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Home My WebLink About15893-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16206 Date September 25, 1987 THIS CERTIFIES that the building INGROUND SWIMMING POOL & FENCE Location of Property 390 Alois Lane Mattituck, New York h~s'e Ho: .......................... Street Hamlet County Tax Map No. 1000 Section 12 3 .Block 6 .Lot 4. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated April 9, 1987 pursuant to which Building Permit No. 15893 Z dated ..... A..p.r.i. 1.. J .2.,.. [ .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 ......... INGROUND SWIMMING POOL & FENCE The certificate is issued to CHRISTOPHER M. & ADRIENNE M. REHM ..................... 'ti, ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N 8 1 4 6 9 8 N/A PLIJMBERS CERTIFICATION DATED: Bt~ding Inspector Rev. 1/81 FOUM' NO. S TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETI'ON OF THE WORK AUTHORIZED) ~5893 Z Permission is hereby granted to:t,--~ ,~ , ~..~~-~ ~ , .. ,: .................................. .C.,. ? ............. ...~.~.~ ...... ~.:.~.,.....:/~. .~-~ to ~~.....~...~~~.~..~~.....~..¥~_~ County Tax Mop No. 1000 Sect,on .../..~.,,~ ........ Block .....q~.~. ......... Lot No......L;J...,.../ ......... pursuant to application dated ...~......~.~ .................... 19~..."~., and approved by the Building Inspector. Building I nsl:~ct or Rev 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS THIS CERTIFIES THAT Chri~ ~, ~1o1~ Lane, ~att~t~k, ~Y ,n the following [ocut,on, ~ B~en~nt ~ 1st ~1 ~ 2~ Fl OUtS~ ~tmn Bilk DRYERS ~ ~RNACE ~TORS I mTURE A~ANCE ~E~RS_ISPECIALREC'PT~ TIME CL~KS ~ BELL J UNIT HEATERS MULTI-~T~T, DIMMERS *~G P~L; T~tS C~gTiF~CAT~ CoV~ CO~PL~C~ AT I~ ~T~ OP' ~SPECTION O~LY. ~g ~X A qU~'~b P~ON. FANS ~a~ituck, h¥ must not be u~tered m any manner, return to the oHsce of the Board if incorrect Inspectors may be ~denhfmd by their credenhals . ~.~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ]INSULATION ] FRAMIN~ ~'~INAL / / . -x- .'~/'/~ REMARKSz'~/-e~/~ ~ ~ ~ ~~~ ~DATE ~.~ INSPE~OR ~~~ //, OUNDATIO:~ ( ls t) OUNDATION ( 2nd ) OUGH FRAME & PLU~4BING NSULATIO~; FERN. Y. STATE ENERGY CODE FINAL ADDITIOn;AL COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved Dmapproved a/e .......... : ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS gl987 t~ll' TOWN OF $OUTHOLD Received ........... ,19.. a. This application must be cpmpletely filled in by typewriter or ~n ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatmn of lot and ef buildings on premises, relationship to adjomlng premises or public stree or areas, and giving a detailed de~enptmn of layout of property must be drawn on the dmgram which ~s part of this app! cation. c. The work covered by this apphcahon may not be commenced before issuance of Building Permit. d. Upon approval of flus apphcahon, the Building Inspector will issued a Buddmg Permit to the applicant. Such pen~n shall be kept on the premises available for mspechon throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certtficate of Occupan,_ shall have been granted by the Braiding Inspector. APPLICATION IS HEREBY MA~DE to the Building Department for the muance of a Building Permit pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction, of buildings, additions or alterations, or for removal or demolffion, as herein describe, The applicant agrees to comply .with all apphcable laws, ordinances, building code, housing code, and regulations, and i admit authorized mspectms on primises and in building for necessary mspectmns. , ...~-..~. ~7/-.L. ~r....,-¢.~.;M..~.....-.Z~....c-. ..... (Signature of applicant, or name, if a corporation) . .Z'd....z .... /:.~ .............. · ...... (mailing address of applicant) State whether apphcant is owner, lessee, agent, architect, ensneer, general contractor, electrician, plumber or budde ..... C.,/--~.._~...'- .... c~ .z~. ~.c~. ....................................................... Nameofownerofprem,ses . . . .~.. ]?.~. .tf. .~. .~. !i/ .~-~. [/}l *7. /~/') ~. ff../.~. ~. . . . .,~. .~. P.. .-7~.