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