HomeMy WebLinkAbout8482-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17715 Date JANUARY 27~ 1989
THIS CERTIFIES that the building
SWIMMING POOL
Location of Property 1425 NEW SUFFOLK AVE.
House No. Street
County Tax Map No. ~000 Section 114 Block
Subdivision Filed Map No.
MATTITUCK
Hamlet
Lot 28
Lot No.
conforms substantially to the Application for Building Permit heretofore
pursuant to which
filed in this office dated APRIL 5, 1976
Building Permit No. 8482Z
dated APRIL 7, 1976
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 SWIMMING POOL WITH FENCE & ACCESSORY.
The certificate is issued to
ARNOLD & PATRICIA SACKS
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N279875 APRIL 23~
PLUMBERS CERTIFICATION DATED
1976
N/A
Rev. 1/81
FOF, M NO. ~
TOWN OF SOUTHO/D
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? 8 82 Z
Permission is hereby granted to:
~k~u~...Dlt~..L~ols...ln~..A/C...Az'.,~l&..~aeks & Wl£e
............... ]f~f.t ~.tuc~ ...........................................
~o .b~..l~.. ~ew..p.r ~,~ate.-~w~s~ .~m~.. poe1..w,~.'cl~.. £en~e.. ~.. ~eee s.s ~y~ ......................
at premises located at ..... 1L/~./~w.. Ru/falk.~..v~ .........................................................................
..................................................... ~a.tt t.t~-~ ....H,Y., .......................................................................
pursuant to application dated ........................... J~l~-~.~,.....~ ......... , 19..7~.., and approved by the
Building Inspector.
Fee $..%.~0~1 ..........
I ' Building'l'nspector (
TOWN OF SOUTHOLD
BU~LD~N~ DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
1197l
BLDG. DEPT,
TO~ OF SOUTHOLD ;
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .................
NEW CONSTRUCTYON ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
Owner or Owners of Property .... ~ ~ ~c~ -~5C~C
County Tax Map No. 1000 Section ...... Block
Subdivision ....................... Filed Map
Permit
Health
Planning Board Approval
....... Lot .........
.. ...... Lot ....... ...
No. 8482z .Date of Permit ~9 .... Applicant
Hept. Approval .................. Underwriters lpproval.~ ......
Request for Temporary Certificate ....... Final Certificate ................
Pee Submitted: $.~...~./~.~ ............
APPLICANT ...... ~.c~.. · ~C~C ~
rev. !0/14/88
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516/765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDlNG INSPECTOR
TOWN OF SOUTHOLD
February 7, 1989
Mr. Arnold Sacks
l~(~5'..~5'New Suffolk Ave.
Mattituck, N.Y. I 1952
Dear Mr. Sacks:
In going through old permits I c~me across
your Building Permit f/8482Z for a pool.
All the necessary inspections were made and
the Underwriters Certificate is in the folder.
If you would please fill out the enclosed
application for a Certificate of Occupancy and
return it to us with a check for $25.00 I will
send you the Certificate of Occupancy. Thank
you.
Yours truly,
Secretary
,,5!
THE NEW YORK BOARD: OF' FIRE UN
~ JOHN GTRE~, NE~ YOR~'N~W YORK
N. 2
FUINACE MOTORS
FIXTURES
dOCKs aUm-OUTU~¥
~}{HAUST
S T R I B U TO J~.,,. ~.
734-5519 - 298-4445
250 Cox La~e, Cutchogue, New York 11935
Westphalia Road, Mattituck New York 11~2
BUILDING DEPARTMENT
TOWN CLERK'S OmCE .
INSTRUCTIONS
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. Plot plan showing location of lot ~nd of buildings on premises, relationship to adjoining premises or public streets or areas, andL~
'~" giving a detailed description of layout of property must be drawn on diagram which is part of this application.
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 issue a Building Permit to the applicant. Such permit,shall be kept on
the premises available for inspection throughout the work. ,.
