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HomeMy WebLinkAbout18341-z FORM N0. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUFANCY No Z-20534 Date FEBRUARY 18, 1992 THIS CERTIFIES that the building ADDITION Location of Property WILDERNESS POINT FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 12 Block 2 Lot 6.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30 1990 pursuant to which Building Permit No. 18341-Z dated AUGUST 3, 1989 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 INGROUND SWIMMING POOL & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SAMES N. BAILEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. N/A UNDERWRITERS CERTIFICATE N0. PENDING 2/11/1992 PLUMBERS CERTIFICATION DATED N/A Building nI spector Rev. 1/81 FOIB,M NO. A TOWN OF SOUTIiOLD 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 18 3 41. Z Date 19.Q.... 6 Permission is hereby granted to: ~/~C~i~~ /.3 .........ad......../.'.~~ ~ ~ S ..:..1..lF~J/..C~/~~ r to ..........L~Gi~!!.. lit......:........... ...,F~.1~~!!~.iI?' ' . 6 , ct premises located at ........................................................................................................i.~...................................................... County Tax Map No. 1000 Section/.....~.~......... Block Lot No...~i...~.d.. pursuant to application doted ......ll../...~j............~~........, 19..(~..~and approved by the Building Inspector. d` Fee $ ~~.~a~~ ~ Building Inspector Rev. 6/30/80 ;,~'T 7- ~ Form No. 6 - ~~Z~ TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTII'ICATE OF OCCUPANCY A. 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 all buildings, property lines, streets, and unusual natural or topographic features. ' 2. Final Approval from Health Dept. of water supply and sewerage-dispgsal(S-9 form). 3. Approval of electrical installation 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 Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" 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 denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Ce~rytificat of Occupancy - ResidentiaJl $15.00 gCommercial $15.00 CJl(.!/Af1P/Kf%~~Qli~s~ Date .~~1.~ . New Construc~ion....V...... Old Or Pre-existing Building..........._...... ~ , Location of Property...~.~1 ~ . ~ IYY~:~ ~ ~.+.~l~Yl°~ S-J:..~~? 1 ~ ....f. I~~. ~5..~.5 .I.~•S~.'Xj.~/ House No. Street Hamlet Onwer or Owners of Property....:~Cm^?.?•~~•jj~•:•~0.11~-~J•••••••••••••••••••••//•t~••••//••/.•,••••••••' County Tax Map No 1000, Section... ~..ll.....Block... f~s.........Lot...S4..'..k. G Subdivision...jj}}..Z...~./ ..........................2.Fi/l/~e~d Map ............Lot. Permit No..~L1. Pate Of Permit./.?f L!. •O,..Applicant. ~~P~•"rz•it • !J Health Dept. Approval...........-............Underwriters Approval. ~'~~Y~Z~~I~~......... Planning Board Approval Request for: Tempor~~jary Certificate........... Final Certicate....~..... Fee Submitted: $..Ot:~: ~ ~ ~ li ~ ~p53 t/ • • • • • •APPLICANT :1c:LD I;: S:~c:~u; IfDn.:. lj cc:wM~urc L ~ ~ m (~J t. ~ S H y I rOUttDATSO"I (lst) ?OUNDATIO,d (2nd1 . z 0 ?OUGH FRAME & PLUMBING ~ H 3 . C° m H IIdSULATI0t1 PER H. X. STATE ENERGY CODE I x ~ o _J m H 4. If FIiJAL • O ~ ADDITIOPJAL COMMENTS : m m • ~ x ro H ]7 ~ ~ y ~ H v Q ~ H O. [r] .p TWOMEY, LATI3AM, SHEA Sz KELLEY t ~jl A,-r~.,Y, ~;~~~"fit i~~i. ATTORNEYS AT LAW f` t,~"- - - - , i 33 WEST SECOND STREET ; { P O. BOX 398 . I I'If{R ~ ~ ~(2(1f4 , 12SVERHPAD, NSW YORK ll9p1 ~~7.7~11 THOMASA TWOM EV,JR ~ < ad7it>]3~°rl S{s-til r~l STEPHEN B. LATHAM ~ ~ T ~ " 61 6-7 2 7 2180 _ . J I i JOHN F SHEA, III ~ ! TELE FAX: 516-727-1767 g NORTH MAIN STREET CHRISTOPHER D KELLEY LAW RENGE M. STORM' EAST HAMPTON. N Y. 11937 MAUREENT LICCIONE ~ 516-324-1200 DAVID M. DU BIN" P. EDWARD REALE PETER M MOTTt HERMON J BISHOP ' LISA C. KOMBRINK 'ALSO ADMITTED IN CONNECTICUT AND FLORIDA March 28, 1990 "ALSO ADMITTED IN LOUISIANA tAL50 ADMITTED ~N MARYLAND VIA TELEFAIC Mr. Curtis Horton Building Department Town of Southold, Town Hall 53095 Main Road P.O. BoX 1179 Southold, New York 11971 Re: James Bailey Fisher's Island Building Permit No. 183412 Issued to Bouton Services, Inc. Dear Mr. Horton: We represent James Bailey, the owner of the property which is the subject of the building permit issued to Bouton Services, Inc. As I discussed with you on Marr_h 27, 1990, Mr. Bailey wishes to have Bouton Services, Inc. removed from the permit