HomeMy WebLinkAbout18425-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218709 Date JAN. 12, 1990
THIS CERTIFIES that the building ADDITION AND ALTERATION
Location of Property BETWEEN CRESCENT AVE. & AVE. B FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 006 Block 002 Lot 009
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 23, 1989 pursuant to which
Building Permit No. 184252 dated AUGUST 23, 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 ADDITION, BOW WINDOW AND ALTERATION WORK.
The certificate is issued to A. JOHN GADA, JR.
(owner, xxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N105008 AUG. 23, 1989
PLUMBERS CERTIFICATION DATED N/A
~ .Q
Building Inspector
Rev. 1/81
rosy[ xa s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
N 18 4 2 5 Z Date G~/~.....~.,3 19.ff..~
Permission is hereby g?anted to:
.,e~Y~.!Y!+C
ct premises located of ~ `~..e~LLQ.Le>~L~•:•.•••••.!!!~~: ~........I.~`•:'•:!~•••:
.
County Tox Map No. 1000 Section ......~Q Block Lot No...:..,1
a
pursuant to application dated ..............C.~............~.~......, 19.~1f...~ and approved by the
Building In~sypector.
Fee ~...a.
~ ~~L~I~I.~:
/.Z......'ll......1~n
Building Inspector
Rev. 6/30/80
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO.t SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
' TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.: 765-1802 CALL
MAIL T0:
Examined .................19...
Approved ?~U... 19 Permit No. l.(!..'~C
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ......August......, 15$9.
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, far 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 ins ctions.
gn lure of applicant, or name, if corporation)
A. John Gada General Contracting, Inc.
•••Drawer••B,•Fishers•Fslandf•NY•••06390•••••••
(Mailing address of applicant) •
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
general contractor
Name of owner of premises .......A..John.Gdda,.Jr...
(as on the tax roll or latest deed)
If applicant is a corporationp, signature of duly au~yth~-o"_rued officer.
(Name and title of corporate officer)
Builder's License No. .....281•-1i~ . . . . . .
Plumber's License No. . • •462-P
Electrician's License No. -296-E
Other Trade's License No. 194-AR
1. Location of land on which proposed work will be done . .
Avenue B Fishers Island
House Number Street ss~~ Hamlet
County Tax Map No. 1000 Section Block vim, Lot
Subdivision Filed Map No. Lot...............
(Name)
2. Slate existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy , one fami 1 y dwel 1 i ng •
b. Intended use and occupancy one •fdr~i•1•y. -dwel.l.ing .
3. Nature of work (check which applicable): New Building Addition Alteration .
Repair Removal , Demolition Other Work .
(Description )
4. Estimated Cost . ~~®p Fee G: ~
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....one, , _ , , , , , Number of dwelling units on each floor .
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth .
Height ...............NumberofStories........................................................
Dimensions of same structure with alterations or additions: Front Rear .
Depth ......................Height ......................Number of Stories .
8. imensions of entire new constmction: Front Rear ...............Depth .
Height ...............Number of Stories .
9. Size of lot: Front Rear...................... Depth
10. Date of Purchase ..Name of Former Owner .
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation : .
13. Will lot be regraded Wili excess fill be removed from premises: Yes No
14. Name of Owner of premisesA.. JohUt. C~ada<.~7~:•....... Address Box, 494,. Fi shers Island, phone No516-788-7494
.
Name of Architect ..Address ...................Phone No............... .
Name of Contractor A. John ,G,ddd General Contr, Inc: Address ~.a!'1?r B. .......Phone No51b.-78$-7231, , , ; , . .
IS.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.
STATE OF NEW YO~K. k S.S
COUNTY OF , u o
. • A.. John Gddd,. Jr... . , , , , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
contractor
He is the
(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 therewith.
Swom to before me this
...day of....~~,(
Notary Public, ~ Y`!~. , , , County
EILEEN G. WALL
Notary Public, Stele o4 New Tort
Qualified in Sultolk Counryl /
~A E„o;,~ gyp, tq~ (Signature of applicant)
® Q"
.
TOWN OF SOUTIIOLll _ I ~
BUILDING DEPARTlfENT ~ (t~.~J ~~J L~,~ i
TOWN NALL
SOUTIIOLD, NEW YORK 11971 ~ ~ ~ 3 ~ 1~~
7 6 5 - 18 0 2 i \ai...---°,~~~..
