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HomeMy WebLinkAbout15008-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15952 Date July 14, 1987 THIS CERTIFIES that the building INGROUND SWIMMING POOL & FENCE Location of Property ...8.9.5..H.~.g.h.l.a.n.d..R.o.a.d. ........... C.u.t.c.h.o.g.u.e.,..~e.w..Y.o.r.k. ............. House IVo. Street Hamlet County Tax Map No. 1000 Section I02 ...... Block 08 .Lot 02 Subdivision..~./.o. Hi~t~land Es'cares .... 6357 5 ............. : ........... m~ea Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Cried in this office dated June 13, 1986 pursuant to which Building Permit No. 15008z dated June 20, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occu ancy_ for which this c rtificat's is i . ~NOROUND SWIm,NC POOL a PENCE AS AP~D FOR WITH W~NDSWS FR~ H~ POOL AREA BLOCKED NOT TO OPEN MORE THAN 2 INCHES: DOORS FROM HOUSE INTO SOME AREA ~E? 'C~0$ING 'S 'EATCHING .' ........................................................ MARC & BEVERLY LEVEY The certificate is issued to ..................... [oh;n'o),'/~7,~'J~x ..................... of the aforesaid building. Suffolk County Department of Health Approval ... N/A UNDERWRITERS CERTIFICATE NO ..... N761540 N/^ PLUMBERS CERTIFICATION DATED: Rev. 1/81 lrO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDiHG PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15008 Z Dote ..... ~ ............................... , ...... Permission is hereby granted to: Q,,~....~ .~..'...~....~..~....~..~ .... ~u..~ ...... ~.....~ ......... ~... ........ ~,.." ,o .~.~,,,..~....~.~.~.~.......~...~...~.~ .......................... ...~..~......~......... .............. , ........ .,. .... .: ........... ; ...................... ;...~ ................................ ot premises located ot ....~....~. .......... ~' ~..~....J~- ............ .~g~...~~ ............. .................................................................................. :::: ................... .......................................... ~ .............. ;. ........................................................ ~...~.~ .... County Tax Mop No. 1000 Section .... ./.......~'.. ....... Block ..... .(~..~. ......... Lot No ........................ pursuant ,o ~pplicotion doted ..... ....~. ~...L...~.. .................... , 19.~....~.., and approved by the Building Inspector. Building Ins4pector Rev. 6/30/80 ~),- BLDG. DEPT. TOWN OF SOUl,lOLl) FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buiidings 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. 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 featu res. 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. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling 3. Copy of certificate of occupancv $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ..................... NewConstruction .. Old or Pre-existing Building Vacant Land Location of Property ............................................... House No. Street Ham/et Owner or Owners of Property . '/~.'P~ ffi ~ ~...~..~T~.L~' ~ County Tax Map No. 1000 Section ,/~9~- Block °°' Lot Subdivision. .~ .~..z~'A.~..z). · · .~..'~.~.'~.~~.~..'~. .... Filed Map No..~../.~..P'./?-7 .Lot No. Permit No. ~,5-e~c~ E -2~ Date of Permit ~.~../.~?'/?..~'Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ...................................... Rev. 10-10-78 F1EDD i~4~SFECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY CODE C OM~'~ E~'JTS FINAL ~'r ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ I INSULATION FRAMING [ !~'iNAL DAT[ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY B5 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical ~u ~pment ~ ~scrlbed be~w and introduced by the appllca~t ~m~ on the a~ve application number in the premises of Levey, w/~ Box 81~ ~ighl~d ~o~, ~/o ~te 25 Cut~ogue,N.Y DRYERS FURNACE MOTORS FUIURE APPliANCE ,~EDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R I C ~ ~C,e' ~ V~t C,. NO. OF HI-LEG t A W G t40 OF CT E A~ A T : (Swi~ng P~i) This certificate covers oomplian~% at ~e da%e of ~$~otion only, B~ause of ~]usual Enviro~tents i% is advis~le to have fre~ent test and/or A.W G OF NEUTRAL [{enry Sohn 121 Sheep Pasture Road Setauket,N.Y. 11733 Li¢$2$75E GENERAL MANAGER This certJfkcde must not be oJtered in an), manner; return to the office of the Board if incorrect. Inspectors may be identified by the/ir COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL.: 76~180~ Ex~mined .... ~O..., 19~.¢. ' Approved.. ~{.i~-...1~.O.., 19~.~. Permit NO. ! .~.-'.O.~ ~ .~,.. Disapproved a/c .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT, Received ........... , 19.. INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 o~ public streeb 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. Tile 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 peri, ix 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 Occupant3 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 ox Regulations, for the eonstroction 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...