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Home My WebLink About11873-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bullding Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.1.4. 9.~ .......... Date ..... ~.e.b. ¥.u.a?.y..2.4., .............. 19.8..5 THIS CERTIFIES that the ~ot~itd~g-...p.q o 1 ......................................... Location of Property 1 I 15 Oaklawn Avenue Southold - h~&'~ '~'oi ....................... 's'ti~i ....................... County Tax Map No. 1000 Section . .Cl 63 ....... Block ...q ? .......... Lot .... 0 .0.3 .......... Subdivision..X. ............................ Filed Map No..X. ...... Lot No...X ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...g.u. gu. 9.~.. 1. 9. ........ 19.8.2. pursuant to which Building Permit No.. ] .~ .8.7.3...Z ............ dated . . . .A.u.su. s. ~..2.4. .............. 19 .8.2., 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 ......... ...... a..n..J..qg .v 9~t.q d.. p.m.S, r0..m.~.~, p.o.q~ .. ........................................... The certificate is issued to .... .39.5. E. P..H..&..b9.~.~..z~.~..~ .Z.~p.V.Z..C.H ........................ (owner, I~ of the aforesaid building. Suffolk County Department of Health Approval .. ,n./. 9 .................................... UNDERWRITERS CERTIFICATE NO ........... ixJ. 5.7.6. ~ ~ 3 .............................. Building Inspector Rev. 1/81 TOWN OF ~oUTH/)~D BUILDING DEPARTMENT TOWN (HALL i $OUTHOLD,' N~ ¥. BUILDING P,E~IT (THIS PE~IT MUST BE KEPT ON THE P~E~ISES uNTIL COMPL~ION OF THE WORK AUTHORIZED) ULL Permission is hereby granted :, ..... ~./.:......~..d ~...~:~ at prem,ses located at .Z~ ................ ..................................................................................................... ~ ~ ; ; .......... co~ ,~ ~,~ uo. ~o0o s~o~~..~.....~. ~o~ ~.~Z...:.....;¢~ ,o. :~ ......... ~u!ldlng I~spector. Fee ..... :~--,~ ..... ~ ....................... : : ~ ~; I~ecto~ Rev,: 6/30~80 FORM NO. 6 TOWN OF SOUTHOLD BuiJding Department Town Hall Southold, N.Y. 1 i@71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property wfth accurate location of all buildings, property lines, streets, and unusual natural or to0ograohic features. 2. Final approval of Health Oept. 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 building~ and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submi~ 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 peoperty 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 85.00 3. Copy of certificate of occupancy $1.00 .................. ...................................... Locat on of Pro ertv Hou~ No. S[r~er Ham/et Owner or Owners of Property County Tax Map No..1000 Section ~ 3 Block ...Z Lot Subdivision Filed Map'No Lot No Health Dept. Approval ....... App ...................... Bequest for Tem~oraW Fee Submitted $ ............................. Construction on above described building a_zLnd permit meets all appI~cab e~codes and regulations .......................... 10o0344 THE NEW YORK BOARD OF FIRE UNDERWRITERS n~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW yORK 10038 O~,te ,~eptember 14, 1~ ~,i~tio=~o.o=ft~1~74- ~ N576263 THIS CERTIFIES THAT only the electrical equipment as described below and introduc~ by the applicant ~amed on the able application number in the premises of ~. Milo~ch, 10~ ~ Ave. ~ ~t~ld~ N.Y. and fouttd to be in compliance with the requirements o~ this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS OUTLETS SWITCHES FLUORE$£ENT DRYERS SYSTEMS R V I C A W.G. NO. OF NEUTRAL A, W, G OF HI-LEG OF NEUTRAL Phil Gordon 12 Dean Si;. Port Jef~'~rson St.a., N,Y. 11776 This certiflcgte~ must not be altered in any manner; return to the office of the Board if inco~rrect. COPY FIELD I~NSPECTION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,gD o FINAL COMMENTS ADDITIONAL COMMENTS: FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1~02 Examined ................ ,19 ... Application No ................ Approved ................. 19... Permit No ............ Disapproved a/c ....... ' ............................. '. (Building Inspector) ~' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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, relationship to adjoining promises or public stref or areas, and giving a detailed description of laybut of property must be drawn on the diagram which is part of this apF cation. c. The work covered by tiffs application may not be commenced before issuance of Building Pe~it. