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Home My WebLink About18375-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218708 Date JANUARY 12, 1990 THIS CERTIFIES that the building POOL HOUSE Location of Property BETWEEN CRESCENT AVE. & AVE. B FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 006 Block 002 Lot 009 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 9, 1989 pursuant to which Building Permit No. 183752 dated AUGUST 11, 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 POOL EQUIPMENT HOUSE. The certificate is issued to A. JOHN GADA, SR. (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N085919 AUG. 9, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/Sl rossi xa s TOWN OF SOUTHOLD 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 _ Z Dote ~Aj j ~ 19. / ° 18 3 7 5 Permission is hereby granted to: . . . . .r~ ~ . G ~ f A : ~ : l : . . . . . ~ . . . at premises located of .........(/1,, ....^E*4c~•••°•~y........~„ltr~.e~G~?~~ ........~...~.........G.~.........~..........~.~~~%.s'~ County Tax Map No. 1000 Section .........(0............ Block ........~.....ppLot No......~~ pursuant to application doted .........G~~?~I-/,_1 19.(T..~ond approved by the Buildfng~~Inspector. Fee .,<.a4.,J'~.,..li.~.~ Building Inspector Rev. 6/30/80 TOWN OF SOUTUOLU BUILDING DEPARTPIENT TOWN HALL ~ ~f 1 D c~~ ~~o~% SOUTNOLD, NEW YORK 11971 ~ i3 7~s - ,BOZ NOV -31989 ~ m.._%L'~ APPLICATION FOR CERTIFICATE OF OCCUPANC TOWNLOP S~UTHOLO DATE.~ctaper.,2fi,.1489 NEW CONSTRUCTION .x.....OLD OR PRE-ERISTING BUILDING......VACANT LAND........ Location of Property.Gre$~ntl9y~,,g,,,,_,,,,•. ,Fi~l~~rg,jgldrid. UOUSE N0. " " STREET UAMLET Owner or Owners of Pro ert .A., P y- .John.Gada,.Jr County Tax Map No. 1000 Section .6.... Block .2..... Lot .,.9,..... Subdivision Filed Map ........Lot.......... Permit No. 9837~~.•.•Date of Permit .8:1t:81..ApplicantA,.John.GadaGenera].Contracting, Int. Nealth DepC. Approval Underwriters Approval~Q~~~,lry Planning Board Approval Request for Temporary Certificate Final Certificate X. Fee Submitted. $ ?5_.00._...- APPLICANT. A•,,J,ohn, Gad a, General, Coptr,~ctjpg,,~nc. Co Z «7a8 ~~~y~9o rev. 10/14/88 r'lELD iG;~R°^iU;i IlUni ~ COtKMENT° 7 . ~ I _ m M a ~ _ t:.~ J - - - - H Gy FOUtIDATION (1st) ~ ~ c FOUNDATZOtJ (2nd) m 2. z 0 P,OUGH FRAME & PLUMBING ti 3. y a. ItISULATI0t1 PER N. Y. y W STATE ENERGY CODE x ~ y~ r 4 . y FIiJAL o z ~ ADDITIONAL COMMENTS: ~ x A lTJ ' ~ x ^n •RS 1--t 7] ~ ? . H H ~ O a r . " 3 T C7 M '9 H THE NEW YORK BOARD OF FIRE UNDERWRITERS iur~,ta BUREAU OF ELECTRICITY DS JOHN STREET, NEW YORK, NEW YORK 10038 kI1C,i1Sl Qv, i»S~d i.„1,1., ; •li o~l M GIli59[a Ls Dote Application No. un file THIS CERTIFIES THAT only the sk+ctrled equipment ae dacrlhed 6s/ore and Introduced 6y the applicant nomad on the ohoFx application numhar M tAe promises of ...lUHF1 fiAC~P td. , i V 'i'..il , 1 .T `ti?':P..'i i >!T 2.ij), iF.Y. in the dbsoin location;.., nn ~•~If11• f R , , ~ 4--~ Basement ? /At Ff. ? Ynd Pl. .Section Block Lot i•. . rear esomined un and found to 6e in compliance u•ifh the reyuirentenrs of this Beard. NXi1M! ANf RXTURES RAtIGlS COOKING DiCKf OVlNf qSN WASIIaf EXNAUST MNS OUTLETS INGNDlSCEM Pld71F5[FNT OTNER AMT. K. W. AMi. R, w. AMi. R.W. AMi. R. W. AMf. N. P. a x. fMYERS RNREAGE MOTORS tUTLNM AMLAWCE IEEDEK fEEC1Al RlCR TIME CLOCKS EEII UNIT NEAiEK MULN.OURH gARAAERS AMT. K. W. dl N. P. GAS N. I. AMT. NO. A. W. G. AMT. AIM. AMT. AANS. iRANf. AMT. N. P. SYST1Mf AMT. WA16 • NO.Ot ItEE i' ) ~i SERVICE DISCONNECT NO.Of S E R V 1 C E p~ AMT. AMP. T11E t /'AY 1 / ]\V ] 1 ]W ] / nV DCOND. OF CC. COND. NO. OF IN.IEG Oi ~ H G NO. OF NEYAAIS ~ EIIMAI OiNN A/?ARATYS: c.~.c.r:-., F+-:c?i,) hT rat it :.t., k~,wrrl~~TS„ tltr ~-mpu]t'~c ,T t'- ,i- ln »a rt7i_)t •~Oly.. S •Y k04~S ri=t y :•I r,. !iYi Y 1 ~i.IT I Ili ~ t -f ~I/' • .'.Z] ~ l a i ~t~ ~ i..~R6 - ~ ~ LEEItHAI MANAGER Per ~ This urtificoN must not be aherod in Gny manner; return to 1M office of the Board if iMOrrect. Inspectors may be identified by tMir~cradentiols. COPY FOR 13UILDiNG D~PARTniuvf. ~ ii15 COrY OF CRTIFIGA'(E MUST NOT t3E ALTERED It+AnY AWNNER. BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL MAIL T0: Examined 19 Approved/f~? 