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Home My WebLink About17247-z R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21025 Date SEPTEMBER 15, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property FOX AVENUE FISHERS ISLAND NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 9 Biock 3 Lot I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5 1988 pursuant to which Building Permit No. 17247-Z dated JULY 20, 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 ACCESSORY STORAGE BUILDINGS FOR TENNIS COURTS The certificate is issued to HAY HARBOR CLUB INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 Fosat 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) IVg 017247 Z Datc~~?~~.........~..rJ..........., 19.~'.~ Permission is hereby granted to: ......................~,~-Y~............................................................................................................ at premises located at ........~,~.~/....~....t'/v!i ................................................r~.. ~0.....~-......................................................................... Cvunty Tox Map No. 1000 Section Block Lot No....,.d pursuant to application dated 19.~.,y, and approved by the Building Inspector. Fee $~/(~5.+-/..r••„~i.~.a Building Inspector Rev. 6/30/80 • ~ TOWN OF SOUTHOLD BUILDING DEPART:lENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY (`"~y, DATE... NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING.!?...VACANT LAND........ Location of Pro ert ~ ~ . HOUSE N0. STREET AMLET~~u ` ~jol4~v'c~1~ Owner or Owners of Property...~,~~„~~P~~V~ County Tax Map No. 1000 Section Block Lot Subdivision Filed Map ........Lot.......... Permit No. /7-~~1.'~Date of PermitJ'~~,//.S.Applicant ~~~CY~~~~~`O..Y, c..-••- Health Dept. Approval Underwriters Approval....... v-- Planning Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: Ij"r/, (Jd c~~, Q~ C`u~~ ~ . APPLICANT eQ~~IQ~ ~e rev. 10/14/88 r1ELD II:S:'~CTIUtJ ~~UATE ~ ~Oh(MGNT° ~v' m 1 . ~ _9--> ~/~°y. rOUtJDATION (1st) = 1V C [~1 FOUNDATIOtJ (2nd) N 2. z 0 ROUGH FRAME & ~1 -PLUMBING y 3 . rn m y IIJSULATIOt7 PER N. Y. STATE ENERGY CODE x ~ "11 r 4 . y FIiJAL z ADDITIOPIAL COMMENTS: x ~r x ~ ro H 77 Q y ~ H O O z 1 x ro • r ~ ~ x ~ v -o H BOARD OF HEALTH O FORM N0. 1 3 SETS OF PLANS- • . SURVEY 9 ~ TOWN OF SOUTHOLD CHECK - BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY BLDG. DEPT, ~OUTHOLD, N.Y. 11971 CALL - • • • • - • - - - • • - TOWNOF5 U~/7H~OLD TEL.: 765-1802 MAIL TO: Examined ~ 19 ,1 Approve . i~~Perinlt`No..~..~~.:/ . Disapp veda/c ' ' ~ ` ($uilding Inspector) y _ ~ ,R i_ . ~ ~ ~ ~ -~-APPLICATION FOR BUILDING PERMIT t-. . , . Date ..'.TVJN~ ..:Sj......> 19 tom. 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.pl'ot 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 pazt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment 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 ipspectors on premises and in building for necessary inspections. ......14~y..Nl~2.rac~.. eLu.~ . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicarit is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....®WNrrK Name of owner of premises ..f"~:~`~... };~/.~~~P.Q.. '~.i~S . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done....~~...~~lt V]~ ..~N~~S . L~L.I . ~X ...I~~~N ~L..........................................:............ . House Number Street Hamlet County Tax Map No. 1000 Section Block Lot . Subdivision 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 ....T~NI'vfS:.. Ct~V~ . b. Intended use and occu ancy STD(Z/~G~, , L>F, , C IA;Y , , /t~TpF' ' p .....~ki~r~`~ 3. Nature of work (check which applicable :New Buildin ~ , , ,_~lt~~ ; at n,._..r.3.._..... Repair ) g Addition T al Demolition Other Work . t s,, ; .....,~..i...... ~ Description ~3e3 4. Estimated Cost 23m~ Fee ....~:y~. DO........... t . , . . 5. If dwelling, number of dwelling u~ ~ (to be paid on 61ing this applic~tion~ hits , Number of dwelling units on each floor .........:rn . If garage, number of cars ~ . . 6. If business, commercial or mixed ~'I ccupancy, specify nature and extent of each type of use . dC . 7. Dimensions of existing stmctures; if any: Front Rea epth . ~PP'ROUEp A'5:1~O1'EDD , , Height Numbier of Stories , , , , ; , , , , . Dimensions of same structure wit$ alterations or additions: Fro~TE: x B,P. ak RAat_ . Depth g .I. Hei ht . 8. Dimensions of entire new construler of Stories , , FEE' 'Number of ~~cries . I . AIONENr 8W G. DEPAK~K A R~'~.......... . 1 ..765;_1BO2.S AM.TO.a.PM.FOR.THE 9. Sze of lot: From, , • • Numbction: Front •Rea~..,. ,..:,.j: Fi~W:~I~ILNG l~$PE¢~ S:, 10. Date of Purchase ~ ............Name oAF~~~Q~~ .REQ~I~QEQ, , , , , , , , , , , , , , 1 1. Zone or use district in which premises are situated , . FOR POUR8O CONCRETE+- , , • , 12. Does proposed construction violate any zoning law, ordinance or FRA~QMNG PLUMBING ~ ~ • • 13. Will lot be regraded N.R.I ...Will axe L e'f~ ~ Yes No 14. Name of Owner of promises ..laPr;y. ll~~..(.?N~. Address S S ~~~~~~~o. ~li,. 7a'~.'7276.. . O~VI~ R'C• wr_ Name of Architect . . . . . . , ,Address ALi• •CONSTRWCTION •,S 11e NfEET' • • • Name of Cp ntP ctoy ..........................Address THf• ~REC3UFR ENTS• C~t~ENPLM. • • • • • • • • • • • • • . 15. Is this ro ert located within 300 feet of a tid~~gtB~S1jQTl~ E~~+(,. , • *If es Southold Town Trusitees Permit ma be regqu~' @g. NOT RESPON518LE FOR PLOyT' DIAG1tA~U"N OR CONSTRUCTIUN ERRORS Locate clearly and distinctly all 1)uildings, whether existing or proposed, and, indicate all set-back dimensions from property fines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. I ~'KisTrNG r~~~ co~Rr d8'xla' P,~usc-s S,ff4s~j3 ~ k/EYING 7C'rUN13 '~i eou2f-C aCCUPANCY OR na 11C°C le+ ~ ~A~i..r?v~iFU~. WITHOUT CERTIFICATE 4F OCCUPANCY STATE OF NEWS !S COliNTY OF S, • g • • • • • • • • • . • , being duly sworn, deposes and says that he is the applicant (Name of individual t n ''g contract) above nom He is thr.. ~ . ~o~..~~ . I (Contra acto`t, agent, corporate officer, etc.) of said owner or owners, and is duly jauthorized to perform or have performed 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 perforred in the manner $et forth in the application filed therewith. Swom to before me this I n 8 ................day of . i.. ~ , 19~ Notary Public, Su~F°.~ k County dU "~"y~~~ -Gig CQ MARY g PANKIEWICt ~ ..............o.... NOTNtY p1ISUC, STATE OF NEW YURM I (Signature of applicant) N0, 52.>ylS7YB0 " SUFFOIl1 CDUN1r CUMMI3SIONE1lPIRES 4~3e/40