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HomeMy WebLinkAbout12546-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15295 Date February 24,-- ,19 87 THIS CERTIFIES that the building Inground Pool & fence 4200 Young Avenue Southold, New York --- Location of Property ............................................................... House NO. Streat Ham/et 55 2 I3 County Tax Map No. 1000 Section ............ Block ............... Lot .......... ;- ...... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, ~ 83 12546 z ...................... 19... pursuant to which Building Permit No ...................... dated ..... .A.u.g..u.s.t.. 6.., ............ 19..8.3, 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 & FENCE ROBERT & ELIZABETH KRAUS The certificate is issued to ........................................................... of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO .... N 6 I 5317 Rev. 1/81 FO~ NO. 2 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) ~25~e z Oote ....... ..~.~...~. ............ , i,~.~ Permission is hereby granted to: '~..1..~ ....... ~l.~....r.~.. ..................................... County Tax Map No. 1000 Section ..~.....~...~ ........ Block ...... & .......... Lot No ..... /......~. ......... the Building Inspector. 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 typewriter 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~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. O0 Date New C on s t ruc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............ ; .I ...... '..// ....... -,-~'..-- .......... House No, I ~/ , Street Hamlet Owner or Owners of Property .....(~..~-~ .~..?..~.~..~. ~.";~. ..... ,~./.~. ?r-~.~. ................. County Tax Map No. 1000 Section ............... Block ............ Lot ................ Subdivision ~ .Filed Map No ......... Lot No. Permit No. ~2~..~.~/...~.~Date of Permit ~.';~.: ?.?...Applicant...~...)~.b),~v~ ~ ...~...~. ........... Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval .................... m ~.o~.. ,e.,~, for T n ,,_em~orar~ Certificate... ~ ................ Find Certificate ....................... Fee Submitted $ .... .~.....'~....~ .(~...~..~.? ....... ~ , Construction on above described building and,,g~m~s~~ and regu lations. Applicant.' .~ .~_~.~~,,2. ~ .... .. .............. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-t 802 October 3 1986 ROBERT KRAUS 95 KENILWORTH DR. STAMFORD, CT. 06902 Dear Mr. Kraus: Thank you for your check for the C.O. for your pool. I haven't been able to locate an underwriter certificate for the pool. If you have one please send'us a copy. If not contact the electrician who did the work, and have him send it to us. Thank you° Yours truly, Secretary FIELD INSPECTION COMMENTS FOUNDATION ' (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS APPLICANT: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 DATE: July Iq, 1986 Dear: While reviewing our files I find that your expired pool permit l~.~q~ has never been finalized. Kindly return the enclosed application with a check for $~.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 "IMMEDIATELY" ENCLOSE FOOL TO CODE UPON COMFt.E'TION BEFORE "WATER" 765-1802 BUILDING DEPT. INSPECTIO [ ]FOUNDATION XST [ ] ROU6H [ ] FOUNDATION: 2ND [ ] INSU~TIO. [ ] F~MING [ ] FINAL REMARKS: ' : DATE INSPE~OR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL THE NEW YORK BOARD OF FiRE UNDERWRITERS lo0o~3 .UREAU OF E--EC'rRI¢~T~ ~,: ~ ,' ~ 85 JOHN STREET NEW YORK NEW ~ORK 10038 ~ THIS CERTIFIES THAT ;; on'y the electrica~ eq~ipment as descrlbed belo~v and ~trod~ced y the appllcartt ~atr~ed on the above appllcatlon number i~ the preo~ises of in the following location; ~ Basement [] 1st FI. [] 2nd FI. (..)t,~.i~ ,Section Block Lot was examlndd on and found to be in compliahce with the r~quirements of this Board· FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST OUTLETS DRYERS FURNACE FUTURE APPLIANCE FEEDER~ UNIT HEATERS MULFI-OUTLE1 SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R, V I C OTHER APPARATUS: ~ of ~t~ual env~t~,; it xs ~vl~le to ~V6 ;f~q~nt t~t;t ~d/o~ repaiI's OF NEUTRAL i~orCon Av~uue -i~D This certificate must not be in , manner; return to the office ~ DEPARYMIE GENERAL MANAGER Per-- ~ / may b~ identified by their cr~dentio~s. f MANNER, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~u~..x~....~.., 19~..~ Approved ........ .h~?iy.. ~.., 19~.'.~. Permit No. Disapproved a/c ..................................... Application No,. !..~. .~..¢.¢ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, t tg c_ode,~and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspe6ti°ns' / ~...O~..~..~'..~...~''~ .~ .... ........ ............. (Signature of ~[ppl ~t, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, les g chitect, engmeer, general contractor, electrician, plumber or 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 ......................... Electrician's License No..1.2-.~..~....& ....... Other Trade's License No....~ ~. ............. 1. Locationoflandonwhichproposedworkwillbedone....~.~.~....'~..~.~ ..................... ...¢. ................................. ' ........ .-. .......... House Number Street Hamlet County Tax Map No. 1000 Section .....c.,~..~.~. .......... Block c~ Lot .... /.~. Subdivision ................. .~ .................. Filed Map No. . ..~ .......... Lot ....~. ......... (Name) 2. State existing use and occupancy of pre~eslr~ ,]and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~ .~ 4.~..~...~--~...q....~_~ ....................................... b. Intended use and occupancy ............. 'p~.?--/. J..~.. ~...-~...-3: '~'~'' ......................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ........... 2~' Removal .............. Demolition ............... Other Work ............... 4. Estimated Cost ....... t...'~7.kd. ~ ...................... Fee ...................................... : ~ (to be paid on filing this application) 5. If dwelling, number of dwelling u3~ts ............./. Number of dwelling units on each floor ................ If garage, number of cars ..... ! .' .~'r. ............................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...' .................. 7. Dimensions of e~,isting structurels, if any: Front ............... Rear .............. Depth ............... Height ...... ~;{ 0 ...... Num. ber of Stories .... ~:~. ................................................. Dimensions of same structure wlth alterations or additions: Front /. ~..~.~.~...-~.. .... Rear .................. Depth , Height Number of Stories 8. Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height .............. hlltmber of Stories ........... ~ ........................................... 9. Sizeoflot: Front .... [..,~.._.~?~.. ....... Rear .... /~....~'~.. ......... Dep, t.~h . ./' ~".V .............. 10. Date of Purchase .... /. ~..oC~. .................. Name of Former Owner .. ~./y~O. M ................ 11. Zone or use district in which pr?mises are situated .......................... ,h'~ · I'~ ..................... 12. D~es pioposed construcj~o~ ~llate any zoning law, ordinance or regulation: .... .Lk~....'~ .................. 13. Will lot be regraded . .r..'ff.. . ; .................. Will exce3s fill be ren;,oved from premises: Yes 14. Name of Owner of premises ~.~.X../~tg~... Address .,~'.9~r~. ~'.~0.'. . .~.o.. ..... Phone No.~..~./~.¢~....'~. Name of Architect ._.~. .... ~.i.. F~..I. · · c~ ...... Address [. ................. Phone No .......... Name of Contractor~J~F.<~ .0J;f2. ~(q~/~ G.&~2~3~.~.. Address~.~d~.'.~ ( t~..tC&.~4 Phone Noc~ .q ~..'2~.. ~5 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 ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NFfi~RK. COUNTY OF.~-~r'~f~-?~. ...... ,!a'a ..........~n~~' . ......... being duly sworn, deposes and says that he is the applicant above named. He is the .................................... --g/ Q~ (Contra~r, agent, corporate officer, etc.) of said owner or owners, ~d is duly~ perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this .......... .... v - .... ~