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Home My WebLink About15872-zFOR~ NO, 4, TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z15902 July 1, 1987 Date ................................ THIS CERTIFIES that the building .... .s.w.i..nap..i.n.q' p.o.o.1...a.n.d...f.e.n.c.e.: ............... Location of Property ...... 8.0.0. ............. P..r.a.i.~.y..L.a.n.e. ............ .C.u.t.c..h .o.g.u.e. .... House No. Street Hamlet County Tax Map No. 1000 Section ..... 1. 0..9 .... Block ....... .5 .......Lot ..... 2. 7.: .I ........ Subdivision ............ g .................. Filed Map No ..... X....Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated April 3, 1987 .. pursuant to which Building Permit No. 15872Z dated ............................April 4, 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 swimming pool and fence. WOLFGANG & CHARLOTTE GRUBE The certificate is issued to ..................... iold, n'o'r, ~l~:,K~dO~l ...................... of the aforesaid building. Suffolk County Department of Health Approval .............. ixI./.A. ........................ N813694 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15872, Z Date .................................. , 19.. . Permission Is he rebygm nted to~~~ ~..~_~..~;~ ~ ...... ~~.~........~.:.-~..:..!..!..,...~..~..., ~ ~i"~ ...... i ........................... ~ ............ ~ ................. ~ ......... ~ ............................... i'i ..... County Tax Map No. 1000 Section ..... L..~....~ ......... Block ....... .0....~,~.i ...... Lot No .......~:...-~...:...! ...... pursuant to application dat~:l ................................... , 1~....~..., and appro¥od by the Building Inspector. Building Inspector Rev. 6/30/80 Tow. or souT,oLD IIFJI Building Department Jlr \ JUN 1 8 1981 Southold, N.Y. 11971 ' IU L~L____ 765 - 1802 / - BLDG. APPLICATION FOR CERTIFICATE OF OCCUPAN~°~N OF S~OLD Instructions ~ ~/~/~0~ ~ This application must be ,il,ed in typewriter OR ink, and submi~ed . ~ to the Buildlng I~ tor with the following; for new buildings or new use: 1. Final su~ey of property with accurate location of all buildings, prope~y lines, ~reets, and unu~al natural or topographic fea~res. 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 Unde~riters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and in,alia- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exi~ing" land uses: 1. Accurate ~ey of p~perty showing all property lines, streets, buildings and unu~al na~ral or topographic 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 pe~inent informa- tion required to prepare a ce~ificate. C. Fees: 1. CertificateD, occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $]0.00 2. Certificate of occupancy on pre-existing dwe{Iing $ 50.00 3. Copy of certi(icate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstr'ucti°n ...... Old or Pre-existing Building ............ Vacant Land ............. Locat,on o, Proparty House No. Street Hamlet Owner or Owners of Property ~~~ .~ ~.~.~~..~0~ County Tax Map No. 1000Section ..IO.q ..... Block O~ ....... LotOa~OO.J Subdivision ................................. Filed Map No ........... Lot No .............. Permit Nol S~~e of Permit~.4..Applicant ~~' ~..~~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval .~. ~. ~.~q.~..Planning Board Approval ............... ~equest for Tem~or~rg Certificate ..................... Final Certificate ....................... Fee Submitted $. ~..~5 ........ ,,~. 1~,~, ,~q~¢ Applicant ................ THE NEW YORK BOARD OF FIRE UNDERWRITERS ].0~5i,)~5 BUREAU OF ELECTRICITY ~ BB JOHN STREET. NEW YORK. NEW YORK 1OO3s~ Date THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed belo~ a~d intr~uced by tl~ appllcent ~med on the a~e applicetion number in the presses of Woi~gang Grube, ~00 ~ra~Cy Lanes Cutcho~ue, NY in the foltowing tocado.; ~ Basement ~ Ist FI. ~ 2nd FI. OU~X~e Section Blm'k rot ~s examined on ~¥ Z~ ~ ~,95 ~ and found to be in compliance u'ith the reqt irements ~( this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS ~ NO. OS FEET SER¥1C~ I~ISCONNECT S E R OTHER APPARATUS: 1 I C E NO OF HI-LEG ~ECAUSE oF U~UMU~ E~V~O~M~TS IT I~ ~VI~LE TO ~V~ Ei~QU~T TgST ~D/OR ']11 P~ This cedificate must not be altered in any manner; return to the office of the Board if inco?rect. Inspectors may be ~tlfi~/~t~ir credentials. CO~ FaR,BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~T NOT BE ALTERED N ANY ~NNER. OUNDATIO}; ( 1 s t) OUNDATION ( 2nd 1 OUGH FRAME & ?LUMBING i~';SULATION FERN. Y. STATE ENERGY CODE · ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG, I~N~ULATION ~]~INAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ~LATION [ ] FRAMING ~'"] FINAL REMARKS: DATE MAIN F~OAD N. X'~ FMe 2~ .... 764.~9' ~ CASE'S L~N~ ~-~ qj'/ J Lot ~ ,' n°w o~ / ~°r~erX~ ~O~ert ~ox G Fn 0 ~ 0 'FORM NO. 1 TOWN OF SOUTHOL~D BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . .. Approved .., 19~..7. Pem~it No..I..