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Home My WebLink About18623-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218983 Date APRIL 23, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property PETERS WAY FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 006 Block 002 Lot 3.1 Subdivision WALSH PARK Filed Map No. Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1989 pursuant to which Building Permit No. 186232 dated NOVEMBER 1, 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 ONE FAMILY DWELLING The certificate is issued to WALSH PARK BENEVOLENT CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-19 APRIL 13, 1990 UNDERWRITERS CERTIFICATE NO. PENDING SLIP APRIL 17, 1990 PLUMBERS CERTIFICATION DATED Z & S CONTRACTING APRIL 18, 1990 SOUTH. TOWN HIGHWAY LETTER 4/13/90 FISHERS ISLAND WATER WORKS CORP. LETTER 4/11/90 C~~,!t~ ,2 Building Inspector Rev. 1/81 1'OBl[ N~ f 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 18 e 2 3 Z Date ......~.l.~ 19.. Permission is hereby gra~n~te/d' to: ~ ~ ~~~~(J ...s\J .p..~.r.. .~f....t3.?". ........c...T....~.... e~~ y,...0.,/,~ ......~2rT y~~..... G~ at premises located at County Tax Map No. 1000 Section ....../....~'G7......... Block Lot No......3~.~..... pursuant to application dated .....1...,.1fi~ 19.„7.., and approved by the Building~~~~I//n~'spector. Fee $./r?/•.~ G" " ? ~i~ . . Q~. Qil. Build for Rev. 6/30/80 L FORM NO. 6 ' TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features_ 2. Fiaal approval of 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 solder used in system contains less than 2/10 of 1Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For eaisting buildings (prior to April 9, 195 7 non-conforming uses, or buildings and "pre-existing" land uses: 1_ Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D• FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Duelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ev. 10/14 /S8 FISHERS ISLAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06390 AREA CODE 516/788.7251 Dated ~l~j~9y~ Town of Southold Building Department Fishers Island, N.Y. 06390 Gentlemen: Please accept this letter as certification of Water Service provided by Fishers Island Water Works to _ ~~f/~~/~ ~ Z.,.j~~-~ ~'!~~1~~~,~;~, ii The water service consists of supply through a ~ inch water line from our Island distribution system. Sincerely yours, Robert E. Wall Superintendent REW/ew TEL. 7Gti-1842 ~4r~~~F~i~Clf~~.. y mo~vl~ or :~r}urr,~oa,~ f~:: ~ ~ ~ t.'~= .-r r ~rFi4ir OF ;ilil.Ui~~iG i?vtSP!?Ci'OR Q't° SCtJT1iC~l 1?, hI.Y. 119^,1 ~~1 ~ e~tp(O~T ' bl4t7Ui~61ta.D p C~(~[~~dl~ D r =~'r'xFZCnmxoN ~ 1 81,990 BLDG. DEFT. SINN OF SOUTHOLD / / Date (-~-(J Building Pelrr:ia. ~ Owr,er_ ~ I / l~~. Card' ~/t~ Plumber ~,e,+~;Q~t~~-~Cr {pluc~se print) Z rextify th~± :^.e solder used in L-he wc~tor supply .system contains li;ss thin ~:/10 of i$ lead. / ~ ~ ( lumber sirt3naturel Swc tc ~czur•~ me this Y ~ ~ ~ ~ r ~ ` Notary uw,:~ _ Cro~~~-,ry [~;thl~~, ~ri'~L~ County YaAWae 60HE~1'Y ~R. N~ury Pubtic Ststo of New Vork No.4d~666it (,~11Y1111o0In Sullulk County Ttrtt+Etpir~~ t2r9t~i0 Highway Depaririient Town of Soulliold Peconic Lane Peconic, N.Y. 1195D nnr rr+orro ~ ~ncoss Superinlendenr l cl 7G5 31 Ap 734 $211 April 13, 1990 tS ~ ! 1 ~ 6 iS9C ~ ~ ji Southold Town Board Members ~ "i•ci1: ~~ri. Southold Town Hall Main Road Southold, New York 11971 Re: Walsh Park - Fisher's Island Dear Town Board Members: On April 13th my Deputy inspected the road and drainage structures in the above mentioned project and reported to me both were constructed as specified. Also present was Mr. Howard Hancock. I concur and find the project acceptable. Respec lly, Raymo d L. Jacobs _ Supe intendant of Highways cc: Mr. Victor Lessard, Building Dept. Mr. Dave Patterson Mr. Thomas Dougherty 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLgG, C ]FOUNDATION 2ND [)INSULATION [ 7 FRAMING [ ]FINAL \ ` REMAR S: DATE INSPECTOR ~I n i ~ 1~ :`~:•i f: ~v i ~7p'~'1 oaf (~'l ~v II ~ ~l - r'OU:1D_TI0:1 (1st) • ~ ~ r OU:IDATI0:1 (2nd) _ 2. z~ .ROUGH FRkilE & I •PLUMBING l` ' _ ti 3 . IIJSUL;,TZO:! PER N. Y. ~ STnTE EiIERGY CODE I • 4 - ~ H I FI::„L '(~jj • ~ J I o ADDITIOPIAL C0:•1MEPJTS: ~ ' x b F-i . ~ H H ~ O r . • ~ d ~ Vl c+7 q1 1 it : ( y~ BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FOR.t . TOWN HALL . SOUTHOLD, N.Y. 11971 NOTIFY _ TEL.: 765-1802 CALL Examined . 