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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