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HomeMy WebLinkAbout18138-z r ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z-18531.. Date .NOVEMBER I , 1989 THIS CERTIFIES that the building ADDITION 5 ALTERATION Location of Property „EAST END FISHERS ISLAND, N.Y. .........................Hamlet House No. ~ ~ ~ Street County Tax Map No. 1000 Section ...~Q.......Block .....6.........Lot....8............ Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4 , 1 989 pursuant to which Building Permit No. 1.8 138-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 . ADDITION & ALTERATION TO E%ISTING GARAGE ATTACHED TO ERIS'TING b'r~E'irarlY>;f' ]iWirLY.'TNG' A'5'APP~YED"FOR Tlie certificate is issued to WILLIAM SOPER (o wner,~'ea9ea~aa~a ~ ' ' of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO.... ]?ENDING - NOVEMBER 2 1989 PLUMBERS CERTIFICATION DATED: OCT. 26, 1989-MARIO ZANGHETTI Building Inspector nay. Val rosai xo 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 ~ ~ ~ g Z Dore . 19. Permission 's hereby gr ted t~ to .C~?~f~k. .~..s.~.~~.l~r'...~, at premises located at .~~.,.~.~!j.,~,,,,,,„~~y~~/~/,~~,~ County Tax Map No. 1000 Section .......lv.......... Block Lot No.......~........... pursuant to application doted 19~~7~.,, and approved by the Building I¢¢ns//p~~ector. Fee $../U.Q..A../ III~BUIIdi I for Rev. 6/30/80 n. • ~ .~=m_ r _ p TOWN OF SOUTIIOLD rT ~.`i~ BUILDING DEPART2IENT Ol'I I I~gg ` TOWN HALL BLUG.OEp'f, SOUTIIOLD, NEW YORK llg TOWNOFSOU7MOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE . NEW CONSTRUCTION .......JOy'~L/DO~R//q PRE-E%ISTING BUILD~I~NG..~L...VACANT LAND..._.... Location of Property. ~4~!". , ~ _ ~ 1'G'~ _ _ _ _ _ _ _ _ _ _ HOUSE NO. STREET HAMLET Owner or Owners of Property..../ i~~n`~ County Taa Map No. 1000 Section Block Lot Subdivision Filed Map ......,.Lot........_. ~ Permit No. ~ ....Date of Permit `:~G.~,L,,Applicant ~~O"~`~ Health Dept. Approval ~~?"°~.~?~`Q..~'~~~..... Underwriters Approval Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $,_`.'~~r~..„..,.... APPLICANT..: f...~~G/dt~.~-+` rev, 10/14/88 C'~~ • ~gsss cod ~8s3~ ' ' ~ ' TEL. 765-1802 o~~FFOik~~~ TOWN 01~ SOUTHOLD , ~~.c OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL "p SOUTF10Lb, N.Y: 11971, , ~~l ya . ' C E R T I F I C h.T I'O N Date 0 Euil'~ing jPermit ~ No. (p ease pr t)•. I ' ' Plumber. ~~ric~ ra ~lxr , (please~,prt) ~ ' ' I certify that the solder used. in the water supply syatern j contai><ts less than 2/10 of 1~ lead." . , j ~ • . ~ ~ ~ r plumb .,s ignature)'~ 5wor~tt ~o befQre~e this ' ~~ay of~-~06L/L.f~--. r 1x'_1....' ~ ~ NU County Notary Pu cr/ ~ ' I ~ ~ ~ i'NQMAS F. OOHER7Y JR, ~ ~ ~ O~ 3' ~ ~.7!).7 . NOt9ry Publier"State of New yore No: 4808559 BLDG. DEPT. ~ C1u6Ufleo in Suffolk Caumy TOWN OF SUUTHOLD I ~ T9rm•Expires t2rOV90 , .I' ~ ~ ~ , " ~ ~ i' Z & S CONTRACTING, INC. , ' 9OX 202 .'FISHERS ISLAND, NEW YORK 06390 ' ~ ~ ' ' Wast© Water Management ' 5uk"fulk CDUnty Health Services " County Canter ~ j Riverhead, N.Yy 11901' Ta Whom it may concern'. We et 2&5 Contracting oh ,fishers Islend,N.Y., hav© installed the septic system at the • pra~pe-r/t/y ecdording~~to 's1L SufFolk County Codos. i, ' /irGL' ~p~ C~KtcSb~i~ ' , . • ~ Respeotfully'Submittsd , ' ~ homes J Shi to Presideri, • Z&S Controcti'ng Ind, , ' ~ • • "f'1i5/rz ~Cr 3 ~ f~ • ~ dive. ~fr~~, ~:o~ ~ =.