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Home My WebLink About7213-zA 'k FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22692 Date NOVEMBER 3, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 895 STILLWATER AVE. CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1974 pursuant to which Building Permit No. 7213-Z dated APRIL 30, 1974 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 INGROUND SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to EVERETT & MARYLOU GLOVER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Oui din ector Rev. 1/81 FORM NO. s 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° 7213 Z Date ....................... &.pril.......... 30....... 19.7)#.. Permission is hereby granted to: Or' .......d/.C..Zverett Glover ................ Qri-eat................................................. ..................................................... toinstall private ,Brimming pool & fence .................. ..... ................................................................................................................................................................ ofpremises located at ..6"j areteV..Ave........................................................................................ ............................ ....................... Cutchogne...... XAXA ...................................................................... ................................................................................................................................................................. pursuant to application dated ............................... App ..........30..., 19711...., and approved by the Building Inspector. Fee $...15.&(A........ 1 ......... CaA ... .. .... .. ......... ....... . . .. Building IAspect v Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 1. 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 in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a_Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5: Temporary Certificate of Occupancy - Residential $1P.00, Commercial $15.00 Date .....10 3 ....................... :ew Construction....... ...._Old Or Pre-existing Bui ding.. .ocation of Property... House No. Street Hamlet �nwer or Owners of Property... RAeY (6U , QOd .. ,j ounty Tax Map No 1000, Section. -W ........ Block ..... '.......... Lot .... C4 .............. ubdivision.................................... Filed Map.. -7 .Lot.. ermit No..� .�� ...Date Of Permit ... �a./. .......Applicant ............................. ealth Dept. Approval..........................Underwriters Approval......................... fanning Board Approval ...................... "quest for: Temporary Certificate........... Final Certicate........:.. "e Submitted: $............................. .................. APPLICANT 7,.) -132- M -18a BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [vflFINAL DATE 1 INSPECTOR �213-Z- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. j FOUNDATION 2ND [] IN LATION [ ] FRAMING [ FINAL 0 0 REMARKS: DATE d INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ...�!`�...... ............. 19....`.. Approved Q " 3v............19?c�. Permit No. ...... l , �........... Disapproved a/c .........................................9.................. .......... Buildin Inspecter) APPLICATION FOR BUILDING PERMIT Date .. INSTRUCTIONS Application No../ ........ Apri1.......... N..... 19..7 :..... a. This application must be completely filled in by typewriter or 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. Piot plan showing location of iot 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 application. c. The work covered by this application may not be com.r,enced before 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 for removal or demolition, as herein described. The cpplicont 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 necessary inspections. Orient.. truckin&.L...C4Fi& rl?G.ti.OF1.. Q.......... (Signature of applicant, or name, if a corporation) Orient .................................................................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... .b..u.�kt.gx...... Name of owner of premises ....QYP;x.Q t...UQ.V.QX........................ 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. Map No.:...... Street and Number .......... cut,Ahague..... �.i .... ................. Lot No. .,7G7F.................. ............................I ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3we1] ir_ a. Exisiting use and occupancy........................�...................................................................................................... sa-e with orivate swi��in� pool.... b. Intended use and occupancy .................................................. . 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ............. ,... . Repair .................. Removal .................. Demolition.................... Other Work ... SLi'j.=jITOp} .......... Egcnplon) 4. Estimated Cost ....................1......................Fee 1.5r00.............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, 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........................ Number of Stories................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth................................ Height ............................Number of Stories ................................ 8. Dimensions of entire new construction: Front...................1.8............. Rear .....I&.................. Depth ....36............... Height.................... Number of Stories...................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................Name of Former Owner ..................................................1111.. 11. Zone or use district in which premises are situated ... .ttA.tt..ti•is•t.............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation:.....o.............................................. 13. Will lot be regraded ......7.019 .............. Will excess fill be removed from premises: (g) Yes ( ) No 14. Name of Owner of premises ..TiVQTOtt.. Ct7 AY.QZ ................ Address ..... C.Litc.{1.0 Ue..... Phone No....................... Nameof Architect.............................................................. Address ................................ Phone No....................... Name of Contractor0rient... Trucking -.4 -Const ...... Address ..... 0xie it ............. Phone No....................... 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. r Spvlm1A?NG- .00 )- /{0ws e wr}?PR A V Q STATE OF NEWOFK, t S S COUNTY OF ..... u.. bi ..........f ' .................. Robemt..Douglazs.......................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the Contractor.............................................................. ..................................................... (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. Sworn to before me this ............... 3...... day of 1111....... aP. 17}........ l C _ �.....,..........., Notary Public, , ... ..L.t..::.J......: ....:::.:.runty �'�c� �%........ Signature of app r an; OKEN JUDITH T. B Notary Public, State of New York No. 52-0344963 Suffolk County Commission Expires March 30, 19_ /S C FORM NO.,�1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE S®UTHOLD, N. Y. Examined .......(?f. -.� .... ......... ......I 19.77. Approved ................................0......, 19.1...y Disapproved a/c ......... I.... Q �X�% Application No. l Permit No. Z� ............................... ................................................................................�.................. ....................................p......................................... (Buildin Ins ector) APPLICATION FOR BUILDING PERMIT Date ................. April......... 3 19..7'..... INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Building r 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 :P areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. J c. The work covered by this application may not be commenced before issuance of Building Permit. r 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 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 buildings for necessary inspections. Orient trucking & Construction Co ..................................................... (Signature of applicant, or name, if a corporation) Orient ............................................................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. builder .................................................................................................................................................................................................... Name of owner of premises ..... VQ;e.Qlt.....l0ypg.............................................................................................................. If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (� (Name and title of corporate officer) C Builder's License No . .................................................... Plumber's License No . ................................................ Electrician's License No . ............................................ Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.:........ .......................... Lot No... �................ Street and Number:...atillkla hex:..A.Ve..........Q.Uticho.gue.....R..Y........................................ .......................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy........dwellinu.................................................................................................. b. Intended use and occupancy ...............Same with private swimming P.00l 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition.................... Other Work ...Md:11.g..P.90 7.............. (Description) 4. Estimated Cost Z......................Fee 'L 5.0.0...:.......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, 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......................... Number of Stories.................................................................................................................. Dimensions of same structure with alterations or additions' Front .................................... Rear ............................ Depth ................................ Height .........,..................Number of Stories ................................ 8. Dimensions of entire new construction: Front ............. V$ 3 ...... � ............ Rear .....��8.................. Depth ...... a§ ............... 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 .... !'A!! ... d1s.t............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation:.....KP.............................................. 13. Will lot be regraded . ....... YQA ............. Will excess fill be removed from premises: (x) Yes ( ) No 14. Name of Owner of premises..Everett Glover .. Address...... ... ..Cutchogue phone No ....................... ....... Name of Architect.............................................................. Address ................................ Phone No....................... Name of Contractor Qr.l ent...`�']:°11� 7.1? g. .. C 01? ..... Address ......O Zient ........... Phone No ....................... 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 YQRl fI S.S COUNTY OF ....... ..............ol...k ........1 ....................Roher.t.Rouglass....................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is theContractor ................................................................................................................................................................................. (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 thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Public ,unty � .�V-�i'�noture'*Wappl :�:' .................. ........ .H. JUDITH T. BOKEN 5 nt) Notary Public, State of New York No. 52-0344963 Suffolk Count�J� Commission lacgia¢* March 30, 191 35 35 VVA QN A r4- I g cvrcHoGv� I SL '7,q 13 L 4/3%`/ j f �ven,��,CfovY,L � %Lec.✓ � /.�___ ,cL�✓—� l�c ,�o� r