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Home My WebLink About15476-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N Y. Certificate Of Occupancy No q'T 16.04.7 .... Date . A.u~ust.. I.~.,.. !.9.8.7 ....... THIS CERTIFIES that the bufldmg . I~?ROUND S.WI. MM.I~.?. P.O. OL & FE~C.E ....... 1215 Albo Drive Location of Property Hous'e No ' ' ' County Tax Map No 1000 Sechon 126 Laurel, N.Y. Street Hamlet 03 16 · .Block ............ Lot ............. Subdtvm~on ................ Fried Map No .... Lot No ....... conforms substantially to the Apphcat~on for Bmlding Permtt heretofore filed in ttus office dated November 6, 1986 pursuant to wluch Bmldtng Permit No 15476 z dated . . ~.ov.emb. er 8, 1986 was tssued, and conforms to all of the reqmrements of the apphcable prowmons of the law The occupancy for whach ttus certfficate ~s issued is ...... INGROUND SWIMMING POOL & FENCE ARNOLD HARLEY The certificate ts tssued to (owner, lessee or tenant) of the aforesaid braiding Suffolk County Department of Health Approval . N/A N802738 UNDERWRITERS CERTIFICATE NO ........................................... PLUMBERS CERTIFICATION DATED: N/A Bmldlng 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) 15476 Z Permission ~s hereby granted to' ~-.~...4~ .......... :~g .......................... ..~..~ ~.....~...~.....~.' .4~ ........ ot premises located at ~/...~.../,..~.....~,"~.....,~.. ~-~-~..~..~~.L ................................... County Tax Mop No 1000 Sect,on ,/'~-. ~. . Block . ..C~....~ ....... Lot No..../.~. .......... pursuant ,o apphcat,on do,~l . .~~~ . .~' .... , 19.~.(~., and approved by the Budding Inspector Building Inspector Re,,.,. FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcatlon must be filled in typewriter OR ~nk, and submitted I Iiiii to the Building Inspec- tor w~th the following; for new buddings or new use' 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept of water supply and sewerage d~sposal-(S-9 form or equal). 3. Approval of electmcal mstallatmn from Board of Fire Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the budding. 5 Submit Planning Board approval of completed site plan requirements where apphcable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buddings and "pre~ex~sting" land uses: 1. Accurate survey of property showing all property lines, streets, buddings and unusual natural or topograph m features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a cert~hcate. C. Fees' Addztions $25.00 1. Certifmate of occupancy New Dwellzng $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-exmt~ng dwelling $ 50.00 3 Copy of certff~cate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O- $ 20.00 .~.R.~7 /3/ /.C/oC7 5.Updated C.O. $ 50.00 Date . ' ............ NewConstruction ..... Old or Pre-existing Building ........... Vacant Land ........... Location of Property .~.?:2. ~.. ! ~E.. ~ .~.../?.< .~..D...~. r.'....~..~.~..'../.~.~....~..../~..~../Z-~..../~..(~../. House No. Street Ham/et Owner or Owners of Property . . ~.~:~'. ?'/(f.V... ~/~ ~.~../:7.1. dj- County Tax Map No. 1000 Section .... /..?..~. .... Block .............'-~ Lot .... /. ~.. ....... Subdivision ......................... Filed Map No .......... Lot No .............. Parm,t No./.*Y. Date of Perm,t S .App,,cant Health Dept A~proval ............... Labor Dept. Approval ...................... Underwriters Approval ................... Planning Board Approval ...................... Request for Temporary Certificate ............ Final Certificate ....................... Fee Submitted $..'~..'~.~.: .~ .......... Constru'ct~on on above described budding and permit meets all applicable codes and regulations, Rev 10 10-78 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION FINAL DATE ~2//,.~/7 7 INSPECTOR OUNDAT!ON (1st) OUNDATION (2nd) OUGH FRAME & ?LUMBING iNSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COM~ ]NTS: Examined Approved Disapproved ale , FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,, 765-180:2 Recezved ........... ,19,. (~h, 0~_~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..... 