HomeMy WebLinkAbout15726-zFORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Halt
Southold, N.Y
Certificate Of Occupancy
No Z16956 Date June 3, 1988
THIS CERTIFIES that the building Pool , fe.nc.e ,. .d.e.c.k.. .................
Locat~onofPropert~ 4328 Westphalia Ave. Mattituck
H3use No .......... Streer .............. Hamt'e~
County Tax Map No lO00Section . 113 ..Block 0.9 ...... Lot 011
Subdivision ............. Filed Map No .... Lot No ......
conforms substantially to the Application for Budding Permit heretofore flied in this office dated
F. e b... I. 9: . 19. i 7 pursuant to wtuch Building Permit No 1572.6.Z ..........
dated M a r c h 2, J 987.., . was lsstied, and conforms to all of the requirements
of the applicable prowmons of the law The occupancy for wluch tins certificate is issued is Ingro. u.n.d.p.'o,o.l., fence and deck as applzed for.
Thecertlflcatem~ssuedto ROBERT G. SMITH & MARY ANN E. SMITH
of the aforesaid bmlding
Suffolk County Depai'tment of Health Approval
UNDERWRITERS CERTIFICATE NO
~/A
N816413 June 24, 1987
PLUMBERS CERTIFICATION DATED:
N/A
BmI&ng 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~ 15726 Z
Permission is hereby granted to:
' .~.~...~.....:.0.~.~..~.~.,...
~.~.~...~..'.~.~'**.~ ..........................
, ' ~, I'~
~;:~....~..~..,......~..,.....~ ....... ..~..~ ......
~ ~=.~...~,~~~......~.~.,....~.~....~....~.~ ......
~.....~..~
Co~,~ ~,x M~p No. ~o0o s,~o, ..... I./.2 .......... m~ ...... ~.~ ........ Lot No ...~.,~.~ .........
Budding Inspector.
F.. :.J..~..:..~...~
...... 19.~...~., ond approved by the
B'~lldlng Inspector
Rev. 6/30/80
TOWN OF
FORM NO. 6
TOWN OF SOUTHOLD
BuHdmg Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. Thru apphcat~on must be filled in typewriter OR ink, and submitted m~ to the Buildmg Inspec-
tor with the following; for new buildings or new use.
1. Fmal survey of prope~rty w~th accurate location of all buddmgs, property lines, streets, and unusual
natural or topographic featu res.
2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3.Approval of electrlcallmstallatlon from Board of F~re Underwriters.
4. Commercml buddings, Industrml buddings, Multiple Residences and simBar buildmgs end mstaila-
t~ons, a certlhcate of Code compliance from the Architect or Engineer responmble for the buddmg.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existmg buildings (prior to April 1957), Non-conforming uses, or buddmgs and "pre-existing"
land uses:
1. Accurate survey of p;~operty showing all property hnes, streets, buddmgs and unusual natural or
topographic features. !
2Sworn statement of owner or previous owner as to use, occupancy and condition of buddings.
3 Date of any housmg code or safety mspect~on of buddmgs or premises, or other pemnent informa-
tion required to prepare a certffmate
C. Fees' Additions $25.00
1.Certlf~cateofoccupan~y New Dwellzng $25.00, Accessory ,$t0.00 Business $50.00
2. Certificate of occupancy on pre-exmtmg dwelling $ 50.00
3. Copy of cert~flcate of bccupancy $ 5.00, oYer 5 years $10.?0,/
4. Vacant Land C.O. $ 20.00 ~//'/-*~'-"/~'~/
5.Updated C.O. ' $ 50.00 Date ...............
NewCons%ructzon ...... Old or Pre-ex~st~ng Budding .......... Vacant Land .............
Locat,on of Property.
Ho~, No. Sr~ee~ ./~. .~. ~.
Owner or Owners of Property ... f~ '.
County Tax Map No. 1000 Sbction ....Z'/-~. ..... Block .... ¢~. ~. ...... Lot .... .<f~// .......
Subdwm~on ............................. Filed Map No .......... Lot No ...........
Permit No .......... Date of Permit ......... Apphcant .................................
Health Dept Approval ....................... Labor Dept. Approval ........................
Underwmters Approval ....................... Plannmg Board Approval ......................
