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Home My WebLink About12443-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy No. Z15031 Date. October 23., 86 ................. · .............................. 19 ... THIS CERTIFIES that the building Ingrouncl Swimming Pool Location of Property .585..Inle.t..Vie.w..Ea~.t. ............. Mu.~tituck ~. U. Y. House No. Street ............ County Tax Map No. 1000 Section 100 .Block 03 .Lot 10.9 Subdivision M/o Inlet East Estates .Filed Map No. 6249 n.L 9. ..................................... ot No ............. conforms substantially to the Application for Building Permit heretofore fried in this office dated June 25, 83 12443 g ..................... ,19... pursuant to which Building Permit No ...................... of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... .I~ro~nd Swimming Pool The certificate is issued to Earl Brock of the aforesaid building. Suffolk County Department of Health Approval ........... ~/. g ............ UNDERWRITERS CERTIFICATE NO .................... ...H 6.1 .....0870 .................... . Rev. 1/81 ~Oll~[ NO. I~ TO~VN 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? 12443 Z Permission is hereby granted to: ........ .~....Z.~.~...~..~/).......~..~~ ....... ...~ ...... ~. ........ ~/o~ .................. ..~...~:/:Z.~..~.-~...~..~..~ ........ ~o ............. ~.~...~. ,~'~.u..~T.:.... ~.~u.£~.U.,-~.z~..~., ........ /'~ ,. ~ :~/ / / v ................. ~.~ .................. ~..~..~(~ ...... /~../..~. .................................................................................... o, premises located at ..~.~..,~ ...... ..~... ~........~.~...~..~..~Z~.y~ ....... .~Z~.z...~...~z~.:......~< .?.. ..................... ZoZ.~...?... ................. County Tax Map No. 1000 Section .... .~.~..~. .......... Block ..... .~.~... ........ Lot No. ~..~'..~...:..~..' .... pursuant ,o application dated ...... ~.~/.Z~ ....... ................ , 19~....-~.., and approved by the Building Inspector. Fee $../.: ................... Building Inspector Rev. 6/30/80 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 Wpewriter OR ink, and submitted ~ 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 sifnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5, Subm[t 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: I. Accurate survey of p~operty 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. 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 ...A..u~.u.s.t...2.9.,...~ .9.8.5. ..... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. 585 Inlet View East~ Mattituck~ N.Y. Location of Property ................................................................... House No. Street Ham/et O O ofProp rty Earl Brock wrier or whets e ............................................................ County Tax Map No. 1000 Section 1 0 0 Block 3 1 0, .9 ............... ......,........ Lot....... ........ Subdivision ................................. Filed Map No ........... Lot No .............. 12443Z PermitNo ........... Date of Permit .......... Applicant Skinny Dip Fools Health Dept. Approval ........................ Labor Dept. Approval ........................ N,,6 ,10870 Planning Board Approval Underwriters Approval ............................................ Request for Temporary Certificate ........... Fee Submitted $..5. , 0D .... ~../ ! Construction on above described building an/~ p~ Applicant .. Rev. 10-10-78 3osto co )503J ....... Final Certificate ....................... FORM NO. 6 TOWN OF $OUTHOLD BUilding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ Instructions This application must be filled in Wpewriter OR ink, and submitted m ',---,='" 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~)perty showing all property lines, streets, buildings and unusuat 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 NewConstruction ...... Old or Pre-existing Building $15.00 Date .......................... ............ Vacant Land ............. Location of Property'...~..~....~.l...(~..,, .~.~. ~_~(~,,, .~..~.~-~. ...... .~. ~.~. ~ House No. Street Hamlet Owner or Owners of Property ...~..(~..',..~.', .J~..~...~.:. ~,~/, ~. ,j~(~ .C,~-~ ....... County Tax Map No. 1000 Section ............... Block ............... Lot..(~. ............ Subdivision ................................. Filed Map No ........... Lot No, . ~. .......... 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 $ . ~. '.< .... .~.~.. ..... ~ ....... Construction on above described building and permit meets all applicable codes and regulations. ,,]~Applicant .................................................... Rev. 10-10-78 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 featu res. 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. 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 fr land use ,~/5-/$5.00,/~ 3, Copy of certificate of occupancy $1.00 New Building . . r Pre-existing Building ............. Location of Property ........................................ Owner or Owners of Property ........................................... fa 3 /4-?' County Tax Map No. 1000 Section . 0 Block Lot Subdivision..-T./?.(~-~.....~,j..q?~-~ .~.C. ~.~.~ ....... Filed Map No. d~...c./.~...Lot No .... ~. ........ Date of Permit'7~o~. ,/~. 2 ~ .~.._~.. Permit No/~'~) ~' .c/. ,.~ .~.. .Applicant ..... .. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .~/.~,.~./.a, ..."~/... ,,Planning Board Approval Request for Temporary Certificate ..................... Final Certificate .................... Fee Submitted $ ............................. Construction on above described building and~ ~0pp~e,s and r~'ations. Applicant ...... .. .~ .......~ ."