{'Y SLCCy. DEPT.
1 TO'•a~ra t1F SGUTHdI_D
l..r.....-•.-^-
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DnTE October 26: 1989.
NEW CONSTRUCTION .......OLD OR PRE-ERISTING BUILDING. X. ...VACANT LAND........
Location of Pro ere Cresent/Ave. B Fishers Island
P Y
NOUSE N0. STREET IIAHLET
Owner or Owners of Pro ert A John Gada, Jr.
P y
County Taa Map No. 1000 Section .6.... Block Lo[ 9.......
Subdivision Filed Map ........Lo[..........
Permit No.18g2,5Z,,,.,Date of Permit $:?3-89 A. John Gada General Contracting, InC.
...Applicant
IIealth Dept. Approval Undervritecs Approval{~1.10~~,0 0~,
Planning Board Approval
Request for Temporary Certificate Final Certificate x
Fee Submitted: 25.DD
nPPLICneIT.A: John Gada General Contracting, Inc.
~ 3~ky~
I~i ~~90
co zis'~°9
tev. 10/14/88
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gPPROVEp qS NdtE1Lp~//
FEE ~ BY
NOTIFY BUI~OING DE RTMENT A
765-T80? a AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS.
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING S PIUMSING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
All CONSTRUCTION SHALL MEET
7HE REQUIREMENTS OF THE N.Y.
STATE CQNgTRIICTIruuc = ~„~Y
CODES, NOT RES L-~" ~
DESIGN OR ~S,IRUCTN~I Q1110R8
t~r~dp 11~! ~Ai
USE iS Ui~LA~FUL
"~~~~i~UT ~E~iFiC~~E
U~GUPA~Y
THE NEW YORK BOARD OF FIRE UNDE~tWRITERS ~•n.7.7
10757)1_ EIUREiAU OR ELECTRICITY
BS JOHN STREET, NEW YORK, NEW YORK IOOSB Q
Mu NOVE:MESI'R ?4, !9ftY dpplicationNo.onfile b/„~;, ~yt;<~/g9 N lt;i[.4~t1iF;
s
THIS CERTIFIES THAT ~
only the e4etrled equipment a drxterihed 6skne otd introduced 6y the epp/tamt wewKed an the o6ow MpBoEtton number in the premirsr of
A..YOHN GAl)A,.JR. , AVE. "N" , t` I5Rt`f2 I51. ANI7, N. Y.
in the fdbwttt~ location; 0 Beeemsnt ? /rt ET. ? 2nd fl. OU I Sertion Biock Lot
Ter examined an NOVF"MBE:R 14, 1974v andfoundto 6e in compliance with the reyuiremente of thu Buard.
- ~ ApES S1MTOlEf ~ OOOIIIHO DSCIIS vO1S W EXHAUST FANS
NCANDttCENT nuaetaNr OTHER AMi. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. r.
MYERi RRHIAQ h10TORS fl1TUtlAIMIANCE RpRS R~C'?T i1MEGOCKf yu IIIRTNSATwi tE111T1e.•0e~Y~AfleRT DIMMERS
AMT. M. W. ql K r. OAS N. r. AMT. 110. A. W.O. AMT. AW. AMT. MOS. iRAtM: AMi. N. tb.
a ~T NAT. WATTS ~
»IBOr /MOplMIECT HO. W E E R p~ V 1 C E -
AMi. AAV. TMt EOIR?. 1 / 7W 1 R TT S / aW SX AW NO. q' C. Cg10. 2C ~ $iw. No. a N41t6 No. tx Neu1KA7s ~ M' -
1 'lQCI 4g i X 1 r/i7 1 7/U
O/11ER ANARAtIK'
Sk:RVIt;E/DI5 1.3/0-1-.5/O-1
SERVICE {;RANGE ONLY-MEiEk!DYs-i
PANEEg0AR6S:1-15 f,1R. )00
. j
fADA CONTRAG'lOR L[C.N%96 t: °l
DRAWER - g ~
1"I3HERS ISLANl3, NY, 065vU 1MNA0~
~i
Per
Thb Rot M alterd is,:,. / rNom to 1M olfip of IM lanrd ff iRCOTTect. Mtpactors Tdentdiod by their cndeMiak.
CO!'Y fOR 8U1 .THIS CCI'1f OF GEkTIfIGTL' MUST NOT ~ ALT~~D IN ANY MAtMlR.