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Home My WebLink About7544-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .l~al'~l,irie. L. alle ............ Street Map No..Y,Y,X ....... Block No...X~X .... Lot No, XX.X .... Flai;.t. ii;~10]~..}I.,~.~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Se.pt...1.6, 19.7.~. pursuant to which Building Permit No... ? .~..Z. dated ........... a..~]~.t....]?..., 19..7.~., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. P~.iva.t.e. swl~ilkg, .poo.1 .wi.th. $.enae..&. ac. cess~rys~ ............... The certificate is issued to J..o.h~...&....A~....~.k..~W..o ........ .0K~..~.r..~ ..................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N~.R.; .............................. UNDERWRITERS CERTIFICATE No...1~.].8.~.2.2.3...0.~..~. J.0....i.9.7.1~ .................. HOUSE NUMBER ..... .].6.9.0. .... Street ....... ./4.a.~..]..i.lt.~...L.a.~.~. .................... ....... I ......... TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 754~ Z Permission is hereby granted to: ........ ......................... to .... ~.f~/..!...~. ........... ~ ......... ~'?,t:., ,~:.L:~.', ~ ~'..~ ........ ~{~C~?..~ ......... ........................................ et premises located at ............................ ~.~./~.,~..~..t~.,~,~ .......... ~:~-~-,~-~ ................................... pursuant to application dated [ ~ ~-~ 19.~.~, and approved by the Building Inspector. Fee $.../...~...~. ....... Building Inspector THE NEW YORK BOARD OF FIRE; .UNDERWRITERS ~'~ BURE~'U OF EL,ECTRICrTY *i ' :' ' ~'- 85 JoHN STREET. NEW YORK, NEW.*YOR, K~i*O03i8 ~ ..... ~,~, ~,~< ~.,,.,~.~...~,.7~:~'~ ~. '/.'h-: N 187223 in the/~ing l~atlon; ~ B~ement ~ l,t F1. w~ exami~ on 0 ~ ~ ~ ) ~ ~ ; ~ , , ~. ~ 4 a~ fo~ to be iR ~mp~~ with ~ t~ r~ui~ments of thh ~d. RXTUEE RXT~ ~ ~ ~ ~ { OVl~ ~ WA~E~ EXiT FANS DRYERs ~RNA~ ~O~ ~T~ ~ ~ mAL~'H ~S, ~ ~Y~A~ ~ ~MERS (Swiping Pool) Thia ce~i~cate coy ~ ~'*" ~omnli~n~e ~t the date o.? lns~ctlon only. Beoause of ~usua3. env!~onm~nts *' is advJm~able tO ~ave ~equent test an~or Charles M. Hall, P.O.Box ~uthold, L.I. 11971 COPY FOR BUILDING DEPARTMENT. THIS COPY t CERTIFICATe. ~1 ALTI IN ANY MANN;;I.=-'" Appraved ........................... L ...... , I~....Y... Permit No ..................................... (Building Inspector) TOWN OF SOUTHOLD BUILDING DE,P,.A RTMENT .TOWN CLERK S OFFICE ~UTHOLD, N. Y. PLEASE HOLD FOR PICK UP SESAME CONSTRUCTI DN SERVICES INC. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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, re at ansh p to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced befor~ issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 ~or 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 buildings for necessory)~spections. ~ gnotum of app~l'nt/'or name, ifa corporat on) ~ ...... ~D.¢~ 2...d.e r. te.t~o...~.~k~.,.,...C~k ........................ (Address of opplicoat) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................................................... ~.o~.~ ~r.~.~o.~. .................................................................................................................... Name of owner of prem ses .d. fl iA 8k2~.Q ................................................................................................ If applicant is a corporate, 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 ............................................... Location of land on which proposed work will be done. Mop No.: ........................................ Lot No ......................... ' Street and Number ..... .~.~.I~.~.~.~.P.'.~...~,I[AJl .................................................................. ~lii. t,.t,.~..~k ........................ Municipality State existing use and occupancy of premises and infended use and occupancy of proposed construction: a. Exisiting use and occupancy ........ ~...~.~...m..i...J.~...~.O.~..~.~..~.l~L~.¢t ............................................................................ b. Intended use and occupancy .......... .~...W.~..~..~..~.g~..~.~..O...]: ...................................................................................... 3. ~alute 6f work (check which applicable): New Building,. ................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................... Other Work ....... .S..~..~.,~,~.~Fa...~...°..°...1. ............. (Description) 4. Estimated Cost ..... .~. .~ 9. .0. .0. . ,. ........................................ Fee ...~J.~..~ .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ 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 .......~...0..t. .............. Rear ....... ~...O..~. .................. Depth '~5 I Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ '~ 1,6~ 8. Dimensions of entire new construction: Front ....... ~.~.~. ...................... Rear ......... ~.~ ............... Depth ........................ Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front 22~t Rear 22-5t Depth 1/'t5~ 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: ....... I.~..o. ............................................. 13. Will lot be regraded. ........IkO. .............. Will excess fill be removed from premises: ( )~Y~;st, it, u~lc ) No 14. Name of Owner of premises ..~[.O. ff~...~.k.t/,F..O .......................... Address ...H..~..li.~.9..~.i.9....~.a-..t.... Phon~ No ....................... Name of Architect .............................................................. Address2.09.,~...~e~,i.e, tt~..~l~e No ....................... Name of Contractor .[.l.,°.~.kd.~Y.,...?.°...°..]*.,~ ............................ Address .,.C_o.?.!!.~.~.1.¢. ........ i.... Phone No.......................5~'3'6310 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. STA'I'E OF NEW,,YOP, L( ~ c S COUNTY OF ....~..~.~..1.~ ........... ~,.,. Dorothy. Bonvlcino bein ............................................................................................... g duly sworn, deposes and soys that he is the applican~ (Name of individual signing contract) above named. Fie is the ..................................... ,&.~.l:~/.. ............................................................................................................................. (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; end tl,ar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,, Not, ry Pub,c, .......... .... (Signature ~{ opplic~nt) CAROL CARROLL ~OTARY PUBLIC, SI~I~ el New No. 52-45~1567 Qu~itied i~ Suttdk County Commission Expires ~arch 30,19 F SIZE ~FT) A B C D E F $ AREA CAP. Sq. FT. GAL. A A D;VING BOARD ~/AODER INLET FITTING UNDERWATER I LIGHT (OPTIONAL) PLAN B B MAIN DRAIN ® ® GENERAL NOTES: I. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH <10% SILT. GROUND WATER SHALL NOT EXIST WITHIN THE LIMITS OF THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'-0" BELOW GRADE SPECIAL DEWATERING FACILITIES WILL BE REQUIRED. WATER DISPOSAL iS LIMITED TO OWNER'S PROPERTY. 2. NO SURCHARGE ALLOWED WITHIN 4'-0" OF SHALLOW END AND 6'-0" OF DEEP END. :5. THE PNEUMATICALLY APPLIED CONCRETE (GUNITE) SHALL BE A i:4 MIX WITH A MAXIMUM OF3J/2 GALLONS OF WATER PER SACK OF CEMENT. 4 REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP 0F50 BAR DIAMETERS. 5. POOL WATER SUPPLY BY OWNER'S GARDEN HOSE. POOL TO BE KEPT FULL DURING FREEZING WEATHER. PUMP CAPACITY TO BE SUFFICIENT TO EMPTY POOL IN 24 HOURS. :5 # :5 BARS CONT. BOND BEAM ALL AROUND TIES t2" OC WALL SECTION fATEiR LI~E SECTION A-A I~ WASTE FILTER ~ ~ ~PUMP HAIR&LINT "~ ~CATCHER ~,..~ ~,~SKIMMER MAIN DRAIN VARIES SCHEMATI,C,, PIPING RRANGMENT SHAL~.OW END ( '/~ ON DEEP END ~F~ STEEL REINFORCED CONT~t~'~OR: DEPTH < 5'-0" >5' - 0" HORIZ. 12" OC 8" OC VERT. i2"OC 6"0C OWNER ~ FLOOR MESH EQUIVALENT