~. . .... ~ (as on the tax roll or latest deed) I~ly~..auth°rized ......... officer. ") (Name and title of corpora4~C;r) Builder's License No .... /.O. :.....~..~..'f~..... Plumber's L~cense No ...................... Electrician's L~cense No /~. 0 ./~ .~..(~.. Other Trade's License No .................... 1. Location of land on which proposed work wall be done ........................ House Number Street Hamlet County Tax Map No. 1000 Section ..... [.~..3 ...... Block ......... ¢ ...... Lot .... .~....~. ..... Subdivision ............ ' .................... Fded Map No ............ Lot .... ~. ....... i (Name) 2. State exmting use and occupaflcy of premises and intended use and occupancy of proposed construction. a. Exmhng use and occupancy ............................................... 3. Nature of work (check which applicable): New Bufl&ng .......... Add,tlon ........ :. Alteratmn >.~, .... Repair . ~ ~,. ,,,~,,~ .... Removal ............. Demolition ............. Other Work ............ (Description 4. Estanated Cost ..... :. . .............. Fee ................................... (to be paid on fling this application) 5. If dwelling, number of dwelling units ....... Number of dwelling units on each floor ............. If garage, number of cars ............................................................. 6. If business, commercml or m~xed occupancy, specify nature and extent of each type of use .............. 7. D~mensions of exmting structures, if any. Front ......... Rear ............ Depth ........... Height ........... Number of Stones. Dm~ensions of same structure with alterations or ad&t~ons' Front ............... Rear ............... Depth ............. Height ................... Number of Stories ............. $. Dimensions of entire new construction Front ............. Rear ............... Depth ........... Height ............ Number of Stories ......................... 9. Size of lot Front ............. Rear .................. Depth ................. 10 Date of Purchase .......................... Name of Former Owner .. 1 I. Zone or use &strict in which premises are situated ....................................... 12. Does proposed construction violate any zomng law, ordinance or regular,on .......................... 13. Will lot be regraded ..... ,r~,.'J~- .O../. - · '-- - .: ...... Will excess fill b_e re_.move, dtt from premises. 14. Name of Owner of premises .~,'/}g 1.. gb.7~O'~. Address . ~ ~. ~.g~'C. .... Phone No.~.--. ..... Name of Architect ...... ,, .............. Address ................ Phone No ......... ;. Name of Contractor. ~fJ.-,/~-./; ~t:.~ ~p...~".$~;'~.. Address . d~t 1~/'.~.././f'g~..fO... Phone No..~..~..'cl..t2 15. Is th~s property located withinl00 feet of a tidal wetldnd? * Yes ..... No~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAORA~ Locate clearly and d~stinctly all buildings, whether exmtmg or proposed, and. indicate all set-back dnnens~ons property hnes. G~ve street and lflock number or description accordmg to deed, and show street names and md~cate whel interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ............... ............. , ................ being duly sworn, deposes and says that he is the apphc (Name of m&vidual signing contract) above named. He ~s 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 apphcatlon; that all statements contained in th~s apphcation are true to the best of his knowtedge and belief; and that work wdl be performed in the manner set forth m the application filed therewith. Sworn to before me this ....................... day of ..................... ,19... Notary Public ............. . ................ County _ .......... ;; apphc ( PI~I~. _ ~h',BING .... ;,.t~ ~; ~_~(C.D RODERIC~ VAN TUYL, P C LICENSED LAND SURVEYORS GREENPORT NEW YORK STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISI;~)SAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES (si APPLICANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE H S. REF NO g5-50-25 APPROVED SUFFOLK CO TAX MAP DESIGNATION DIST. SECT BLOCK PCL OWNERS ADDRESS DEED L.D099 I TEST HIoLEI I LDAM 5AND SEAL