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Home My WebLink About15846-zFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17162 Date AUGUST 5~ 1988 THIS CERTIFIES that the buildingh POOL & FENCE Location of Property 1270 MIDDLETON ROAD House No. Street County Tax Map No. 1000 Section 041 Block 02 Subdivision Filed Map No. GREENPORT Hamlet Lot 01 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30~ 1987 pursuant to which Building Permit No. 15846Z dated APRIL 3, 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 INGROUND POOL AND FENCE AS APPLIED FOR. The certificate is issued to HALSEY A. STAPLES (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N834885 SEPT. 30~ 1987 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector FOP--'M' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N_o BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15846~ Z Date .... " .... ...'~.... .................... , 19-~...2 Permission is hereby granted to: ..~..~.....~.:....~~ ........... ,o. . . ~.~....<. ........... ...~.....~ ...... _0~ ..... .~...~. ~~. , -: ..... ~ ~--~ O .. .:. .......................... ~-- ..... .C)...~ ........... County Tax Map No. 1000 Section ...... ..~....L~...~ ....... Block ....... ~ ........... Lot No. pursuant to application dated ......~.~....~ ............... , 19...~...'7., and approved by the Building Inspector. Fee $./..~.."~....: ..../~...... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765 - 1802 TOW~ OF SOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with 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 disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer respons hie for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograph lc featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...',~?, ..... House No. Street Ham/et Owner or Owners of Property ............... : . County Tax Map No. 1000 Section .... 4~.1 ........ Block .... .~. ...... Lot ..... ~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval . . .Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~'' Construction on above describedApplicantbUilding .... and ?~'permit meets ..... all~a~plicable~~codes~nd~ ............... regulations. ...... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ]-02,~0~[ BUREAU OF EL. ECTRIClTY ~ ~b B8 JOHN STREET. NEW YORK, NEW YORK 10038 in the yollowing location; ~ B~sement ~ Ist Ft. ~ 2nd FL Section Bilk Lot i on ~'[~b~ ~ 1~7 andfound to beltt co.~l~ance with the re~tl~ireJne, ts of this Board. SYSTEMS SERVI~ Di~NNEC~ NO. OF S E R V ~ C E This ce~[ficate must not be altered n any manner; return to th~ ~m.~ ~ .~- ,-- ~., . . . Per~ ~ : · R~ C,~:K [iFICATE MUST. NgT BE ALTERED IN ANy MANNER OUND~TIO.~ { ~ s t) OUNDATION (2nd) OUGH FRAME & FLUMBING 'NSULATION ?ER N. Y. STATE ENERGY CODE FINAL - ADDITIONA'L COMMENTS: OCCUPANCY OR USE IS! UNLAWFUL WITHOUT CERTIFICATE OF ocCUPANCY "IMMEDIATELY" ENCLOSE POOLT_O._C.O. OE UPON cOMPLEfIO~ ~.rc.~ORE "WATER' N~'IFY .~UILD~,~(: D[~PARTM'~T ~T FOLLOWING FOUt~DATIO{~ '~0 ~<IUtREO ,ong Island's olclest aha targest oncrete block pool builders. (2) 'eparatlon and Inspection fo[, Uner Fine sand is trowellsd and compacted to assure a smooth and level sub.surface. Note: Pool is backfilled with earth -- walls are a self-supporting structural foundation -- will stand with or without water. Protective polyfoam material is applied to the inside walls and acts as a cusbion between the wall and the vinyl liner. The result is added protection and heat retention. The pool structure is inspected and all adjustments ara made before placing the vinyl liner in position. (5) (3) (4) Your pool is finished with a 4' rough grade, (5) Water begins to fill the pool and the liner is adjusted and fitted. The coping is firmly nailed on the top of the pool, the ioiets are mortared for a neat and clean installation, (6) You can complete your landscaping with brickwork, walks and a curtain of shrubbery to add more interest to the pool area. The Totally Engineered w mmmg P System. Quality is a tradition at SWIM-KING Pools. Step by step, from design to installation, Swim-King people have the know-how to help you all the way. Swim-King Pool walls are constructed w!th 8" wide concrete blocks, which are cemented on top of the 4" by 12" concrete footings to form a strong, safe and permanent foundation. On all walls longer than 24', a concrete column is interlocked into the wall for extra strength and added durability. Commerical, non-corrosive skimmers and returns .., both impervious to water, weather or chemicals ... are built into each set of walls. As soon as the concrete block walls are erected, the inside and outstde surfaces of the walls are coated with a fiberglass bonding material, which is 5-times stronger than modar joints. It is a very important fact: Each pool must be personally-planned to handle your individual needs. Swim-King P~ools is a Full-Service in-ground pool company. (A) Computerized Water Testing. To assure you et sparkling clear, healthy water all year long. (B) Complete Line of Chemicals. A supermarket of quality products for one-stop shopping of all your pool needs, (C) Radio Dispatched Trucks. Specially trained personnel to receive calls and dispatch the nearest vehicle, w~thout interrupting ot~r busy installation crews. TOWN OF SOUTHOLD ~ ...... $OUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved. Disapproved a/c ..................................... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH'.~r7'' 3 SETS OF PLANS ~;~; .. SURVEY ~ ~:, CHECK ......... SEPTIC FORM ............. : NOTIFY CALL (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..... l[l{q~.c.h' ~.0 ..... 19 .~.T. INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- Cation. 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 the applicant. Such permit shall 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 a Certificate of Occupancy shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectior~s. ......... ''' i~i'gnature of%~li~a'n~, or name, i~ ~ 'c~;~(}ration) .... ?.~?. ?::??..~?.?.~. ,. ~ .~.%~>. ~.o ?>. ,.. 7...! .. ..... (Mailing address of applicant) State whether applicant is_gwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Nameofownerofpremises }lal~e3~ A. Staples (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized_officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUS~ BE .S,U, FFOLK_CO~UN__T_y LICENSED Builder's License N67 -. · .~.~/- - - Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be dond~ 9.'.l¥i?'.d.d.Z.e..~.°.n. .~ .o.e.d. .............................. ...-ff.... ?!~?..<Z.~.~.?r). ?.?.~ ................... ?.?.~.~?.o.~., ...... .~t...~,...~.~.?(~!~ ...: ........... House Number Street Hamlet County Tax Map No. I000 Section /41. Block £ Lot. 1 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...l~¢~;[.c~.~;ks. 1 ..................................................... b. Intended use and occupancy . .R.?.sf.d.e.n. 97 ........... ~.. . .~-.. C~%~ ............ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition . ·. i ...... Alteration .......... . Work Repair .............. Removal .............. Demolition . Other (Description) 12,000 4 Estimated Cost Fee (to be p~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units ion each floor ............... -. If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typeiof use ..................... ' pth 7. Dimensions of existing structures, if any: Front ............... Rear ........ ~ ..... De ............... Height ............... Number of Stories ............................. : .......................... Dimensions of same structure with alterations or additions: Front .... !. Rear ... .............. Num.ber of Stones ...................... Depth ...................... Height ..... ....~ 8. Dimensions of entire new construction: Front . . jJ. . . ~ ' Depth ....... ......... Rear ......... i ............ Height ............... Number of Stories ........................................................ 103,76 R r 110 0 117 98 9. Size of lot: Front ................... ea ...................... Depth ............... ....... 10. Date of Purchase . .!9~5 ....................... Name of Former Owner .R. i · ·C.a.m.p.bpkl' .......... h p 0 .i.a.l l 1. Zone or use district in whic remises are situated ........... ~ ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation' N0 ......................... 13. ' Yes ..... "' Will lot be regraded ......... ~ .............. . ....Will excess fill be reraove~t from premises: . Yes X No 14. Name of Owner of premises I.~.a.z.s[e.y A. Stap±e'}t, ddress .92,9 1,aazn.~.~ .?r.e.elb]~{~o ?7?-05?3 .......................... NameofArchitect. ~ , ........... Address ..... .. .... i PhoneNo ......... ....... Nam -f~ ' ' Swin Kzng Pools ' --- Roc~"P6~h'~ ' ' '-- ., e u ,~on[racior .......................... ,qaaress ................ '[.. ffnone moX ............... 15. Is this property located within 300 feet of a tidal wetland? *Yes . .... No ..... · If yes, Southold Town Trustees Permit maybe required. : PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. /¢ 1. -2 -. 1 ;TATE OF NEW YORK, ~OUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) hove named. fe is the .............................................................. ; .......................... (Contractor, agent, corporate officer, etc.) i ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements~ contained in this application are' true to the best of his knowledge and belief; and that the turk will be performed in the manner set forth in the application filed therewith. ;worn to before me this .............. 4.0.~ '~a~/ ,1~//day of....."'/~..~ ...... 19 .~.ff ' ' // // m!i~?t~St~C, Stm ~ ~ ~ (Signature of applicant) w ~w ~oo~ h ~ Z b. ..j