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HomeMy WebLinkAbout18198-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218716 Date JAN. 12, 1990 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property EAST END AVE. FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 004 Block 003 Lot 010 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1989 pursuant to which Building Permit No. 181982 dated JUNE 12, 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 POOL AND SPA EQUIPMENT BUILDING-REMOVE OLD ONE. The certificate is issued to THOMAS H. KEAN (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N085953 AUG. 9, 1989 PLUMBERS CERTIFICATION DATED N/A Cv.~ A~~ Wilding Inspector Rev. 1/81 n~osat 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) Z Date N°- X8198 ..1..~......., 19.~.~...~ Permission is hereby granted to: A..,G~~..,~ . ..~3..~-h,ra>-~~ ~ at premises located at 6...•..~~.cr.4~l..~...••... L,.••• • ......~~vY..Z:......................... y~....../.IG2,e9~~. County Tax Map No. 1000 Section Block ......~........p.. Lot Na....~..t~~~ pursuant to opplication doted ....•••.r•~.,,R........~..~......., 19C~.~ and approved by the Building Inspector. Fee $/0!..~~.~~.. .......1? ~t......Yl/......~.~ . Building Inspector Rev. 6/30/80 ~ SAN . TOWN OF SOUTHOLD BIIILDING DEPARTMENT p,~7=~.`~~-,aa _ g (~/~.$`~_s~ TOWN HALL L_,~Jl.r~l_l;'~';. ~~~'~~b1° u 1~3 SOUTHOLD, NEW YORK 11971 'S 9 ~6s - ,8oz ~ ~ ' 31989 P TOVUlBV~~UF S®UTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. October, 25_,_ 1989 NEW CONSTRUCTION X .....OLD OR PRE-E%ISTING BUILDING......VACANT LAND........ Locacion of Property Private Dr_i_ve __Fishers Island _ HOUSE NO. STREET HAMLE'f• owner or owners of Property, Thomas N. Kean County Ta% Map No. 1000 Section ..4 Block 3 Lot 1.. 0..._. Subdivision.. Filed Map ........Lot.......... Permit No~'g,~".l~.~.,~Date of Permit 6~1.289.,,ApplicantA.i7Qh71.C-~daGeD@rs~l~Qrltra,~i<ing, Inc. Health Dept. Approval Underwriters Approva1.62018689/89.. N 085905 Planning Board Approval ^T Request for Temporary Certificate Final Certificate X Fee Submitted: $.2~.QQ APPLICANT.A:_JOhn Gada General Contracting, Inc. ~ 3~~~~ ~~ii~Sa Co z/~7/6 rev. 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS $'~'``r ~ .46'Y i)b11! BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Rlt(;(Yfa'!' Cr9,'1JR='a f3!~+~~lail~l/R~ td [1R`,`~53 Date Application No. on fife THIS CERTIFIES THAT only the ebctrtcal equipment ¢s deacrihed 6ebLV and introduced 6y the applicant Homed on the above application number in the premuea of 'lI~G1~iX~S d4.(i)aA~f, ('ii~'h' is. i~;N~ ta;%b:.; 1~"3~£f~;rZri '{y1:hNi,, t?.Y„ s in thefollowing !neat' a ent ? Ist Fl. ? 2nd FT. Sertion B(cek Lot ~I~l`iiY ,~4$;~'9 uws examined on andfoarzd to be in conrplfanre uith the requireuterzLs q(this Board. FIXTURE FIXTURES RANGES COOKING DECK$ OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLE$ $WITCHES INCANDESCENT FIUORESCENi OTHEn AMT. K W. AMT. K W. AMT. KW. MIT. K W AMT H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K. W. OLL H. P. GAS H P. AMi NO. A W. G. AMT AMP. AMT AMPS. TRANS, AMT H P SYSTEMS pMi. WAiiS NO. OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1 ~ ]W 1 ,B, 3W J,9' 3W ~,e' dW NOAf CC COND A. W. G. NO OF HbLEG A' W G NO Of NEUTRALS 0.W G EOUIP. PER .a OF CC. COND OF HFLEG OF NEUTRAL J 21~f7 Ck1 1. X ~ d/9 .7 3fL7 ' OTHER APPARATUS: SRk~i 5r,'~ t:}tA1VrA: OP;t~Y- i A } pA~~1~yy~~ryry p t_ rye`,' C~e~~ CJdFII1'L CC.i}VHF Air1t-~I1(1\ tAf T.r Yj Li~Cr""~ lI~1~4IFiTK l~4 ~ P~Sf1~.R;i I,SI,.I3h11f, ~'rr iRtr3rd~ 6ENERAL"~iAANAO@R r t Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifi d by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r'1cLD II:SPcC:iU,) ~_.j~llATr. ~ i;OaYMENT°. \ 1. ~ a \ H r0U11DATI0N (1st) ` rOUNDATI0t1 (2nd) 2, z 0 ROUGH FRAME & PLUMBING ^ ti H 3. x I1ISULATION PER N. Y. STATE ENERGY CODE . x a ' r 4, ~ H FI;1AL o z ADDITIOPIAL COMMENTS: x ' x ro H 9 H H O z ro a • r _ H T Cy m .9 H , E e w G X ~ ~ h~ ~ e Si/- ~ a! Yp'-- T ~ ..3:2 €e> I`~s,'rF ~ia s; ' . re+ - /';Tit' '.#l.~y; ..r S ~ 12.' ` G k ! a y ! W 4'£4 d' ~ I . _ _ t Y #4r _ _ , r ~ fig _ _ ~ ks 3. Ra' i t 9S ~ - „E~ ~ k ~.I^ ~ ^A y,' I„ . _ rpq-~. _ ~ ~ Ct~~ _ _ _ . _ .p. 1 ~ ~ ~ ~ ~ _ (/y?Q,~ , F ~ ~ - o~C~T ~'~eo~.,.~. ~ . ~m. r. u a - ~ y 7° s_. S"~~ w - w,~ i B0.\RD OF HEALTH , FORM tv0. 1 SURVEY p ~ p ~a ~ 3 SETS OF PL -INS............ TOWN OFSOUTHOLD CHECK 2 . BUILDING DEPARTMENT SEPTIC r•oari TOLVN HALL SLDG.Dc'P'f, EOUTHOLD, N.Y. 11071 NOTIFY 1bWNOFSOUTHO(.~j_,_„Ty TEL.:7G5-7302 CALL m.. - Examincd 19 p. , Q / q MAIL TO Approved. ~,~„19<L~PcnnitNo..IR.f,./~Z . Disappro ed a/~ , , ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date M.a,y, .23....., 15 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Buildin ;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 street 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 [he applicant. Such permit shall be kept on fire premises available for inspection throu~}tout 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 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 General Contracting, Inc. (Sign,~ture of applicant, or name, if a corporation) • .Dr.aweC.R„,Fishers. Island, NY 06390 (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 ,Thomas H . Kean (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. y President (Name and title corporate officer) Builder's License No. 281 -H I ' Plumber's License No. 462-P Electrician's License No. ? 9 6 - E Other Trade's License No. 194-AR Location of land on which proposed work will be done. .EdSt, ,End Ave House Number ....Street ..:....................Gl.l`I~%~. L~..~st-;~ ~ Hamlet 1 - County Tax Alap No. 1000 Section Block , , , , , , , , , , Lot ~ d, . Subdivision F.ilcd lfap No. Lot . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguscandoccupancy ....pool..squa{~•merat..housa..,,,,. b. Intended use and occupancy .Pool: & s[ia equipment house ~~t ~ n i '~t 3. Nature of work (check whic~t applicable): Net ~ Repair ~ Building XXX .Removal , xxx o Q Addition . ,Utcr~ti Demolition •.~,~~'cr ~ti'~. 4. EstimatedCost~~~.Q'.ar~..........~......... 5. (©s n.... /L^ peon Fee c.J..ar. ~..a.. , : 5. If du•cllin~ (to be paid on Blingthis!~ „number of dtvcllipg units • l~plisa ion) If gara;e, number of cars ; • , , , • • Number of dwelling units on each floor , , , , . 6. if business, conunercial or mi;~ed occupancy, specify nature and extent of each type of use , D`nte `lions of existing stntct~tres, iC any: wont . , . . N~rmbcr of Stories . Rear Depth . Dimensions of same structurclwith alterations or additions: Front • _ Depth. .IIcight. ..................Rear................ 8. Dimensions of encirc new conStnlction: Front , • ~ ~ ~ ~ ' ' ' ' ' • • • • Number of Stories , ~ • ~ ~ ~ ' ' ' ' ' ' Height .N mbcrof Rear. .Depth............... 9. Size of lot: Front. ~ Stories 10. Date of Purchase ........'I.:.......... Rear..... .............Depth.... 11. Zone or use district inwltic)t .Name of Potmer Owner . . 1... Does proposed construction vitremises are situated . , 13. Hill lot be regraded Plate any zoning law, ordinance or regulation: ~ ~ • ~ ~ " " 14. Name of Owner of premises . ~ ~ ~ • ' ' ' ' ' ' ' ' • • • ~Vtll excess (ill be removed from premises: Yes ~ N Name of Architect • • • • ~ • • • • • • • ' ' ' ' ' ' • Address .Phone No. . Name of Contractor • ~ ~ ~ ' ' ' ' ' ' ' ' • ' • • • Address , .Phone No.. • • • • IS.Is this property looted........,"'•.Address. ••..•.........,PhoneNo..•.. within 300 feet of a tidal wetland? *YES...,NO...,~ *If yes, Southold Town Trustees Permit may be required. Locate clearly and distinctl ~ PLOT DIAGRAi<1 Y I buildings, whether existing or proposed, and. indicate all set-back dimensions fror. property Gnes. Give street and block,~number or description according to deed, and show street names and indicate whethr interior or corner lot. I / ~ ~ ,i II iTATE OF NE1V YORK ~OUNTYOF..m~„ffo,•••...•, S.S ,.........A. John Gada, Jr. (Name of individual si~• e I • • ~ ~ ~ • ~ • ' ' ' ' ' ' ' • • being duly sworn, deposes and sa s that he is the a hove named, ,nin~~contract) y pplicant Ye is the ..,contractor ~ f said otvncr or owners, and is duly au;thoriC•d tto performrtor loavo perfomtcd the s ' pllcation;thatallstatctttents t containrd~ in this apphcgdon arc true to the best of his knowletlae d to make and ork will be pcrfornted in the manner set Iforth in the application tiled tlterewitlt. file this •t•orn to bclorc me this 6 and belief; and that the ~y"`` ..............day of rna'.`l.......... , 196y, nar7• Public, fj 1 ~j • .~c`~j~°•~k....... County t MARY B. PANKI W CZ N(tfARY PUOUC, SATE O~M N YORK . N0. 52-62470.50 - SUFFOIJf CWNiY (Signature of applicant) 'r;(iMA11S$ION EXPIRES Yl.~al9o