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Home My WebLink About11288-zFOI{M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24337 Date MAY 6, 1996 THIS CERTIFIES that the building Location of Property 640 VILLAGE LANE House No. County Tax Map NO. 1000 Section 114 Subdivision ACCESSORY Block 6 Filed Map No. MATTITUCK, N.Y. Street Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 1981 ~ursuant to which Building Permit No. 11288--Z dated JULY 20, 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 SWI~4ING POOL WITH FENCE & DECE ADDITION The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH & BE~q~LY McCAFFERY N/A H-049717 - APRIL 25, 1996 N/A Rev. 1/81 BUILQING D~p~.RT~I TOWN HALL (THIS PERMIT MUST BE KEPT ON THE PRE~ISiS~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 11288 Z ~ot~ !; Permission is hereby granted~...,.to,: ~...~Z~...~ ' y ~~.~.,.~ (' '? } ~.~' ......... ~./Zz.~.~ ......... .~, .............................. ~ ~0 ........ at premises located at County Tax Map No. 1000 Section ..... ././....~........!. Block ~,~o,, ,o o~,,~o,o. ~o,,~ ..... ~../~...'..~.....L... Buil~ting Inspector. Fee $..../..~..: ........... Rev.~6/30/80 ..... '"'I'"", 19''~'~;/", and approved by the Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ¢0 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance 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. Co 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 - $202OO 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........ ~.. Old Or Pre-existing Building ................. Location of Property ..................... ~,lCJ~..~.~ .... ~ .......... ,,,~A'~.~-~.~. ....... House No. Street Hamlet ~ o~e~, ~o.~./. ~4e.(~ .~.~ .... Onwer or O~raers of Pr~erty...~.~ ...................................... ~., ....... /lq l- O0 t OIY County Tax Map No i000, Section .............. Bock ................ Lo .................... · . . ~^~ /~o~. ~q .~.( Subdzv~szon .......... ~...; ................. Filed Map ............ Lot ................... Permit ~ /~.'~. . ~.'..Dat~ Of Permit.~./.'~°./..~. ..... Applicant... ~.~ ................ ~7~ Health Dept. Approval........~ .............. .. . Underwriters Approval ......................... / Planning Board Approval .... ~..~. ................ Request for: Temporary Certificate ........... Final Certicate..~...o... Fee Submitted: $ ........... ~ ................ ~.<, 512 II .......................................... P~TC= THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.~: ~ F~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the following location; ~ Besentent ~ Ist FI. ~ 2nd ~. OUT Section Bilk Lot ~sexami~edon AP}%IL !9, ~996 .nd found to be in compliance with the NaHonal Elect~cal Code. JO.,I~,PI~ HcCAFFER¥ 640 VILLAGe] Id%NE [4ATTtTUC[<, N%~ ~ L ~G/; GENERAL MANAGER Th~s ce~,ficate must not be altered in any manner; return to the office of the ~ord if incurred. Inspectors may be ,dent~f;ed by'their credentials. COPY ~OR SUILOING DEPARTMENT. THIS COPY OF CERTIF~ICATE M~S~OT BE ALFRED N ANY MANNER THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the e~trlcal equipment ~ ~scrib~ below a~d intr~uc~ by t~ appli~nt ~ed on the a~ve application number in the premises of J{')~I~Ptl/B~IVI~RLY I{oC~PFERY 64~z~ V[L]~G~ L~N~ I~TTETUCK~ in the following I.cation; ~ Base~ent ~ Ist FI. ~ 2nd ~. OlJ~i~ Section Bilk Lot ~s examined on ?~ P~ T L ~ 9 ~ ~ ~ ~ and found to be in compliance with the Na~onal Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST OUTLETS SWITCHES FLUORESCENT OTHER DRYERS EYSTEMS NO. OF FEET OTHER APPARATUS. T T }~TJ CI~DC'ICJ - c'ove r~,; coml,] J auco have f~.e,luent E R V I NO O~E~C~.C ON D AWG OF CC COND NO OF HI LEG WG GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board 'f incgrrect. Inspectors may be identJied by their credentials. COPY ~FOR BUILDING DEPARTMENT THIS COPY OF CERT!F~IC~TE M Tl OT BE ALT RED IN ANY MANNER, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~I~ION FRAMINO [~lqNAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL FIELD"~iNS~ECTION 1. FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ,r~ ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 APPLICANT: TEL. 765-1802 DATE: July I~ 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 $5.00. Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy Dn the above pool and complete this outstanding file. Yours Truly, Vic%or Lessard Executive Adminstrator OCCUP/~iCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY "IMMEDIATELY" =.c,-os= .oo. To BEFORE ~A~R FORM NO, § TOWN OF SOUTHOLD Building Department Town Hall ~Jouthold, N,Y. 11971 APPLICATION FOR CERTIFICATE el Instructions in duplvicate A. This application must be filled in typewriter OR ink, and submitted to ~he Building Inspec- tor with the following; [or new buildings or new use: I. Final survey of property with accurate location of a[! buildings, propertv 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 propertv 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 pert~nen informa- tion required to preoare a certificate. Fees: 1. Certificate of occupancy SB,00 2, Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date.. ~/./~, .. ~../.~.,~ New Building...,.........OIdorPre'existingBuilding ............ Vacant Land ............. Location of Property ................................... House No. Street Ham/et Owner or Owners of Property ....~-...~-...~'~--~,~ · .... '~?'~ot~,I ............. County Tax Map No. 1000 Section ..... t.l,q~ .....i. Block . .'.~, ........... [.~. ......... Subdivision ~.;~/Jt~.~,.../..LC'~/.d.~..7~ ............ Filed Map No. ~..~.~P. ~.... et No. 2- I Permit No ........... Date of Permit .......... Applicant ............ ; ..................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary~_e, rtiflcat9. Final Certificate vee bubm~tteo ~,, ~' ............... Construction on above described building and permit meets all applicable codes and regulations, Applicant .' ,.~...