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HomeMy WebLinkAbout18137-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25998 Date: 09/30/98 THIS CERTIFIES that the building ADDITION Location of Property: PRIVATE RD FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 5 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1989 pursuant to which ~ Building Permit No. 18137-Z dated MAY 26, 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 GARAGE ADDITION WITH SUNROOM, DECK ON TOP TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate ie issued to ISLAND INTERIORS LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A din Inspe or Rev. 1/81 roses 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°- 1813 7 Z Date 19~.~ Permissioy~ iy~ s hereby anted to• ~ ~ ..lr,~~.: Q to ~r;6.`•?/.~/r~~,...... GL~~~R~jl.~cr~7. j........~ll~,Q.•~-!~. /.~...G.~:~?:....~7 at premises located at ,~e,,,,~/~~~re, ~~""""a'""~..~c~l/.:G...... .............................................:~c......~ County Tax Map No. 1000 Section Black ..........~1.........y~Lot No...........~.......... pursuant to application doted ......G~~,~f 19v.~., and approved by the Building Inspector. Fee 5....fO....~~.ri y~e5%. _ •~...~i ,s.. ildin I for Rev. 6/30/80 ~``r~ Form No. 6 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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-disposal (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 17 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 525.00, Additions to dwelling 525.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin¢ - 5100.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential 515.00, Commercial 515.00 Date August 31, 1998 New Construction....X...... Old Or Pre-existing Building.......<......... Location of Pro ert no# Orient Way [East End Road) Fishers Island P Y Ho}}y1se No. Street Hamlet )nwer or Owners of Property ,Brandywine Trust Company and Louise Patterson~•Tnustees ;ounty Tax Map No 1000, Section.005..00,,,,,,B1ock.,02:00_,..,,,,Lot.. 001; D00,,,,,,,,,,, >ubdivision ................:...................Filed Map............Lot...................... 18137 1989 Richard Grebe 'ermit No ................Date Of Permit................Applicant............................. fealth Dept. Approval ..........................Underwriters Approval......................... Tanning Board Approval equest for: Temporary Certificate........... Final Certicate.....X..... ee Submitted: 5,?S•,00 ` ('~.~~~Q(~c/ Attorney for APPLICANT From FISHERS ISLRND WRTER WORKS 516 7887011 nSep.25.1998 03:48 PM P02 ss~~ 765-1902 BUILDINQ DEPT. INSPECTION ( ]FOUNDATION iST ~ ROUGH PLBG. ( J FOUNDATION 2ND J INSULATION FRAMINQ f )FINAL REMARKS: ~r~ .{~-~~Jdl~ DATE ~,p ~B'~~ INSPECTOR ,E~~~~'.~/ ~'~.r:LD IGS:`c~:lU:i ~~Dnii; i;OaYMtNT° -o 7 , - ~ w; rh UJ a v ~GUIJDATION , (1stJ y~ ~OUNDATIOtJ ( 2nd ) _ ~ ~ti d ~ - z o ',OUGH FRAME & ~T. PLUMBING • ti~ 3. m IIJSULATIOPI PER N. Y. „ y STATE ENERGY CODE m 't . r H FIIJAL o~ ADDITIOAIAL COMMENTS: m c x~^~ ~ \ X \ ro ~ U • H H M O r [T1 ` A ' r H O m H A. RICHARD GREBE, JR. ROX AVENUE FLSIIERS ISLANn, NEC9 YORK 06390 play T 7, J 991 Town of Southold Office of Building Inspector Town Hall Southold, New York 11971 To whom it may concern: With reference to building permit N18137-Z dated May 26, 1989, I hereby apply £or a one-year extension to May 26, 1992. Because of the downturn in the economy, both labor and materials may have been readily available, but my financial position and that of my customer have not allowed for the required expenditures. Thank you in advance for your understanding and consideration. Yours tr , / ~jC// A. Richard Grebe,Jr. for the account oP Mario Cantalini ii II ~ 1 I~~~~ ~.r,~w:,,/~•¢FD w,titlvv<.V,.u~„ e-(. a~u,~~.si•~ tiuU.d~.