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HomeMy WebLinkAbout16877-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N Y. CERTIFICATE OF OCCUPANCY No: Z-27789 Date: 07/06/01 T~IS CERTIFIES that the building ACCESSORY Location of Property: ~AST END ROAD FISHERS ISLAND (HOUSE NO ) (STREET) (~LAMLET) County Tax Map No. 473889 Section 4 Block 7 Lot 3 Su]~divxsion Filed Map No. __ Lot No. __ conforms substantially to the Application for Buildzng Permzt heretofore filed in thms office dated MARCH 30~ 1988 pursuant to which Bu_~ldlng Pezra~t No. 16877-Z dated APRIL ir 1988 was zssued, and conforms to all of the requirements of the applzcable provmslons of the law. The occupancy for which th~s certzf~cate ~s zssued is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR The certzflcate is issued to EDWARD P MADDEN & ORS TRUSTEES (OWNER) of the aforesazd buzldin9 SUFFOLK COUNT"f DEPART~4ENT OF ~EALT~t i~PPROIrAL N/A ELECT%~ICAL C~TIFICATE NO. PENDING pLI~MBERS CERTIFICATIO~ DA'rmu N/A o7/o /o /~ho~zed Signature Rev 1/81 · O~.M NO. · TO~N OF $OU~OLD BUILDING DEPARTMENT TOWH HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHiS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 1 6 8 7 7 Z. Da,e .. ,~. ....... L ...................... , ~.X~ Permission is hereby gra~' ^ t% '_~~..~ ...... ~...~... ~.. ~.... ...~...~.~Z ............. .'... ..... .... .m.~.~.....~,..~ ............ ~'1. \....--,o · ~ ..................................... ::.....:....~,::...; ...... ~...._~.: ..... ~._~__~. ................... at premises located at ......... .,~.......o~...¥~....~'.~'.!-- 'Q~ ............. .~'....~....~ .................... ..... ................................................................ County Tax Map No 1000 Sechon ..... c;.?...~. ..... pursuant to applicahon dated ..... ~'..~~ / Budding Inspector ~ ........... , JO..~..~., and approved by the Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thzs application must be filled in by typewriter OR ink and submitted to the building inspector with the followzng: for new building or new use: I. 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 i~ system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buzldzngs and installations, a certificate of Code Complzance from architect or engineer responsible for the bumldlng. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (przor to April 9, 1957) non-conformzng uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showzng all property lines, streets, buildzng and unusual natural or topographzc features. 2. A properly completed applzcatlon and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denzed, the Building Inspector shall state the reasons therefor in wrzting to the applzcant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Addztlons to dwelling $25.00, Alterations to dwellzng $25.00, Swzmmzng pool $25.00, Accessory buztdmng $25.00, Addltmons to accessory bumldmng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildln~ - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentzal $15.00, Commerczal $15.00 Date May 2, ~pp~ New Constructmon ..... ~ ..... Old Or Pre-existing Building ................. East End Road Fishers Island Location of Property...~PP.~) ......................................................... ... . . .. House No. Street Hamlet Onwer or Owners of Property. The Sanford Real Estate Trust County Tax Map No I000, Section. PPJ.'PD ....... Block. A7.'PA ......... Lot. PPP:PP° Subdlvzsion..~. P~. ~fP. ~i~YM'.~3.rpo'..Flled Map. ~JA1 ...... Lot.l~j~a. Permit No .... ~D77 ....... Date Of Permlt..~.~! .1%~ ...Applzcant ............................. Health Dept Approval Underwrzters Approval .. . Planning Board Approval...S.e.p.t.e.m.b.e.r..9.,..!%9.! .... X Request for: Temporary Certificate ........... Final Certicate ........... Fee Submztted: $...........25.00 ................ . . 06/09/2001 19:33 6317887011 FISHERS IS1_AND WATE]~ BUILDING DEPT. INSPECTION PAGE 02 IrOUNDATION FOUNDATION ~ND L ] INSULATION FRAMING FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Ma~n Road PO Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 June 15, 2001 Edward Madden C/o Gertrude Legendre 300 Medway Rd. Goose Creek, SC 29445 RE: East End Rd., Fsshers Island To Whom Thss May Concern: We are unable to complete your Certsfscate of Occupancy because of the followsng reasons: An applscatlon fop Certsfscate of Occupancy ss not on fsle (Enclosed) No Underwrsters Cert~fscate on fsle. The check ss (not on No Health Department Approval on f~le. No fsnal snspectson has been made. No Plumber Solder Certsfscate on fsle. (All permsts snvolvlng plumbsng besng sssued after Aprsl 1, 1984). BUILDING PERMIT # 16877-Z Please contact our offsce on thss matter. cooperatson. Thank you for SOUTHOLD TOWN BUILDING DEPT. Approved .