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HomeMy WebLinkAbout12413-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17803 Date FEB. 27, 1989 THIS CERTIFIES that the building. Location of Property 2670 BOISSEAU AVE. House No. County Tax Map No. 1000 Section 055 Subdivision SWIMMING POOL Block 06 Filed Map No. Street Lot 11 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6~ 1983 pursuant to which Building Permit No. 12413Z dated JULY 11~ 1983 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 AND FENCE TO CODE. The certificate is issued to CHESTER P. & HELEN T. FIN-NE (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N607118 6/23/83 PLUMBERS CERTIFICATION DATED Rev. 1/81 FOEM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12413 Z Permission is hereby granted to~-)/ ..... .................................. ...... ~~/........~..~.~..,..... ~..,~-.. .......... ,o ....... ~..*:~...~:....~~.<~.~....~~....~....~ ../... ................. .............. ...~.~ ..................... ~,~.~....~ ......... ....~..~ ........................................................ et premises located o, .......~....~....~.. ......... ff~.~...,~.~.X~-~-.....~..~~. .................................... ......................................................................................................................... ~.~.~.~,.,~.. County Tax Map No. 1000 Section ..~..~..~: ....... Block ...~..~ ..........Lot No..~.,/../.. ........... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building inspector. Fee *../..~: .... Building Inspector Rev. 6/30/80 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF NEW CONSTRUCTION ....... OLD OR PRE-EXISTING OCCUPANCY BUILDING ...... VACANT LANH ........ HOUSE NO. STREET HAMLET Ovner or Ovners of Property .......................... County Tax Nap No. 1000 Section ..... Block ..... Lot ........ Subdivision ....................... Filed Map ........ Lot .......... Permit No .... Hate of Permit ..Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ..... , Fee Snbmitted: ~....?..~../.~..c , APPLICANT...~. ................ ~ ........... rev. IO/It~/gg ~ ' COMMENTS FIELD INSPECTION FOUNDATION (l~t__) FOUNDATION {2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q~DE FINAL ADDITIONAL COMMENTS: .1ooo344 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THiS ~ERTIFIE5 THAT only the el~t~cal equipment ~ described below and i~troduced by ~ appHcan~ named on ~he above application number in the premises of in ~he followi.g locatio.~ ~ B~sement ~ ~ Ft, ~ 2.d FL Section Block Lo~ was exami~d on ~ ~0 ~ 1~ and yound ~o be in compliance wish the r~qulre,nents of rhis Board, FIXTURE OUTLETS DRYERS JE~PTACLES SWITCHES 1 FIXTURES RANGES ~OOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTE~AS E R V I C E OTHEE APPARATUS: 1-G.F.C.Io ~._~Sw~mi.r~ ~1) This certtfic~te coVer~ c~lie~uce at the date of ~tion o~y. ~-~us~ env~mts it is m~e~le to have fr~nt gest ~/or ~irs ~e ~ a qu~ific~ OF NEUTRAL Phil Cordon 1~ Dean ~reet Port Jel'~er~on Station, N.Y. 11776 I.A,o. 110 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectdrs may be their credentials. COPY FOB pUILD(NG DEPARTMENT. THIS COey OF, I MANNER. 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION ~LST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING )[' ~FI'NAL REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 ..... , Approved ...... l . me- it (~uiidin~ [~specto~) APPLICATIO~ FOR ~UILDI~G PER~IT Application No.~..~./.-~.~. ........ Date .... lurta .6 ......... 19.83 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building 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 streets or areas, and giving 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 issued 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. 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 building for necessary inspections. ...... S.w. $.m..K.t, .rig..P.o. 91.s ....................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ...................................... A.g .e .n.t ..................................................... Name of owner of premises ............ .C.h.e.s.t..eT..F..! .n.h.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 .... .6.1. ................... Plumber's License No....N/.A. .................. Electrician's License No..1.%0]~.-g .............. Other Trade's License No. N./.A .................. 1. Loca~on which proposed work will be done .... E./. ~. B.o.i~e&t! .~.v~ ............ .~ ................ ~x.-+ ?.,../.. Boiss.e.o¢. Av.e., ................. Soul;lie. id ..... ' .................. I~;~~~t~ .... Street Hamlet County Tax Map~/--No. 1000 Section .... ~ ......... Block '~ Lot.., {/~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ire s £ d.e.nce ................................................ b. Intended use and occupancy 16×32. irtgr ouru:l, swimming..pooi, f..wit;.h .4.'..fence..lzo. oode, ...... 3. Nature ofwork (check which applicable): New Building .......... Addition .... XX .... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... . (Description) 5000 4. Lstimated Cost ........... . ...00 Fee .... ' .................................. (to be paid on filing this application) 5. If dwelling, number of dwelling iunits ............... 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 structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... q.. Height ...................... Number of Stories ...................... 8. I)imensions of entire new construction: Front ............... Rear ............... Depth ....... ' ........ Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front .......... i ........... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district.in which premises are situated ..................................................... 12. Does proposed construction vic!ate any zoning law, ordinance or regulation: ........... I,IO ................... 13. Will lot be regraded ............. ye 8 ............ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .l$~e~.t;er. F.£nne .... Address Bo. is s eau. Ave. ..... Phone No.. 765.~ 278.9. .... Name of Architect ......... ~ ....hl ] A .......... Address ................... Phone No ................ Name of Contractor .Swim .King .PooJ-.a ....... Address g.t.e. ~ 25A ~..Rg.c.k.Y.. Phone No.. 755.-.8.1.99. .... Poine PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block inumber or description according to deed, and show street names and indicate whether interior or corner lot. See attached survey STATE OF NEW YORK, COUNTY OF .. SJaf folk !S.S ........... M£che.l,e. Sm£t:h ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... i ......... Agen¢ .................................................... I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 manne~ set forth in the application filed therewith. Sworn to before me this : . ......