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HomeMy WebLinkAbout18379-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218714 Date JANUARY 12, 1990 THIS CERTIFIES that the building POOL HOUSE Location of Property EAST END AVE. FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 002 Block 001 Lot 008 Subdivision Fiied Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 9, 1989 pursuant to which Building Permit No. 183792 dated AUG. 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 CONSTRUCT A POOL HOUSE. The certificate is issued to DR. KLAUS MAYER (owner, ]{A;};~L'L'~:KXXXXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N085908 AUG. 9, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ` Fosai xa s TOWN OF SOUTHOLD 1 BUILDING DEPARTMCNT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ° ~ ~ ~ ! ~ Z Date .~e~G%~........~1 19.j~... Permission is hereby granted to: .......~''1.... -..................................~........~..-...H.................................. of premises located at .....................~~.~..si%ll,./,[ JZZ~ e/•• ~.................ul~ Caunty Tax Map No. 1000 Section BlocJk ...........~.......(yLot No.......,Gl pursuant to application dated ......Ln~ C/ ..............~,1................, 19.f.~nd approved by the Building Ins~pe^ctor.~/ Fee $..~.,..1.....~F~ Building Inspector Rev. 6/30/80 ~~y£2 ' TOWN OF SOUTIIOLll ' BUILDING DEPARTPIENT ~ ~~~«~~/"~"~^~'Fs~;~~~,` TOWN HALL SOUTIIOLD, NEW YORK 11971 ~ _ 31C~$g j~q 765 - 1802 aigr~ PLDG~~3FNY. YO1~fV f7F SOU7HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.October.25..14$9 NEW CONSTRUCTION x. ...OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Location of Property ................?rivate.Drive Fishers Island. HOUSE NO. STREET •••••HAHLET•••••'••~• Owner or Owners of Property.....DY'...JCJ.ddIS.j`'1,~y.QJ",,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Taa Map No. 1000 Section .,2,,,, Block 1,,,,, Lot Subdivision Filed Map ........Lot.......... Permit No. 1.837.9.z....Date of Permit 8,-,1,1: 8,g,,,ApplicantA•.~Orn~d~G?r1er~I,Cont~racting, Inc. Health Dept. Approval Underwriters Approva162023i89/89... N 085908 Planning Board Approval Request for Temporary Certificate Final Certificate ......X, I Fee Submitted: $,25..,Q0 APPLICANT. A.. John. Gdda General Contracting, Inc. ~ ~ ~8~~ ~~r y~~a C o z /87~`~ rev. 10/14/88 _ F THE NEW YORK BC+#l~© FIRE UNDERWRITERS ' ~ - 1.0750].7 r ~ .io?+N ~i~+iir rmrcNac loose sw A!':;tl"aT ON, laisG MetlSwwAlr `i`' ~ ;~(/$4 N ~+i!ti?;~;. TNRi CtRrIFlEi THAT ww: atr' ttlerMsd ar dssariksdidrrr Fwd Maeduttd y,tNM ~Nswt ruw~d«r W rtkrw ~r+k;ntia.. nttntk.. in eMp.wlsa q/ BR.KLAIIS I4P.yF.R. F'RLYi,'"(~; IrRI4'E; F75S'?:kS ISLAND, N.Y. ;lU'Y M tArJlrlbtckaR leeatlq~i(I;i~11'-3 ran f ? Ist FI. ? Ind Fl. Sert7an Block Loe trrs ernwlnad ran raved fwwd to [Kin rnmplirrnee trick the rpuintnent+t of tkiA Buerd. RygIM oetes ovaK oF31t w RxeltusT Ollllele eM1/'~ rtttattntan trrtttttt AMT. [ w. ALR. r. w. AMT. cw. AMT. A w. AMr. tar. 3 } 2 t ORItlMe II1R1111C! eIOTORe Brun awtawta hews eeew