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Home My WebLink About13023-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. $.~.1.~ Date November 24 .......................................... ]986 THIS CERTIFIES that the building Pool · 1.1..3.5 Bridle Lane Cutchogue' *- Location of Property., .......................................................... /~ouse No. Street Hamlet County Tax Map No. 1000 Section 102 .Block 08 ...... Lot 20 ~. " Subdivision .H..ig.h.l.a..n.d. ?.s..~.a.t.e.s. ........... Filed Map No. 6. .5.3.7....Lot No...2..3 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · f....~.r.J:l...2 ......... 1,9..8.4pursuant to which Building Permit No..1.3.0.2..3.g .............. dated ...3:p.r..i?..1. 2. ................ 19.8..4, was issued, and conforms to an of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Incjround pool t. fence and deck. The certificate is issued to ROGER & LOUISE BURNS (owner, ~to~ ~ of the aforesaid building. Suffolk County Department of Health Approval ' .N./.~. .............................. UNDERWRITERS CERTIFICATE NO. N 642583 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13023 Z Permission is hereby grante o: . , ...~.~....l..~.~ .................................................. ....~.~.....~.~..~.~....!..!.i..,.~..~ ....... ....... .......... ~';~;~'~';;';'i;';'~;'iiiiiii~i~'i"~i~''~''';i'''iiiiiiiii~~''''ii'iii'i'i''' County Tax Map No. I000 Section .... !....0....~ ...... Block ...... .,,~,, ........... Lot No ........ ,~.,..,~. ......... pursuant Building Inspector. Fee $.J ...................... and approved by the Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 November 21, 1986 TEL. 765-1802 Mr. & Mrs Burns 1135 Bridle Lane Cutchogue, N.Y. Dear Mr. & Mrs. Burns: Please accept our apology for the delay in issuing your certificate of occupancy for your pool. Art Siemerling, Skinny Dip Pools,applied for the certificate and due to an excessive work load coupled with a filing error the paper work is only being processed now. HopJ. ng this has not caused any inconven- ience to you. VGL:hdv. ~A, ~r s truly~ Victor Lessard 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 submitted in duplicate to the Building lnspec~ 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 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 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --?re-Exist±ng C.O. $15.00 ~acant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........................ House No. Owner or Owners of Property ..... (~ .(~ .~ .~.'~.. County Tax Map No. 1000 Section ............. Street Natant .. Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ....................... Request for Temporary Certificate ......... Fee Submitted $ ........................ Construction on above described building and Applicant .... Rev. 10-10-78 .Planning Board Approval ............... ....... Final Certificate ................ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 APPLICANT: DATE: July If , 1986 Dear: While reviewing our.files I find that your expired pool permit [5~% 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 complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY" I' FIELD~Nf~CTION COMMENTS ~__~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 .at~ May 2, 1~ ~,,,,,lica.o. No. onS. e 2ee?z2/s~ N642583 THIS 6ERTIFIES THAT ~~ ~idle ~e & ]~ ~ ~, ~ ~11, ~tc~e, N.Y. in the followlng location; [] Basement [] 1st FI. was exam~ned on April 26, 1984 [] 2nd gl. Outside Section Block Lot and found to~ be ia cotnpliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT VAFOR 1 1 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLO(~KS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE D[SE(~NN ECT S E R V' I C OTHER APPARATUS: 1-G,F.I, .o. A, W, G NO, OF HI-LEG A, W, G, OF CC CON0, OF HI-LEG NO OFNEUYRALS .(SW.T.~ING POOL) This Certificate covers con~liauce at the date o2 inspection only[,. Because of unusual envit'o~nents it is advisable to t~tve £requsnt test and/or repairs made by a qua.~lfied per~on. OF NEUTRAL Glenn It. Bradley Horton Avenue Matiltuckt N.Y. 11952 Lie. 1227 GENERAL MANAGER 11 ' This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by, their cred6ntials. ~ COP'~ OF CERTIFICATE M~ U.Sz~T NOT BE ALTERED IN ANY MA,NE,. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1893 Approved ...~.~.. ! .2...., 19~. ~. Permit No..] .~.~..~..~.. Disapproved a/c ................... ~ ................. Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. This application must be completely'filled in by typewriter or in 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 adjoining 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 building 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. o~r applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ren~ 1 ~ demoliCj:~n, gg~nerein described. The applicant agrees to comply with all applicable laws, ordinances, building c~le,: gfising coj~, an~egulations, and to admit authorized inspectors on premises and in building for necessary inspection/g.