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HomeMy WebLinkAbout11593-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zl~t88%o . Date. FEBRUARY 22 84 ACCESSORY THIS CERTIFIES that the build~g ................................................ 1605 MIDDLETON RD. GREENFORT Location of Property ............................................................... Hou~ No. Street Haml~ County Tax Map No. 1000 Section o41 ..... Block 2 . .Lot · 1 3.1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated MARCH 22 82 11593 19... pursuant to which Building Permit No. - M~RCH 26 · aaten ............................ 19 .8.2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy ~r which this certificate ~ issued ~ ......... FOR AN INGROUND SWIMMING POOL The certificate is issued to . .F. RAtiK..A, ·&..MARr. JLRZT. JL ~. F/L.EL, D ........................ {owner, levite or tenant~ of the aforesaid building. Suffolk County Department of Health Approval ...N ~ A ............................... Building Inspector Rev. 1/81 TOWN OF, $OUTHOI~b SOUTHOLD, H~ Y. BUILDING PERMIT (TH:S PERMrr MUST BE KEPT ON 'rHr p~EM:$~S UNTIL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: '"~ .........................'2~.'"*";" ................................................................................ '~-~.?'.: ...... ~....~ ......... ~.~,,~.~..,t County Tax Map No. 1000 Section ~,~. i. ' ~ ~ ....... Bilk ~ ........ ~:Lo, No. ,~Z~ ......... pursuant to opplicotion d~ted .................................................. :.. ..... 19..,..~,.., ond ~pproved by the Building Inspector. .... ~~~~ ....... · Ui!dln~ ?~cto~ Rev.~6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 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 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. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-exist_in_g" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $5.00 / //$5.00 2. Certificate of occupancy on pre-existing dwelling er land use 3. Copy of certificate of occupancy $1.00 Date ..... New Building ............. Old or Pre-existing Building(Z) ............ = ZVacant Land Location of Property /b0-~ [/)J~L L,- '-/-oAf ~)-~EE-~O ~-7 House No. Street Hamlet Owner or Owners of Property /:-[~/~/vf<' ~: , ,~Gz4 7~E--' County Tax Map No. 1000 Section .... ,~../. ..... Block .. ~ Lot.../..~.'../, ..... Subdivision ................................ Filed Map No ........... Lot No .............. ~0 ~. l .~.~. .~.'/./7.. ,'.'.'.'.'.'.'.'.~T Appli Permit No .... Date of Permit . cant · ~( 5~ Health Dept. Approval ~q /~ ~/ ~ ~..Labor Dept. Approval Unde~riters Approval ...~. ~ ~ 6 ~5 ~ .Planning Board Approval . Request for Temporary Cerd[icate ..................... Final Certificate ........ Fee ~ubmitted * ...... ~.~..~. ~~-~ ~-- abov descr, ed buildin- an~ - ~(0 ~ ~ ~~, Construction on e 'b , d~ me~ll ap~ [~ a ~d~;sr Memorandum from... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD 765-1802 ~, ~.~" ~. ~.~,?. J.0UU3b, o, THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003~ THIS CERTIFIES THAT only the electrical equipment as desc~bed below a~ int~duc~ by the appllca~t Ramed on the above application nu tuber in the premises of in the followlng location; [] Basement [] 1st FI. was examined on April 19, 1982 FIXTURE OUTLETS IECEPTACLES 1 [] 2nd FI. 012Lt~ide Section BIocl~ and found to be in compliance with the rdqu rements of this Board. Lot SWITCHES FIXTURES RANGES COOKING DECKS ~ OVENS EXHAUST DRYERS 2 1 FLUORESCENT FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME ~LOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 1-8.F.£. S E R V I C E i~ RCC~ W O, I NO. OF FI, LEG A, W.G. NO OF NEUTRALS NO O E COND. OF '~C COND. OF HI-LEG A, WG OF NEUTRAL Coz'don / ' Z)ean sc. ~,~A~ M^/~E. J Jeff~ S~t~,N.~. 11776 L~.ZZ01 E _ ~ N {~ .u, OING DEPARTMENT. THIS COPY OF SE~i I~A~ . ~ B '~ER~D I ANY~MA__NN~R~_~ FIELD IMSPEC~ION COMMENTS ,. ~ FOUNDATION <1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 4 ~ coPl~ SECTION 8L00& : SKIMMERS $.__,~ RETURN ,e 0 I ~ ~ ~ --- ---- ~ i ROLLED FOAM ~ '~~ ' .... '. 'e ' . ,'~.~ ~o.o~ "" '" PING ARRANGEMENT V~NYL SECTION o ~.. . ~LA,i~SF~TOOMS[pO?L~OOTH- NON SKID ~PE, SLOPED ~ATER DI~SAL SHALL BE LIMITED TO OWNERS PROPERTy TO SUIT LOCAL REGULATIONS MOULDED I PIECE OPTIONAL STEP TYPE I. THICK '© L~ TROWELS. OF CONCF FOIL~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ..... proved ...... ~pprove~ a/c ................................................................... / ....................... .................................................................... .................. ................. Application No ..................... APPLICATION FOR BUILDING PERMIT Date . Marc.~. 