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Home My WebLink About14863-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Z. 7.1,5.6. 6..9 ...... Date ,..A.p.r..i .1..2.!,..1.9.8..7 ............. Inground swimming pool & fence & deck addition to THIS CERTIFIES that the building ~k'ikl'ih~' bhh' 'fk~a'il~' ~hl~'ih~ .................... Location of Property .. ,6.7.6.0...Sp.u.n..d..A.v.e:n..u.e ................. .ii. qt..t.i.t.u.q .k;. fi[.e. ¥..Y. qr..k. House No. Strebt Hamlet County Tax Map No. 1000 Section . 12 I .Block 04 ..... Lot 08. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Play 5, 1986 14863Z ...................... pursuant to which Building Permit No ...................... Play 8, 1986 dated ............................ 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 & DECK ADDITION TO EXISTING ONE ..... FAMTIJY ' DW'E/; L 7[N'G ......................................................... The certificate is issued to JOSEPH & PATRICIA STIEFER ..................... ? o¥,,'& 1;/a l¢'x .................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N/.A. ................................ N756038 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Biiilding Inspector Rev. 1/81 FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/vIIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission ~s hereby granted to: ~, ................... .... (,.~.~..... ,.~.~.,..~.: ................. ...~..~....~:.~. .,...u..~...¢..~ ..... at premises located at ..C~...~,.~....o......~-~.~....~ ...... ~.~ ................ County Tax Map No. 1000 Section ..... ~.....~'...Z ....... Block ...... .~...~. ....... Lot No ..... .~.~..!..J. ...... pursuant to application doted ..... ....~.~...~ ........................ , 19.~.~., and opprov~ by the Building Inspector. Fee $....~.....~. ,/..~ .:;....'...'~ Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 BLDG. DEPT. L. ?own o~ SOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted .~ ~ 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 property 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. Fees: 1. Certif[cete of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5]00, over 5 years 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date . NewCons truction ...... Old or Pre-ex,lng Building ~,;~,... ] ..... Vacant Land ............. S6bdivis[on .~.~ )¢.~.~...~ r.~ .Filed Map No ........... Lot No .............. Permit No. Z7 ~ &.~ Date of .................... Permit~ Applicant ~/~~ ......... Health Dept. Approval ........................ Labor Dept. Approval ....................... . Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ADP ican ..: ....... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS , 102~02~ BUREAU OF ELECTRICITY ~l 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bat . 'uno No.o.f,, N75 038 THIS CERTIFIES THAT only the electrical eq~ipmen~ ~ ~scribed be~ a~ introduc~ by the applicant ~med on the o~ve applicotlon number in the premises of Steiden, s/o Soum~ Ave.~ ~ttttuck, N.Y. in thefotlowlng locatto,; ~ B*,ement ~ Ist Fl. ~ 2nd Ft. 'OUt side Section Bl~k Lot urns examined o~l ,T~BO ] 9 ~ 19 ~ 6 atzdfound to be in contpliance ~'ith the retluire.tents qf this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS FANS DRYERS SYSTEMS E E R V I C NO, OF CC COND A. W O NO OF HI-L~O A W O, ~O OF NEUTRALS A W G, pER ,~ OF CC CON{) OF HI-LEG OF NEUTRAL OTHER APPARATUS: (Swimming Pool)This certificate cow, rs compliance at the date of inspection on~y. Because o'f unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. }lenr¥ Bohn ~~ 121 Sheep Pasture Rd. This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by thei cre ials. ~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST/HOT BE'ALTERED N ANY k~NNER. COMMENTS FIELD iNSi~ECTION FOUNDATION {1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .... ..~__0~ .~..., l0~. .~. P~nuit No. J. ~].~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ' 19 ' INSTRUCTIONS a. Tlfis 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 pen,.it 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 purpos~ 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 her~in 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 inspections. C'~ ~-. ........... /~-~ -- ..... · ' (Signature of applicant, or'i~ame~_if~rj?o~rano~n~ ~ .~ ~/~/ /~7~ ~/~ · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . ..~__...~ ~-X?7- ............................... ........ ) ............ ............ · ~. ~ marne oi ownm m p~mx~o ' ' ' '~' ' ~ .... t deed~ (as on the tax rOll or la~es 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. ~ F~ ~ ~ Location of land on which proposed work will be done· . . .~.~..~. ,/J,D . .~..~,~, .,..~.~ ,~, .~ ,~. ~ 7. ............ b.'. ~ .~. 0. ...... . .~c?../4 ?.. ~¥~. ...... ' ............. .~. e::.: z..<~..< ............. : .... House Number Street County Tax Map No. 1000 Section . '., ./...~r./.... Subdivision .......... (~q'a~ ~)' ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .../...~.-..~..2. z_..~...?..~./.Q~.~.C~ ....... (~ ~.~/~_~: .' ....................... b. Intended use and occupancy .~.~./. ~..~..~.~. · · · .~.//. · ( '/j '~'~' ~' ~' .~.D.. ~.!~..~..~, 4 4/.~.. ..~og.~.. ,cl..~..~. ~ .~..'..~. · ( o.~.s._~ Hamlet Block O q/ Lot ~ ~,. / ..... Filed Map No ............... Lot ............... 3. Nature of work(check which applicable). New Building .......... 'Ad&tlon..' ........ Alteration ......... , Repair ...? :...~a,. · · Removal .............. Demolition .............. Other Work~.~'.x.~.~/.~f,-. ./fo& 4. Estimated Cost ....... ?..~.~.; .......... ; .......; .... ' Foe ........................ ~" (to bo paid on filing this application) 5.: If dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. · If garage, number of cars ... i .................... .. ............................. ~ ............... 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 .................................................... Size oflot: Front ~/.~F .~].~?< Rear ~,~ ,~- Depth /.?.~,~ ~. Date of Purchase ......... ; .................. Name of Former Owner ......................... · Zone or use district in which premises are situated... ................................ ' ........... Does proposed construction viblate any zoning law, ordinance" or regulation: ... ~ .....................' Will lot be regraded ............................ Will excess fill be removed fLom premises: Yes I~ Name of Owner of premises .~?.~F/.c/.~,.....,......~F~t ~ Address . .~. Q~,~..~. ~-g~ .... . Phone No....,.......,.~-~qg- ~/! ~ Name of Architect ........ , .................. Address ................... Phone No .............. Name of Contractor .O~?.../.,~../~.~ .~?. /..0£.~.~ ...... Address .~. ¥/, .~?.~?..sF?, ....... Phone No. /7.v. ~...~(P..~. 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propose, d,. and, indicate, all set-backdtmensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. S'rA OF Nnw VOR . COU V .... i s.s ............ ~.4... ~..~..~.-C~4..~ .~?..~. ·~. .......... (Name of individual si~g con[ract) above named. ~ being duly sworn, deposes and says that he is the applica~ ' ' '~ature of applican, He is the .............................................................................. (Contractor, agent, cbrporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statements contained m this application are true to the best of his knowledge and belief; and that ti work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this FEE: NOTIFY' I~U{LD~NG D~pAf~TMENT AT K~SIGN OR O, CONr~ N/FbF N/K~' . "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "~NATER" CERTIFIED TO; SOU?HOLD SAVINGS BANI~ P£CONIC ~BSTRACT INC FOR JOSEPH STIEFER PATRICIA ANN sealand. engmeenng p.c. west mare street, :' rlverhead, new york 119 ~,,,:'~-'. (516)369'171 r 3: 4" S COURSES 8'x S~ CONCRETE BLOCK