The URL can be used to link to this page

Home My WebLink About13162-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13568 Date June 28 19 85 THIS CERTIFIES that the building ..... S..w.i..m~.i..rig..P.o..o.21. ............................ Location ~rp ..... .t,, 2030 Boisseau Ave. Southold House No, Street Hamlet County Tax Map No. 1000 Section ...0..5 .5 ...... Block ..... .0 .6 ........ Lot ...... .0.4.0. ....... Subdivision... X .Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 24 ,19 .8.4. pursuant to which Building Permit No. 13162Z dated ....... ~a.¥..2.6. .............. 19 .8.4., 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 ......... .----Swimming Pool ........ ( With fence permit # 14070Z,6/19/85) The certificate is issued to OWADALLY, RISHAD (owner, of the aforesaid building. Suffolk County Department of Health Approval ............ .I?I/.A. .......................... UNDERWRITERS CERTIFICATE NO ........ i ........... ~.6.5.4. 4..1.2 ...................... Building Inspector Rev. 1/81 FOB.M NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ~ermi~ion i~ hereby g~nt........,.,~r"~,r~I .............................................. Z~ ~~ · ~' ....... ~""~'~ ............ : ................... D"'"_' ...... [~'~'".";':~' ............ 0t premises Iocoted ot .',~..~..~.~.......~:~..~.~...~.: ......... ~ .......... County Tax Map No. 1000 Section ........................ Block ......... .~. .........t .................. °nd approved by the Building Inspector. Fee $......~.. ............... Re~ 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 p~operty 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 occupancv $5.00 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. June 28,1985 New Building . X Pool Old or Pre-existing Building Vacant Land Location of Property ...2. ,0.3.0 .............. ~o..~.s.s,.e.~..u..A.-v;.e... ................ $ .o~t~.b,.o..~ ...... House No. Stre, et Hamlet Owner or Owners of Property ...Q.~.~.~.~.~. ,~Y.,. · $.~.~-~ ...................................... County Tax Map No. 1000 Section ...0,5,5, ......... Block .... .0.6 ......... Lot....0.4.0. ......... Subdivision ...... .X .......................... Filed Map No ........... Lot No .............. 14070Z - Fence 6/19/85 Permit No...~.3.~.6.2..Z.. Date of Permit .5. ~.2.6./.8..~.Applicant .................................. Health Dept. Approval ,..~../.A .................. Labor Dept. Approval ........................ Underwriters Approval .. N654412 Planning Board Approval ................ Request for Temporary Certificate ..................... Final Certificate X Fee Submitted $ .5; .00. ConstructionRec. ~0toq'~°n above described building /~and/permi*t (oeets/'~ ,_aTl~pplicable~c°de~s~and~regulati°ns', c.o. z 3568 Rev. 10-10-78 F'OU~ID^TION (1st) FOUllDt'r I Otl ( 2nd ) FRAME & PLUMBING ~SULATION PER N~ STATE ENERGY CODE FINAL ADD1TIO~AL COMMENTS 1001381 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- ALlg[I~I~; 7, 19~ e~5 JOHN STREET, NEW YORK, NEW YORK 10038 £'.te 2 ',3331- N 654412 THIS CERTIFIES THAT only the elec trical equipment as described below and introduced by the appllcar~t named on the above application number in the premises of R~cD~rd O~adally, - 2030 Boisseau Ave., Soutl~b~, N.Y. in the followlng location; [] Basement [] ~st ri. [] 2nd rlbutside Section alo& rot' was examined on JLl~y 30 ~ ].gJ~ and found to be in compliance with the requirements of this BOard. FIXTURE FIXTURES RANGES COOKING DECKS OUTLETS SWITCHES FLUORERCENT I 2 DRYERS DISH WASHERS EXHAUST FANS OTHER APPARATUS: S E R I C E AWG NO OF HI-LEG 0]: NEUTRAL NO, OFECCCOND'pR~' OF A W G, CC. COND 1-G,F.I. A. W.G. NO. OF NEUTRALS OF HI-LEG (SWI~BIIl~J POoL)This certi~icate covers compliance at the d~te of inspection only. Because of unusoal enviromnents it is 0&%visable to have frequent test and / or repairs made by ~ qualified person, Jody Pat ie~le , Box 182 A ~attituck, N.Y. 119,52 Lic. 2300 E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifiec ',\ COPY FOR BUILD NG DEPARTMENT. THiS COPY OFCERTiFiCATE MUST NOT BE ALTERED iN ANYMANNER. ~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-180;3 Examined....~..~..~. ~.., 19 .~.~ Approved.....~. ~..~.~.., 19~. Permit No..t~[..~. ·..