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen~ shall be kept on the premises available for inspection throughout the work. e. No building shall be occnpicd or used in whole or in pa~ for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Pe~it pursuant to t Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction o~ buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, honsing code, and regulations, ~d admit authorized inspectors on premises and in buildings for necessaw inspections. (Mailing address of applican;)' '~ ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nrune of owner of premises ,Jt)..s.t.:'(~/~/..q~..4 ~./.~/¢...~/&/-~..~. f .z..~..~/.~././. ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...... (Name and title of co,orate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No.' ...................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................ ................. (2 ,¢./¢ f. . . h ?. .......... ?. u .o k . . ......................... House Number Street Hamle~ County Tax Ivlap No. !000 Section ...~. ~.~. 2. ........ Block .................. Lot..~...q~'. ~'~ ........ 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 ... ~.~..P~-.~..//?.~..~.~. ................................................ b Intended use and occupancy / ~ Nature of work (cheek which applicable): New Building .......... Addition ......... Alteration .......... Demolition ......... Other Work .'~..,~4~. ,~f¢."". .... Repair .............. Renioval Estim!ated Cost .. Or. .... (Description) ...... Fee ..................... .~ ........... (to be paid on filing this application) Number of dwelling units on each floor ................ ,.'Ifd~elling' number of dwelling units If garage, number of cars .... . ................... i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ... Dimensions of existing structu?es if any: Front ' Rear Depth Height ............... Nu nber of Stories ...................................................... Dimensions of same structure x¥ith alterations or additions: Front ................. Rear ................ Depth Height Number of Stories Dimensions of entire construction: Front Rear Depth L new .......................................... Height Nuraber of Stories ' ) Size of lot: Front ' ' Rear Depth ) Date df Purchase Name of Former Owner I. Zone or use district in which premises are situated .................................. ?'. ............. .). Does proposed construction violate any zoning law, ordinance or regulation: ..... /~.t?. ....................... L Will lot be regraded ........ '..' .................. Will excess fill be removed from premises: Yes No L Name of Owner of premises,T~.$.~t~/4...~..I.t.p.q~.~.l:l... Address ...~?.t..~.w.q..~..V.6~ .... Phone No..~..~.~-7 .~...~.'?~. .... Name of Architect ! Address Phone No Name of Contractor ........ ~ .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly ~d distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty Ii les. G~e street and block number or description according to deed, and show street names and indicate whether ,terior or corner lot. rATE OF! NEW YORK, OUNTY OF ..... : .... ' S.S ...................................... : .......... being duly sworn, deposes and says that he is the applicant (Nanie ofindMdual sigh'ling contract) ~ove named. is the .. ................... (Contractor, agent, corporate officer, etc.) said owner or owners, rind is drily authorized to perform or have performed the said work and to make and file this ~plication; that all statements conlained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner sat forth in the application filed tl,erewith. worn to before mc this ..................... day o? ..................... ,19... otar3, Public ' Count~, (Signaturo of applicant) FORM NO. 1 TOWN OF SOUTHOLD " BUILDING DEPARTMENT ~ TOWN HALL SOUTHOLD, N.Y. 11971 . TEL.: 765-180'J Examine ~"~ ~ ,19 .~.d Disapproved a c~.... 7. .......... :~--~--.... -- ...... ~ ; Inspector) APPLICATION FOR BUILDING PERMIT Date. ~.//~.. INSTRUCTIONS Application No ........... I/~.~.Z.