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HomeMy WebLinkAbout8148-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SouthoId, N,Y. Certificate Of Occupancy No. Z-1676g Date April 5, 1988 THIS CERTIFIES that the building INGROUND FOOL & FENCE Location of Property 230 Bayer Road Mattituck, New York House No. Street Hamlet County Tax Map No. 1000 Section ...!.3. 9. ...... Block ..... 3. ......... Lot .... 2.3. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 13, 1975 pursuant to which Building Permit No. 81/,8 z dated .... Au g. u .... s r . 1 .... 3, .....1975 ..... . .... 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 The certificate is issued to HENRY L. TYLER & BETTY M. TYLER ..................... ?o¥.'o;,rtoY ; 4g ..................... of the aforesaid building. Suffolk County Department of Health Approval ............ ~./..A ........................... UNDERWRITERS CERTIFICATE NO .................... ~ 8..4 .2.9.8. 3.. y..~ o..v.... ! 2. :..I.9. 8..7... N/A PLUMBERS CERTIFICATIOI~ DATED: Building Inspector Rev. 1/81 TO~VN OF $OUTHOLD , Building 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 use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval 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 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 ]957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing ell property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner es to use, occupancy end condition of buildings. 3. Date of eny housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 pete .............. New Bu'lding ................ Addition ................ Old or Pre-existing Building. ............. - . Vacant Land .............. _ _. ....... ~:.:.,~... ............... ~..;-~-~. ............ .,...~.~.z..¥ ............................. o, ....... ...... .............................. L Subd'v's'on ........................................................ ~. ....... Lot ~lo ............. ~]/ ~t] ~_ ,~"z~'~-. ~/BI°ck No...~.~.... House No ............. Permit No Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ......................................... Request For Temporary Certificate .................................... ...~i~n~ Certificate ........ Fee Submitted $ .................................... / /~' / Constrdction on above described building and perm7 rn~e,~f.~pplic ~r/c~e/s///o~d regulus. App,icant .................. tZ~,~.,~.V.....~..~_~.... ...... Sworn to before me this ................ day of ............................................ (stamp or seal) Notary Public ................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 BUREAU OF ELECTRICITY ~ kh ~5 JOHN STREET. NEW YORK. NEW YORK 10038 BelLy ~7Ze~s, 230 Baye~ Rd., HaCCtCuck, ~.~. in the follou'ing lacutlon~ ~ Basement ~ Ist FI. ~ 2nd FI. ,Section BIm,k Lot teas examitted on NOV ember 5 ~ ~987 and found to be in compliance u'ith the req~Ire,ten{s FIXTURE FIXTURES i 1 OTHER APPARATUS: RANGES 1 2~- 1-G.F.C.I. *(SWIMMING POOL) COOKINGDRCK~- ,OVENS I DISH WASHERS O[¢ CC, COND NO OF HI-tEG OF NI-LEG TNIS CERTIFICATE COVERS COHFLZANCE AT .TEE DATE 0F INS?EOTTON 0NL¥. EXHAUST FANS DIMMERS AWG OF NEUTRAL BECAUSE OF UNUSUAL ENVIRONMENTS IT IS ADVISABLE TO HAVE 'FREQUENT TEST/AND OR REPAIRS MADE BY A QUALIFIED PERSON. ' Glenn Bradley ~ '~ Laurel, N.Y. 11948 1fc.#1227 r GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. ~J TOWN OF SOUTHOLD , Building Depa~ment 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 fallowing; 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 features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal--(S-9 farm or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing oil 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 in- formation required to prepare a certificate. C. Fees: ]. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ................ Addition ................ Did or Pre-existing Building ................ ¥oeant [and .............. Location Of Property ....... .,/Z- ............ ~;.42~-~ ...... ..~.~'.~~.~.. ......... ,*.....~., .............................. Owner Or Owners Of Property'. ........ ,,.~. ~..,...~~ .............................. ./. ............................ Subdivision ...................................................... U ....... Lot mo ............. Block No.....,~. ...... House No ............. Permit No ..................... Date Of Permit .................... Applicant ...~.....,..~.~....,.~. ~/~j~...~..~ ----~~ --(/~/~ Health Dept. Approval ............................................ Labor Dept. App~cval'{ ......................... ' ..................... Underwriters Approval .............................................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fincd Certificate .~'. ........... .................................... / Construction on above described building and permit ~eets/~l applicable ,~_,e~les ~d reoul~?s. .................... ....... ........ LL.. ........ Sworn to before me this ~ -- ................ day of ............................................ (stamp or Notary Public .................................... County FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Soutbold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCC Instructions A. This application must be filled in typewriter OR ink, and submitted m am,mmm~ 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 features. 2. Final approval 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of pL~operty showin§ al~ 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. C. Fees: 1. Certificate of occupancy New Dwelling $25.00, Accessory tS 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date ...O.c.t. qb..e.r..2..0,..1.9. ~ 7 ..... NewConstruction ~ O]dorPre-existingBui~ding Vacant Land 230 B~yer Road Mattituck Location of Property ................................................................... House No. Street Ham/et Owner or Owners of Property . . .H.e.n.r..y, .L.: . .T.y.l.e.r and Betty M. Tyler County Tax Map No. 1000 Section ...1.3.9...Q O ...... Block ...q~, p.0 ....... Lot., .O~3...Q 0Q ..... Subdivision Amen.deal Map of Mattituck Heights-., , ................................. mmo Map No..1.1.8.4, ..... Lot No. 6.4..