~,t~ arcc(~+~. fb ~v,W.~en ~ ~ t~..x. ~..~1 e,c ~..G.=0 ~w:cD i ~ ~i ~ ~Ir~~.l.~,r.e,0 Iw.k~ yNrt,.~..f,,t.Qn . ~ ati:~0 wf if ns..tr~a~u 1z~s ~,;,1~ µa.~,~ . i ~ 3 SETS OF PLANS,',~.,._,...,.,-- FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK ,IC}~~,~3, ' ~ . , BUILDING DEPARTMENT SEPTIC FORM TOWN HALL " - 5OUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL MAIL T0:• xamined ...l`,.~~// 197. ,pproved ...v!?~........, 19CF~ Permit No. ~~/'37 Disapproved a/c . d~ (Bui g Inspector) ' APPLICATION FOR BUILDING PERMIT _ ~ q - Date . ~ ~ ~19~/ INSTRUCTIONS a. This application must be completely tilled in by typewriter or in ink and submitted to the Building Inspector, with as 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~ .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app; anon. ~ ~ ~ o. 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 app4cant: Such Peru. .gall 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 Occuparn Mall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to u .uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances . .egulations, for the construction of buildings, additions or alterations, or for removal or demoli ' n as herein'deseribe. he applicant agrees to comply with all applicable laws, ordinances, building co~~ s~o , a d reg ations, artd • .unit authorized inspectors on premises and in building for necessary inspecti (Signature of"applicant, or name, if a` aorporatton) (Mailing address of applicant) Gate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: General Contractor dame of owner of premises ....Mario Cantalini (as on the tax roll or latest deed) t""applicant is a corporation, signature of duly authorized officer. (Name and title of core//or22ate off~i/c~er) y- Builder's License No..... !.~J.::~ 75'~~?~: • • • Plumber's License No . . Electrician's License No . j Other Trade's License No . ` Location of land on which proposed work will be done.....>;ast .>1r+~} Road, ,Fishers Island, NY • ~ira.~r~~ . /mot.-r.~? , . House Number Street ,~ryryHamlet County Tax Map No. 1000 Section . -1219 - - , , - . Block ..5'?'? .o'er.... Lot . , : , . , , , . Subdivision Filed Trlap'~19.i;~~::.~.~,, Lot . -(Name) State existing use and occupancy of premises and intended use and'occupancy`of proposed construction; a. Existing use and occupancy ....r9~~$~ntia~ . . h. Intended use and occupancy ...same . ~ . garage.*a/$waz:oora. deck.. o~aVp : . . . . . . . . . 3. Nature of work (check which applicable): New Building , Addition . XXX, Alteration , , , . Repair Removal Demolition Other Work . (Description ~ 0 00, .00 .Fee . ?~..~4'/. l.U...o . Estimated Cost $2..... Q ' / (to be paid on Ciling this application) S. If dwelling, number of dwelling units . l . Number of dwelling units on each floor , , . , . If garage, number of cars + Z . . , . , , . j ti. If business, commercial or mixedi, occupancy, specify npturc and extent of each type of use . 