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Home My WebLink About11292-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~.1.4.~ 9 9 ....... Date .... S. e. p.t.e.r~ .b .e ?..1.$~ .............. 19. ~.6 THIS CERTIFIES that the building f.n. ~.r.o.u.n..d, .sy.~..mp.i.n.g., pp.ql...&..f.e.n..c.e..e..n.c.kqs..u? Location of Property .. J.6. qg. y.u.r:n..ey.e.~.a.. F.qa..d ................. C..u.t.c.h. 9.g.u.e' N; Y. House No. Street Ham/et County Tax Map No. 1000 Section ...1.1].. .Block .0.4. .... Lot . .~,~ ......... · Pro . c. Subdivision .I-] ./9..N.q ~ ~.a.u,. P. 9.z.n.t...C.l.u.b. ..... ~iledI~ap No.. ~3 (3.6 .... Lot No...3.~ 9 ........ conforms substantially to the Application for Building Permit heretofore fried in this office dated .d.u.kY... ] 5., ............ , 19.8. ] porsuant to which Building Permit No.. ] .1.2.9. 5..Z ............ dated .... J.u..i .y..2.0.: ............... 19.8. !, 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 & fence enclosure to existing one family dwelling. The certificate is issued to Jane V. Burger (owner,~ ~l~j~ of the aforesaid building. Suffolk County Department of Health Approval .......... !'k/fi. ............................ UNDERWRITERS CERTIFICATE NO ............... N. 5. .3.9.0.9. 8. ........................... Rev. 1/81 · ~iaing [nspectg} ............. TOWN OF SOUTH01~D~ BUILDING D'~p,~RTMI~N~ TOWN: HALL' SOUTHObD, N~ ¥. BUILDIHG gE~ll (THIS PERMIT MUST BE KEPT ON THE WORK AUTHORIZED) COMPLETION OF THE ; 11292 Z Permission is hereby granted to: Dote .............. · ............... , L ........... .~./., ...;~ ............... ,,, ...................................... at premises I' ocated at ....../..~./.~....~.. ........ .~../,~.. ..... ~(..4~..., ....... : ........................... ................................ , .............. ~, .............. .~..~ ........... ~ ~ ~- ~ COunW Tax Map No. 1000 Section .............~]~'" Block .... ~.~. ....... ~]L°t No....~,~. ..... the Building Inspector. Fee $../,..,? ................ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ Ilammmm~ to the Building Inspec- tor with the following; for new buildings or new use: I. 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 requirements where applicable. B. For existing buildings (prior to April 1957), Non~6onforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancv 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 $1 5.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~/ ...... ~/ 5. Updated C. O, $15.0 0 Date ./'-J~z~..,,, % ..~.'.z.~,,~,,~ --'/?..~r. ?.,~.... NewCOnstruction ...... OldorPre-existingBuilding ;..~q';...~'.. Vac,~nt Land ./~).c¢..~.... Location of Property ~.~..~?. ~k,~/[ ~( .~:~.(." .~.~../.C.<.. ?/~/?/..~.~. ?~.Y..~..~.r~ .t~.~.'~.~.~.~. · House No. Street /Ham/et Owner or Owners of Property .................................... County Tax Map No. 1000 Section .'.~. ,/,.. .'~ Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........ Date of Permit .......... Applicant .~.~ ~Y.', Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Construction on above described bu ilding and permit meets all a~p~licable codes and ragu lations. Rev 10-10-78 /~ / . --~ ~ ~- , /) /~ ~ ~ 3oa 3 lo0o~63 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW yORK 10038 Application No. on file i39035~81 N $ ~ c o ~ (~ THIS CERTIFIES THAT only the el~tr~cal ~q~ip~nent as ~cribed belo~ a~d intro~uced b~ ~he aoollcant na~ed on ~h JO~]~[ ~.l~ ~,~.~ ¥~r] ~,~ ~ '~ ~ e above application nuznber in the premises of FIXTURE OUTLETS i IECEPTACLES SWITCHES FIXTURES NCANDE$CENT FLUORESCENT [] 2nd FI. Section Block and found to be tn cornpliance with the requirements of thts Board. RANGES OVENS Lot EXHAUST FANS DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLO~ UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT AWG OF NEUTRAL Gl~'m R. Bradie~, .~ R~D 169 i~brt~Dn Ave,, / l,~tcitc~, N,Y. 1]_952 ~ 1227 ' This certtficate must not be altered ,n any manner, return to the office of the Board If ,incorrect Inspectors may be ,denfifled by COPY B~ THIS COPY OF NOT ALTERED IN ANY MANNER. 1000663 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy NE~ YORK 10038 3~pt:,~m~' 17, t9£~],ss JOHN STREET, NEW YORK, ~A~)O~ THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant na~ned on the above application number it~ the premlses of in the following location; [] Baseme,tt [] 1st FI. [~ 2nd Fl. Section Block Lot was examlned on ~rJ~JJiJ~J~~ '~ 4 5 ~,9~1 ar~d fouud to be i~ comphance with the requirements of tbis Board. FIXTURE ~ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS E OTHER APPARATUS. E R AWG OF CC CONO C NO OF HI LEG A W O NO OF NEUTRALS A W O OF HI LEG OF NEUTRAL l,~ttit~e2% No Y~ 11952 lie, 12~7 GENEI~AL MANAGER 11 This cerhflcate must not be altered in any manner~ return to the office of the Board if incorrect Inspectors may be idenhfled by COPY ~FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATI~ ~l~'r NOt ~ ~,-*~,, ,,,, ,-,,,, ......... APPLICANT: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 DATE: July I~, 1986 Dear: While reviewing our files I find that your expired pool permit ~Q~ 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 on the above pool and complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE: IS UNLAV~'UL WITHOUT CERTIFICATE OF OCCUPANCY "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 ......... ................. (Building Inspector) ' APPLICATION FOR BUILDING PERMIT Date. 7~/~ ~ .,19 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, wttb 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Plot plan showing location of lot and of buildings on premises, relationshlp to adjoining premises or public stre* or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apF catmn. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. fl. Upon appr(,:al of fins apphcation, the Building Inspector will issue a Building Permit to the applicant. Such pern shall be kept on the prennses available for inspectmn throughout the work. e. No braiding 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 ltEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Snffolk County, New York, and other applicable Laws, Ordinances Regulatmns, for the coastructmu of buildings, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and buildiugs for necessary ilkq. pections. admit authorized n/spectors on pIennses and in .... _____ 5'~" '~ ~ ' '~' '/?' ' ' '~"~~, ~o~r~ ~ ~'~ ~ ?~"'a~ure of applicant, or name, ifa qxS~fl(oratio ) (Mailing address of'~l~plic~ni) State whether applicant ~s owner, lessee, a~gent, architect, engineer, general contractor, electrician, plumber or build~ (as on the tax roi1 or latest deed) If applicant is a corporatmn, s~gnature of duly authorized officer. (Name aud title of corporate officer) Builder's License No ...... ~. ~-~ ~. ...... Plumber's License No ......................... ElectHcmn's License No ....................... Other Trade's Liccuse No. ~~W~..: .... ~/~O 1. Location ofland on which proposed work will be done ........ ~- ~.~ &~ ......................... .... ........... House Numb~ .~1(~ (~o ~ ~' Hamlet..~ _ ~ Subdivtsion~~..~~..~;.~. FiledMapNo ~.~ ....... Lot .~.~ ...... (Name) ' 2. State existing use and occupanc7 of premises and intended use and occupancy of proposed construction: a. Ex~m~ usc a~d occapa~cv ...... ~~.~ ............................................. b. Intended use and occupancy .... ~'%.. ~~ .Z../f.~. ~r~ ................ ~... Repair- --- .......... Remoyal .............. Demolition ............. Ortner Work...~.~-- ......... Estimated Cost ................................................. -¢ ........... (to be paid on filing this application) ;, If dwelling, number of dwelling units j.2.2_L ......... Number of dwelling units on each floor ................ If garage, number of cars ..... , ................................................................. ' f chtypeofu i. If business, commercial or mixed occupancy, specify nature and, extent o ea se ................... ~ ' pth t. Dimensions of existing structure , if any: Front.. Rear .............. De ............. [leigtit ' Nnmber o£ Stories ...................................................... wSh alterations or additions: Front ~ ~ Rear Dimen~ionsofsame structure. ................................. Depth .................... :.. Ite~ght ...................... .,,, ~ Number~,~°f-St°ries .................... .,~..;,;,. ~. Dimensions of entire new constrPction: Front .... ./..~...... Rear../.&..,,~,¢~ ..... Depth . .,J..d¥~/k~..... Height ...... ~ .... Numlber of Stories ' . ~ .......................... ). . ~ o Former Own ) Does proposed construction violate any zoning law, ordinance or regulation: . .d~.9 ........................ il Wilt lot be regraded .... ~,':.... .................. Will excess_ f)~l be xemoved from prerr, ises: Yes I-.Name of Owner of premisesOffxO?/'e, bt'...~..,< .,e:~...~,~-.,%. Address,_~_p~/4~ ?.y.~,,ff~.,~t,~,'..~--t'[... Phone No.~../.~. :,.~.~.r'.: 2..2 p..-'~_..~ Name of Architect ........ : ............ ' ...... Address ...... '. e.: ......... rhone mo.. :' ............. Name of Contractor t ', Address '.~ Phone No PLOT DIAG RAM ~7'x:~l,~4 Locate clearly and distinctly all,l buildings, whether existing or proposed, and, indicate all set-back dimensions from rope~ty lines. Give street and block inumber or descrip, tion according to deed, and show street names and indicate whether terior or corner lot. /./,2, 'OR s.s TATE OF NEW OUNTY~gF( ;~ ........ ~ ~ ...... , ..... ~~.~ · ~ · ~ .~~~ ..... being duly sworn, deposes and says that he is the applicant / / (Name of indMdual signing cont~ ~ove~ned. ~ e is the ' (Contractor, agent, corporate officer, etc.) f said owner or ownem, m~d is duly authorized to perform or bare performed the said work ~d to make and file ~plication; that all statements con(ained in this application are true to ~he best of his knowledge and belief; and that the 'ork w~l be performed in the m~ngr set forth h~ the application filed therewith. wom~,beforeme this ; ~ /~ ........ 19... ~o~m~sio~ [xCres Match 30, ~a~) FLUSH WITH SiDE r, 12 - /~(:)('~F CAP Temporary Bracing- use scrap cut on tab N B ;- i;~ 'K Al,ID ~ ~1 ,,~,.; MBI.': c:~om eR, ot ;ns;de It, fl' doo~ ,