~ ~ ~ · ''' i~i~r'e'of applica' ' ' '''' ~; ~ ~am'e~6~C]a't;o'n') .... :-. (Mailing address of applicant) ,~.eO~ ~' ., ~/~: /dc/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumberl~u~flder. ...... . z7 ............................................................................. xan~e or o~,er or p~e~ises .... ~ x.?.,q.q4 .... .X_.~ .~..<~. ............................................ (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.. :~?.E..~.~ ............. ', Other Trade's License No .......... :-. .......... House Number Street County Tax Map No. 1000 Section .... ./. q.'+7 ..... Hamlet . B~ock .... /. ............ Lot .... ~ ........... Subdivision../?./.d:.#.~.t~.xg./?... ~ .~.'..~..~.'~ ........ Filed Map No...~./7'.~.C~7 ..... Lot ..... ,.5.~ ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction ~. Existing use and occupancy ............................................... · Intended use and occupancy . .~..W~.../.D.~.~...~../.../.5/...~... Y3. 4. 5. 6. 7. lO. 11. 12. 13. 14. property hnes. Give street and block number or description according to interior or corner lot. i '/; !' :.~'~,."~, . f',, ~.,..?3 ! .... . .. Nature of wor~'~,~app!lcable): New Building .......... Addmon .......... Alteration,,~ ......... Rep~ ...... .... ~l[.~mov~. .......... Demolition · .. O~er wor~.. · - z.~dd~._ .... . ... st ated cost ....... .............. . . , .... .................................... ~ ~ ~' (to be p~d on filing this application) If dwolgng, number of dwe~g 'nits Number of dwelling units on each floor If g~age, number of c~s ..... J. ............................................................. . If business', commercial or mixedj ~c~upancy, specify nature ~d extent of each type of u~ ............... D~nsions of existing st~etures, ~f any: Front ............... Rear .............. Depth ......... H~i~t .. .............. Number of St~nas.. ................................................. D~ensxons elsie stmcturo wi~ ~tera~ons or additions: Front ................. Re~ ............ Dop~ ......... . ....... ~ . ~ei~t ..... ~ z . . Number 0f Stories ..... .~_. ......... Dimen~ons of entir~ n~w const~txo~~.~ · · · ~ ....... : .......~e"~ · · r ....... H~i~t . ........... Number of Stories .................................................. Siz~ of lot: Front .... '. ~ ....... Re~ ...... ~ ...... De . . Date of Purchase . ,' ..... N~e of Fo~er Owner Zone or uso d~rict in which pr~misos ~e si~ated ....................... ~ ..................... Do~s proposod const~ction violate any zoning law, ordinance or re~lation: ........................ Will lot be regraded ............................. Will excess fill be removed from promises: Yes b N~e of ~chitect ...~ ...... ~ ........~... ~ .... Address ................... gnon~ ~o. r~ /~/~ ~o~ . .~Z/..~ .~.~'~...PhoneNo. ~' ~r~ ' N~e of Contractor ~. · · ~., .............. Address ~oc~ ~ ~o r~ ............. P~T DIAG~ Loeato clo~ly ~d dis~ctly ~ bufld~, wh~er ~xist~g or proposed ~d, indicate. ~1 ~t-back ~mions fro dooff, ~d ~ow stroet n~os ~d indicate who~ STATE OF NEW YORK ~ ' S.S COUNTY OF.. ..... '. ' ,e_~,/.?, ,T-~D, ~ ,~, ,~. ,~ being duly sworn deposes and says that he is the applica ' (Name of individual signing contract) above named. He is the ......... .~./..~_~...7;. (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 ti: application; that all statements cbntained in this application are true to the best of his knowledge and belief; and that t work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i ' . Notary ~....; .,.' .... County Public, ......... ~,,.~ .......... ~"*'?',~ .," '~¢~ :~'~I '~ I~ Pubti~, ~tate of New yom ~ . '- - ~ N~ ~2-4526433 tq ~ '~tif~ n Sufto klCqUn~ /_ ~ re of applicm f' ~ /'*~ BLOCK 8' ~ /~BLOCW, ~l~S 3 STE S ~ T' ' co.c ..... : , , I : ~,~:'., OPTIONAL STEP : m FIBERG~S B~C B~D'  i~ TROWELEO ON EACH FAC: , ~ ~ ~ OF CONCRETE BLOCK WA~., T PE O PTI ONA L STEP .o~[~.~ To e~ ~.- .o. s~,o ~.~. ~o.~o ~ POOL AWAY FROM ROL~D FOAM ~tT~ P[ I~ WATER~, OlS~SAL SHALL BE LIMITED TO OWNER'S ..... ~- PROPERTY TO. SUIT LOCAL REGULATION~ B~EEN SEE TYPICAL end'BLOC WALL SECTION 2% 4"SAND BOSOM 2: 4' SAND ~"" u RETURNS~ SECTION B-B ,2- FooTPOUREDIN G CONCRETE "- PICAL WALL SECTION~ SKIMMERS SECTION '~ 'A-A:! ~TOFILTER I SIZE: A B C O E F O ~ CA~. FEET FT. I~ FT. rE rt. rE Irt $~J~ 16'x ~2' 16 ~2 8 8 12 4 4 51~ I~ 16' x 36' 16 56 12 8 12 4 4 576 lSKIMMERS LTERond PUMP TO RETURNS FROM FI L'I'ER t $1DF OR END .P. :~/6'o0 ~' G. Y: V. CL, G DEPARTMENT AT TO 4 PM FOP, TH! ~'ECTIONS: , - TWO REQUIREC CONCRETE '~ I N.":- :~., PLUMBING iSTRU .TI')N MUST FOR C.O. ION SHALL MEET qTS OF THE N,Y, CTION & ENERGY RESPONSIBLE FOR TRUCTION ERROR5, OR ;t iFiC TE eCY HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ADO~LSS SURVEY FOR MARC H. LEVEY I~ BEVERLY LEVEY LOT 5, "HIGHLAND ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE dULY 17,1981 SCALE I"= . NO 81- 412 GUARANTEED TO: ~OUTHOLD SAVINGS BANK EQUITY ABSTRACT, INC. MARC H. LEVEY 8 BEVERLY LEVEY ]ri J_ 1 YOUNG e, YOUNG .~I~IVFRHEA°) NEW YORK