Tuwaoate eve tlnn tlutwe AuitTwwler wMMlef AMT. c w. Ott tar. OtM1 tar. AMT. rra A w. a AMT. AIM. AMT: AMrS TRAIIf. AMT. n. r. MD. tt/!!I AMT. wAm T F t 7Ct r, ' flYIRR MGgIBACT w>.p t E R Y 1 C R AMT. AMr. Inf ~ t/IW Ilaw 7/7w 1/4W MO.p COIO. AW. nO.OF ,rit6 Of~N ~IGN. MO.p Irt11111A13 •W.0. ~ AAAekilllt kARF.t,P.C,AFF+S:T-5 ~'JR. t+;r~ G. F.C. T:-2 *(SNIN`liti Y^!)I,} 'i'hi:; c; ::Cifzraatr cowers compli an~r-• at t1,: ,}3t~ ,,r. inspecii.cn o;:tY. B;-~~a+ie_.~ cf~ ~+r•+;;:~+~1 environ+Zaats .it i;; ~~risr:F.le i:, have frequent test amii~tc r_:n:~,T~,= Wade by a gtsli.lied };arc: :n. - G~ F,P6A t^GtvTRA~'PDR trli'.AJ.9n-F t]kAkFiR - B O~AI'MANApwI F'TS}e'r:9-$ LS1,.31.'.i, (iY, S'Fii+i 17 J~ 11iR tatlt~iaeN atttN nat M rlsnd in a^r tetnttury rtNtnn to tlu oHio of Nr Rtwrd R incort+d.. ktty~alors uwY b idrNifwdTry' their txsdsnNals. rppy F^2 BUILDING CEPART?dENT. THIS COPY OF CERTIFICATE htlSST NOT BE ALTERED IN ANY f.14MNE^. r'lELD i;:S:'E'e",:iU;v ~~DA;E COMMENT° ~ 1. ~ ~ - _ H _ ~ J FOUJDATION (1st) ~ _ ~ ~ ~ T - ~ FOUNDATION (2nd) _ _ m 2. z 0 ROUGH FRAME & PLUMBING ti H 3. ~ cn IIJSULATIOPJ PER N. Y. • • STATE ENERGY CODE x ~ 4. y . FIiJAL . O z ADDITIOPIAL COMMENTS: ~ x m ' ~ x ~ 'O H ~ ~ 9~~ _ H H ~O O Z ~ v ~ LTl p _ H r S Cy . 7' [+J b y BOARD OF HEALTH FORM NO.1 3 SETS OF PLAYS SURVEY TOWN OFSOUTHOLD CHECK 6UILDING DEPARTMENT SEPTIC FOR:I . ~ TOWN HALL EOUTHOLD, N.Y. 11D7~ NOTIFY - TEL.:7~5.1302 CALL L•xamined 19... MAIL T0: . .lpproved s!~... „ 19~%Pennit No..<. ~"7. Disapproved a/c . 49 e pector) APPLICATION FOR BUILDING PERMIT - Date . ;t..~..., 15~% • INSTRUCTIONS ~ a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 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 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 Yoy fandFgther applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or.for''~eino'v51 or demolition,. as herein described. The applicant agrees to comply with all applicable laws, ordinances,.buil~~g,.code~t}di5sing- admit authorized inspectors on premises and in building for necessary inspection . code, and regulations, and to .~f a , ~ p (St Ii,1~'ul~~t < .~~t or,nam~ if.a.corpora ron) (Ma:~i~~ ~ddress,of a, !leant SS ~r PP ) State whether applicant is owner lessee a~ , dent, architect, engineer, general contractor, ,electrician; plumber or builder. a,t • Y Name of owner of premises . ~C t c:: ; (as o the lax roll or latest dged) ' ' ' [C applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. t~1 Plumber's License No. r. Electrician's License No. 5 Other Trade's License No. ~9`~--~,'~' , 1. Location of land on which proposed work will be done. ~~,~GI~~. s`• ........4:z2-P.~ ~ house Number .Streets..:.................................................. Hamlet Count I 1 Y Tax \1a ~ No. 1000 Section ~ Block Lot. ~ , Subdivision Filed Ma a,'• . (Name) P No . .Lot . State existing use and occupancy of premises and intended use and occupancy of proposed coristxus(ion: a. Existing ' uscand occupancy _ ` b. Intended use and occupancy ~j~...•••.