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HomeMy WebLinkAbout15014-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18267 Date AUGUST 10, 1989 THIS CERTIFIES that the building Location of Propert~ 870 SMITH DR. NORTH House No. County Tax Map No. 1000 Section 76 Subdivision ACCESSORY SOUTHOLD~ N.Y. Street Hamlet Block 02 Lot 013 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 1986 ~ursuant to which Building Permit No. 150t4-Z dated JUNE 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 SWIMMING POOL & FENCE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 MEINRAD & KAREN DANZER N-774979 - OCTOBER 17, 1986 t Bulldir~g Inspector l~O~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDinG PEP~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15014 Z Permission is hereby granted to: .... ......... ..~o...~......45...4.......~.o.,~...A..c~_~.. .../~,..~.L;..~..~..C.~...,..t~.~.,..~., .....L!~..~....~ ,o ....,C¢~.~.~ZC..~..~.IZ.... z~,~.....L ~..~.-~. L.~4~..~....~..~.L.~.~ ...... ..Z'.b~:~..~ ........ .~c~..~ .......... .~.~.~.~-~-~ ........ ~.......~.z.~.c~za_ ......... o, premises located at ...~.....-]..~ ........ .~...~.(.'~J~.J~.....~...(-~ ...... ~.C~.C'~a ............................ ............................................................................................................... ~c~.~./~..~.~... .......... County Tax Map No. 1000 Section ...C~..q..~. ..... Block ...,O...~. ...... Lot No....~...[..~. ......... pursuant to application dated ...... J~....~....~.......~..., .................. , 19~...~., and.approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD ..... TOWN HALL SOUT~OLD, NEW YORK APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION -..~,i..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ...... ' I , ' 0 HOUSE NO. STREET HAMLET Owner or Owners of Property ..... County Tax Map No. lO00 Section DT~ Block .~..~... Lot' Subdivision ...................... Filed Map ........ Lot .......... No. :C~/.~..Date of Permit. . ppli~ant .. Dept. Approval .................. Underwriters Approval .............. Permit Health Planning Board Approval ................ Request for Temporary Certificate .~.. .... Fee Submitted: Final Certificate ................ APPLICANT ..................... rev. 10/14/88 FIELD INSFE.~ION· )ATE COMMENTS 1. FOUNDATION (1st) FOUNDATION (2nd) 2o ROUGH FRAME & PLUMBING - INSULATION PER N, Y. STATE ENERGY C,ODE ADDITIONAL COMMENTS THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 0]- 381 BUREAU OF ELECTRICITY :~][ 85 JOHN STREET, NEW YORK, NEW YORK 10038 oo.. October 17,1986 ,4ppU,-.t~o.-,~,'o.o./m. 416146/86 - N 774979' THIS CE~IFIES THAT Meinrad A. Danzer, e/o Smith Dr., North & Terry Place, Bayview Rd.,-South Smith Dr., Southold, N.Y. outside in the followlng location; ~ B~e~nt ~ Ist Fl. ~ 2nd FI. Section ~s exa~nined on J~ ] y 2 8,1 9 8 6 and found to be in co,~pliance with the reqtdr~,~ents of thL~ Board. ' 1 1 2 1 ~ DRYERS ~ ~RNACE MOTORS ' FUTUR~ A~UANCE ~E~RS ~SPECIALREC'PrJ TIMECLOCKS ] aELL ]UNITHEATERS ~MULTI-OUT~T DIMMERS ] G.F.C.I.-1 ~SwSmmSng Pool)This certSf/cate covers compliance at the date of inspec~5on only. Because of unusual environments it 5s advSsable to have frequent test and/or repasts made by a qualified person.. . Jody Pumillo lic.12300-E Pat Lane Mattituck, N.Y., 11952 ~ Th~i cemlfkete must not be oltered i~ a.y manner; return ~o the office of the Boord ~f incorrect bmedors may be identified by their crede.fi~li. 76S-1802 ~ /~/~-~BUILDING DEPT. ~~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING [ ~]~1NAL REMARKS: 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 .. J.t-4..t:'3 ~ ..... .~. ......... ,19 ~ .~. for permit to C,Q~...,5.'~.F4.~..(:,77... t.~G;.~.C).c4, i'~.t~...~...~..~.t.~t¢'tC,~..?.o..o...Lw..., at Location ~F Property h3~s.~.~o~ .O...... · Street Hamlet County Tax Map No. I000 Section ...(~ .-~ .,~. .... Block ...~-P..~.. ....... Lot . .(~)J.~ ....... Subdivision .Q'~O~-~.~'(~--~;%~ Filed Map No ................. Lot No...~..-1...~..~ ..~.?..~.?[ is returned herewith and disapproved on the following grounds .~-"~ q~'~-~xO.~j,"~..."~. ,q~. ,~..t.._ ..... RV 1/80. //~/ ' FORM NO. 3 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .. ~..Q .~ .~'~.. House ~vo. Street Ham/et County Tax Map No. 1000 Section ...Q~ .~ .... Block ...~. ~ ....... ~t .. O.l.~ ....... is returned herewith and disapproved on the following ground~~.~~ .