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Home My WebLink About15417-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No Z17591 Date DECEMBER 12, 1988 THIS CERTIFIES that the buildinq POOL, DECK & FENCE Location of Propert~ 55 NORTH DRIVE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 06 Lot 17.1 Subdivision SHORE ACRES Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 21, 1986 pursuant to which Building Permit No. 15417Z dated OCT. 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 POOL WITH ATTACHED DECK AND FENCE. The certificate is issued to LYN GOLDSTEIN (owner, X _ ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N826839 AUG. 13~ PLUMBERS CERTIFICATION DATED N/A Rev, 1/81 1987 Building Inspector TOWbl OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P E P~.IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15417 Z Permission is hereby granted to: ........ ...... ~......9..?.9. ............................................ ,o at prem,se, ,ocoted o, ...~.~.....~...~........~.'..~.~..!.-~.~~ ........................... County Tax Map No. 1000 Section ..... !.,,~,...~. ........ Block .......,(~,,...,('E, ...... Lot No....L~..;...j. ....... pursuant to application dat~ ........ ~~...~l. .............. , ~..9...~., and opprove~ ~y *~e Building Inspector. Fee $.~.....,..~.. Building Inspector ,Rev. 6/30/80 'OUND~T~ON 1st} 'OUNDATION 2nd) !. ~OUGH FRAME & FLUMBING 7NSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF: SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~m mmm,,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 installa- 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 unusual 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- tion required to prepare a certificate, 1. Certificate of occupancy New Dwelling $25.Q0,~ --~ ~'hccesso~7,~'~'~TT~'O Business $50.00 2. Certificate of occupancy on pre-existing dwelling ~ 100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 5.Updated C.O, $ 50.00 Date .... 77 .~...~' ............. New Cons truction ...... Old or Pre*existing Building ............ Vacant Land ............. Location of Property Hou~ No. ' .................... , Street /'lam~et o o o~P ~ rty .Z..f.~ wear or wners roe ...................................... ... County Tax Map ~o. '000 Sect,on.. g0k.. ......... B,oc~ ..... ~-~. ...... Subdivision ........................... - ...... Filed Map No ........... Lot No .............. Permit No .... Date of Permit . . .Applicant . . ~ .................. Health Dept. Approval ........................ Labor Dept. Approval ............... Underwriters Approval ........................ Planning Board Approval ......... ~. . Request for Temporary Certificate ................... Final Certificate .......... Construction on above described building and pe~ts a)l applicable codes and regulations. ~'~"'"T: : .~~..7;.' ............... 10-10-78 /~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~°D 85 JOHN STREET, NEW YORK, NEW YORK 10038 CERTIFIES THAT Lyu Go, detain North Ro~d o~f Ba~ie~ Shore Acted Mattituck Southold thefollowlng location; ~ Basement ~ Ist FI. ~ 2nd ~7. ~to~de ,~ection Bilk Lot ~s examined on ~ ~ ~ ~7 and found to be in complienee wlth the reqttirements of this Board. FIXTURE OUTLETS ~ECEPTACtES SWITCHES 1 2 FIXTURES RANGES "OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT DRYERS MOTORS FUTURE APPLIANCE TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: OF CC COND, A W.G. NO OF NEUTRALS A, I~O. OF HI-LEG O~ HI-LEG OF NEUTRAL (Swimming pool)This certificate covers compliance at the date of inspection only Because of u~usual eDvlronments it ia advisable to have frequent test/and or repairs made by a qualified person. Jody Pumillo Pat Lane Hattituck New York 11952 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Boa?d if incorrect, inspectors may be identified by their credentials. COPY FOR,BUILDING DEPARTMENT. THIS COPY OF IN ANY MANNER. Examined .(b .°-~....o~'b~....~.~.., 19.~.('. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °~OUTHOLD, N,Y, 11971 TEL,: 765-1803 Approved . .~..o~....¢~... ?..~.., 19~..k,. Permit No..I.~.~.1.'7..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date./.0./.~. .......... , 19~.~. 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 premises available for'inspection throughout the work. e. No building shail 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins_pection,~s. .... /7., ........ (Signature of applicant, or name, if a corporation) ....p,..o.:/70~. ,.?3q. ~..g~. ~.~:./¢~/¢. ~ .... ....~¢.~,. ,.r~.dc..~.-.r.