~. ~. Disapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL $OUTHOLD, N Y. 11971 TEL.: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT NOTIFY - O.a.- CALL MAIL TO: INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showmg location of lot and of buddings on premises, relationship to adjoining premmes or pubhc streets or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram which is part of this apph c The work covered by tl~us application may not be commenced before issuance of Braiding Permit d. Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the apphcant. Such permit ~halI be kept on the premises available for inspection throughout the work e No bmldmg shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupancy shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances o~ Regulations, for the construction of buddings, add~hous or alterahons~qr for removal or demohtlon, as hereto described The applicant agrees to comply with all apphcable laws, ordmanc~s~, b~dmg c~od~ housing code, and regulations, and to admit authorized mspectors on premises and m building for necessa~ectlo~/~/ ~t, or name, if a corporation) (Malhng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremlses ~TI'~¢)~.I~. ~.~; ~. -~-L}~.~ ..... (as on the tax roll or latest deed) If applicant m a corporation, mgnature of duly authorized officer (Name and title of corporate officer) ALL CON, TRACTOR'S M, IL~T BE SUFFOLK Builder s License No '1~"I~510~~ ~ ~. COUNTY LICENSED Plumber's License No Electrlcian's License No Other Trade's License No Location of land on which proposed work will be done. House Number Street County Tax Map No I000 Sechon .7~. Hamlet Block .7 .... Lot .~ ......... o Subdivision .. Fried Map No Lot ..... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Exmhng use and occupancy )'-~-'3 t ps, +x ..... c o ............ ;~JZ .J. ~x'~ .............. ~ b. Intended use and occupancy .~g- . ~ 1~ hW~¢¢, Ygr;.,~*/ 3. Nature of work (check which apphcable). New Budding .. Addition · . . Removal ......... Demohtlon . . .,~,L 0mert_~ork,~ . ' .... Rep~ ~ ' ' (Description) 4 Est~matedCost~ ~ .-. r ~--.' ........ Fee /~.' ..... ~...0,. ..... ~ (to b~ ~d on filing th~s apphcatmn) 5 If dwelhng, number of dwelhng umts. ~- .. Number of dwelhng u~ts on,ach floor .......... If garage, number of c~ 6 If business, commermal or m~xed occupancy, specify nature and extent of each type of use . .. ~ ...... 7. D~ensmns of exmtmg structures, ~f any Front ...... Rear ........ Depth. .. He~t ....... Number'of Stones ................ D~ens~ons of same structure w~th alterations or ad&t~ons Front ....... Rear ........... Depth ........ Hm~t ........ Number of Stones ........... 8 Dxmens~ons of entire new construction Front .. Rear .......... Depth ......... Hmght ....... Number of Stones ..... 9. Stze of lot Front .............. Re~ ................. Depth .................... 10. Date of Purchase ..................... Name of Former Owner ................... 11 Zone or use &strict ~n which premises are muated ................................. 12. Does proposed constructmn vmlate any zomng law, ordinance or regulatmn' . ........ ~.~ ...... 13 Will lot be regraded ....... ~ .... . Will excess fill be removed from premises- Yes No 14. NmeofOwnerofprem~se~ e'&'~O~ Address g~.q'S~oneNo . ., Nme of Architect ............ ~ . Address~ ~ ,~. ........ Phone No ......... Nme of Contractor ~b*~., C~ ~ ~ ~.. Address ~mx ~ .o*~.t¥.~ qrPhone No i5. Is thzs property Zocated w~hxn 300 ~ee~ og a t~dal wetland? *Yes ..... No *El yes, Southo[d To~ Trustees PermS¢ maybe required. PLOW DIAG~M Locate clearly and distinctly all buddings, whether ex~stmg or proposed, and intimate all set-back dwaensaons from, property hnes G~ve street and block number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF ./~.4:_~a.a .R.o e 4- C, )%z .......... bemg duly sworn, deposes and says that he ~s the applicant (Name of individual s~gnmg contract) above named. He is the . .~Ca.~"3-)~'~rc,~..w" .................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and ~s duly anthonzed to perform or have performed the said work and to make and file tlms apphcatmn; that all statements contained m th~s apphcation are true to the best ofh~s knowledge and behef, and that the work wflI be performed an the manner set forth m the apphcatmn filed therewith Sworn to before me th~s Notary Pubhc, Comrnlm~ee Ex~ree December 8, (Signature of applicant) .qMMEDIATEL¥" ~.c,osE ~ooL~o coo~ uPo. BEFORE '~AI'ER OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY '~Jr H