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Home My WebLink About10254-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1t364. ......... Date ....... Dee.ember..16 ............. 198.2.. THIS CERTIFIES that the building ................................................ Location of Property .. 215..~Jor.thf ie.],d. Lane,. S.o. ut. ho.l.d. .......................... House No. Street Hamlet County Tax Map No. 1000 Section .7.1 ......... Block ...$ ........... Lot ...2..4 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... June..1 ........ '.., 19.7~9pursuant to which Building Permit No...1.0.2.5.4..Z ............. dated ..... June..7. ................ 19.7.9, was issued, and conforms to alt of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is ......... ................ ingr.ound..swimming, p. QQ .1 ...................................... The certificate is isstled to .Mickael. Mort ia . .. [o~l~n.e~,,~.,q~.~r2t~,~~ ............... . ...... of the aforesaid building. ; Suffolk County Department of Health Approval ... naa ................................... UNDERWRITERS CERTIFICATE NO ..... N.4.42055 ..................................... Reu. '1/81 Building Inspector FOENI NO. ~ TOWN OF $OUT~OL~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH~)LD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1035] Z Permission is hereby granted to: ..... ~. ~r~. ~,,-,~,z:.. ~,,~.,,~_~/,,,,: ¢.. ~/~- 7e,...../7~.C.~./~./-.....Z~.a/'~.~./~. .............. , / 7/¥ pursuant to application dated ......... · .~.~.4~...../. ................... ...., 19..7..~.~ and ~pproved by the Building Inspector. Fee $..~..,~.~..~ ..... ~~~ .. ~~~ B~ilding Inspector FORM NO. 6 TOWN OF SOUTHOLD Bu ~cJing Departmen~ Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and sub~ tted in duplicate to the Building Inspec- tot with the following; for new buildings or new use: 1. Final su~/ey of property with accurate location of all buildings, property lines, streets, and unusual natural or tomograDh c features, 2, Final approval of Health DeDi. 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 buiidines Mu dple Residences and s miler buildino;..nH l~.,.II. t~ons, a cart r ca,e of Code comp lance from the Arch tact or Engineer responsible for the building. 5. Submit Planning Board approval of compietad site plan requirements where applicabfe. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. AccuraTe survey of peoperty showing all prooerty lines, s'treats, buildings and c~nusual natural or topographic features. ' 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housin9 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 $5.00 3. Copy of certificate of occupancy $1.00 Date .. .... cqzr~J ./ .c'~2..~z. .... Old or Pre-existing Building(X) .. ....... = ZVacant Land ........... Location ~'f P~oparw . ..2 X-~.'ff....... ..... ~/~Z~:~. A~ .......... ~z~:~ ~ ...... Owner o~ Ow~er~ or P~op..W ~ ...... ~F/~. f ~/~ ~ ~ .. . .............................. CountyTax Map No..1000 Section ... 2 ~ ........ Block ..... ff ......... Lot...~ ......... Subdivision ~ ......................... .~ ...... FiLd Map No. , .......... Lot No...' ........... Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~zriters Approval / ~) ~ '~ ............... z~ ~,.,~. ¢~, .Planning Board Approval .................. Request for Temporary ' ~ Certificate ..................... Final Certificate Fee Submitted S.. "' ) / ..... ' ...... ~,~ .(.. :.! .... Construction on above described building and ~rm~['~ee~s 81l app~cabl~o~es and regulations. Ap~,c~nt / ~ . - :'~ '~'z-' ........................ . ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ~b 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT : '~- · only the electrical equipment as descrlb~d b~lo~ an~ introduced b~ ttw 9ppllcant named on tl~ above application number in th~ pr~mlses o~ ~4r. '!orrl.~, No,th Field [!doi {/0 3ayview Rdo~ Louthold, L.I. in the~ollowing location; [] Basement [] 1st FI. [] 2nd Fl. OI~ s l de Section Block was examined on Jll~'~ ] ;~ · 1 ~ ~!) and found to be in compliance ~vlth the requirements of ~hls Board. fiXTURE RXTURES RANGES OVENS DISHWASHERS EXHAUST FANS OUT.TS SWITCHES FLUORESCENT VA~3e 1 k 1 I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C NO. OF CC. CON~). A.W.G. NO, OF HI-LEO A,W,G. NO.O~NEUTRAL~ A.W-G- F~R ~' OF CC. CC)ND. OF HI-LEG O~ NEUTRAL OTHER APPARATUS: 1.-G.P.I. (Swlmml~ Pool) This certificate cover~, compliance at t, he aa~e inspection only, ~eause of unusual environmen~s It ~s advisable to have f~equent te3t and/o~ ~ep~a made oy a qualified Santo Con~. 