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Home My WebLink About11861-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....g.I. 5. 6..8.5 ........ Date . .A. 9.r.i.Z...2.3 .... ! .9.8.7 .............. THIS CERTIFIES that the building ...P.o.q 1. ......................................... Location of Property . .A.r..s.h.a.m.o..m.a.q.u.e...~.s.Z.a..n.d ............. S. qu..t.h.o.l.~ ................. House No. Street Hamlet County Tax Map No. 1000 Section . .5.2. ........ Block .... 7. .......... Lot .... [ ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in tiffs office dated ..... .A.u. g .u .s .t., ! ! ~.. 1. 9. 8 2 pursuant to which Building Permit No.. I. ~ g fi .1.7~ ............. dated ...A..u g.u.s.r...I.2. ,...I .9.8.2. ........ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wiffch tiffs certificate is issued is ......... Inground swimming pool and fence. The certificate is issued to ... PI;tI,L~P..J... QFRIAS ,IR. & SItARYN OFRIAS .......... ...................... of the aforesaid building. Suffolk County Department of Health Approval ....... .N./.A. ............................... UNDERWRITERS CERTIFICATE NO ............... .N.5.7. 6. .2.6.4. ' PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev, 1/81 TOWN iOF BUILDING DI~P.~RTM~NT TOWN HALL $OUTH'OI.~D,':N~ Y, BUILDING P,E~I~ (THIS PERMIT MUST BE KEPT ON THE PREglSES COMPLETION OF THE woRK AuTHORiZED) Permission is hereby g at premises located at ... ~;~. .:..; .................. pursuant to application dated ;...~.....'~.~....~;....., 19 and approved by the Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- [802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted iII-.~-, to the Building Inspec- tor with the following; for new buildings or new use: I. 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 disposa~-(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 p~operty showing all propertv 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 New D~elling ~25.00, Accessory,,$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 NewCons f,rucSion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................... I ........................ Houae No. Street Ham/et Owner or Owners of Property ?/~. ///~o .~.., ~/~,~/~.S, .~."~..../ .~.?.ff~.y,/~.. County Tax Map No. 1000 Section ............... Block .. . Lot ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .~.~r..~ .~.17.. ?.:...~?..~'./.~.S., .~ .~h. ...... Health Dept. Approval ........................ Labor Dept. Approval ........................ · .7.~-7~ ................. Planning Board Approval ..................... . Underwriters Approval Request for Temporary Certificate ............. ....~ficate ....~.. ................. Fee Submitted$ .......................... ~ / ~- Construction on above described ~ "~~~~e~odes and regulations. Rev. 10-10-78 - ~ ~ '~ FOUNDATION FOUNDATION 2~ ROUGH FRAME & PLUMBING S. INSULATION PER STATE ENERGY qODE FINAL Free Union,, Vir~ 804-823-2697 March 21, 1987 Southold Town Building Department Southold, New York 11971 Att: Curt Horton Re: C.O. for swimming pool Dear Mr. Horton: With respect to the above matter I have enclosed herewith! the application for the swimming pool G.O. together with:a cheek for you to fill out in thee correct amount (not to exceed $50), I :would appreciate it if you would p}ease send the C.O. to me in Virginia. If there are any questions~ or problems' please eai]~ me, collect if necessary. Thank you,,,,,'~'~"'"'""~very mu?. ~iP J. OFRIAS, JR. 1000344 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy in tbe following location; ~ Basetnent ~ tst FI. ~ 2nd Fl. ~ Section Block Lot was examined on ~p~ 0 ~ ~ and found to be in contpliance with the ~equirements of this Board. SWITCHES 2 FIXTURES RANGES ~OOKING DECKE OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FLUORESCENT SYSTEMS NO. OF FEET OTHER APPARATUS: E AW, G, OF CC COND, A, W, O, NO OF NEUTRALS OF HI-LEG (S~ Pool) This certificate covers co.lance at ~he date of inspection only. Becaube of unusual enviro~ments it is advisable to have ~uent te~tr and/or repairs made b~ a qualified person. OF NEUTRAL Phil Cordon 1~ Dean Po~ Jefferson S~a,, N.Y. This certificate must not be altered in any manner; return to the office of the Board :if may be c~edentials. COPY ~OR BU~ILDING DEPARTMENT. THIS CO~Y O ....... : ~: !~F ANY MANNER. lOW}q OF SOtJTHOLD BUILD~NG DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-11102 APPLICATION FOR BUILDING PERMIT Application No.././/.~..6/../ ......... Date ~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted..~-b/~._';_~? to the Building Inspector, with 3 sets ot7 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 ~ving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 alterations, or for removal or demolition, as herein described. with all applicable laws, ordinances, buil ~d~ng~o.~,de, housing code, and regulations, and to The applicant agrees to comply admit authorized inspectors on premises and in buildings for necessar~ins~n,~'. .. I!Z .t. ............. (Mailing actdress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................... ................................................................. Name of owner of premises ~t .~,/'~ ,~'. ~:>~-~,qo/.~. 4'~. st ~tfq~.~5. o~',,2t,~ ~ .......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~.. ..................... 'x Plumber's License No..~.. .............. Electrician's License N15. _ .N ............. 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... ~.~ ......... Block .... .~ ........... Lot ...... ~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................. ,[. ................................................... b Intended use and occup~cy Rc;pa~r .............. Removal .............. Demolition .............. Other Work .~. ~. t.., { ~- c~ (Descr~W~ 4. Es~:. ' ;ted Cost ....... ~..: ......................................... (to be paid on filing ~is application) S. If dwelling, number of dwolling ~nits ............... Number of dwelling units on ~ach floor ................ If garago, number ofc~s ..... ~ ................................................................. 6. If business, commercial or mixed~oecupancy, specify nature and ext~nt of each ty~o of uso .................... ' ' f ' ' gstmct 'fa ~ ' R ~ D pth .~$.' 7. Dimensions o eXlStln ures, 1 ny: Front ............ ear ........... e ......... Height . ~. ~.'. ...... Number of Stories .... ~ ................................................. D~ensions of~me stmct~e wi~ alterations or additions: Front ................. Rear ................. Depth .................... ;. HeiSt ...................... Number of Stories ..................... 8. D~ensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ....................................................... 1 I. Zon~ or uso district in which premises ~e situated.. ~. ~ .~.~ ~. ................................. 12. Does proposed construction violate any zoning law, ordinanco or regulation: ..~ .......................... 13. Will lot bo regraded ...... ~ ................. Will excess fill be removed from premises: Yes 14. N~o qf Owner of premises ...~.% ......... Address ... ~ ~ ......... Phone No.~.~t. ((.a ~... ..~ ................. m~ ~ PLOT DIAG~ Locate clearly ~d disfinctly~:buildings,.whether existing ~r propose, and, indicate ~1 set-back d~ensions from property ~nes. Give street and blo~ number or descfiP~0n according to dee~I and show street n~es and indicate whether interior or corner lot. ! I COUNTY OF .~.~.~.% ~-.~C._ ..... is's ..... 'P~. ~ :¢.L .P....~. ,...o.t.,¢ ~..~.~,...~.~.. (Nafne of individual signing contract) above named. ..... being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) ~f aai& ewner er c'.'.'ncrz~ 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 are t~e 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 ......... t. / ............ day ....... ,1 U/~ OTARY PUBLIC, State of New t/ark ............. ~o. ~7S¢246 {Signature of applicant) , Qualified in Suffolk CountX . ~ Ca.mission Expires March 80,