The URL can be used to link to this page

Home My WebLink About13094-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTFtENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-19602 Date DECEMBER 21, 1990 THIS CERTIFIES that the building ~DITION Location of Property 145 SCHOONER DR. & 755 ANCHOR LA. House No. Street County Tax Map No. 1000 Section 79 Block 3 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17~ 1984 pursuant to which Building Permit No. 13094-Z dated AUGUST 10~ 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 INGROUND POOL & DECK ADDITION TO EXISTING ONE FAMILY D~ELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEP~/{TMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN P. & BARB~RAC. EBELING N-644100 - MAY 14, 1984 ~/A THIS CERTIFICATE OF OCCUPANCY UPDATES Z-12693 D~D AUG. 10, 1984. 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? 1309t Z County Tox Mop No. 1000 Section ......C).~.~.~ ........ Block ....... .5. ......... Lot No ......... ./.~ ............ pursuant to application dated ... ~ ....... ,%~....~-'~ ................... , 19.~..c.~., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP,(RTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Ot Occupancy No ..... .gJ.~.¢. ~ 5 ...... Date ......... .~.~. ~ .~.~.~..?.0 .............19~..~. THIS CERTIFIES that the building .... l~gp.~. ,.&..d.e.c..k..~,d.d..5.-b.i.q~. .................... Location of Property ..... %~5 ......... S. chooner Dr. Sou~hold Hou,~e NO. ' ........... 'S't/e~( ....................... l~l~r~l'ol County Tax Map No. 1000 Section'.....0.7.9 .... Block ..... 3. ........ Lot ..... .~. .......... Subdivision ........... ~ .................. Filed Map No ..... .~...Lot No ...... .x ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated · . ~7~./17 ......... , 19~z~. pursuant to which Building Permit No .... J.~.0. ~.g. .......... dated ........ ~aT, 7 .............. 198.~.., 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 ......... inground pool & deck addition to existing dwelling. The certificate is issued to A2B/[Xg2gDER G. & RYCK A. KOKE ..................... ?o¥,,'e;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ............... ~lfig. ....................... lXl~/t4~ O0 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FORM NO, 4 TOWN OF SOUI'HOLD BUILDING DEPARTM£NT Town Clcrk's Otfice Soutbold, N.Y. Cerli[icale Of Occupancy No...Z96.h.O ......... Date .............. Aug'us~..16 ........ 19.79 1 Ills CIzR'I'IFIES that the building ................................................ Location of Property '1 ./45..Schoox~ep. Dy... &..875. Anchor..Lo ............ Sou'~hold ... House No. Street Hamlet Couuty Tax Map No. 1000 Sec~ion . . . 79 ....... Block . ._5 ............ Lot . .6 .............. Subdivision ....... ~ ...................... Filed Map No... ~: ..... Lot No...X .......... conforms substantially to the Application for Building Permit heretofore I[iled in this office dated · ...Dg.c.e.m. ¥.eE .~9 ..... , 197~3. pursuant to wlfich Building Permit No...1.Q1 ..52. 7. ........... dated . .Apr';[,]-..3 .................. 19.79, Was issued, and conforms to all of the req?irements of tile applicable provisions of the law. The occupancy for which this certi~cate is issued is ......... .... Pr.£¥a.'c.e..or~e..t~am~.:Ly.. dwe,tling. ........................................... The certificate is issued to , , , A],exander. ~...&. Ryck. A...KoKe ....................... (owner,~ of tile aforesaid building. Snffolk County Department of Health Approval .~3 .-g.O.n'1.69.,. :A~g....q .6, ...q.979.,..BOb.e?.%. &.. Villa UNDERWRITERS CERTIFICATE NO .......... 63.8.397 ................................. B ector Rev 4/79 18802010 B~orm No. 6 OF SOUTHOLD NG DEPARTMENT OWN HALL 65-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPY. TOWN OF SOUTHOLD This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of L% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: ~ 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25[00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00· 2. Certificate of Occupancy on Pre-existing Building - $i00.00 .~.~Co.y o~ c~._i te o£ o ~ ancy- SS.O0 over 5 years - $10.00 ~4~tificate of Occupancy $50.~ 5. Temporary Certificate of Occupancy - ~es~dential $15.00, Commercial $15.00 Date .~0..-~..[.~..~.~.~ ....................... . New Construction ........... Old Or Pre-existing Building ................. f Property J .~ .~. Location o .......................... % ............................... House No./ ......... ~ ~ Hamlet . county ~ax Map No ~000, Section .... ~.~.~ .... Bloc~ ..... ~ ........ Lot .... f~ ............... Subdivision.. . .... .......................... ............ .......... Filed Map Lot Permit No . Date Of Permit Applicant .. Health Dept Approval .... Underwriters Approval ...... Planning Board Approval ........................ Request for: Fee Submitted: $...~.~.... Temporary Certificate ........... Final Certicate ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $}outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of proper~y 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 disposai-(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, Cart f cate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling land use --Pre-Ex±st±rig C. 0. $15.00 3. Copy of certificate of occupancy $1.00 Vacanf,'la~d C.O. $ 5.00 Date .~ ~ ~ New Bu~ldir g ............ Old or Pre-exi~ing Building ............ Vacant Land ............. Location of Proper~ .).~. ~[~ ~' ~ .... ~'~ (~ ................ _ Street Owner or Owners of Prope~y . .~.~. · '~ · · '~' · '~'~( ' ~ .... ~' ........ County Tax Map No. 1000 Section ............... Block .............. Lot .............. Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ............... ~ ........ Labor Dept. Approval ........................ ~equest for Temporary Certificate ..................... Final Cerfificam .... ~ ............... Fee Submitted $. ...................... Construction on auove ~ ' g ' A,,,c,,t ......................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipmertt as described below and introduced by tim applicor~t ~med on the above application number in the premises of ~e~d~r G. ~k~, 145 S~n~ in tbe yollowing location; ~ Basement ~ ~t rt. ~ ~nd rt. ~t~de s~t~o, gto¢~ rot was examined on ~{~ ~ 0 ~ ~ and found to be ln compllar~e wlth the requ[rements of thls Bo~rd. FIXTURE OUTLETS DRYERS JECEPTACLES SWITCHES i 1 FIXTURES RANGES OVENS FLUORESCENT DISH WASHERS EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS~ 1-G.F.C.I, E R V I C NO OF CC, COND. PER ,~ AW, G. OF CC COND. NO, OF NEUTRALS ~_~__I.~_I_~_._1~01,) This C~rti£icate (~vers ~li~ at t~ ~ of ins~c~io~ only. ~a~ of ~l~l envJ~)~ts it is ~'vi~le to ~ve f~u~t test ~d/or repa~s m~e ~ a qu~ifi~ ~n. OF NEUTRAL ELCo Electric Corp. Cliff Oornetl 3~5 ~illo~ Point Road So~rthold, N.Y. 11971 DEPARTMENT. T HIS COPY 0 FCE ;'lEI.,[) INS~ ~CTION COMMENTS F 0 U,'l D A",' I Oil (1st) FOUNDA T I Ofl ( 2nd ) ROUGII FRAME & PLUMBING ltlSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMM~,NTS . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 · ' TEL.: 765-1803 Examined....~:~ .c9~..{ .... , 19~- ~1. Approved....~'t~.c~ .'}i ..... 193."1. Permit No... ';~.? .~.cJ. ~ Disapproved a/c .......................... ' ........... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accnrate 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 issue 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 Occupahcy 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary ~sl~ections. ~, . ~,/' ~ ' ' '~f" '~~ '~' ~'~'~' '~" ' .......... ;a'tio'n' .... (5~gnature ofap~icant, or name, if a corpo ' ) ' ............................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ................................................................................ Name of owner of premises./~2/~,~.~.~... ~.i ~ .~. ........................................... (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 ......................... Electrician's License No ....................... Other Trade's License No ................. ' ..... /. ~.~.~. ~'~2-4/t2~#j~l~.~.~.4~.~ t ' ~ ~.~' Location of land on which proposed work will be done ....................................... House Number Street Hamlet C;i~nty Tax Map No. 1000 Section . .~.'.7.~. ........ '. Block ...~....; ..... .... Lot..~..~ ............... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~. · .~.....~..-.~.4:.~. ................................ , ................... b. Intended use. and occupancy ................ ,~ ................ .... .~ .......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alterati~ln .......... Repair .............. Remogal .............. Demolition ..... - ......... Other__W°rk../~'~t~}/~. ........ ~ _~__:~ ' (Description) Estimated Cost .~..~'~ Fee (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 6 If' business commercial or mixed occupancy specify nature and extent of each type of use ' ' ' if any: Front Rear Depth 7. Dimensions of ex~mng structures,. , ......................................... Number of Stories ' Height ............... . ...................................................... Dimensions of same structure wi}h alterations or additions: Front ................. Rear ................ Height Number of Stories Depth ~ .................... ' ' Rear Depth 8 Dimensions of entire new construchon: Front ........................................... Height ............... Num,ber of Stories ....................................................... 9 Size of lot: Front Rear Depth ........... 10 Date of Purchase ' Name of Former Owner 1 1. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................... 13. Will lot be regraded ....~'.g:.-~..h .................. Will excess fill be removed from premises: Yes 14. Name Of Owner of premises ...i ................. Address ................... Phone No ................ Name of Architect ......... i ......... Address ................... Phone No ................ Name0fContractor..r~z2.~./ig .... ~hki&i.....Address F.U.~..~..... ... . 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 blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the I ~ (Contractor agent corporate officer etc.) of said owner or owners, and is dt~ly 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 thatthe work will be performed in the manger set forth in the application filed therewith. Sworn to before me this ............. f ............ ,19 ItEI.(:N K [)[ VOE No. 47078;'.3. Sttff01tq C0~,:ty .. (Signature of applicant) len~ E×pnes MarCh 30, THE WATEi SYSTEMS CONFOR~f~ SE ~ v CO~ST,~ H. $. REFL t SUFFOLK CO,' H-EA'LTI"I DEPT. A~"R~:~¥A~ H.S. NO. ~-.~0-~., CONFORM TO THE STANDARDS OF THE SUFF~K CO. D~T. OF HEALTH SERVICES. ~PLICANT CONSTRUCTION DATE: ONLY H. S. ~E~. NO: ~- ~O-~ ~FFOLK CO, TAX MAP DESIGNATI~: DI~. SECT. BL~K ~L. .......... TEST HOLE ' ~AMP BOTANICAL NAME SIZE ~'--,.Z' / .(::,- 7/ 't QDANTITY NOTIFY BUIL~PF'PG 765-1802 9 ^M TO 4 PM FOR THE FOLLOWING ]. FOUNt, A-FinN _ TWa FOP pnl l~=p CONCRFT~ % "7