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Home My WebLink About13223-zFORM NO. 4 TOWN OF SOUTHOLD BUIIJOING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17460 Date OCTOBER 26, 1988 THIS CERTIFIES that the building ADDITION Location of Property 420 LAKEVIEW TERRACE EAST MARION~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 031 Block 9 Lot 11 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1984 pursuant to which Building Permit No. 13223-Z dated JUNE 14~ 1984 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 ABOVE GROUND SWIMMING POOL ADDITION AM APPLIEDFOR The certificate is issued to MARK & SHARON MIDDLETON (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVBL N/A UNDERWRITERS CERTIFICATE NO. N 039274-OCTOBER 13, 1988 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · 0~,t NO. ~l TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? 13223 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No. 1000 Sectionq...C~.....~.....~. ....... Block ....... 9 ......... :. Lot No....J..! ................. pursuant ,o application dated ...:;~f..~.J....~. ....................... , 19..~....~., and approved by the Building Inspector. But'ldlng Inspector Fee $ .......... : ............. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 76_5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 7Fhis application must be filled in typewriter OR ink, and submitted i ~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 disposel--(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. §. 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 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. S25 O0, Accessory.i$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $10 0.0 0 3. CoPV of certificate of occupancy $ 5.00, over 5 years $]0.00 0.00 5.Upctated C.O. $ 50.00 Date .............. New C OhS t ruc ~, i on ...... Old or Pre-existing Building ............ Vacant Land ....... Hou~ No. ' ': ................... 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 ~.~., ~.~,,¢~-.-~),~. 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~rr~it, meets all applica~ble codes and regulations. Applicant .... ~/'~_. ~., .~~ .............. Rev. 10-10-78 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 featu res. 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 sifnilar 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 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, 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 $15.00 3. Copy of certificate of occupancy $1.00 5. Updated C.O. $15.00 Date ......... ( ....... New Building ............. Old or Pre-existing Building .... ~ ...... Vacant Land ............. Location of Property ..... .~ ~)...~ ~..~Z~...~.~Jf~..' ......... ~.2..~..~/~7.. ~./~/. ~. ?,... House No, Street Ham/et Owner or Owners of Property ....~...~.~,,~.. ~...~...~..h.~..~, t~.. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map 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 ....................... Fee Submitted $ .... , .~..~...~.. ................ Construction on above described building and permit meets ail applicable codes and regulations. ^pp,icant.. ...................... Rev. 10-10-78 TOWN OF' SOUTHOLD OFFICF. OF IqUILDING INSPECTOR P.O. UOX 728 TOWN IIALL SOU I'IIOLD, N.Y. 11971 To Whom This May Concern, TEL. 765.1802 We are urlable no complete your Certificate of Occupancy because .of the following reasons. //An ;lpplication pr Certificate of Occupancy /~y.lc.) Underwriters Certificate on file. /?_/ The chock .£s(~+t0, at~.d~not o:1 file.)<~,~ /-/ I;o !Iealth Dept. Approval on file. /.--_/ I:o final inspection has been made. Pie,]se contact our office on this matter. Thank you for your cooperation:~ BuildJ. nq Permit JJ _k .~ ~ ~ ~_ Z Duildin[/ [)opt. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD ~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: ......~. .7~_ 7GS.~.SG2 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ /~uLATION FRAMING [,/] FINAL /~ ~REMARKS: DATE , INSPECTOR~_~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSUI. ATIoN FRAMING [ ] FINAL REMARKS:,,/~ , ~ , DATE~~ INSPECTOR ~ ~~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 :,LDG. DE, ' 'UVN OF SOb DATE: July II, 1986 Dear: While reviewing ~ur files I find that your expired pool permit ~7~. 