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FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218710 Date JANUARY 12, 1990 THIS CERTIFIES that the building INGROUND POOL Location of Property BETWEEN CRESCENT AVE. & AVE. B FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 006 Block 002 Lot 009 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1989 pursuant to which Building Permit No. 180552 dated APRIL 19, 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 INGROUND POOL FENCE AND ATTACHED DECK TO ONE FAMILY DWELLING. The certificate is issued to A. JOHN GADA, JR. (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N085919 AUG. 9, 1989 PLUMBERS CERTIFICATION DATED N/A J ~y Building Inspector Rev. 1/81 roar xo. ~ TowN oP souTHOLD EUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 8 0 5 5 Z gate ........................1..9...................., 19.~.~ Permission is hereby grantedct}t ...T.F/~...-V.t~t.Q.....Y ..V ~°....~G ....a ~ c~to ~ia::~!9,~C'.'..'tiSsQ....~.. ~:'~~......1..~,. ~r.~-,., ...S~lu4a: ~?'~....Q.`"::~-F..~.... ro° ct premises located at !?0n^~~. ~ ::::~:::::~.a :::::::::::::::::::::::::::::::::::::q:::::::::::..:. . County Tox Map No 1000 Section~~QmT~...nn...., Block .....~.1':......gLot No ..Q...l pursuant to application doted ......`~^#~J~.?!....~..] 19.R. S., and opproved by Yne Build(ng Inspector, vv Fee 5. ~ ;,:a~p.... o'r- . . (ding Inspector Rev 6/30/80 A.~rc: . TOWN OF SOUTUOLD BUILDING DEPARTfSENT i ~,si~jxy~"*LL~SJ' TOWN IIALI, ~ ~ SOUTIIOLD, NEW YORK 1 t97 i ~l{ - 3 ~ t~ 765 - 1802 ~i,!~;.~~ k ,G ' APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE.~Gt4I121:Zr3,..1,Q$Q , NEH CONSTRUCTION .x..__.OLD OR PRE-E%ISTZNG BUILDING......VACANT LAND........ Location of ProperCy ................Centrdl Ave Fishers Island IIOUSE NO. STREET IIAMLET Owner or Owners of Proper[y...A:_JOhn.Gada:.Jr: _ County Taa Map No. 1000 Section b.... Block Lot 4 Subdivision Filed Map ........Lot.......... Permit No. 18055Z.__,,Date of Permit 4/14/89. A. JohnGadaG°neral Contrdcting, I ..Applicant IIealth Dept. Approval Underwriters ApprovalDI.O85914...... 62018589!89 Planning hoard Approval Request for Temporary Certificate Final Certificate x Fee Submitted: X5:00_______________ ArPLICnNT A._ John_ Gada. General Contracting.. Inc. 3 ~k~f~ ~ ~ i 1 ~yb Co z i~~'° rev, 10/14/88 1::LD I;.S: ~ .~u;. ~~D„;E ~ JCMMLNT~ - m a H _ y =OUIdDATIO"! (1st) cep{: -OUNDATION (2nd) mS - - - F 2. z o ~ ROUGH FRAME & PLUMBING N 3. z m n I;ISULATION PER N. Y. STATE EPIERCY CODE a + r 4. ~ H • j FI;fAL t ~ { l ADDITIOPIAL COMME;ITS• ~ ` x m ' x ^cr H - H H O ` m a r • H O ^J H a ~ shore{iacpoalsinc. ~~44~~ ~aa~~~°~~a~ 288 VALLEY ROAD COS COB, CONNECTICUT 06807 _ _ ~ DATE ~ JOB NO TELEPHONE 203/869.1203 - ' ATTENTION To ~ J t t-4 [oJGt ~EQ~i~'m ca~T ~Et~ ~ G E TovJrJ \~R~ 53095 M141?.t Ro, RE A ICaA-~A WE ARE SENDING YOU `}(l Attached ? Under separate cover vla the following items / ~ ? Shop drawings ~Pnnts p~ Plans ? Samples ? Specfications ? Copy of letter ? Change order C7 - COPIES GATE NO OESC RIPTION RFVts~ GJUR~~`"~ S~vJ1>\lC~ '(~on.L ~~Ez-lL THESE ARE TRANSMITTED as checked below, ? For approval ? Approved as submitted ? Resubmit copies for approval ? For your use ? Approved as noted ? Submit copses for distrlbutlon As requested ? Returned for corrections ? Return corrected prints or review and comment C7 FOR BIDS DUE 19_ ? PRINTS RETURNED AFTER LOAN TO US REMARKS DER ov1Z 'Pi-~-~v~lE GA~Ir ~--1g~-8p~' 1\~r4-S J~,f3'~ ~E~IL ~ ~ oo~S ~2©~ '~-av5t Ta 101- 1~~`t~' COPY TO ~1L-~ SIGNED _ ff 11 enclosures are not es noted kindly nobly us at once R6 ~„T ~ • G~ N, tJ. b ~ shorelinepooisi~~. ~~44~~ o~ ~~Qa~~a~r~ar~ 288 VALLEY ROAD COS COB, CONNECTICUT 06807 oaTE ~f roe No TELEPHONE 203/869.1203 ATTENTION To ~~J l t aJ C~ ~EPf}~t:rr~ ~a~r ~ ~ t-~~-ts Ho'~-ro,J - `~WfJ ~~`~,.t_-53095 /?~rA~IrJ Rte. RE A. Jot-~,~ G-aRDH {~-,(SUE ej ~UTi-\~l.~j jIJ-`~ ~~°(`jl FLSi1E2S \SLR~OI / WE ARE SENDING YOU Attached ? Under separate c~ov/er via the following dems ? Shop drawings ~Pnnts ~y Plans ? Samples ? Specrfications ? Copy of letter ? Change order COPIES DATE NO DESCRIPTIDN '3 Q--14-get ~R~l~ SI'rc~tN~ -paoL Lec,/+r~o~ - lJt--14-5 ~3u~wtac, ~mtT ~(spUc,,o,~~o,J 1 4-t4-S~r cHE~K FoR Pc-rtMt-r- /SO,oo THESE ARE TRANSMITTED as checked below `For approval ? Approved as submitted ? Resubmit copies for approval //////~Q~~`~~`FOr your use ? Approved as noted ? Submit copies for distnbution As requested ? Returned for corrections ? Return corrected prints ~FOr review and comment ? ? FOR BIDS DUE 19- ? PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO ~1 L~ - SIGNED - r ll enclosures are not as noted klndlY noH/y vs of once THE NEW YORK BOARD OF FIRE :UNDERWRITERS PAGE 1 1.0'15012 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 AUGUST 09,1989 6018589/89 N 085919 Dote 'tPP/ication No. on file THIS CEFTTIFIES THAT only the elertrled equipment ar dsecribed 6dmo and introduced by the opplLcant named on the above application number in the premiess of A.dOHN GADA,JR., CENTRAL AVE., FISBF.RS ISLAND, N.Y. n OUT in thefdloteinR kTrn~,Y ,L„I'Beeer~ent ? Ixt Fl. ? 2.Ka F'l. .Sertiun Block Lot u~os examined un G~ 1`18 and found to be in compliance with the reyuirernentx of thix Board. p%~ 11GEf SWITCNES R%TURES RANGES COOKING DECKS OVENS DISH WASHNS EXHAUST FANS OGTQif INGNDESCENT flUdEECENT OTNER AMT. K. W. AMT. K. W. MAT. K.W. AMT. K. W. AMT, N. P. z 1 a 2 DRYERS FURNACE MOTORS IUi1Ml AMUANCE IREDERS SFlCIAL K1C'?i TIME CLOCKS EELL WKT NEAiEK MUUI-0YiIET DIMMERS AMT. K. W. ql N. P. GAS H. P. AMT. NO. A. W.O. AMT. AMP. AMT. AMrS. TRANS.: AMt. N. P. N T AMT. WAITS 1 F 1 aD 1 ao >IYVICE OIfL'JONNKT NO.Of t E R V 1 C E MAi. AMP. TAE 1,e tW t/tw 7/>W IN IW ffR%COND. q CC COND. NO. OF N4UiG of MF~IEGU ND.OF NFUTRAIS. GP MUIGRAL oTtlx AnAKATUS: PANELBOARDS:1-4 CIR. 100 G.F.C.I:-a *(S1fINMING POOL) This rert:ificate covers co®pliance at the date of inspection only. Because of unusual enviroDlreats it is advisable to have frequent test and/or repairs Dade by a qualified person, GADA CONTRACTOR LIC.N296-E ~!