16 Michael BI. Nescon~et, ~I.Y. Llc: 1077 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Gm. AL MANAGER ) be identified by COpY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNIR. ~_ TOWN OF SOUTI:IOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 November 12, 1980 Carefree ~5~ing Pools 1 7J60~ran Avenue Bohemya, New York 11716 / Dear Sir: //6 7/ This is to notify you that Building Permit No. I02~4Z issued, ~e 7, ,,1979 to constr~ct,,I/G ~,o'bl acc,y ,, will expire on December, 7, 1980 If more time is required to complete the job and obtain a Certificate of Occupancy, you may apply, ~y letter, for a six (6) month extension. - If the work is not completed and the not issued after the six (6) month extension period, than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector Certificate of 0ccupanby you are 0 FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL _~.../:~. ,: ,:: ,,f./.~ ~... ~ ..,'Y,d. o.~,r~ .................... ~,~^s~ ,^~<~ ~o"r~c~ tho~ yo,r opp,¢o,ion doted ...... r,J'.~...~..~ ......... .'f ................. , ~'..7...?.. for permit to construct ......................... ~,~,.~...ar the premises located at d~./.~. ......................... ~.f..~x~.....Z,~.,~..z..: ................. s,,,,, .~,z-,,,,o,~, ~'. %. ~o~[.~..o~o- 0 7./., Block ....... ..(~..../. .............................. Lot ....... ..(~....~.....~... ........................... is returned herewith and disapproved on the follow]ng grounds ..~..CZ.,....z~..~--~.~./.~,...,~.~/-'/.C..'.~.,q..~...~..~~ .. z~ ~ f.'.c~ .z'.~.... ~ .~.... i..Z~..A ,~.g,z...s..._. ,~..~.... ~... ~./.~..... 25...~ ................... .... ~.~cz...--Z~...,~ ............... .~..~..zz~.. ...... .~..~...z, aa....-:.~.o. ....... ~.,.....W.,..~: ............ ~ V ~.~'~xj~ Building nspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Disapproved a/c ....~ ........... ~'i.'.".~' .............. ~iiiiii ........ Application ........... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter 0r in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plat plan showing'loc~tion of lot and of buildings on premises, relationship to adjoining premises or public streets oreas,-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 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 Bdilding 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) . :t~S6 i~.~e~n.~,.v.~,...~.~b.e.~i.~.,...~..,..Y..,......z.1]..L6. .............. (Address of applicant) State whether applicant Js owner, lessee, agent, a~chitect, engineer, general contractor, electrician, plu~nber or builder.,,~ C~ene ~t! Name of owner of premises )v~J.¢~tel Morz'b If a~licant is a..~rporate, si~ature of duly. authorized officer. ..... ............... (Name ond title of corporote officer) Builder's License No ..................................................... Plumber's License No. Electrician's License No ............................................. Other Trade's License No ............................................... DJ.~it:. ~[000 ~ect. 071 '~ ! IP¢!. Z~ 1. Location of [and on which proposed work will be done. Map No.: ,.)b[~zc..[-~ot~e ................ Lot No ......................... Street and Number ........... ~Tol~t,l~f~o].d...Y~i,~.e ......................................................................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ............. P.,.eslde=fl.a.! ............................................................................................. b. Intended use and occupancy ....... 3. Nature of work (check which applicable): New Building' L ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... .(Description) 4. Estimated Cost $4 400.00 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 ...................... i ............. Rear ............................ 8. Dimensions of entire new construction: Front ........ ..../../. ......... :..~ ....... Rear ..:..,~ ........... v'"":'." Depth ...... Height .................... Number of Stories .......... ..-m-. ........................................................................................................ 9. Size of lot: Front ..... 4 .................................................. Rear ..... ~....~.....~..,,.,~. ..................... Depth ..... ,......./. .................. 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~.~..~ .............................................. 13. Will lot be regraded . ........................... Will excess fill be removed fr,~o~JeS[~: L~'~neVeS ( ) No. 1756 Ocean Ave. ' Care-Free Swm~, Pools Address ..]~h~re~ia .............. Phone No. Nome of Contr0ctor ........................................................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frarn 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 .,:,,..,..~..~.....L.l..q ...... ~S.S ............... ~.~,.m.~,;j,(.,~.x, ....... L:..~,~.~,~ ......................................... betng duly sworn, deposes and says that he is the applicanV,, (Na'me of individual signing contracf) above named. He is the ....., ........ /~, ........ :.,..,..~.-,..I.L~...i.:?l~- ................................................................................................................................. ' (Contractor, agent, corporate officer, etc.) of said owne~ 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 performe~in the manner set fo~h in the application filed therewith. Sworn to before me this ............. L...,: ..... of ................... , ................ ~ ~ ~ ~