The URL can be used to link to this page

Home My WebLink About11916-zFORM NO. 4 TOWN OF SoUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UP-DATED CERTIFICATE OF OCCUPANCY No Z-22479 Date JULY 28~ 1993 THIS CERTIFIES that the building Location of Property 1000 INGROUND SWIMMING POOL SOUND DRIVEr GREENPORT, NY House No. Street 33 Block 4 Lot 3 County Tax Map No. 1000 Section Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11~ 1982 pursuant to which Building Permit No. 11916-Z dated SEPTEMBER 16, 1982 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 The certificate is issued to mir. Iv M. NORVIK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N 576135 PLUMBERS CERTIFICATION DATED N/A PLEASE NOTE: THIS UP-DATES CO #Z-14680, dated 7/22/86. A BUILDING PERMIT NOR A CO WAS REQUIRED FOR ON-GRADE DECK AT TIME OF CONSTRUCTION, 1982. /// ~uilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... ~.1.4.6.~0 ........ Date .......... 4u..~y. ?.2. ............... 19~..6. THIS CERTIFIES that the building .... .~.n.g~. 9.u.n.d...s.~.J_.m.m..~pg..p 99.1.. ................. Location of Property .... 1. Q 0 ~ .......... $ 9.u.n.d.. p?.?. e. ............... qr.e..e.n.R 9~' .~ ....... House No. Street Hamlet County Tax Map No. 1000 Section ,...3.3. ...... Block ......... .~ ..... Lot ...... 4. .......... Subdivision ...... ~ ~ ~ .~.e.r.r~. 3hq r .e ~..3 e C ...]..Filed Map No..../4.0.2. 1. .Lot No .... ] .9 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... A.u.g.u,s.~. ! .~.., 19~.2.. pursuant to which Building Permit No .... 1.1.9. ! 6Z dated ...... .S.e~p.g.e..m.b.e.~.. J .6 ........ 19~.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 ......... p.qq .~.. .................................................. The certificate is issued to EILZV M. NORVIK (owner, ~X~O{~rr XOOlO~ of the aforesaid building. Suffolk County Department of Health Approval ...... ~ / ~ UNDERWRITERS CERTIFICATE NO ..................... ~ ~ y.6fi. 3..5 ..................... Rev. 1/81 Building Inspector TOWN OF SOU' HOi~D BUILDING DEPARTMENT~ ' ToWN HALL SOUTHOLD, N~. ¥. BUILDING PERMIT (THIS PE~IT MUST BE KEPT ON TH,E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1:1916 Z Petmissior~ is hereby granted to: ...... , ......... :...~ ~ ./.~'~. i.: .................... at premises located at ..../..~.~..~.....~... ............... CouS~ T~X Map No. 1000 Section ~..~ ........ Bilk .,,.~,~' ......' ~L: ot No....~.~.~ ..... BuildingPu~Uant Jospector.~° application dated ../.~ .~.(.:. ~ ~ ,...., 19. ~ d '~pprov~ by the Fee .. . ........... //, Yuildin~ I~ecto~ Rev. 6/30/ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~..~7!''~ :'77'~i TOWN HALL . 3 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10.of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April '9, 1957) non-conforming uses, or buildings and qpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. ' Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... 7/~..~./..~..~.. .................... . .. . . Ney Construction .......... Old Or Pre-existing Building ....... ocationo Property...i! . .O. .... .............. House No. Street Hamlet Onwer or Owners of Property .................................... .. ....... . . '.~ .-5.. .k-. County Tax Map No 1000, Section ........... Block .............. Lot ...................... · f~ ~7~ ~1 ~,,- ~' ........ ~..o Subdivision ...... · · ~~Filed. Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning ~oard Approval ............. ~ .......... Request for: Tempo. rary Certificate ........... Final Certicate..~.~.~.T~ ~) ~ /~Clti~L Fee Submitted: $ ...... .~..~..¢~ ................ ' (P/d Co4.,,~'~E ~C~ - .... .... ................ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ! ~ to the Building Inspec- tor with the following; for ne~v 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 electrica~ 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 property 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 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .......................... New Cons truc ti on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ?,Om.O, .............. '. ,,~).~. ?..~,~, ],.~, r.l:l~',, ,~' .... ............,....~¢~ ~ ~e.r~ House No. Street Ham/et Owneror Owners of Property .... ~ ~,'V ~' /~j ~ County Tax Map No. 1000 Section ............... Block ............... Lot ............... Subdivision ................................. Filed Map ~o ........... kot ~o .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ . .C~. ................... J .... Construction on above described building and p~rmit meets, ell appJ~ble codes and regulations. O' (~ ,~' ~'J q b~'~ Applicant .~/~...'. ~ ................. FIELD INSPECTION . COMMENTS 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS IBUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~ SeFca~ber 14, 1982 ~..~c~t~o. ~o. ~.~ 183876-82 .~ N 576135 THIS G~TI~I~S THAT in the followlng Ioca~ion~ ~ Bas~me,~,,..