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Home My WebLink About16318-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT OffiCe of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.-.1.6882 Date May 17, 1988 THIS CERTIFIES that tbe building ...... A.B..Oy.E..q .R.O.U.N.D...S.~.~.~.I.N.q..P.O.O.L. ........... Location of Property ...4.3..5..H.q .1.b.r.o. qk...L.a.q9 ..... Matt ituck, New York House No. ' ' '..c't/e~i ....................... ~l'e~ County Tax Map No. 1000 Section . . .l.q 6. ...... Block . .9 ............. Lot 18 Subdivision M/o Jacksons Land±nE 5280 ............................... Filed Map No ......... Lot No. II conforms substantially to the Application for Building Permit heretofore filed in this office dated · .A..u.g.u.s.t...4.,.. ! .9.8.7... pursuant to which Building Permit No. 163 18 Z dated ....A.u.g.u.s.t...6.,.. ! .9.8.7 ......... 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 ......... ABOVE GROUND SWIMMING POOL & DECKING, WITH PROPER F~NCING Tim certificate is issued to SUSAN E. EGAN ..................... ~,~.'e'c'/~i~2~'a~i .................... of the aforesaid building. Suffolk County Department of Health Approval ......... ~[.A. ............................. UNDERWRITERS CERTIFICATE NO ................. .N/A ............................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 ~'OB,~ NO, I~ TOWN OF $OUTHOLD 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~ 16~18 Z County Tax Map No. 1000 Sectionr<:...~...O...(R~ ........ Block ....... ..C~...~ ....... Lot No .....~..~ ............. pursuant to application dated .... ~ "~L~a.~........~ .............. , 19~.."~.., and approved by the Building Inspector. Fee Building Inspector Rev. 6/30/80 , T OF ~OUTI~OLD APi FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 LICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted II~=mmm~ma 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, propertV lines, streets, and unusual 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 featu res. 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 : .... Additions $25.00~~.0~)ALTERATION $25.00 ] Certfc~teofocc.u_p_a_o_c¥~ New Dwellzng~$25.Q0, Accessory,S]0.00 Bus,ness $50.00 '- '~ C'e~f-~c~panc~ on pre-existing dwelling $ 50 O0 3. Cop¥ of certificate of occupancy $ 5.'00~ over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.C. $ 50.00 Date ....... NewCons t~uc ~ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 17~ .~ ~¥ ' ~ /.~..y~., "~.. ~..~ House No. Street /-/am/et Owner or Owners of Property ..~.?..~ .................................... County Tax Map No. 1000 Sectio~n/) ...... : ........ Block ............... LOt ............... Subdivision.~" , ,~TL~,, ,J~,~,t~j ~'Y~/t~ ..... No ~Z~2 0 ./ · · · ~' .................... O' ..... w~eo ~wap ........... Lot No .... ~. ........ Perm it N o / ,~. ~/~, ?..'~. Date of Permit .~.//~/~, .Applicant ....... ............ Health Dept, Approval ........................ Labor Dept, Approval ..................... ;, Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ...... c~ L'~, ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant ......................................... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ltALL SOUTIIOLD, 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. ~ /~ No Underwriters Certificate on file. /~ Tile 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. Building Permit tl / & ~ / ,~, Z ~ Building Dept. ***/5/ ~lo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) UNDATION (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 76.5-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [/.~NAL REMARKS :(~) ( DATE, ,,'~///~/~:/<~ INSPECTORU~_~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1803 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ Examined ~C~1~?...~.., 198.~1. Approve~~.~.~'...~.., 19~.7. Permit No. 1 .~..~.[ .~..'~. Disapproved a/c ..................................... MAIL TO: .................... /~ BLDG .................. /~' ........ '~J~' ,~ ?OW~ OF SOUTI,~OLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled hi 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 ~.hall 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 insp§ctions. · ........... (Signatnre of applicant,~r name, if a o poration) .... (Mailing address of applicant) I Iq6- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) , ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ................... t.&. .A. .,. ., .... /. . . . County Tax MapNo. 1000 Section :...g~.~ ......... Block .... ~ ............ Lot...(~ ............. ........... Subdivision../~-:r..x ............. ~ .............. Filed Map No. .~.0. Lot // ........ (Namey 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~.~..7~C~ ........................................... ..... b. Intended use and occupancy ...... ~9.~ ~. .... ~FOH~&.. ~9.] .... (Z.. ~ ~.. 3. Nature of work (check which a plicable): New Building .....' ..... Addition .......... Alteration .......... Repair 4. Estimated Cost ........ ~ (to be paid on filing this application) 5. If dwelling, number of dwellingi units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ! ............................................. ,.~ ..................... 6. If business, commercial or mixe'd occupancy, specify nature and extent of each type or,se ':'. ................... 7. Dimensions of existin~ structures, if any: Front ............... Rear ............... Depth ............... Dimensions'of same stru. c[gg~v)ith alterations or additions: Front ................. Rear .................. Depth . Height Number of Stories "-8. Dimensions of entire new construction: Front .......... · ..... Rear ............... Depth ............... Height Number of Stories .................. ' pth 9. Size of lot: Front .......... ! .......... '.. ,Rear .~ ............ c..~ ....... De ...................... 10 Date of Purchase ~ Name of Former Owner 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction vioilate any zoning law, ordinance or regulation: .~}...O .......................... -:..:.~ Will lot be regraded ........ ! ...... f~. ~. ........ Will excess fill be removed from premises: Yes 1 3. 14 Name of Owner of premises Address Phone No Name of Architect.........~.................I Address ................... Phone No ................ Name of Contractor ........ ~ ................. Address .... : .............. Phone No ................ 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trnstees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and blockI n~mber or description according to deed, and show street names and indicate whether interior ovcor e , · STATE OF NEW Yp.R.I%,~.~,~' COUNTY OF..~..fi'..~.. ,t~. (.. i S. S (Name of individual signing conf/act) above named. <'.--¢ ag' /.I;1 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 du y authorized to perform or have performed the said work and to make and file this application; that all statements cont fined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this OTAR¥ PUBLIC, S~e o! New No. 4707878, Suffolk COunty~,~ Term Exoiros March 30, x 4, ..... } ......... t.<--