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Home My WebLink About15895-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No E-23609 Date APRIL 24, 1995 THIS CERTIFIES that the building. ACCESSORY INGROUND POOL Location of Property 1305 ~.RRWARD DRIVE SOuT~OLD NY I House NO. Street Hamlet County Tax Map No. 1000 Section 79 Block 7 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9~ 1987 pursuant to which Building Permit No. 15895-E dated APRIL 12r 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 AN ACCESSORY INGI%OUND POOL & FENCE TO A ONE FAMILY DWELLING A~ APPLIED FOR. The certificate is issued to DONALD & JUNE SAYRE of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N822104 PLUMBERS CERT!IFICATION DATED JULY 24r 1987 ~ ~i~ding Inspec Rev. 1/81 lvOwry' NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15895 Z Permission is hereby granted to: ........... YT;Yl .................... rr ..................... .....~ ~ .... ; ................... J. ";;;~..C'.:&;;.;.}.;~;~ ~...~.~.~...~...~-~ ................................................................................. ~ ~o~ ~op ~o. moo s,~t~o~ .... ~g ........m~k ..... ~.~ .......... lot ~o ..~] .......... pumu~nt to ~lic~tion d~ ......................... Budd~nO In~p~tor. Building Irts~ector Rev. 6/30/80 APPLICATION FOR CERTIPlCA'[I OF OCCUPANCY Th~s applzcatlou must be filled in by typewriter OR ~uk and submxtted to tile b, tldzng Inspector wxtb the followxng: for new bulldlng or ne~ i. Flual survey of property ~41t[1 accurate location of all [)t~llt[ltl~}b, property lines, 2. Flual Approval from Uealth Dept. of water supply and seuerage-d~sposal(S_9 form). 3. Approval of elec~r~c~ ~nstallat~on from Board of F~re Underwriters. ~ 4. Sworn statement front/plumber certifying that the solder used in system contairs less than 2/i0 of i% lead. 5. Co~erc~ai building, ~ndustrlal buildxng, multiple residences and sxm~lar buildings and ins~allatlon~,~a certificate of Code Complxance from architect or engineer responsxble for th~ buxldxng. 6. Submit Planning ~oard Approval of completed site plan requirements. B. For exzstxng buzld~ng.s (prior to April 9, 1957) non-conforming uses, or bu~ldxngs and 1. Accurate survey of property sho%qxng all property l~nes, streets, bu~ldxng and unusual natural or topographic features. 2. A properly completed applxcat~on and a consent to xnspect srgned by the applicant. If a Certificate of Occupancy zs denied, the Bu~ldxng Inspector shall state the reasons therefor in ~r~t~ng to the applicant. C. Fees ' ~- Certificate of Occupancy - New dwelling $25.00, Additions to d~elllng $25.00, Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00, Add~tlons to accessory bultdlng $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Bulldlne - $~O0.00 3.Copy of Certlflca(e of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $J5.00, Co~nerclal $15.OO ' .... ...................... Construction ...........Old Or Pre-exist~ng Buxld~ng.. '''' y / ~.~ ........ House No. ' .............. ~ ............... Onwer or Owners ~,f Property~ ................. . .... County Tax Map No i000, Section .............. Block... ' ' .............. Permit No.. /~S~i Da~e Of Perm ''/'~ / ............. · .... '/'; ........ ........................ Underwr L[ers 'lanning Board Approval ..... , ................... lequesr for: Temporary Certificate ........... F~nal Cert~cate ........... 2ee Submitted: $ .... ¢. , .................... OUNDATION { 1st) OUNDATION (2nd) OUGH FRAME & FLUMBING NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMME~;TS: ~gPlATELY,, '... ~'u r~OD~ BEFORE 'WATER 115.00 '$7' ,,¢ti~hlilfl~llllllllllll ItlllllllmttlllJllllJlllltllllffl flt~fl~lllllflll~lllttflflfltll ~'[flll,'l!llfllflllflflllJlllPlllllfl BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE INSP Exammed . .(~../..~-. · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °~OUTHOLD, N.Y. 11971 TEL.: 765-1802 . .(~../..~-.., 19~.'?. Permit No. 1 Approved Disapproved a/e ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT TOWN OF SOUTHOLD Rece:l. ved ........... ,1 9 ·. Date... ,/~/.7, .......... 