-. /'2~.?... · Lma±i±ng'a~dres$ ot~ appi±ca~ ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ~.Z-.c~Z .-:',',~/,J~...Co~.. F~,.~. c .7 .To. ~ .............................................. Name of owner of premises ...... ~ .... ~. ~..~. ..... ~ .O. ~J').S./..~./)~/ ..................................... (as on the tax roll or latest deed) If ap~~of/~ly authorized officer. ..... 7' -( '-N'~'ti~;;¢ ;r~/~ rk~ ~r') ......... Builder's License No ........ ?.~.~.'..~. ........... Plumber's License No ......................... Electrician's License No. J'~ .°./~. ~tt. · ./.~.. -~. .~. .~C' Other Trade's License No ...................... Location of land on which proposed work will be done...~. ~?..~.//...~.f .'.t~. :./...~.../~....~'/./..~..[.C:. ~....~ .... ............................................................. , .... .~.~..rr..t.-~ .... ~.,.~ .... House Number Street Hamlet County Tax Map No. 1000 Section ....... [..~.~ ...... Bloct~ ?~?.'~ ............. Lot .... ./..iff..J. ........ Subdivision..~.J5¢.~.../~..~.~. .................. Filed Map No ............... Lot..J.~.,~ ..~./ ..... (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 ........ . .~..~../..~..~..7.~.~..~..., .?./. f.'~?,....~.~.~../7 .................. 3. Nature ofwork (check which applicable): New Building ..... i .... 'Addition .......... Alteration '. .... [..!...~ Repair .............. Removal ............ Demolition ......... ! ... Other Work .~'2::~../r:~..~.~.. ~ (Description) 4. Estimated Cost .......... ~ ........... F~e ~ .... (to ~e prod on fihng th~s application) 5. If dwelling, number of dwelling units ............... Number of dwelling ugits on each floor ................ If garage number of cars ' 6. If business, commercial or mixed ~ccupancy, specify nature a~nt of each t:ype of use ..................... 7. Dimensions of existing structures, ff any: Front ......... ~ear ..... ~ ........ Depth ............... Height ........... ' ....Number of Sto~es : ............................. D~ensions of same stmcture'with alterations or additions: Front .......... ~ ....... Rear .............. ~ *h ~:~,' ~' ' '''' ~ep[ ............ ~g. :.~..;r'.':.. HeiSt ..................... ..:. Number bf Stories ................... 8. Dimensions of entire new ~qn~t~clion: Front R6hr'.... ~ Depth ~. Sizeoflot: Front .. ~ ' Rear ....... ; Depth ............. 10. ~ Date ~f Purchase ......... '2 ....... ~ ......... Name.if Fomer Owner ~ .......................... 1 1. Zone ~ use dil~ict in which premises are situated ~4~~ ' ' ' 12. Does proposed ~onstruction violate any'zoning law, ordinance or ... ~. ~ [~;~;~[~ij~;j; 13. Will lot be regraded ........ ~O ................. Will excess fill be remOVed fr~ premises: Yes ~ 14. Nme of Owner ofipremise~,~;. ~ ~.. ~.~g~Address ~ ~ ~. ~.,Phone No ................ Nme of Architect .. Address ............. ~ ..... Phone No.. 15. Is this properey located within.l.00 fear of a eidal wetland? ~ Yes ..... No * If yes, Southold Tom ~rustees Permit may be required. PLOT DIAGR~ Locate cle~ly ~d distinctly ~1 bu~d~gs, whether existing or proposed, and, indicate ~1 set-back d~ensio~s from prope~y lines. Give street ~d block number or desc~ption according to deed, ~d sh~w street nines and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ./4.. "/~' '<)' '/' '~' '~' '/' :~",7~' ' ........ being duly sworn, dep:oses and says that he is the applicant (Name.of individual signing contract) above nam,e.d. He is the ...................................... !. . (Contractor, · agent, corporate officer, etc.!) of said owner or owners, and is duly authorized to perform or have performed the Laid 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 ~,:~ork will be performed in the manner set forth in the application filed therewith. "Sworn to before me this ........................ day of ...................... 19 Notary Public ........ HELEN K. DE 't' ' ' ~"' ' D ~' ~ ' '~' 't~' C°unty//~V~ NOTARY PUBLIC, State of New,York ~. ,,X'. e/,''f ,~.'.'.'. · .'"~', .................. No. 4707878, Suffolk Counq o,'3, pplicant) lt Term Expires Ua~ch 30, Lol Lot 22 Lot 21 ./ Lot 23 4¢ UNAUTHORIZED ALTERATION OR ADDITION TO THIS J GUARAN'I~..ED TO: FOLLOWING INSPEC'FION~: FOuNDA r~ON ~0 ~ .~ UST ~00STRANDER AVENUE ~O~. ~OT ~5~'9~I~';L~--F~:~ ' JJ A lJ HOWARDLicENsEW. YOUNG,NO. 45893LAND SURVEYOR . SURVEY FOR GERARL~ T. GOEHRING£R PARTOFLOTS 19, 20, 21~ LOT22, AT MATTITUCt~ TOWN OF SOUTHOLD " SHORE ACRES " DATE : OC~. SCALE: / "= 40 ' NO. ~ Norm: · -' MONUAfENT ~ = ST~m " SHOR~ ACRES ", FI~ED IN ~EO~IC~ O~THE C&ERK OPSUFFO~K COUNTY ON d4~ ~ ~ 19~ 4S MAP NO. 4/ OF OCCUPANCY