Request for Temporary Cert~:flcate ................... Fmal Certificate .......................
Fee Submitted $..~..~....~,..-~.. 7.~.~ ........
Construct,on on above descr,bed building and~ts~~e c~nd regulat,ons.
Apphcant... ~/~ ,~/~/~ ~ .....................
OUNDATIO:; ( ls t)
OUNDATIO:~ ( 2nd )
OUGH FRAME &
PLUHBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FILIAL
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FRAMING
REMARKS:
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ]ROUGH PLBG.
FOUNDATION 2ND [ ]INSULATION
FRAMING [ ]FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [~]~q'NAL
RE:MARKS~~
THE
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
E5 JOHN STREET, NEW YORK, NEW YORK 1OO3B
only the zlectri~al equtpment as described below and t~troduced by the applw.nt named on the above applwat~on number tn the premises of
Satiuh, 4328 Westphalma ~oad, Matt~tuck, N.Y.
mthe/ollow,nglocat,on. ~ B~.ernent ~ I~,EI ~ ~nd ~l outside %eot,on Block Lot
w~sexatntnedor~ ~UI%¢ 11~ l~'j attdfoundtobetnco.ipl~anc, ~tththerequtreme~lsof thtsBoard
FIXTURE RX?URES RANGES :OOKING DECKS OVENS DI~ WASHERS EXHAUST FANS
1 1 1
TIME CLOCKS U~lT 14E&TE~:S MULTI-OU'/~T DIMMERS
SYSTEMS
$ E C E
V
(Swimming Pool) This cezhificate covers compl~ance at ~he date of insp~c-
tmon only. Because of unusual env~roDments it is advisable to have frequent
~st and/or zepairs made by a ~alified
b~t~et, N.Y. 11733 Lic~2675E
Per
ThJS cerhfrcate mu~t ~t be ohered m any moaner, return to the off*ce of the 8oard ,f incorrect Inspectors may be ~dlt~tlfmd 'by their credent,als
COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
~ 'FORM NO. 1
TOWN OF SOUTHOLD
~e t l~ BUILDING DEPARTMENT
TOWN HALL
gOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ................. l~ ,,,
Approved ................. 1~ ... Permit No
Disapproved a/c ...................................
Recezved ........... ,19..
(Budding Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. , 19.._
INSTRUCTIONS
a. This application must be cqmpletely filled in by typewriter or in mk and submitted to the Budding Inspector, with
sets of plans, accurate plot plan to Scale. Fee according to schedule.
b Plot plan showing locationI of lot and of buildings on premises, relationship to adjoining premises or pubhc street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus appli
cation.
c. The work covered by tlns application may not be commenced before issuance of Building Permit.
d. Upon approval of this appl!cation, the Building Inspector wall issued a Budding Permit to the apphcant. Such portal
shall be kept on the pre, raises available for inspection throughout the work.
e. No building shall be occupied or used in whole or m part for any purpose whatever untd a Certificate of Occupanc
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 th
Bmlding Zone Or&nance of the Tgwn of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o
Regulations, for the construction ~of buildings, additions or alterations, or for removal or demohtion, as hereto descnbed
The apphcant agrees to comply with ail apphcable laws, ordinances, budding code, housing code, and regulations, and t,
admit authorized inspectors on premises and m building for necessary inspections.
(Maahng address of applicant)
State whether applicant zs owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder
(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.. ~. ,~ ............
z~au~ ~ Lzc~n~e No. . ~ ................
l. Location of land on which pro,posad work will be done .......................... : .' .................
House Number Hamlet
County Tax Map No 1000Sechon ~.~ ....... Block ,.. ~.~ ........... Lot,.~Z~ ....
Sub&wsion...~qCe C ... Fded Map No .... ~ ~r.Z~Lot ...............
(Na~e)
2. State existing use and occupan.cy of premises and intended use and occupancy of proposed construction
a. Ex,sting use and occupancy ............. ~ ~ffC.~ .....................................
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved ...~.. ~...
Disapproved a/c ............
