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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 z~ ,D .&£~'N