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HomeMy WebLinkAbout16264-zFORM NO. 4. TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16192 Date September 22, 1987 THIS CERTIFIES that the building INGROUND POOL & FENCE Location of Property I 1130 Soundview Avenue Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section 054 .Block 06 ..... Lot 2. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 21, 1987 . pursuant to which Building Permit No. 1626/4 z dated.......'1 u 1_ y .... 23, ............1987 ..... . 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 ......... INGROUNB SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to PETER & DIANE LUHRS ..................... ?o¥,,'o'r, .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N 826 175 N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 ~ Building Insp~c't;; ............. 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~ 16264 z Permission is hereby granted to: ...~...! ...... ~.....~.~...3. ............................. ot premises located at ...~.[.!..'~......~.~?...~...~.~-.....~.~-...-- ......... County Tox Map No. 1000 Section .... ..qT..~...df. ........ Block .....~..~. ........ Lot No .......~...:..I ........... l/ Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 , , tOWN OF SOUTHOLO_ 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 propertv with accurate location of all buildings, property lines, streets, and unusuat 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. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....~./~:~/..~./~. .......... New c one ~,ruc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ./~/ House No. Street Ham/et Owner or Owners of Property ...~.-~r'~../~..~. ./)CLX... ~./~.~-~..~...~.~. ~..~.. ............... County Tax Map No. 1000 Section ....~)~..~. ..... Block ...~.~. ........ Lot...~./. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./~.. ~o..~... Date of Permit .2~..~/~../?'.Applicant. PJST'~'~...~.(¢.(, g:J~ .-~./..~L~ ./JLJJ. J~', JO~._~ 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 al;~icable codes and regulations. ........................ Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL 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. /~/ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. /~/ 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° Duilding Permit # / ~ J ~ ~ Z Building Depto ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS 'LO~50~ BUREAU OF ELECTRICIT, y ~- kh B5 JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical e~uipment ~ ~scrlbed below a~ introduced by the appllca.t ~ed on the a~ve applicat~n .u ~ber in ~he premises of Pete Luhr*s~ S/S Sou~v.~ew Ave,~ ~ ~ ' E/O ~ickory St.. Southoid~ in the followlng location; ~ Basement ~ Ist FL ~ 2nd FL OUtS ida Sect&m Bilk Lot ~s exa~nlned on ~ ~ ~ ~ ~ 9~]~ and found to be in compliance with the requirements qf this Board FIXTURE OUTLETS DRYERS [ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS FLUORESCENT TIME CLOCKS UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C GT~R APPARATUS: INSPECTION O~L¥ ,. A,W O NO OF HI.LEG OF CC. COND AWG, OF HI-LEG NO OF NEUTRALS OF NEUTRAL THIS CERTIFI(~TE COVERS COMPLIANCE AT ~HE DATE OF BECAUSE OF UFU3SUAL ENVIRONMENTS IT IS ADVISABLE TO I~AVE FREQUENT TEST/AND OR REPAIRS ~4ADE BY A QUALIFIED PERSON. Henry Boh~ 12]. Sheep Pasture Rd. Setauket~ N.Y. ]~1733 11c.~2675E Per [j L~ ]'his cerfifi¢ote mvs~ nor be altered {n any manner~ return to the office of the 8onrd if inc6rrect. Inspeci'or~ may be identified by their cred~nfial$. COPY LliLDiNG DEPARTMENT. ]'HIS COPY OF CERTIF ! MUST ~NOT BE ALTE ANY, MANNER. U~:DATION (1st) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] I/NS/JLATION [ ] FRAMING ~/] FINAL REMARKS: DATE 8 ~ o m I 0 ~ J ~ /  ~ ~ ~ I,~ ~ ~ 5 COURSES 8x8~16 > J.:'l~ ~ CONCRETE BLOCK C ~z ' ~ ~ zm ~., .~+ ,~ ~ x ~ / V),!m Examined · .~... Approved . · .~. BOARD OF HEALTH ...... SURVEY .. :5.. ..... ~ ~. 'FORMNO. 1 3 SETS 0~ ~LANS ~ .... Iil II~~ll'} TOWN OF SOUTHOLD CItECR -~J~- ..... IlY, d ..._ ~tll ;UILDING DEPARTMENT SEPTIC FORM ............. : [l~ll ~l. Jlll~llll~ ~llJ TOWNHALL NOTIFY ' IIIII --'--'" ' ~ ~ll I $OUTHOLD, N,Y. 11971 CALL . .?~- - -~-~- -~- · MAIL TO Disapproved a/c ..................................... (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 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~.