HomeMy WebLinkAbout11345-z Town of Southold 1/9/2019
P.O.Box 1179
r ! 53095 Main Rd
Southold,New York 11971
a rti ,raa
CERTIFICATE OF OCCUPANCY
No: 11361 Date: 12/16/1982
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 795 Oyster Ponds Lane, Orient
SCTM#: 473889 Sec/Block/Lot: 25.4-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/25/1981 pursuant to which Building Permit No. 11345 dated 8/25/1981
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:
an,_iq •oLq d swimminglapel with..fence.
2019 C�orreciw�eCm,.to chane tax map number mfrom 25-1-12 to 25-1-2 only,
1/9/,,,
The certificate is issued to Robert Reeves Jr. &Marjorie Reeves
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. N 586146 9/17/1981
PLUMBERS CERTIFICATION DATED
_ _,. ------ .............11,.. ....
t th z 1 Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z11361 Date December 16 9 82
THIS CERTIFIES that thc bufldins .............................................. .
Location of Property 7.9.5 Oyster Fond Lane .O..r.~.e.n.~ ....
Hou~ h/o: " ' S'tieei ........ H~rnie~
County Tax Map No. ]000 Section . .0.2. ~ ....... Block . .0.1. ........... Lot .. 012 .
Subdivision...~ ........................... Filed Map No .... X. ....Lot No.. X
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· .. Jt,~ g O.s.K. 2. 5 ......., 19'.8.1. pursuant to wl~ch Building Permit No. [1. 1. .3.4.5...Z ............
dated ....A-U. gu..~.~..2. ~ .............. 19 .8. t., 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 .........
~n inground swimming pool with fence.
The certificate is issued to Robert 'C. Reeves
tow. ............... . ......
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N 586146
Building Inspector
Rev. 1/81
Permission is hereby granted to:
....
FO~Z~Z ~0. a
TOWN ,OF s~UTH~L~)~
TOWN HALL
$OUTHOLD, N~ ~
(THIS PEPJ~IT MUST BE KEIST ON 'FH.E PRE~IS~$ UNTIL ~ULL
cOMPLETION OF THE WORK AUTHOR ZED) i~;~!''
11345 Z Date ...?..,~;~y.~.~.,.. ............. ,
at premises located at
....................................................................
Couhty Tax Map No. 1000 Section ..... 0..~--.~. Blocl$ ,...:~.[ ........ Lot No.'....~J,..~ew~.. ....
'
pursuant to application dated .... i~...~..i....~J , 19. ~, and approved by the
Building Inspector.
~e" :,/.~ .....
Inspecto~r
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 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 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. /
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
Date ....
New Building ............. Old or Pre-existing Building(Z) ....... ~/Vacant Land .............
Location of Property .........................
Hou~ No. ~ ~. St~ ~ Hamlet
Owner or Owners of Property.......5,~~ ~,~ ~~ ~,'~'~.P,~,,,
County Tax Map No 1000Secton ..~ ....... Brock ..
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit
H IthDept App al L b D pt Appro I ~
· ................... . ..... ......
Request for Temporary Cert f cate .................... Final Certificate ....... ~ ........
Fee Submitted $ ...................
Construction on _
above described building a~rm~meetlall ap~odes and regulations.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK NEW YORK 10038
135997 6.~.
~,t~ Sep~ 17, i981
THIS CERTIFIES THAT
~. ~, e/~ ~ P~ ~, 175' n/o E~p~s ~, ~i~, N~Y.
w~examinedon ~ ~4~ 1~8J~ andfoundtobeincomphancew*ththe~equi~e.~entsofthisBoard.
FIXTURE I
OUTLETS SWITCHES
FIXTURES RANGES OVENS DISH WASHERS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO OF FEET
SERVICE DISCONNECT S E R V I C
~THER APPARATUS
AWG
OF CC COND
NO OF HI-LEG
A W G NO OF NEUTRALS
OF HI LEG
DIMMERS
AWG
OF NEUTRAL
~p~il Cordon
Po~ Jell. son $~a,~ N.Y. 11776
lle.. I10i-E GENE~t
Per
i'his certificate most not be alFered in any moaner, retvrn to the offtce of the Board [~ incorrect inspectors may be Identified b¥ their credentials
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FOUNDATION
FOUNDATION
ROUGH
FRAME &
PLUMBING
3o
INSULATION PER
STATE ENERGY
q,ODE
FINAL
,1st)
(2nd_ )_
N. Y.
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.: 765-1802
., 19...Permit No./.