~.~.~.7...'~..~ Disapproved a/c ..................................... (Bull,ding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with S_ sets off,ns, accurate plot lap~g~o scale. Fee according to schedule. · b. Pl~)T~fi~towin~]ocati~-n~7~t and of buildingS on premises, relationship to adjoining premises or public street~ 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 Irlspector 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 Occupan% 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ 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 autb°rized inspect°rs °n premises and Jrt building f°r neces~ry insp~/[ti°~ ~)~ .. ffe0.d:. (Mailing address of applicant)_ B.Y. llqB5- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................... (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~ ~r~Btlilder's License No ..... ..~...~..k~..~ J..~..I ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on wliicb proposed work will be done ................................... '2 ........... ... .q.o .................. ................... .......... House Num bet Street Hamlet County Tax Map No. 1000 Section ..... /.0.~. ........ Block ..... ~ .......... Lot.. t~5,~,_7, O.O.]'. .. Subdivision ........................... :...: ........F'iled Map No ............... Lot ....... · .... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ I. !~ ~ b. Intended use and occupancy ......................................... 3. Nature of work (check which applicable): Retfi~Ir ~ Removal 4. Estimated Cost ..... ~. ,5[.~..Q ..iD ....... New Building ..... '.; . .. Ad~, ........ Demolition ... Alteration Other Work (Description) (to b~ paid on filing this application) 5, If dwelling, number of ~[welling units ............... Number of dwelhng units on each floor .... If garage, hum bet of ca s . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ 7 Dimensio s of exi ti tructu if any: Font Re Depth · n s n s res, r ............... ar ...... , .......... Height Number Of Stories'. ........... Dhnensions'of same stt ~cture with alterations or additions: Front ........... i ...... Rear ............... Depth ...................... Height ..... ................. Number 6f Stories .................. "-8. Dimensions of entire n, :w construction: Front . ~. ,: .... ' ..... Rear .... ^..i ........ Depth ........... Height ....... :,¢ ,...... Ntlrrlber of Stories...A~CI [ .~F, .,~.~._~...~=.~4~...~t~..i .' .........~ .............. 9. Size oflot: Front ~ 0'.°~ .... Rear ~[~,.,.q..~ .... O. .... ! Denth ..~..o,V' crt) . 10, Date of Pt rchase ,,. '1' ........................ Name of Former Owner ,. .......................... .~11.Zone or use district in '~vhich premises are situated ......... .................. 12. Does proposed constru :tion violate any zoning law, ordinance or regulation: ...N)..O. ..... . .................... 13. Will lot be regraded .. iq.(> ....................... Will excess fill be removed from premises: (~ N~ 14. Name of Owner of prm rises . ~.~6~'~/t-&O....(o..f~¢..[q.e.. Address .~7q9...~.C.t~i%..! .¥..:. Phone No.-/~.~:-.~.0.q.¢ .... Name or Architect "~. ...................... ...~ !.5 . Address :1 '~i. ' ' ' ' ,pPhh;nn: NN~' 7, g'fc- 3325~ .............. Nmne of Contractor t :.-1¢[o¢.[~ O . .~f)..c.;. Address :~O.'.~."~.~.J ................ 15. Is this property >cated wtthlin 300 feet of a tidal, wetland? *Mes ..... No .~-~.. *If yes, Southold ~wn Trustees Permit maybe required. I PLOT DIAGRAM Locate clearly and dis property lines. Give street m interior or corner lot. actly all buildings, whether existing, or proposed, and, indicate all set-back dimensions fro~ d block number or description according to deed, and sh6w street names and indicate wheth, STATE OF NEW YO-RK, , COUNTY OF .... ~.F-..Vg.(:,..¥7' S.S .......... I,.O~.l.~..6. .... (,O.e.~.b.¢. ............ (Name of individual signing contract) above named. . being duly sworn, ~t'~0ses .... and says that, he is the applican He is the ..................................................................... ~ ................ (Contractor, agent, corporate officer, et~.) of said owner or owners, and is duly authorized to perform or have performed thelsaid work and to make and file thi application; that all statements contained in this application are true to the best of his knowledge and belief; and that th work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........ , ................. day of. ~ Notary P .... County NOTARY PUBLIC, State of New York ' ' No. 01BA4613899, Suffolk County Term Expires March 30, lgSW ~7~VHO ~ngoHDIDD l~ :~lOJ A3A~N$ oNnoA ~' ONNOA ' OF ( '~ ,/o? / / 1002gO 107'~,~307~ $01 153£ '0001 U'~°'~ ,~ l. Ze~o6z ',~./e ~U./o~ ~DiATELY''-''~ NCLOSE POOLTO cODE UPON COMPLETION BEFORE "WATER" iI1~ GZ "~,'~ SW 'Al. UVOH NIVIN