(~e~ (Signatu_r ica ;~ora'tio~) .... ...... ..... (Mailing address of applicant) State whether applicant is owner, lesse architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~.E'. ....Or... t~7~/..~..~... . ~ ................... ' (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 .......................... Plumber's License No .... /e~r. ~.. ~(x~ .... Electrician s License No ....................... Other Trade's License No...~..~... .............. 1. Location of land on which proposed work will be done .................................................. House Number Street county Tax Map No. 1000 Section / .~..~.. ...... Block....~..~.. ......... Lot...~...~. ........... Subdivision .... ... ' .~-.~.~J..~... Filed Map No ....... Lot .., (Name) 2. State existing use and occupancy of,.~remises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~'~.S ..... .~ .1~. ~ ...... ~;: :'. ..................................... b. Intended use and occupancy ..... ~...O..~.).....~.....~..~. ~...~C-~....t27' . ,~,..~..~..~...~. ................ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .......... ~;... Remgval ....... ....... Demolition ...... ,,~ ....... Other Work ............... ~- o,t ,,~.,~y O~. (Descnphon) 4. Estimated Cost .... .O~.....C.4 ........................ Fee/5'.: .................................. , ] (to be paid on filing this application) 5. If dwelling, number of dwelling [units ............... Number of dwelling units on each floor...:... '. ........ If garage, number of cars · ' I OQ~ ............................................................ 6. If business, commercial or mixed occupancy specify nature and extent of each tyto~ of use .. -. .... .;...~ .......... 7. Dimensions of existing structure, s, if any: Front...~,.7.q. ...... Rear ...2. .~. ...... Depth...~. ~ :. .... Height ............... Nun~ber of Stories... ~ ................................................. Dimensions of same structure with alterations or additions: Front....;............--- Rear........." - . ........ Depth ~ Height Number of Stories 8. Dimensions of entire new construction: Front ...: :.. '.. r ..... Rear .. ?.' ........... Depth . .~.. ............ Height ..., .----~. ......... Numbar of Stories ........................... 10. Date of Purchase .QI UAL(..¢,-. 'l' ...~s ............. bJ~,e of Former Owner . . .". ......................... 11. Zone or use district in which pr~m~ses are situated .... ~,~ ~q', ¢,. ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...~..(~) ................... 13. Will lot be regraded ..... ~.~. .................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .~7.7,~ .~rv... ~or'~:~. Address ................... Phone No ................ Name of Architect . ,,.,,....,, .~ .... ! ....... Address .. Phone No _ PLOT DIAGRAM Locate clearly and distinctly aill buildings,' whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. . NoTic, ~ qL.DING DEPArTmENT AT o~~ O AM TO A P~ FOR THE 76~'~' ~ .... b,cn[cT~O~S: ,..~..,,,, ,.q T n ! fi;. 4. FIt't'l '~.',.-,'L-"'-mR ~ O. nr r'~'~'" ' ' ,, cut, kl MEt/ , -FiT P-lrr)~' :.' '-~10~ & FNEI<~- ............. :~/.. .~ F... being daly sworn, deposes and says that he is the applicant (Na~d o~dnai sisal ~g ooatra~t) above named. He is the ...................... of said owner or owners, and is duly application; that ail statements contaJ work will be performed in the manner Sworn to before me this · ~ ........ 'Z// ......... day of, ........(Col~tracto~, ~&l~, ........... corporate offi~'~ ' 't&')e, e . ............................ authorized to perrl~r~h or have performed the said work and to make and file this ned in this application are true to the best of his knowledge and belief; and that the set forthjn the application filed therewith. ~,, ,,v Pu,u~, a.t0 ~,.. v~ ~ .... ~.Z...~ ......... ~ p ~s March $[ 19~' ' ' ~ (S~nature of applic~t) TITLE NO 8508-02879 HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT NOTE: SUBDIVISION MAP FILED IN THE OFF/CE OF THE CLERK OF GUFFOLK COUNTY ON APRIL 2G~ 19??AS FILE NO. G53;' SURVEY FOR ROGER BURNS tOT NO. ~$, "HIGHLAND ESTATES" AT CUTCHOGUE TOVIN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK NOV. IG, 1983 NOV. 14, 1983 DATE. dUNE 8, 1985 SCALE: I"-" 40' NO. 85 ' 452 'RUNAUTHORIZED ALTERATION OR AODITION TO ~llS SURVEY ~ A VIOLATION O~r SECTION 7209 Of' THE GUARANTEED TO; CHICASO TITlE INSURANCE' O0. THE NORTH FORK TRUST YOUNG a YOUNG ALDEN W.YOUNG~ PROFESSIONAL ENGINEER AND LAHr3 SURVEYOR N.Y.S. UCENSE NO. IZ845 HOWARD W. YOUNG, LAND SURVEYOR N,Y.S, LICENSE N0,4589:~ AVENUE RIVERHEAD, NEW YORK