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Home My WebLink About13211-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building F o o 1 Location of Property 50 EASTW00D Ct. & 19380 MAI.iq RD. attituck ~i[~s~ )qo: .................................................. Street 121~t~l'~i County Tax Map No. 1000 Section . .1 .I.5. ....... Block , 07 .Lot 00 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June I0, 1984 ' , . pursuant to which Building Permit No. 132 I.lZ dated .J.u.n.e...1 .I.,.. ! .9.8.4 .............. , 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 ..... .... Inground swimming pool with fence enclosure. The certificate is issued to BARRY & KAREN MURPHY ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval Iq /A N685347 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATIOIq DATED: N/A "~/ Building Inspector Rev. 1/81 TOWN OF SO~THOLO BUILDING D£PARTM£NT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13~11 Z Permission is hereby granted to: ......... ~.~..~ ../..~~.~ .... ...... ~: ...... .~..~. ........ ~Z.o. .............. ...... ~.~. z~. ~.-....~...:~ ....~.~..? ,o ...... ~.......,.o~.~..o.. .......... ~.,~.~_~...o.~o ................. ..,-~...~../~ ................ ..... ~..~.~ ....... .~..~~.~z-z~ ............... .~ ............................................................. at prem,$es ,o~ated at ...~. .......... ~Z~.~...~..~....'~.......~.~L,~.......~...~Z..~;2.~.., ........ County Tax Map No. 1000 Section ....~',../.~Z ........ Bkx;k '"'~"7 ......... Lot No..~..~./ ............ ~,,r~.ant to a~,ca,o~ dat.~ ....... ~.~ ....... L..O.. ................. . l~..~..~ond o~rove~ b~ Building Inspector. Building Inspector Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD 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 ~a~ 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-iS-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 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 occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~ 2 5.Updated C.O. $15.00 Date ...... ~'~'-- (~ New Building ............. Old or Pre-existing Building ............ Vacant Lend ............. Location of Property ........... . ._~..,, .~.~.~. (~c~ ......... /~.~./. 7'~4~_ ~ ... House No. Street Ham/et Owner or Owners of Property .. ~..~..~.~....~...c~,~....~ ........................... 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 all applicable codes and regulations, Applicant .................................................... Rev. 10-10-78 C.O. x / THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY · ~i1~ 85 JOHN STREET, NEW YORK, NEW ~ORK 1OO3J~ ~ o.te Apr:L1 2~ 1985 App.c. tlon N ..... f~ 318991/85 · .,s N 685347 only the eJec trical equipntent as described belo~ a~ introduced by the applicant ~d on the above application ~umber in the premises of ~r~ ~, ~'d C~t~ ~ ~te 25, ~ttit~k, N.Y. was exand~ed on ~r~ ~, 1~8~ a,~d found to be in complla~ce with the r&quirements of tZis Board, FIXTURE OUTLETS IECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS FLUORESCENT 2 1 1 DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R ,V I C E NO O~CRC,~COND OFACCwCONDG NO, OF HI LEG~ oFA HJ.LEGW'G' NO. OF NEUTRAL$ OTHER APPARATUS~ ~C._S~v._ ~.i~. _~o~.l~) ~his Certificate covers compliance at the date o£ in~pection only, Becau~ of ~[sual environments it is advisable to have ~requent test and/or repairs ~ade by a qualified person. OF NEUTRAl Barry Murphy S/W Corner of Route 25 & Eastward Court Mattituck, N.Y 11052 This certificate must not be altered in any manner; return to the office of the B6ard if COl~/t OF CIERTII Pet_ may be ~ED I~ ll by their ~INER. FIELD' INSPECTION DATE COMMENTS FOUNDATION (1st) ?O~NDATION (2nd) ROUGH FRAME & PLUMBING - iNSULaTION P~8 N. ¥. STATE ENERGY ~DE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE APPLICANT: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. i 1971 TEL, 765-1802 DATE: July II, 1986 Dear: Whil'e reviewing our files I find that your expired pool permit[~[~_ 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 and complete a Certificate of Occupancy on the above pool this outstanding file. Yours Truly Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFLIL WITHOUT CERTIFICATE OF OCCUPANCY ,, ~'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 d TEL.: 765-1802 Ex amined. ,//fArM%. tq/ ..... ,1~. - ~7 Received...d~.... 