7, Dimensions of existing structure, if any: Front .1P2:. 6:°..... , .Rear ]•92:. , Depth 4©; .T':.widest C Height . 0.7'........... Num~er of Stories ~ , . , . Dunensions of same structure with alterations or additions: Front 7-2$' . • • • • • • • • Rear 6:' . , . Depth44', .7':.@ w.i-dest• pA~nt', .Haight ~7:. Number of Stories . d. Dimensions of entire new construction: Front 25.'.......... Rear 25 Depth , . , . Hei ht ?:7.'......... Number of Stories . . 9. Size of lot: Front , x.7.5.'...... Rear z75 : Depth ]-4$:. . , . 0. Date of Purchase • • • Namo•gf Former Owner . . . . . . . 1. Zone or use district in which premises ate situated , . , . Residential• , , , , , , , , , , , • • . . . . . . . ' o ate any zoning law, ordinance or regulation: . nO . . 3, Will lot beregraded trurc~tion viol . Will excess fill be removed from premises: 7Q41~C r. -4. Name of Owner of premises ...............Address ...................Phone No... , . Name of Architect ................Address ...................Phone No...... , . Name of Contractor . ~ I'• .Address . .Phone No. , . ~ :S.Is this property located within 300 feet of a tidal wetland? *YES,.};~,,.NO.... ~ *If yes, Southold Town Trustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all~~ bulldings, whether existing or proposed, and indicate all set-back dimensions fro, roperty lines. Give street and block number or description according to deed, and show street names and indicate wheth• ~terior or corner lot. i _ _ _ _ _ __,.__.w_- ' o ~ v J • i ~ ~~AR~'~rp ~ p i i ~$uti ~~~Or YN I t rUy~ c l ~ ` \ ~ _ a' ~l `7 ~ ~ ' _ ~ Jj.. _ l~, . ~ ~l r` A~ ` ,i" - ~ 1~ I . ~ _ ~!y l.l_!^ 4%"1'1 /~y'i?J•`~~ _~ff1(~__ _(?„r~f{{HJ ~IA~~.'y._. _/~.l _ i'ATE OF NEW YORK, ~I S.S l JUNTY OF • , , , , , , , • • . • • • being duly swam, deposes and says that he is the applica~, (Name of individual sig}ting contract) •ove named. ~isthe .....................i,..................................,............. (Contractor; agent, corporate officer, etc.) said owner or owners, and is dtjly authorized to perform or have performed the said work and to make,and file tt. plication; that all statements contained in this application are true to the best of his knowledge and belief; and that u. irk will be performed in the manner set forth in the application filed therewith. ;orn to before me t`hfi~s _ ~}~,~,v~ q ;fary Public, 6~~~^::.:~ ;?~J! Coin ' ,g16EEN G. WAL4 . ~ . NWerY Publ'w, Sfalq of New Ya1 Ne, 51.9509185 Q' (Signature of applican. ~ (~,eUfied inch f ~ ~.YlPe ~Mi~M ~ m~0-~isrD- Awns -n.~a v Zy~~rm'~y 7o~C stn ~m ~ t ~,I n 1g~~11b ~ ~ Cy~tp~ Ual~~m ~~Q~ 0~93~ Iii ~~~g ~QOy m~~ v p' .2p 41 ~t "t1 W mom.. ~ m~~~,g~ a C O Om -`~i-Iil a~ ~ ~ ~ ~-Zi L.c s ate[ ~ ~ ~ ~ `q r ~ ms ~I !~'q ~ ~ ~ ~ ~ ~ o ~ ~ ~ y ~ w ~ ~ ' N ~ D ~ ~j ' ~ i, y9 / ~ Ste' ~ II'i ~ L h ~ ~~i ~ y Iii` ~ °r -__•____-_~-~1 _ ` ~ ~ ~ i' ~ ~ ~ ~ ~ o - \ 1 \ I1~ ~ ~ lij q:, ~ j~l tl~ ~ ~ II _ ~ t.' ~ ~ l a ~ ~ ~ J !~i ~ _ ~ j'~ ~ III - N _~3 ' i I ~ a 5[ . i ~i ~ ~ j ~ Vb ~ ~ ~J p o ~ . h ~ d ~ ~ Ii r e _ ~ 5 ~ ~ d^ ~ ~ _ ~ ~ I ~ p ~ ~ ~ ` ~ ~ b ~ ~ ~ ~ ~ ~ Lb o ii ~ ~ ~ > .y I ® ~ ~ y ~ ~ ~ ~ y ~ o vsU ~F~/~ 5~~~ d o ~ ~ ~ o y i a rd ~ A lY ~ '~F 3 1~0 ~ G ® 1 W I ~j ~ N ~ a ~ ~ _y y ~ o a' I I t ~ ~ I~ i~ ~ i~ ~ 3 rP ~ i'' ~ i~ i „ p ~ ~ ~ ~ ...It.. 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