23 ]9....8..2. .... INSTRUCTIONS a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sere 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 oF areas, and giving a detailed description af layout of property must be drawn an 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 shall be occupied ar used in whole or in part for any purpose whatever until a Certificate of Occupa~'Jcy 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 alterations, or for 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. ~W%~ King Pools (Signature of opplicant, or nome, if a corporation} Rte. 25A Rocky Point, NY 11778 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. AGgNr£ Frank Field Name of owner, of premises ................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 61 Plumber's License No ................ ~.f.~ ......................... Electrician's License No. llOlg Other Trade's License No .............. .N.../..A.. ......................... Subdivis ion 1. ~.ocation of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number ....... ~f~Z..M, Ldd,].~t.o~..RcL..,.G~r.e~ml~o~¢, ......................................................................... //~"~ .~ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Residence b. Intended use and occupancy 16x32 T In,.round swimming pool with 4' fence to code County Tax Map No. Dist, 1000 Section ~[ Block 6~- Lot I0. 11. 12. 13. 14. Nature of work (check which applicable): New Building.. ................. Addition ........... Y~. ...... Alteration ................. Repair .................. Removal ........... ]'t. ..... Demolition .................... Other Work .................................................... i ] ~ ~ (Description) Estimated Cost ........... .6..4...9..5..:..0...0.......!.. ........................ Fee ....~'...~..[ ...... ....................................................................... ] (to be paid on filing this application) If dwelling, number of dwel!ing unit~ ............................ Number of dwelling units on each floor ............................ If garage, number of cars ..., ............. If business, commercial ori mixed Dimenslo~s of existing structbres, if a Height ........................ Number of Dimensions of same structure with Depth ................................ iHeight Dimensions of ]entire new construct ~.: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stoties ...................................................................................................................... Size of lot: Front ............... i ............. t' ........................ Rear .......................................... Depth ................................ Date of Purchase ............... ; ............. ~.. ........................ Name of Former Owner ........................................................ Zone or use district in which premise'tare situated ..................................................................................................... Does proposed construction violate a,:y zoning law, ordinance or regulation: ........................................................ Will; lot be regraded' . .......... ~..e...s. ........ Will excess fill be removed from premises: (X) Yes ( ) No Name of Owner of premises ...!.....?..~.a..' Name of Architect .............i ............ Name of Contractor ..... Locate clearly and distinctly dll buildi~ property lines. Give street and block nun whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ....... .~.U~-.[P.~.k ...... · S.S Michele A. Smith (Name of individual signing col above named. ' He is the ....................................... i ............. (Co~ of said owner or owners, and is dbly auth~ this application; that oil statements conrail that the Work will be performed in the man~ Sworn to before me this ........ .~c.:.,~ ....... aay or ..¢j~/~.?.:.~...~(, .......... Notary Public, ......~.~.~ , ccupancy, specify nature and extent of each type of use ............................ y: Front ............................ Rear ................................ Depth .................... berations or additions: Front .................................... Rear ............................ ......................... Number of Stories ................................ tk Field Address Middleton Rd Phone No. 477-2433 J/.A ............................ Address ................................ Phone No ....................... ,....~..o.p..],.,s.' ................... Addresa..?..E.......~..5..a. ............... Phone No..7..~..~.U..8..]:O...0.... PLOT DIAGRAM gs, whether exmting or proposed, and red,cate oll set-back d~mens~ons from ~ber or description i~ccording to deed, and show street names and indicate SEE ATTACHED SURVEY .......................... being duly sworn, deposes and says that he is the appticam tract) ... AG~'.N2. ........................................................................................................... tractor, agent, corporate officer, etc.) rized to perform or have performed the said work and to make and file ~ed in this application are true fo the best of his knowledge and belief; and ~r set forth in the application filed therewith. ........... , , , ; ,, '. ...... ! .... '., ~ '.. ~£,.~ , · ..................