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Home My WebLink About15110-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17151 Date AUGUST 2~ 1988 THIS CERTIFIES that the building Location of Property 270 MOOSE TRAIL House No. County Tax Map No. 1000 Section 103 Subdivision ACCESSORY CUTCHOGUE~ NEW YORK Street Hamlet Block 04 Lot 10 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 1986 pursuant to which Building Permit No. 15110-Z dated JULY 19, 19B6 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which %his certificate is issued is INGROUND SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to ROBERT & BARBARA HARKINS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N775021 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~)~r NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P£P,J~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15110 Z Permission is hereby granted to: ~ .......... '-"~ ............. '~"4;";~Z~ ...... ~ '. to ............ ~.~...~..~.~. ............... .~..~ ........................... ~ ............. ~...~.... ot premises located at ..~....~.~........~...~...~..~ ......... ~~~ ............................. County Tax Map No. 1000 Section ...... L.O....~... ........ Block ....... ..0....~ ........ Lot No....!..P... ............... ..~, .~ ~' ,9 ~o .~.., approved by the pursuant to application dated .......... J .......................... , .... and Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD BuJldlng Department Town Hall Southotd, N.Y. 11971 765 - 1802 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 natura~ 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 featu res. 2. Sworn statement of owner or previous owner as to use, occopancy 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. C. Fees: Additions $25.O0 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling,$25.O0, ,Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancv $ 5.00, over 5 years $}0.0~ 4.vaoant o.o. 2o.oo 5.Updated C.O. $ 50.00 Date .................. New C on s t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property.. ..... .~./~. ?..O..o~..~....7~..--. ............. . ~L~.C~¢~.¢_~44~ ...... County Tax No. 1000Sect,on ....... .... ......... ...... /.0 ....... Subdivision .................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described bu iJding and ~i.t.m~.etl. ~,1 ~pp/~bL~7~ .an~r%g~u ~t[ons' Applicant /A~'~y/~L,~. 4w-FL-/~-~., /'~..~ ........ Rev. 10-10-78 X THE NEW YORK BOARD OF FIRE UNDERWRITERS 10013 3 BUR~=AU OF EL.£CTRI~ITY O. te .,,,p,e.,,o. ~'o. o. ~i'ie N 775021 THIS CERTIFIES THAT only the electrical equipment os described below and int?d, uced by t ~h~ %o~plicant named on the above application number in the premises of Robert t{~rklns, ~70 Mco~e Tr~il~ Cutcl~ogue, ~.~ wa~ examined on ~1~1~ ~ ~ ]-~ and found to be ln compllance u' t b tbe requ rements ~f this Board, FIXTURE SWITCHES OUTLETS 1 2 DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT SYSTEMS HO. OF FEET AWG OF NEUTRAL Jody Pun~il].o Pat l.ane Mattttuck, N.Y. 11~2 IAc. 2~OOE Per ',? ~',('.~ certificate must notbe 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 M~$Ti~NO~ BE ALTERED iN'ANY MANNER ~ /d~ II o 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/FINAL REMARKS: ~ FIELD INSFECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS Examined . .~...~ Approved .... 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 .[.~] .... 195.9. .L .~..., 19~..~. Permit No./.~.--!.~..O...~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by Wpewriter 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 inspj}ctions. ..... //..... ~4.~...~.. ~. ~. >.,....__Z~... ,. .... (Signature of applicant, or name, if a corporation) )3 .~.2,. . ~ ~ .q. , .,?l/o. zl~ : . ~, . ~ /~t-f./. ,.~. . /~ . .... ? iI~l'aili~g ad~ress of apl~licant) State whether applicant is_owner lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ ~L~.~c.~.c. .... C-6w..'r~e~.*.'.rg..r( ................................................... Name of owner of premises . ~..Q ~..Z~...7.~....}.~. ..... ~. .... ~./~/~1'].. ~'~ ..... M .