~ .............. APPLICANT: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 DATE: July]~, 1986 Dear: While reviewing our files I find that your expired pool permit {~q~ has never been finalized. Kindly return the enclgsed application with a check fo~.00~ Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY M M ED~ATE L¥ ENCLOSE POOL TO CODE UPON COJMPLETION' BEFORE "WATER'~ THE NEW YORK BOARD OF FIRE UNDERWRITERS *Q~q BUREAU OF ELECTRICITy V 85 JOHN STREET, NEW YORK, NEW Y:ORK 1003~ o. te July 26, 1983 Jppt~tlo.~o. onyU~ 224759-83 N6~0870 THIS CERTIFIES THAT only the electrical equipment ~ described below and int~duced by the applicant named on the able appltcatlon number in the premlses of E~el., In I~t Vi~ E/Off H~r Vi~ off ~c~e A~. ~ ~tti~, N.Y. ~., thefollowlng location; ~ a.~,,,~.t ~ t~t m. ~ ~.d r:. ~tsi~ s~t~on a:o& rot w.~ ~.~in~d o. g~ly 21 , 1983 andfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 1 Z DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET E R V I C E NO OF CC COND PER ~' OT ER P R TUS, _d3 l L · Panelboards: l-2cir, lO0~mps. OF CC COND. NO OF HI-LEG A W G NO OF NEUTRALS A.W. G* OF HI LEG OF NEUTRAL ~(Swi~ Pool) T~d.s certificate covers contolim~ce at The ctete of inspection only. eca~se of ~nust~l enviro~ts it is advisable to have frequent test and/or repairs made by a qualified person. Glenn R, B~adley Horton Ave. RFD Mattit~ck, N.Y., 11952 LIC. #1227 This certificate must not be gltered in any manner; return to the office of the Board if iincoJ'rect. Inspectdrs Per ~' may be identified by their credentmls. DING THIS COPY ( MANNER. F~BLD~NSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE 4. //F I N A L ~. ADD COMMENTS: 76S-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined. :~./y...~.'..., 19~-.~ Disapproved a/c ...' .................................. (Building Inspector) APPLICATION FOR BUILDING PERM IT Application No. 4(.d.~?.~...~. ...... 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, a~ regulations, and to admit authorized inspectors on premises and in building for necessary i~p~o~.~ns. ~'~',) . ~ .... ._-~ff~/v Lo.ff...~/~../~.~ ./: ............ ~-(Signature of ap~licanff/or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee~architect, engineer, general contractor, electrician, plumber ~r builder. (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 ..... .... )5 : - Electrician's License ...................... Other Trade's License No ................... 1. Location of land on w_~hich proposed work wiil be done ................................................... ........ i ...... .... ......... ....... House Number Street Ha let ~, ~ / County Tax Map No. 1000 Section ..... [0.(~ ........ Block ~ Lot ~. _ -- _ . ~., ' .......... ; .......... .~Z' .""j'" Subdivision .~. '.~/~...~....?../~. ?.~. .... .~..~..~..?.~'~. Filed Map No...6. ~ q.~. .... Lot ..... '..~ ...... (Name) 2. Stateexistinguseand~ccupancyofpr~~ded~occupancyofproposedconstruction: a. Existing use and occupancy ...... a..-rT~...~r..w-:., r-r..: .7/· ~ ~ · ·. ~ ................................. b. lntendeduseandoccupancy ........ ,...~...~..& .... ~,~ ........... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .... .~p,... ;~.. Other Work ............... 4. Estimated Cost ........................ Fee ......................... (to be paid on filing this application) 5. If dwelling, number of dwellingl ,u4its ..... ..4 ....... Number of dwelling units on each floor ................ If garage, number of cars ..... ~ '- .................................................... sin c ......... 6. Ifbu ess, ommercmlorm~xedoccupancy, specify ttat~e and extent of each t,/me of use ....... i~.~.~ii ..... 7. Dimensions of existing structurbs, if any: Front .... ~. &". ...... Rear . ~_a~..~ ...... Depth .... Height ..... ...~'~m~... .... 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 ............... Rear ............... Depth ............... lteight ................ NuAnber, of Stories .................................................. 9. Sizeoflot: Front ..~...~.~/. ......... Rear ...... .~.~..,~.. ........ D?.t.h ....~.O~.~.~. ......... 10..D. ate of Purchase ..~..~..~...;..'~x~.. .......... ~me of Former Owner ..... .w ...................... 11. Zone Or use district in which premises are situated .1~.~ ~. ~. ....................................... 12'. Does proposed constructio~ '~io'late any zoning law, ordinance or regulation: .....Pl~....~. .................. 13. Will lot be regraded .... /~.~,} .................. Will excess, fill be removed from premises: Yes 14. Name of Owner of premises . .r~,~..I...~(.A~..~/...<,AddressrY.r,¢. !'g..T...~:q~,xlq~./Phone No..~.~'..~..¢~./...1~.. Name of Architect . ~, ~,; ....... v~ .... /~. · ,t .... Address ................... Phone No....,~ ........... Name of Contractor .~f~..: .n.%y...~.fl. ~.4~. Ii}. ~. Address ]?~ ~.~../~/2.... ~. Phone No. ~.~.~..~?../.~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block!number or descriptibn according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWcShORK., ~ / ,, ,~ COUNTY OF ~..~.,i a.a~?,,r/, ., , .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ! He is the ...................... . ................ ~.. ~./_~,_ ._~;?, ~ .~_j ................ : ......... . (Contracto~ agent,~orpor~te'officer, etc.) of said owner or owners, and is duly authorized to per'l~n, rrffor 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 manner set forth in the application filed therewith. Sworn to before me this ... ...... ....... '" / (Signature of al~t~lic 'a~t~ ~ INO. 52-8125850, Suffolk Cot~q~_~ · Term Expires March 30, cot "' ...... 0 G &i YOUIG :. 400 oSTRANOER' AVENUE, iRIVERH~D, NEW YORK SURVEY FOR:' ,'- ',- I : ' .,',,. b~OU~HO~O : , t,_ ...... - ~ :. , ' I ~u d~p¢ IP~ 19~o