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Home My WebLink About12585-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15615 Date A. pr il 9, 987 THIS CERTIFIES that the building ... I..N .G.R.Q U..N p.. 8. W..I .M.M.I.N. 9..P. 0..0 .L ................... Location of Property ...8.2.5...P.r.i.y .a.t.e..R..d....(, S..t 9y.e.~.~ .s.o.n.s' . .R.d.) ..... .O.r..i .e.n.t. ,...N...Y. :,.. House No. Street Hamle~ County Tax Map No. 1000 Section 017 .Block I .Lot 1 I . 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 25, 1983 12585 Z ........................ pursuant to which Building Permit No ...................... dated .... 8. e. p.t.e.m.b..e.r..9. :..1.9.8..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 The certificate is issued to DONALD A. STEVENSON ..................... io¥.'o;, x .................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... 1,I618389 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: ,/ B~ding Inspector Rev. 1/81 FOU'ae' 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) 12585 Z Permission is hereby granted to: ~ C-~ ~ ...~.~......L~.k.~[~ ....... .)..~.~.~ ....~z.U.~ ............................................... ~f .... ~ ....:.~.~~....~.~m....~./..~..~..~ , ~o .~~~..~.~.~.~..~~.......~....~ ..... Coun~ Tax Map No. 1000 Sec~ ...... ~.[~ ...... BI~E .......... .~ .... I..h.~..~ ....... .......... Lot No.~ ~ pursuant to application dat~ ~~......;~ ................ , 19~.~ and approv~ by the Building Inspector. Rev. 6/30/80 FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL COMMENTS: TOWN OF SOUTHOLD O/:FICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 This is t:o advise you that the job under building permit no, 12585Z issued to ,Donald Stevenson on .... ~f~./~ ..... for Accessory is completed and a final inspection has ( ) has not ( X ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed fort,, return same to the above office with a check for $lO.O~ayable to the Town of Southold. Please indicate to Whom the Certificate of Occnpancy is to be mailed, and arrange with this office for an inspection date Occupancy or uso is unlawful without a Certificate of Occupancy. l'[esse, help us to clear up tlhls, matter so that legal action does not have to be taken. Thank you for yo.r prompt attention. Very truly Victor Lessard Executive Administrator VL:gar cncl. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- / 8E JOHN STREET NEW YORK NI~W ¥~RK 3003~ THIS CERTIFIES THAT ' ~i~ St~ep~son, Steve~ ~. at en~, o~f R~. ~5 ~in ~), ~i~t, N,Y. in the following location; [] Bosement [] 1st Fl. was ex.mined on September 26, 1983 HXTUEE FIXTURES OUTLETS SWITCHES FLUORESCENT 1 1 2 1 [] 2nd FI. ~ Section Block Lot and found to be in com~liar~ce with the r~quirentents of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS MERCURY VAFOE DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R I C ^W.~. : OF CC, COND. OTHER APPARATUS: NO OF CC COND NO. OF HILfG A W O NO, OF NEUTRA~S A.W, O, 9ER ~' OF HI-lEG OF NEUTRAL I~G.F.I. ; ($wi~ning Pc~>l) ~l%is certificate covers compliance at ~b~ date of ir~pec~ion only. Because of tv~usual er~,~ironments it is advisable to ham frequent,tests ~nd/or repairs made by a qualified p~rson. LIa.#1227 Glem~ R~ Bradley l{or~on Ave. MatCituck, N.Y., 11952 This certificate must not be altered in any manner; return to the office o:~ the Board'if ~ , COPY F~R~BOILDSNG BEPAR!M 11 Per may be identified by their c~edentiaJs. f MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Examined...~...~/~.~...~ .... , 19 .~.5. Approved . .<~.x~...~ ., 1~.~.. Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received .......... ,19... Date 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 !nspections. (Signature of applicant, or name, if a corporation) .......... (Mailing address of applicant) State whether applicant is owner, lesseeCen~,~ rchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~.d. ~../3~7./[/ .... ~Y~..' ......................... ~ · ~.. ~ ...... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (N~e and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No..}.?~.?~. ?...~.3.~?././~...~ Other Trade's License No ...................... ?~I .