HomeMy WebLinkAbout16453-zFORM NO 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Southold, N.Y.
Certificate Of Occupancy
No ..Zy16571 Date January 7, 1988
THIS CERTIFIES that the building INGROUND SWIMMING POOL & FENCE
LocatlonofProperty 635 Old Saddle Lane & 9.50.Sz.[.v.er. Co.lt..R.d:. ?.u.t.c.h.o.g.ue:..N:.Y..
House No Street Hamlet
County Tax Map No 1000 Section . 95 .Block 4 .Lot 18.34
Subdivision .M/9.Or.e$°? View. Estat.e.s ..... Filed Map No...62.4.1..Lot No ,3.4 .....
conforms substantially to the Application for Bulldlng Permit heretofore filed in this office dated
· .Se.p.temb.e.r.2,. 1.987 pursuanttowluchBud&ngPenmt No. 16453 z
dated Septemb.e.r I I, I987 was issued, and conforms to all of the requirements
of the applicable provisions of the law The occupancy for wl~ch tlus certificate is issued is ....
INGROUND SWIMMING POOL & FENCE AS APPLIED FOR
The certfficate is issued to JEFFREY & ANNA HUNTER
?own'~;, ~E.~, ........
of the aforesaid building
Suffolk County Department of Health Approval .
UNDERWRITERS CERTIFICATE NO
PLUMBERS CERTIFICATION DATED:
N/A
N845922
N/A
Building Inspector
Rev, 1/81
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)
Permission is hereby gronted to:
..... 7i~;2...,~,:........f~;:-~....~......., ..........
..... ~. ...... .~.....~.~.~.~ .....~.~.~ ............
.....~~......,,,.~,...~?.~_~. .. ,
,o .~.~. ...~....,~,~ ~ ..~..~...~..~.....~.....¥~,~,v,
ot prer~,e, ~o~ot,~ ot ..~.~.~....~.~ ................................. ~..~... .....................
'"'~7'""~'-i'Y~ ...... '3""~"_ ....... '~-. "-~/.' ........................................................................
...~.~.....~.,....~.-......,_~~. .....................................................................
co,,,~ To× ~op No ~000 S.~,o, ..... ~..l..~ .... ~,o~ ..... .o...~. ........ ~,,o ..... l..Ib.~
.... · 19.~.,1..., and approved by the
Budding Inspector.
Fee $..(.~.....: ............
Rev 6/30/80
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
?LUMB%NG
INSULATION FERN.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORM NO 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A
Th~s apphcat~on must be filled m typewmter OR ink, and submitted m~ to the Budding Inspec-
tor w~th the following; for new buildings or new use'
1 F~nal survey of property w~th accurate location of all buddings, property hnes, streets, and unusual
natural or topographtc featu res.
2 F~nal approval of Health Dept of water supply and sewerage dmposai-(S-9 form or equal)
3 Approval of electmcal ~nstallat~on from Board of F~re Underwmters
4. Commercial buddings, Industma~ buddings, Multiple Remdences and mmflar buddings and ~nstalla-
t~ons, a certificate of Code comphance from the ArcMtect or Engineer responmble for the budding.
5 Submit Planmng Board approval of completed rote plan requirements where apphcab[e.
B For exmtmg buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-ex~sting"
land uses
1 Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features
2.Sworn statement of owner or prewous owner as to use, occupancy and condmon of buildings.
3. Date of any houmng code or safety ~nspectlon of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C Fees Add~tzons $25 O0 POOLS $25.00
1. Cert~fmate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50 00
2 Certificate of occupancy on pre-exmtmg dwe~hng $ 5 0.00
3 Copy of cert~flcate of occupancy $ 5 00, over 5 years SIP.00
4.Vacant Land C.O. $ 20.00 ~/',~ '7
5.Updated C.O. $ 50.00 Date/~¢[¢-/./.~./.../ .....
NewC°nstructs°n ...... Old or Pre-ex~st~?g~ Bu ddm§ ........ Vacant Land ............
Locat,on of PropertyH ~...'-~..(~.....~...' 1~/"C~
Subdw~s~on ...... Fded Ma~ ~o ....... ~ot ~o . ..
