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Home My WebLink About12416-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z14767 Date August 6, 9.8.6. THIS CERTIFIES that the building inground swimming pool 2305 Eli jabs Lane Mattituck~ N.Y. Location of Property ............................................................... House No. Street Hamlet 108 04 7.13 County Tax Map No, 1000 Section ............ Block ............... Lot ................. Subdivision M/o Elijah's Lane Ests, Fi]ed Map No 6065 ,LotNo. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...M .a Ir..2. 5. ~ .......... , 19 .8 ~3. pursuant to which Building Permit No. 12416 Z 83 dated .J.u. 1..y..1.2.: .................. 19..., 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 James A. Relyea The certificate is issued to ..................... io~,'o'r,'~di~,~.'l~dx ..................... of the aforesaid building. Suffolk County Department of Health Approval ........ .N./.A. .............................. UNDERWRITERS CERTIFICATE NO. N611610 Rev. 1/81 ~ORM NO. ~ TOWN OF SOUTHOLD 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? 12416 Z Permission is hereby granted to: ...~~....~,~........~..~:.....~.~. .... ~O...../.../.~... ~..~ .......... ,o ....~.~.~.~....~~.......~ _~.~...~.~./..~ .................. ........................ ................................ .................................. at premises located at ..~e~.......~..Z.(./~.~.'..`..~''~.~.~.....~...F~.../...~...~..~.~.`~...~` ...... Z~.~,;~-~ .......... ~,~.~..c.....~ .................... Z~......~.../.o. ...... County Tax Map No. 1000 Section ...Z'..(~..~.... ...... Block ..(~).. ,<~.. .......... Lot No..~).(~..,~..:.../.,,~..' pursuant ,o application dated ...... ,,/~..~........~.'~... ................ , 19..~...~., and approved by the Building Inspector. pEtt, M~T INCLUDES AppROVAL TO ~,EMOVE EXCESS FILL FROM A5OVE pREMISES BY REGRADING LOT ~ DRIVEWAY CONSTI~UCTION ~ c~SPOOL CONSTRU~ION ~- ~ CELLA~ coNSTRUCtION / OTHER Rev. 6/30/80 Building Inspector THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~gL~J~ ~; ~.~ 86 JOHN STREET, NEW YORK, NEW~8 N 611610 THIS CERTIFIES THAT in the following loca~ion; ~ Basement ~ ls~ FI. ~ 2nd FI. Section ~lock Lo~ was exarnined on ~Y ~[~ ~ ~J~G and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS SWITCHES DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDESCENT F£UORE$CENT MULTI-OUTLET SYSTEMS NO. OF FEET E R I C OF CC. COND A W.G. NO, OF HI-[E~ A W, O NO OF NEUTRALS A. W, g PER ,~ OF CC. COND, OF HI-LEG OF NEUTRAL l~.O. Box This certificate must not be altered in any manner return to the office of the Board if :~nc~rect. Inspectors may be identified by their creflentia[s. ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUs~ N~T ~EALTE~D IN AN~ MANNER. FIEL~ IN~G?ECTION FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRRME & PLUMBING INSULATION PER N. STATE ENERGY COMMENTS ~ODE ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.J:. ..../.4. .... Approved Disapproved a/c ................. ~ ......... (~------~. ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No..41~._.Sfi:d.~.' ........ Date .May. 2.5 ~ .......... 19 8.~. INSTRUCTIONS a. Tins 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 c/e~tle, and regulations, and to admit authorized inspectors on premises and in building for necessary. ' ' i~igna~:' 'in~-~---~ 7 ~-~-- / // ' '~ ' ............. ~..aq p. ?..~.a.d..~lai:.~.~,t uck ·. . . (Mailing address of applicant) State whether applicant is owner, lessee, agent~, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Mr. and Mrs. James Rel..y.e.q .................... (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 ......................... , 1295E Electrician s License No ....................... Other Trade's License No ...................... ~- '~ ~ ~'".r]- ' Eli~ha's Lane, Hatxtil;uck ,4- 1. Location of land on which proposed work will be done ...... W ............................ ' ............... House Number Street Hamlet Subdivision ................................... ::. rneu 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 Residence b. Intended use and occupancy .... Smiming Pool and Fence 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair .............. Removal ............ Demolition .... Other Work (Description) 4 Estimated Cost 6000. : (to be paid on filing this application),,..~, 5. If dwelling, number of dwelling iunits .... 1 .......... 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 ....13.2. .. . .. Rear .........157 . .... Depth .2.5.8.: .......... Height ............... Nunlber of Stories ........................................................ Dimensions of same structure wlith alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... lteight ............... Number of Stories ........................................................ 9. Size of lot: Front .... 2.52., ~ ........... Rear .... /[~Y ............... Depth . .2.5.8. ................. 10. Date of Purchase ... 3.u.J.y. 2,0.,.. 7 fl ............. Name of Former Owner ............................. 11. Zone or use district in which premises are situated.. R.e. sidential 12. I.)oes proposed construction vie!ate any zoning law, ordinance or regulation: ................................. 13. Will lot be regraded ...N.q... i ................... Will excess fill be renloved from premises: Yes N 14. Name of Owner of premises 0ames Re..lyea Aaa .... El~nasua o. 2.9.~r 8~56 ..................... l=~, ................... Phone No .......... Name of Architect ~ Address Phone No Name of Contractor . 5.K~.~0¥..O.$p..P.q 9.1.s..&..S.P. PA~ldress ~.a..i.n' .R.d...M.a,t.t., ....Phone No..2.9.~ r~.0.1. Q ..... PLOT DIAGRAM Locate clearly and distinctly all. buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Gwe street and block~number or description according to deed, and show street names and indicate whether interior or corner lot. PLEASE! SEE ATTACHED. STATE OF NEW YORK, :S.S COUNTY OF..S. LI [ .F Pk.l~...,>D.~,~r,\ ~, .... ~.~'~-~ ........... ..1~;i ~, ,, .... :~ .'.~.'..~- .~.-%'~'7...~..'.'.¥7..7..' b[ing duly'sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, i He is the g.~l.T ................ :...' ................................................................ (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 contfiined 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 ; ...... · ...... ' // Nota.rzPublic, . ................ i,-~_~l. _County ~ ,// [/ _ /'7 ..~ C St*t w ¥,,rk (' (Sxgnature of apphc:~t)t) 765-1802 ~ BUILDING DEPT. INSPECTION FOUNDATION XST [ *1 ROUGH 'PLBG. FOUNDATION ZND [ ] INSULATION [ *] FRAMING REMARKS: FINAL DATE ~ _ INSPECTOR FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m ~ 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 Heatth 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 Amhitect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 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 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, 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 .......................... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................................... HouseNo,.~.~.~. ~ /.~ Street Ham/et Owner or Owners of Property ............. ~.~'.q~./.~. · .~. .......................... County Tax Map No. 1000 Section ./.0. ,~,. ....... Block .... O..~, ...... Lot .... '~,~, ........ ......... °~' ~ ~' ~"~ hcan ........... PermitNo. /.,.t,}.~.. Date of Permit ..fJ./~.,.App' t .~.~ ~'.~...~..(~.//1 j.~-~./, ~).~. ....... Health Dept: Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .~. ,/.Z (o. / 0 .... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . .'~.~q.~. ............... O~) Fee Submitted $ .~, ..... k~:::., l ,L~ l q ......... co.strict,on Apphcant~Y.': .~. V--~-~,...%~'.)..,-~ .-~. ¢~. ................ Rev. la-10-78