~)~7.~ .~.~ 1. Location of land on which proposed work will be done ...................... ..... . ........... ............ House Number S[reet Hamlet Cour,ty Tax Map No. 1000 Section ...... ....... ......... I ......... .... I.~:~ .......... Block Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of ~emises and intended use and occupancy o~ proposed construction: · Xlsnng use and occupancy...~ ~.~[~ ......................................... b. Intended use and occupancy .......................................... 3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rem?al .............. Demolitioa .............. Other Work ............... · ....... (t; l~e';~i~t'on' filing this application) 5. If dwelling, number of dwelling~units ....... /. ....... Number of dwelling units on each floor .... / .......... If garage, number of cars ....~...... . ... . .. .. d. If business, commercial or mixed occupancy, specify na_ture and extent of each type of use .......... _...~-7... ...... 7. Dimensions of existing~ structures, if any: Front.. ~_..O. ........ Rear . .(:?..Cb ......... Depth . .~'.~. ......... Height ...... ~. ~.. ..... Number of Stories .... ~ .q~.: ................................................ Dimensions of same structure with alterations or additions: Front '-"--- . .: ..... Rear ............... Depth Height - Number of Stories x":. tm - pth 8. Dimensions of entire new cons ction: Front... ...... , ..... Rear . . .,~---~-r.. rT.; ...... De . .7. 7-.7.'. ....... 9. Size of lot: Front ...oQ..~..~:~ ........... Rear..~..~.~. ............ Depth ... ~..~ ......... 10. r)ate of Purchase .......... ........ Name o_~f Former Owner ............................. 11. Zone or use district in which pr~mises are situated.. ~Q.'(¢~ ............................................. 12. Does proposed construction vioiate any zoning law, ordinance or regulation: . ./~..~ ................... 13. Will lot be regraded . ./7~ .O.. ! .................... Will excess fill be removed from premises: Yes [N~) 14. Name of Owner ofpremises~))./3e~J... ~..7. O~O.]~aJ¢...,Address~. IZr- -t~d 0~,~,,..~.. Phone No ~a,~..3 o~'~ r/, Name of Architect .... : ............... ~. ..... Address ~i ............ Phone No ............... PLOT DIAGRAM Locate clearly and distinctly alt buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interk)r or corner lot. STATE OF NEW YORK, i S.S COUNTY OF .......... rm .... ~ / (Name of individual signing contract) above named. 1 (Contractor/agent/corporate officer, etc.) of said owner or owners, and is duly authorized to perf'm'ffi 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 manner set forth in the application filed therewith. Notary Pub c, State o~ New Y k . - / ~ (Signature of app~can No, 52-0344963 SuffOlk Cou_ri'~-""- Commission Expires Ma~ch 30, 1~ FORM NO. 6 TOWN OF SOUTHOLD Buildlng Departmant Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao This application must be filled in typewriter OR ink, and submitted ~a la.ma=~, 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 property showing all propertV lines, streets, buildings and unusuat 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: l. Certificate of occupancy New Dwelling,S25.00, Accessory ,$10.00 Busznes. $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.updated C.O. $ 50.00 Date ........ , .................. 6. Alteration $25.00 New C OhS truc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........................................ Hou,~e No. r'-~ _ ~_ ~ Street Owner or Ownersof Property.L~...~ ........... : .......................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Hamer Subdivision ........................ Permit No ........... Date of Permit . Health Dept. Approval ............... ........ Filed Map No ........... Lot No .............. ...... ~..Applicant .................................. Labor Dept Approval .. Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate ....................... Fee Submitted $..~.~ ........................ C onst ruction on above described building an d~ a7 I~ica ble~codes and re gu I at ions. Applicant .. ~.'.v.~.~ =. .-.: ,:'~.~/. .--;-;- .......................... Rev. 10-10-78 C0 13 15 :, ,,