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Home My WebLink About15969-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17423 Date OCTOBER 18r 1988 THIS CERTIFIES that the buildln~ Location of Property 1145 CARDINAL DRIVE House No. County Tax Map No. 1000 Section 115 Subdivision MATTITUCK ESTATES INGROUND POOL MATTITUCK Street Ham]et Block 06 Lot 18 Filed Map No. Lot No. 17 conforms substantially to the Application for Building Perm3~t heretofore filed in this office dated APRIL 24, 1987 pursuant to which Building Permit No. 15969Z dated MAY 8, 1987 was issued, and conforms to all of the requirements of the applicable provlslons of the law. The occupancy for which thls certlf~cate is issued is INGROUND POOL & FENCE, AMENDED TO INCLUDE DECK. The certificate ms issued to JOSEPH P. & DOROTHY P. PFAFF (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL H/A UNDERWRITERS CERTIFICATE NO. N825406 August 6r 1987 PLUMBERS CERTIFICATION DATED N/A Bulldi~ Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ~5969 Z Permiss;on is hereby gr~nted to: .......... ...~.~..~..~..~. ............................................ ,o County Tax Mop No 1000 Section ..... J,/...~. ........ Block ...... .C~...~. ...... Lot No ...... /. ............. ...... , 19.~....~., and approved by the pursuant to application dated .... ~ ~........~....~. ....... Budding Inspector. Fee $..L..~...~....'...~ 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 A This applicat)on must be filled in typewriter OR ink, and submitted ml~a~ to the Building Inspec- tor w~th the following; for new buildings or new use: I. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dmposal-{S-9 form or equal). 3 Approval of e~ectncal installation from Board of Fire Underwriters. 4 Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and mstalla- tlons, a certificate of Code compliance from the Architect or Engineer responsible for the budding. 5. Submit Planmng Board approval of completed site plan requirements where applicable. B. For ex,sting buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buddings and unusual natural or topograph ~c featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buUdmgs. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent mforma- t~on required to prepare a cert~fmate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Buszness $50.00 2. Certificate of occupancy on pre-ex~sting dwelhng $ ]00.00 3 Copy of certffmate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....................... NewConstructzon ...... Old or Pre-exlsting Budding ........... Vacant Land ............. Locat,onofProper~ t!.~f C~.~..~'~'~/~(-' ~ .~..~.~?~ 17~~Ic House No. Street Ham/et Owner or Owners of Property %~O~FH ~) ~ "~OIl.¢l"J~)y D, ~?F~F~ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Perm,tNo~)7~'?~ .......... ? '~ Date of Perm,t. ~.l__~'/~?.Applicant ..... ............................. Health Dept Approval ...................... Labor Dept Approval ........................ Underwriters Approval ....................... Planmng Board Approval ...................... Request for Temporary Certificate .................... F~nal Cert~hcate ...................... Fee Submitted $ ............................ Construction on above described budding and permit meets all apphcable codes and regulations. Applicant . .~.(T] .~r~-.. ~.., . ~ .0~ ......................... *~lltllJ;I;l~Jll~lllll~lillllli~.Jlll~l ~tl~III~IIIIII|IIIIJIIIIII~IPIIII~IIII qtlfl~llllllllllll~lllllllllllllllll_~l ___ '~ll~llllllllllllllllllt, OU~DATIO:; ( ls t) OU!~DATIOr~ (2nd) OUGH FRAME & ?LUMBING NSULATION PER N. STATE ENERGY CODE FI2~AL ADDITIO~AL CO?ME?~TS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF C:~OUPANCY 150.00' $, 4~°5G'OO"E. CARDINAL el =20.