~, · ~" .. Rev, 10-10-78 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCOTT L HARRIS, Super vmor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 21, 1990 Mr. Joseph McCaffrey 640 Village Lane Mattituck, New York 11952 Re: Building Permit %11288-Z (Inground Pool) 640 Village Lane, Mattituck, New York Suff. Co. Tax Map %1000-114-6-18 Dear Mr. McCaffrey: As per your request, an inspection for the swimming pool was made on November 14, 1990. It did not pass inspection as the gate has to be self closing and latching. When this has been corrected, please call this office for another inspection. A building permit is required for the deck around the pool. Please fill out the enclosed building permit application and submit to this office. When the above has been completed, you may file for the Certificate of Occupancy. We will need your Underwriters Certificate for the swimming pool. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. GJF:gar Gary J. Fish, Building Inspector FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOL[~, N.Y. 11971 TEL.: 7~65-1802 · .., 19 .~.~. Examined . .~. ~.y. i .~.~..)d~' i i 19~. Permit No.//l.?...~. ' Approved ., Disapproved, a/c ..... ,.. '. :....,~ . ... ~ APPLIChTION FOR BUILDING PERMIT INSTRUCTIONS Application No .......... a, Tins application must be completely filled iu 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, relationship to adjoining premises or pablic stre{ or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this apF cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approg~ of tbis application, the Building Inspector will issue a Building Pem~it 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 pa~ for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. ~PLICAT1ON IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Re~lat~ons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply wit~ all applicable laws, ordinances, building code, housing code, ~d regulations, ~d admit authorized inspectors on premises and in bniJdings for necessary inspections. ''' ~i~atdr~'gi ~lida~q; ~a~e, if a corporation) ... ~..~Z ..... )~ .~ ..... ........ . .. ...... '" ' (Mailing address of applican State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ................................... ~ .v..f.~.p.e'. ~ ............................................ Name of owner of premises . .~.,.../~.:..~...~ ~...~...~..gy .......................................... (as oh the tax roll or latest deed) If~applicant is a corporation, signature of~duly authorized officer. Builder's License No ....... /~ ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... L~cation of land on which proposed work will be done..,/~/~. ...... /,//c_. d- ~t~ ... ,4~.,t~../~..~. 1. ....................... .~. t ~.c..~..~!: .... ~ ~ ~., ........... /'M. ~, .r-.~./. ir..~.~../~... ,~. ~.. House Number Street Hamlet Co~u. nty Tax Map No. 1000Section . .//.XA'...-~. ....... Block eg Lot.. //...~. Su.bdiv~sion...~./..c-.L-. y~.~[ .~. .... .~../t./Id..o..~.. ......... Filed Map No C~ ¢..~.~? ........ Lot., .'~../. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... / .~.~l~../~../.~ / U .P~..~ ~ ~ ././~..~.: I~ ~1~ ~..~./.m .~. ~..~..~...'..~.o b ~Intended use and occupancy .... .~ ....... ~. ~ ................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal. .............. Demolition .............. Other Work ,,<'tM. (Description) J'~..~ O ~ Fee ~ 'ed Cost O O ~ " Estimat ............... , ................................... 4,. .......... i (to be paid on filing this application) ;. If dwel!ing, nmnber of dwelling Units ............. Number of dwelling units on each floor ................ If garage number of cars i. If business, commercial or mixed occupancy, spec/fy riature and extent of each type of use ..................... .... ~ if any: Front ' Rear Depth I. Dmlenslons of existing structures, ...................................... Height Numt~er of Stones ............... Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................. Depth l. ................... I.. Height ...................... Number of Stories ..................... .... Front Rear Depth ~. D~mensmns of enhre new construction ............................................ Height ............... Number of Stories ....................................................... ). Size of lot: Front ' Rear ............... Depth ..................... ) Date df Purchase i Name of Former Owner ................. 1. Zone or use district in which pre'raises are situated .................................................... 2. Does proposed construction violMe any zoning law, ordinance or regulation: ............................... 3. Will lot beregraded.........,,..................I Will excess fill be removed from premises: Yes No ~-.Name of Owner of premises ...I .......... ' ....... Address ................... Phone No ................ Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ......... i ................. Address ................ ~.. Phone No ................ PLOT DIAGRAM Locat( clearly and distinctly all i buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty l.nes. Give street and block number or description according to deed, and show street names and indicate whether ,terior o~ icorner lot. ~,,, TA1EOFNEW/~ORK~ ,/-~ ,oo OUNTY O~ ..... /*,. ,'~ ~'-%- '- //,~/_. ~ ~ / ~ d~ . . ~/~ deposes and says that~e is the applicant ...... ~ ~gr~..~.~~.. being duly sworn, (~ame of individual signing cont~t~ / )ove named. . I i ,, .............. : .... ................................................... ~ ~9~ agent, corporate officer, etc.) f sai~er or ownem, ~d is d~ autho~zed to perform or have performed the said work and to m~e and file )phcah)p;*that all statements contamed ~n th~s apphcat~on are true to the best oftus knowledge and behef and that tho 'ork will b~ performed in the m~ngr set forth ~ the application filed therewith. ~ worn to b~fore me this ~ · ............. ........... ] ~0~8~,,¢~ Co~ ~ ' pplic~t) I Term Fxp[res g~rch 30, 1~ 0\3 q 0