., 19~?.. Permit No./, .~.~. ~ ?. 5
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
· _ TOWN OF SOUTHOLD
Rece:].ved ........... ~ 1
Date ................... 19...
a. This application must be cdmpletely filled in by typewriter or in ink and submitted to the Budding Inspector, with -
sets of plans, accurate plot plan to icale. Fee according to schedule.
b. Plot plan showing location
Iof lot and of buddings on premises, relationship to adjoining premises or public street
or areas, and giving a detailed desqriptton of layout of property must be drawn on the diagram which is part of this apph
cation. ,
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this apph~atlon, the Building Inspector will issued a Building Permit to the apphcant. Such permi
shall be kept on the pre. raises availa,ble for inspection throughout the work.
e. No buildmg shall be occup!ed or used in whole or in part for any purpose whatever until a Certificate of Occupanc.
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Budding Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o
Regulations, for the construction bf bmldings, additions or alterations, or for removal or demoht~on, as herein described
The applicant agrees to comply with all applicable laws, ordinances, building code, hg. ur, mg. ~nd regulations, and t,
admit au thonzed mspec to rs on prem lses and m bud dm g for necessa~~~-
,/(Signature of al~phcant, or name, if a corporation)
(Mailing addras¢ of applie~ant) /
State whether applicant is owner; lessee, agent, architect, enl0neer, general contractor, electrician, plumber or builder
Name of owner of premises .... ~. ~ ff24~/" ]z~ ~"oY ./. 7/~4 ............................................
(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 ... t~J/~. .............
Electrician's License No.. ~a.2,~/~' ............
Oth~, ....
I. Location of land on which pwposed work will be done ........................... : * ................
· / . ................
House Number Street Hamlet
County Tax Map No I000 Section . ..~6~7...I t,.3 .... Block .... O'..~ ........... Lot.. 6~ / / .........
Subdlvmon ...~?.~g.~.c.r, &flf ,./~ra,/~-,0F"~V. Filed Map No .~. ~-../,~?r~Lot ...........
. (N'a~e) ~ /'' .....
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy .......... ~'/~.~'. ~. 4~..C .~,q_~..
b. Intended use and occupancy ........ ~'(9''X"'~'~"'/CT"7'f-'~'P'~'~'~L~I4C'4v Ca Cod. aY--- ..... ~..~?~/.,'2'2./.4/~ .........
PRE CAST
SLOPE .O I
~ -~ VINYL-' LINER
-SID-'J~E OR --
END
STEPS OPTIONAL P L A N
dOTES.
WALKS TO BE SMOOTH- NON SKID TYPE, SLOPED
AWAY FROM POOL
WATER DISPOSAL SHALL BE LIMITED TO OWNER'S
PROPERTY TO SUIT LOCAL REGULATIONS-
GRADE
FEET IrT FT FT FT IrT F'[ FT
18'×36' 6__ 12. 8 i, 12.
16'x 32' 16 3:~ 'I 8 IP 4 4, O
I' 2'~8' TREATED WOOD
PLATE ANCHORED TO CONCRETE
BLOCK
ST CONCRETE
GRADE
THICK "OWENS CORNING"
ROLLED FOAM
BETWEEN LINER
ond"BLOC BOND"
2"- 4' SAND
12'
TY PICA L WA LL
2"- 4' SAND
SECTION
B-B
SKIMMERS
~TO FILTER
RETURNS _~.
/
SKIMMERS
FIBERGLAS'BlOC BOND"
TROWELED ON EACH FACE /""' ~ FILTERond PUMP
OF CONCRETE BLOCK WALL~ ~ /F~M FmL~R
~..~ TO RETURNS
TO WASTE
PIPINGARRANGEMENT
~- , c-7
3 STEPS
~---r- ~ ' ~-*"
.o~.~o ~o.~.~ OPTIONAL STEP
~'"~ TY P E 2. ...
EETYPICAL /
L SECTIONI -~ L ....
CONTRACTOR. ~ 13"
SECTION
SWIM-KING POOLS, INC.
ROUTE 25A
:IEIERGLA~
MOULOEO
PIECE
'-3 i
codlin'~
~l i~iGi41' O[ `//A'/
4rtnUr
,47,1'60
/
/
JO
mOR'J:IM
SI 3sn
,/
/
\
Keener;~ ,,
R£VISlONS YOUNG & '~OUNG
SURVEY FOR: ~
JOSEPH G MUNZ
TOWN O~ SOUTHOLD ' ~~'/
su~ro~ co., ~. ,. "'/~~- ~
86-13~7