No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shell have been~y
e.
granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buiidir
Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordi~)a~
buildings, additions or alterations, or for removal or demolition, as herein described. The apda. hr,
ordinances, building code, housing code, and ragu lations, and to admit authorized inspectors o,~Sre mise~
~,/(Signature of
Skinny Dip Pools, Inc.
(Address of applicant)
Box 108, Hattituck, N.Y. 11952
State whether appl~ca~nt~. ,._~..wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name ofgener al. ~ooflt~~jowner
· ., . ...~.Ra~r. ic£a..~ack~~
If applicantBuilder,siS a~L~ License $i~h~uth°rizedNo.~ officer.
....................... ...............................................
-7 9-
(Name and title of corporate officer)
Plumber's License No .........................................................
Electrician's License No ....................... ,~ ............................
Other Trade's License No ..... .S.~.~,f~l,;,P,g~..i...~2 ..............
1. Location of land on whmh proposed work wdl b~ done. Map No .................... il.....~.....Lot No ......... : ...........
New Suffolk Avenue ' '~.t;.~.f.y, 14Rk,...fl~.~. .
Street and Number .............................................................................................................................
Municipality
2. State existing use and occupancy of prem. ise~n~led use and occupancy of prc~posed construction:
· . Res~deri6e ~ ~ \
a. Ex:sttng use and occupancy ..................... ~ ......... :...'e~,v ....................... ~, ........................................................
b. Intended use a nd occupancy ' .. ~!..n.~ ..~...°°..!........~1/.../..~...°~..~..:~r~?£,~.~ ,~'~:~ ......................................
/t
i Permit pursuant to the Building Zone
i or Regulations, for the construction of~
ees to coRl~ly with all applicable laws,
........ -
applicant, or name, if a corpyation)
Disapproved a/c ~~......... ..................... .....-............... ........~ ~
APPLICATION FOR BUILDING PER/~T
~ .N~Jre ~)f wor"~. (check which applicable): New uuilding ...................... Addition ................. -~... Alterat,ow...~.....~
Repair " Removal ......................... Demolition ........................ Other Work Po~
(Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....... .!. ........ Number of dwelling units on each floor ....... .2. ................................
If garage, number of cars 1. ..............................................................................................................
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 ...................................
Dimensions of same structure with alterations or additions: Front .......................... Rear .........................
Depth ............................................. Height ......................................... Number of Stories ......................
13 3t~ 6~
8. Dimensions of entire new construction: Front ......................... Rear ............................ Depth .................................
Height Number of Stor es .-..~
9. Size of lot: Front ....Z~. .............................. Rear ............ 7,.8, .......................... Depth ....... Z[7. .....................................
10. Date of Purchase ...2./.]..5../..6..3. Name of Former Owner unavai l able
. Mattituck
11. Zone or use district in which premises are situateo .....................................................................................................
12. Does proposed construction violate any zon ng aw, ordinance or regulation: ..... .o. ...............................................
13. Will lot be regraded ____N_°_ ............................. Will excess fill be removed from premises: [ ] Yes298 [_XlklN8~
(Address) (Phone No.)
Name of Architect .................
' (Address) (Phone No,)
N .... Skinny Die Pools Inc., Box 108 Nattituck, N.Y.
ama or ~.onzrac[or .......... ~. .... r. ............................. ; ................. .7..3. 55 .9. ..............
(Address) (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 wheth-
er interior or corner lot.
See attached
STATE OF NEW YOI~I~
COUNTY OF .~ ................... ) ~
........... ~~ "~ being duly sworn, deposes and says that he is the applicant above named.
{Na.me,of individual sign~;~ ;~'a~'t'.)'": ................
He is the .......................................................... ~ ..... ' .....................................................................
(Contractor, agent, corporate officer, etc.}
of said owner or owners, and is duly authorized to perform or have perfol~ed the sale vor'~nd to make and file this application; that all
statements contained in this application are true to the best of his kno~aand be.J~, nd)~nat the woy~will be perform.ed in the manner
set forth in the application filed therewith.
day of ' emmet . / / // //
.......................................................................................
.............. .......... .............. : .........
~'lJ~lm NOTARY PUBLIC S a of
,~ ~.