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Home My WebLink About15307-zFORM MO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17390 Date OCTOBER 6, 1988 THIS CERTIFIES that the building. ACCESSORY Location of Property 310 STILLWATER AVE. House No. Street County Tax Map No. 1000 Section 103 Block 7 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMI~ER 10~ 1986 ........ pursuant to which Building Permit No. 15307-Z dated SEPTEMBER 22, 1986 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 SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to EUGENE & ANNE BRADLEY (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATIONDATED N778956- NOVEMBER 13, 1986 Building Inspector Rev. 1/81 FORM NO. It 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) N9 15307 Z granted to: .... ~...S...~ ............................................................... .~ ~'~' ....... ~.~Z~...:~ ..... ~...~..: ........... ~ .... ~ ....... ~..~ ......... :~.~-.~ ....................... premises I~ated at .,.,~.L.~......~...~.* ........ ~~ ....... ...................... Coun~ lox M~p Mo. 1000 Section ...... ~.~.~ ....... Bilk ..... ~.~ ........ ko~ ~o...~..~ ........... and Building Inspector. Fee $ .~.x. ............. approved by the 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 This application must be filled in typewriter OR ink, and submitted ia-,---,mm to the Building Inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supplv 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. Sbbmit 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: I, Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $25.00 1, Certificate of occupancy New Dwelling,S25.00, Accessory ,,$ i0.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100. O0 3, Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .QQ~O~.a~. 3.~..1.9~.8... ..... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land . ............ Location of Property 310 StillwaCe/~ Ave. Cutcho~ue House No, Street Ham/et Owner or Owners of Property .. ~,~e~e. ~ .An~e. B~,3.dl~-. .............................. County Tax Map No. 1000 Section .... .~.0.~. ....... Block .... ~. .......... Lot.. Subdivision ................................. Filed Map No ........... Lot No Permit No..~,,~.07.... Date of Permit .~?; .~./.~.~..Applicant . ?.'.. t{e±l'l~ & Sons Health Dept. Approval ........................ Labor Dept Approval ........................ Underwriters Approval . ~ ~.~.9.~.~ ........... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ,..~. ................... Fee Submitted $ .... ~5~ ...................... Construction on above described building and pelX~t meets all appJ~eabt¢ cod,e~and ragu lations. Applicant ...................... Rev. 10-10-78 Co % TOWN OF SOUTIIOLD OFF'ICI~ OF BUILDING INSPECTOR P.O, BOX 728 TOWN IIALL SOU I'I[OLD, N.Y. I 19'/1 TEL. 765-1802 To Whom This May Concern, We are unable t:o complete your Certificate of Occupancy becau3c .of the following reasons. /_~/ An application for Certificate of Occupancy is not on /'~/,/iI, o Underwriters Certificate on file /_~_w~ lhe check is(o~:~/no~ o11 file.) /_-/ No IIo. alth Dept. Approval on file. /_~/ ~:o final inspection has been made. Please contact: our office on this matter. Thank you for your cooperation.* Building Permit t~ I ~- ~Z '0___ 1 Z Buildin[l Dept. a**/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being is~:ued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001381 BUREAU OF ELECTRICITY [JT 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,)ate November 13, 1986 ApplicaNe,,~o...fZ.4339~8/86 N778956 THIS CERTIFIES THAT Eugene Bradley, 310 Stillwater Avenue, Cutchogue, N.Y rECEPTACLES FIXTURE OUTLETS 1 t i 2 SWITCHES DRYERS ] FURNACE MOTORS SERVICE DISCONNECT OTHER APPARATUS: FUTURE APPLIANCE ,'~EDERS SPECIAL REC'P TIME CLOCKS FIXTURES RANGES ~COOKIHG DECKS ! OVENS DISH WASHERS, EXHAUST FANS I J i [2o ~oi NO S E R V t c OFNELfTRALSI/ A W G 1-G.F.C.I. ~(SWIMMIN~ POOL,,_ THIS CERTIFICATE COVERS COMPLIANCE AT THE DATE OF INSPECTION ONLY. BECAUSE OF UNUSUAL ENVIEONM~NTS 'ET IS ADVISABLE TO ~LkVE PREQUENT TEST A~D/OR P~EPAIKS MADE BY A QUALIFIED PERSON. Jodv Pu nillo Pat Lan ,~ Mattitu~k, N.Y. 11952 LIc#2300E £-,,GENERA[ MANAGE~ per~-'--/~/'~'.~ 11 . This cert;ficate must not be aJfered in any manner; return to the office of the Board if incorrect. Inspectors may be ~dentified by their credentioJs TOWN OF £OUTtlOLD OFFICE OF BUILDING INSPECTOR P.O, BOX ?28 TOWN HALL SOU I'llOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_~/ An application for Certificate of Occupancy .is not on fil~..