~fl~. Disapproved a/e ..................................... (Building Inspector) APPLICATION FOR BUILDING PER~IT Received ........... ,19... INSTRUCTIONS a. Tins 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 i)remises 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 other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cside, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~ ' 'o . (SignetS-re o~applicant, or na e, 't/a-~ p ' ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butilder. Name of owner of premisesq~-~.~-~i~. ~..~.. D(J~ .-~.4..~..L~f~-D/~. ~.~/~. ....................... (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... g.L/./..~...-..14~. ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandonwhichproposedworkwilibedone. ..~..6q~...~).d~.f.~...~.(~...~.. ................... House Number Street Hamlet County Tax Map No. 1000 Section . ~~ ...... Block .... ~ ............ Lot..~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~mises and intended use and ~ccupancy ~f ~r~p~sed c~nstructi~n: IX a. Existing use and occupancy ... ~ ~ ~.~ ....... -- .......................... ~ ......... . Intended use and occ]pancy. ~~~ .... ~.[ ~... ~.~'~J~.~...~ · · - 3. Nature of work (check which a p Icable): New Building .......... Addition .......... Altera~'on .......... Repair .............. Rem wal .............. Demolition .......... Other Worlt2>bDl/~ttq~.ff... ._ .--- -- (Desc;t on% 4. Estimated Cost ..~.~..~5)...... ......................... Fee .[.~.' ................................ % (to be paid on filing this application) 5. If dwelling, number of dwalling units ............... Number o f dwelling units on each floor ............... If garage, number of cars ...................................................................... 6. If business, commercial or mixe t occupancy, specify nature and extent of ea. ch type of use .......... 7. Dimensions of existing structur~ s, if any: Front. ~ .j ........... Rear . c~.~ .......... Depth. ~. ........... Height ...q')-.~ ! ........ Nun ber of Stories .. ~. ~.~.. ................................................ Dimensions of same structure w th alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new const~ uction: Front ............... Rear ............... Depth ............... Height .............. Nun bet of Stories ....................................................... l'~..3 0~'. ....... l?'.~.'(q pth l~g.'7?. 9. Sizeoflot: Front ........ Rear .................. De ................ 10. Date of Purchase .......................... ~ Name of Former Owner ............................. 11. Zone or use district in which pr~ :mises are situated .c/.~.~.l&D~.~.~/.~'(.~. .................................. 12. Does proposed construction vioi ate any zoning law, ordinance or regulation: ../L){~) .......................... 13. Will lot be regraded ............................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ............................ Address ................... Phone No ................ Name of Contractor ........ ~ ................. Address ., ................. Phone No ................ 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 pumber or descnptmn according to deed, and show street names and ~ndmate whether interior or corner lot. I STATE OF NE,~ YORK,, ; S COUN OF .... ' (Name of individual sigm ~g contract) above named. He is the ................. ~ of said owner or owners, and is duly being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) authorized to perform or have performed the said work and to make and file this (Signature of applicantil ppl,caUon; that all statements contm] ted in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner :et forth in the application filed tfi~with. Sworn to before, me this : ' .............. · ~.~..~.'...day oJ '/9 .......... , 19~.. Notary Public ....................... .~ ....... ;;,;,: ;, ;; , I 44' ~ AP~ ,,C. ,.D AS NOTED 7~5-1802 R AM TO 4 PM FOR THE FOLI. OWlNG INSPECTIONS: ], FOUNr~ATION - TWO REQUIRED FOR P~LJRED CONCRETE 2. ROUGH - FRAMING & PLUMBING 4. Flk~l, . CqN'~p,~.t?1-1~', - {; ~U~T ~ ~ ~A[.. Cr~?c"g~'~CTJON S[-~ALL MEET ~E RF~'"~:'M~NTS OF THE N.Y. ~ C~NCTRUCTION & ENERGY NqT RESPONSIBLE OR CONSTRUCTION ERP~9~..)~., ? ' ~,: