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Home My WebLink About10761-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24136 Date JANUARy 26, 1996 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 6625 NASSAU POINT ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 15 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1980 ~ursuant to which Building Permit No. 10761-Z dated JUNE 30, 1980 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 AN INGROUND SWIPING pOOL W/FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to SANDRA H. EC4~ERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N486972 PLUMBERS CERTIFICATION DATED JULY 24, 1980 N/A Rev. 1/81 FOI~NI NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL. COMPLETION OF THE WORK AUTHORIZED) Ne 10761 Z Dote ............... ~,.z,_ .O. ................ 19.~...O. Permission is hereby granted to: ...~.'~b.~.y..~..,~...~.o..,f.~...r.~.~ ........ ......... ~//~(~.~.....~.~. . .......... ~.~.~&.~..~.~.~ .. ~o ....... C ~.~.~ ~.~.....~ ~.~ ~......~z~ z~...~ ~.~....~ .......... .~.~....~~ .............. i.~. ~ ...... ~.~:...~:.~.~.~ ............................ Building Inspector. Fee $.~..~.....~. ......... e tot Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY OCT 2 1 A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrmcal installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contamns less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complzance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 10/3~/95 Date ......................................... New Construction ........... Old Or Pre-existing Building ................. Location of Property...~2.~.~qqqqq.~q~n~qa~c.qqt~'°qqq''''NY' ................................. House No. Stree~ Hamlet Onwer or Owners of Property....S~ndra.........H' .Eqqers... ............................................. .. County Tax Map No 1000, Section..!~1 .......... Block .... 1.~ .......... Lot .... ~ ................. Subdivision · Filed Map ............ Lot ...................... Permit No ..... JPY~J ...... Date Of permit..~O~O ....... Applicant~eborah Doty Approval Underwriters Approval ......................... Health Dept ........................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..2.5...0.0. ...................... , ~~~_~.~ ~ .Co~tact: Peter Tollner - 734-5533 .... ~..~-%~-~~ . ...... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tot with the following; for new buildings or new use: I, F~nal 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 Under~yriters. 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. 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 ~ines, 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 requ ired 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 $5.00 Date . .~zJgq~ l;. ~..8~,. ;Lg.~.0 ...... New Building p...o.o.L..&...~.e.~.c, ff)~d or Pre-existing Building ............ Vacant Land ............. Location of Property . .6.~.7.5..N..a.s.s.a..u. ?.o.~..~.t. ?;.o.a..d~..c..uF.c.ho.~.~.e., ' y... ................... House No, Street Ham/et Steven Eggers Owner or Owners of Property .......................................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ~ass~u .Pt.., .Club..~rop. ......... Filed Map No.. #.],56 .... Lot No....~.$. ........ Permit No..[.0, 7.6.~..~. Date of Permit .6./.3..0/,8.0. .Applicant . .~,k..~.~p~..D..ip. ?..o.o.[.s. ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .. ~ .................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~[ ................. Fee Submitted $..5...0..0 ....................... Construction on above described building and, permit meets all applicable, codes a~nd regulations. Rev. 10-10-78 THE NEW YORK BOAR FIRE UNDERWRITERS J~XD, BUREAU C~""~LECTRICIT~ [~ 8S JOHN STREET, NEW YORK, NEW ~ORK 10038 THIS CERTIFIES THAT Eg~era Ste'wm, 6675 ~sau P~. ~L, ~, N.Y. ,. Ote followbtg location; ~ Basement ~ 1st FI. ~ 2nd FI. O'~S~ Section Block rot was examined o,J%fiy 21. 1980 and found to be i. compliance ~ith th~ requirements of tai~ DRYERS OTHER APPARATUS: P~a~alboard/~ ~ ~-3c~r. bOa~. 1-G. LC.i, E R i C E NO O~RCC.~COND A W O NO NO OF NEUTRALS (Sw~g Pool) z~ta c~[~:'~cace ~ov~ur~ complim~ce at the dace of ir~.~c~:ion only. l~ecatk~e of un. ual ~n~c~ i~ i~ advisable ~o h~. ~ccq~:~nu t~ts eriE/or z'~pairs made by a qUa~ pertain, AWG OF NEUTRAL Glenn R. Bradl~y . ,~ RFD 169, Fbrton Ave.. ,';~ ~t~ituck, N.Y. 11952 Li~. 