¥:.~......x .'fl, ...~...'..~..o..o.\.~ ............... (Signature of applicant, or name, if a corporation) .4.'.-h,, ..... .g,-5..-c....a~-A.' ....-¢x~. ~.~\.' ~,,c-A ....... (Mailing address o f applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... cx% 5 ................................................................................ Name of owner of premise ......................................................................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... Plumber's License No ......................... Electrician's License No...~...~..~..~'.~. ........... OtherTrade'sLicenseNo ...................... /t13o ~ ~ .~,. ,x~--. ~..~ , .~ -.a ._ ~ Location of land on which proposed work will be done. ~ .~..~.' .':q. ) .... ?..x .~.\..,~. . .Ly~.: ....'fftq...'%~'.. '¥.,..-c..~....~k~e ..... .-3..~3.'.....~..c.c...-6~.... ~- .... .~..<. LC. ~.~\..(.2.6 ..... .%.. ?,~.'A..'~¢.~.&. ....... House Number Street Hamlet County Tax Map No. 1000 Section ......... .~.~. ..... Block ........ .Q?. ........ Lot..~.~....~ .*. [ ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended nsc and occupancy of propo.sed construction: a. Existing use and occupancy...'~.....~?.~.C)..~....-QO.t.C(5..k~L~, ~., .i,'~.~5:.c.~.~\ ~.:QL .................. b Intended use and occupancy !%~. ~%..Qp ..\.C'~C..\.C.(~.L<'~?x..C~.~': ~.~,~'~(DD1T)~.~., ?q~.~,~ ..~ bo~-kVx 4' -C-eot<_ -~o~ 2o¢~. ' ............. ~.. 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration ~ Repair .............. Ren~oval .............. Demolition ........ ~" ~ Other W~,rk ............... .~..~. (~Od3'""~ (Description) 4. Estimated Cost. / ...... ;..' ........................ Fee ........... ~. ~,, ...................... i! " ~l~e~ling this application) 5. If dwelling, number of dwelhng units ............... Number of dwelling units on each floor ................ If garage, number of cars .... I .................................................................... 6. If bus~ness, commercml or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensmns of existing structures, if any: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Dunensmns'of same structure With alteratlons or additions: Front ................. Rear .................. Depth ................... i' · · Height ...................... Number of Stories .................... Dimensions of entire new construction: Front .... 1 .(e...' ..... Rear. ~{~ ......... Depth . i.~i ...... Height ............... Number of Stories ...................................................... 9. Sizeoflot: Front i .... Rear .......... ............ Depth .................... 10. Date of Purchase .......... I ................... Name of Former Owner ........................... 11 ' hp~ ' ' · Zone or use district in wh~c em~ses are situated ................................................... 12. ocs proposed constru,cBon v~91ate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ...N..--~.. ~"1 .................... Will excess fill be removed from premises: ~' No 14. Name of Owner of premises .~..?....k..,q..~.<.~. .... Address .%c. zg.~.~?.~.~..~)..~. ?.~. Phone No.-]..~.~...~-~..~/J.~'.. Name of Architect ......... .................. Address ................... Phone No ................ Name of Contractor~cSxC%..{~.~..~..~¢~.5-~ ..... Address ~..D.[.: ~..~.. ~?. 7.~.... Phone No. ~ .z~. ?..~:.t.Q9 .... 15. Is th±s property locate( w£t~h±n 300 feet of a t±dal wetland? *Yes ..... No ..... , ~If yes, Southold Town Tr steps Permit maybe required. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from' number or description according to deed, and show street names and indicate whether Locate clearly and distinctly a~ property lines. Give street and bloct interior or corner lot. STATE OF NEW~ YO~[~K-~ . ~ .~ . ·. ~r,.i.~..~(.'-~/......~ff~(~.-nff...C~.~. ?~...~. ............... being duly sworn, deposes and says that he is the applicant (Name of individual sign'ing contract) 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 contgined 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 this Note Public ?. .d ?.~. ./ ./ .~. . ,- - ry ' ............... i ................ county Notary Pubhc, Sial i~ of New York No. 52-45~ [6433 ............ Qualified in Sut [olk C(~unty . (Signature of applicant) Commission Expi, aS