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Home My WebLink About8693-zNO. 4 TOWN OF SOUTHOLD BU~.~ING DEPART~tl~NT Town Clerk's Office $outhold, N. Y. Certificete Of Occupancy No...Z.7.9.~.? ..... Date .............QC~...17 ....... ,19.7.7. THIS CERTIFIES that the building located at .. S/~. -~la.l.n · Ro~d ......... Street Map No... ~_x .......Block No ....xx .... Lot No..xx .... Peeoni¢. · .1~,¥~ ........... conforms substantially to the Application for Building Permit heretofore filed in *.hi~ office dated ............J. uly...$., 1976.. pursuant to which Building Permit No. dated ............. J~tty-..1., 19.7~., was issued, and conforms to an of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .P. riva. te. sw. immin§, pool. wi.th..£enc~ .&. acce saorys ................. The certificate is issued to .. Alvin .Terr. y ..... Owner. ............................. (owner, le-~see or tenant ) of the a/oresaid building. Suffolk County Department of Health Approval N..I~. ............................... UNDERWRITERS CERTIFICATE No. 1~291t.062 ..... ~.~lY.. 21...1.~75 .............. HOUSE NUMBER .... .~.~200.... Street ...~la;Ln .Homl .... ~.e¢o~l~ ............... FOB3f NO. :B TO~N OF ~OUTHOLD BUILDING DEPARTMEN'r TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMrr (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 8693 Z Date 3'11~.7 1 19 76 Permission is hereby granted to: ................. . .~.~...~.L ..lf~, ~,.~...~,.~ 0.~ .............. at premises located at ...,~.,/..~....)~...~.?:...~...~....~. .......................................................................................... Pecon~.e pursuant to application dated 3'1~y 1 19.?.?.. and approved by the Building Inspector. Building Inspector / ft. lO°41'i~''W' 'THE NEW, YORK BOARD,OF FIRE UNDERWRITERS:, -. ", BUREAU OF EL~CYRIClTY' ' ' ' · , 85 JOHN STREET, NEW. YORK, NEW YORK ~OO38 Date July 21,~. 1976.,. : ~ ~:' '~_~ '. ,/lpplicati°nN°'°nfile, ~ 867342'_ t~ el~trlc~l e~uipm e~t ~ descr{bed be~w a~d i~troduc~ by ~ ap~llc~t ~amed on ~ ?~,e ~l~t~o~ ~um~r ~ tke p~m~e~ of ~wasexami~(lo~ ~ U I y I 5 ~ 1976 :' "/-, a~dfo~ndtobelncon~pllancew~ththe~equirelnentso~th~oard, r:{Swim~lng Pool), This-certificate inspection only B · ecause of unusual environments t~ s*,adv sab e :" to have frequent test and/or'repairs' made by-a qualified person. Phil Gordon, 12 Dean Street, Port Jefferson Station, L.. li776 Lic. 101E GEN~RALMANAG£R~ ~ This ccrfiflcc~te must not be o~{ere~ in any manner refers'to 'the off ce of t~e' Board'lf retorted ;n~ ~cfo~s moP~ ~~-1~ This c~ti " ' ' ' - p y identified by th~entlais. Approved ~ c I / 19..: ..... TOWN OF SOUTHOLD / /~/ //'~ .)' ' ~ TOWN CLERKS OFFIC .... ~/ ............ ~ ..~ /~ /~ / ~ AppJicati~ No ................................. ~ormit ~o ...... Disapproved a/c ~ ............. r~ APPLICATION FOR BUILDING pERMIT ~% ~.~.~. Date ......... ~...~....~..~....(. ............ ,9...?.~...... INSTRUCTIONS a. This application must be completely filled in by typewriter or, in ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 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 before issuance of Building Permit. of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit d. Upon approval shall be kept on the premises available for inspection throughout the work. e. No building shall be occupiedor 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 Ordnance of the Town of Southold, Suffolk County New York, and other applicable Laws, Ordinances or Ragu arians, for the construct on of buildings, additions or alterations, or f~r 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. (Signature of applicant or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O~raer ....................... ~ ..................................................... Name of owner of premises ..A.].~.J.t3...TP.,~.y. ....................................................................................................................... If applicant is a corporate, signature of duly authorized officer. Builder's License No...