6T.~ 19 Permit No~~?.. Disapproved a/c . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~U~f~^: •~.:.9...., 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 Iayout 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 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 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, d e a 1'ca a aws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for rem ~i ~~s herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ho~s~t~ codes and reg.~a~ions, and to admit authorized inspectors on premises and in building for necessary inspec ton~°"s:'"'"">"w q 0 zn. i Y igtlatugffgro~}riq~p}~grt!t,t4ameBtfi~=bbrptiraur~i) (Mailir~~~§~ot'd~~1~L`~rne~~ , " ~R{f>91±RC4.S'~ ~ .J6tit$~a!~'3 Aii'a13g:.w 3 State whether„applicanl 'i§r- o1vne% IeSs¢e, agent,. architect, engineer, general contractor, electricYhSi;=~f~iitltier or builder. Name of owner of premises ~ i°-!Y ifs 4;4th3+~~ `ids".' . . (as on the tax rolloiil'~~t~~st ~'ee'~~"'~~""df;~"`i''' • If applicant is a corporation, signature of duly authorized officer. ;~a,'ar~~ E;. (Name and title of corporate officer) Builder's License No. : f f~; • . • • • . Plumber's License No. .....~~0.°2. Electrician's License No. ....,G. r.l°:. Other Trade's License No. ~.`f.~".~~ 1. Location of land on which proposed work will be done . .....4 . ~1 .t.. House Number Street Hamlet - County Tax Map No. 1000 Section Block ~ Lot Subdivision Filed Map No. Lo[`..._..:.,....... . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~a: a`r:::~~~!??~-~, ,!7,e~-t-G-~ , , • , , , , , , . i 3. Nature of work check which a plicable): New Building Addition Alteration . ( p, Repair Removal Demolition Other Work . ,t (Description) 4. EstimatedCost~~ Gr0'd. ~ Fee . ~O`.';rQO....................... (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 .....I 7. Dimensions of exishnglstructura occupancy, specify nature and extent of each type of use . s, if any: Front . Rear , , Depth , . Height ...............Num,berofStories........................................................ Dimensions of'same structure with alterations or additions: Front . Rear , . Depth .Height , , , Number of Stories , , ' 8. Dimensions of entire new const ruction: Front Rear Depth . Height Number off' Stories , . . , . 9. Size of tot: 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 violate any zoning law, ordinance or regulation: . . p Will excess fill be~}'e~moved from premises: Yes o 13• NameoofArchitc t.. , . , , ~ 'Address ~!~?-t-°:~~?a~J, 7?,2~yPhone No.3lla :2'~~ ;~~i,~ ~ 14. Name of Owner of r~ ises l-L. ~ Address . ...Phone No............... . Name of Contractor . P P .~~.~~~e 4-4~. 1!Address~?A'p.~-.P,ti:':°(, . one No. ~~G,74`~.-7°?~./. . 15*Is this ro ert located within 300 feet of a tidal wetladd? *YES....NO.... If yes, Southold Town; Trustees Permit may be required- PLOT DIAGRAM Locate cleazly 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. - i +wP RO~Y,~b~ DATE: ~7LJ~y~l..r.'-o-R N 7~Z NOTIFY BUILAIN(~ DEI~A 766-1807 9 AM TO 4 PNN FOR THE - FOLLOWING INSPECtI0N8'; dCCUPA~CY OR 1. FOUNDATION - TWO'RE(NgRED - FdRPOUREDCQNCR~ _ ~ ' 2. ROUGN -FRAMING 8 PWMBING ~ //f,'~ 3. INSULATION `j 1 A. FINAL - CONSTRUCTION MUST CERT~FICpTE BE COMPLETE FOR C.O: " ALL CONSTRUCTION SH~1t.L MEET ~UITH®~ THE REQUIREMENTS OF', THE N.Y, OCCUPA STATE CONSTRUCTION a} ENERGY CODES. NOT RESPONSISL~ FOR - DESIGN OR CONSTRUCTION ERRORS - it STATE OF NEW R ~ S COUNTY OF . (Name •of individual signi~rt~ ~ ~ • • ' ' ' ' • being duly sworn, deposes and says that he is the applicant - g contract) above named. I - He is the .~lJ3Zf ~G" (Contractor, 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 contaiped in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner het forth in the application filed therewith. wo rn to before me this p y Notary Public, G~~~..~!v. /N.~ , . , Co n EILEEN d. WALL yn~_~l Nemv PuNloc, 6Y 95091b5 ew vwa ~ll°' . _ Qualified in'~ i 30. 19 ~ ~ >,~m Exa~rtu (signature of applicant)