Perm~tNo /~3. Date of Perm,t .. Apphcant ......................
Health Dept Approval ............. Labor Dept Approval ....................
Underwriters Approval .
....... Planning Board Approval ...............
Request for Temporary Certificate
F~nal Cert~fmate ..............
Fee Subrmtted $ , ..
Construction on above descmbed building and parrakeets all applicable codes~nd~guiat~ons/
Rev 10 10 78
FORM NO 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
BOARD OF HEALTH ......
3 SETS OF PLANS
SURVEY ..........
CHECK ..........
SEPTIC FORM ..............
NOTIFY
F, OUTHOLD, N.Y. 11971
...... 1~- -,.~-, GALL .............. .- · -
H,MA~L
lU
Disapproved a/c . . I 8~CG. DEl T. I
..........
, ........... ..
(Budding Ltspector) ''
~ APPLICATION FOR BUILDING PER~IT
Date ,
INSTRUCTIONS
a Ttus applicahon must be completely filled m by typewmter or in ink and submitted to the Budding Inspector,
sets of plans, accurate plot plan to scale Fee according to schedule
b. Plot plan sho~vmg locanon of lot and of buildings on premises, relationship to adjommg premises or pubhc str~
or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this al:
cation
c The work covered by ti'us apphcation may not be commenced before issuance of Building Permit.
d Upon approval of this apphcatzon, the Building Inspector wall issued a Bmldmg Permit to the apphcant Such per
shall be kept on the premises available for inspechon throughout the work.
e. No bmldmg shall be occu ~md or
shall have been granted by the Bmldmg,
APPLICATION IS HEREBY
Building Zone Ordinance
Regulations, for the co~d~ of~
Tile applicant agrees~l~p~y~
admit authorized mspe~L~o~I~p
US,
~whole or xn )art for any purpose whatever until a Certificate of Occupa
[~ ~?,~lq~'~'a(%nt for the issuance o f a Bmld'ng Permit pursuantto
~c ~unty, New York, ~d other applicable ~ws, Ord~ce
, ~ ~r alterahons, or for removal or demoh~on, as hereto descnk
~ ~aws, ordm~ ~' ' ances, building code, housing code, and regula~om, and
~ ~for necessa~ m~chons ~ ~ t f [
(Signature of apphcant, or name, if a corporation)
(Marling address of apphcant) /~7~?~
((as on the tax roll or latest deed)
If apphcant ~s a corporation, signature of duly authorized officer
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ....
Plumber's License No
Electrician's License No B~ ~
Other Trade's License No
I L°cat'°n °f land °n wh'ch pr°p°sed~}v:lk will be d'°neq.5~) , hJ.o..r' C~j~ '/'~ .... ~ '~,~ '~ ¢~' ' '~/~
Itouse Number Street Hamlet
County Tax Map No 1000 Secnon ~-- Block .... ~.q ..... Lot.. ?.'7.~ ......
[ (Name)
2 State exmtmg use and occupancy o~ses and intended use and occupancy of proposed constructmn
b Intended use and occupancy ~ [~] ~]~ .........
: I:
ROAD
0CCUPAN~
. . USE IS UN~W[UL
WITHOUT CERTIFICATE
C)F OCCUPANCY
i i ill
SU~ FOR
JEFFREY d, HUNTER & ANNA T. HUNTER
LOT NO 34 "OREGON VIEW ESTATES"
JULY 23 19~7
AT CUTCHOGUE DATE APRIL 9, 98~
~WN ~ SOUTHOLD SCALE ~" = 5O'
SUFFOLK COUNTY, NEW ~RK
CQ
OFN,Y
~o~ ~[ co~m[~[~ ~o a[ · v4k~a ~u~ co~Y
HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT mE ~R~ flOR WHO~ THE 5U~[Y It PREPAREO i /
"' ....YOUNG a YOUNG
RIVER~AD, NEW YORK
NOTE ~ = STAKE ~DEN W YOUNG~ PROFE~ION4L ENGINEER
HOWARD W YOUNG~ ~ND ~URV[YOR