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Home My WebLink About12276-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z3.2176 .......... Date ,...J.~..N.-.~...z~..y...3 .................. ,19..8.4 THIS CERTIFIES that the building ACCESSORY Location of Property ... 87.Q0. HAKIm. R.O]~r).. MATTITUCK House No. Street Hamlet County Tax Map No. ] 000 Section ... ]-2.2 ..... Block ...... .0.7. ......Lot ..... ~0 5,2. ·:..-~' Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·.. MKRCH...15 ........ 19.83 pursuant to which Building Permit No ...... ]~ ~ ~.7.6.Z. ......... dated ... ~,pR'rT.. '2'9 ............... 19.83, was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ....F. or. a..poo~l, .c]~.~p.],~y..f.o.b...b.u.s..i.n.e.s.s. ...................... The certificate is issued to ...WILI, IAM .GREI~GER ...................................... (owner, lessee or tenant/ of the aforesaid building. Suffolk County Department of Health Approval .. N/A UNDERWRITERS CERTIFICATE NO...~/. 6D.249D ...................................... Building Inspector Rev. 1/81 TOW" OF BUILDING DEPARTMiNt TOWN, HALL SOUTHOLD, H. BUILDING: FERMIT (THIS PERMIT MUST BE KEP'i'r 'aN THE PREt~ IS~S COMPLETION OF THE WORK: AUTHORIZED) UNTIL ~ULL 1;~276 Z ~te ..... permission is hereby granted to: .......~.~.~..~.~.,~.,.~I~.:....i~ ......... ~, .......... :.....~~~&...~..~ ...... ,..:.¢: ................................................ ~ ...................................... ...~:, ........... ~....};.:.~: ...................... at Premises I~ated at .~Z~ ....... ~7/~ ....L..:. ~ .... ............... ~'. : .. and ~ the pursuant ~o application dat~ .... ~ ..? , Opprov~ 8uil~lng IOspector. . Fee $ ........ ~ ........... nspector F~ !_E L ~ INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD I~u ildlng Department Town Hall Southold, 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 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. Commemial 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: I, Accurate survey of peoperty showing ail property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and c"ondition 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 ~/r 2. Certificate of occupancy on pre-existing dwelling land use ,~! 5,00 3. Copy of certificate of occupancy $1.00 ~- !'(i '~' '~' "~' ~'~ Date ..... ~ .... [ .......... New Building ............. Old or Pre-existing Build. ing ............ Vacant Land ............. _ Houge No, Street ^ ~'1 Ha~n/e't Locat,on of Property' ...~....(~... ............... Owner or Owners of Property ..{r.~.).q.'.[.[.l'..[~....15~. .... .~....~../~..LJ~'~"~~ 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 $ ....................... ~,--; / J/~ 0 Construction on above described building and lerm~ ~ap~le c~ and regulations. Rev, 10-10-78 THE NEW YORK BOARD OF FiRE UNDERWRITERS ).~ BUREAU OF ELECTRICITy ~-- 85 JOHN STREET, NEW YORK, NEW yORK 10038 .ate ~my ].2., ].98',3 ~v. iicatio,.~"o.o,,U'ile 2].3970--83 N 602490 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ~tamed on the above application au tuber in tko premises of ~knny Dip Pools, Y~in Rd. Route 25 Factory Ave. & Bray Ave,, Mattituck, N.Y. in tke foBo~vlng location; [~ Basement ~ 1st FI. [] 2nd FI. Outside Section Block Lot ,~as ex.,,,i.ed o,~ May 9, 1983 and found to be in colnpliaace with the requirements of this Board. FIXTURE SWITCHES OUTLETS 1 3 1 DRYERS FIXTURES RANGES OVENS EXHAUST FANS S E R I C OF CC, COND OF HI-LEG OTHER APPARATUS: Panelboards: 1~ 2cir. 100amps. , ($winm~%g Pool) Tl'~[s certificate co. rs compliance a~ rAhe date Of inspec~ion only. }~cause of unusual (~viroDments i~ is advisable to have f~e~C test and/or repairs ~ by a qualifi~.,d pers~. A. WG OF NEUTRAL Glum% R. Bradley RFD 169 ~orto~ Ave. Ma~gituck, N.Y., 1,1952 LIE. ~1227 i ~ENERAI], MANAGER This cerhhcate must not be altered in any manner; return to the office of the Board if incorrect nspectors may be ,~enh~ ed by the r credent a s ~ ~ P . ~.uPY I'OR BUILDING DEPARTMENT TH $ COPY OF CERT F CATE MUST NQT BE ALTER~FD N ANY MANNER + ,~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-t802 Disapproved a/c ....... :.. ~~~~~ .... "Inspector) :"' ~(Bt~ilding ' APPLICATION FOR BUILDING PERMIT Application No./~°q~,°Z./7.. ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part crt'this cation. c. The work covered by this application may not be commenced before issuanck of Building Penni:. