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Home My WebLink About8688-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13267 Date March 15, 1985 THIS CERTIFIES that the building Inground pool and fence Location of Pro-err· 625 MARRATOOKA LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 115 .Block 4 ..... Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 28 76 ..................... ,19... pursuant to wkich Building Permit No..8.6.8.8..Z ............... dated ...J. qn..e..2.8. ................. 19.7..6, 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 ......... In,round pool and fence. The certificate isissued to JAMES R. & MARY M. TYLER ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A uNDERWRITERS CERTIFICATE NO... N294683 Building Inspector Rev. 1181 TOW~4 OF $OOTHOI-O TOWN CL. EP~K'S OFFICE SOUTH'OLD, N. Y, BU~LDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTi4ORIZED) N? 8688 Z Permission is hereby granted to: T~ ~.*l~ ~.-~r ~, ~v,~ ~ ~ ,,r-~ ,~ ~ t.~ ~f.. ~ · - ~ ~. ...................... tO ...............................*.......~.~ ................. J,,~...~;).O~ . ..,~, . h...-O~C~.-.,...~ ¢,~ ~ ~ 8 ot premises tocoted ot .E.~2-***~.****~.%~,***f~f**.**,~.%~£~,C~- ................................... Matt~ t~-mk }t,Y, ........ ~urs~ant to opp~o, on doted ..................... .~S.....~.8 ............... , l~.fi..., o~d o~proYed by th~ Building Inspector. Fee ~ ~..%0...0. .............. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final app?oval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZ~operty showing all property lines, streets, buildings and unusual natural or topographic features. 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 pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 $15.00 Date ......... ~4../, .~ .... -: .,,~.... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ·..~. ~c3 ..... //~..,~/~ ~ (+.~ .~. ? .~.../~....~. ? .' ..... ~.'~.'g~. ~ .~7....... ~ House No.,~ Hamlet Owner or Owners of Property...~ ~... ~.'...~ .7~~ ~....~-~ ..... County Tax Map No. 1000 Section ..... ..... .,oc .......--~. ...... Lot ....~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. .~; Date of Permit . .~:/,2;.~7.~, ,Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $./..~..o~...~..t.)...d.~. .............. Construction on above described building and perm~'~,ets all ~:~b~? regulations. 3Dr/?s'-C.a Zl 3gg? FIELD INSI~ECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY ~ODE Ye FINAL COMMENTS ADDITIONAL COMMENTS: THE NEW YORK BOARD OF;FIRE UNDERWRITERS __d ! BUREAU OF ELECTRICITY 8S JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT only the e~c~al ~uipment ~ ~scdbed ~low and intr~uced by t~ applicant ~d on the able appEcation number in the pre~ises of ~ames Tyler~ D';arr~tooka ~,'~,ve~,'~ 7~out~ 25 L Nc~w ,;~f~o~ ~ att[tuck, L.t. in the following ~cation; ~ B~e~t ~ l~t FI. ~ 2gE Fl. ~ U t ~ ~ U e Section , ; ?ndfou~ to be in complla~e ~[th the requirements of this B~rd.. FIXTURE FIXTURES RANGES 'OVENS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: A.W,G NO. OF HI-LEG A OF CC. COND OF NEUTRAL A. W G NO, O~ NEUTRALS OF HI-LEG ]3inSpection only., ~ecaffse of unu,~ua! environ~ents it ~s advis~bl~ . ~oaa~ '~e frequent left-hand/or repairs made by a ~uatified, ,cers~n. AMOUNT PLEASE REMIT BY CHECK, OR MONEY ORDER TO THE ORDER OS THE NEW., CASH SENT BY MAIL WILL~RE Per TOWN OF SOUTHOLD BUILDING DEPARTIVlENT TOWN CLERK'S OFFI¢$ $OUTHOLD, No Y. Application No. ~.~,,~.~.~ ............ ~ Disapproved a/c ............................................................................................ APPLICATION FOR BUILDINGpERMIT ~-- .**~ ,~ Dote .................... INSTRUCTIONS o. This application must be completely filled in by b/pewriter ox in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale Fee according to schedu e. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o 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 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 sholJ be occupied or used in whole or in port for any purpose whatever until o Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the iss~o~lce of o Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~Y~rk/and other c~plicable Laws,, Ordinances or Regulations, for the construction of buildings, additions or alterations/~r for/emoval' or ,d'pf-nolitiop, as'herein described. The applicant agrees to comply with all applicable laws, ordinance,~ buildin~l' code, hou~(r~ code/land regulations, and to admit authorized inspectors on premises and in buildings for n actions. ~nature of ap~_.. ~i~.f a .?rporafion, c :. .................. (Address of applicant) State whether opplicont is owner, lessee, agent, architect, enginee~ge~ner~0l_~electricion, plumber or builder. Nome of owner of premises ..... 3..C~.~:.~¢~..~. ........ ..~'..~...%; ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. E,ectr,cion's L,eense No. .................. Location of land on which proposed work will be d~ne. Map No.: .............. (..~ ...................... Lot No......) .................. Municipoli~ State existing use and occu~ncy of~/pr~s and intended use and:occupancy of proposed construction: o. Exisiting use and occupancy ..... ~,~.~.r~..~ .................. , ....... / .................................................. Nature of work (check which applicable}: New ~u~.dmg. ................. Add~hon ........... ,~_,, Aherat~on .............. Repair .................. Removal .................. Demolitior .................... Other Work .....~...4~...~.../...&...../..-.~...,e~.. ..... 4. Estimated Cast ................................... Fee ......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Numbcr 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 ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. [Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dirnensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... ct. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ............; ........................................... Name of Former Owner ........................................................ 1 ]. Zone or use district in which premises ore situated ..................................................................................................... 12 Does proposed construction violate any zoning Iow, ordinance or regulation: ........................................................ 13. Will lot be regraded ...~...(~.. ............ Will excess fill be removed from premises: ~)~)'Yes ( ) No [4. Name of Owner of premises ...~'...~,.,,:,.':.,,'...~..:... ............... Address,<.,~..,.,.,..,..~...¢....:..:..,~:.. Phone No....;.~. .............. Name of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Lacate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from prcporty tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Iol. NEW:ORal..: [SS COUN-F¥ 0 F '" ................................................................................................ being duly sworn, deposes end says that he is the applicoat (Name of individual signing contract) obow~ named. He is the ................................................................................................................................................................................. (Cat, tractor, 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; tha! all statements contained in this applicc~io tha~ the work will be performed in the manner set forth in the c~ Sworn to~e,~e me this '