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Home My WebLink About15413-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zt722Q Date AUGUST 23, 19BB THIS CERTIFIES that the building Location of Propert~ 21075 House No. County Tax Map No. 1008 Section SWIMMING POOL. SOUND VIEW AVENUE SOUTHOLD Street Hamlet 51 Block 4 Lot 17 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 1986 pursuant to which Building Permit No. 15413Z dated OCTOBER 28, 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 WITH FENCE & DECK ADDITION. The certificate is issued to DAVID & IOANNA MOOR~ (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N8~6205 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Bui'lding Inspector FO~ NO. ~ TOV~N OF SOUTHOLD 8Li|LDIHG DEPARTMEN'r TOWN HALL SOUTHOLD, N. Y. ~U|LDIHG PF. It~,~IT (THIS PEP,~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETrIoN OF THE WOP, K AUTHORIZED) N9 15413 Z Permission is hereby granl'ed to: ...~....~.~..?~.-......~.~..:... ,~-~l ....... ~...~...~ ................... ...~..,..~..~,......~....~.,.....!..,...~..z.~. ....... , .. ,o .~.~...~...~.~. ~..~..~.,...~.~...~...~....~ ........... ot premises located at .,.,~.L..~,,.?,.,.~. ...... .~...~.....~.~,..'"~.'""~' "~'"":' ..... County Tax Map No. ]000 Section ....... ~..~,~.-1 ...... Block ..... .~,,.,~, ......... Lot No...J,.-,'7. ............... pursuont to application dated ..... ,(~.,.~,,.../,.,~/ .................. , ]9.~,,~, and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ../..q..~.o.....&. ?. ~..'7~.,. ~: ........ ~ . .~. ~..~....~....~ :.../.,. 5.7. ~ .... PLEASE TAKE NOTICE that your application dated. · .~.. ~ ........... 19~. - ~o~,,,o ~.~..~. ~..~.~..~.)~.~.1.. ~, ~o~atio. of Wo~tV~o,~o. .~~~.~- ~ ......... ......... Street .................. Hamlet County Tax Map No. I000 Section ..... O.~Z .... Block .... ~. ........ ~t . ~ .~ .......... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .(~...'.~.., ,=~t.--~...~..~..fi.~'p...~ ,.~....~..?:~~ ..~...~..~..~.. ~ ~..~.. ~?...~.~... .~.~.. g,_~....~.,x~.... ~~. ~.~ ?~....~..~.~.. ~ Building Inspector 1/80 'OUNDATION 'OUNDATION (2nd) ~OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_~/ An application for Certificate of Occupancy is not on file. /-/ No Underwriters Certificate on file. )~// The check is ~ f~-,)~L~) _ (outdated/not on /5/ No llealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dJ. ng Permit Building Dept. ***/]/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~,o2~oa~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY June Jo.. ST..ET, .... ~..,,..,,~.~.o.~,,. N 816205 THI$ 6ERTIFIE8 THAT o~y the electrical ~uipme~t ~ ~scrlbed be~w a~ introduced by t~ applicant ~d on the a~ve application number i~ the prorates of }~ore, N/5 2~07~ 5oundview Avenue, ~I/O in the followi~g lacation; ~ B~sement ~ Ist FI. ~ 2nd FI. Section Bl~k Lot ~sexa~nlnedon ~ ~ ~ andfoundtobelncompllanceu'iththereqiiireo~en~s~fthls~oard FIXTURE OUTLETS DRYERS SWITCHES FIXTURES RANGES OVENS EXHAUST FANS 2 FLUORESCENT SYSTEMS NO. OF FEET E R V I C E '. .~(SW!M_M_I_N~_PO__O_I_Q" Thi~ certificate covers compliance at the da~e of in~peetion only. Because of unusual environments it is advisable to have freqUe~lt test and/or rep~Lra made by a qualified person. 121 Sheep Pasture Road Secauket, N.Y, 11733 Lie. 2675E ~nanymanner;returntotheofficeoftheBoardifincorrect ins,.,ectors m~,,P¢,.r^ ~__,, ...... . , ~/~l ' - COPY FOR BUILDING DEPARTMENT. THIS COPY OF C~RTI,FICATE M E ALTERED IN ~NY ~ ~.J FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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 instaila- 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: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusum 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- lion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. $ 50.00 Date ......... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property..~. j0.-~.~.,..5~'~,~1~ :.~.~.'t . ~ .............................. Hamlet House No, , ~, 'S't~r'e;t' Owner or Owners of Property .. D~.%.~..~,t~. ,~r-~ .0..~...¢-.¢~... ~)(_~..~.. ................... County Tax Map No. 1000 Section ....0,~..i ....... Block ... ~ .......... Lot .... !.~ ......... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. J ..I.5.. Date of Permit .......... Applicant. 0,,~.~..:~.. ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ,.~..~.J. ~ .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate. 1.5..