~ ..... ' uu~lding xnspac~or RV 1/80 SURVEY FOR SEABURY J. BURTIS LOTS NOS. 97, 98 ~ 99 OF "MAP OF GOOSE NECK" NoT~, MAP OF SUBDIVISION I~ FILED IN TH~ ~VIEW ~UARANTEED TO, OFFICE OF TH[ CLERK OF SUFF, CO. TOWN OF SOUTHOLD ~T[R-COUUT~ T~L[ 6UARANT~ ~ MORTGAO[ CO, 'a =MONUM[NT FOUND o =PIPE FOUND SCALE, I" = qO' t( '¸ N.80 t"m' Z);?; SURVEY FOR SEABURY J. BURTIS LOTS NOS. 97, 98 & 99 OF "MAP OF GOOSE NECK" BAYV I EW GUARANTEED TO, TOWN OF SOUTHOLD INTER-COUNTY ThEE GUARANTY 6 MORTGAGE CO, GEASURY J, BURTI$ SUFF. CO., N.Y. SCALE, I"= 40' SEPT. 22,1964 NOTE ~ MAP OF SUBDIVISION I$ FILED IN THE OFF,!CE OF THE CLERK OF SUFF, CO. 'e =MONUMENT FOUND o =PIPE FOUND FORM NO. 1 ~ " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined. .~.f~.l~ ...... Approved. ~q¢. I%t.~...~ .~ i, 1 ~..~. Permit No. · .'.~-~ .~.. · [.~{' ~cei .. , Disapproved a/c ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 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 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. ..... /.4 ../?.~.7. t. 4 7. ..~... ~ .~,.. ~7~.'.c. ....... (Signature of applicant, or name, if a corporation) · .b.o~....q.~.% .... .S..(~r~:...,7:q~.~ ....... ~ t.. - i ~J~.- · .~r.~:~<~4. (c ..... ~...,q.~.: .... ~. ....... (ma:~l~_ng address of app~_:~cant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ .6'~. ~?..~..,, .c~..~. z-Jr~..~.. ~ ................................................. Name of owner of premises .. )'~.'/././J{{/~J/~ ..... fi:... ~./~.~..~ ....................................... (as on the tax roll or latest deed) if ~~/~.y authorized officer. · ' / (Nameand title df corporat~gefficer) Budder' 's L~cense' No ........ /. ................ ~ Plumber's License No ......................... Electrician's License No. ~4~.~/ff~Y~ .... Other Trade's License No ...................... Location of land on which proposed work will be done..t~..~.U.I .&~..)..7~.D.I~..~?.. · ~)~. .... ~. eg..~.7~.'~.* ~. ..... .......................... ~f.~..-.77/~..~..~. ........ ~ ....... ~. ~. .0. .... %.~. .i ~,~ . o~ru~'- ..~.77~. . ./.. . House Number Street Hamlet County Tax Map No. 1000 Section .... .~.~ .......... Block ........ e2- Lot ........ ~.. .... Subdivision.....~..~.~...~...6~.. .................. 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 ......... .~. ~.-~. I ./?~..'ZL/.')'7'..O~..~: - ' b. Intended use and occupancy .......... .~...b~../~.~.-9~f'/.~[.~..1~. ...................................... 3. Nature of work (check which applicable): New Building .......... 'Addition ~ ......... Alte¥~t{dn .......... Repair Removal Demolition Other Work .~Z ~[.~i '~.~ (Description) 4. Estimated Cost ........ ~.o .~'-. · · :. ~ ............... Fee [to Be prod on fihng th~s application) 5. If dwelling, number of dwelling units ............... Number of dwelling uhits on each floor ............. If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each tlype 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 6f Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ...... ; ........ Depth ............... Height ............... Number of Sto~es ........................................................ 9 Size of lot: Front Rear Depth 10. Date of Purchase ............................. Name of Former Owner.. ............................ 11. 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 ....... ~: ................ Will excess fill be remoyed from premises: Yes 14. Name of Owner of premises . .~'.'J .... ~,/~... Address)'~,,,%},.. 0~.o~. 4 .~': · Phone No.2¢ Name of Architect ............. ; ............. Address .............. . .....Phone No ...... C. ........ Name of Contractor .~....t~2~[t&p.~ .S-~.-,e ...... Address ~/.~g.t/17~,. ~ .~..~. (Phone No..~..~. 15. Is this property located withinl;00 feet of a tidal wetland? ~ Yes ..... No .~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. Indicate ail 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, COUNTY OF ................. S.S ................................................. being duly sworn, dep'oses and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................................ , ............................. (Contractor, agent, corporate officer, etc0 of said owner or owners, and is duly authorized to perform or have performed the Said 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 work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .......... ...... · ~, · 5~ ~..day of.: .~ ............ ,19 ' Not. ary Public,' ....... ~./~.,..?..J~..~..~. .... County ~. -~ . m. 4~.U~ .~ ~ CeuW~¥ (Siglfdt~l/of applicant)