HomeMy WebLinkAbout16177-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18967
Date APRIL 12~ 1990
THIS CERTIFIES that the building
Location of Property 510 NAVY STREET
House No.
County Tax Map No. 1000 Section 026
Subdivision
ACCESSORY
ORIENT, NEW YORK
Street
Block 1 Lot
Filed Map No. Lot No.
Hamlet
9
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 22~ 1987 pursuant to which
Building Permit No. 16177-Z dated JULY 7t 1987
was issued, and conforms to all of the requirements of the applicable
previsions of the law. The occupancy for which this certificate is
issued is INGROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF~kLTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
EDWARD J. & CLAIRE WRIGHT
N-826185 - AUGUST 11, 1987
Building Inspector
Rev. 1/81
~OB~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
('I'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
.../..~ .~ ~o~. ...
..~~.~....~.:.~.,...~.~.~ ....... ,~-~
,o
at premises located at ....~..../...~.........~...~...~c--.--e-. ......... ..~....~ ...................................
County Tax Map No. 1000 Section ...... ~..~...~. ...... Block ....... ..~...[ ........ Lot No ........~...~ ...........
pursuant to application dated ....... ...~.~...'~..'~, ................., 19.~..~.., and approved by the
Building Inspector.
Fee ~..~.~.~..: .........
Bulldlng
Rev. 6/30/80
TOWN OF SOUTHOLO
BUILDINC DEPART)lENT
TOWN EALL
SOUTHOLD. NEW YORK
765 -- I80Z
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
RES; COIISTRUCTION .. .OLD OR PRE-EXISTIIIG BUILDINC ...... VACANT LAND
HOUSE NO- STREET ~ANLET
~. ~/ ~~/
Subdivision ....................... Filed Map ........ Lot ..........
Pcrmi~ No. . .Date of Permit .......... Applicant ...................
~ealth Dept. Approval .................. Underwriters Approvnl ..............
Planning Board Approval ................
Reque=t for Temporary Certificate ....... Final Certificate ................
Fee Submitted:
'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT ~'
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must be~filed in typewriter OR ink and submitted to the building
inspector with the following; for new building or new use:
1. Final survey of property with accurate location of all buildings, property lin~s,
streets, ~nd unusual'natural or topog£~aphic features.
2. Final approval of Health Dept. of water sup,ply and sewerage-disposal (S-9 form.)..
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from:plumber certifying that solder used in system contains less
than 2/10 of 1% lead~
5. Commercial building, industrial building, multiple residences and similar
buildings and installations, a certificate of code compliance from the architect
or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
,,
For existing buildings (Prior to April 9, 1957) non-conforming uses, or buildings
and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or t~pographic features.
2. A properly completedlapplication~ a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957,
If a Certificate of Occupancy is denied, the Building Inspector shall,state the
reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of building or premises, or other
pertinent information required to prepare a certificate.
FEES
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Addidtions to Dwelling $25.00
[ Alteration to Dwcllidg $25.00, Swirmming Poo].~ $25.00 Accessory Building $95.00
Addition to Accessory Building, $25.00 - Businesses $50.00
Certificate of Occupancy on pre-existing dwelling - $100.00
Copy of Certificate of Occupancy - $5.00 - over 5 years - $i0.00
Updated Certificate of Occupancy - $5.00
Temporary Certificat~ of Occupancy - $15.00 Residential
Commercial
lO~SO4~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
na,e No.o.,,,. 6185
the el~trical ~ulpment ~ ~scrlb~ be~ and introduced by t~ eppllcant ~med on the a~ve application number i~ the prem~es of
in the following locatlon¢ ~ ~,.~.~ ~ ~ ~7. ~ ~.d ~7, Outside ,~i,,. ~t~ tot
~sexamlnedon A~H~ ~, ]9~ andf°undt°beinco"~pliancewlththerequlre.~entsqfthlsBoard.
FIXTURE
OUTLETS
I t
DRYERS FURNACE
SWITCHES FIXTURES
FLUORESCENT
FUTURE APPLIANCE FEEDERS
DISH WASHERS EXHAUST FANS
TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E R V I C E
O~ CC COND NO OF HI-/~G OF HI.'I~G NO OF NEUTRA[$
o "'t~
.(~8__~I~9~_.Z~G ~OOL~ Thi. s certificate covers con~211ance at the ~te of inspection only,
Because of unugual enviro~nt~ tt is ~vtsab].e to have frequent ~est aud/or repel, rs
made by a qualified
OF NEUTRAL
Brite Star Electric
13 Wille~t Aven~
Sayville~ N.Y, 11782
GENERAl. MANAGER
this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credehtials.
