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Home My WebLink About10321-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall $outhold, N.Y. Certificate Ol Occupancy No. Z-15571 Date April 2, 1987 THIS CERTIFIES that the building INGROUND SWIMMING POOL 8, FENCE Location of Property 5520 Narrow River Road Orient, New York County Tax Map No. 1000 Section 27 .Block 2 . .Lot. 4 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 5, 1979 ~ pursuant to which Building Permit No. 10321 Z dated Ju 1 y I 9, 1979 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 The certificate is issued to RAYMOND & JOAN PLUSCHAU (owner, Igife~t~Xt~Mbl~X of the aforesaid building. Suffolk County Department of Health Approval N / A N444003 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 YO~ 'NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, lq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10~1 Z Permission is hereby granted to: ......... ,, ....... ~. ~ d.'~. :~. ..... ~. ~.~... Z . . . ~/~.(~.~ . ...... .............. ~o ............ ~.P~.,. ............... ~ ......... ~. ........................................ ?. ...................... ........ ~.~...~a~:~: ............................................................................................................. Building Inspector. Fee $. L.....-'-'. .... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter 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 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. B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property 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 $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 4.Vacant3'C°py°fcertificate°f°ccupancYLand C.O. $ 20.0055'.00, over 5 years $10~00 5.Updated C.O. $ 50.00 Date ...~/.~..~,/.~.~. NewCons truc tion ...... OJd or Pre-existing Building ............ Vacant Land ............. Location of Property ............................................................. House IVo, Street Ham/et Owner or Owners of Property .~/.~.,,~. p.~u'/~ /,~). f, '~O.f~.~v' /-~. County Tax Map No. 1000 Section ...... .~..2 ..... Block ....... .~. ...... Lot ..... .~.. ........ Subdivision ........... Flied Map No ........... Lot No .............. -/. Permit No. /~.,~.~../..2r. Date of Permit ~...~...~..Applicant .... ~.' ........ Health Dept. Approval ...... , .................. Labor Dept. Approval ........................ . / / Underwriters Approval' ' ~'/~" ~/~' '7' ......... Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $/..~.° ....................... Construction on above described building and perm~it meets all applicable godss and regulations. Rev, 10-10-78 ;3571 FORN1 NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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 natura~ or tooograohic f~8~ure~. 2. F~nal 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 Engideer responsible for the building, 5. 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 topograph ic 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 certihcate. Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ....... New Building . .~'"'..¢~.. ..... Old or Pre-existing Building{Z) . .~._. _ ~/Vacant Land ............ Pro ert /~/~t ~o¢4J /~IM/---~ ,~...j~). ......... ~.~.,~,.z~,.~..?~' ....... Location of p y .......................... =-.,~ .... House No. Street Ham/et Owner or Owners of Property ...~..?//'k?°/~'.. ?.~..-.-/~.'' . ."~.o../)..~.../~......~.Z ./~¢.~. '~ ,/.-~../~..¢~. .... County Tax Map No. 1000 Section .... ~? '.3 ........ Block ~2. Lot.. ~./ Subdivision ........................ ../.../...Filed Map No ........... Lot No .............. Permit No. ZO.~-~. .2~./.. Date of Permit~?//. ~/.~..~¢.Applicant L~..,~.././1¢..w'l/..'''~ /9 ,/~../,z~...~.~..oo/~_~. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,,. Underwriters Approval /.~. ~¢ Plannin oard reval .... ....................... g B App .............. Request for Temporary Certificate ..................... Final Certificate ........ - ......... Fee Submitted $... ~.-.0. ?, ................... Construction on above described building and pg~mit'meets all app~cable~co_des an, d't'O;l~ations, Applicant FORM NO. 6 TOWN OF SOUTHOLD Building DeparTment Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This apphcation must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the foHowif~g; for new buddings 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 electrtca~ installation from i]oard 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. 