HomeMy WebLinkAbout17996-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218711 Date JANUARY 12, 1990
THIS CERTIFIES that the building ALTERATION
Location of Property THE GLOAMING FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 010 Block 009 Lot 019
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 3, 1989 pursuant to which
Building Permit No. 179962 dated APRIL 7, 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 NEW SLIDING GLASS DOORS & REGULAR DOOR WITH ROOFS OVER AND
12' X 27' ADDITION TO OFFICE
The certificate is issued to A. JOHN GADA FAMILY PARTNERSHIP
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N055465 SAN. 27, 1989
PLUMBERS CERTIFICATION DATED N/A
~.w~'~
Building Inspector
Rev. 1/81
lY1Bai N0. !
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N o 017 9 9 6 Z Date ..G~n~.~.:~......`7 ~9~r..'.
Permission is hereby granted ta:
..G..
..~FZ~~ f..~,..~h ~ ~ '-3~G
.
ct premises located at .~.........r~..~14:?a~..2
.....................................~.1.~C//.!J,/~~...~..~
........................................................(..1.......:~..................................................................................
County Tax Map No. 1000 Section I.lr.~........ Block Lot No....~....1,/.
CJ
pursuant to application doted ......~.1 ................1...~........., 19.~.(., and approved by the
Building Inspector.
Fee 5..~~.~,..r.l~.l~
~ Building Inspector
Rev. 6/30/80
TOWN OF SOUTllOLll
BUZLDING DEPARTMENT.,
TOWN HALT. ~ -~..~.~CI _ ,
SOUTHOLD, NEW YOKK 11971 ~ ~~t1 9
" !d(lV - 31989
765 - 1802
5LL'G.
0~ ~i,
APPLICATION FOR CERTIFICATE OF OCCUPAN TOWN OF Sfa±7F-CLD
DATE.4Gt4~~r•2~,,1989
NEW CONSTRUCTION x. .....OLD OR PRE-ERISTING BUILDING......VACANT LAND........
Locacion of Property ..............Foot_of:the.Gloaming ..Fishers Island_._•.
HOUSE N0. STREET HAMLET
owner or Owners of ProperCy.A•..~Of111.Gddd Family Partnership
County Taa Map No. 1000 Section Block .9..... Lot ..19.....
Subdivision Filed Map ........Lot._........
Permit No. .Q 1.7,9,96• .Z..Date of Permit . 4f 7f 89. _ .npp1 icant A: John Dada General Contracting,
o~t"s4~6s=--
Health Dept. Approval Underwriters Approval
Planning Board Approval
Request for Temporary Certificate Final Certificate X
Fee Submitted: $..2r1,.QQ
APPLICANT. .A John, Gada_ General. Contracting.. Inc.
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rev. 10/14/88
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STATE ENERGY
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THE NEW YORK BOARD OF DIRE UNDERWRITERS 1~zrx
107501.?. SUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK, NEW YORK 10033
Dote .)ANIIARY `1.7,1989 AppNcattonNo.on)tle 58A1901AA/RA N Ji55A55 ~
THIS CERTIFIES THAT
only the e4ttrled puipment w dssorihed faslom rand introdtaced by the oppfintat aanaasJ on the alaoro spplic~tton numMr In the promiws of
. .JOHN GADF; C'nN7'RAr"'PLNt., F'a)'P t)I+ THFL 61AAM[NF, F1;SITY,R5 J'SIrANI), N.Y.
in tlaejdlouinK loroNon, ? Basement ~ 1st FI. ? Ynd Fl. ()iJT Sertiun Blork Lot
uw examined on .JANUARY l.7 ,1.9A9 and found to he in rnmplience aeith the reyuiroments of this Board. -
F
AQB SYEITONS X RA t:00KR16 DlCRS O DkiN WAfIWS MAUST FANS
' OUTtRft NGNUlMKNT I1110ttMtM OTHER AMi. K. W. AMT. K. W. AMT. K.W. AMT. N. W. AMT. N.I.
ORY~S S1IRIIAC! MOTORS IIITUY AMUAItCR RMORRt SMOM RRCei iIMl CIpCKS., pLL IIIRT IISATSRf MUITI-0YTIlT fXMMlRf
AMT. K. W. pl M. I. OAS X.I. AMT. NO. A. W. G. AMT. AMI. AMT. AMM: TRAM{. AMT. X. I. tb
~1 AMi. WATTS =
> RNSgSNiECT NO.p S R R - V 1 _-C E
AMT. Aar. TTTR! i / tW T / sw a i 7VI a / Aw wo. ate
ict»+o. a ~x
c ' wo. a ~wuc Oi • KIO. or NEOtsAlS a 'IlIIIMI
1 1 t1o r.» a x 1 z 1
tmlr AS?ARATIR~
>E
,Po~
DADA CONTRACTON
PRAN};R ! ~ , , H
F`TSHTrRS iST.AND, NY, 06390 ORNIRAI
)1
t~IC;~;NSE; NO. X95 E; Per
This nrNfftoN mwt not be ah~nd in taatewr; yryrn to tltt office d tM Soord if ttlcerreN.. I b ' 'r
F ANY R. r
wti - _
' ~ BOdRD OF HEALTH
3 SETS OF PL.1NS
FORM NO, t SURVEY
TOWN OFSOUTHOLD CIlECh
BUILDING DEPARTl41ENT SEPTIC F0R:1
TObVN HALL
SOU3HOLD. N.Y. 11rJ77 NOTIFY
-jj ~J 'fEL.:765.1302 CALL
Examincd.7,.Z~.~j........, l9 MAIL T0: .
