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Home My WebLink About12197-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z1~804 Date Sept. 24 19..8.6 THIS CERTIFIES that the building .... ~34.~,r0r~_iag. P. 9 9.3-. ............................ Location of Property .. 3.0.2.5. ?.v.~.,. Rd. /.)b (M..unn La. Orient House No. ' .... 's'tle~i ....................... County Tax Map No. 1000 Section ... 9.1.7. ..... Block .0.2. ............ Lot ...0 .q .5...6. ......... Subdivisi'on ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated · . . Feb .2.~ .......... 198.3.. pursuant to which Building Permit No .... 1.2. ~..97Z dated . .M.a.v.c..h..2. q .................. 19.8. 3., was issued, and conforms to all of the requirements 9f the applicable provisions of the law. The occupancy for which this certificate is issued is .... 6. b.w. irg[ning pool 25 ' X 52 ' . The certificate is issued to ........ .N.a.n.q y. P Kardwe 11 .... · ' ..................... of the aforesaid building. Suffolk County Department of Health Approval ............. N d g .......................... UNDERWRITERS CERTIFICATE NO .................... ~Ig ~ ?.7.0. zf .4 ..................... Building Inspector Rev. 1/81 frillS PEP, MIT MUST BE KEI~T ON THE COMPLETION OF THE WORI~. ~I!!S UNTIL TULL ..;~,. ....... ,.,~ .......................... · ~ ....... Pen nissi°n is hereby gronted to: tO ~? .........L .......................... ~.~.~w. ~ ........... .,, ~.i ....... , ............................. ,....: ........ .~. · ......... i~,il-..:.,.-.., 't" ;:'~':~'"'~ ..... at premises Iocoted ot .......... ~ ............................... ~. ............ ~.,;~ ......·. .... Co~,l~ty Tdx Map NO, 1000 ,Section ........ ~.; ......... :.j~. BI, p~s~ant to application dated and approved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~Jouthold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR 'n · ,~: I<, and subm~tte .'.d-j~. _,.~ ...... 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 disposa -(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Under:writers. 4. Commercial buildings, Industrial buildings, Multiple R~,sid, ences and Sim lar buildings and installa- - tigris, a certificate of Code compliance from the Architect or Engineer responsible for the building. §. Submit Planning Board approval of completed site plan requirements where applicable. B. 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/ land use --?re-Ex±st±rig C. 0. $15.00 3. Copy of certificate of occupancy $1.00 ~'acanb land C.O. $ 5.00 Date ....... [ ............. New Building ...~. ......... Old or Pre-existing Building ............. Vacant Land Location of Property ..,~'~...~.~....~.~..~..~...~.~z.. ~/(-~¢¢.4¢-/.~. ,.~ J ~'~'~.~. House No. ' ...... ~" Owne or Owners of rope ......... County Tax Map No. 1000 Section . 0~':7 ....... BIocl<..(~,0~, ........ Lot.. '~, ~0~-.~, .... Subdivision ~' Filed Map No ~ Lot No -- Permit No./~/~. Z. Date of Permi .t~..~ .Applicant .~../~(.~.5~.. ~ Health Dept. Approval .... .~//./.~. .......... T Labor Dept Approva . ~x/~..~ . . . . ... Underwriters Apprbval ,~.~...~..z~..~...~. Request for Tempora~ Certificate ..................... Final Certificate ~ .................... Fee Submitted $..~..~ ..................... Construction on above described building and p~ets all--and regulations. ~/~/~7 FIELD INSFEC~ION , FOUNDATION (1st) FOUNDATION (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTs: P.O. Box 775 Orient, New York 11957 September 18, 1984 Mr. Edw. Hindermann Office of Building Inspector Town of Southold Town Hall Box 728 Southold, New York 11971 Dear Mr. Hindermann: Please find enclosed the signed application for Certificate of Occupancy and check for fee of $5.00. Also enclosed is %he Building Permit display notice No. 12197 Z. On another matter, would you kindly advise me the deadline for extending Building Permit No. 12432,Z which was issued to me for an Accessory Cabana on July 19, 1983. If I remember correctly the current permit is valid for 18 months which would allow me to renew before January 19, 1985. I should appreciate your confirming this time so that I don't fail to apply within the required period. Thank you very much for your kind help and co-operation. Very tr~culy your~7 ~) ~Nan~.