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Home My WebLink About15967-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z1690h May 24, 1988 No ......... Date ............... THIS CERTIFIES that the building . ~ngr.o.un.d. awe_mmv_ag pool 1215 Pine Tree Road Cutchogue Location of Property .................................... House No Street Hamlet County Tax Map No 1000 Section 98 . .Block . .I .Lot 7.13 Subdivision. g ....... Filed Map No .X. . Lot No. .. X conforms substantmlly to the Apphcatlon for Budding Pernnt heretofore filed in this office dated . Ap.r.zJ_ 2.4, 19B7 pursuant to wtuch Braiding Permit No. . . 1.5.96.7.Z ........ dated .. May..7.,. 1.9.8.7 ...... was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for which this certificate is issued Inground swimming pool. , .................. The certificate is issued to of the aforesaid budding EDWARD & BRENDA FLA~I~RTY (owner, ~ Suffolk County Department of Health Approval ..... N./A .............. UNDERWRITERS CERTIFICATE NO ......... N815970 PLUMBERS CERTIFICATION DATED: Budding Inspector Rev 1/81 leO~:'~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 15967, Z Permission is hereby granted to: ~., ~,~ ~1 .._.~.....~..~........'/ ............................................... . County Tax Map No. 1000 Section ...... ...C~....~..~.. ..... Block ....... .(;~..t ........ Lot No......~:..L.~ ........ pursuant to application dated ...... f-'" ' -~.......~....~. ............... , 19.~., and approved by the Budding Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcatlon must be filled in typewriter OR ink, and submitted ~ ~ to the Bu$iding Inspec- tor with the following; for new buddmgs or new use: 1. Final survey of property with accurate location of all bullrings, property lines, streets, and unusual natural or topographm features. 2.Final approval of Health Dept. of water supply and sewerage dlsposal--{S-9 form or equal). 3.Approval of electrical installation from Board of F~re Underwriters. 4. Commermal buildings, Industrial buddings, Multipte Residences and similar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the bullring. 5.Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existmg buildings (prior to Apml 1957}, Non-conforming uses, or buildmgs and "pre-ex~sting" land uses: t. Accurate survey of property showmg all property lines, streets, buildings and unusual natural or topograph m features, 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertment informa- tion required to prepare a certificate. C. Fees: Addztzons $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.O0, Accessory ,$ I0.00 Buszness $50.00 2. Certificate of occupancy on pre-exmt~ng dwelling $ 50. OD 3. Cop¥ of certlflcate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date M. ay !8, t9.SB. NewCons tructzon ...... Old or Pre-ex,sing Buildmg ............ Vacant Land ............. Locatlon o{ Property . ]215 Pine Tree Rd. Cutchogue, N.Y. House No, Street Han~/er Edward & Brenda Flaherty Owner or Owners of Property .............. County Tax Map No, 1000 Section 098 Block 01 7.13 Subd~wmon ................................ Filed Map No ........... Lot No .............. ]5967Z, D teofP 5/7/88 Appl Permit No .......... a erm~t ......... mant .................................. NA NA Health Oept Approval ........................ Labor Dept. Approval .................... .N.8159.70, Underwriters Approval .................... Plannmg Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .................... Fee Submitted $ . . 25.00 Construction on above described buddmg and p_erm~t meets alL~pplic, ihle codes and regulations ~It'~IIltlIIIVII~IIIIIIIIIIIIII(f~Tt ~tilitl ~illtlllliitllllllllltll[ ~~IT~ TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P O. BOX 72~, TOWN HALL SOUTIIOLD, N.Y. 11971 TEL 765.1801 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /_~ An applicatlon for Certificate of Occupancy is not on file. / / No Underwriters Certificate on file. /? The check is(outdatod/not on file.) /~/ No Health Dept. Approval on file. /-~/ No final inspection has b~en made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ,~ _~/ ~ ? ~ ~,. Z Building Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & FLUMBING NSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND L ] INSULATION FRAMING [ ',;.]~INAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. £ ] FOUNDATION 2ND l ] INSULATION [ ] FRAMING [~FINAL REMARKS: DATE INSPECTOR~ Approved .~. Dtsapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL. 765-1802- , , 19'~'-/Permit No APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Recezved ........... ,19... Date a. Tins apphcatlon must be completely filled m by typewriter or in xnk and submxtted to the Building Inspector, w~th 3 sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining prem:ses or pubhc streets or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram which ~s part of this applt: catmn. c The work covered by tlns apphcatmn may not be commenced before ~ssuance of Building Permit. d. Upon approval of tins apphcatlon, the Bml&ng Inspector will ~ssued a Bmldmg Perm;t to the apphcant. Such permxt shall be kept on the premises avadable for mspectmn throughout the work· e No braiding shall be occupied or used zn whole or ~n part for any purpose whatever until a Cerhficate of Occupancy shall have been granted by the Bmld;ng Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmld~ng Permzt pursuant to the Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulatmns, for the constructmn of buddings, addmons or alterahons, or for removal or demohtlon, as hereto described The apphcant agrees to comply wtth all apphcable laws, or&nances, building code, housing code, and regulations, and to admit authorized inspectors on premises and m building for necessary mspect~ons. · .l}., 12Eb..t..7.. ......... (S~gnature of apphcant, or name, ff a corporation) 13,2, .q3.'L n, ..... (Mmhng address of apphcant) /~z gb~& State whether apphcant ~s owner, lessee, agent, arcintect, en~neer, general contractor, electncmn, plumber or bmlder Nameofownerofpremmes bf~'-AJV~}- 3'-- ~ ~0 . /Z~W~ .... (as on the tax roll or latest deed) If app~gn~ authorized officer ' ' ~ (N~ an~-i~lTof~d,orate Builder's License No . ~ ~ .... Plumber's Ltcense No Electrician's License No Other Trade's L~cense No Locahon of land on whmh proposed work will be done . C aF. ............. House Number Street Hamlet County Vax Map No lO00Sect,o. ~. Block . / ...... Lot. Subdtvislon , (Name) ' Filed Map No .. Lot State extstmg use and occupancy of premmes and ~ntended use and occupancy of proposed construchon a Exlshng use and occupancy . f~-~! ~7~tgl/ ..T" ,t ~ ¢.~ ......................... b. Intended use and occupancy ~ ~:'Y l ]~,d:'~.T/ ~'if.(,- ..... ~. . t. .T /? . ~ l~ 3. Nature of work (check which apphcable) New Budding .... Repair ....... Removal ........ Demoht~on Addition . .. Alteratlon . z/. '. ...... Other Work (Description) 4 Estimated Cost ~.(~ <LgO Fee ' (to be paid on filing this apphcation) 5. If dwelling, number of dwelhng umts ....... Number of dwelling umts on each floor .......... If garage, number of cars ............ 6. If business, commermal or mixed occupancy, specify nature and extent of each type of use ......... 7. Dtmenmons of exmt~ng structures, If any Front ........ Rear ............ Depth Height .......... Number of Stones ........................................... Dn'nenmons of same structure with alterations or additions Front ........... Rear . . . Depth .......... Height ......... Number of Stones ............... ~ 8. D~nenmons of entire new construction' Front ......... Rear .............. Depth ............ Height ...... Number of Stones .............................................. 9 S~ze of lot Front ............... Rear ................ Depth ............... 10. Date of Purchase .............. Name of Former Owner ...................... 1 1 Zone or use district in which premises are situated ..................................... 12 Does proposed construction wolato3~y zoning law, ordinance or regulation' . ......................... 13. W~i1 lot be regraded ...... .~. ~o .......... Will excess fill be removed from premmes. ~ N~ 14. NameofOwnerofpremmes.../~L.f.l*~.~3. TT.'/~ . .Address..12t~T~../~..~.~..~...PhoneNo ......"~.. ..... Name of Architect . . .., ................ Address ................. Phone No ..... Name of Contractor .. ~... }~'I.A.~.V....~ & ~.~.J.... Address .~.~. ~./..7~..¢f.~. Phone No. ~ ~,-.~.~. ·. '.~. · .0r/~.. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .~.. · If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and ~ndicate all set-back d~nenmons from property hnes. Give street and block number or descnphon accordmg to deed, and show street names and indicate whethe interior or corner lot. STATE OF NEW YORK, S S COUNTY OF ......... ........................... being duly sworn, deposes and says that he is the apphca~ (Name of ~ndmdual mgmng contract) above named He m the ................................................................... (Contractor, agent, corporate officer, etc.) of sa~d owner or owners, and m duly authorized to perform or have performed the said work and to make and file tb application, that all statements contained m thru application are true to the best ofh~s knowledge and belief, and that tl work wdI be performed in the manner set forth m the application filed therewith. Sworn to before me this ....... .... .... ,. ................. r - k~o' 4707878- Suffo~l( CAUAh,,~ ,~.~,~ O00UPANCY OR -~'~ USE IS UNLAWFUL "~~' WITHOUT CERTIFICATE OF OCCUPANCY /V