~%~.E' DRARER - B YENRAI MAWATHU FISHERS ISLAND, NY, 06390 Per 11 This artificGN. mint not be altered in any manner; rNurn ro 1FIe offip of the Boord if inwrrect. Impsctors may be ideMifiwl by. their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT $E ALTS IN ANY#tA1NiER. • BOARD OF HE.ILTH 3 SETS OF PLANS FORM N0.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM . ' TOWN HALL SOUTHOLD, N Y. 11971 NOTIFY • TEL..7G5.1802 CALL ' MAIL T 0 : ~tLQw„ 1707th Examtned ~9.., 19~'q. ~ rr SB Va.t~~.y t~-r9=• Approved U 1~ Permit No.l~'o.SS•~. • ~ l5 ~ L5 Q ~ ~ D ~ s~• X6$01 Disapproved a/c BLDG. DEPT. ` 'SOWN OF SO LD (Building Inspector) APPLICATION FOR BUILDING PERMIT 11^^ Date ....`7'.'{`~'......., 15~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submstted to the Building 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 stree or areas, and giving a detazled descnptton of layout of property must be drawn on the diagram which is part of this app carton. c. The work covered by this application may not be commenced before issuance of Buildutg Permit. d. Upon approval of this applscatton, the Building Inspector will issued a Butldusg Penntt to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or sn part for any purpose whatever until a Certificate of Occupan~ shall h9ve been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Busldmg Department for the issuance of a Bwlding Permit pursuant to ti ButIding Zone Ordinance of the Town of Southold, Suffo]k County, New York, and other applicable Laws, Ordinances . Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~ The applicant agrees to comply with all applicable laws, ordinances, buildin de, houstn>; code, and regulations, and t admit authorized inspectors on premises and m building for necessary inspec s,~% sl{•ry~,~,•,~ (Stonature of apptsc nt, or name, if a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde, Name of owner of premises ~t!la:+J.. ~ . (as on the tax roll or latest deed) - If applican~ a~rporation, signature of duly authno-rtzed of`fi`cer. 2 .~C... j~;,fi~.Jp.'4'iS-~~.. . f'C'7;S.t5P. V tcE ~3(DE*+T' (Name and title oftle of c~~officer) Builder's Lscense No ....~1:7,+~ ~ 1?• Plumber'sLtcenseNo. ..~~Q. ~Tf•FG12~........ Electrician's License No. . o7:H-r~'~.~ • • • Other Trade's License No . . 1. Location of land on which proposed work wsll be done !,J,f'- (`:(rte, , ,G~J~J,T.. J:t ~I,~r. House Number j! Street Hamlet q County Tax Map No 1000 Season ...er/ Block ~ Lot Subdsvssson Fded Afap No. Lot . (Name) 2. State exssting use and occupancy oC pnremsscs and mten:Scd use and occupancy of proposed constnsctson a Exsstmg use and occupancy S`,.~~~ p~.4E b. Intended use and occupancy ...~1L?~NT~f~I,.