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Home My WebLink About14984-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19006 Date MAY 1, 1990 THIS CERTIFIES that the building INGROUND POOL~ FENCE & DECK Location of Property 795 MONSELL LANE House No. County Tax Map No. 1000 Section 138 Block 01 Subdivision Filed Map No. CUTCHOGUE, N.Y. Street Hamlet Lot 05 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1986 pursuant to which Building Permit No. 14984-Z dated JUNE 16, 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 DECK AROUND POOL, AND FENCE AS APPLIED FOR. The certificate is issued to GERALD S. WELLS & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE PLUMBERS CERTIFICATION DATED N/A N-775015 - OCTOBER 17~ 1986 N/A B~'~i d ~ng Inspector Rev. 1/81 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 ^UTHORIZED) 14984 Z Permission is hereby gronted to: · ..~..o,×....~,~:..b.,~ ...... ~..~.o.~.~.... ..~~~.~.~...~.:..~.:....u~.~ ~ ,o ... ~.~.~....~.~.~.~.~.~.....~x~.~.....~.~.,.~.~~.~ ............ ........... ........ at premises I~ated at ....~.~.~ ....... ~.~.~......~.~ ............................ ................................................................................................. ~.~c~~...~.~,~. ...~.~.~..~ ........ ~.....~.~..~. .............. ~....~.L :.~L :~ ............ CounW Tax Map No. 1000 Section ...L.~.~. ......... Bilk ...~..[ ............ Lot No..~.~'~.~.... pursuant to application dated .~ ....... ~ .......................... , 19.~ and approv~ by the Building Inspector. F.e ,..I.9..~.~.. B ~n I Rev. 6/30/80 ~LDG. DEPT, Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOWN OFSOUYHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.~0, Commercial $15.00 Date .~./.~.~ ..................... New Construction .... .~ .... Old Or Pre-existing Building ................ ........ i ........ Location of Property ..... ~.J.~ ............................. · ~ouse No. Street Hamlet Onwer or Owners of Property .................................. .. County Tax Map No 1000, Section..L~.~. ..... Block ...... ~ ......... Lot .... ~..--~.. ............ Subdivision Filed Map Lot . No~.~.~.~. ~ Date Of Permit Permit . Applicant ....... Health Dept Approval Underwriters Approval ...... Planning Board Approval . Request for: Temporary Certificate ........... Final Certicate...~. ..... Fee Submitted: $ ........... . ....... .. /(/~7'~ ' ' ..... APPLICANT ' THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001381 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 -- October 17~ 1986 413772/86 .otc o. N 775015 THIS CERTIFIES THAT only the electrical equipment as described below awd introduced by the applicant named on the abo~e appllcatiolt number in the premises of G. Wells, ~k)n~ella Lane, Bog 217, %Sk%tnk Lane, Cutchogue, in the following Ioeation~ ~ Basement ~ Ist Ft. [] £nd FI. outside Section Block Lot tt~s examined on October 9 t 1986 and found to be in cotttpllance rith the reqttlremenis qf this Board. FIXTURES RANGES OVENS EXHAUST FIXTURE i 2 DRYERS FURNACE MOTORS 'IIMECLOCKS I UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS HO. OF FEET SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: NO OF NEUTRALS A W. G OF NEUTRAL ~Swimming Pool) This certificate covers compliance at '~b.e date of inspection only. Because of ~t~sual environments it is advisable ~o have freq~nt test and/or repairs made by a qualifiedpersono Jody Pumillo Pat .r~e }~ttitnek, N,Y 11952 LiO~2300E GENERAL MANAGER Per- 11 This certificate must not:be aJtered 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 CERT FICATE MUsT~NoT BE ALTERED IN ANY MANNER. FIELD INSPECTION ' DATE COMMENTS FOUNDATION (1st) FOUNDATION__ ..... [~nd ) =-- ._ ROUGH FRAME & _ PLUMBING 3. INSULATION PER N. Y. STATE ENERGY .... C,ODE 4. FINAL ADDITIONAL COMMENTS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated . .'..~...c4 ~-4.~.. .... ~ ........ 19 ~. ~. for pe~it to C~.~TJ~..A~.~O~I~..~.~ ................ at Location 6~ Property ..~ ~ ~.-. ~ ~. ~...~ ~ ..... C~L~~ House tvo. Stroot Hamlot County Tax Map No. I000 Section .. ~ .~ ~ ..... Block .. ~. ~.. ....... ~t .~ ~. ~ .... Subdivision ~0 ~N~.~ Filed Map No..{. ~ .~ ~ ...... Lot No.~./. 7. ~.Z.7. ~ ~ is returned herewith and disapproved onthe following grounds ............................... .... ~ .~ ~.~.~ ~. ~....~ ~. ~ ~ ~.~.~ ~.~.., .~... ....... .... ~ ~ .... ~<~...~.~..~...~.~.. ~.co ~- ~ ~ Rv 1/80 GERALD MAP O~ PROP~"~Th'"' · -..q. ¢ BETTY ,.T. NELLg CU TCHOG LJD_ N.Y. O~TO ~, VAN TUYk ~' ~N k iC~N~D L~ . ~V~yO~~ ~ :,]'; ,._ -: '::'_:.::'" _,, .' =.' ......... ~';-' ,'%7T ~. _, · .' ' . ++ MAP OF S. ¢ F3E-FTY CU TCF-iOG LJ F_ =' ~' : . i RMNO. 1 '~; ~'T'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-18022 Approved..Jr~,~.