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Home My WebLink About18624-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219024 Date MAY 7, 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. 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1989 pursuant to which Building Permit No. 186242 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-20 MAY 4, 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 ~ u'~ding Inspector Rev. 1/81 f Offal N0. 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 o l 8 6 2 4 Z Date .....//.,li 19 Permission is hereby granted to: .5?-~ . ...((.~r.~ :u~.~.~c.....~~... .....Gl~%~?-~c~-~......~~..I..~ at premises located at ...........................................:~G9!~~~~...~a.. ~~-~!....W.o-37. `~~GU- County Tox Map No. 1000 Section .......//..//..ice....... Block LoLot No........3t..~..... pursuant to application doted .....~.~T 19..~1.~, and approved by the Building Inspector. Fee S••ril.~G.~!~"'.'f""" ~~hd ~ / Bu ng Inspec or Rev. 6/30/80 ~~oc~Qa TOWN OF SOUTIIOLll BUILDING DEPART2IENT _ TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DAT I ~ ~ ~ rr`\ Y. NEW CONSTRUCTION ..,OLD RE-E%ISTING BUILDING......VACANT LAND........ n Location of Property............ (~TQIL.d ~j ~ `~K'~ HOUSE NO. STREET HAMLET ~ Ovner or Ovners of Property.": '~~g!-f_..__~Q,~ ~~'~!~`~j¢C£K County Taa Map No. 1000 Section OD ~j Block ..Z ~ / YY Lot' _ Subdivision ~~/S~/..~,!-~el~ , Filed Ma _ _ _ . . P ...Lot. Permit No. ..........Date of Permit ......----APPlicant Heal[h Dept. ~ Approval Underwriters Approval.............. Planning Board A PProval Request for Temporary Certificate L~ Final Certificate Fee Submitted: h{~~~~'='~~L... APPLICA t~-ri ° C a ti~ a~ Sh~~U reV- f0/I4 /88 FISHERS ISLAND WATER WORKS CORPORATION FISHERS ISLAND NEW YORK 06390 AREA CODE 516/788-7251 Dated ~~1 ~J ~~9~i Town of Southold Building Lepartment Fishers Island, N.Y. 06390 Gentlemen: Please accept this letter as certification of Water Service provided by Fishers Island Water Works to E Li ,~~,~Jj~(l~P~~%~~ 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. 7G5-! &t)2 f'~' flrrlf"L C)P ~r,1I.U1t~c INSPECTOR 0 ~ ~ ~ 130X 728 ~o~' c??~; 80(JT1IC:LD, N.Y. l 1971 ~~1 BISIOLOE~T S p D C--E R T Z F Z C A T' Z 0 N art i a Aso BLDG. DEPT. 1O1NN OF SOUTHOLD Date ~/0 3ui3dingJf: trr:u Owner_~.~~?_~.fr A~,+~.. Cdr' ~/d~ (plea e print} i ~ Plumber__~~ ~~rr°Qdt~l~-'Cr^ (please print) I certify that trc :;older ~se~1 in the water supply system contains less th~:~ ;110 of 13 lead. _ ~ i ( lutnbe s' nature) Swor~' t~ i:ezor~ r„u 1<his Notarf u:;la~ _ ;;o+~~~ry [}ubl_~-, ~/?~%t',~ County tpAfA4e r. bONEATY dr+. N~ury pubNe Seto of New YorM Ne.1606660 Oua7lfiaa In tuticlk County T~tm Expir~• tyS1+YO Highway Department Town of SouUlold Peconic Lane Peconic, N.Y. 11956 nnYMONpL Jl1COBS Supeiinlendenr lel 7G5 3140 734 52 t t April 13, 1990 I 'J - 1• 16 iS9~ ~ f)i.CG. D~i-i~~~~ } Southold Town Board Members ~ ~ > ~ ~ ; 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. Oave Patterson Mr. Thomas Dougherty ~6s-isoZ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL REMARKS : ~ ~ S 4 DATE INSPECTOR . II ~ n - ~ r H ?OUND_TIO"J (1st) - y a "1~ FOUIIDATZ0;1 (2nd) _ 2. z .ROUGH FRAi~1E & o~~ -PLUMBING ~ Q ' v, 3 . I11SUL„TZ0,1 PER N. Y. - y STnTE Ei1ERGY CODE } 4. - ~H~ F _:SAL ADDITIOPIAL C0:-?h1ENTS: y - • • - x v ~ , H H O m~ ati G~ m~~~~ -013 C BOARD OF HEALTH - 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL . SOUTHOLD, N.Y. 11971 NOTIFY - ~ TEL.: 765-1802 CALL MAIL T0: Examined ~ 19 y~~~ / l~ Approved 19 o.!Permit No.