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Home My WebLink About17173-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19204 Date JULY 9, 1990 THIS CERTIFIES that the building ACCESSORY Location of Property CENTRAL AVENUE FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 10 Block I Lot 8.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28, 1988 pursuant to which Building Permit No. 17173-Z dated JUNE 28, 1988 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 PROPANE STORAGE PLATFORM AS PER SITE PLAN. The certificate is issued to GOOSE ISLAND CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A ~ ~ ~ ~r/ Building Inspector Rev. 1/81 aosas xo. a 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 o 01717 3 Z Date G~~~~ ~ 19.~~ Permission is hereby granted to~• j ~..y~..~ p / ta....fy~~• of premises located at .....~.-..:~~YL~'L~•v,J.-cr:s,/ ..............................................f.. F......(it~1........~2~<..............................................~~.~j'......//............... County Tax Map No. 1000 Section ....~.r~ Block Lot No...a....l............. pursuant to opplication doted 19........, and approved by the Building Inspector`.' Fee i.••%.Q.Q~..aY.. Building Inspector Rev. 6/30/80 F „ Form No. 6 ` TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Final Approval from Health Dept, of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17, lead. ; 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential,,jj$''--15.00~J, Commercial $15.00 / Date f.,/..v~:~/..,.,d New Construction...Y Old Or Pre-exis ing Building Location of Property ..............~..~~~...Uf~J:N.r........... . House No. Street a'Ef mlet Onwer or Owners of Property...~.~~`9~~,,,,~;~2,F!'/~~„~,rp,7y/~,(;~,,,,/,,,,,,,,,,,, , County Tax Map No 1000, Section...l (~.......Block...(............Lo~t., p~.,,l subdivision ............................./....e.,.pFiled Map............Lot...................~.'.. 'ermit No...~..~1.~3L.Date Oaf( PermitF~~o~Gl~~/~...Applicant~i~./.d~2:( / lealth Dept. Approval...../. Vi,,/7........~j./....Underwriters Approval... Tanning Board Approval/G~~l~~,%e'•... 1 equest for: Temporary~yCe~rtificate........... Final Certicate...~ ~ ee Submitted: v:~:~/. t ~ ~,nc.~349~' C U ~ APPLI • • tr~~r- , ~9ao~ FIE~D• Xi~SPECTION DATE COMMENTS ~ - ~v 1. H? H°' FOUNDATION (1st) ~-0'' _ ~ _ ~ T gpy g'°b C°P FOUNDATION (2nd) ~ 2. z 0 ROUGH FRAME & PLUMBING H 3. ~ m INSULATION PER N. Y. y STATE ENERGY ' CSODE x ~ ~J m~ 4 . FINAL o~ z - _ ADDITIONAL COMMENTS: ~ ~ ~ ~ ~ e H f.s ~m y~ H~ z x r x d rn ro BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY , TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 h MAIL T0: Examined e7 //.a~ 19 ~j~~ ~y a~ Approved f?,~~ 19 V~Permit No..~`. Disapproveda(c , (Building Inspector) a APPLICATION FOR BUILDING PERMIT Date ..,June .8........., 19 $8. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 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 or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. y 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, hour' code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins tions. ' a. (Sinn ure of applicant or ame, if a corporation) Fishers. Island ,,,New ,X41^k.,..Q639.Q... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Goose_Island,Corporatigp,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roll or latest deed) If applica is a corporat 'gnature oj;du orfi?ad officer. UU .r1.. - . occur cY o Name and title corporate officer) . ` ALL CONTRACTORS USZ~ BE`SU,F'FOLK COUNTY LICENSED Builder's License No. 1..3.23$-,H . , . ,f.... ~ ~ Plumber's License No. Electrician'"s License No. . c c Other Trade's License No . . 1. Location of land on which proposed work will be done. Caaltral..Aven. e . House Number Street Hamlet County Tax Map No. 1000 Section . ~Q... Block ......1 Lot J.......... . Subdivision , none . . . . . . . . . . Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ....?ropane,Stgxage,.,,,,,,,,, 3. Nature of work (check which applicable): New Building Addition Alteration X . Repair Removal Demolition ..............Other Work . ~j (Description) 4. Estimated Cost.....$2,500:00 Fee. ~.~.Y.~i.~.®..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ?`1.A Number of dwelling units on each floor , , NA If garage, number of cars ~ ..1 . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front . . Rear , Depth . Height ...............NumberofStories.......:..:.:.:.........................:............... 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 ...............NumberofStories........................................................ 9. Size of lot: Front Rear , . , Depth . 10. Date of Purchase .............................Name of Former Owner . 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. WIlI lot be regraded na 1Vi11 excess fill be removed from premises: Yes No 14. Name of Owner of premises ..GIC• • .............Address ...................Phone No............... . Name of Architect ...........................Address ...................Phone No............... . Name of Contractor .....Bl. P.lanch4rl........ Address Fi,~hers , Island• • phone No 15. Is this property located within 300 feet of a tidal wetland? *Yes No ..X.. *If yes, Southold Town Trustees Permit ma be reqyu~ired. PLO DIAGKAM Locate cleazly 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 l,(o~t. r ~ ~6 ~ . r - 1, ~..-rh-UC2t/L.,.. ' + l , OCCUPANCY OR COliN'TY OFEW XO uK, USE IS UNLAWFUL ff.olk... , S.S T T ~/1,/p~T Reynolds duPont, Jr. , , . , , , , , being d~~Od~d~es~~S ~1~~71C'iS [applicant (Name of individual signing contract) OF OCCUPANCY above named. He is the President (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 file therewith. Sworn to befor me this - 4 .day r.... 195' :/Z~J// Notary Pu i ~ i County THOMA9 F. DOHERTY J /'/,/~~/~/~.~e/'~'~'~ Notary Publk State of New York / ~ ~J~!':!`^^! No. ~e06,SS9 tgnature of a puellflW In Suffolk CeuntY . • . pplicant) Term fcxp{rw 12/31/M