&..P/.O..6.3... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval .................... Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ........ X. .............. Fee Submitted $. . o},~.0'~ .................. Construction on above described building and perm2,/~.al, l~applicable codes and regulations. Rev. 10-10-78 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCOUP/~ Instructions This application must be filled in typewriter OR ink, and submitted m I 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approvat of e~ectrica~ 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 I957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of prOperty 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. C. Fees: 1. Certificate of occupancy New Dwelling. $25.00, Accessory IS t0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C,O. $ 20.00 5.Updated C.O. $ 50.00 Date . .O. qt..o.b.e.r...2.0.,..!.9.8.7. ..... Pool N e. gv C. °_n.s g~P. u c~ i o n. ,X. ,_.. Old or Pre-existing Building ....... ~r.a~ ~q:~l;~lzl ~ .X. l~ler, a± mnect , ano. Deck ............... Location of Property .... .2.3.0. ............'....B.a~.e..r..R. qa..d ................. ~j.a.t.%.i. ¢.u.c.k. .... House No. Street Ham/et Owner or Owners of Property . . .H..e.n.r.~..L....T. 2~,l.e.r...a.n.d..B..e.~.~..}Jr..T.5( .1.e.:r'. ................. County Tax Map No. 1000 Section . .3_.%9.: 9,0 ....... Block ....0.3...0..0 ...... Lot....0.2.3., .0.0.q .... Subdivision .g4n..eR.ct.o.d..M.ap..o.~..bI.a~.~.t.u.c.k..H.e.i.g.h.t.S. Filed Map No..1.1..8.~ ..... Lot No. 6.4 .~ .P./.Q .6.3. .. PermitNo. 8148g Date of Permit 8../.1.5/.7..SApplicant S.k.inn~z p~ .Po.qls. I.n.e: (Pool) Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval November 12, 1987 .Planning Board Approval ...................... (Pool) ...................... Request for lemporary Certificate ..................... Fina~ Certificate ........ X. .............. Fee Submitted $ .......................... Construction on above described building and permit meets all applicable codes and regulations. Applicant ... < ............ ....... Rev. 10-10-78 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK's OFFICE ~6 l:C ~....~ SOUTHOLD, N. Y. Examined ................. 19.'.~..~..~_ Approved ............. !.x. ............ /..~Z., 19..lJ Permit No...~..[....J~..L..~ ..... Disapproved a/c t (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No ..... . .~...(..C. !...~..-~.. ......... Dote , u~lust Io, 75 a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Buildingri~ 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, relati6nship 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 com. menced 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 alteratlons, or for removal or demolition, as herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on prer6ises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) F,©. Box 10~ ~(~a'gtituek~ l~ew ~rork 1]952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (~er~era 1 Con'l; rac¢or Name of owner of premises [~.~7).~.~.. ]'[7: and Bet~:y 51~ Tyler If applicant is~?corporate, signature:gl' duly authorized officer. ............... ......... (Name a'~d title of corporate officer) 7. Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No. 2Z ¥[V 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number [my. er l~oad ~at%:l 'uuek Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use end occupancy z'osJ donee b. Intended use and occupancy ' '' ........... ff ......... Z ......................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work .............. pO~], ......................... . .... (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. 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 .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ...................................................................................................................... 70..t 9, Size of lot: Front .......................... ....................... Rear ............ ........................... Depth .,...,-r.z.-..- ................... 10. Dote of Purchase ...... L ................................................. Nome of Former Owner ...................................... , .................. 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........................... Will excess fill be removed frc~,~.r~j,s,e,s~(..,.,.,,,,~,.,,,.. ) Yes ( ) No ]4. Name of Owner of premises ...,l~Ol~y...~...~.~.~ .............. Address ..Mo.~..~'~rll ..........Phone No ....................... Name of Architect .............................................................. Address Xx"i~'"']jli~"'Xj~l]'" Phone No ...... ................. PLOT DIAGRAM ~ev Yolr'k Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ali 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 SmA ' OF //~ ........................ · /./.. (t~ ~,e.. Ah.:Le~s .................................. being (NaiVe of individual sighing contract) above named. duly s, worn, c~e,p, gses and says that he is the applicam He is the .............. i~ol~tr, lle.'~ol*. .......................................................................................................................................... (Contractor, agent, c,~or, po,ra~'e, c~fficer, 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, ore true to the best of his knowledge and belief; and that the work wJJJ be per~ormed in the manner set fo~h in the application filed therewith. Sworn to before me this ................. ...... ........ ' ~ ~ ~ ~ignature of applicant)