~.~..~.}..~..~. ................ (as on the tax roll or latest deed) If a:~~7 authorized officer. .... ? -&~ ' ' '~~;;: ;/a//'g~o;;Y: ....... Builder's License No ........ /.~. ............... Plumber's License No ......................... Electrician's License No.. ~.~.~.~../0...~.~kr-~- t....... C Other Trade's License No ...................... 1. Location of land on which proposed work will be done ........................... tv....' ................. House Number Street Hamlet County Tax Map No. 1000 Section ..... 1~.~ ....... Block ...... ¢ .......... Lot... l~ ............ Subdivision ..................................... Filed ~ap No ............... Lot ............... (Name) 2. S~ate existin~ use and occupancy of premises and intended use a~d occupancy of proposed constructiom a, Existing Use aQd occupancy .............. , ...... ~ ........ ~ ~ ~it *~,~ ? '- · ',*,~¢~.%:. ,., .................... 5. If dwelling, nu If garage, num 6. If bus!ness, col 7. Dimensions of tteight ..... Dimensions'of Depth ...... ~-8. Dimensions of Height ..... 9. Size of lot: Frt 10. DateofPurcha 11. Zone or use di~ 12. Does proposed 13. Will lot be regr 14. Name of Owne Name of Archi Name of Contr 15. ]is this pro[ */if yes, Sour Locate clearly ~ property lines. Give interior or corner Io' STATE OF NE~YC C UQ.~Y O~ ....TbsP... " (Name above named. Nature of wot c (check which applicable): New Building ..... ' ..... Addition .......... Alteration,,,~. ....... Repair ............... Remloval .............. Demolition ............. Other Work.. ,fi. ........... (Description) Estimated Co ..................................... Fee ...................................... (to be paid on filing this application) aber of dwellingi units ............... Number of dwelling units on each floor ................ )er of cars amercial or mixe!d occupancy, specify nature and extent of each type of use ..................... existing structures, if any: Front ............... Rear .............. Depth ............... Number of Stories same structure With alterations or additions: Front ................. Rear .................. ' Height Number of Stories entire new construction: Front .......... . ..... Rear ............... Depth ..... ......... Number of Stories ........................................................ 'nt ...................... Rear ...................... Depth ......... Name of Former Owner trict in which premises are situated ..................................................... construction vioiate, any zoning law, ordinance or regulation: .... .. ~ . ............ ; ......... tded ........ /~. ................. Will excess fill be removed,fl, om premises: Yes : of premises ]~,~ .l~.../"/~'l./~l.~.fi... Address ..~.~J 7r~,~'.~-~r~. . .,~..jr.. Phone No..'7~..~...-.~..~'.~/. ect 'i i~i'i ~r)i~..~ .~ Y~)~.'''' Address ....... ~. .......... Phone No ............. tetor .... Address /~.~. ~ .~t. ~./P~//k~hone No...~. ~.-.'/~f.~.4~... erty located iwithin 300 feet of a tidal wetland? *Yes ..... No ~... hold Town Trustees Permit maybe required. PLOT DIAGRAM nd distinctly Mil buildings, whether existing or proposed, and, indicate all set-back dimensions from street and block number or description according to deed, and show street names and indicate whether i ................... in~vidu~l signipg contract) being duly sworn, deposes and says that he is the applicant He is the .................. ~ ........................................................ (Contractor, agent, corporate officer, etc.) of said owner or o ners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all ~ tatements contained in this application are true to the best of his knowledge and belief; and that the work will be perform ~d in the mannerlset forth in the application filed therewith. Sworn to before me t,~is · /.~,..~. / day of ./~. (/~g/~/t/ ......... ' .... Notary Public, .,9~...~x. ~ ...... County I NOtlPlPllOllO,~mllm~w . ~...~.-,- ~.,~..'-,r~r.-.< .'-,--r, .t.."-. v.,~..r?-~,/. ~ ........... NO. 467480~o $1lff~lk C~J · : I e.~mml~lon ~1~, Jul't 3111~ ' (~gi(a t~re of apphcant)