~..13 ............. Fee Submitted $ .~.~.'~.~°....t~.~...~5 .~..~.. ......... Construction on above described building a)~permi~t r~eets all applicable codes and regulations. ~'~?~--~L:7~)~('~' Applicant~ ~ ~ Rev, 10-10-78 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~ISULATION / [ ] FRAMING [}/~ FINAL DATE ISLAND ' it ENCLOSE POOL TO CODE _, .. ..c~ . ~,~_~ ~. UPON COMPLETION - -' ' - - ~' '- BEFORE "WATER" ~ ,' , . ~. ~.,;_~ ~O~N~ VI ~ ~V~N~ OCCUPANCY IS UN~W~L USE ~"~"~'~':": ~' ' OCCUPANCY - [.. .... -J I . , , .l MOULDEO ;_~ - ~ ~ .i pi,cE ,~'[ ~' ',,-o ~ i~ " ",[.- ~ ' ' '~. ~'TN,CK'O_W?S COR.,NG' / ' ~,~ '- OPTIONAL sTEP "' . I ~ . ~ ' TYPE ~, ~,~ TROWELED ON [ACH ~ OF CON~ETE BLOCK ONAL STEP .~. TO BE SM~TH- NON SKID ~PE, SLOPEO .~ .o ' ~- PROPERTY TO. Su~T LOCAL REGULATION~ ' B~EEN LINER ~ WALL SECTtON 2'- 4'SAND BOSOM .: ~.' 2~ 4' SAND '*' *' SECTION B-B SECTION A-A: PRE CAST T q GRAOE COPING !'~1 o ~ ~ ~.\j~ I _ .. ® -- : ®---~~~ I~' POURED CONCRETE FOOTING PICAL WALL SECT ---- SKIMMERS RETURNS--4 ~TOFILTER SKIMMERS LTERond PUMP TO RETURNS FROM Fl LT[I~I 'FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined fi) o~...o-~.. Approved ~...?~....~...o..., 19~.~.. Permit No. 1.6~.~/..,-~...~ Received ........... ,19... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 tins 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 pr~mises available for inspection throughout the work. e. No building shrill 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 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 insp. ex~ons. (Signature of .a~pl.i~a~n-~or-nda/me,-if a corporatio;~) .... (Mailing address of applicant) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...~.~. ~/..~ .Z?. .... ./~..o.o..~?. ................................................... (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 .... ~../. ................... Plumber's License No ......................... Electrician's License No .... .~.5.7.'~. ............ Other Trade's License No .... ; ................. Location of land on which proposed work will be done~ .... ~.'~(,j..XJ..~.....~.//.~..~....~...-~:. .... , t'~ ....... ;.:..?..s. ........ ...................... ........... House Number Street Hamlet County Tax Map No. I000 Section ...... .'-?~.'./ ......... Block ...~. ............. Lot.../. ~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. fl....~..~./77./.c.'7'... ~.~$./.O...~./4..(~-.~. ...................................... b. Intended use and occupancy ....... :~ ....... ~ ............. ~ . . , ~,).. ~'dd./.~../U/dJ~'7. 3. Nature of work (check which app!i~able): New Building ..... · ..... Addition .......... Alteratlon_o .......... Repair .............. Removal .............. Demolition .............. Other Work.. ~. ,~. (Description) 4. Estimated Cost ' ~ Fee : ' (to be paid on filing this application) 5. If dwelling, number of dwelling uoits ............... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixed ~ccupancy, 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 .................. Deptl Height Numbe of St ri ..... · ..................... r O es ...................... 8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........ /.zS-~'..i ?~.. ......Rear .... .°~.~..~. · · · ./~5?.; .~ff/.. Depth .. ~ .~..~.: .............. 10. Date of Purchase ............ i ................ Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... D 12. ocs proposed construction violatp any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . ~ ..... + ................. Will excess fill be removed from premises: ~ No 14. Nmne of Owner of premises . .~.~d/~...../~.Aq~,... Address . ~td~ .D...~'4~.~4, .~. Phone No ................ Name of Archltect ~ Address "~ ........... ~ .................................. t'Bone INO ................ Name of Contractor . .G~. ,/./0..,~./.t9~..,~.z.~. ........ Address ~',7/~. r; ~..~....~oc/c'. ~. Phone No. 2fd..¢...~../.~ 15. Is this property located within 300 feet of a tidal wetland? ~Y~/s~P.'~,,,c'.. No . · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all b¢ildings, 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 NEW YORK, ,. ......... ..: ....... ? ................. being duly sworn, deposes and says that he is the applicant (Name of ind~wdual signing contract) ~bove named. (Contractor, agent, corporate officer, etc.) ,)f said owner or owners, and is duly Outhorized to perform or have performed the said work and to make and file this 'tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this i , 4otary Public, ......., ~ ............. County ~.