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Home My WebLink About11315-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17304 Date SEPT. 15~ 1988 THIS CERTIFIES that the building. POOL Location of Property 7100 COX LANE & 45 MATHEWS LANE House No. Street County Tax Map No. 1000 Section 084 Block 01 Subdivision NORTHWOODS Filed Map No. 5469 CUTCHOGUE Hamlet Lot 014 Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 1981 pursuant to which Building Permit No. 11315Z dated AUGUST 6, 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 POOL & DECK ADDITION WITH COVERED BAR TO EXISTING DWELLING. The certificate is issued to of the aforesaid building. DAVID OATES (owner, _ - ) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N540733 OCTOBER 29~ 1981 N/A Rev. 1/81 TOW'N OF S~UTH~Lfl) TOWN HALL SOUTHOLD, N. Y. BUILDING I~ERMIT! BE KEPT ON ~HE P~,E/~IS S UNTIL EULL (THIS PERMIT MUST COMPLETION OF THE WORK AUTHORIZED) ! Permission is hereby granted to: ~ ~/~/C~ ~, premises Iocoted ut ...~ ':"i .... Coun~ Tox ~op ~o. 1000 pursuonf to application dated ....... ~ .............. t....~....., 19 ., and approv~ by the ng Inspector. Fee ~$ ...... ~ ............. ' ~ Building Inspecfor Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD 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 .m ~ 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 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: t. Accurate survey of property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... OJd or Pre-existing Building ............ Vacant Land ............. Locatio. of Property ....... Hou~ No. Street Ham/er Owner or Owners of ~roperty ............... . ....................... County Tax Map N o. 1000 Section . ?. ,~,~. 7.0. ?, .... B lock ... ~ 7,°.9 ...... Lot .... p/. ,c/.o, ~ .O.. Subdvson ,/~.o~...'~,h/-coOO.l~- · .Filed Map No. ~¥6~_ .LotNo. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........ Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cerlificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permlt/~e.ets al~ap~Jicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW 'YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number ~n the premises of , Oet:ob~¢~' 26, ~9(~ .,~dfo.nd to be in compliance w~th the requirements of tl~is FIXTURE OUTLETS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i 2, 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET EYSTEMS NO OF FEET DIMMERS S E R V I C .o o, AWG NO OF NEUTRALS OF NEUTRAL Li¢:1227 GENEI~AL MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incCrect. Inspectors may be identified by their credentials. COPy F~OR BUILDING,, DEPARTM[NT. fills COPY OF CERtIiFICA/E~ ~ , NOT BE ALT~:R~D IN ANY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~J~INAL ~ DATE ~ ~//f/ INSPECTO FIELD I~SYE'~TION COMMENTS · Ob .... (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE m o FIN//0 ADDITIONAL COMMENTS: 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 subr~itted 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 toDograohic fnatures. 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 P~anning 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 lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner is 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. / 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 .... .~J.~.O....~¢.~..0. ~. ~ ....................... ~ q~ ~6.9~ .... Hou~ No. Street Ham/et Owner or Owners of Property ~.~&¢.l~ ~.~_¢..0~ ..................... County Tax Map No. 1000 Section ... O ~..0.Q Block .... ~ I.~Q... Lot .... O.l.~ ¢.0.0 Subd,v,slon..~ ~.~.0~ .......... Filed Map No, ~ff~..Lot No ..... I ........ Permit No ........... 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 and pe~l~it~meets all_app~c~bfe~A, odes and regulations. Applicant .... ~J..~.`' ~,.~ ........... Rev 10-10-7a FORM NO. 6 TOWN OF SOUTHOLD Buiiding Departmant Town Hall $outhoid, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in dupli g tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, natural or topographic features, 2. F~nal approval of Health Dept. of water supply and sewerage disposal-{S-! ' 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and 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 exlstmg 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. TOWN OF :.. ~ '~'h~J ~staita:'- 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(Z) .,-X-- - =/Vacant Land ............ Location of Property . .7.1O, O .............. .............. ,...C-..U..T.C..H.O. ,C,. House No, S~reet Hamlet Owner or Owners of Property ...b~tV.~ ~..~...~.-,~. ~'..~..~..t~..~".~ ....................... County Tax Map No. 1000 Section . .~.. 8 .~..~..~,.. Block ...~, ~ .~, .~. ..... Lot...~. ~?~.~, ,~. ~.. Subdiv,sion,., ~.o~.'r~-~.~..~..~. ~ ........ Filed Uao No. ~.~'~.~.~...Lot No ...... ~ ....... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. , ,., Request for Temporary Certificate ..................... Final Certificate ................. - · ,jl~t {30_ Fee Submitted $...~. ........................ Rev. 10-10-78 FOIIM NO, I TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exom,ned .~..~......~ .............. '~.~... ~ ~ App,,cot,on No.../..~.~./..X ............ ~prav~d .~......~. ............. , ,~.,... ~erm,~ No.....<..C~.:.~..~.... Oisopproved a~c .:_:...:..: ........... ':.'~~,:~ ........................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT ...... ..:....:.... ............. . INSTRUCTIONS a. This application must be completely filled in by typewriter ac 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 o, areas, and giving a detailed description of {ayout ofprcperty must be drawn on the diagram which is part of this application. 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 ~ssue a Budding 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 o 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 Yor~>r~W¢l other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, 6r fo,~rem~f, al or demo, Li,tion, as herein described The applicant agrees to comply with all applicable laws, ordinances, build,~g cecil, housing c~8, c~d regulations, and to admit authorized inspectors on premises and in buildings for necessery/nspect)6ns. /// // ................. 'f ................. ;'""i ........ (Signature or app ica , or name, i a corpora ion ............ ~......:...:..:.:.:. ....... ~:~..-:i : ........ (Address of applicant) State whether applicant is owner, less~ag~e~nt,~6rchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..................... ./. ..... ~ ............................. If applicant ~s a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. ~--~.~lectrician's License No ,, ~ther Trade s License No ~....~. 2. State existing use and occupancy of p~mises and intended use and, occupancy of proposed construction: ~ ~isiti~g ~ a~d oc~p,~y ...... .~:~..~'.:~:~ .................................... , .................................................... ~ ,~,~nded ~e~ oc~,~,c~ .......... OC:..:...:~....~:..:~.~::..: ........................................... property lines, Give street ond block whether interior or corner lot. 3. Nature of work (check which ¢ppJlcabie): New Building,. ................. Addition ....~ ............ Alteration ............... P, epai r ..................Removal . ............................................... (Description) 4. [sdmoted Cost ........... ~..~.., .................................... e .......... (to be p~d on filin~ this opplic~tion) 5 If dwellinO, number o{ dwollin~ unffs ............................ ~umber of dwellin0 units on e~ch floor ..... , ...................... If ~*ro~e, number o~ cots ....... ~ .................................................................................................................................... 6. I{ business, commerci*l or ~ixed occuponcy, specify noture ond extent of e~ch type of use ............................ 7. Dlmens OhS o~ ox ~t,n~ structures, * ~ny Front ...... ~.~. ............ Rear ....~...~. ................. Depth ...?~X~ ....... Hei0ht ........................ Numbor of Stories ................................................................................................................ Dimensions o{ s, mo structuro ~ith oltorations or odd~tions: Front .................................... Reor .......................... ~epth ................................~0~ht ............................Number of Stories ................................ 8. Dimensions of ontire new construction: Front .................... · ............... Roar ............................ Dopth ........................ ~ei~ht .................... Numbor o{ Storios ..................................................................................................................... 10. Dote o{ Purchose ....~.~..:.......~ .............. ~m* of Form*r Ownor ..................................................... 1 1. Zono.or use district in which p~romisos oro situotod ..................................................................................................... 12. Does proposed construction vi61oto ~ny zonln~ l~w, ordln~nco or regulation: ..... ~..~ ....................................... 13. Will lot be re0r~ded .....~..~ ............... Wil~xcoss fill be romovod from~romis~s: Name of Architect ................ PLOT DIAGRAM Locate clearly a~d distinctly ali; b~ildings, whatker existing or proposed, a~d i~dicate all ~at-back dime~ia~ {rom ~mber or description according to deed, and skow street nama~ a~d indicate STATE OF NE~-'~'O~I~.I~/ [cS //~,/J- k(-/%,.~z,Uj*~ (,.¢,--~¢~ .............. ~ ........ b~,:~¢~. ..~ ........................... being duly sworn, deposes and says thor he is the applicam (Name of individual sig9ing~];contrac¢ above named. He ~s the .................................................................. ~ .............................................................................................. ~ (Contractor(agen~corporate officer, etc.) of said owner or owners, and is duly authorized t~orm 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 tha~ the work w be performed in tee manner set fo~h in the application filed therewith. ~ Sw~[t¢,~fore me this ~] / ¢ / 7/ .... D. ............... ................... , ' .................. co,, ..... ........... BI.DG. DEPT. TOWN OF SOUTHOLD Examined ................ , 19... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Approved ................. 19... Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERIVIIT INSTRUCTIONS a. This application must be co~npletely filled in by typewriter orin ink and submitted 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 adjoimng 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No bmlding 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, ad. ditions or alterations,'or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec~)n. ~ (Signature oi' applicant, or name, if a corporanon) .77..o....cq~, .,-.~. ,... ¢.0..T..C..~.0. G.u..~' ........... (Mailing, address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... .O..m...W..e..R. .............. Name of owner of premises ~ b/~ ~ O~ T.~ ~ .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No. ~°a'*tfl'r5~'.... .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on winch proposed work will be done .................................................. .... .7. j.o..o. ............... ¢.o..~...,--.~..~..e". .................... c.o:r.e. ~0..~.q.e7 .................. House Nura ber Street Hamlet County Tax Map No I000 Sectmn ....O.g.~..O.~. ....... Block ..... OJ.O..O ........ Lot....O.I.~..0.qO. ...... Subdivision .... .~.O.(~,T.~ . .{~..O.O.i~..~. ............. Filed Map No....~.'.t~..~.? ..... Lot .... ~. ......... (Name) 2. State ex,sting use and occupancy of premises and intended use and occupapcy of proposed construction: a. Existing use and occupancy ..... 0.~. ~....~.~.t~..I..~.~t. · · ,~ .[~..~'. · ./~. t.~.~ .............................. b. Intended use and occupancy .~.~.. · Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ........... Repair .............. Removal .............. Demolition .............. Othera~l~r~ j~/3~l[ .~-. ~ .~...~. ~1~ ~/, ~ ~ll~criptjon) .stlmate est Fee ......................... ... ! '... 5. If 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 use ................... 7. r)imensions of existing stmcturbs, if any: Front ............... Rear .............. Depth ............. Height ............... Nm~ber of Stories .............................................. Dimensions of same structure With alterations or additions: Front ................. Rear ........ ' ....... Bepth . .' Height Number of Stories ........ 8 r)i i f ti F ........ · mens OhS o ennre new construc on: ront ............... Rear ............... Depth .............. Heiglit ............... Nmpber of Stories ....................................................... 9. Size of lot: Front .......... ! ........... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. r)oes proposed construction violate any zoning law, ordinance or regulation:. ................................ 13. Will lot be regraded ........ ; ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. 4 ................. Address ................... Phone No ................ Name 6f Architect ......... ~ ................. Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15.Is this property located within 300 feet of a tidal wetland? ~YES .... NO .... *If yes, Southold Town Trustees Permit may be required. 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 descri )tion according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF... ~ ............. 8's ............................. i .................... being duly sworn, deposes and says that he is the applicant (Name of individual signi.ng contract) above named. ~ He is the . ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 wi/l be performed in the manner set forth in the application filed therewith. Sworn to before me this l .............. '..k ........ day of; .... ~ ......... 19..~. Notary Public ...... ~...-. :... w: ........ County . ~. 470?8?8. Suffolk ~o/0~ (Signarure o f applican t) ~em'~ Expires M~rci130,19-..~ I , rnsrlY or f,°r~ J(itel n°~ ip Ti:EL [OC~T/O~ OF WEr/~ SEOW~I EEREEf ARE FF..OM FIELD OBSEBVATIO~ .a!/~D/OJ~ FJ~O.~E DATA OETAJlfED FI~OM NO~'E: =MONUMENT SU~DIVI$10N M~P FILED IN TH~OFFICE OF TH~ QLERK OFSUFFO£K COUNTY MA Y ~1, 1970 AS FILE NO. 5~ ALDEN W. YOUNG SURVEY FOR: LOT ~0. I," NORT~WOODS" 580 AT CUTCHOGUE GUARANTEED TO:" GUARANTEED TITle. VISION OF AME~CAN TITLE IN~RANCE C~ SOUTHOLD O,AWO ~ DIANE OATES - PAULINE CASE ~UFFOLK CO., N.Y. SCALE: j" = 40' DATE: 6, 1973 NO. 73-1182 OCCUPANCY OR USE IS UNLAWFUL WITi. IOUT CERTIFICATE OF DCCUPANC¥ APPROVED AS NOTED ~-~ DATE:~;~'t~'~ B,P.:¢ ti FEE:I~3 ~ BY.----~_.~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~. FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET ~,THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & FNFPGY CODES NOT R~,BPONSIBLE FOR. DESIGN OR CONSTRUCT/ON ERRORS. Unauthorized ~lter~tion or addition to thi~ document is a violation of section 7209 of the New York Slate Education Cop~es of this clocument not NYg PEri I~817 9 t~' 74 z" - 0 ................................... -4 .................................................. ~ ..~ .......................... ~-~ ..................................................................... --?z'-o" Z q-'-O" Unautho6zed ~]terafion or addition fo this document is n vlol~f~on o~ section 7209 of i the New York S~ato Educatior~l Copies of this document nat ~ ___', 21 ~-1~ STEVE T S 0 t-,~ , ,'. :( I S F .L._ ,1 ,I I I seal or embossed NYS PE:/ 42817