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Home My WebLink About16535-zFORM NO. 4 TOWN OF SOUTHOLD · BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18310 Date AUGUST 25, 1989 THIS CERTIFIES that the building Location of Property. 1435 House No. County Tax Map No. 1000 Section 22 Subdivision HIGHPOINT SECT.1 DECK, INGROUND POOL & FENCE WILLOW DRI%q~ EAST MARION Street Block 5 Filed Map No. 7680 Hamlet Lot 9 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15~ t98~ pursuant to which Building Permit No. 16535Z dated OCTOBER 15~ 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 A DECK~ INGROUND POOL & FENCE. The certificate is issued to MICHAEL & MARIA CHECKLICK (owner, XXXXXXXXX~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H010802 Building Inspector Rev. 1/81 FOuw NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~16555 Z Permission is hereby granted to: ....~.~.~..t..,~...'~. ................................................... .... . at premises located at ..~.,?...~....~.. ........... ~.~ ....... ..~-.~ ........ ...~..~ ........................ County Tax Map No. 1000 Section ..... ..O,.?,-..~.. ....... Block ..,.~.~'~. .......... Lot No...,O...~. ................ pursuant to application dated ...~.,~,.J..~.. ................... , 19.~..'].., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTIIOLo BUILDING DEPARTHENT TOWN HALL SOHTHOLD, HEW 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCy CO:;ST HCTIo ........... ....... OLD OR PRE-EX/STING BUILDING ...... VACANT LAND HOUSE UO. STREET '' ~ealth Dept. Approval Plaerl£mg BOard Approval ................ Rcque=t for Temporary Certificate '" ....... Final Fee Submitted: $.. . . . ...~. Certificate ................ 10/14/88 · - FOI~ NO. 6 TOWN OF SO~TIIOLD BUILDING DEPARTmeNT <~\ \. TOWN ~ALL ~ .'~,~,'~' 765 - 1802 APPLICATION FORiCERTiFICATE OF OCCUP~ INSTRUCTIONS '~s application must ~e filed in ~ype~iter OR ink and submittmd to the Inspector with ~he following; for mew buildings or mew use: ~- F~nal sU~ey of property with accurate location of all b~ildln~s, property Streets, and UnusuaI natural or topographic f~ntures. ~- F~mal approval o~ Hg~alth Dept. of ware 3. APproval of electrlc~al ins~,~ .... r supply and ~eweraEe-dlsposal(S_9 fo~). 4. Swor~ statement fro~ ..... ulon ~rom Board of F~re Umde~iters. than ~/~O of ;Z lead',pl~ber certifying that solder Used in system comta~ns less . 1 ple residences and similar ' or Engineer responsible for the building. 6. Submi~ plannint Boar~ Approval of completed si~e plan requirements. For existing buildings ~Prior to April 9, I957] non-confo~i~s uses, or buildinKs and pre-exzscinE,, land,uses: I. ACCUrate su~ey of Property showing all property lines, streets, buildings and unusual natural or ~pographic features. 2. A ~roperly comPleted~applicatlon, a Consent to inspect si~ued by the appllcan~ and a cer~ifled abstract of title issued by a title company ~hich shall show sln~le and separate o~ership of the entire loc prior Co April 9, ]957. . If a Certificate of qcaupancy is denied, the Building Inspector shall state the reasons therefor in wiganE to the applicant. 3. Da~e of any housing Code or safe~y inspection of bdildlnEs or premises, or o~her perclnenc info~ion~ required Co prepare a certificate. For Vacant Land Cerclfic~te of Occupancy: 1. ~ appllcacion for Va6anC land Certificate of Occupancy shall be submitted, and a certified abstract of ~itle issued by a ~i~le Company showlnE single and Separate o~ershlp ofithe entire lo~ prior to Aprll 9, ]957 shall also accompanF the application. ~f ~ CerClficate of Occupancy is denied, the Building Inspector shall s~a~e ~he reasons therefor in ~i~inE ~o the applicant. ~ES: 101/]4 CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwe~llng $25.00, Swimming Pool, $2S.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $$0.00. Certificate of OcCupancy on Pre-existing dwelling - $]00.00. Copy of Certiflcatle of Occupancy - $5.00 - Over 5 years --$]0.00 Vacant Land Certificate of Occupancy - $20.00 Updated Certxflcat'e of Occupancy - $50.00 · TempOrary Certific!ate of Occupancy - $~5.00 Residential $50.00 Commercial THE NEW YORK BOARD OF FIRE UNDERWRITERS FIXTURES RANGES COOKING DECKS DRYERS OVENS DISH WASHERS EXHAUST FANS SYSTENJS NO. OF FEET E R I C HO, OF CC, COND, AWG. OF CC. CON0. NO, OF HI-LEG AW.G, OF HI-LEG OF NEUTRAL OTHER APPARATUS: 1435 ~'[LhOT4 1R,LVg Per / ,~, T~~ i~r~o *he office of the Boord if incorred. Inspee*ors m~y be {dehfifi~ b~ *belt credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFI~TE ~$T NOT BE ALTERED IN ANY ~NNER. . ~ 76S-J.802 ~/~'~UILDING DEPT. /'INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL '~'REMAR~K~ ~ INSPECTOR 765-1,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ b,]~l NAL REMARKS: DATE INSPECTOR V~/~,~ "' OR UNba, WFUL CERTIFICATE SU~Y F~ MICHAEL CHECKLICK ~ MARIA CHECKLiCK ~T 9, "HIGH~INT AT EAST MARION, SECT. I" ;~ARTMENT-DATA FO~ APPRO~/AL. TO CONSTRUCT AT EAST MARION TOWN O~ SOUTHOLD SUFFOLK COUNTY~ NEW YORK MAY. Iz DATE: OCT. II SCALE= I' : 5{ NO. 85' 12 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO, 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: Examined .0-..