~~~ ' I ~ i'No. 52-452643~3 Quailed in Suffolk Copnt,¥ ~e Of apl~licant) Commission Expires 'FORM NO. 1 TOWN'OF SOUTHOLD BUILDING DEPARTMENT ' TOWN HALL °~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ................ , 19... Permit No ............ Disapproved a/c ? ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. This application must be completely ill!ed 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 B¢'lding Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspe/e~ion 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 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~ho~ing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in/~p~ctions.t,u '~"; Ol~, ...... ~'~r~' ' ' ~ "-~"'-~ ........... · ~=~'~t~a~/aud (Signature of applicant, or nan~f a corporation) ,~5'o~t/lo/d, dVctd .e~, ........... [~'aili~ ~:e'ss ;~"a~ii~;;i) ......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .~O. ~.T~...~...O9...g~ ...................................................... (as on the tax roll or latest deed) If applicant~is a ,corporation, signature of duly authorized officer. Builder's License No .... .~..t.% ................ Plumber's License No ......................... Electrician's License No. - Other Trade's License No..~. ................... Location of land on which proposed work will be done .................................................. .......................... .,,5o,.~...r~. c~ . .J,..~.~ ........ .~..?.77(a?.~ .~. House Number Street Hamlet County Tax Map No. 1000 Section ...".~..~..[ ......... Block .... .~ ............ Lot.../. 7 ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... b. Intended use and occupancy .. [(o. )4 ~,- .... .~../'q. \ '..o'/xA~.. !..c~.K~... f2r,~o..t-r~.. ........................... 3. Nature of work (check which applicable): New Building ' Addition.. i ....... Alteratio0 ..: ....... Repair .............. Removal .............. Demolition ...... ! Other ~ ~ (Description) 4. Estimated Cost ....... ~ ..................... Fee .......... ; ........................... * (to be ~aid on filing this application) 5. If dwelling, number of dwelling units... -- Number of dwelling uniti on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . .'-7. .................. 7. Dimensions of existing structures, if any: Front 7 .............. Rear ...... ~ ...... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ........... I .... Rear .................. Depth. :- .................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front - Rear ....... i ...... Depth ............... Height ......... Number of Stories ...................... ~ ............... 9. Size of lot: Front ./~ ................. Rear.../~.(~ ............. Depth .. &,:~ ............. 10. Date of Purchase .... /.'.~.*F. I .................. N'am~'e of Former Owner ,,~'.O&l~O.. ~st~ l~g~(l . 11. Zone or use district in wh. ich premises are situated... ~.~. ................ 2 ........................... 12. Does proposed constructmn violate any zoning law, ordinance or regulation: ~J~ · 13. Will lot be regraded ..... )z~t~... ................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .O./~0(~../~..<~..~./t~ ...... Address .,-~q ~..~ LI.t~.~w' . .. Phone No..7.~,~.: .~.~...(~.~. Name of Architect Address Phone No Name of Contractor,~o~i~ 0~..~.. ¢¢.~.1.~;~ ...... Address .,$~.~..c~.r>..b(l--,.. Phone N~¢-~..~.~ [. 15. Is this property located w±thinl.00 feet of a t±d}l wetland? ~ yes ........ ~ ~. ' ' ~ If yes, Southold Town Trustees Perm±t may be requ±red. PLOT DIAGRAM , Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimenalons from property lines. Give street and block number or description according to deed, and sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COU~,~.,.~...,Ix[rrYOF ,.,., ....... . being duly sworn, .... (~ime of i~t .... ~,'c'~;;;a'c'*~ .......... depos ,~s and says that he is the applicant above named. He is the ............... (~.~4 .~..'7..~6c..C~5.(LZ. .......................................... (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 ....... · ~..~5-...c~. ......... day of.. ~ .......... , Notary Public, . . . .~.~4cC~[, O ..... k~OORE, 'DAVE ;z ...... SOUND VIEW AVE. .. SObTHOLD, N,Y, 1!971 t 80UTHOLD POOLS INC. I P.O. BOX 539 .SOUTHOLD, NY 11971- .I /C)N~ N00REo DAVE SOUND VIE~ AVE. SOUTHOLD, N,Y, 11971 O,,CU?ANCY OR USE ]S UNLAWFUL V4iTHOIJT CERTIFICATE '")!': OCCUPANCY ,F