The URL can be used to link to this page

Home My WebLink About15762-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15358 March 18, 1987 No .................. Date ................................. Above Ground Pool & fence THIS CERTIFIES that the building ................................................ 495 Albo Drive Laurel, New York Location of Property ............................................................... House IVo. Street Hamlet County Tax Map No. 1000 Section 126 .... Block 02 .Lot 10. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated MARCH 12, 1987 15762Z ........................ pursuant to which Building Permit No ...................... March 16, 1987 dated .............................. 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 POOL & FENCE & DECK. PATRICK A. & FLORENCE HUGHES The certificate is issued to ..................... [o~n'o'r,'l~'¢~,~~'x .................. of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N 7 I 656.9 N/A PLUMBERS CERTIFICATION DATED: /t~Suilding Inspector Rev. 1/81 FOuWr NO. ~ TOWN OF $OUTHOLD BUll. DING D£PARTMEHT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NM 15762' Z Permission is hereby gronte~d.~o~ . ~-. .......................................... ~Z ....... ;/ ............... Z~' ,o County Tax Mop No. 1000 Section ...,~....=~....~. ......... Block ........ .(~.....~:...... Lot No ..... ./...~../..L ........ opprovod by the pursuant to application dated ..... ~~....I....'~... ............... , 193..~..., and Building Inspector. Fee $./..~...~...~. Building Inspector Rev, ~/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 ~.~ ~o-~ ~, .~ ~,~.,o.~.~.~,,~ *~'~/~ N 7~6569 THIS CERTIFIES THAT only the electrical equipment as described belo~ a~d i~t~duced by t~ applicant ~ed o~ the able application number in the premises of i~ the followlng locatlon; ~ Basement ~ 1st FI. ~ 2nd Fl. Oug~:kd~ Section Block Lot was examined on ~O~Ii~OX~ O~ ~ ~5 and found to be in cotnpllance with the requirements of this Board. FIXTURE OUTLETS FIXTURES RANGES OVENS EXHAUST FANS IECEPTACLES SWITCHES J. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R OTHER APPARATUS: NO %,%CONO OF CC, COND. C NO. OF HI-LEG AW, G, OF HI-LEG NO OF NEUTRALS OF NEUTRAL J~m~s~oz~, l~ 11947 Li~;~3458 ,,,OBNJI~AI. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors y be identified 'by their credentials. COPY FO BUILDING DEPARTMENT. THIS COPY OF CERTIFIC TE U~T NOT BE ~L~T~E_RED N ANY MANNER OUNDATION (1st) OUNDATION (2nd) ..~ . z o OUGH FRAME & PLUMBING :~;SULATION FER N.Y. , , STATE ENERGY CODE ADDITIONAL COMMENTS: ~t~po~al and ~ter Supply ~1~,, location hove been general Eagi~ ~i~ Services TO THIS SURVEY IS A VIOLATION 5TAMP .... .,,- ~,.' '~'";~ '~,..~ .,;~',,~:~:O~~" ,~ , , , ' ......, ,.: ~,~ DISPOSA~ ~Y~T~M$ *FOR THIS R~I- . . , :.' ' ,,~z: *':~'' '~t~"~Ta~,~ ','.~lx}~: '~~ ~'.,~ J. :,. "' .... " ' ' ' ' ~ "' ',~, ,",~ ~ ,~H~.~ .~. ~o;~,.,~ ~-, ." : ' .,, '",+ ~,,. . . ' . ' ~ , ~.,~,. ~,v,~. '.. r. ~" "' "~' " " ~"'"'$~"' ., t~,',,~,~:, ~,:'.>,~ ,'~'.~~~'~.:'~ '"' ' .... '" ' " ' .... ' ,~ w' .". ,~.',~ "' ~' ~ APPL CANT . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 xmnined..~.o~e~..~..., 19 .~.~. pproved .............. isapproved a/c ..................................... Y2 .?. (Building Inspect6r). I APPLICATION FOR BuILDiNG PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY . C ECK SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Date ................... 19... a. This app~icati~n must be ~mp~et~y ~ed in by typewriter ~ in ink and~submitted t~ the Bui~ding ~nspect~r~ with 3 ts 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 · areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 thc applicant. Such permit all 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 g Certificate of Occupancy all 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 ailding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Or sgulations, for the construction of buildingS, additions or alterations, or for removal or demolition, as herein described. ae applicant agrees to comply with all applicable laws, ordinances, bufldinj;.~od'q, housin~g code, an¢~egula~ns, and to Imit authorized inspectors on'premises and in building for necessary inspec~on~.~ i ........ ......... · ', .~ (Signature o~applicant, or nany6, if a corporation) ,. (Mailing address of applicant) tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. amc of owner of premises. ~ ........ .~.. :. ......... .~ ./~... ~..~....~,- ,~ ........................... (as on the tax roll or latest deed) · applicant is a corporation, signature of duly authorized officer. (Name and title of co¢orate officer) . ALL CONTRACTOR'S HIIMT BE S~FOLK C~UNTY LICENSED Builder's License No... [~ . . ~ ....... Plum her's License No ......................... Electrician's License No..'.7~..~. ~ .~.~. ......... Other Trade's License No ...................... Location of land on which proposed work will be done~ ................................................. ltouse Number Street H~imlet County Tax Map No. 1000 Section .... ~..~?. ~' Block ...~d ..... 2 ..... Lot Subdivision ..................................... Filed Map No .............. ; Lot ............... (Name) State existing use and occupancy of 15remises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................... .... n ' Alteratl~, .. Nature of;work (check which apphcable): New Buildl g .......... Addition...' ....... ' ' Repair :, ...... ' ...... Removal .............. Demolition ............ . Other Work.. (t".,0'~4<...,., ..... -~0'.O 6 0 Fee i (Description) Estimated Cost (to be phid on filing this application) dwelling mber of dwelling units Number of dwelling ' ion ea h floor If , nu ............. units c ................ If garage, number of cars ............................................. I ........................... If business commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front Rear~' Depth Number of Stories Iteight ....................................................................... Dimensions'of same structure ' ' ' Front ~ Rear with alterahons or additions ............. ...................... Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction Front ~ Rear ' Depth Height Number of Stories ' Size of lot: Front Rear ' Depth Date of Purchase ............................. Name of Former Owner . .i ........................... situated ' Zone or use district in which premises are ' Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .......................... Will fill be dlfr N Will lot be regraded ............................ excess remove om premises: Yes o Name of Owner of premises Address ' Phone No Name of Architect · Address Phone No Address : Phone' No Name of Contractor ......................................... ................... Is this property located within 300 feet of a tidal wetland? *Yes! ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLO*F DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ,perry lines. Give street and block number or description according to deed, and showlstreet names and indicate whether erior or corner lot. OCCUPANCY OR' USE IS UNLAWFUL Wfl'HOUI CERTIFICATE OF OCCUPANCY \TE OF NEW YORK, S.S UNTY OF (Name of individual signing contract) )ye named. being duly sworn, deposes and says that he is the applicant is the .............................................................. ' ........................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and ~o .make and file this. dication; that all statements contained in this application are true to the best Of his!knowledge and belief; and that the rk will be performed in the manner set forth in the application filed therewith. ' i om to before me this ............. ...Q:-...:...day of .... 19 F. ? i /, /7 !~ary Public, .. . · .~-~.~...~r. · · .~/./..ff.~.~r. · . County ,i~~f/~. ~.~.~..~...'...~..' ItE[EI~ & D£ ~OE (Signature of applicant) NOTARY PUBLIC, State of New Yerk lle. 4707878, Suffolk County,-'7 Term Expires U~rch 30.19--,.&,~