19 MAIL T0: • • • . • • • • • • • • • • . • . . Approved , , , '~M ~ (n~ • 19~Permit No. 1.~t?:~;/.,T- 1: ~ It p nn f U U ~ Disapproved a/c (Buil g Inspector) APPLICATION FOR BUILDING PERMIT ~ pq Date :`~?.IuA~..~....., 15 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. 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 inspectio (Signature of applicant, or name, if a corporation) • (Mailing address of applicant) State whether applicant is/o+~wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~'a ~S~-1 C p ~j ~ u~ i,,r (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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. . ~/~~?N ~ ~~ePA r~' ~I r r- n ~!~.5~.....'`.~~..... "}'f5Nt2i ,J~sla.,~ 4 ~-Ofut.~..~'~;.. ~...~..~CtSCPN~-... House Number Street Hamlet ~ ~ - • • • ' " County Tax Map No. 1000 Section ..6 D v Block n''(.! O v O~ 3 , p a Lot . ~ Subdivision .u~GCZ~?~,.~..~Gt2~.. Filed tap No. . , , , , , , • • , , . • . Lot • • • . • • • (Name`)' . 2. State existing use and occupancy of premises and intended use and occu~ cy of proposed construction: a. Existing use and occupancy ..~~~'`f • • • • • v'd~''~".f.'.....'f?~L~ b. Intended use and occu anc • • r• • • ~ ~~u2~q g~~r ~7uu i;,~r- • . • • . . P Y ....................J46~iv.S:o~! 3. Nature of work (check which applicable): New Building ~ , ' Repair , • , , , , , , , , , , , . Removal • • Addition Alteration . • • Demolition Other 1Vork . 4. Estimated Cost . ~:Jo//QP.$• f•- (D scription) . , Fee / a~ n e o /.W.t'1• .vJlr~~'1 5. If dwelling I (to be paid on Filin his application) s, number of dwelling units ~ : ,l; Number of dwelling units on each floor . If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature an¢ extent of ehch type o use . 7. Dimensions of existin structures, if any: Front • , Rear ~ g N Depth . • Height ..cam. • !~/.A , • Number of Stories . u~ ~ ' ' ' ' ' • • • . Dimensions of same structure with alterations or additions: Front ~ • • ~ ~ • • Depth .{a2`:. .Height . , , Rear . 8. Dimensions of entire new construction: Front . • ~ ' ' • ' ' • • • Number of Stories . Height . • • Rear 3Q......... Depth ~ . . Number of Stories . 9. Size of lot: Front / ;c1c~ ...~05 . 10. Date of Purchase ~ ~ s,~ /•!•7""'•••••••••••~ ameofFormerOwner u"!~.?„G;OS~Nousr<;'~•••~•~'~'. 11. Zone or use district in which premises are situated ~ufiA L ' 12. Does proposed constructio violate any zoning law, ordinance or regulation: . 13. Will lot be regraded .~,r,~'S • . . ' • • • Will ex~es~l be removed from premises: Yes 14. Name of Owner of premises ~a!s~+, u~n~rc. _pP+<~c~r:..;Address .•G~ Name of Architect • ~ ~ • ' ' ' • • • • • • • • • • • • • ..Phone No.S/b- ~i3/ Name of Contractor ' ' ' ' ' ' • • • • • Address ...................Phone No.. _ _ 15.Is this property located within 300 Address ...................PhoneNo..• ~ _ *If yes, Southold Town Trustees Permitemay bearequir wetland? *YES....N0.1 PLOT DIAGRAM Locate clearly 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 comer lot. APPRO ED AS NOTED G ~ 3 ~ti - - DATE: / B.P. # ~~~~C~ _ NOTIFY BUIL ?NG DEPARTM T . • 765-1802 8 AM TO 4 PM FOR THE l,d FOLLOWING ?NSPECTICNS: ~t*„ p ~ ~ ~>LJ'"f (r 1. FOUNDATION - TWO REQUIRED „ FOR POURED CONCRETE t 2. ROUGH -FRAMING & PLUMBING ~a.'.,- ~~r s~ ~ /~j~~~ 4. F S~LATtO CONSTRUCTION MUST p d BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. =rTATE CONSTRUCTION & ENERGY C~~ri'•ES. NCT RESPONSIBLE FOR ':~iiyN OR CONSTRUCTION ERRORS STATE OF NEW~ORK, COUNTY OF r ~c ~-!C S.S ~ h, C... • L~ yfN' • • • • • • • • • • • • . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the "..l.e. ~ , ~ R t-'~ /OL~w I . (Contractor, agent, corporate officer, etc.) ~ ~ • • • ~ • ~ • ' • ' ' ' ' of said owner or owners, and is duly authorized 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 6f his knowledge and belief; and that the work will be performed in the manner set f rth in the application filed therelvith` Sworn to before me this ...d of 1 • , l . 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