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern shall be kept on the premises availabl~ for inspection throughont the work. e. No building shall be occupied or nsed in whole or in part for any purpose whatever until a Certificate of Occupan si:all have been granted by the Building Inspector. APPLICATION IS HEREBY *lADE to the Building Department for th~ issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town %f Sou:hold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or/f4~ removal or demol~on, as herein describe The applicant agrees !~ comply with ail applicable laws, ordinances, buiJ, dingJcod¢, hous~g coc/e,jand regulations, and adh,it author,zed inspectors m, p,en,iscs and in buildings for necessary i/~p~_ ~ ·..~...k,o~ vv."~.,e,.. >"5-'. · .-~..---r. :.~ .; :..; ;../: .... (Signature of applicant, or name, if a corpo~ion) .. ...... (Mailing address of applicant) State whether applicant is owner, lessee,~agen~, architect, engineer, general contractor, electrician, plumber or build Nmne of 9~r of premises .................. / / . (as on the tax roll or latest deed) If appli s a c rporation, sim~atur' f duly attthori cd.officer. . itle of corp Bnilder's License No .......................... Plumber's License N=. Electrician's License No.' ...................... Other Trade s Lice 1}e No ..... . .~..(~... .......... 1.c2;~Z.O..o.L°cati°n ..... of land..~~on wbich,proposed~work will .................. be done ................................. ~c~'~ ............. ............. House Number Street Hamlet Coun,y T= ,ap .lO00 ecti°n .... /. ......... ,ock . . . O. .7. .......... ..... Subdivision ..................................... Filed Slap No ............... Lot .............. (Name) 2.State existing use and occupancy o~3ore,nises an_d intended usq. an_d Occupancy of proposed construction: a. Existing use and occupancy.. ~....~}-/k~l..J...,q,.d4 ..................................... --~,,-. ~,:'-'~> ,...,--- -.-. -*.,,..: - '" ~' ......... ' ....... ' · '" ", 51 ':" ..... "~: ~"' .... ;' '" ........... roperty fines. Give street and blodk number or :t0rJor or cornor lot. Nature of work (cheek which, applicable): New Buikting .......... Addition .......... Alterat~,n ......... Repair .......... 'g,4 ' R~;moval ............. D0molition .............. Other Work .~.& ~,//a/ ...... Estimated Cost ...... .'7.....~. ...................... Fee .......................... (to be paid on filing this application) If dwelling number of dwelling units Number of dwelling units on each floor .'7'. If garage, number of cars .....r777 ........................ If business, commercial or mixed occupancy, specify ~ature and ~:~;e;~ 'o'f'e'a'~h't~p~'c;f't~/~/"'~.' i Dimensions of existing structures, if any Front ~ ;~Le,~ ..... Rear . ~.;~.a~7~..... Depth ../.~.. ....... H eight ..... . .'TA-:... ..... NU m be r o f S reties ..... 1. ............................................... Dimensions of same structurelwitb alterations or additions: Front "---' Rear ,."'tm. Dep/h .................. ; ....Height ...................... Number of Stories ................... Dimensions of entire new congtrnction: Front ............... Rear ............... Depth ............ Height Nhmbcr of Stories ' Size of lot: Front ~ ' Rear Depth Date df Purchase ......... .................... Name of Former Owner .......................... Zone or use district in ~vhich premises are situated ' Does proposed construction violate any zoning law, ordinance or regnlation: .............................. WiU lot be regraded ...... ,i.; .' ........ Will excess fill be l~oved from premises: ' Yes · N( Name o, Arcln~ct ........ .~, ......~ ..... '.. Address ............... Phone No .... Name of Contractor : ..... Address ................... Phone No ,' PLOT DIAGRAM " Locate clearly and distinctly all et 'ldmgs, whether existing or proposed, and, indicate all set-back dimensions iron description according to deed, and show street names and indicate whethe TATE OF NE",VCiYO a[I I,~ ',... ,, OUNTY OF. ~..'..~ · ' '(Na~';'~i"~-il~v~';al. __.____ s~ ...... being duly sworn, deposes and says that he is the applDan~ ~ove nan]ed. ~ e is the ..................... : ..... (Contr~cto~corp;r'te~ a officer e-tc ' , .) ~ said ~wner or own'ers, and is d~fly authorized to perform or have performed the said work and to m~e and file fld~ ~plication; that all statements con'tained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the man~er set forth h~ the application filed therewith. worn to before me this ....... ......... ..... 2 ............ /...:.. o,n, ' , -. P I , ~EY BOTANICAL NA. ME COMMON NAME SIZE