~.~ .[ .~.., 19~.'. Permit No. L~.2P.~. / Disapproved a/c ............. .....-~'--'-~.~ ........ .,~ ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... , 1 Date .... .~/~ ......... , 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 ]nay 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 a Certificate of Occupancy shall have been granted hy 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,?~ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~pections. (Signature of applicant, or name, if a corporation) ...~o.~. .... ~..% .... j.'.,~<..,qc/cr~. .... .... /.~..qrz-./.~e./.<...4 :..7.:..A'. L</.. (mail±rig address of applicant) State whether applicant is owner, lessee, agent, architect, enodneer, general contractor, electrician, plumber or builder. ......... ~.2~- .~ ....... C0~.~. ~. ~¢:~ ....................................................... Name of owner of premises .... ~'/~'lJ~l ~ - .~} ..... .~ ....... t~.~ .... ~'-~ .... 1~..~.Z.L,~ ................. (as on the tax roll or latest deed) If ap, p]?ca~s a corporat, jpn, s~g~'~ttu, a~e of duly authorized officer. . ......... / (Name and title of'corpora~ c~¢ ) Builder's License No ........ /.O. ............... Plumber's License No ......................... Electrician's License No. /'0.~.g~g~.. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... ~.O~0,_C~.t,.. Z,.,~.~.~ ..... .O'.~tg.~.//d¢. ttF../1(.)( . ....7..Y.,E. ............ t3o~o.~,,~c...[..~.~.~,, ..... .C.,7:.'co'o.~.a,~....o. ~:. ~-Y, ..... (.<cr3.x.-: .... House Number Street Hamlet County Tax Map No. 1000 Section ...... /.7.~ ........ Block ...... t ........... Lot ..... .~. ........... Subdivision ...... A/.off'd~ oJ/Ll,.O .................. Filed Map No.../o~q. 7.~. .... Lot. k.//.~../.~.3. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .~.~.~. (~g-~..,~/. ~'.C .... .C~.~I..~..F,,q~l%~..t.~ .%rC ................... lb. Intended use and occupancy ~.~,/%4~.... ~..~?../ Nature of work (check which applicable): New Building .......... 'Addition. .: .......... Alteration ~/~-.: ..... Repair .............. Removal .............. Demolition ......... .... Other Work .... ~ ........ 4. Estimated Cost ...... ~.'lO.O' r--)D Fee ......... (to b? paid on filing this application) 5 If dwelling mber of d elli g u~it Numb f dwelling urdts on each floc If garage, number of cars ........................................... , ............................. 6. If business, commercial or mixed occupancy, specify nature and extent of each t~pe of use ....... : ............. 7. Dimensions of existing structures, if any: Front ............... Rear ...... ! ........ Depth ............... Height ............... Number of Stories ........................... i ............................. Dimensions of same structure with alterations or additions: Front ........... j ...... Rear .................. Depth ...................... Height ...................... Number qf Stories ...................... 8. Dimensions of entire new construction: Front .......... ..... Rear ....... ! ........ Depth ............... Height Nmnber ef Stories ' 9 Size of lot: Front Rear i Depth 10 Date of Purchase Name of Former Owner ~ 1 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ......... ~ .................... 13. Will lot be regraded ....... =~.O ................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .6'{~..t:~rT'f~. ~4kt~4'Address ./4~.. ('~)~ -g~'... Phone No ................ Name of Architect ........................... Address .............. i .....Phone No ...... ~ ....... 15. J-s this property ±ocated w±thinl.D0 feet of a tidaZ wetlani:l? Yes ..~. No .... * If yes, Sou~hoid To~ Trustees Perm5t may be required. PLOT DIAG~M Locate cle~ly ~d disfinctlg ~1 bulldogs, whether existing or proposed, ~d~ihdicate ~1 set-back d~ensions from property lines. Give street and block number or description according to deed, ~d shbw street nines and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ........... S.S ................................................. being duly sworn, deEoses and says that he is the applicant (Name of individual signing contract) above named. , He is the ......................................................................................... (Contractor, agent, corporate officer, etcI) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application ;. that all statements contained in this application 'are true to the best of h!s knowledge and belief; and that the work will be,performed in the manner set forth in the aliplication filed therewith. Sworn to b~fore me this,... Notary Public ......... ~.../.I.' .... ~.~.~.... ~ ~appl~oant)