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Home My WebLink About7434-zFORM NO. 4 TOWN OF SOUTHOLD~ BUILDING DEPARTMEN~ Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .B..e.e,.b.e., D.l'.i.v.e. ............. Street Map No~laany. Shore~lock No ........... Lot No..8... .... .C~4.t.o.h.o~..e..' .N.o..Y'$ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... JULY... al!.., 19. ~. pursuant to which Building Permit No. ~..~3.~.Z... dated ........... .J.~l.l.y.....~.~.., 19~.~.., 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.r..i.v.a.t.q. ~.~.i..r~..i.n.g. pp.o.!.. ~.l.t.h..$.e.e.e.s..~.o.r.y.s. ........................ The certificate is issued to . .A.l..V.i.a..&. ,A. ,]..i.~.e..'..t~1~..1.1.~ .a~l~. ....... ,0'.~..s.~,s. ...... .. ..... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . N.*.R. ?. ............................. UNDERWRITERS CERTIFICATE No...N.1.7.3~..6.~..,..g.t~f. 3J... ]~.7.~. ............... HOUSE NUMBER . .290.0 ....... Street .. ~l~eb.e .Drive .......................... Bmlding Inspee~r FORi~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMEN~ TOWN GLERK'S OFFIGE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) Ne 7434 Z Permission is hereby granted to: ....... 2.,50.....~ox,..~ .............................................. to .J:,~.s...C..a. ~..~..;p.~..z..¥.~.~...~y/.~,~.~,,t $~.g..~ f~.o.~...ff..~.~.~ ~.~ s.¢~3cs...;..~.~,,...~ ~.rt~ ~....¢.~n ................... at premises located at ..~J:t~,,,k3.hD~,O~,,.~O,~,.~ ...................... ......................................................... Beebe Drive Cuteho~ue pursuant to application dated ........ ' .......... ~.....J.-¢~, .y .......... a)+"i""' ]9.~?~...., and approved by the Building Inspector. Fee $..~.~0 .............. ..... t.~z~..~.... :..~. .......... t.? ........ : .......... ! ................. building inspector / FORM NO. $ TOWN OF SOUTHOLD , B.ilding Department Town Clerks Office Southold, N, Y. 11971~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building inspector with the following; for new buildings or new ~se: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusuol natural or topographic feotures. 2. Final approval of Health Dept, of water supply and sew~erage disposal--(S-9 form or equal). 3, Approval of electrical installation from Board of Fire L~nderwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 3957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property Fines, streets, buildings and unusual natural or topographic fea[ures. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pe~inent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 ~ 2. Certificate of occupancy on pre-existi~ dwelling or land use $5.00 3. Copy of certificate of ~cupancy $1.00 . ~,~ ..~...~ ¢,.~ ~. z~ ~ ~,r~ ~,~ ..................... New Building ................ Addition ~..~~ ..... ~d or Pte-existlng Bu'iid ng ....... Vacant Land ............. Owner Or ~ners Of Prope~ AIvl~ + ~I~¢, ~.I~'4~--'~,~/ Subdivision ................................................................ Lot No ......... ,.. Block No ............. House No ............. Permit No. ~.~..['~..~ Date Of Permit .~r/~Applic~nt .~~ .~T~ .~- ...... 5..: ....... ,~o,~ ~,~. ~o~ ........ ~.:...~.~. .......................... ~uo~ ~. ~o~,, ............... ~:...,.~ ...................... Undorwrit~rs Approval ~: ...... .~.~.~..~.~. ......... ¢l~nnin0 B~d Approv~[ ........ .~..:.~ ................... Roquest ~or Temporo~ Ce~ificote ........................................ ~in~ C~rti{ic~te ...........~ .................... Fee Submitted $ ~ , o o Qnstruction above ..... on descr,bed bu,ldmg and permit meets a~phca~ie c~es and regulations. ....................................... ............. ~.~. . ~ ~=~,~. ~~ .......................................... Sworn to before me this ~ ~Tf~ Notary Public .'/~' '///~ ..~....f(..' ....... County (stamp or ?T~ NEW YORK BOARD OF FIRE uNDERWRITERS BUREAU OF ELECT~ 85 JOHN STREET, NEW YORK, N~ YORK;tO038 197;+ ~"~'- ~:":'~ : and.found to be ~n COml~i~nee with tbe requirements of thi~ Board. Lot SWITCHES RXTUR~ RANGES TIMECLOCKS OVENS DiSH WASHERS EXHAUST FANS UNIT HEA~ MULTI.4~ITLET SYSTEMS NO. OF SRjET DISCONNECT ''~ S E ~ -~R V I C E ':;~ Pc~ol} ~h[g eerti. Fl¢&te covers oompIiance a~s the dat.e ef ~on o~ Be~u~f~ of'YAn~sual env!~onmen~s ~ .i.s ad'visa~le f~,quen..Z ~.a~ and/om l~spaIrs made by a qualified pers~n. i~o n&~l.d B. Busoh Long BPeek Dr. 3~u~old . L.X, 11971 DEPARTMENT. THIS COPY* OF CERTIFICATE MUST NOT BE ALTERED f -- .~, ~ BUILDING DEPARTMEN~ I ~ ~ ~ / TOWN CLERK'S OFFiC~ -- ~ ~. c ............. , ............. Disapproved o/c ....... ~ ................