• • ~t.1~9.C~4~?N'S~. , .l~,v,1~I~l~p,,~,,~, ,~C>Q(~... 3. Nature of work (check which apphcabte): [uew 13uifding Y•*, . , , Addition Alteration , , , Repair Removal Demolition Other Work . (Dcscnptst 4. Estimated Cost OQ.Q . Fee . . (to be paid on Ghng this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage. number of cars . 6 If business, commercial or mixed occupancy, specffy nature and extent of each tytye of use .-cc-.. . ,y 7. Dimensions of existing stnictures, ii any Front ....~o.~• • .Rear . ~ ./j , Depth . , , , , , Height ..............NuinbcrofStoncs..~. Dimensions of same structural fens or additions Front . . Rear . Depth i ......~...i........... Number of Stones 2y.. f7.. q. r 8. Dimensions of entire new onstruction. Front :8........ Rear ..2 Depth „tc~r :ra~..- Height 6N(u2avN D .~uinber of Stones , ...iN. C?~~4~.(JD . . . . 9. Size of lot; Front , ...4~~.~.~L?r-....... Rear ..Z~iQ ~ Depth .?l.7~r.~....... 1Q. Date of Purchase Name of Former Owner . . 11. Zone or use district in wliicli premises are situated . 12. Does proposed consturuction violate any zoning law, ordinance or regulation: . . 13. tiVilf lot be regraded 1 ~ .Q1~2.n t~t~ .Will excess till be removed from premises: Yes 14. Name of Owner of premises,~..a4N.>~.GR.r~J~... Address .J~3J~ Q,t Phone No..`.7~C`i.8: ~~9~ Name of Architect Address Phone No. Name of Contractor ~,l~olL~Gl~.~. ,~~!?~1!`~LAddress 2~ ~ ~ LTPhone No. 203.8~~:~~!' 15.Is this property located within 300 feet of a ti al wet~l.and? *YES....NO... *If yes, Southold Town 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 or desenption according to deed, and show street names and indicate whe intenor or corner lot. STATE OF iYE1il ~0 COUNTI' OF ~ S.S ,R.LC~,~g,(L,Q, A~oN-~~,-, , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the apphc (Name of utdrndual signing contract) above Wanted. fie is the /ZC?~!JT. . . . . (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzcd to perform nr have performed the ~.~,d werk and to make and file apphcauon, th.,t alI statements contained m this apphcahon are true to the best of his knowledge and belief; and that work wdl be performed m the manner set forth m the application filed therewith. Sworn to before Jme ttttijs / ' ~ `a C.'1.~.•, dry f l.-.h~>Fr/.4S/. 4... , 19 Notary Public . County Commission ~ !~(S ature of applic G~31.1993 wa ~ qaD N,W S- + ' a u, b:b 4 0 ~ 'J~ S o w a / in ~ iS O ~ P lY ~ j JJ mP £Na ~ ~N~ '<NZ w = m L, 4 { ~ 1 sOZ S~Z wc. °of ~ A M ~ 't1 ~ -P. ~ R r ! W' 7s .1 3'6 ~ < a c'+ / + Q~ ~ o ~L Sk pia- n"'i 6~ ~ a0 'A pW C,~ @Y ~ oa~~ d~ It , , ~ m~ v b y~_ z ~ f y ~ la -0 va ' n ~ z ~j~, z ` ~j ~ 3 ~ s~ voo s~1~ts Q `s- lr O yN ~ / m~+z i ~ ,~h p ~ p z m ~ r m ~ ~ P p ~r O S, s fl- s ~ ~ ~ d. c- ~ ~ ~ ~ ~ O A N '4 n UCEM@F~ O j1 , r ~ l L' y ~fC ~N T ~ n rt + p F- L ~ h ry~^4, o Nbfi ,~c'irn 1 ~ ~ 4 • ~ gee y t ~ i r o ~ bx r o 0 a ra 9 ~ m p ~ ~ ~ C+ Fa ~ ~ 4 ~ b ~ La T~ Z~pA p ~ a ~ ~ Q ~ 1 ~ r .-+y ~ o c ~