~.. a. This application must be coinpletely Filled in by typewriter or in ink and submitteatimgtmiPiitm~ to the Building Inspector, with 3 sets of plans, accurate plot plan to scala. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street.~ or areas, and giving a detailed .description of layout of property must be drawn on the diasram 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 Bufldiog 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 o~ 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 tc admit authorized inspectors on premises and in:buildings for nec~ry inspections. (Signature of~plieant, or name, if a corporation) · . (Mailing address ~f applicant) State whether applicanti m' owner, lossee, agent, arc~, engineer, g~neral contractor, electrician, plumber or builder. Nameofownerotpremises .... ~./.ZO Z/ C~ ~ O. .~. .~. .& e (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 .... ~../ ........... Plumber's License No. /~)/rt~ .... Electrician's License No .... .//.~. / · Other Trade's License No ............... 1. Location of land on which proposed work will be done..~./~... ~.~..~...,~..~,: ....................... ...... ///.o.-.. ........... o,~../~0~...~.. ~... ......... House Number Street Hamlet Court,,, T,,, ~ap NO. looo Section .... O'.C0. 3 ....... ,~lock ... 0..'7 .......... Lot....~.,~ .......... ..... .......... 2. State existing use and occupancy of premises ~ intended use and occupancy of proposed construction: a. Existing use and occupancy '-~,~' ;.'. - ~)oot w,-~ q' -'"'- - ~ ~,"-~",",~."',",.,..,,,~' 3. Nature of work (check which applicable): New Building .......... Addition . .~. ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 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 .............. l:Ie~=ht ............... Number of Stones ....................................................... Dimensions of same structure With alterations or additions: Front ................. Rear ............... -... Depth ................... ... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Heigh t ............... Num bet of Stories ....................................................... 9. Sizeoflot: Front .......... . ............ Rear .......... Depth .............. 10. ])ate of Purchase .......... ~ .................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction, t,,, ,-vi°ilate any zoning law, ordinance or regulation: ............................... 13. Will lot be ..... ~/i .r--.>a;~. ,./:.:, ;, ......... Will excess fill be re. moved from premises: ,t~s ~ No. 14. Name of Owner of premises-J: ./j//.c.(/1,1./.L~ ...... Addresa~/g~.'~N..~..'. ..... Phone No.../2~ .~,~.~2 Name bf Architect ...,~ ..... ;;, ...... ,~, ........ Addres~'~ ~?~L~ .'~. ~/~/ ........ Phone No .............. i'~r Name of Contractor ~,)l/2/! ~/'-/¢./-'~].d../~. .... Address .~d.Z/,. ~..5'~. ........ Phone No...~../7.~..--~./..~i.. /. ' PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all 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 lot. STATE OF NEW Y-43RK .... 'S S COUNTY .... . .._, . (Name ct individual sign!lng c~'nt~dc'ti ..... above named. He is the ........................................................................... ' (C tt~l/:tor, ffi ) ~ on agent, corporate o cer, 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 are true to the best of his knowledge and belief; and that the work will be, performed in the mannelr set forth in the application flied therewith. Sworn to bef~ Swi JKing la ls Route 25A [] Rocky Point lew York 11778 [] 516-744-8100 HOME TELEPHONE: BUS. TELEPHONE: MAP COORDINATES: CROSS STREET: SPECIAL INSTRUCTION: DRAWN BY: SPECIAL INSTRUCTIONS TO CUSTOMER: ! understand and approve the location of the pool and all the pool equipment and accessories. If any changes are to be made, Swim King Pools must be notifind in writing 48 hrs. pr~j~ to excavation. I agree to the layou.t.~ ~-~, . . _~ ~ J OS L-..PLI 4. SOU-THO,Lb- TITL~- No- t3-~-03404 ' ~iJ,Jl ' ' '' ' i~=~J "- TION~ A ' ', ., I I J I i j - I ~ .~ o .. !~ - ._ I / ,k~l ~IIP~'~' ~ /~ ~ ~--~ ~NYg L NE~~ ~ '" ~TO FILTER ......... / .... ~ ..... ~ ~o~ s~..[.s / ~ ' -~ PIPING ARRANGEMENT SECTION B-B WALKS TO AWAy FROM PC.~i ..... NUN SKID ~PE, SuOPED ~ '~ : j I ~ ~ : I. I L ~ ~36' 6 '16 f2 8 12 ' 4 ~.2 '2 'O '2 6 5~2 ~8500 ~ OPTIONAL STEP 57'6. .... TYPE I. ,..,,,_- [2' ~ POj~ED CONCRETE FSST,N$ TY PIC'A L Y/A LL SECTION OPTIONAL STEP TYPE 2