~.Kardwel 1 Encls. Memorandum from... BUILDING INSPECTORS OFFICE TO~ OF SOUTHOLD TOWN HALL, I]OX 728, SOUTHOLD, N.Y. 1197 765-1802 NE~ t/ORK STATE I~EPA~TFt,{E,~ OF B~. 40, 8U~V--~oo~ S~ny ~ok, ~Y 11194 (5161 751-7900 Mrs. Nancy P. Kardwell P.O. Box 775 Orient, New York 11957 March 7, 1983 RE: Oe~t Mrs. Kardwell: A revie~ ~am bve~ ~e o~ ~you~ p~opo~a~ ~o: swimming pool. construct a 25' X 52' Loe. a..~on: Long Island Sounds Munn Lane, Village of Orient, Town of Southold New Vo.,d~S.ta.t.e Oepa,t~w, tto{ Enu, Otonm~Co~e,'tuaWJ. on htt6 {otmd:e. he pwtee2~ XXXp,tojecttobe land~a~d of topographical crest of bluff in excess of l0 feet above mean sea level ju,,~d,i, ct~n pu,~tw.~ ~ ~ act. R~i~n~ P~mi~ Adm~r COUNTY OF SUFFOLK J'r~,,~ SOUTHOLD Properly Tax Service County Cen,.r J~ST~T~. I000 R~verheod. L I, N~ YorJc k 017 FORM NO. 1 TO'tN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. Approved ~C~.~ ..................... , I .~.~... Permit No. ................................................ ............... ................ / '"' r~ :~,PPLIG/~,TION F~R BUILDING PERMIT iNSTRUCTIONS Date [ebrua.r)f. 25. 19_.8..3. ...... a. This application must be completely filled in by typewriter or' in ink and submiff~d in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee acc,ording to sch,ecjule. b. Plot plan showing' Iobati6a of lot an'd of'buildings on premises, relation'ship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 pa rt 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 o 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 buildiogs, additions or alterations pr for removal or demolition, as herein described. The appl cant agrees to comp y with a a~bpl'icable laws,' 0rdinar~c~s~ building code, housing code, and regulations, and to 9.dmit authgFized in~pectors on premises and in. buildings for necessary inspections. (S'g ature/d/f/applicant, or n~me, if a corporation) Munn La/~ ........ N..e...w..y.9. ................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Nancy Po Kardwell If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) F/?( k · Builder's License No ...... · ......... : ..................... t.~ ............ .Coo)~ Southold Town Lic. No. 353 · Haven Pools~ Ina. Plumber's License No..~.].~ ......... ~...~d..~]~. Orient Electrician's License No. ~]:E ........ ~...~,..Rulgnd~ Ruland Electrlc, Mattltuck Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: 17.-2 (Sect 17, BIk 2)Lot Ng. ]5~004 Street and N~ber ...: ....... ~J~9~.~g~.Af~.~J~..~.,..~,.~,..~..~rJ.~t ........ {OZ~ ~ ~¢( ~ ~o number (~ ~O~ Municipality 2. State existing use and occupancy of premises and in~ended use and occupancy of proposed construction: a. Exisiting use and occupancy Residentlal~ one-tam' Proposed construaffon is ~Jmming poo b, Intended use and occupancy ............................................. 3. Nature of work (check which! applicable): New Building .................. Addition .................. Alteration Repair .................. Removal .................. Demolition .................... Other Work ....,S,.w..J..m.,.m.i,0g,.p..o..o.! ........... i.,z , _, (DescriptiOn) 12,000.00 , ~ /~ 4., Estimated Cost .............. ~ .................................... ree~:~,~..., x ............................................. I (to be paid on filing this application) 5. If d~elling, number of dwelling units ............................ Number of dwelling units on each floor If garage, number of cars ................... 