19.~ ^pproYe .~.~..~.~ ...... l~ Pe~it No../.~/./.. Disappro~a/c// ........ .~--~ --~' '~" .................. , ''~ '~/c. ,- '/ /,#/ b . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...... ~'.':' ./..~. ..... , 19'.°9~. 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 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 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 in?.ections. : ~ · .... Z~..:...?~.~.-.:./..> ............... (Signaturir, gf applicant, or ndne, if a corporation) ........ t..'..o:...d~./.,-.~....../5.4.~ ..~.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... /~..t~..~.~ .. 5....~(.~..t~.'.'~.. · · .~, .~.%..~.J.~[ .'~.]'/ / ............................. / (as on the tax roll o7 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. 4. Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ;~..~.... :.~.~ ............................... ' ~:.o.... ~o..~,~.....ct... ~.. ~..,~.. ~ ....... . .:..~..~4..~.. ~. ~ ..................... House Number -~/~d~tO Street Hamlet County Tax Map No. 1000 Section ./ff. ~.:~.t?. ....... Block .... ~. ~7.~..O.. ...... Lot .~. ~. ./ . (?. .<9. .C?. ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and oc.cupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occtlp'andy .... b. Intended use and occupancy ....,,~/~<... ,~l,~:...~ff.. ~.~:T, J72~._Cz/~.../~~e .............. ~,~ ~/, : · 3. N ' ' ' . ' · ' ' '' · ature of work (check which appheable). New Buildang .......... Addition .......... Alteration .......... Repair .............. Remgval .............. Demolition' . ............. Other Work ,~-~i~2~ C~ ~,~x~/-) ~r,,,~ ~.. ~ --~O (~escfipti~) 4. L t~ ated Cost ............ : ........ ~.~ ............. Fee ...................................... (to be paid on filing this application) 5.If dwelling, number of dwelhngiunits ...............~-'--- Number of dwelling units on each floor .... ~ ........ If garage, number of cars J ~ 6.If business, commercial or mixed occupancy, specify nature and extent ofeach type ofuse ......~C~.. ............. 7.Dimensions of existing structures,' .'~'.~if any: Front ...... '.~. ....... Rear ...cj.~ ........ Depth ..2.,~..-~. ......... ~..~2 Number of Stories .~. Height ................................................... Dimensions of same structure with alterations or additions: Front ~ Rear · Depth ~ ' Height Number of Stories ~ 8. Dimensions of entire new constrnct~on: Front .... ,.J'.C?v.V...,~,. Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot Front /~3.O.,,Y.O I -.~, Rear /.~--~.~,'f.~. ... Dm>th ,.~Q..~,. o*' 10. !)ateofPurchase . /,~. .~.~ ?. f.i .~.°. ............... Na~eof,Fgrmerpl~ner . .~.O.~. .~. . i/~. .ef.,( O. .,~,4. . ........ 11. Zone or use district in which premises are situated ...... ~.~..,-,[.} .o].et~..-~?.'.~...h' >~ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation' /~/ 13. Will lot be regraded ....... .~ ~.... ~:,.. :., ...... Will exee~s fill be removed from ~'re~n'ises: Yes ~"~I~o 14. Name of Owner of premises . ~dlf~./f/t~R~.4%.. Address .......... Phone No. ~.~..c~. ~.ff/..7' ..... Name of Architect -,~..~)A~...~. ( Address ~l ......... i~h~ne I,,l,~ n Name of Contractor . c-.~f.~.~ ......... Address ...... ............ Phone No .... ! ........... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from and blo,,ck number or description according to deed, and show street names and indicate whether property lines. Give street interior or corner lot. STATE OF NEW YORK, IS.S COUNTY OF ................ ........... ~ .1,~]/~.. ~..~...: .......... being duly sworn, deposes and says that he is the applicant (Name lxff/~dividual sign~g c6ntract) ' above named· He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and 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 mannei set forth in the application filed therewith. Sworn to before me this . .~"." day ofi. / ................. , .... ........... o ......... 19 ~.,.~ Notary Public .... - ~"" ~H£L[N' ' ' ' ' ' '~ ~¢ ¥0~ ~: ..~m~'..~-~.. County : NOTARY PUBLIC, State ol NeW Yolk .... / i No. 470~8'18, 8ulf01~ C0uhty __ flSi~iature of. apphcant) ;