19.. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stre¢ or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this app cataon. ¢. The work covered by tins application may not be commenced before issuance of Budding Permit d Upon approval of this application, the Budding Inspector will issued a Braiding Permit to the applicant Such pern shall be kept on the premises available for mspechon throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Buildmg Inspector APPLICATION IS HEREBY MADE to the Bufldmg Department for the issuance of a Bmldlng Permit pursuant to t Building Zone Ordmance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herem describe The applicant agrees to comply with all apphcable laws, ordinances, bu~mg code, housing cod,o~and regulations, and admit authorized mspectors on premises and m budding for necessary ins .p~.tio.~s r, / / /! ..... (~dgnature~f applicant, ~ nam.~lf a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, archnect, en~neer, general contractor, electrician, plumber or build. ouan _ ................ Name of owner of premises ~'~(~ I~ ~'~N~; [.~ ......... (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No Plumber's License No Electrician's License No Other Trade's License No 1 Locatlon of land on winch proposed work wfll be done ~' ~O~c" 05 ~g0 ~. ' [louse Number Street Hamlet County Tax MapNo 1000Section I~ .. Block ~ Lot lk. Subdivision Filed Map No . Lot (Name) State existing use and occupancy of premises and mtended nsc and occupancy of proposed construction a Exlstmg use and occupancy I K~i)~ b Intended use and occupancy .).~ X $.q: . ].~¢ Coq n ,~ . ~."~ ~,'~.~ .. ~ J 3. Nature of work (check which applicable) New Budding , .. Addition '~'/.. . Alteration .. Repmr .... Removal ........ Demolition ....... Other Work ........ ~ ~ (Descnpt2on) 4 Esttmated Cost OO0 Fee " (to be paid on filing this application) 5. If dwelhng, number of dwelhng units / ..... Number of dwelling units on each floor . . 6 If garage, number of cars .................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... Dunenslons of existing structures, if any Front . Rear ....... Depth ..... Height .... Number of Stones .................. Dunenslons of same structure with alterations or additions. Front ............... Rear ............... 9 10 11 12 13 14 Name of Architect Depth ...... Height Dlmenslons o1' entire new construction Front Height . Number of Stones Size of lot, Front )4¢'~7 ., Rear Date of Purchase ......... .... Number of Stones .......... Rear ...... Depth ........ · .~.SZ~..· .... Depth., ./~8, ~ / ....... Name of Former Owner .............. Zone or use district in which premises are s~tuated .. Does proposed construction wolate any zoning law, ordinance or regulation' ~..O' i.. i ii ........... ' i" Will lot be regraded . . .A~b., . ~- ,' . ~ ;,.,., ~, .. Will ex.c~ess~fil~be_ re~aovefl from premises _ ~ No Name of Owner of premises ~.¢'r~e~j. rrne.~-~,~, . . Address )A. IS b~t,)~.~... ~Jl?: Phone No.fl~..-"-~..)~r~. amc of Contractor~.uJ/~ '~ogl-~' ...... Address .. Address ~.~ ~.~ ~- · Phone No ...... Phone No ~}~ ' 35515-- PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. indicate all set-back d~menslons from property hnes Give street and block number or description according to deed, and show street names and indicate whether ~ntenor or corner lot STATE OF NEW ~ORK. COUNTY OF....--%3 S S (Name 6f individual s2gnmg contract) above named He ~s the ~t~',~ ~.r42,~t'~'~_~ ....................... ........ . . (Contractor, agent, corporate officer, etc.) of smd owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file th apphcation, that ali statements contained in this application are true to the best offus knowledge and belief, and that work will be performed ~n the manner set forth m the apphcatmn filed therewith Sworn to before me this . ....... ' t. 'DONALD F ABBATE NOTARY PUBLIC, State of New York (Signature of apphcas No 01BA4813899, Suffolk County Term ,Expires l~arc~ 30, being duly sworn, deposes and says that he is the applican