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Home My WebLink About13301-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13515 Date June 12 19.8.5 THIS CERTIFIES that the-lratldlnlg.. $og~..qU~.d. .~.J...m~.~ .rig. ~qg.]. .................... Location of Property 15917 R.O.W. off N/S Main Rd. .East Marion House No, Street Hem/et County Tax Map No, ] 000 Section .... 0.2. 3. ..... Block .,, .0.~ ......... Lot 0 0 7 Subdivision .... × ...... Filed Map No. × .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ?l.a.y...2.4 ......... ,19.8.4. pursuanttowhichBuildingPermitNo.. 133.01 dated ......... ~.u..ly..2. 7 ........... 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 ....a.n .... ....... ~..~.o.~.~..~ .m¢.~.~.,:4. ?.o.o..z..~...~...~?.q.~+.~?~..f???2.: ....................... The certificate is issued to AARON SHIKLER (owner, of the aforesaid building. Suffolk County Department of Health Approval .... n.q .t:..r.e.q[.u.5..r.e.d. ........................ UNDERWRITERS CERTIFICATE NO ............ t,J . .6 .8.8. 9. .1.9 ............................. Building Inspector Rev. 1/81 FORB~ NO. ~J TOWN OF SOUTHOLD ~UILDING DEPARTM£NT TOWN HALL $OUTHOLD, N. Y, BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 1330~ Z Permission is hereby grante, d'te: . . ~ , ..~...~......~.~.~.o..~.....~ ~o.~.. I.I..-/ ,..~~..~ ........ ....... ..._....~.~ .......... ,o ...~....w......~~~...f..~......,.....~.~....~...C..e.~..~)......~ ..... ~' ........ ~ .................................................. '/5';'1'~. ............. i ................................~ ; ....... at premises' located at ...................... County Tax Map No. 1000 Section ..,.C~.~-~...~. .......... Block ......... ! ............ Lot No. Building Inspector, Fee $..[.,,~,,.: ............... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~This ap~31ication must be filled in typewriter OR ink, and submitted in duplicate to the Building Insl~ec- rwith the following; for new buildings or new use: ,[; Final survey of property wtth accurate Iocatton of ali buildings property hnes streets,'and unusual '?~;ii ~ natural or topographic features, r ~2~'l~ina royal of Health Dept. of water supp y and sewerage d sposal-(S-9 form or equal) electrical installation from Board of Fire Underwriters. 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 ~kistin~ buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing", Jand uses: I,. Accurate'survey of p~operty showing att property lines, streets, buildings and unusual natural or 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. ' 'Date of any housing code or safety inspection ef buildings or premises, or other pertinent informa- "h .,' '"J':' i, ~!on required to prepare a certificate. ,~ 1;Certificate of occupancy $5.00 "' 2, Certificate of occupancy on pre*existing dwelling '~ "' '' '3. Copy of certificate of occupancy $1.00 ;! ,'....' "; I ~ A';'Vacant Land C.O. $5.00 Old ~' o 'm~"'"'ding ,~: v, ~ ~.,: ,. House No. Street: , Ham/et :..OWnerorOwnersofProperty .................................... . . '~ C~,~'YTaxMapNo 1000Section ..~ ..... Block .... ~/ ...... '. Lot ~ ~' ... '. ;~.~.?~, ~--~ Subdwismn ............................ ..... Fded Map No...; ....... Lot No...;... ~ ~"~,~4~_.~,~ ~ .~ ~' - He~ th De~t. ~pprova .......... Cabot Dept. Appmva ........... ...... :~:,~,~, ~;'~ ' Un e~rte rova............... ......... Planning Boar royal .......... .. . . ....... .. eqdest for Temporary Certificate ..... Final Certificate-- ;... ee Submitted $ " .... and regulations. ' ~ Go~mCti0n.on above described building and permit meets all applicable codes_ 22 ALLEN BOULEVARD, ' . [AR~INGDALE, N.'Y.. 11735 ,'. ' 293-8540 22 ALLEN BOULEVARD P. 0. Bo× 67 FARMINGDALE, NEW YORK 11751~ June 6, 1985 Town of Southold Office of Building Inspector P. O. Box 728 Town Hall Southold, NY 11971 Gentlemen: As per your letter of June 4th enclosed are Application For Certificate of Occupancy for swimming pool constructed under Permit #13301Z, New York Board of Fire Underwriters Certificate #N688919 and fee check for $5.00. Please send Certificate of Occupancy and Fire Underwriters Certificate direct to owner of property, Mro Aaron Shikler, 15917 R. O. W. Main State Road, East Marion, New York. Yours truly, Robert T. Kaminski RTK/mjb Enclosures cc Mr. Aaron Shikler 44 West 77th Street New York, NY 10024 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY j~ O1 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment os described below arid introduced by the applicant named on the above application nuntber in the pretnlses of Aaron Shikler, M~in Road, E~t ~{arion~ N.Y. in tae /ollowlng location; [] Basement [] 1st Fl. [] 2nd FI. outs~le Section BIoeh Lot was exandaed on April ~ ~fi and found to be in compliance with the r~qulrements of thls Board. FIXTURE FIXTURES RANGES KING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET S E R ~V I C AWG. OF CC. COND, OTHER APPARATUS: Paaelboaza~ 1--~cir, OOamp (~W~,~,~t:n~ ~1) T~ certificate ~ of ~1 ~v~nts it is ~v~le ~o h~ ~ by ~ qualified ~r~n. E covers compliance at the date of inspection only. frequent te~t mhd/or repair Paul Burns TOwn H arbor Lane Southold, N ¥ 11971 Lic~2 E This certificate must not be altered in any manner; return to the office of the Board if i,ncorrect. Inspecto~ may be identified by their credentials. COPY ~FOR B~ILOING DEPARTMENT. THIS COPy OF CERT, IFI¢ ED I~ ANY MANNER. "INS~CTION COMMENTS FOUNDATION Ilst) FOUNDATION 2. {2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ; ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL for pe~t to construct .... ~o~a,~o,o,~o~ty Z~T&.