~, eZ=lg. 8 IN (residence] 765-~802 BUILDING DE:PT, INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION f/*~FINAL DATE INSPECTOR////~~ ~/~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION FRAMING [,~] FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION DATE Examined Approved Disapproved a/c FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL.: 765-1802 · , 19B7/. , No I (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS P. 4 1987 L TOWN r~ gece~ed ........... ,19,, Date a Ttus application must be completely filled in by Wpewnter or in ink and submitted 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, relatmnsh~p to adjoining premises or pubhc stree or areas, and giving a detmled description of layout of property must be drawn on the dmgram whmh ~s pa~ of thru app! cation c. The work covered by t~s apphcatmn may not be commenced before msu~ce of Building Permit, d Upon approval of thru apphcahon, the Building Inspector wOl msued a Building Pe~t to the apphcant Such perm ~ be kept on the premises avmlable for ~nspechon throu~out the work. e. No building shall be occupied or used ~n whole or ~n pa~ for any purpose whatever unhl a Cemficate of Occup~c shall have been grated by the Bufldmg Inspector APPLICATION IS HEREBY MADE to the Bud&ng Dep~ment for the msuance of a Building Pe~tt pumuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ces ~ Regulahons, for the constmc~on of buddings, addmons or alterations, or for remov~ or demohtlon, as herren describe, The apphcant agrees to comply w~th all apphcable laws, ordmances, building code, houmng code, and regulatmns, and i admit authorized mspectors on premmes and h building for necessa~ ~nspect~ons ~- ~EItL~.+,~~. .... (S~gnature of apphcant, or nam~ a corporation) (Maflmg address of apphcant) / / ~-~ State whether apphcant ~s owner, lessee, agent, ~ch~tect, engineer, general contractor, electrician, plumber or bmlde, Name or~r or pr~,s~ ~e- F~ff~F ... (as on the tax roll or latest deed) If ~~~rat on smnature o f duly authorized officer Builder's L,cense No 2 7~ ' ~ Plumber's License No Electrician's License No ?J~o~A~t4O J~'~-~-~7~. ¢ c_ Other Trade's License No 1 Location of land on which proposed work will be done [louse Number Street Hamlet County Tax Map No 1000 Sectton [/~ Block-- Subdwis,on ~/~W~ L~5/~ Fried Map No Lot (Name) 2 State ex~shng use and occupancy of premmes and intended use and occupancy of proposed constructmn a Existing use and occupancy ~3 / .~/~ ~ ....... b Intended use ~d occupancy ~t 0~~ ~.1.~.. 3. Nature of work (check which applicable) New Budding Addition Repmr ...... Removal ........... Demolition .... Alteration · Other Work .... (Description) 4 Estimated Cost .... ~t~.., ~ ...... Fee ..................... ' (to be paid on filing this apphcatlon) 5. If dwelling, number of dwelling units ...... Number of dwelling units on each floor .......... If garage, number of cars ..................................... 6 If busxness, commercial or maxed occupancy, specify nature and extent of each type of use ........... 7. Danenmons of existing structures, if any. Front ... Rear ........ Depth ...... Height ...... Number of Stones ....................... Danenmons of same structure with alterations or addxtlons Front ..... '.. Rear .......... Depth . . . Hmght .......... Number of Stones ......... 8 Dimensions of entire new construction Front . .. Rear .......... Depth ......... Height ...... Number of Stones .............................. 9 Size of lot Front .... Rear ............. Depth ............... 10 Date of Purchase ................. Name of Former Owner .................. 11 Zone or use dmtnct m which premises are situated ~ ..................... 12. Does proposed construction violate any zoning law, ordinance or regulation .. ~ ................. 13 Will lot be regraded ~ ......... Will excess fill be removed from premises. ~) No 14 Name of Owner of premises .~'~:~k- , /°t~?.. Address ~ t4Z",F~.~I*. . Phone No ............. Name of Architect .... Address ..... Phone No. Name of Contractor . ~1~. )~'-//.it,.~' ~ .f~x~ . Address. >q4'.~T:Tl ~.'~'g'~i Phone No i'.~.~..~ ~..(1 ~('~ PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether existing or proposed, and indicate all set-back dn-nenmons from property hnes G~ve street and block number or descnptmn according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF .. (Name of individual signing contract) above named being duly sworn, deposes and says that he is the applicant He is the .... (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performbd the said work and to make and file tlns application, that all statements contained m tins apphcation are true to the best of his knowledge and belief, and that the work will be performed m the manner set forth m the apphcat~on filed therewith Sworn to before me this ........ g.~/.., day of . ~ ..... ,197.] #0[~ ~ltll~ St~t~ ~ ~ ~ pphcant) No. 4707878, Suffolk Comtl¥~ o T~,A ~ M~ 30, TL~....-Y~./ OCCUPANCY OR USE iS UNLAWFUL WilHOUI' CERTIFICATE [~? OCCUPANCY e! -'.55 N 4~°56'00'W 130 00' 1