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 CERTIRCATE OF OCCUPANCY TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /Z/ An application for Certificate of Occupancy is not on file. /~No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) -/~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # ~_ ~ ~ ~ ~_ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plun%bing being issued after April 1,1984 ) ~'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined i ..... Approved .[.q ..... 19'g.~. Permit No. Disapproved ~/c ..................................... (Building Inspector) APPLICATION FOR BUIL~ING PERMIT INSTRUCTIONS Received ........... ,19... a. This appl~ation must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, acc'/rate 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 Departme~nt 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 demolbtion, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildi.9¥cc~ie, ho~ing~ol/e, and regulations, and to admit authorized inspectors on premises and in building for necessary insppe'/fions/ ' ' ' ~p ca'utile, i~Zorporation) (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, gene[al contractor, electrician, plumber or builder. Name of owner of premises...~ · .~.. ~s~.¥~c~ ~r~}t. ~) ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Locationoflandgnwhich~proposedwork?l~edone~/~...,~....~.. '~'/'~'~'! ,Y ..... ~ .... ~..~..~...~..~~ ........ ..... ~fi~' '/kir;;i ....................... t~I~;n'l;; ........................ ( County Tax Map No. 1000 Section .~..~.~..'7.?:'7. / ..... Block Lot ................... Subdivision ..................................... Filed Map No..'~...~.~. :..o~...,~.. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use an~, ,c~upancy~j~fproposedconstruction: a. Existing u~i~nd occupancy .......... ~,,'~.~... ~"~/~. ~f~/.~..~ ............................. / b. Intended use and occupancy .............. .......... ./. ..................... . / 3. Nature of work (check which applicable): New Building ..... '; ....'Addition .......... Alteratian .......... Repair ............. #' ~emibval .............. Demolition_/~ ............. Other Work . .~. ~..~.~. ' '--- ~ (Description) 4. st~atedCo t ........ ~.~ .................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling[ units ............... Number of dwelling units on each floor ............... If g~age, number of cars .. L.. 6. If business, eommerciai or mixed occupancy, specify nature and extent of each type of use .................... 7. D~ensions of existing stmcturcs, ifany: Front ................ Rear .............. Depth .............. Height ............... Number of Stories ....................................................... D~ensions of same structure With alterations or additions: Front ............. Rear .......... Dep~ ................... ,... HeiSt ...................... Number of Sto~es ...................... 8. Dimensions of entire new construction: Front ............... Rear ......... Depth ......... Height ............... Number of Stories ....................................................... 9. Size of lot: Front ...... ~. ~.' .... Rear ..... ~:~.~. ~ ...... Dep~ ,. ~. ~ ....... 10. Date ~f Purchase ...;~.~/.7~ ................. Na~o~Fo~e~Owner ...~~ ............. 11.. Zone or use district in whi~qi premises are situated..'... ~~~. ................ /... ' .......... 12. Does proposed construction violate any zoning law, ordinance or re~lation: ... ~ ........... ( ............. 13. W~l lot be regraded ......... 14. N~e of Owner of premises ~~ .... Address . ~. ~.~.. Phone No. '.)~ ..... ~ ..... N~e of Architect ...... ~/~.~/~ ......... Address ...~. ~, ~ .......... Phone No..~'2~.z~O. · · N~e of Contractor .......................... Address. ~~ .... Phone NO ................ prov~y ~nes. Oiw streot and blo¢k number or d*s¢~ption aeeord~g ~", ~:~ho~;'~i~$*t~fi~ff~dioat~ whoth~r FEE:~ .~, ~ BY: L). ~. L, NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE ~ ./,/~.~.LI~)~' I N G INSPECTIONS: \ (Name of individual signing contract) 2, ROUGH - FRAMING & PLUMBING above named. : 3. INSULATION ~ , ~. FINAL - CON'ST~UCTION MUST He is the .BK .C9~4~1 .F.ZE. ~.~ .C..O ............................... (Contract ~ge~DB~ {~e~0 MEET · . ] . - of sa,d owner or owne~, ~d ,s duly authorized to P~.~~th~"~i~rk and to m~e and file ~is application; that all statements contained M this appli~r~~S~ h~edge~~ and belief; and that the SIBI E FOR work will be perfo~ed in the m~ne? set forth M the a~d~'oR~the~ Sworn to before mC this ~516N OR CONSTRUCTION ERRORS. ........ ~ ~ .':~..... .day of....~ .n.~:.'~ .... ...... 19 .~& ......... ........... -, ~. ~ ~ W~ ........... No. 47~57~ (Signature of applic~t) ~uo/ffl~d in Suffolk C ~mm,sslon ~xplres Mar~