The URL can be used to link to this page

Home My WebLink About32766-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33902 Date: 08/17/09 THIS C~-rIFIES that the building ROOF REPAIR Location of Property: EQUESTRIAN AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 4 Lot 3 subdivision Filed Map No. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1, 2007 pursuant to which Building Permit No. 32766-Z dated MARCH 1, 2007 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 ROOF REPAIRS TO EXISTING CO~4ERCIAL BUILDING WITH APARTMENT AS APPLIED FOR. The certificate is issued to JOANNE M BURR of the aforesaid building. ( OWNER ) SUFFOLK CO~DEPART~T OF HEALTH APPRO~-AL ELE~-rKICAL CERTIFICATE NO. CERTIFICATION DA'£KD N/A N/A N/A / ~'Auth~ized Signature Rev. 1/81 FORM NO. 3 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) PERMIT NO ~.'~ 32766 Z Date MARCH 1, 2007 Permission is hereby gra~ted to: .~032XlNE MONTGOMERY BURR 116 ROOSEVELT AVE HASBROUCK HEIGHTS,NJ 07604 for : ROOF REPAIR OF Aiq EXISTING COMMERCIAL BUILDING AS APPLIED FOR. THIS PERMIT RENEWS EXPIRED PERMIT #22759Z at premises located at EQUESTRIAN AVE FISHERS ISI2~ND County Tax Map No. 473889 Section 009 Block 0004 Lot No. 003 pursuant to application dated MARCH 1, 2007 and approved by the Building Inspector to expire on SEPTEMBER 1, 2008. Fee $ 250.00 / ~ed ~ [gture Rev. 5/8/02 ORIGINAL TOWN,OF SOUTHOLD BUILOIING !)EPA[FI'MENI' 765-1802 , APPLICATION FOR CERTIFICATE OF OC ( UPANC~ ~ 't'tlis appliealion must be filled m by Upewrllm or ink and submilted t,, the Building Depa,mt'~lt w ] A. For new budding or new use: , of p'iopmty ~ith accurate locm~on of all braidings, property hne,s, s~reels and u~ 1. Final to )ographic features. 2. Final'Approval ~?oru }leakh Dept. of water supply and sewerage.dtsposa {S-9 tbIm ~. 3. Approval of electoral i~stallation from Board of Fire Underwrners. 4 Sworn statement ikorn plumber cedi lying thai the solder used it~ sss~em contains less I}lan 2,'10 cd 1% lead. 5 Commercial building mdustl4al building, muitipte residences aro snmla buildings and installations, a certificate of Code Compliance tkom ~n'cifitect or ~ngmeer responsible lbr lh¢ buiiding ~. Submit Plamnng Board App:oval of completed site plan requirements I. Accttrate survey of properly sho'~ing ali p~operly hnes, streets, building and umtsua! r~atura! or lopographic 2 A properly completed appiication m:d consen! to respect sigp~ed by the applicam I1 a Certificate of Occupmyey is denied, ih~ Braiding Inspector shall state t,"te reasons ti~erefi'n' in wnrif~g to t!te app!icam Fees l. Certificate of Occupancy - New dwelling $25.00, Additlom; ro dwelhng $25.00, Akeralions to dwelling $251)0, Swimming pool $25.0(t, Aecesso~, building $25.00. Addittcps to accessm'y building $25(}0, Businesses 2 Certificate of Occupancy on Pre-existing Building- Copy uf(erlificate of Occupancy- $25 4 Updated Ce_,lificate ofOccupm'~c> - $50 O0 5 l'emporary (?e:tfica~e of Occupancy - Ees~dential $15 0(i, Commercial $15 Date New Co2struct~on: ..... Ok! m Pre-cx~sting Bn~ldmg: (check ?.z) Owner or Owners of Proper%: ~ C;~ fklk% ~' ~ Su~'tb~k ('ounty lax N4a~ No 1000, Section .................... BLock SubdJ,, ishm .............................. Filed Map. Lot: Z:. 1'..5(? [('r ....Date of Pe:~nit _.:..~_ J._~_(2_7__._ Applk~at~l. Health DepL Asproval: ...................................... I lndem:dters Appro~ak Planning Bored Approval: Request for: Temporal7 Certilicale ....... Final Certificale: FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N_o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Coun~yTax Map No. 1000 Section ........... ~.. .......... Block. .......... ~ ......... LotNo ...... ..~'~.... ................ pursuant to application dated ....... ./~..,.,.~... .................................... 19..?...~..Z..., and approved by the Building Inspector. F~, ~./.~...~... ding Inspec or Rev. 6/30/80 APR · FORM NO. 1 TOWN OF $OIJTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Application No.. ~ ............ APPLICATION FOR BUILDING PERMIT Date .......... , ......., 19. INSTRUCTIONS .: '. ~:- $ a. This application must be completely filled in by typewriter or in ink and submitted in' triplicate to the Buildi: L~peotor, with 3 sets of plans, accurate plot plan to scale. Fee.according to schedule. ' b. Plot plan showing location of lot and of buildin~ on l~remises, relationship to adjoining premLses or public stre~ O~. areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app I c. The work covered by this application may not be commenced before issuance of Building Permit. i d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern sh)dl 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 O~cupan. ~ have been granted by the Building inspector. '. · ' ' I"APPLICATION IS HEREBY MADE to the Building Department .for the ~ssuanco of a Buildmg Permit pursu.ant to t B~ilding Zone Ordinance of the Town of Southold. Suffolk County, Now York, and other appli.c.a.bl¢ Laws, Ordmances R~gulations, for the construction of buildings, additions or alterations, or for removal or dem0ht~on, as herein describe TI~o .a. ppli~nt agrees to comply with all app!icable laws, ordinances, buiidinjl"coda, housing code, and regulations, and ~mtt authorized inspectors on premises and m buildings for necessaryjnspectlons. ' ' ' ~' .........; ' ' { ...... ~ 1~,.: ...........' ' (Signature OI applicanl, or nan.,, 11 a corporat/on~ ! ' (Mailing address of applicant) "(~ ,~ ~l S~ate whether applicant is owner, lessee, alenL archi[ect, engineer, general contractor, electrician, plumber or build~ o pf ises ........ wrier o ................................ ........ ",~ 'tas on -the tax roll or latest deed) Il]applicant is a carp.oration, signature of duly authorized officer. Other Trade's License No .. · oca,ion o,, d on wh,ch ropo,ed one. ................ Hou~ Number Smct Hamlet Coun~ Tax Map No. lO00 Section ....... ~ .......... Block ..... .~ .......... Lot..~. ............ (Name and title of corporate officer) B,,der','-'ce,,, 2Z.. ......... Plumber's License No ......................... Electrician's License No ...... ?. ~ .'~..~. ........ Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2.! State existing use and occupancy of premises and intended use and occupancy of proposed construction: · · , Existing use and .Occupancy bo l~tanded u~ and occupancy ................................................................ Natur~ of'work (check which applicable): New Building . .. ........ Addition ......... : Alteration . ..~.. ..... Repair ..... ~ ....... Removal .............. Demolition .............. Other Work ............... 'e ..~ (Description) ~,~.,ted Cost ~..~.~.4~.. ~ :~ (to be paid on filing this application) If dwelling, 'number of dwelling units ..... ./. ........ Number of dwelling units on each floor..~.~..c.. If .g~.ge, number of .cars ............................ [ ...................... ' ......... If b,, ess, commerc,al or raaed occupancy, speedy nature and extent of each type of use t'. Dimensions of ~.xLsting structures, if any: Front .... ; .......... Rear .............. Depth ............... Height ............... Nuraber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front Rear Depth ...................... Height ...................... Number of Stories ...................... 8. ime,,ons.o!:T, ne, ¢ons ction: Front.... Height Number of Stories ........................................ ' i Size of lot: Front ...................... Rear Depth 109[ _DateofPm-ch~e .: ........................... ...................... Name ~f Former Owner ............................. ...................... 1 l.: -'one or use dutfict m wh/ch ~.remLses are s/tuated... L .'. ['. ............. : ..... .AbA ...................... 12.t Doer proposed construction vm~ia~t/~ any zoning law, ordinance or regulation: ...... iy.U. ...................... 13.! Will lot be regraded ....... ,/.~. V. ................ Will excess fill b'e removed from premises' Yes No 14.i NameofOwnerofpremises_.~6n~% ~. ~,c( ,.~,.__.. ~,L /$~-'~,,,~-~A,~. .-- -, ' ., ........ ,'~uu~t M~ · · .'~ .',";'.'.'.'.'.'.~JJ . · ~.~ ,rr f'none P~O ........ ~ame of Architect . .,.. ,, ................ Address ........... NameofContractor ~/~../,,~ .~r)'/~..~.6.~t/g~ Address ~.~J( 93[o ph,~.~,*-~ ~-"-/~-"J'-/-)' ?LOT ~IAGRAM ~etty l~nes. Gi~e steer and block number or description according to deed, and ~ow street naraes and indicate whether dor or comer lot. [!('VIFY BUILDIN~ DEPAR~ AT /']5-~802 ~ A~ ~ ~ PM FOB THE ~ FOUNDATION PA;O REQUIRED FOR POURED CONCRETE 2 aOUGN - FRAMING & PLUMafNG 3 iNSU~TION 4. FINAL CONSTRUCTION M'JST SE COMPLETE FO2 C,O. ALL CONSTRUCTION SHALL M[~ TNE REQUIREMENTS OF THE N.Y. 'STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRU~ION ERRORS ST4JS OF copuvrv oKJ..~..~p.. ~ .~%=. ..... s.s. ............ · berg dly deposes d says that he is the applic~t , · ................. U SWOr~ ~ ~c of individual si~ntract) abOVe n~. ~ (Con.actor, agent, co~omte officer, etc.) of ~d own~ or owne~, ~d h duly auto. ed to perform or have pedDled ~e ~id work ~d to m~e ~d rile ~s a '~on' ~at ' · ~_~ ....,., .~ st}tyrants cont~ed ~ ~is app~cafion ~e ~c to the best of his ~owledgo ~d be~e¢: ~d ~at ~e ~u~ wm oe pcrzo~ea m me m~ner set ~orfl~ h~ ~e anu~cafion ~ed ~erewith '- ~wem ~ before mo ~ ............ , J Ne, 4e0lIiJ ' , : .................... / ......................... . O~m~e~ln 9~,~? ~9~V ' / (S~atu~ of app~c~t)