~.]-.. ............................................. Plumber's License No ................................................. Electrician's License ............. Other Trade's License No ............................................... ~ No~ L Location of land on which proposed work wili be done. Map No.: ..... ~ ......................... Lot .................... Street and Number b~.i~ Road ?eaoni¢ Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... ..o.,~,.,e....~.~...~.~..~.~,...,~.,e,.,s.,~,~.e...~.g.~. ........................................................................ b. intended use and occupancy ....... ~.~..g.~'.O~Dr~..~i[JlJ~.~..~o~L ................................................................. 3. Nature of work (check which applicable): New I~uilding.. ................. Addition .................. Afferotion' ................ Repair .................. Removal .................. Demolition .................... Other Work ....pl:~l ......................................... (Description) 4. Estimated Cost 2.9.00. .................................................. Fee J,~l,.00, .................................................................. '. .......... (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 ............................ Rear ................................ Depth .................... Height ........................ Number of S~toFJes ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....~.~.. ........................... Rear .....3.~ .................... Depth ,.,,,3,,-,.?,~ ........... Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ...... 1,~.0oD ...................................... Rear ...... ]-~J,...2~ ..................... Depth .~.2,,~.1~..~'. ........ 10. Dote of Purchase .................................................. :.....Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ........ 1:10 ........................................... 13. Will lot be regraded . ........................... Will excess fill be removed from premises: I1¢ ) Yes ( ) No 14. Name of Owner of premises ...~.l.~.:J.n...~a:~.l~.~. ..................... Address.,V,~.lL~..~l:~ ........... Phone No. Nome of Architect .............................................................. Address ................................ Phone No ....................... Nome of Contractor .~)l.l~'.J.l:;~..~.OO].~,.~)l'...s~:l. llB,~.J.~ddress~l:;..,2~,~l,~.].~,. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorr) property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. S]'A-FE OF NEW YORK, COUNTY OF ................................ ............. ,~l.~.:J.n...~'.~.~. ....................................................... being duly sworn, deposes and soys that he is the applicam (Nome of individual signing contract) above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove 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 ......... ..,~....O......'~... day of ..~,w.~,.,~.,~,,,,'~,. ....................... , 19~...?.... PRE CAST COPING ! SLO,:,E SLOPE ® \\i~ ® ®---" -- ® '®- 'I -SI~DE OR ENO STEPS OPTIONAL PLAN SECTION B-B GRADE SECTION A-A SIZE FEET 16'x 32' 16' ~ 36' 20'x 40' A B r c D AREA CAP I' 2'x8" TREATED WOOD PLATE ANCHORED TO CONCRETE BLOCK ROLLED FOAM BETWEEN LINER and'BLOC BOND'" 2"- 4' SAN(; 12" ~T CONCRETE GRADE THICK "OWENS CORNING" FIBERGLAS'BLOC BOND ' TROWELED ON EACH FACE OF CONCRETE BLOCK WALL. POURED CONCRETE FOOTING SKIMMERS ~TO FI~ER SKIMMERS ILTERond PUMP TO RETURNS RETURNS----~ FROM FILTER PIPING ARRANGEMENT FIBERGLASS OPTIONAL STEP TYPICAL WALL SECTION TYPE I. ~~ / 3 STEPS ,, ,, , , , ~ - I 4-0" 12" ,; OPTIONAL STEP : TYPE ~. NOTES .... WALKS TO liE SMOOTH- NON SKID TYPE~ SLOPED AWAY FROM POOL WATER DISPOSAL SHALL BE LIMITED TO OWNER'S PROPERTY TO SUIT LOCAL REGULATIONS CONTRACTOR... "SWIM KING POOLS INC.' DISTRIBUTORS of DUNRITE POOLS ROUTE 25A MILLER PLACE N.Y. OWNER ..,