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 topograph m 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 or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... New Building ............. Old or Pre-existing Building(If) ...,..,-'~. .... ~/Vacant Land ............ Locat,on of Property //~/¢~'.~,0 ~:~/.~,/~.2w~.. ~ ~ 0~/~ ~ Hou~ No. Street Ham/et OwnerorOwnersofProperty ~ ~ON~ ~_ ~ ~.~, ~/~/~ County Tax Map No. 1000 Section .............. Block ............... Lot ................ Subdivision ./~. ................................. ~.~_ / Filed Map No ........... Lot No .......... Perm,t No. ~ ./.. Date of Permit '/.//. ~/P~./C..Applioant ~.~..-"~, ./~'./.~..~/~Y: .~../~ Health Dept. Approval ................... Labor Dept. Approval ................. ,.. / , .~,~/- ~to o..~ ..... · ·N/~'=~'..'-¢..~.., .~ .Planning Board Approval .................. Underwriters Approval Request for Temporary Certificate ..................... Final Certificate ........ Fee Submitted $ ..... .~..,.o..O .................. Construction on above described building and p~ meet, s all apP~cable~codes and r~Lons. , Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 January 20, 1987 TEL. 765-1802 Mr. Raymond Pluschau 5520 Narrow River Road Orient, New York 11957 Dear Mr. Pluschau: This is to advise you that the job under building permit no. 1032]Z issued to Raymond & Joan Pluschau on 7/17/79 for Inground Sw-lmmihg P~ol . is completed and a final inspection has ( ) has not ( XX ) been done. In order to complete this file, it is necessary that a Certificate of Occupancy be ~ssued. Please fill out the enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southoldo Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly your, Victor Lessard Executive Administrator VL:gar encl. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .... ~;....~/.. .......... ^pp~cotion No../..()P.~. " Examined ,..~...,...l.. ................ · ..... . ~ ~/ ~ , It Z, a2 Permit No..Z. ............................. ~ fA'. . ...... ~. ~provea .................. ~'-'~" ' DisapprovedUa/c ................................................. ~ .............. // ................................. (~ Inspector) APPLICATION FORBUILDING 'E~IT ~/~ INSTRUCTIONS Date .~.....~' .............. 19~... a. This application musJ be completely filled in by ~pewri~e~ o~ in ink and submitted in triplicate ~o ~he Building Inspector, wi~ 3 s~ o~ plans, accu~a~e plot plan ~o ~ale. Fee according ~o schedule. ' . . ' ' n remises, reJationsh p to adjoining premises or public streets o~ Plot lan showing location of lot and of buddings o p be drawn on the diagram which is pa~ of this application. ar~s, and ~ving a detailed description of layout of properW must c The work covered by th s application may not be commenced before issuance of Building Permit. Such permit royal of this appl cation, the Building Inspector will issue a Building Permit to the applicant. d. Upon app_, .~ n-~n~Nl~ ~or inspection throughout the work. shall be kept on me prem~ ~-~ ........ a e. No bui ding'she be occupied or used in whole or in pert for any purpose whatever until Ceffificate of Occupancy shall have been granted by the Bu Iding nspector. · · rtment for the issuance of a Build ng Permit pursu?nt to the AbE to t~e Bul d ng Depa cable Laws Ord nonces or APPLICATION ,IS HERE~,~.~ ...... ' ~outhold Sulfa k County, New ~o~ ?the~,=,~ n~ herein described Ruildina Zone Ora nonce at tne )u?,. ~. ~ -J*~, ...... i*erot OhS or tO~ rem~m or aemu.,~,',7- . ..... j ,~ ~ ....~ fnr the constru~ion of Duilmngs, a~ u.~ ~- ~:- ---~ ~u d~na ~, housi~ co~ana regum~ons, u.u ,~ ~egu'~"7.-~' ;-- - _ ........ I,, with oil applicable lows, oratnun~, ---;.- .~[ / / // The appncan~ a~r?~ .~.~,..~ .... ~ and i~ buildings for n~essa~ m ~7 ...... / / // admit authonzea inspectors on p,~,,,,o~o ~ // ~,.- ~ ~ _. ' ....... ~ ~~if ~orporatlon) ................ : ............................... ............................ ~ of State whether ~pplican~essee' agent, architect, engineer, general contractor, electrician, plumber or builder ....................... .................... ~e o, o~.e~ o,,~em'~ ...... ~. ................. If appticant is a corporate, signature of duly authorize~officer. (Name and title of corporate officer) .............. Builder's Lic~se No. ~ ............................. Plumber's License No ............... ;.~ ............................... / Electrician's License No. ~ ........ Other Trade's License No...~~ ........... ~. ~oc~,,o. o, ,~.~ on w~ ~, ~o~ wo~ ~," b~?. ~. ~' '-'-~ ........... ~"fT~ ~ .................... N.mbe~ ..... ~-~"'"~""~ ........ t'"'~"~ ........................... Street and Municipali~ State ex~sting use and occupancy of pr~ses a~d in~ended use and occupancy of proposed construction: ....... ' ............................ . 3 Nature of work (check which applicable): New Building .................. Addition .................. Alteration ........... Repair .................. P~moval .. ................. Demolibor. ................... Other Work .................................................. ¢/¢f~,~ // ~,~ (Description) 4. Estimated Cost ......... ;SdC~..O.. ............................. Fee ...... ~¢,~ ............................................................. (to be paM on filing this apphcation) , 5. ff dwollino~ number o{ dwolliB0 un~ts .........................~umber o{ dwellinfi units on e~ch floor ........................ I{ ~ro~e~ number of cots ...... ~.~ ........................................................................................................................ : ........ 6. If business, commercial or mixed occupancy,'~ · ~spe°fY nature and extents.of each type of use .................../~" 7. Dimens ons of existing struqtures, if any: Front ...~ ..... Rear ..2~' ...... DepthS. Height ........................ Numb:er of Stones ............................................................................................................. Dimensions of same structure, with alterations or add,hans: Front ....................................Rear ......................... Deptl~ ................................ Height ........................... Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ....................... Height .................... Npmber' of Stories ............................................ , .............................................. ~.., ....... ~ ....... 9. Size of of' Front' ,---- ~ ~ --~)~;, .. . Rear ..,/ ~) ........ --Depth"Z~"~ ............... 10, Date of Purchase .,..~Z~..l,~;..m..,.../..:'¢. ............. Name of Former Owner ........ 11. Zone or u~e"' district in whicy¢remises'~ are situated .............................................................. ¢~.~',~ ............................ 12 Does. proposed construction violate any zoning law, ordinance or regulation: ............... ~ ...................... : ..... 13. Will lot be regrade~ ............... ' ............. Will exceF~ fill be removed frog.premises: ( ) Yes~ No 14. Name of wne, of premises'. .,~.. ~¢. Address .,,4~.,,r~¢~ .......... Phone ,o. Name or Architect ...............:M...,,¢~ .................................. Address .............. ~ ............... Pho No ....................... Nome of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly oH buildings, whether existing or proposed, and indicate ali set-~cl~ dimensions prope~y li~es. Gwe street and bldck number or descriphon according to deed, and show strbet ~ames and indicate whether interior or cornel lot. STATE OF NE~q ~ COUNTY OF .... /~-:~... ~-f-~',...¢....l%'( / ~ ~ ..., ~ . . , .,, , .... ;., ,,~ ~,,, b?mg duly swat?, deposes ~nd so¥~ that he ~s the opphcom tlName or IndividUal signing contract) - ' above named. He is the ........................................................................................................ .¢¢=h ................................................................ . . (Contractor, agent, corporate offic~.r.r, oF said owner or owners, and is duly authorized to perform or have ] rforn')/e¢ the said )¢qork and to make and file this apphcot~on that all statements contmned ~n th~s apphcohon arc ue t~' the best of/Ki~' knowledge and behef, a. d that the work will be performed in the manner set forth in the applicgfi~ find the,~vith. Sworn J¢,4~4or. e me this /'1 "' 7 -' I /I ....................... ~ doy of ......... , ..... (Sig (..~,~,.~::m~ ~ ~ (Sig~re of applicant)