~ 1st Fl. ~ 2nd Fl. ~Si~ Section Block Lot · ' ~ ~ ~ ~ and~ound to be in co~npliance with the r~quire,gents of this Board. FIXTURE FIXTURES RANGES COOKING DECKS EXHAUST FANS OUTLETS FLUORESCENT DRYERS SYSTEMS NO. OF FEET OF NEUTRAL Gle~ K. Bradley RFO 169 Hor~n Ava, ~acgituck, N.Y. 11952 COPY ]FoR THIS COPY OF ANY MANNER. Therefore, no pe,,u,~ unct~ Aa,tZ~¢ ~5 frgd, aZ ~etZan~ ) o~ ,the ~nvg,'tonmen~2 O, ort,6e,~.va.~on Lam Z6 ~equ~m:l ~Znce ,the proposaZ i6 betyond State .ju2t~d, Le,tAon pu,~u, am~ .,to ~ ae,t. Regional Peanff~ Ad~t~r ZTJL: RNT: cz 765-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:,, FINAL FORM NO, 1 TCWN OFSOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... ?,'i../.'~.: .....19 .07. Approved....?, .'~./.'~ ....... 19q~.~. Permit Application No.../,/..~t~.4 ..... Disapproved a/c ....... ' .............................. (Bu,ld~ng Inspector) ' APPLICATION FOR BUILDING PERM IT Date.... '~..//.~. ......... 19~.z'' INSTRUCTIONS a. Th~s application must be completely filled iu by typewriter or in ink and submitted in triplicate to the Buihh Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Pict plan sho',wng locat~on of lot and of buildings on premises, relationship to adjoining promises or public sere, or areas, and giving a detailed descriphon of layout of property must be drawn ou the diagram which is part of"this apl cation. c. The work covered by this application may not be commenced before issuance of Buikling Permit. d. Upon apprc.'al of this application, the Building Inspector will issue a Bui!dmg Permit to the applicant. Such porn shall be kept on the premises available for inspection throughout the work. e. No butldmg shall be occupied or nsed io whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS ID:,P. EBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Buff.ding Zone Ordinance of the Town 'of Soutbold, Snffolk County, New Yor.~qand other applicable Laws, Ordinances Rcgulatinns, for the construction of buildings, additions or alterations, or fo{' r~moval or demolition, as hcreiu descrilx The apFhcant al:roes to comply ',,v)th ,a, lt applicable laws, ordinances, buildieg c~dc, hous~g co4, and regulations, and admit authonzcd mspcctors on p,unuscs and in buiklings for necessary iospe~ t,¢/,/..~ (Signature of applicant, or name, if a corporation) ...... ... (Mailing address of applicant) State whether applic:mt ~s owner, lcssee,~arc'litect, engineer, general contractor, electrician, plumber or burr (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 Licens'.' Ne, ......................... Electr c'au s License No.' .................... l. Location of land on which proposed ;york will be done. ....... ..... ........ I-i; [ls~ Th"u m be r ........ Street .................. [tam'let ~ ........... County Tax 3, lap No. !000 Section ..... ~....,~. ........ ' Block ...... f ........... Lot... 5{. Subdivision, ,~14~.~..~..e..~..~....,~k~ ........ Filed Map No .... '7. .......... Lot ~ (Nellie) 2. State existing use and occopanc7 of pre..u0iscs and intended usc~ and occupancy of proposed construction: 'b. Intended use and occupancy .......... ~.?~..f~...'~,.~'. ....... : ............... L Nature of work (check which applicable): New Building Addition .......... ' AJteratmn .... , ,,moht.~,n ...... , .... ~.. 9ther Work..., .......... Esti noted Cost ........ ~ C) dj) (--fl ~' ~'/CJi~ / oc' ]~.e,-n cz t~scription) J . (,o be paid on filing this a[ ~lication) ;.' If dwelh,%, nul Iber of dwelling units If ga ............... Number of dwelling units on ea.~h floor.. ,..ge, nt~rrlber of cars ................ . ........ i. If bu '' ..................... [". Dim",mess, commercial or ,taXed occupancy, specify ~:~ature anti extent of ca'ch tyne ~of , nslonsofexistingstructtres ifa~x' Fr,-,,~ ' ,- ' "~- I ..................... He/gl t ............... Nthnber ct Stor cs .... i Dimens/ons of same structure with alterations or additions: Front ........ ...... '... Rear ........... Dept i... ....... ,. · · ~.., .... - ..... Itei~t ...................... Number of Stories .......... I' · 'L Dimensions ofvndru nuwcon~truction: Front ....... ............... Rear ........... Het§~: .......... .l.~. · · Nt tuber of Stor/e~ Depth ............ ..... · ............ De th }. Nam,, of Owm:r of pre nises .~'/.,"/,.'q- lO&'~._'u',il',"' ','f~ e ess nu toe emovcd f[om premises: J ocate' clearly ',nd d~stmctly all buildir, gs, PLOT DIAGRAM ' , - · : . w~het?e.r existing or proposed, and, indichte all set-back d '~sns~ons fro do; ~ rty hires. Gn'c street and block: number or d,-scnpt~on according to deed, and show street names and im [icate wheth .!cfi )r or ,corner lot. TAT!~ OF NEV,5.YOP, K,x ._ ou 'r¥ s.s ~ ~'~'~ ....... being duly s~vorn, deposes md says that he: the applicnn j [(Name of indMdual sign ng contract) }' ' ; (Contractc~orporate officer, etc.) )phcanon;lfi at I stat:men s cont:ii; d h, th;,. ,-~,.,... - ,. .... rmud thc smd WOt,, and to ntko and file ~ o~kwil he, performed nt~cma,, [~7/-,;":°]~pncat)pnpretruet°thebest°fhisknowledgeamlbelief'andth ttv] wdrn~to be bre me this .... ~ ~, ,orm m rne appllcahon hied therewith. ) o /g o o o