19~. a. This application must be completely filled in by typewriter or in ink and submatted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the dmgmm which m part of tlus app cation. o. The work covered by this application may not be commenced before ~ssuance of Building Permit. d. Upon approval of this app!ication, the Building Inspector will issued a Bufidmg Permit to the applicant. Such perm shall be kept on the premises available for inspechon throughout the work. e. No buildmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~DE to the Building Department for the issuance of a Building Permit pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances, Regulations, for the construction of buildings, additions or alteratmns, or for removal or demolition, as herem descnbe The applicant agrees to comply ynth ail applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on pr~mlses and in building for necessary inspections ,~Signature of applicant, or name, if a corporation) (mailing address of'applicant5 ...... State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electmcmn, plumber or buflde (as on the tax roll or latest deed) If,,~l'jl:ant is a corporat~on,..~gn~tFFe of~luly authorized officer. -* Bmlder s License No.. ...... .,..~.-r.. .... Plumber's L~cense No ........................ Electricmn's License No. ~. 0/] .~....~... Other Trade's Incense No ................... 1. Locat,on of land on wh,ch proposed work will be done ..... ~ .ff~../.'7-~./.~..2 .~. .... 4.'.~.--~. House Number Street County Tax Map~o 1000 Sechon ...... / ~.. Subd~vismn .............................. Filed Map No ............. Lot ............. (Name) 2 State existing use and occupancy of premmes and intended use and occupancy of proposed construchon' a. Exmting use and occupancy ......... ~.~'.f/~./,~..T)'..~q. .. b. Intended use and occupancy ....... .1~...~r ................. !7~.(5t.. ,' .~.~.~., .t_v .............. Hamlet ..... Block ...... .t-/ ........ Lot..O~..l .......... 3. lqature of work (check which applicable). New Building ........ Repmr .............. Removal .............. Demolition i%-~c~~ · Addition ........ ... Alteration ..~..,. ........... Other ~ork .... ~ ..... (Description 4. Estimated Cost .................................. Fee ................................... (to be paid on filing this application) 5. If dwelhng, number of dwelling units ............ Number of dwelling units on each floor If garage, number of cars ............................................................... 6. If business, commercial or mLXed occupancy, spemfy nature and extent of each type of use ................. 7. Dimensions of existing strdctures, if any. Front ............. Rear .............. Depth ............ Height ............ Number of Stones ................................................. DLmensions of same structure with alterations or additmns Front ............. Rear ............. Depth ................. Height .................... Number of Stones ................... 8. Dimensions of entire new 6onstmction. Front ............. Rear ............. Depth ............ Height ......... J Number of Stones .......................................... 9. Size of lot. Front ..................... Rear ................... Depth .................. 10. Date of Purchase .................... Name of Former Owner ....................... 11. Zone or use district in which premises are situated 12. Does proposed construction viola~ny zoning law, ordinance or regulation .................. 3,~' ' ' 13 Will lot be regraded . . ,. ~... t..--.-.~ ..... ?' .... Will exces.~011 be removed from premises. 14. Name of Owner ofpremlses~)d~. ,~ ~.~etgL ..... Address . .,~1( ~7~-tO..~"~,Phone No ........... Name of Architect .... .,,~ .................... Address ................. Phone No. 15. Is this property lochted withinJ. 00 feet of a tidal wetland? * Yes ..... No ~.. · If yes, Southold Town Trustees Permit may be required. PLOT D~AGRAM Locate clearly and distinctly all bmldings, whether existing or proposed, and. indicate all set-back dimensions fr property hnes. Give street and ~ lock number or description according to deed, and show street names and indicate whet interior or corner lot STATE OF NEW YORK, COUNTY OF ......... ,.. S S (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applxc He is the ........... , ................................................ (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have perforn~ed the smd work and to make and file apphcat,on; that all statements contained m this applicatmn are true to the best of hm knowledge and behef; and that work wdl be performed in the manner set forth m the application filed therewith. Sworn to before me fins .............. day of ............... 19. Notary Public, .......... + .............. CountyL~.~ (S,gnature of apphc*