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Home My WebLink About16299-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAi{TlVf~NT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18322 Date AUGUST 30~ 1989 THIS CERTIFIES that the building Location of Property 455 LLOYDS LANE House No. County Tax Map No. 1000 Section 099 Subdivision Honeysuckle Hills ACCESSORY MATTITUCK~ N.Y. Street Hamlet Block 03 Lot 4.10 Filed Map No. Lot No. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 1987 pursuant to which Building Permit No. 16299-Z dated JULY 31~ 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 INGROUND B~I~ING POOL~ FENCE ~ DECK AROUND POOL AB APPLIED FOR The certificate is issued to WILLIAM & VIRGINIA RUSCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-096997 - OCTOBER 13, 1989 FORB~ LqO. B TO~VN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- l~J~c~ Z Date ....... ~J.,~......~ J. ................. , 19.~.~. /- Permission is hereby granted to~(~ ~.~.~n~.L~. ... .~.~...~.:~.~....~.~..~..~.. ~ ............................... : ...... ~'~"'"rr'""~ ........ ~"-~"""~ ...................... ~ ~-~ ~,.~.h~..~.~...~ ....... ~1.~~ .................. .~ ................... ~.~.~ ........................................................................................................ ............... ........................................................................................................ co~ **~ ~p ~o. ~oo0 s,~,o~ .... ~.~.~ ........ ~k ....... ~..B. ..... [o~ Uo...[.&.L~ .......... 8ulld~n~ Inspector. Rev. 6/30/80 TOWN OF SOUTROLD BUILDING DEPARTMENT TOWN HALL SOUTUOLD, NEW YORK 765 - 1802 APFLICATION FOR CERTIFICATE OF OCCUPANCY DATE... f/?.?/f.?... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Locatio, of Property ..... .q£~...~...Zzo?~,~..~fl~.~ ~Z~.'.Z~./.Z~..~,~' HOUSE NO. STREET HAMLET O.n~r or O.ner~ of ~ro~ert: ..... ..~9.~. .... K.~.S..C~.....~.'~.~.:~..- .............. Eonnt~ Tar ~. No. 1000 Section ..02? Bloe~ ..O.S.. Lot'. ...... l/:/o Sabdivision ....................... Filed Map ........ Lot .......... Health Dept. Approval .......... ........ Underwriters Approval Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ............... F~e S~itted: ~...~$,pp ........... APPLICANT.. rev. 10/14/88 FORM NO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR C~RTIFICATE OF OCCUPANCY INSTRUCTIONS 'This application must beifiled in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual qatural or topographic features. 2. Final approval of Hea~th Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of eleetrlca! installation from Board of Fire Underwriters. 4. Sworn statement from ~lumber certifying that solder used in mystem eontainm less than 2/10 of 5. Commercial buildings, ilndustrial buildings, multiple residences and similar~ buildings and installations, a certificate of node compliance from the Architect or Engineer responslb~e for the building. 6. Submit Planning Board iApproval of completed site plan requirements. For existing buildings (~rior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" land ~ses: I. Accurate survey of property shuwing all property lines, streets, buildings and unusual natural or toplographlc features. 2. A properly completed alpplication' a consent to inspect signed by the applicant and a certified abstract of title issued by a title company whlch shall show single and separate ownership of the entire lot prior to April 9, 1957. . If a Certificate of Oe:eupancy is denied, the Building Inspector shall state the reasons therefor in wr!iting to the applicant. 3. Date of amy housing code or safety inspection of bdildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certifiea~te of Occupancy: I. An application for vacant land Certlfieate of Occupancy sball be submitted, and a certified abstract of title issued by a title company showing single amd separate ownership of ~he entire lot prior to April 9, ]957 shall also accompany the application. If aiCertificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ~. CERTIFfCATM OF OCCb'PANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwel~lug $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to AccessprY buildings, $25.00 - Businesses $50.00. 2'. Certificate of OccUpancy on pre-existing dwelling - $]00.00. 3. Copy of Certificat~ of Oecupancy - $5.00 - over 5 years - $10.00 4. Vaeaut Land Certificate of Occupancy - $20.00 5. Updated Certificat~ of Occupancy - $50.00 ~. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Com~uercial ~'ev. 10/14/88 UNDATtON ( 1 s t) UNDATIOI4 ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FI'NA~ ADDITIONAL COMMENTS: SUFFOLK~OUN'Ty HEALTH DEPAF AND WATER ~ HAVE 'BEEN INSPECTED BY THIS TO BE .SATISPACTORY.- astewater M~r~ e n ction JUN ,9 '1987 B765-1802 UILDING DEPT. INSPECTION [ ]FOUNDATION ZST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~rj,~NAL REMARKS: ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~/SULATION []FRAMING ~r~]~l NAL /~ REMARKS: DATE ~7//c~/~~ INSPECTOR ~ ~ FOR~I NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ..$LI1M...i.i ....................................... 89 19 ........ TO ..W-LL J,& a~..R~ ~ ~ ,h,..&...W.f., ............................ (owner or authorized agent of owner) (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance CHAP. lO0 Other Applicable Laws, Ordinances-'or Regulations ............................................ at premises hereinafter described in that A swimming pooI is being used without a (state character of violation) Certificate of Occupancy and an expired building pemit. ARTICLE .x~v£II-Chap. 100-281 & 284. in violation of ...................... YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ......... .4.~5.,5...Ll,~vd.~ L,~.~.fL~...bl~.t.l;.i.lz~.c,k ........... County of Suffolk, New York. SUFFOLK COUNTY TAX MAP I! 1000-99-3-4. 10 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of taw may constitute an offense punishable by fine or imprisonment or both. BP #16299Z (Cert. Mail) L FORM NO. I · TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined... iai. i., i9 Approved .'3~~'. ~./- i., i9~.]. Permit No. ~ .~'.~..el.c]..~. . Disapproved a/c . .... :.' ............................ I /f'~ ," ~ ' ~ ' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date.':; . .......... 19.. 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- ~ v 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 ~ Certificate of Occupancy shall have been granted by the Building Inspector. " ' APPLICATION IS HEREBY M)?DE ~o/t~e 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. Thc 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~nspections. .. Z~..,. ,?./-7..~ ?.. ~...~..~. ~...~..~..~ ........... ~. (Signature of applicant, or name, if a corporation) ., .: ..... ~ ..... ./-Z. · g... ". ...... ~iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. ~-~z-~-~" ...c~...~.Z-~.z~t~. z-/c~ .... .~ ............................................... ....................:.*. Name of owner of premises ... - .~..~.~ .~.l. ~q.~ .......... / .................... (as on the tax roll or latest deed If anVticant is a corporation, sign~u, re of duly authorized officer. -- Builder's License No .... ~.~..~.: i .(.7~...~. ........ Plumber's License No ......................... Electrician's License No...~..~..~f.~...~... ~..~.~ro.L Other Trade's License No ...................... I. Location of land on which proposed work wilt be done .... .~../,..0..~.0..~.....~..~.~...~. ..... ./~...P.~..~ .,/~./...,.~....~/~... : :~, '' ~ .... r' ; '~, ',',' "]' ' ' Street Hamlet 7.'? ' County Tax Map No. 1000 Section . ! ........... Block ......... Lot ............. .' ./~..t£ ~.~4., Filed Map No...~ Lot ..../.0. ~ : .... ,_,...,~-~.c, v,,.,.,o,..,,~,~.c,~.,.. .... ~UOUlVlSlOn ............................... -- -- .,,..' ' ' ' (Name) , , r, 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................ , b.. Intended use and occupancy ............................ · 'ppi' ) ' ' ' Additin 3. Nature of work (chock wMch a mable: New Building .......... o .......... Alteration .......... · . I .ti$iI R Repmr .. . emoval ............ Demolition ...... r Work ........ ~ ... i .... (Description) 4. Estimated Cost ........ ~..~.Q...~.'; ...'-~-Z~.. .............. Fee ......... ~ (to be paid on filing this application) 5. If dwelling, number of dwelil~g units ............... umber of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mi~ed occupancy, specify nature and extent of each type of use ..................... 7. D~menmons of emstmg structures, ff any Front ............... Rear .............. Depth ............... Height ............... Ndmber of Stories ........................................................ Dimensions of same structure iwith alterations or additions: Front ................. Rear'. ................. Depth ~ Height Number of Stories 8. Dimensions of entire new construction: Front ..............., Rear ............... Depth ........ Height ............... N~mber of Stories ................................................. 9. Size of lot: Front ......... ! ............. Rear ...................... Depth ............... 10. Date of Purchase ......... i .................... Namg~.of Former Owner ...................... 11. Zone or use district in which premises are situated ........ /.(.~:~'/.~.~./~.c ....................... 12. Does proposed construction violate any zoning law, ordinance or.regulation: .. ~.?. .............. 13. Will lot be regraded ....... i. ~.Q ............ Will excess fill be removed from premises Yes 14 Name of Owner of premises ! Address Phone No Name of Architect ........ ................... Address ................... Phone No ............ ~,. Name of Contractor .. ~.'. ~?~.b. ~. ~..z~. Address . .~./~7-~. ?~f~... Phone No...~. ~.'-. ~/~'.~'4... 15. Is this property located withint,00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Tgustees Permit may be required. I PLOT DIAGRAM Loc'ate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................ (Name of individual si above named. S.S ning contract) being duly sworn, deposes and says that he is the applicant He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this application; that all statements coatalned in this application are true to the best of his knowledge and behef, and that the work will be performed in the manner set forth ~n the application filed therewith. Sworn to before me this ! ' Notary Public, ................. i ................. Coun . Iqlo,37o78~ Suffolk Coant~a o~gnature ,of apphcan ) ~er~ ~xplres Mamh aO, 19-g~