COPY FOR ,UILDING DEPARTMENT. THIS
UND~ TION ( 1st )
UNDATION ( 2nd )
UGH FRAME &
FLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
. ADDITIONAL COMMENTS:
0
EJ
765-1802
BUILDING DEPT.
INSPECTION
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 11'/9
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
MARCH 23, 1990
Mr. Edward Wright
510 Navy Street
Orient, N.Y. 11957
RE: B.P. ~ 16177 July 7, 1987
INGROUND POOL AND FENCE
Dear Mr. Wright:
I am writing to you regarding the above Building Permit.
This pool has never had a final inspection and does not have
a Certificate of Occupancy.
The underwriters certificate is in your file.
Please call our office to arrange for an inspection. Once
this has been done and everything is in order please file for
a Certificate of Occupancy. The fee is $25.00.
You are in violation of the Code of the Town of Southold
which requires a Certificate of Occupancy for your pool.
Thank you for your prompt attention to this.
Yours truly,
Secretary
0
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved t9~.-/. Permit No. 1 .~..I.-/. ~..~..
Disapproved a/c .....................................
................................ .......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ~19.,.
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 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, buildbng~code, housinggt~de, aild regulations, and to
admit authorized inspectors on premises and in building for necessary inspect. ,o /] / ] ~ /;' D
....... . .>, ¢ . . :, ........
· . (Signature of applicant/, o/name,df d,~dorporation)
/~-'~;o0/4 ~q?~ /u. ? .............................................
v IIo20B (Mailing address of applicant)
State whether applicant(is owner,~,)essee, agent, architect, engineer, general contractor, electrician, plumber or builder.
&cone
Name of owner of premises ............ ~. ..... : .......................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...... .~:~ ¢i .............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
¢, ' :' ........
.................... ..................... :..eT..;'. .....
[louse Number Street Hamlet
County Tax Map No. 1000 Section .. ~.~..(0. .......... Block .... ./. ............ Lot...C/ ...............
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing nse and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... ff.../.~.~../~7../ ...... :....Z?: .....................................
b. lntended use and occupancy /~kz,~ _~qfl>~gtt;d3 &,')~Tn4/~)~ /~d/ _~
'l
' 3. Nature of work (check which apphcable): New Building .......... Addition .......... Alteration .... /~ .....
epmr . .. Removal Demolition .......... :... Other Work ~to.r~/..~.e~..~ .~
4 (Descriptio?)
4. Estimated Cost ...................................... Fee ..
(to be paid on filing this application)
5. If dwelling, number o f dweliing units ............... Number of dwelling units on each floor ................
If garage, number of cars ~ '
'6. If business, commercial or mixed occupancy, specffy nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ............... Rear ....... ....... Depth ...............
Height ............... Number of Stories . ....
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of 'Stories .............. ........
8. Dimensions of entire new construction: Front ............... Rear ............... Depth
Height ............... Number of Stories ........... ~ .4 .............. : ............................
Size of lot: Front ..... /.'.,q~ .c~. ,.~ ......... Rear.../.7.~. ~..2--r Depth ./~.2~ ../.~ ....
Dateofeurchase . ./~Z.//O-'~.*¢ ................. NameofFormer'O~v~'e}'..?....iiiii.ill ...... i.iiiii
Zone or use district in which premises are situated ................. '
Does proposed construction violate any zoning law, ordinance or regulation: ...~..6 ...........................
Will lot be regraded .../~..0..x~' ':~',; ': · · ;..,.., ......Will excess fill be removed from premises: ~ No
Name of Owner of premises ~/)Vd/.~e./3. //'/~.t~. (/~.'.-Address-$-10 .~.4¢..~. ~:-T.. ...... Phone No..3..Z3.~ .$.~.7Y/..
Name of Architect .... 9' ' r ....... Address ................... Phone No ........ ~ .......
Nmne of Contractor ~.~.' i&'.' ~i ti~.~. ./..~0/.g. ...... Address ./~.4./~.~..5~ ~.fid~. ') Phone No..~. 7..3. ¢.~.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give ~treet and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
12.
13.
14.
STATE OF NEW YORK,
COUNTY OF .... .,~.qC-.~O.~..,~... S.S
~-~bd/:'-'¢/~ ['L//Q'/'6'/'/) being duly sworn, depo§es and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ....... ................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly 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
day of .......... ,19
Notary Pq~I~;~~~.~d County
NOTARY PUBLIC, State of New York
L_.../ na[ure oz appllcanD
No. 01BA4613899, Suffolk County [(~nature et
Term Expires March 30, 198W
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