~....O-~... J.~..., 19~..? Approved .o..~....0~...../.~..., 19 .~.?Permit No./..g..~'7.~..~...?= Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT' Date d3 C"~% ~ 19°~/2 INSTRUCTIONS a. This application must be completely filled in by typewriter 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 ~he 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 inspections· (Signature of appliC, z'nt, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, e!ectrician, plumber or builder. ......... ....................................................................... Name of owner of premises...~f~.O~.. ~Oa:~.... ~ .... ~..---,... ,~...~.9)..~b.~..~!.~.....O-~...~3~.-~..O~..k:/.L. ./~ j.~-... ...... (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 MUST BE SUFFOLK COUNTY LICENSED Builder's License No ....... /.~.7./(a..~....~'J.~ .... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done] ...~ .............................................. · .} .......... t,d. :,. tl .0. .............. ............. House Number Street Hamlet County Tax Map No. 1000 Section . . .b.~..:~. .......... Block .... ~.~. ........... Lot. Subdivision ........ .~. ~. ~- ~2 . .r..r,,)..' .'~. ........ Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ...... ~.....&~<~. ~..'~../~.'. · .~.. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alterati.C~....t...t,~. · Repair .............. Rem~oval ........ Demolition .............. Other Work.. ~'7'. ~.0..L-./~-~r~ ~'.~ ~ (Description) 4. Estimated Cost............iOo .oyp.. ,'7~... ............... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, hum bet of cars .... ~ ..................................................... .~' .............. 6. If business, commercial or mixed occupan'cy, specify nature and extent of each type of Use .'. j./....: ............ 7. Dlmensmns of trusting structures ~f any: Front ..... '. · .~: ....'.. ·. Rear ....... Depth ............ Height ............... Number of Stories ..... .~ . Dimensions of same structure with alterations or additions'-F,~.orrt ~.'t~..~.t' ' ' ~ ..... Depth ................... '... Height ......... ~ ....... i ..... Number of Stories ...................... Dimensions of entire new construction' F~mmt ./g ~. ~ ~ ............ .............. ~ ............... P:~th ... Height ............ ,.~4m_ber~of Stories .~ ........................................... ,' . Size of lot: Front .~...0~...~.~.° ~..%..5.~.Rear... ~) .~. '9o° Depth . ~l~ 91 i~. .... ]'"~' . .... . , .................. .9.. ,.Date of Purchase .......... i ................... Na.._~.e of ~F~nne~ Owner ............................. Zone or use district in which premises are situated ...... '] ~e_Ct .d..ec~q:n.q_~ ................................ 12. Does proposed constructio~ violgte~any z.o~ng law ordinance or regulation: ...... t5.].O. ..................... 13. Will lot be regraded ... ......... Will excess fill be removed from premises' (~-es~ No 14. p · ./~q~. .~ Address ............. Name of Architect . . . } ..... ' ................... Address ................... Phone No ................ Name of Contractor r4~lg~-.[~7.q~..~.qq .C~..,.m...4o._. Address .~,~i~.a~.~°k/ .~£~'~t... Phone No.~..t~.%9. q:.~7.~.~.°. ./.. 15. is this property located:within 300 fete'if a tidal wet~'~9[ *Yes ..... No ..~. · If yes, Southold Town Trdstees Permit maybe required. , PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block numbe? or description according to deed, and show street names and indicate whether interior or corner lot 9. 10. 11. STATE OF NEW YO__R~i, ......... ~S.S ..... /tZJ.kk0_~ .~ COUNTY OF ................. ..... 7 .~ ~ (~ ¢% [_ ~ ~./~-. ............... being duly sworn, deposes and says that he is the applicant . [ . . h. .e. ( . . .-7. .... ' .... '..' ..... (Name of individual sigfling contract) above named· He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to perform or'have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . ~ ~-, .. .... ' ..... Not ary mu~~d..~_,~t~'.~. No. 4804615, Suffolk C~u~ , ~erm Exp~ros ~ept~er 30, [~ . / County (Signature of applicant). SURVEY FOR MICHAEL CHECKLICK ~ MARIA CHECKLICK LOT 9, "HIGHPOINT AT EAST MARION, SECT. I" AT EAST MARION TOV/N OF SOUTHOLD SUFFOLK COUNTY, NEW YORK MAY. 14,1986 DATE= OCT. II, 1985 $CALE~ I' = 50' NO. 85' 1271 NU~UTHOHIZIrD ALTERATION OR ADDITION TO ]HIS ...... THE F~HSOH FOR WHOM THE SURVEY IS PREPARED ~ HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT AN0 ~ HIS ~[~LF TO T#g TITL~r COMPAH¥, eOVF. ffH- ; * / - , , I I"~~~ O~ICE OF THE CLERK ~ II ~ ~ I ~DEN W.Y~NG, PROFESSIONAL ENGINEER ~N.i~igs4 AS FILE N0.7680 II ~l 4,D~ND SURVEYORN.Y.S. LICENSENO. 12845 II · ~ I HOWARD W, YOUN~, LAND SURVEYOR ~c~c[ma;~l~im(~ ~~ N.~S. LICEHSE N0.4589~