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Home My WebLink About11243-zFORM NO. 4 TOWN OF $OUTHOED BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-I5887 Date June 25, 1987 THIS CERTIFIESthatthebuilding INGROUND SWIMMING POOL WITH FENCE ENCLOSURE Location of Property 4205 Main Road Laurel, New York House No. Street Hamlet County Tax Map No. 1000 Section 125 . .Block 01 .Lot 009 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 23, 1981 11243 Z ...................... pursuant to which Building Permit No ...................... dated July 2, 1981 ............................. 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 WITH FENCE ENCLOSURE AS APPLIED FOR WARREN & SUZANNE WIELT The certificate is issued to ..................... [o~n'o), ~vo~'~re~X'T; ................... of the aforesaid building. Suffolk County Department of Health Approval N /A N527308 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 N? 11243 Z Pei'rthission~ is hereby granted to: BUILDING.,FERMI~T! ~ (THIS PEP, M1T MUST SS KEPT ON ~H,EPP, EN Is{S ;O~TIL ~ULL coMpL~ION OF THE WORK AUTHORIZED) Date at pr~em~ses at CO,,~; Ta~ Map No 1000 Sect,on~. 2~.;~;:,~B acE. 2.g ....... ~Lot No....~.~ pg~s~ant (o application dated .... ~.~.~..~:.....;.. ;.., .;;4 19,:, , and Cpproved by the 30iQ0 FORM NO. § TOWN OF SOUTHOLD Building Department Town Hall ,~Jouthold. N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instruations in duplicate A. This application must be filled in typewriter OR ink, and submitted V ~o zhe 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 supp y and sewerage disposel-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire UnderWriters. C. nmmnrnia bud nas. Industrial buildings Mull pie Residences and mmilar buildings and installa- tions, a certif cate of Code comphance from the Architect or Engineer respons ble for the budding. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or btHldings and "pm-existing" land uses: 1, Accurate survey of pL'opertv 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 preoare a certificate. Co Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 New Building .... ~ ....... Old'or Pre-existing Building Location of Property ?'/..'~ .0~. Hou~ No. $15.00 Date .... ,~/,/,~, / ~. ............ ............ Vacant Land ............. ........... ........... Street Ham/et Owner or Owners of Property ........................................................... CountyTax Map No 1000Section · Block Lot ....... ' [.at No Subdivision ................................. Filed Map No ......................... Permit No. (?'~,~.~. · · Date of Permit .?~,, ,~'~...Applicant ..................................~ Health Dept, Approval ........................ Labor Dept, Approval ........................ Planning Board Approval Underwriters Approval .............................................. Cert~f'cate Final Certificate Request for Temporarv Fee Submitted $ ............................. Construction on above described bu~ d ng and permit meets all apphcable codes and regulations.. Applicant .q-c~z~-~.. ............ ~ ........ Rev. 10.10-78 J. oouo(, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1)'"'~ BUREAU OF ELECTR C~TY~ ~ JO~ky ~b, [~1 85 JOHN STREET, NEW YORK, NEW ~ORK 1003e THIS CERTIFIES THAT ~. the follotving location; ~ Basement ~ 1st FI. ~ 2,~d FL {~Si~ - ~L *Section Block Lot was ~.,.i,~d on ,.i~y 9, 1961 and yound to be in compliar~ce with t~e rdquirements of this Board. DRYERS SYSTEMS NO. OF FRET OTHER APPARATUS~ OF CC INO OF NEUTRALS (b%W~aming Pool) i%~is cergificat~ covers compli~ice at, C~te of ~sp~ion only. [~ by a cl~lif~d parsul. AWG. OF NEUTRAL il.f.D. 159 - l~rton Ava. This certificate must not t~e altered in any manner; return to the office of the Board if i, ncoi COP~ OR B LDING DEPA%TMENT. THIS may be their credentials. IN ANY MANNER. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 BLDG. DEPT. TOWN OF SOUTHOLD To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. An application for CertifiCate of Occupancy is not on file. No Underwriters Certificate on file. The check isa/not on file.)~5.OO No Health Dept. Approval on file. No final inspection has been made, Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit ~ ~_ ~ ~.~ ~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbinq being issued after April 1,1984 APPLICANT: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 1 !97 ! TEL. 765-1802 ~g- g3 ~t~ --7 DATE: July 15, 1986 Dear: While reviewing our files I find that your expired pool permit / .~ has never been finalized. Kindly return the enclosed application with a check for $~.00. Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and comple%e this outstanding file. Yours Truly, Victor Les~sard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 'qMMEDIATELY" ENCLOSE pOOL TO COOE UPON COMPLETION BEFORE "WATER" FORM NO. 6 TOWN OF SOUTHOED Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thi~pplication must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tot 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 re~ulrements,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 premisest 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 $5.00 3. Copy of certificate of occupancy $1.00 [',lew-g. rri'tr~ ...... Old or Pra-existin~ Building(X) .. ........... ~ ~Vaeant Land ..... Location of ............... ......... ....... House No, Street Ham/et Owner or Owners of Property .~f~,~..~..~/~' ,*c ?.~.~L~,?.,z~._.z~,, ~ ...~../~_~.,.~;..~. ....................... County Tax Map No. 1000 Section . ,/~6/ .. C:~ ....... ............. B lock .. ~,,{, ....... Lot ....... ~ Subdivision ...... ~. .Filed Map No .... Lot No .............. Permit No.././.~. ~....~, Date of Permit . 2z'~/~.~/..Applicant . ~."/-~,~..//¢~'. ¢~, .... ,~. ('.