• 3. Nature oCwork (check which applicable): New [3uilding , Reparr R';cmoval . • • • Addition .Utcration , ' • • • • • • Uemohtion ,Other Nork . 4. EstimatcdCost~,3~~rQ' I~••••..•.•,,...•..•,••,••• (Description) . Fee ~~.~r. 0~ 5. If dwelling, number of dwell ito be paid on filing this application) Ong units . . . . . . . . Number of dwelling units on each Moor , , If garage, nuntbcr of gars 6. If business, commercial or mixed occupancy, specify nature and extent of each type oC use . , , , , , , . • • • . _ ; 7. Dimensions of existing structures, if any: Front . , , , , Height . , , , , , , , Number of Stories , • ' ' ' ' ' • • • •Rcar Depth . Dimensions of same structurt! with alterations or additions: Front ~ ~ • Depth......... ! .Ilcight. Rcar................ 8. Dimensions of entire new cotistntction: Front , ' ' ' • • • • • Number of Stories , • • Height NUrnbcr of Storjcs Rcar Depth • . 9. Size of lot: Front..., !0. Date of Purchase .....I'... • Rcar Depth , . ...............Name of Former Owner , , . 11. Zone or use district in which premises are situated , , , , 12. Does proposed construction v}olate any zoning law, ordinance or regulation: • • • ~ • ~ ~ • • ~ ~ ~ ~ _ 13. Will lot be regraded 14. Name of Owner of premises . , ,,Q~~~~ p, ~Yill ex css (ill be rc ovcd from premises: Ycs • N, ~~'r . ~N. Address Name of Architect , ~i• • ..Phone Noo~~a~, ~~:~;/,D/d Name of Contractor~G i' Address , , , , . ,phone No. IS.Is this ro ,~lX.-P~dnC2-Address;~;',~,~,fugc~(.yy.?~.PhoneNo.~~:7~~~~/•.. p perty located within X00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Toc~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ali set-back dimensions fror. property Lines. Give street and block number or description according to deed, and show street names and indicate whethc: interior or corner lot. APPROVED AS!,NOTEn n E: 6.R~, N Z FY~,A~~~ &~CC~JpNCY 785-1811 8 AM TO MN FOR THE FOLLOWINQtNSPEC11fyN8; ~ ~ U~LAWFC~I 1. FOUNOA'~ION - TyVO REQUIRED ®`~°Q a. ROUPOURFED~CQN b PU)M81NQ P"S.~P,~~ C~f~ 1 l~G.r~~ ~ ~ - . 3. INSULATION ~Y ».,e~,~o ' 4. FINAL - CONSTRUCTION MUST ~ ~4p;" ~ s~ ~ E3E COMPLETE FOR 6,p. At.L CONSTRUCTION SNALL MEET THE REOt11REMENTS ~OF -THE N.Y. STATE CONSTRUCTION & ENERGY C03.aES. NOT RESPONSIBLE FOR t)ES;GN OR CONSTRUCTION ERRORS ' STATE OF NE1V OR =OUNTY OF S.S . hove named. 'f=ntrlll ~ ~ ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant (Na/m`e~ofindividual ~ gcontract) ; (Contractor, agent, corporate officer, etc.) ~ ~ ~ ~ ~ ~ ~ • ~ ~ ~ ~ " " " " f said owner or owners, and is duly autltorizcd to perform or have perforrncd the said work and to make and Gle this 'tplication; that all statements contairjcd in this,application arc true to the best oChis knowledge and belief; and that the ork will be perfonnrd in.[lte manner se[ forth in the application tiled therewith. worn to before me this , .....day of 19 ~ / Q . ~tar}• Yublic, EILEBN.d: vvA'LL ~ • • • . • • CO y • . Naly-pu~lia, Sfafe of Naw YoR ' ` No.` 52.9509185 ~ ~i ~ ~j~_.. • . ' tjualified in Suffolk County 0. y/, ~ ~ ~ Expire A~30. 19--.: ® 6'~--. (Signature of applicant) i