~t~F? ~.T t ~ ~ ~ fl ~p Disapproved a/c U V Jai. r, ( ildi nspectorl OF'~'u~;-jn~~ i APPLICATION FOR BUILDING PERMIT Date :~QLIuA~... 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 gtvtng 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 inspections. CJ A ~S r.t I' ^ (Signature of applicant, or name, if a corporanon) - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .....................C~~~.u.~~.~..~... Name of owner of premises Cc~~a lS~-I f 4e~ ~ fart Uc~t'.v'- (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. . /~~oE7H I Ii ~~2PA W~'.S :....G.".-'~ -}-!3rttdi ~ ~-oeu~.~....°. 'Fi".F ...$..`,t~Sc~~- . . House Number Stree[ Hamlet County Tax M/a-p/No~I 000 Section 6 D/' ~/v Block n''(~ ~ v Lot . , ~O 3 ; a a / Subdivision .!!~4L~~,/• • • ?.,%a.~....... Filed Dfap No . (Name) Lot . . 2. State existing use and occupancy of premises and intended use and occu~ ~y of proposed construction: a. Existing use and occupancy ~ rid c a ~r,- '-f-, 1 . ..~L b. Intended use j°~- ~^~~`r ~~~'~1A~ecr /vu g; ere- , and occupancy ~7 , ~6~:v,s ;oaf , . 3. Nature of work (check which applicable): New Building v,..... Addition Alteration Repair Removal Demolition Other Work . (D scription) 4. Estimated Cost . -,-r,T.~., , ..°.~~i1~~, , , , , Fee ~ , , ~ .~styj /,?S o 00 (to be paid on filin his application) 5. If dwelling, 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 each type o use . ~ ~ 7. Dimensions of existing structures, if any: Front . ..!"..'0.. Rear Depth . Height , , , !~~A, , , Number of Stories ~ Dimensions of same structure with alterations or additions: Front Rear . Depth .{.jf~.. v' Height ,.3~ Number of Stories . 8. Dimensior~~entire new construction: Front Rear 3~......... Depth , , , , , , . Height . Number of Stories . 9. Size of lot: Front / A~Qty Go;~ 10. Date of Purchase !~?~~?l~7.. ame of Former Owner ? GAb~NoNs~° _ ~ ~ ~ ~ ~ • 11. Zone or use district in which premises are situated . ~uFiA L ~ ~ ~ ~ • . 12. Does proposed constructio violate any zoning law, ordinance or regu]ation: 13. Will lot be regraded ....~.~.~5 Will ex es fill be removed from premises: Yes 14. Name of Owner of remises u?,,~~L ,e~uoroT:...Address ~9~~.rO .Phone No. 7 j~ p ~ S16 - 7F•+ - ~ Name of Architect ...........................Address , ...Phone No. ~ . ~ . ~ - ~ ~ • Name of Contractor . .Address .Phone No. 15.Is this property located within 300 feet of a tidal .wetland? *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 from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APP 0 D' AS NO fEE: BY: ~S Uu NOTIFY BULL !NG DEPART TAT 765-1802 9 AM TO 4 PM FOR 7HE , ~~,1~ ~ t i~ ~ FOLLOWING INSPECTIONS: ~,J 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ~ z. ROUGH -FRAMING & PLUMBING 3. {NSULATION 4. FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O. ,o.l_L CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY - ~r~~,FS. NOT RESPONSIBLE .FOR ;;;;1{;N OR CONSTRUCTION ERRORS STATE OF NEW Y~RI;, COUNTY OF v,1° ~ot•lc S.S ...........JOB`.''..... CL»vr'''....... • • . • being duly sworn, deposes and says that he is the applicant . (Name of individual signing contract) above named. \ fie is the , I L ~n ~ S i q C^'+`r 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 of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed there ' kr\, Sworn to before me this , ay p i ,I~.r! 19 Nota P /~~~G.tEa ^ ~ ry ubl ......,.County fia6MAS F. ~8M6RT110 JR. FOtrry Pub~ie 5~~~• of NSW york ' ' • • • _ . 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