Application No. ?../..~.q(.~.: ....
Disapproved a/c ........................ (<~ ..........
3/
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
......... 197/
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, relationship 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 ap[
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 Permit to the applicant. Such pern
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 alt applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necess~anA inspections. ~ ~ ~
......
-~ (/Signature bf apphcant, or name, if a corporation)
......
.... ~rail;ng address of applicant) )20 6-/C'V
·. '~o~ ~J L
State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or build~
............................. >:..:.:...., .................................................
..... ......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ....... b ? ................
Phunber's License No ..... d~/./~. ...............
Electrician's License No.../../O././~ .............
Other Trade's License No .... ~. ./.~. ............ ~ .3 /., /'~ ./ ff~ '---/. .ffO. ~.3. .-"-
Location of land on which proposed work will be done .~.. ~...~.~/~_~...~//~7~
...... ..... .................
fi;~i ~14~ir ............ / Street llamlet
County Tax Map No, 1000 Section .................. Block ................. Lot ................
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... /~,~/.... ~/~..C,..~.... ..............................................
b. Intended use and occupancy . f~.. / .[fie)... ~'f.0/q i/.~6t.~../,~.~ .Z"-~9.t/.,q (9(..'. ~..L/~.r~4E;.~.. ~. 00.~../~/..~
Nature of work (cheek which applicable): New Building .......... Addition ....... Alteration . .' ........
Demolition ' Other Work
Repair .............. Removal ......................... ~ ..................
~2W · / ~ , (Description)
Estimated C st ' · .~. "
(to be paid on f'fling this application)
If dwelling, number of dwelling units ............ Number of dwelling units on each floor ...............
If garage, number of ears ........................................................................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
Dhnensions of existing structures if any: Front Rear ~ Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ............ i ..... Rear .................
Depth ...................... Height ...................."- Number of! Stories ..................
D~mens~ons' of. entire new constnmtmn Front ............... Rear ........ ' ....... Depth .... ..........
Height ............... Number of Stories ............................ , ...........................
Sizeoflot: Front ...................... Rear ..................... iDepth .....................
Da're of Purchase Name of Former Owner
Zone or use district in which premises are situated
Does proposed construction ~olate any zoning law ordinance or regulation: .... . ............................
Will lot be regraded .... ~.~.5. '7 .....~' ............ Will excess fill~e remove:d from premises: . ~ No
Name of Owner ofpremisds.[~Ob~lq~...1~.~5 .... Address ~)/5~tUq~. 1 .~.~. b.. ~ '... Phone Nch_3~.: ~.. to./.3.. .....
Nmne of Architect .~.. ~Ur//r. .... . ............... Address .. ^..~-7 ......... i ....Phone No.. 77. ............
mmne of Contractor ~6QUT1. J~. ~. .~. ~l . . fiO~.~.7. ..... Address ./~t: ~..~. ~..r-~.P.~.a,~)~'bone No...~g~.~oc/.~.~...,
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. ifidicate all set-back dimensions from
:operty lines. Give street and block nmnber or description according to deed, and show street names and indicate whether
~terior or corner lot.
rATE OF NEW YORK
OUNTY OF...x~'~Fa~ 1./~. .... S.S
.~ .~/qY~. ~..~-~. ..... being duly sworn, deploses
and says that he is the applicant
(Name of individual signing contract)
~ove named.
e is the .................................................................................
fftontractor, agent, corporate officer, etc,)
f said owner or owners, and is duly authorized to perform or have performed the :said work and to make and file this
pplication; 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
Public,
~ ~1251 '
~~~~sMar~ (Sigfiature of applicant)
DO×EY
J~ '~~I"'"'a~WALI- SECTION~ ~ FILTERon~ PU~P
~' "~'~ ~' ~ PIPING ARRANGE~,~ENT
SECTION B"B
SIZE
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