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Home My WebLink About16608-zFOP~ NO. ~ TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17985 Date MAY 1~ 1989 THIS CERTIFIES that the buildin~ POOL AND FENCE Location of Property 1130 OLE JULE LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 04 Lot 02 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 6, 7987 pursuant to which Building Permit No. 16608Z dated NOV. 8~ 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. The certificate is issued to WILLIAM & BERTHA STARS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N054368 JAN. 19~ 1989 ~LUMBERS CERTIFICATION DATED N/A Rev. 1/81 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) 16608 Z Permission is hereby granted to~-~, ,~ ~ ~'~ ~.~..~.~ ....................................... .: ........... ~~....~.~..q..,....!..,...~.~ ..... ,o .~~....~....~~.......v...~..~....~......~ ................. ~~'"" ........ ;;' ....... ~'"'"'"~' ............ '"~' .............. ~':~'""~'""~ ................ 5 ........ at premises located at ..I]L..~ ........ 0...'~........~...~....,~...~.~ ...... ~~.e,J~ ................... County Tax Map No. 10OO Section ..... .~..'~ ....... Block ..... ..~...~. ......... Lot No.....~.~ ........... pursuant to application dated .... ~.~.....~. ................. , 19..~...~.., and approved by the Building 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 application must be filled in Wpewriter OR in]<, and submitted .= ama.ma~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 responsible 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: t. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features· 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.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 4.Vacant3'C°PY of certificate of occupancY:Land C.O. $ 20.0055.00, over 5 years$,10,.00~ J[~' 5.Updated C.O. $ 50.00 Date ...~4..¥.~ NewC°nstruc%i°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ././.~ ,~...~..~.~. L~. ~.~.. A,¢~.~..~.. ~;. Hou~ No. j L~treat Owner or Owners of Property , .t~../5 ./_./'.~...~f. ¢., .~...(~..~r~/~., .-~.~.,, ,~.'~..~..~..~. ............... County Tax Map No. 1000 Section .../.~. ~.. ...... Block .... ~,,"~ ...... ~,~1i2~ .... · Lot ........ Subdivision ................................. Filed Map No ........... Lot No ............,. PermitNo. .~-~- Date of Permit pp,cant .... ................. Health Dept, Approval ........................ Labor Dept. Approval ............... Underwriters Approval ........................ Planning Board Approval ...................., . - Request for Temporary Cerl:ificate ..................... Final Certificate Fee Submitted $ c~.~..~.. ........ Construction on above described building and/p~rmit me?s ali a,.~plicable codes and regulations. 0 -z D fi .......................... THE NEW YORK BOARD OF FIRE UNDERWRITERS 00] 381 BURBAU OF ELECTRICITY 85 JOHN STREET.,NEW YORK, NEW YORK 10038 Date ,I~IJ~HY 19,]q~9 ~ppl~ati~No. onfi~ ~5~9/89 Lot MXI~II ~WI/CNI$ RXT~RIS lANCeS OVENS BIMMm~ S ! R c JO0¥ PUK [[,I~) PAT I,ANE MATT[TUCK, NY, 11952 {IINII~ :11 ~ ~ ~t ~ ~ ~ in ~r; ~rn ~ ~ o~ of ~ ~ard if incM~. Ins~rs m~ ~ i~ COPY FOR BUILDING DEPART FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL 8OUTHOLD, N,Y, 11971 TEL.: 765-1802 CALL MAIL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM ............. : Examined .i0.~..~.., 19 ~..~. Approved ./9. ~...~.., 19~. 7. Permit No. l .~..~.°..~..-~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS TO: 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 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 inspections. · .............. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ! t fj'~z- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ............. .................................................. Name or owner of premises ..... ~.{./.-..Lj../'~..;'%...4~....~./-)'~..~./~ .... ~./~.~ ............................ (as on the tax roll or latest deed) If appian, :~. f../~.uly authorized officer. ...... ,k (N'a~d &n'ci'titid ~i/~-~t~r'3'i ....... ALL CON, TRACTOR'S MUST BE SUFFOLK C~OUNTY LICENSED Builders License No ...... .~..~ 7,, -../Tt~-.. .... Plumber's License No ......................... Electrician's License No../'~O.V/F2~... ~."..L~.../.-'~.t C, Other Trade's License No ...................... Location of land on which proposed work will be done., l~)~. ~-.. ......... /./..3..0 ....... House Number Street County Tax Map No. 1000 Section .... /.~ .~:'. ......... Block Hamlet ..... .~. .......... Lot. Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... k.. ........................................ b. Intended use and occupancy ....... ~ ~T/~&.. ~. I .~]/.. :. ~'~ ...................... 3. Nature of work (check whxch apphcable): New Buildxng .......... Adqht~on .['.,~.,. ,~t ...~;~a{x0n .......... RepMr ...... Remgval .............. Demolition ... ; ...... Other Work ~ ~.~, ....... ~ ~ , ,,. escnp~mn) 4. Estimated Cost ................. ' ................... Fee .... ~,~ ................ ~:,~.~:~ ........... ' ~ (to ~be paid o~'~filing'f~is application) 5 If dwelling number of dwelling Units Number of dwelling ,fiiis dh ~a0h' floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .:...' ................ 7. Dimensions of existing stmcturds, ifany: Front ............... Rear .............. Depth ............... Height ' Number of Stories ' ' D~ensmns of same structure wit alterations or additions: Front ................. Rear .................. ~ Height Number of Stories Depth .................... : .............................................. ~ 8 Dimensions of entire new construction: Front .......... . ..... Rear ........... Depth ......... Number of Stbfies Height ............... : , . ...... . ................................................. 9. Size of lot: Front ........... . ..... ' Rear :.. Depth ........... ase ........... .............. N 10. Date of Purch .... amc of Fomer Owner ............................. 11. Zone or use district in which premises are situated ~'.~TI~ .... 12. Does proposed construction ~i~te any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ...... $~...~ :,.j ........ Will excel,fine, veal from premises: ~ No 14.Nme of Owner of premises ...].. ~'~{~J ....... Address ./.~ ~4 ~/.~.. Phone No ............. ..~. Nme of Architect . .Address..~~... S ofCon,,a,*o, ............. 15. Is this property located }within 300 feet of a tidal wetland? *Yes ..... ~o ..... *If yes, Southold Town Trqstees Permit maybe required. ' PLOW DIAG~M Locate clearly ~d distinctly M1 bufldMgs, whether existing or proposed, and. indicate MI set-back d~ensions from property hnes. Give street =d block number or description accordMg to deed, and show street names and indicate whether inte~or or Corner lot. STATE OF NEW YORK, ~ S.S COUNTY OF ................. · ..)~t0~t~ ~.~..../~.-. · ~'~../.~.:..~.....~..: .......... being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) abow; nalned. He is the ........... ~.~. ~'J~/~ .~. ~ ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this: application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannbr set forth in the application filed therewith. Sworn to before me this ........ ........ 6..; .... day of....~. 19 ?.~.~ ~erm Expires Mlrch 80 ":"~ OOCUPANCY ~ ~I?· OCCUPANCy OR, USE I$ UNLAWFUL WITHOUT CERTIFICATE