~/~=~0- -- - ' ~/not on f~le.) ~,~ /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. PJease contact our office on this matter. Thank you for your cooperation.~' Buildinq Permit tl _~ ~ ~ ~_~ ~7_ Z Buildin~f Dept. ***/_-/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INS[~ECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINA/ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE ~///(~'~/// INSPECTOR ~'~,~7 ~. , t BO,O , :t 29.0 +,~ {TEED TO . CHICAGO TITLE IMSUD, ANcti, A5 SURVEYED ,_VA_N_ TUYL.~,90N ",' UCENSE'P LAND ". · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 19 8. · Permxt No..~.'~ ...... Approved .~..~.~ .~..~., t, · }"' o~'~ Disapproved a/c ................................ : ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS '- - ~'-" BLDG. DEPT, TOWN OF SOUTHOLD Received ........... ,19... 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 ~ Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY M~DE 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, addifions or alterations, or for removal or demolifion, as herein described. The applicant agrees to comply .with ali applicable laws, ordinances, building code, housing code, and regulafions, and to admit authorized inspectors on premises and in building for necess _dry inspections. (Signature of applicant, or name, if a corporation) .a. ................................ .... m../k(....,... ..... (mail:Lng address of app].~_cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ~. 4-~.~m ~ ~. ..... .° .a~..'~ze~: ~..~. ............................................... Name of owner of premises ...... i ,~(~. J~'~ · · ·/~.~.. ~.O/-.~:.~. ......................................... (as on the tax roll or latest deed) ],f'~a,nt is a corporation, ~g,,nat~e~ o f duly authorized officer. ~ ~ (Name and title of corporat~officer) Builder's License No.../.O...Q...~..~.~. ....... Plumber's License No ........................ Electrician's License No.. j~.0.~/~... ~. ~.[ ~* Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............ .~...~-. · · .~. · .~. .... .~.'..~..- ........... ....7./..0. ...... 5.~.: ~.o. . .~. . . . . .~. . ¢p ...... £.~ ,.'-'c ~r. o. ¢.~t~: . . . 4.-.~. .... .//: ..czf....//.g~4.-'... House Number Street Hamlet County Tax Map No. 1000 Section .... 1.0.3 .......... Block ...'.7. ............. Lot...~. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ~.../~..~.?.t(~. ' .~. · .77~/J~ ..... .tO.../..?"/./' ...... /.g~...~- ................. b. Intended use and occupancy ......... ~'~"/' ~'~ '~.~,'~'~f~i~., Hr,~,~'~' .... t~. 0.o.f.~ .................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... . Repair '~ . Removal ...... Demolition ........ Other Work ~ ...... : (Description) 4. Estimated Cost .......... ~ :...0'~.. ............... Fee ..................................... ~ ' (to be paid on filing this application) .... hfl 5. If dwelling, number of dwelling units ............... Number of dwelling units on eac oor ................ 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 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 ' 9 Size of lot: Front ~ Rear Depth 10. Date of Purchase .......... ,~ ................... Name of Former Owner ............................. 11. Zone or use district in which piemises are situated ........ /~ff',~ ........................................ 12. Does proposed construction viola, re any zoning law, ordinance or.regulation: ...... 13. Will lot be regraded ........ ~i4'~D ................. Will excess fill be removed froln premises: ~ No 14. Name of Owner of premises ..~'(*~.~a~T../~g/fl~'~tAddress .l~OT~.'..../~.~PhoneNo...' ............. Name of Architect ......... i .................. Address . Phone No. .- Name of Contractor..~, )~2. ~t¢~(,. ~...~.. ~'~ .... Address i i i )t~~ ii. Phone No. i .'~..~?i 15. Is this property located within t.00 feet of a tidal wetland? * Yes ..... No .~. · If yes, $outhold Town T~ustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEWff0RK, . /'~ ~S - .... ~~'~' '~' ~'ividual s~~ ~ ...... :... being duly sworn, depdses and says that he is the applicant above na~ed. Heis the of said owner or owners, ~d is d~ly aut~ to p~m or have peffo~ed the said work and to m~e and file this application;that all statements coniained ~ this application are true to the best of his knowledge and belief; and that the work will be performed in the m~qer set forth in the application filed therewith. Sworn to before me this ...............~ day ~f ........ , , ~ ~ ~ m · f applicant) N~a~ Publlo, ~0. 52-8125850, Suffolk Co~