and retain the permit in his own name. He has discussed this with Tony Marshall at Rnuton and they arP agreeable to the change. I informed Mr. Bailey that all work must be done by a licensed home improvement contractor, and also informed him that no work could begin until your office had copies of proper builder's, plumber's and electrician's licenses. After the change has been made, please send a copy of the revised permit to me at telecopy number 727-1775. If that is not possible, please call me and I will arrange to pick up the permit from your office. Mr. Bailey would like work to begin as soon as possible, but no later than the end of next week. Mr. Curtis Horton Page -2- March 28, 199 Thank you for your cooperation. Please let me know if you have any questions. Sincerely, ~C. ~ Lisa C. Kombrink LCK/slc cc: James Bailey FORM N0. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined 19 Application No . G~`~~n l/ q p 7 . . Approved 3..., 19O~Permit No.~(/ ? . y~. . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19~~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 this appli- 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 shad 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. i APPLICATION IS HEREBY MADE to the Building Department fort o~.~ lding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,.Ne1Y~__ k, and other a plicable maws, Ordinances or Regulations, 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 inspecti s. ..fir.?/,ce. ~s . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. l .....~o~~~.~t~.~ . ~./-I--~ r Name of owner of premises ..:~/(d~~.~`....~C2.6• • • • • • . • • . • • • . (as orb the tax roll or latest deed) If appli nt is corporation, signature o duly authorized officer. ~ L%~' ~ /f L f~/ ~ ~r. i ( am an@'title o corporate officer) Builder's License~fio' Plumber's License No. ' Electrician's License No. ,~'U:~• • Other Trade's License No . . 1. Location of land on which proposed work will be done. (/V. /.'`~L~/. /~~i`J..`,..~...~~~/1/U.~ . House Number Street Hamlet County Tax Map No. 1000 Section Block . ~ ~ Lot ~ ~ . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: / / a. Existing use and occupancy ...~~..~iv.~.~~... ...l~I.'~'.. ~w.eb.~l.Ny.. b. Intended use and occupancy .......~JGC!!. ~7. ~-/.~.a.~/~~J.....~c~©,/ /f-I, , , , , ,L i 3. Nature of work check which a ~ ( pplicable): New Building Addition teration . 'oval Demolition , .............Other Work . t- (Description) 4. Estmated Cost ~PQ~ U (I Fee% 6.-,i.O..~l, (to be paid on filing this application) 5. If dwelling, number of dwelling',, units Number of dwelling units on each floor . If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . Height ...............Number of Stories........................................................ Dimensions of same structure with alterations or additions: Front Rear . Depth '...Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth . Height ...............NumberofStories........................................................ 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase . ..................Name of Former Owner . 11. Zone or use district in which premises are situated 12. Does proposed construction viorate any zoning law, ordinance or regulation: ~ . 13. Will lot be regraded ......Will excess fill be removed from premises: Yes No 14. Name of Owner of pre ses c.F'h~.?r°.a~..~Z/lam ...Address Phone No~~lv.,T~.~ 9.7.7 J~ Name of Architect /~,a~.~CItiP-~~ni.~:..... Address .5~<~!. /llrG~ ..Phone No.......... „Name of Contractor ~r9.6d~il/.. ~!!?.G.G'.~6. /./v.C.Address ~~f2~Y~ .~~H/~~~Phone No.?`.~~~7~. v~..~'~ ' PLOT DIAGRAM Locate clearly and distinctly all, buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block',number or description according to deed, and show street names and indicate whether interior or corner lot. ' ~ Q ` ' - ~ STATE OF NEW YORK, S.S COUNTY Q~ p (Nam ndividu 1 siG~ n i~~..~---:~.... being duly sworn, deposes and says that he is the applicant g ~ng contract) above named. He is the ~~wG~Ft!k.~... ~ ~ . agent, corporate officer, etc,). of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannex set forth iri the application filed therewith. Sworn to before me this d.7.. ..day of. 19 ~ Notary Public, '"tom County HEIENK.DEVOE (Signature of applicant) NOTARY PUBLIC, State of New . , , ' , • . , , , , , . Na 47Q787A, SuHulk Coun York Ywm Expires March 30,19