HomeMy WebLinkAbout11988-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPART~IENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No...3~2.~45... Date Februars{. 6 ..... 19 84
THIS CERTIFIES that the lraflding .. pQ.o.1...&..d.e.c..k .................................
Location of Pmnertv 2055 Anchor Lane & 685 Windjammer Drive, Southold
House No. Street Hamlet
County Tax Map No. 1000 Section 079 .Block 04 . .Lot...038
Harbor Lights Est.'s · 4362 27
Subdivision ............................... Flied Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October 18 , 19..8.2pnrsuant to which Building Permit No. 11988 Z
dated ...... .O.c.t.o..b.e.r..2.7 ..........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..i..ng.r.o.u.n..d..s.w..i.m~..i.n.~. ~.o.o..1..w.i.t..h. deck an.d fence enclosure..
The certificate is issued to .............. PETER LUHRS
....... .....................
of the aforesaid building.
Suffolk County Department of Health Approval ....................................... N/.A . -.
N597..23.2
UNDERWRITERS CERTIFICATE NO ...............................................
Rev. 1/81
Building Inspector
TOWN OF $OUTHOLD '~
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N~ Y. i
N°.
BUILDING
(THIS PERMIT MUST BE KEPT ON, 'FH.E PREMISES UNTIL F~ULL
COMPLETION OF THE WORK AUTHORIZED)
~sss z Date. ~..~..~.......~...~ ........
Permission is hereby granted to: ~ - /~
.....~..~.,.~.....~:~..~.~. ...~/.~,..: .............
.....~ ~. ~.~ ..~ ...... ,...
,o ~Z~.*.~....z~.~.~....~~~' ~~...~:~Z . ~
.... ~.~:¢...~.cZ~.~.~ ......... :~..~. ..:......~~ ....... ~~...~ ..............
~ ~....Z~ ~. ... .Z~...~z: .....~..~.~,...... .......... ~z~..~.z .............
pursuant 'o appl,cation dated ~~:.:..Z.~.:~;....., '9.Z~and ~,proved by the
Building I~spector.
Fee :$.. ,, .
Rev., 6/30780
FORM NO. 6
TOWN OF $OUTHOLD
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 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 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/ land
3. Copy of certificate of occupancy $1.00
use --Pre-Existing C.O. $15.00
Vacant land C.O. $ 5.00
New Building.. ~.0.!'~..~¢~)ld or P re-existing Building ............ Vacant Land .............
Location of Property .~.(~,~~ ./~...d.,~o~ ,~.,~o,~ ~O~ ~o/~ .....................
............................ Ham/et
House No. ~ Street
Owner or Owners of Property ...~.. ~., .... ~.. ~/~-~.-. ~ .... ~.~ ............
a o 1000Sect,on ~7~ .. Block ..~/ ....... Lot... O3~
County Tax M ~ N . ' ...........................
Sumi ion. ..... m ........
Permit No..//.~.. Date of Permit ~/~pplicant. ~.~... ~ ~ ...............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters ^pprova~...~Z~.~ ......... Planni.g Board ^pprova~ ......................
Request for Temporary Certificate ..................... Final Certificate ....~. · ................
Fee Submitted $ .............................
Construction on above described buiJding and permit meets all applicab, Je~codes and regulations.
Applicant . ,.. .(?-Y~.~ ........................
,,~.,o.,o.,s 0o~- I~-d~3 7~5-~7
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~00~"~[ BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT
only the el~trical equipment as described below and introduced by t~ applicant na~ed on t~ above application nuotber in t~ premises of
~h~. L~'~ ~055 ~r ~e~ ~u~l(l,
~s examined o~ ~ ~ ~ ~ and found to be in comptiance wlth the requlrements of thls Board.
FIXTURE
OUTLETS
DRYERS
~ECEPTACLES SWITCHES
1
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
INCANDESCENT FLUORESCENT
SYSTEMS
NO. OF FEET
E R V I C
NO Oi~EC~ ~,COND OF A'ccW'coNO.G' NO, OF HI-LEO oFA Hi. LEGW* (~* NO. OF NEUTRALS
~_ ~n~.~t.~oo~**l~). This c~tificate covers cc~pli~noe at ~he date of in~0ection onlyo
Bemuse of ~n~ual environments it i~ advisable ~o have frequent test and/or rep~lz~
m~de by ~ qualified
7~ ID~J This certificate must not be altered in any manner return to the office of the Board if jncoi'rect Inspecto'rs may I~e~ident fled by their credentia s ~AI~
E . COPY FOR I~UILDI~G DEPARTMENT. THIS COPY OF CERTIFICATE MUST NO~ BE ALTERED IN AN~ MANNE~. =
COMi1ENTS
FIELD INSPECTION
1.
FOUNDATION (1st)
FOUNDATION (2nd/
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
%.ODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined,f~52.:.~< ~ ...... 19 &~
ApprovecV.O.T..~..~, ....... , 19~..~.' Permit No..d .........