~..~. ......... Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ................... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ ..... ~..- ......... Fee Submitted $... ~ ~:~, .~... 4~. .............. Construction on above described building and permit~meets all app~cable~codes and regulations. FORM NO. 6 TOWN OF SOUTHOLD BUilding Department Town Ha(I 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 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 building~ 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 r~e~luirements 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 inspectign 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 New Building ............. Old or Pre-existing Bui[ding(Z)., ........ ~ fVacant Land i ............ Location of Property · .................. ?. ........ House No. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section .... /...5 ....... Block .; d)../ ......... Lot...~)..~. ?. ........ Subdivision ........................ Filed Map No ........... Lot No .............. No. /../~. ~-~..?-. Date of Permit .7/~./~./.Applicant .~..~'.~..~/?.~..~ .... .~C/../..~??-.., .- ...... Permit Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval Planning Board Approval ' Request for Temporary Certificate ..................... Final Certificate ........ - ......... * Fee Submitted $ ....... -~.,,~?.O..'~. ............ Construction on above described building and permit~meets all appl~cable~co_des and regulations. Applicant . ..f ................... Rev, 10-10-78 FIELD INSPECTION ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTE[OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 - Applicant This is ~to advise you that the job under Building Perm. it No. ;t~ issued to ~~L on i]\~\~\ " for X~n~,~-~,~ ~ ~c~ ~i~ completed and a final inspection h~s~ h~s no~'z~~ been do~e. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form(s), return same to the above office with a check for $5,00 payable to the Town of Southold. Please indicate to whom the Certificate of Occupancy is to be and arrange with this office for an inspection date. Thank you for your prompt attention. Very truly yours, Victor Lessard Administrator VL:ec Enclosures mailed, TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 , [/ TEL.: 765-1803 Examined J~'~--~..~/ ..~. .... , 19://. Application No../../.~.~.~.~. ...... DisapproVal a/c ....... ~...~ .~....~ ........ ~ ....... ~.. APPLICATION FOR BUILDING PERMIT ~ Date . :- ..... ,19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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, r61ationship to adjoining premises or public stre( or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this apt: cation. c. The work covered by this application may not be commenced befoi-e issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such peru 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinanceg, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. . . ...... · (Signature of afft~[icant, or name, if a corporation) , x3o . ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ .............................. Name of owner of premises ~ ~ : (as on the tax roll ~/r~atest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.../Z2- .. LO · ..~ Plumber's License No ......................... Electrician's License No. ~,~.. ~ .~. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ~....~,~.-'~f House Number Street Hamlet County Tax Map No. 1000 Section ...... / ........ Block ~ Lot Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and ~ccupanc~ ~f premises and intended use and ~ccupancy ~f pr~p~sed c~`nstructi~n: a E ~st~n~useandoccun cv - ~ an~ ....-.~., ..................... ~ .................................... b Intended use and occu anc . · p y ................. Nature of work (check which applicable): New Building .......... Addition .......... Alteration'-~..-~J~ Repair .............. Removal ............ Demolition .............. Other Work ............... ~ _~ (Description) Estimated Cost ~.~q~.d?~ .,. F .. ....... ~ (to be paid on filing this application) Il dwelling, nmnber of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars If' business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ............... Height ' Numlber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear ................ ' Height Number of Stories Depth .................... ~ ............................................ Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height Number of Stories : Size of lot: Front .... ,, .~.c?/. ........... Rear ... ~. ............... Depth .. Date 6f Purchase Name of Former Owner Zone district in which premises are situated " Does proposed cohstruction violate any zoning law, ordinance or regulation: ................................ Wall lot be reoraded ....... ;.,.~_ .... ., -z....- · .~ .... W~ll excess fill be. [e~moved from premises. Yes No Name of Architect ......... :., ....... ~....~... Address ................. .~'~. I~ one No.. . Name of Contractor ~.~../~.~. ~.~-f--~r~f..... Address ................... Phone No .............. PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and~ indicate all set-back dimensions from roperty lines. Give street and block ~number or description according to deed, and show street names and indicate whether ~terior or corner lot. Co/o/7 1'ATE OF NEW Y~RK, ~ i ,.. i'/' ' '~g'~' being duly sworn, deposes and that he is the applicant says gm~ contracting contract) >ove named. is the ...................... ~ ...................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this )plicatioa; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before me this 19 .~.. ~' , I N0. 5~-8125850, Suffo[k Cou~ c-'~ (Signature of applicant) ; Term Expires March 30, ga,