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Home My WebLink About10143-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ............................................... cl cm;cnogu House No. Street Ham/et County Tax Map No. 1000 Section ....1.0.9. ..... Block .... .~. ......... Lot.. ?./4...~. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated dated ..... .lfI.aT. qh...2.7., ............. 19...7,gwas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ...... .N...4.3.4.6.6.2. ................. / Buffding Inspector Rev 4/79 FO~,D~ NO. ~ TOWN OF $OUTHOLD 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) N? 10143 Z Permission is hereby granted to: .,,~,B,~.~,~,.).,.,.~.~.,~ ...... ~,.,,J..,......d.......,,~.~ b~ ~ b ........ ....... .......................... ................. .~.. ~ ..~.. i .~....ZZ.f.. ~. u..~. ............... ..,4/, to .~....C..//,..~ ........ ..~.. .......... ZJ~..~.~/,~.zg...~ ........ ~:).~.~ .......... ,,,'l..~v.~ ...... ..~t.u..~-~ .............. .... ~..,e.. ~.(.tJ..~£ ..~b., ......... ~.~....~.,:::./:: ................................................................................................. at premises located at ..~.~.~..~.....(~J~?.?~.7.£..~3.Z).~.~.~3)~.`~../~.~`~..~.~&: ............... .................................. ~..~..d...a.~ ........... ~../..~.......-T~ ...... ~..~.. ......................... : .................... ................................................................................. ~...¢z..."Z:....~...1/.,~..,~. z..-:. ~'T ............ i ........................... pursuant to application dated .............................. ,,/~.~.~/~.....,~2..~., 1~./~'...,. and approved by the Building Inspector, ,Fee $..~.....~- .~*'~0 ' Duilaing -'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 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. 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 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 ......................... ~ ...... .~.~/..'~.C..('//~. ~.0. ~-~ ............ House No, ,~,~. ,,~,,/'7"' ~, Street Ham/et Owner or Owners of Property , .~.L~.~..~.,. /~' ~j' ¢ . ,~.././-.~.~,~. C ~ . .~,T~'tv/' County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision... ?....'~...~..~../ ................... Filed Map No; .~.~ ~,~..Lot No ..... ~ ...... Permit No./bl~.~-~ Date of Permit ~.~..)./?~.Applicant.. ~...~.~. · Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... ' ........................ Construction on above described building an.d permit meets all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS {'~'~ BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NEW yORK 10038 THIS CE~IFIES THAT lee qactln, e/s Pralty Lane 30~~ s/o Rt. 25, C~tcho9ue, L,I. in the f~g I~ation; ~ B~ement ~ Ist Fl. ~ 2~ FI. ~t~n B~k ~ erami~ on M ~ ~ ~ ~ ~ ~ ~ T Q a~ fou~ ~ be in ~mpli~e with the r~ui~men~ of th~ ~. DRYERS FIXTURES RANGES OVENS SWITCHES FURNACE MOTORS FUTURE AI~UAN~ NEBEIS S~VIC~ aISCONNECT S E R V I C OTHER AF~ARATUS: Panelboard/stl-4clro IOna~po ($~lmmtnR Pool) Thls cer?iflcate covers comollEnce Bt the date of Inspection only. Because of unusual environments It Is advisable fo have fFequent test'end/or repairs ~ade by s quallfl'ed ~person, Joseph D, Hazzonl 227 ~averty Ave. eml~z, Nedford~ N.Y. !176~ L. Ic.487 E Per ~is cedific.~ m~ n~ ~ oltemd in ~ manner;, return to the off~ of the ~ if incorr~. Insp~o~ m~ ~ i~fi~ by t~l ~ copy_ma. ~ ~~. ~ coPY o~. ~mc~, . ,, ,m~ m ANY TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 August 11, 1980 Lee Martin P. O. Box 940 Cutchogue, N.Y. Dear Mr. Martin: : This is to advise you that the job under Building Permit No. 10143Z issued to Mildred & Lee Martin on March 27~ 19791 for ...I/G pool with fence appears to be completed as of our last inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above office. There is a fee of $5.00 for a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, GEORGE H. FISFHER Sr. Building Inspector encl. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 .... ............ ..... ................................ ::.:: APPLICATION FOR BUILDING PERMIT 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, 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 wilt 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 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, buildin,g, c~e, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary~inspec/t, i6j. ~ / ,~: ~ ~a~ure of appii~nt, or name, if a corporation) ....... ............ (Mailing address of ~fpplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~: .g'~..~....~ ..~...~.? .................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) B~ilder's License No ........ tT[.~. ?..~.... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... of land on ~which proposed work will be done. ,. ~,,~. ,~, ((.~......~..~..),..~..t4:..t .'~L...~...(~..~.. 1. Location : :. . ? . . . . : . ) . ¢. : - . . . . . . . . . . . . . . ..... . . .. . House Number Street Hamlet County Tax Map No. 1000 Section ..... ~.~.? ......... Block ... ~" ............. Lo~q.~. ................ Subdivision . .~7-~ .~ .~.~-- "~ ............. Filed Map No. ~6[[ Lot 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a Existin use and occu anc .~' --~,~ "~-a-,~ _~,tt ~ · g p y ......................... . ::..04. ....... '0.' ' ' ' 't ..................... b. Intended use and occupancy..'.~.?. [ .~..~../..~...~.....~.......4:.'....A~..~b..v,~..~.`.. I..,?~...C...~.. .......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteratio~n .......... Repair .............. Removal .............. Demolition .............. Other Work..tf..O.Q.L:. ....... (Description) 4. Estimated Cost .......... .¥~.~ ...................... Fee..~../.~.'.?.~. ............................ (to be paid on filing this application) 5. I f 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 usc ..................... 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 ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ....... I.~ ...... Rear . .'~.~. .......... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .. ~..~f. P...~..~..~ ....... Rear ..//'.~..../.."c- ........... Depth . .~...~. ................ 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~...d ........................... 13. Wilt lot be regraded ...................... , ...... Will excess fill be removed from premises: Yqs No 14, Name of Owner of premises ....t_~....,~....~..7'?.~. .... Address . .~..~.~..r-~....~.~. ......Phone No... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . .~..~.f./(/.~....~.??.r. ....... Address ./~.~(~..~.~. F..~.d... Phone No .... ~..~. 7 .~.7. ~.~' 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 .~.F~ 6,].(,~... S.S ....... ~-/'~.~' .... .~..'..~.../~] ~-~.././~. ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the... ~)~./5~ .~..~ ........................................................................... (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 m~ this ...... .~.~..~'~ .day of..~./~.~r.~. 19 ~.~. Notary Public, . ............ /y; ..... .~4~.~--..~.0/-./~ County NOTARy PUBLIC, S~ate of New Yor~ No. 52-4663485 Qualifmd in Suffolk Counfy ;UFFOSK COUNTY U~':ALT,U DEC 11 19;'8 The sc. wnye 8Jspo~':l ,,.:~ ~ao~ll~Jc's fop thi,- ] "/ ,...::.,, been HEALTH DEPARTMENT- DATA F DR APPROVAL. TO CONS,] RUCT ~BFF. CO T~X MAP OlST SECTION BLOCK t. Of TEE LANE' N 8~°59'20" I75 00' LEE M. J. MARTIN 6 MILDRED C. MARTIN LOT 3 "FAIRWAY FARMS" nf CUTCHOGUE TOWN Of SOUTHOLO ,,:¢ SUCFO~K COUNTY, NEW YORK -,;. SIZE (FT) A B C D E F G AREA CAP. ~,Q. FT. GAL. PLAN - _GENERAL NOTES: I. THE DESIGN IS BASED ON A DRAINAGE SOIL WITH<lO% SILT. GROUND WATER SHALL NOT EXIST WITHIN THE LIMITS OF THE EXCAVATION. IF GROUND WATER EXISTS WITHIN 6'-O"BELOW GRADE SPECIAL DEWATERING FACILITIES WILL BE REQUIRED WATER DISPOSAL IS LIMITED TO OWNER'S PROPERTY Z. NO ~URCHARG~ ALLOWED WITHIN 4'-0" OF SHALLOW END AND 6'-0" OF DEEP END. S. THE PNEUMATICALLY APPLIED CONCRETE (GUNITE) SHALL BE A 1:4 MIX WITH A MAXIMUM OF 3~Z GALLONS OF WATER PER SACK OF CEMENT. REINFORCING STEEL SHALL BE INTERMEDIATE GRADE BILLET STEEL WITH A MINIMUM LAP OF 30 BAR DIAMETERS, 5. POOL WATER SUPPLY BY OWNER'S GARDEN HOSE. POOL TO BE KEPT FULL OURiNG FREEZING WEATHER. PUMP CAPACITY TO BE SUFFICIENT TO EMPTy POOL IN 24 HOURS. 3 # 3 BARS CONT. BOND BEAM ALL AROUND TIES IZ" OC WALL SECTION B-B DIVING BOARO LADDER ,*"/ AUTOMATIC SKIMMER UNDERWATER LIGHT (OPTIONAL) MAiN DRAIN INLET FITTING ® SECTION A-A LINE WASTE FILTER ~ Ig::::::~ .~ /-PUMP HAIRS~LINT ' I I" / F' OATC.ER J~ /~,..I.~Z RETURN TO '~ J~ ~ ~' INLET ~ ~ /SKIMMER WATER LINE ' _MAIN DRAIN VARIES 6"to 24" SHALLOW END UP ON DEEP END ~ 3 STEEL DEPTH HORIZ. VERT. REINFORCED < 5'-0" J >,5' - 0" 12" 0 C J 8" OC 12".0 C 6" OC ..,SCHEMATIC PIPING A. RRANGMENT. CONTRACTOR OWNER: r