. all applicable laws. ordinances, building code, housing code, and regulations, and aflrmt authorized mspectorst~o'~ ~e~is~s aha m bmldmg for necessary ~nspecn~ns. ~ ~ - ', (Signature of applicant, or name· if a corlJ'oration) · m-~ :',: (Mailing address of applicant) State whether applicant is owr~t%:tesgei/, ager/t, architect, engineer, general contractor, electrician, plumber or builde Nc.me of' owner of premises ..: ./'-. · · · " '.,,:~ (as on the tax roll or latest deed) If apphcantAs a corpo~tm'n, smnat, ure of' duly authorized officer. ...... ............. (Name and tide of' cor~orMe officer) · ALL CONTRACTOR'S MUST BE. SUFFOLK COUNTY LICENSED Builder's License No ...... .~. ~/.".~.~. ........... . PlumLer's License No Electrician's License No · Othcr Tradcs Liccns¢ No ............ ................................ . . . .... ....... ... ..... House Number Street , Hamlet County Tax Map No. 1000 S¢cdon .......... Bloc ..... " ," Subdivision Filed Map No Lot (Name) 2. State existing nsc and occupancy of premises and intended usc and occupancy of proposed construction: ( ppli ) · 3. Nature of work check which a cable: New Building ....... Addition .......... Alteration ...... Repair ............. . Removal .............. Demolition ....... ... ,. . . Other Work ........... .. {Descriplion) 4 Estimated Cost /~ ~.L~.~. ....... · (to be paid on filing this application) 5. Ifdwelling, numbcr of dwelling units .......... Numbcrofdwcllingunitsoneachfloor.. · ' ,fga age. numberofc ........... .. .. . . ..................... ... . ... ..... ',"'"'"" 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7 Dimensions ofexistingstmctures if any: Front . . ..... Rear .............. Depth Height ............... Number of Stories ............... Dimcnsionsofsamestructurewithaltcrationsora~dition~s: Front'::: ::: ~:: ]::: [: [ 'I~;-~; Depth... .... I k ............ Height ~y~t~c. ..... Number of Stories ................. 8. Dimensions of entire new construction: Front..'. ....... , ..... Rear ............... Depth .......... Hei~_ht ' Number of Stories 9. Size of lot: Front ..................... Rear .................... Depth ....... 0. Date of Purchase ........................ Name of Former Owner ........... I Zone or use district in which premises are situated 2. Does proposed construction ,v_iolate.an}' zoning Iow. ordinance or regulation: ....... ~ ................... 3. Will lot be regraded ~1~."..'~'~~,~. ~... Will exoess fill be removed from premises: = ~..~ N 4. Name of Owner of. pr~mi~es .~.... ,/~.~,~:~e .... Address)~-e,~.~..~.T~.. Phone No.°~'.°.~F.~.l~':,~..~.~. Name of Architect ... ~ .... z- ... · ~ ....... ~.. Address .. Phone No ............... ame of Contractor , * ........ ^ddrcss rhone 5. Is this property located within 300 feet of a tidal we<land? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. " PLOT DIAGFLAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro: roperty Lines. Give street and block number or description according to deed, and show street names and indicate whethe ',tcrior or comer lot. APPll~D AS IIOTED 755-1802 9 AM FOLLOWING ff~SPEC~ONS: 1. FOUNDAT~N - ~ REQUIRED FOR ~URED 2. ROUGH - ~MING 3. tNSULA~ON 4, FINAL CONS~U~N MUST BE COMPL~E FOR C.O. ALL CONSTRU~ON S~ ME~ THE REQUIRE~E~ ~ ~ N.Y. STATE CONST~ON & ~ERGY CODES. NOT RES~IB~ ~R. DFS~GN OR CONS~U~ON ERRORS 'ATE OF NEW-YORKdl ~ L ,~ ,- ' . ..... .~;.~ .~,~7~ ~. ~ I~.:. being dui>' sworn,'deposcs and says that he is the applicon {Name of individual signing contract) ove named. :is the .~. ....................................... · · · ... ....'i... .................. . .. (Contractor, agent, corporate officer, etc.) said owner or owners, and is duty authorized to perform or have performed the said work and to make and file th2 .~lication: that all statements contained in this application are true to the best of his knowledge and belief; and that th · rk will be performed in the manner set forth irt the application filed therewith. 'om to before mcr.~s ~' C)-- ', ........ · .~-~.. j ...... ............. .~. : -~-, .~- i. · ~ignature of applicanl