6. If.business, commercial or mixed occupancy, specify nature and ex~nt of each type of use ............................ ~ ~ - 37' nlus wlng25~.,,,, p. orch 65~ 30' 7. Dimensions of existing structu es, if any: rron~ .........[; .................................................... Depth .................... Height ...a,qp..r.o..x..2..5..~..-.~'Number of Stories ........ .T..w.g ......................... '~'~";l¥~';;tlons ' ' Dimensions of same structureI with alterations or additions: Front .................................... Rear ............................ Dept,h ................................ Height ............................ h4umber of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number! of Stor es .......... .N...e..w...,c..o..n..s.t.r..u..c. tj.o..n...Ls...q..s. ........ 9. Size of Jot: Front aveE 3 acres ...................................................... Rear .......................................... Depth ................................ 10. Date of Purchase ,......M...q.r.'.c..h..~,..]..g7..4. ...................... Name of Former Owner ................... 11 Zone or use district in which premises are situated Prop. er.fy. C ass 210 12. Does]proposed construction vi~late any zoning law, ordinance or regulation: ........................................................ 13. Will Iht be regroded, ..p.q.s.~j..b.l.y. ............ Will excess fill be removed from premises: ( ) Yes (X) No 14. Name of Owner of premises ..... ~.a..0..c~Y..P.~..K.a..r.d...w..e. ................ Address P.,...O.~...~..x..Z.7..5.~...O..r. jepr~fone No. 32,3.-.2.4[~,3 ...... Name of Architect Address ...... Phone, Name of Contractor [~u~¢ /~,u.~ ~' ........................ ;/~'~'~": .......... '~.:' No ....................... · ............. , ............................................. Address .;.....i...~.~. ~.'~'. Phone No. ,.~C-~' ¢ 9 PLOT DIAGRAM [,J,x.~.~'~zI 11'79'~ ...................... Locate~clearly and distinctly ali buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bio :k number or description according to deed, and show street names and indicate whether interior or corner lot. , Please refer to attached photocopies: (al Plot diagram (b) Property Map of Section 17 showing location and survey dated March 25~ 1982~ for deed description, STATE OF NEW YORK, /. ,,,,. COUNTY OF ..~.v./.L6~.O.~.~.. Na6cy. P, K.a. rdw.e. II ' ............. beina duly ..... i ....... ..... ,'. . ~wom, depos,esand says thatShe is the applicam above named. ~e is the . owner~ ~ ................... ., ............................................................. I [ (Contract~ ~e~, ~'~por~te~qfficgr, etc.) of said owner or owners, and is dul~ authorized to ~erform or have performed the said work a.nd to make and file this application; that ali statements contai6ed ~n'~h~sra~pHeation are frae'to the best of his knowledge and belief; and tha~ the work will be performed in th9 manner set forth in the application filed therewith. Sworn to be~ore me this _ ...... ~.~T~.. day of Notar Pub c, ~Ad'~ff i ....... ~" . ........ Y ........... .................... ~ ................. ~ounry ....... ~E~.~~-. ................... ~L'~'~. ~~. ' : . / ~ (S gnature of apphcant) I GENERAL NOTES WAETE ~. RETURN TO _SCHEMATIC PIPING ARRANGMENT B PUMP A WALK (OPTIONAL) SECTION ~A-A PLAN HAVEN POOLS lNG. 1152 EAST JERICHO TURNPIKE HUNTINGTON, N.Y. 11743 A W&TER LiNE WALL SECTION VARIES 6" TO ~4" SHALLOW END 25" UP ON DEEP END SEE t~I~LL SECTION DETAIL SECTION B-B STEEL REINFORCED HORIZ 12 "OC t2"OC VERT 12"0C E#OC -'~~~ I~ ' I /~ ~-~ ~ ~ ' , · '.': .~ , - '.,,~~ I~ ~ ~ / ~ .- ~ ~ :. ,~ ~, '"%,,~ ~ . . . -~~~ I~ . , '.~' k '7. ~ f & ~1 .__ . . ,, I~ ~ : ~ "~:~ .... · ~ ~ , m~ ~ ~.-- , ~ ' , I, . -,-!7 / '~ - ' '' ~' ' ' . ' : :~ '.-' ' ' , ~l , ~ ~ · ~J, ' ~ , r ~ . ~ ~ ' * ~ ~ ' ~ -~, ~/' ~'- -. _ ' 4 ,' . - , , ,~ r,. 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