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HomeMy WebLinkAbout10233-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9716 Date October 18 19 79 THIS CERTIFIES that the building ................................................ Location of Property 130 Tasker Lane . Oreenport ... House No. ' ............... 'S'tt:e~i ...................... I21~mlet County Tax Map No. 1000 Section 53 .Block /t- .Lot Subdivision...ty.a.a.~.e..r.n. ~B...o.r.o.8. ........... Filed Map No, ~Q .2.'1 .... Lot No ..... ~..~ ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated May 21 197.9.. pursuant to which Building Permit No .... J.Q2.~. ~.z. .......... dated Ma.y...2..2 ................ '.. 19 7.9., 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 and Fenge . . Thc certificate is issued to Kenneth J.. Rishe. .......... of the aforesaid building. Suffolk County Department of Health Approval ...................... ,ff ............... UNDERWRITERS CERTIFICATE NO ................................ : .................. / Building Inspector Rev 4/79 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 10233 Z Permission is hereby granted to: .... !..<.E~.~.~ ....... ..v..:.....~.!~..C¥......~.~:~ ............................ ~_~.~?~..T.. ...... .~:...~. / ~/ ~IL · I~ ~U~ _~ /~/~ p~o~ ~D I=~~ ~o ..... ~_....~ ...... ~ ............................................................................................................................. at premises located at ................ ./....~..~ ...... .,,~/-~ ._¢..../~...~..7~... ........ ..~...~...,~..~ .............................................. ...................................................................... ~ ~.~.~.~.~'.~z.,....~('....':d ................................... Building Inspector. Fee $ ........................ Building Inspector FORM 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 Wpewriter 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. 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 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. 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 ... ,~ ...... Vacant Land ............. Location of Property /.~..~. · ./~. k¢.~ · · · ~. z/~-.~. .d~. ................ .~?. ?'..~;~..~1 )~.~ ?.. - House No, Hamlet Owner or Owners of Property ~.'.d.-~,q~..~..~.. ................................ County Tax Map No. 1000 Section ... ~'~.~ ........ Block .... /. ........ Lot ..... /1/..~. · ..... Subdivision .~.??. :'~.1%/'/....?~. ?.?'.d.~: ......... Map No .... -~.~..~../ ..... Lot No .... .~. · ...~ .... Permit No//4~.~.~ :~..~. Date of Permit ..~...~.~:,9...~..Applicant .~.~..~ .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval/~J .~..~..~..~'. x///. ........... Planning Board Approval .................... Request for Tempora~ertificate ..................... Final Certificate ..................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable cg~]es ar)~ regu lations. App,icant ..~~--,..~........~..'~ ............... ,.,. ,o.,o.,a / FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..... ~'.~':~.~: .~... ~ ..................... .......................................... .... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. ('. i:...: ....... /f~./~q/ · 19.?/~/ Date. . .:;~/ ...., INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building~ Inspector, with 3 sets of plans, ~ccurate 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 ~nust 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 issue a Building Permit to the applicant. Such perm~ 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 Occupanc'~ 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,.bt~ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .>,.L. .......... ,> ~ ~,,,... ../. · .~,,,.: ........ (Signat,gg~of applicant, or nhn4e ~1~ a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ownel~ Kenneth J. ~i~ha Name of owner of promises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........ iName and title of corporate officer) Builder's License No. #61 I~/A Plumber's License No ......................... 1101 g Electrician's License No ....................... Other Trade's License No ...................... Eaet ;>~t~e Tasked' Lane Location of land on which proposed work will be done .................................................. 33 Tasked' Lane O~,eanpel,~ House NumBer Street Hamlet County Tax Map No. 1000 Section .................. Block .,. ............... Lot ................... Subdivision l~ap o£ ~ss~x'n Shox'~8 Filed Map No. [lOal Lot 33 (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ............................... ' .............................. 3. ]Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ...................................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, 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 extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... HeiSt ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... I~umber of Stories 9. Size of lot: Front .... !9.0............... '~;~i iiiiii i~0.~?iiiiiiiiiii'~)~i~'iiil)~.°.'!iiiiiiiiill J J 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed constructio~olate any zoning law, ordinance or regulation: ....... .n.o ....................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises . .K. $~1~.$1~1. ~8195... Address J~..~88~.~.~.. bt~l$.. Phone No..1~77.-.1006 ..... Name of Architect ..... .N~A. .................. Address ................... Phone No. Name of Contractor .87..~.ra.- .K.~ .rig..P.o. 97..~ ........ Address .R.o.~.~...~.A. ........ Phone mo~ i'~41'.'.~.'~ ~)~)i i i i i Rooky Potni;~ N,Yo 11776 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF..Suf£o.lk ....... s.s Kenneth Rishe ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform 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. Sworn to before ~ this 197.¢.... /7 d of //, _. . ."7. .,.G..,i,~.% ~". s..o,, c,~.~, g'/ -- (Signature of applicant) b.I 0 · t · . 5< .~-. CAST COPtNG E.=Z_-., SECTION B'B LNOT E S.... WALKS TO SE SMOOTH- NON SKID TYPE, SLOPED AWAy FROM POOL WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY TO SUIT LOCAL REGULATIONS SIZE A B C O E F G ARE/ CAP 16',~ $2' I6 32 8 8 12 4 I ' GRA3E . I f~, If~,k,-~'.~4' ' ..~T[' -',-~ORED TO CONCRETE 8'- J ~'~ BLOCK SECTION ~-A " RETURN ~ o ~OL~D FOAM ~TO FILTER BETWEEN -''AL ~FROM SKiMMER~ -- SEE TY~ ~ ..... WALL SECTION ~ ~ / ~ FILTERend PUMP TO RETURNS F~M FILER  TO WASTE · .... :~PIPING ARRANGEMENT ~'~ s~.~ ~":" ~'~ ........ ~t.~ E C~,ST CONCRETE COPING GRADE THICK 'OWENS CORNIN FIBERGLAS' BLJ3C BOND' TROWELED ON EACH OF CONCRETE BLOCK V POURED CONCRETE FOOTING FIBERGLA~ MOULDED I PIECE OPTIONAL STEP TYPE I. T__Y=PIC'AL WALL SECTION 0 C'