,lppravcd 19~~Pcnnit No.. ? ~G ~
DisapProvcda(c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
' Date ..:................15
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi
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 str•
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is Bart of this a=
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this app[ication, the Building [nspector will issued a Building Permit to [he applicant. Such pea
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 Occupa~
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
Building Zane Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance-
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descri6
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in building for necessary inspections.
.A..John.Gada.GBgeral„~ontracti,ng, In
(Signgiure of applicant, or name, if a corporanon)
Drawer B
..F.ishE.r.s.ISJ.and...KY....0,6,3~0„•,,,,,,,,,
• (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
general contractor
Name ofovvnerofpremises .A....10hn..Gadd..F,amiJ.y.,PdY'.itr]eCSr.i.R
(as on the tar roll or latest deed)
[C applicant is a corporation, signature of duly authorized officer.
•,A;, John• C~adi3,, Jr,,,,•.President.._,•,•,,,
(Name and title of corporate officer)
Builder's License No.......289:.HI
Plumber's License No. ....462r.P
Electrician's License No. ..?3b.., . E........... .
Other Trade's Liccnsc No. .19.4. :A~
Location of land on which proposed work will be done. FOOL. o,f ,the, •Gl•odrn•i n~
..T.he.G.1.namin.g.,,..,..,•,,.,,•,F,ishers Island
klouse Number Sircc[~ Hamlet
~l .
County Tax Atop No. 1 t)00 Section Block Lot .
Subdivision Filed lfag No. Lo[ .
(N:unc) ,
State existing use and occupancy ofpremises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......GOtt11I18Y•.Gldl
b. Intended use and occupancY •••••~Omp1e•ri0iaa••••••••••
.
3. Nature of work (check which applicable): New Uuilding , , . Addition . x...::.. • l~lteration ~
Repatr . . . Removal Demolition Other 15'ork .
(Dcscrcpti
4. Estimated Cost ..~F~: Fee l'~.~
(to be paid on ding this application;
5. If dwelling, number of dwelling units . . Number of dwelling units on each floor , .
ICgara;c.nuntbcrofcars
6. If business. commercial or mixed occupancy, specify nature and extent of each type of use ..bu S ] n.e.~ $ , , , , ,
7. Dintcnsions of existing structures, if any: !'rout Rear Depth
Heig}tt Number of Stories , .
Dimensions of same structure with alterations or additions: Front Rear
Depth IIcig}rt Nurttber of S[orics .
Dimensions of entire new constnrction: Front Rear Depth ,
Hci:ltt Nutnbcr of Stories .
9. Size of tot: Front Rear...................... Depth
I0. Date of Purchase . . . .Name of Former Owner .
11. Zone or use district in tv}ticit premises are situated .
1 Does proposed construct}on violate any zoning law, ordinance or regulation: .Rp .
I3. tiVi}1 lot be regraded , . , `Vill excess Fill be ry+~- oved from premises: Ycs
. ~~•~J~JAli?C~j~/~.??.E'Yrt/C.f'blfl/° 1).2/I/ellF'A~!-/,$~[0/31:i ?l~'7~.~'~~`:~
14. Name of Owner of prcmtses . , .,.K% t~. , . , . , , , , , , ,Address
..Phone No.'::...... ,
Name of Architect Phone No.... , . . .
..Address .
lu ` art C21t1'14/~' ~al6z' .
Name of Contractor g:J6.::Xk ~ Address ~i~<~,~c3~~
-b~~~ ~ ,7F~-7a3
Phone No. Lr. ~
lS.Is this property located vi[hin 300 feet of a tidal wetland? *YES....NO...
*If yes, Southold Tovn Trustees Permit may be required.
_ PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions f
property lines. Give street and block number ar description according to deed, and show street names and indicate whe
interior or corner lot.
STATE OF NE1V OR1; S.S
BOUNTY O//F .j~Y~fork.......
. . being duly sworn, deposes and says that he is the applic
(Name of individual si;ning contract)
.bout named.
}e istltc.........con.t.r.ac};D.r.1.nor.p.nr.afe..4ffic,i,er:,,,•,,,,,,,,,,,
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and fife
~plication: that alt statements contained in dtis application arc true to the best of his knowledge and belief; and that
ork wil] be performed in t}te manner set forth in the application 1'•Icd therewith.
.vom to 6aforc me this
,-d
3 .............day of 19c~.
3tar}'Public, ~~.~k••••••••••.•• County
_ f2aY" V?t
MA B. PANKIEWIC vuhh
(Si^nattlre of applic:
til3TARY PUBtiC. SiNSE UP N q}UNiY
NU. 52.8251959 - SUFkUI•R4 U
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