~lding Inspe~t;;~ ........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted.~:1v.!h Xt_~ to the Buildin~
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 premises or public street:
or areas, and giving a detailed slescription 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 penni~
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 Occupan%
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 m
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 necessary inspections.
· ....................
(Signature of at~ticant, or name, if a corporation)
.. ......
(Mailing, address of~plicant)
State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder.
Name of owner of premises .... '.~. ~. 5/_~..~. .... ~ .NR5 .'. 7... 9...~'~7~.....~.: .T..~..t~...~....~..' ...........
(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 .........................
Electrician's License No .... //.{-)../.."'..~. ..........
Other Tr2de's License No ..... .~/./~J. ..........
PERMIT INCLUDES APPROVAL
TO REMOVE EXCESS FILL
FROM A~3OVE PREMISES BY
REGR/d;fNG LC'T ~
DRIV[W~ y CON'TRUCTION
C[5$SPL;,OL CONSi RUCTION
CELLAR CONSTRUCTION
OTHER ~
1. Location of land on which proposed work will be done ..................................................
.................... c h £ ..... ........... o . ..................
ttouse Number Street Hamlet
County Tax Map No. t000 Section ...0../7..¢ ......... Block ........ .'~.A ....... Lot Z~
Subdi, i ion . . . . . No. . .... , , ........
~ ~__SJ .Wee. ~ ., ~ ~ .u ~ 7
2. State existing use and occupanoy of premises and intended us~ and oocupanoy oep oposeu constr orion:
a. Existing use and occupancy ....................................................
b. Intended use and occup=c9./~/3~../~-~~2~.-/'~. ~ZZh ........
3. Nature of work (check which apphcable). New Budding .......... Addmon ...... Alteration .... ,~ .....
Repair .............. Removal .............. Demolition ........ ' ...... Other Work~. p.~,;:~ .....
(Description)
o..o. - /
4 F ' d Cost ~.~.O Fe
· :snmate .... · ........................ e .....................................
(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 .... i ..................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structurbs, if any: Front ............... Rear .............. Depth ...............
/{eight ............... 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 ..... L~. ....... Rear .... '~. ........ ~e'p'th .~..~. ..........
tteight ............... Number of Stories ........................................................
9. Size of lot: Front ...................... Rear ...................... Depth ......................
10. Date of Purchase .......... ; .................. Name of Former Owner .............................
11. Zone or use district in which pr}mises are situated .....................................................
12. I)oes proposed Construction ,v~.l~te any zoning law, ordinance or regulation: ................................
13. Will lot be regraded .... .3/.~.-~. :..., ............ Will excess fill be removed from premises: ~ No
14. Name of Owner of promisers, ff~ ~q~,.4 · ~--.(d..f)/~... Address ,4~P~;~ ~ ...... Phone No...~..~.,ff'. ~.,~. ~
Name bf Architect . ..,, ..... ; t/?/f2~...~ .... .,~ ..... Address ..... 2 2; z 7'. ........ Phone No ................
Name of Contractor ~2J.J~...~,/2z~.. ~".O'O~'~... Address ~,.~,. ~:~'4 ...... Phone No.~...~,e-~. :'7 .o~.e2~...
PLOT DIAGRAM~ f-J '
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW-YORK.
COUNTY OF,. GiZ ,:
....... .... · ,~*/./z ,, ................. being duly sworn, deposes and says that he is the applicant
/(Name of individual,gigging contract)
above named.
He is the '
. (Contr~br, agent, corporate ~ officer, otc . )
of sa/(/ owner or owners, and is duly authorized to perform or have perforated the said work and to make and file this
apphcatmn, that all statements contmned m th~s apphcatmn are tree 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 he, fore me this
.......... /~ .q'~..'~ ...... day oi.. ~.~//d2 h.~./C. ..... , i9 .~..'~
N og..ba~ Public ..............
O' .... _E~I~Ae~H ANN NgVlffil . /../v/~ ~ .; ..-~..-. ~,-.-.7 ............... : ....
, ~O~.j~y?.~.c_,_St~_?!. ~_eO Y~ / / ' / (Signature of apphcant)
- f,,m!l~xplr,, Ma,ch 30, 19,.4~ / : '
t
Z
LOT 2.8
ANCH0P_.
LOT NUMBEI2.$ sMQwN Qi~FEI~ TO.'MAp
COPING
! ROLL.~D {roAM
' BETWEEN LINER:
end'BLOC BOND'"
YALKS TO eE SMOOTH- NON SKID TYPE, SLOPED ~
tWAy FROM POOL
1
YAT~R DISPOSAL SHALL eE LIMITED TO OWNER'~
'R~_PER~T__y TO SU~T LOCAL REGULATIONS
¥~NYL
ST CO~
FIBERGLAS
MOULDED
PIECE
OPTIONAL STEP
-r'v D~' I
THICK "OWEN
FIBERGLAS'BL
TROWELED ,
OFCONCRETE
POURED
Ty pIC'A_L V:__A LL S EC_T!__O_I
3 STEi~
OPTIONAL STEP TYPE