~,~ ......... ~ ........ ........................... ................... APPLICATION FOR BUILDING PERMIT Date ....~.ul.~..~6., .......................... 19.~.~. ...... INSTRUCTIONS This application must be completely filled in by typewriter oK in ink and submitted in triplicate to the Buildingh-g! Inspector, with 3 sets of plo,ns, accurate plot plan to scale. Fee according ~o schedule. b. Plot plan ~howing location of lot'and of buildings on premises, relotibhship to 6djoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this application. c. The work covered by this application may not J~e commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue ~ 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 alterqtions, or !or removal or demolition, as herein described. The applicant agrees to comply with all applicbblb I&ws, o~dir~ances~ building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary inspections. SKINNY DIP POOLS~ INC., . (Signatu[e of applicant, or name, if a corporation) 250 Cox Lane, Cutcho~.ue (Address of applicant) State whether applicant is owner, I~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................. ......... ............................................................................................................ Name of owner of premises ...~.~.,...~...~..~P.,,....A..f.....~.g.T..]:.~..n.l~..~.~ ......................................................................................... If applicator is a corpoFi~te, signature of duly authorized officer. (Na~Je and title of corporate officer) , Builder's License Na ..................................................... Plumber's License No ................................................. Electrician's License No. ............................................ 1. OtHer Trade's License No ............................................... Location of land on which proposed work wdl be done. Map No ......... ~ ............ = Lot No Street and Number ........... ~.qg..e.~..e..'.fl....g..~e...e.~.,...~.*~.~.C.....C..~C..e...h.~.l~.~...e. .................... ../(,.' ..~...?:.(;i:~.~ ..~..)..k..'. ................ Municipality State existing use and occupancy of premises and intended use and, occupancy of proposed construction: Exisiting use and occupancy ...... ~u~e/.l~.~g .............................. ......................................................................... use and occupancy ...... ~.~:l~,~.~,.%.~,l~...~.d-..~.w~/P.~;J..lrl~', I?,~ 1 .~,/. ~_ .(~.:~ ....... Intended 3. Nature o3 work (check which applicable): New Building .................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ..sw.:l..mm.~n.l~...l~ee~. ............... (Description) 4. Estimated Cost ............................................................ Fee ../..~..~..~ ....................................................................... (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. Jf 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 ...{J.~ ........................... Rear ..... .~.*).~. ................ Depth ..... ].(~.! ............. Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ...].0.O .............................................. Rear ...... 1.00.! ........................... Depth ...245.t .................. ,. 10. Dote of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises ore situated ............. .A ..................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .............................................. 13. Will lot be regraded ............................ Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .~..~.~.....~...~.~.t.....~..q.r..~..~.g..~.~..~.... Address ..,.~..9..~.O. JI~.K~, ....... Phone No ....................... Name of Architect .............................................................. Address ................................Phone No ....................... Name of Contractor .~,~.~..,D~,.p..~.ee.].s.~....~[.l~c ........ Address .Ct~t,~.~e .......... 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. SEE ATTACHED.. STATE OF NEW YORK, ~ c c COUNTY OF ..... ~.OLK ......... ~®e~Cl~e Able,Cs ................... being duly sworn, deposes and soys that he is the appiicanl (Nome of individual signing contract) o'bove named. (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 perfo~ed in the manner set fo~h in the application filed therewith. Sworn to before me this ...~z..~). ............. , 19~..~.. ~ (S~nature of applicant) No 52,0344968 suffolk Count~ MAP OF PROPERTY TOWN OF £UFFOLK COU~T~, ~ y GUARANTEE~ TO