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Home My WebLink About14982-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~aNCY No Z-17717 Date JANUARY 26, 1989 THIS CERTIFIES that the building ACCESSORY POOL, DECK & FENCE Location of Property 1530 JACKSONS LANDING MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 9 Lot 16 Subdivision JACKSONS LANDING Filed Map No. 5288 Lot No. 13 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1986 pursuant to which Building Permit No. 14982-Z dated JUNE 13, 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~ DECK & FENCE The certificate is issued to GERALJ) JANIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N764155 - AUGUST 14, 1986 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/Sl FO~ NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14982 Z Permission is hereb/granted to: ..... ...... ..................... ...... l-~.,./,,.~-(:~.~,e,.cz...,...~:.~..... ,,1 (o ~o ...QC~./:~ ~.1..~ ~.~........l.~2--~ .~.~ .... ~ a/,~t i.~:,.,~2a.g.~. ............... at premises located at ....1....~..~.....~.,. ......... ~,~.~.<~..J~,.'~.......L.~..~I....~(.C-~t ................... ....................................................................... I~.~~.~....,..~:.~ ....... LI.~..-~Z,-, County Tax Mop No. 1000 Section ...L.(~,g ......... Block ...,.~....~. ......... Lot No..,.~...{.~¢:~ ....... pursuant to application dated .... J~..'~,,-..~.. ...... ..~..( ................ , 19..~ and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATIOH FOR CERTIFICATE OF OCCUPANCY DATE...~.'~a.'.~.~... ,. ........ ...... . . HOUSE NO. flA~LET 0~_ o~ O.~e~ o~ ~o~.~ .... ~:~..~,.. ... ......................... County Tax Map No. 1000 Section ./.~..a~. Block Subdivision..*.~.~a.-.~.~/.,.~.'.~..(6{/..~.'~ Filed Map Permit Health Planning ...... Lot ....... No ........... Date of Permit .......... Applicant ................... Dept. Approval .-.--.--...------.~ Underwriters Approval Board Approval ....~.. .......... Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $....~....'~ ........... APPLICANT... rev. 10/14/88 THE NEW"/ ORK BOARD OF FIRE UNDERWRITERS J. UOU3~4 BUREAU OF ELECTRICITY ~41~, 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIE~; THAT only the electrical equipment os described below at[d i~troduced by the appflcan t named on the above application nu tuber in the premises of in the following location: [~ Baser~ent [] tst Fi. FIXTURE OUTLETS DRYERS I SWIICHES ~ 2nd FI. O[lt~id~ ~ Section Block Lot and found to be in cotnpllattce with the ~e~tuiretnents of this Boar. d, FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET E E R V I C GENERAL MANAGER Per ~ This certificate must not be altered in any manner; return to the office of,the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST.NOT BE ALTERED IN ANY/vlANNER 765-1802 BUILDING DEPT. INSPECTION ,~ FOUNDATION 1ST [ ] ROUGH PLBG.~/~ FOUNDATION 2ND:[ ] INSULATION ~ 7. FRAMING REMARKS ,( DATE FIELD INSPECTION ~ DATE COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING , INSULATION PER N. Y. STATE ENERGY ,,, C,ODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ]~JLATION [ ] FRAMING [/] FINAL ~REMARKS: _ ~ ' · DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined Approved..J S .. 15.., 19a Permit No ........... Disapproved a/c ............. ", ........... : ........... ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS 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 promises or public streets or areas, and giving a detailed desbription 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 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 inspections. W. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... .~. ~..~.~.~.c., .~?..~. ................................................. Name of owner o f premises .... .~.~j~. ~.~.~?~,....c:~..? ~4 ................................................. (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..~...[:C...~....~. ~ ~. ........ Plumber's License No ......................... Electrician's License No .... //<9/.~. ........... Other Traders~ Lmense No ..... ./.~... ~.'7.z;,/. ~D(.g7. .... Location of land on which proposed work will be done .................................................. .......... /.573.0 ..... House Number Street Hamlet County Tax Map No. 1000 Section ...... }..~..~ ........ Block ..... 7 ........... Lot ....... .//.4 ......... 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 .... <9~7.C.. 7/)No..;/~.~...F.e..,5?~.eel.c: .~. .................................... b. lntendeduseahdoccupancy.~'),q¢ : ~.t .~e¢'.~deac~. . . ~.~.~,. /~ ~.~.6.z ~ ~ao~ ~(~/~ 3. Nature of work (check which applicable): New Building .......... 'A!ddition .......... Alteration .......... Repair .... = . . Removal ...... Demolition ...[ ........... Other Work. ,i *' ~ (to be paid on filing this application) 5. Ifdweliing, number of dwelling units, ............... Number of dWelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent 6f each type of use ........ · ............. 7. Dimensions of existing strncturbs, if any: Front ........ ' Rea~ .............. Depth ............... Height Number of Stories Dimensions of same structure With alterations or additions: Front .... ,i ............. Rear .................. Depth ................... !... Height ...................... Number of Stories ...................... Dimensions of entire new const;action: Front ............... Reari ............ :.. Depth ............... Height ............... Number of Stories .................... ! .................................... Size of lot: Front ...... ~ .~.,~ .......... Rear ....... ~ Depth 10 Date of Purchase ' Name of Formei' Owner 11. Zone or use district in which p~emises are situated ............ 12, .Does proposed construction violate, any zoning law, ordinance or regulaiion: .../~.q .................. 13.Will lot be regraded ....... ................ Will excess fill Ibc removed~from premises: Name'of Architect ........... Address . I ..... , .................. i ............ Phone No ............... Name of Contractor . ~.~ ~'~ir~t~. ~.e?q~..~.~.. Address PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propel'ed, 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. ' S.S COUNTY OF....~..c~ f, fpY~ ..... · ~7~¢w'~.r.o/.-c ............... being duly ,worn, deposes and says that he is the applicant (Name of individual sigping contract) above named. . He is the . .................... i .... C ......... (Contractor agent corporate c fficer otc ) of said owner or owners, and is duly authorized to perform or have perfdrmed the said work and to make and file this application; that all statements con~ained in this application are true to th~ best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed there Sworn to before me this ta Public,c~~..~/'~'...-'-"~...-'~...~r.-~. County ,~o~ty public, State of New Yor~ /,~ :NO. 52-7267830 I~uali~ied in Suffolk Counb] Commlasionl Expires November ~10~ lg88 8th. (Signature of applicant)