The URL can be used to link to this page

Home My WebLink About18143-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218074 Date JUNE 2, 1989 THIS CERTIFIES that the building ADDITION Location of Property AVENUE B FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 06 Block 02 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated MAY 25, 1989 pursuant to which Building Permit No. 181432 dated MAY 30, 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 ADD DECK AS APPLIED FOR. The certificate is issued to JONATHAN GILMAN (owner, ) of the aforesaid buildinq. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A J Building Inspector Rev. 1/81 roast 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 ~ 81 ~ 3 Z Date 0........., 19..Y.~' ~ Permission is hereby granted to: / ~iL~ of premises located at .............b ,l ................................................./.(`....r~rlrLl...L~.................................................................. County Tax Map No. 1000 Section ..~y1 Block.C.....~.......... Lot Na....~~~.....~.... pursuant to app~fcation doted . 19..`lf..~ond approved by the Buildri~~ng/ Inspector. ~C~~ Fee $...~"L...~.~1..~.~... Building I for Rev. 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPART?LENT TOWN HALL • SOUTIIOLD, NEW YORK 11971- 765 - 18-02 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DnTE.5/.3Q/.~4......... NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING.x....VACANT LAND.._.._.. Location of Property............ Avenue B Fishers Island NY 06390 UOUSE N0. STREET HAMLET Owner or Owners of Property...,..J9pol=hdP.~lltPan County Taa Map No. 1000 Sectioo6.?=13:1 Block ...2._. Lot ~.3:1..... Subdivision Filed Map ........Lot........_. Permit No. 1.O.~J?-Date of Permit/..~{~`,~~Applican~~/,,~~_"_"""_'• Health Dept. Approval Underwriters Approval..,........... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $.,25,_,0.0„_._.._.._._. APPLICANT.. C 0 ~ ~ rev, 10/14/88 LF. y. FORM NO. 6 TOWN OF SOUTHOLD BIIILDING DEPARTMENT I TOWN HALL - 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS I A. 'This application must bg filed in typewriter OR ink and submitted to the Building ~ Inspector with the follpwing; for new buildings or new use: ' 1. Pinal survey of property with accurate location of all buildings, property lines, streets, and unusualinatural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fromjplumber certifying that solder used in system contains less than 2/10 of 1Z lead: ' S. Commercial buildings; industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect ar Engineer responsil}le for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings t;IPrior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" landiuses: r I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. _ 2. A properly completed ,application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to Apri1,9,~'~1957. . If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing c',ode or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~,the entire lot prior to April 9,-1957 shall also accompany the application. If ~a Certificate of Occupancy is denied, the Building Inspector shall state the reasoas therefor in writing to the applicant. D_ FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial i APPLICATION ON BACK ~I i rev. 10/14/S8 BOARll OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OF SOUTHOLD CHECK • • • - • - - . BUILDING DEPARTMENT SEPTIC'FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 MAIL T0: Examined .................19... , ~ Approved 19</`Yermit No..I Gl.l. ~i'3Z. ~ Disapproved a/ ~~O (Building Inspector) APPLICATION FOR BUILDING PERMIT Date MaY. ?.5 19 89. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ' and submitted to the Building Inspector, wit se of tans. accurate plot elan to scat Fee accordine 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 cr 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, and other applicable Laws, 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 inspections. , A,., ,John, ,Gada, ,Gene,r~] , .C.o.gtr.a.cti n.g.,.. Inc.. (Signature of applicant, or name, if a corporation) . ~?".dWeT'..8.,.. Fj.s,hers..Isla.nd, . N.Y.... ~h.399.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. general contractor Name of owner of premises ......Jo.nBthd.n.Gi.1.mdrl•••.•••.••..•.•••.••• (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ ~ President (Nam title ofMcUo$rporate officer) ALBuildeNS Lcense No. , L81 TE$E SUFFOLK COUNTY LICENSED Plumber's License No. 462.-P . . . Electrician's License No. 2.96-F . Other Trade's License No. .1.94-AR 1. Location of land on which proposed work will be done. . Aventa.a . B . Avenue B Fishers Island, NY House Number Street Hamlet County Tax Map No. 1000 Section Q ~.-.2-1 3...1...... Block 2 Lot ~ 3...1 , , , , . , , , Subdivision Filed Map No. Lot............... (Name) Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....d. ..~~~6~~'.~yy:~-~~...... ` . b. Intended use and occupancy ..deck I 3. Nature of work (check which applicable): New Building Addition ..X Alteration . Repair Removal , Demolition ..............Other Work . S (Description) 4. Estimated Cost ~,O'Q~'~ Fee f!.i.~ r~~.................... . ` (to be paid on filing this application) 5. If dwelling, number of dwelling wits Number of dwelling units on each floor . If garage, number of cars . ' :occupancy, specify nature and extent of each type of use . 6. If business, commercial or mixed 7. Dimensions of existing structures; if any: Front c... ,,;':.:,.....:,Rear Depth . Height ...............NumlierofStories.....:..::..:...:..................::....,....:......... 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 ...............Number of Stories..............,.......................................... 9. Size of lot: Front .....................:Rear,.:;...,,.:..::..,..... Depth 10. Date of Purchase .................Name of Former Owner . 1 I. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . g 14. Namle of Owner of premises .J.ofl ' ' ' ' ' ' • • • Will excess fill be removed from premises: Yes No .~.th.a.n..G~i.lman..... Address 98 .Broad St,F.lemington,NBhone No.201: 806,-3117, , , , Name of Architect ................Address ...................Phone No............... . ` Name of Contractor .........:.................Address ....:..............Phone No............... . 15. Is this property located within 300 feetyyof a tiqidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO'1'DIAGKAMed. 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. I STATE OF NEW YORK, S COUNTY OF ...~?FFOt;K, , , S A . John G 8 d a , J r . I , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .',.Contr.actor...................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 manner'set forth in the application filed therewith. Sworn to before me this Notary Public, ~5. County FI/ MAfiY 8. PHNKIEWICC (Signature of applicant) N(RARY PUOI.IC. 5fATE OF NEW YORM ' NO. 524207060 -SUFFOLK COUNTY f,(IMMISSION E%PIRES y~ 30~ f 0 Jonathan Gilman Fishers Island, NY 06390 f: 1 W ti lyj~_ N O W - v a M . ~''~l~ ~ C~~ ~ ~ C1~ ~ _ h~~ ~ W C7 J I~