~.~, d~~ /~ ~ ........... a, ~;.~;~o: .... : ......... ~.. Z...~. ~: .... .~5~/~ ¢ County Tax Map No. 1000 Section ........ Block .O~ .......... Lot ........ Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds. ~'~e.. ~O~... .~:. · y~.~.. Building Inspector RV 1/80 ~ 'FORM NO. 1 i TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . . . .~..-[..., 19~ Approved . . .a-.-/ ., 1 ..... ~ ~O.)..~. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 pern)it 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 Buildih~De-p/irtmefiI fo~ th~Ts~suance ora 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... ff..,.,..z. ~..~..,~.. .............................................................................. Name of owner of premises . ./rt.. ?..~..q .fy1. ..... .~./~/..l~.~.~..~.~../~. ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signatuje of duly authorized officer. (Name and title of corporate officer) Builder's License No..~..~....ff~.. ' Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No .......... :-. .......... Location of l~o~jhjch proposed work will be done ...................... ............................ /o~,7....~lo.~..r./~....x.r.e~.. q.~...~. ~e.~." " ........ ~L~. ~q.. ~ .~. ..... .~.s.L..~...~.a.:o. ~... House Number Street Hamlet County Tax Map No. i000 Section .... .d~.~.~..~'. .......Block ....~?.L ........... Lot ~t57 7 Subdivision ..................................... Filed Map No ............... Lot ............... '(Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~. Existing useand ocoupancy .. ~.t/..~. ........... ' ..... '. b. Intended use and occupancy ........ .~" ?. ! ?. m j ~.t ~ . . . ~ ~ . . .; ' . ............... 3. Nature of work (check which applicable): New Building ..... ' .....'Addition .......... Alteration .......... Repair .............. Rembval .............. Demolition .............. Other Work ............... 4. Estimated Cost .~.~.~o~..~.o .......... 1 ....................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwellingI units .. ?..~.z.~. ..... Number of dwelling units on each floor ................ If garage, number of cars .... 2 ................................................................... 6. If business, commercial or mixed occupancy, specify natt~re and extent of each type of use ................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories.. ..................................................... .. ' Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth...' ................ :....Height ...................... Number of Stories ) .......... 8. Dimensions of entire new construction: Front ~.~ ) o ~ ........... ............... Rear . ~.. ............ Depth . .~'.~ ............ !~eight ............... Number of Stories ........... j ............................................ 9. bize of lot: Front · ./. ~.7.... i ........... Rear ./..~.~. ................ Depth ~(~ .~ .............. 10. Date Of Purchase .......... ~. .................. Name of Former Owner ............................. 11. Zone Or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .g/.~ ............................ 13. Will lot be regraded ........ ; ....., ........... Will excess fill be removed from premises: ~ No 14. Name of Owner of premises .'~.~/~.g. "~'. · .~/./][~g~.... Address Name of Architect ......... ~ ................. Address ...... [. ............ Phone No ................ Name of Contractor ~J.R.q ~ .~.u/~.L..d'.~.O .~!.~(.~/.,. Address ,~d.~./~ .~t./~'~ F.O ..... Phone No. ~..,~.~..~r-~"~.,~ .... PLOT DIAGRAM . Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from to deed, and show street names and indicate whether property lines. Give street and blockinumber or description according interior or corner lot. STATE OF NE~ 2/ORK, COUNTY OF ./.~.. ~.~.~?..~ ......iS.S ......... .,~,"p..~..~./~...~. .... fff.~. ~, !..~(?..f.d.. /' ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the .... ~.O/V..~..,~.A~...c..~'.~ .??. .................................................................. , (Contractor, agent, corporate officer, etc.) of said owner or owne~, mid is duly 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 will be performed in the manne~ set forth in the application filed therewith. Sworn to before me t~t~ ........... ff.~.~i..~.'...day ofi.~...~>C ............. , 19 .~.~'. ~ ~ M.~ a~ ~*.l~, t~lgnature OI applicant) LOF, IG J~L.AI'q D