~~zcaw~oF,,~_, i. te~3_i~r ~ • FISHERS ISLAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06390 AREA CODE 516/788-7251 Dated (v Town of Southold Building Department Fishers Island, N.Y. 06390 Gentlemen: Please accept this letter as certification of Water Service provided 6y Fishers lsland Water Works to g ~.P~ aUi/~Grbt ~~~ic . f/ The water service consists of supply through a inch water line from our Island distribution system. Sincerely yours, Robert E. Wall Superintendent REW/ew OCT 3 V l9~ BLDG. DEi'T. TOWN OF SOUTHOL - q.c:~J i:~~: c;;:_JG ~~Un'i I~ ~OaKMLNi° • ~ : I W H OQ _ y OUNDATION (1st) `T+. ti d OUNDATIO~d (2nd) m ~ r o rn JUGH FRAME & ti -1 PLUMBING ~ Z H • ~ C+7 1SULATION PER N. Y. y STATE ENERGY CODE x > p, H Z b FI,IAL ADDITIONAL COMMEJITS: m ~ x • 3 ' x 'b H N ~ G H O Q m a H T b m ^o H ' UUALdU UL' 11BALllI • 3'SETS OF PLANS ••.L: ' FORM NO. 1 SURVEY . TOWN OFSOUTHOLD GxECK ~ BUILDING DEPARTMENT SEPTIC FORM .............e, ~O TOWN HALL NOTIFY UTHOLD,N.Y'..1197j' CALL 802 IL T0: Examined . ~ ~O........, 19 T~iEL.: 7~/65-1 NA Approved `~~2G..... , 19~ Permit No./.:0~?~. o. Disapproved a//c . u1~..I . nspector) APPLICATION FOR BUILDING PERMIT Date ...~"r~J~ 19 ~fn INSTRUCTIONS 1 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 1 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sl?owing location of lot and of buildings on premises, relationship to adjoining premises or'public streets or areas, and givinf, a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work 1•; vered by this application may not be commenced before issuance of Building Permit. d. Upon appro rnl of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the preanises available for inspection throughout the work. e. ' No building; ,hall be occupied or used in whole or in part for any purpose' whatever until a Certificate of Occupancy shall have been grart:;d by the Building Inspector. APPLICATION . S FIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordii mce of the Town of Southold, Suffolk County,'New'York, and other applicable Laws, Ordinances or Regulations, for tb construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant aerea,s to comply with all applicable laws, ordinances, building code, housing code, and regulations, acid to admit authorized u..ipectors on premises and in building for necessary inspections. ~:~s . ~m~~ . ~n~:. . (Signature of applicant, or Ma/rne, if a corporation) ~v~ ,~a x 01p~-... !'?~s:~iers:..CS1.~~ . v~~lil . (Mailing address of applicant) State whether apl,'~cant is owner, lessee, agent, architect, engiheer; general contractor, electrician, plumber'or builder. . .~-~~~~~1 Name of owner o'' promises Y~,r: •t Wlrs. ~;~lw~s r~rn~~e~, , ° ; ~ .m~r.. . (as on the tax roll or latest deed) J If applicant is a coy oration, signature of duly aut/h~ori~zed officer. ~ - (Name ~ d title of corporate officer) ALL CONTRA(,'OR'S MUST IIE SUFFOLK COUNTY LICENSEp' Builder's L•.e•se No. /~~K~;.