1227 GENERAL MANAGER certificate must not be altered in any manner; return to the office of the Board if 1.cot;~tect Ins ector; ' ' . 0 Y ~OR BUILDING DEPARI~ ENT. THIS COPY OF ~ FICAT~ U ,~C)~ B~E !,TLR JIN ANY MANNER. FIELD INS. P~9 T t ~Q~N_N 1. FOUNDATION COMMENTS FOUNDATION (2nd) ,, ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~INAL [ ] FIREPLACE & CHIMNEY nE.ARKS: ~,~ ~ ~ . //-/ DATE INSPECTOR FORM NO~.~ 1~ '~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved~ .A~..~....-~.? ..... , 19~/q. Permit No..~q0. 7(./. ~ Disapproved a/c ................................. APPLICATION FOR BUILDING PERMIT Application No. /.~..7. c.~9./. ....... INSTRUCTIONS a. This application must be completely filled m 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 will issue a Building Pennia 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 t~ss~f a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne)v'~York, an~other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alteration~,/or for rerytbval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances,/6uilding qo~de, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessark inspecti6ns~~, (Mailing address of applicant) State whether applicant is owner, less ,~agent~rchitect, engineer, general contractor, electrician, plumber or builder· Name of o~f~remises ...... .~..~.~..~.~.~ .... . .~: ~..~..~. ~. ~. ................................ / / (as ox~.j~ tax roll or latest deed) If .... appl'~~it~~_~oration, si~ ture~lo ly authorized officer. Builder s License No .... ~'... Plumber's License No ......................... Electrician's License No... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. x/~/~.,~.~, d .~. ... &¢.. ............................................... ............... House Number Street Hamlet County Tax/~ap No. 1000 Section .................. Block .................. Lot ................. Subdivision~.~ .~. ....... Filed Map No.../..~. ~ ..... Lot...~.--r.~..~. //~xS~c/ g2o,~¢ ~7, (Name) State existing use and occupancy of prefl~ises and intended use and occupan,cy~of proposed construction: a Existing use and occupancy b. Intended use and occupancy .... ,~le~b~Z~5...~....w~../..~..~. ~./.O~..~ / .................... 3. Nature of work (check which applicable): New Building u..[ ....... Addition .......... Alteration .......... Repair .............. RemoVal .............. Demolition .............. Other Work ............... // ~(~)(\f"'~,~ ~ ~![ (Description) 4. Estimated Cost .. '~.,.,,.,~,,.~! Fee (to be paid on filing this application) h fio, ......... 5. Ifdwell~ng, number of dwelling nits ... ~ ....... Numberofdwellingunitson eac or ..... 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... ~,jy .~. ...... Rear . G- :~7 ........ Depth . .~. ff ........ Height ...... ~ ....... Number of Stories .. '.. ~ ................................................. Dimensions of same structure wifh alterations or additions: Front ...x ............. Rear .... ,.,,, .......... Depth ' Height Number of Stories 8. Dhnansions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ......................................................... 9. Size of lot: Front . .].0. ¢.1.,. i{~ .......... Rear ...... ~.~..~ .~ ......... Depth . .~. CJ,~-:-' .......... 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~ . 44/..~-J- ,,' ...................... 13. Will lot be regraded ......... ; .......... ,: ....... Will excess fill be r~premises: ~ No 14. · "- i .' Name of Owner of premises :)g - . .~[ ,~. ,j.. (. ;~-.. } Address ................... Phone No. ')..~. Name of Architect .......... ~ ........... ! ....Address ................... Phone No ................ Name of Contractor . ;~/./,, .,o ,,?~[ · O ', 'F" ¢~ I 5' Address ...I. ~1 ./ai:-i.v ....... Phone No.~Ct~.~ .~:G l G.' 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 ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NI~W ~'~RKdJ ~,,ff COUNTY OF . .x~~_~..r.. ..... ;~. '1~./'./~..~.~. .... ~...."-'~..,6:.~'.l,:,'~.. 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, ~d is duly authorized to perform or have perfo~ed the said work and to m~e application; that all statements cont~ned ~ this application are true to the b~his ~owledge and belief; and that the work will be perfomed in the m~nEr set forth ~ the application filed thatch. Sworn to before me this [ / / - .......................... ._,, ....... , .... , J ' / ..... ...... ....... ' nt) I NOTARY PUBLiC,State oilNew York ~ (~/ t~,gna[ur~, app.) I No. 52-812585Q, Suffolk C~unty - ' Term Expires March ~0, 1~