-y- .f~.;~:...:. . Plumber's Lic,nse No....~:~r.'-/. . F..lectrician's License No. ...~~Y..~~~ • • • • • • • • Other Trade's i,icense No. 1. Location of gar+~I on which proposed work will be done. .~~7-.. 't'i3 • • •'~'•S~4' tr• m~ House Numbl'1 Street Hamlet J l~ County Tax M,.p No. 1000 Section Block ~ Lot . Subdivision ~ . Filed Map No. Lot . (Name) 2. State existing 1,; :and occupancy of premises and intended use and occupancy of proposed construction: ' ~e..:.`I~~C~ a. Existing nd occupancy .....~iM~ J y ~ • • • ' ' ' ' ' • • • y ~f~ • ~....~~,11 . b. Intended use, and occupancy • • • • • • • • YS.. 3, Nature of war4~ 'shack which applicable); Naw I}uilding . , ~q~4',~;!, , , Additloli' Y , , . , Alteration , , , , , ~ Repair Removal , .Other SVork . (~~~I~~i,tion " t' (Description) 4. Estimated Ccst , ...7~1~?i UIU` . ...........^1.. Fee ' (to be paid on//filing this application) 5. If dwelling, num.~er of dwelling units . Number of dwelling units on e6ch floor , • . . If garage, numt~:r o'f cars : : ~ y 6. If business, cornn:crc!al or m!xed gccupancy, spec!f nature and extent of each type of use . . 7. Dimensions of existing structures,'if any: Front ,Rear Depth,... . Height Number of Stories alterations or a Dimensions'of s<~me structure with dditions: Front Rear . Depth :Height Number of Stories : , . 8. Dimensions of :Mire new constn~etion: Front Rear ...............Depth , . Height . Number of Stories , . . 9. Size of lot: Front Rear ; . Depth . 10. Date of Purchase . I ...Name of Former Owner , , . 11. Zone or use distr.ct in which premises are situated , . 12, Does proposed c .nstruction violate any zoning law, ordinance oc regulation:' . . . 13. Will lot be regraded . . .'.........Will excess fill be iemoved from premises: Yes No 14. Name of Owner ~•f premises : ............:..Address ,'.........Phone No............... . Name of Archite:a ..Address .........Phone No....... , Name of Conua;aor . Addreggss .....Phone No. ' y ' p y etlandl *Yes No ' 15. Is this pr ~ , If es, Soo ert located within 300 fPLOT DIAGIZt1M w . * uthold Town Trusl;eea Permit may be•re uired., Locate clearly an-' distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property Lines. Give ~,t: yet and block number or description according to deed, 9nd show street names and indicate whether , interior or Corner lot STATE OF NEW'YOR S;S COliNTY OF Su vJk ~ l , being duly sworn, deposes and says that he is the a hcant ............c ~ ~+u!in,W~S J, ,g hfs~C>ntract) . PP (Name of individual si nin - above named. ' (Contractor, agent, corporate officer, efcJ i 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 a:a;.tements contai}ted in this application are true to the best of his knowledge and belief; and that the work will be perfonnra in the manner'set forth in the application flied therewith. Sworn to before me this ~ ` . ~ ...day of , 1;9 Nota Public . . . ~u .(~0::`:... t' .County ry , ~ ~ . .t, ~ ~r,~ ~ M7iRY B. PANKIEWICZ ~ ~ ° ~ ~ ~ ~ (Sigziature of applicat}t) ~ ~ ~'~I a' NOtANY PUBLIC, STATE OF NEW VOiEs ~ ^ ~ ~ ' ~.ih~, ~ .e~ ' . ~ N0. 52.8267860 - SUFFBLK QUUNTV i ~ . ~t3~' j>al,~'; x f,OMP71SSI0N EXPIRES Y~So~9~0 - '