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Home My WebLink About14737-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.1.6.2..5.0 .......... Date ....0.c.~.o.b..e.r..5. :..1.9.8,7. ............ THIS CERTIFIES that the building .... Ingr ound pool Location of Property 2105 Camp Mineola Road Mattituck House No. Street Hamlet County Tax Map No. 1000 Section .. [ .2 .3 ....... Block ..... .6 ......... Lot ...... .5.2. ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 2, 1986 pursuant to which Building Permit No. 14737Z dated .~. P.r.i.1...5 .,.. I. 9. .8 .6 ............ 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 pool and fence to cede. The certificate is issued to THOMAS AND BARBARA MAC LEOD ..................... ?oWn~;,'t~'~tt~;~t X X X~C× ............... of the aforesaid building. Suffolk County Department of Health Approval .... .I21./.A. .................................. UNDERWRITERS CERTIFICATE NO. N 747598 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 I~OEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14737 Z Permission is hereb/granted to: ....... ~.....r~..~ ....... V..~.'.....~..~..r ...... .... ~ ?.(......~....;.....~?..~ ..................................... , ,o ot premises located at ..~/...~.. .................. ~:~ ................. .~. .......................... County Tax Map No, 1000 Section ..... L..~..~ ....... Block ...... ..~..~. ........ Lot No ..... .~..~...~. ......... to application dated ..... ..L~......I. ......................... , 19~....(,.,- and approved by the pursuont Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I ~ 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of pzOperty showing all property lines, streets, buildings and unusual natural or topographic features. 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. $ 50.00 Date ................... New C ohs truc t,i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Pronert,, · . .... House No. Street Ham/et Owner or Owners of Property., .'~.,..o~..~...'¢5.~.d~.r'.~.~..~.G~,,, .~! ~ .~.. ~. ~.~ .................... County Tax Map No. 1000 Section 1 ¢~ Block .~. Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.'/Z/.?..~'. ~.~. Date of Permit .~..-.~.~.*-..~:~.Applicant . .'¢~...../-~...~..~.'..~..~.c,..../_~.. ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Rev. 10-10-78 Construction on above described building and permit meets all applicable codes and regulations. 5-0 THE NEW YORK BOARD OF FIRE UNDERWRITERS 100066~ BUREAU OF ELECTRICITY ~1~1 ~,~a~' 2~ 19~ 85 JOHN STREET, NEW YORK, ~4Y~038 N 747598 THI~ C~RTIFIE~ THAT only the electrical equipment ~ described below and introduced by the apptlcant named on the above application number in the premlses of Thomas McCloud~ Camp bhneola Rd.~ COT. o~f Krous Rd, H.Sid~Mattitw was examir~ed on ,f~])'f'.l, l FIXTURE OUTLETS RECEPTACLES SWITCHES [] 1st Fl. [] 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURES RANGES COOKING DECKS OVENS FLUORESCENT DISH WASHERS EXHAUST FANS DRYERS FURNACE E V I C E NO OF CC. COND, OTHER APPARATUS: (Swimming Pool.) This c rtificate only. Because of unusual e~vironments it is and/or e ' - . r.pa~rs made by a qualified pozson, R pER ~' OF CC. COND NO OF HMEG AWG, OF HI-LEG NO OF NEUTRALS OF NEUTRAL covers con~liamce at the date of inspection advisable to have frequent test Glenn Bradley ~~.'~ Box 382 ~] ~'~ ~~~g~e Board ,~ ,ncorrect. InspeOors mo~ be identified by thei/c;;~io,,. COPY. FO ~ BUILDING DEPARTMENT. THI~ COPY QF ~E,~ ;FICATE. MUST~ NOT BE ALTERED~ .... IN ANY MANNER ~ 7GS-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST [] ROUGH PING. [ ] FOUNDATION 2ND [] INSULATION [] FINAL INSPECTOR FIEL~ I~L~ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE /FINAy "IMMEDIATELY" ENCLOSE u.o. .E o.E i APPROVED At; NOTED PATE: H . B.P ~f 1~'7~?~ NOTI~ ~U~LDING OEPARTMENT AT. '7~ s~o~ g ~ TO 4 PM '~R THE FOLLO~g~m~ IN~ECTION~: ~-~ *" "~:~" ~ CONCRETE' *~)~'r~ ': ?~tiTROCTtON MUST A~ ......... sJCTION SHALL MEET' THE f{~b,~ '/.~:tt4ENTS OF ~HE N,Y ~TAT~ , :r;r~;~ ~RUCTION & ENERGY CODE~, ~,'~T RES~NStBLE FOR m~Gr~ J~-~ CONSTRUCTIO~ ~RORS, ,-ApP(,L D,N!A ~(iRCHGESSNER II II 'A m A '"<0 · '0z m r $% 4" S COURSES 8'x 8~ 16'~ CONCRETE BLOCK CONTRACTOR,.. SWIK-KING POOI~, INC. ROUTE ,25A ~o8 ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,. ,~OUTHOLD, N.Y. 11971 TEL.: 765-180~ Examined . .~...~. .... , 19~. ~ Approved...~. . .~....., 19~. 5. Permit No. / .~. 7. ~ .~..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT DLDG. DEPT. ~-~_ TOWN OF SOUTHOLD Rece±ved ........... ,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 premises o~ 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 pem~.it 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. ..... ................... (Signature of applicant, or name, if a corporation) .&:... ffT~ .~ ,(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .//N.. ........................ Name of owner of premises ........................... (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. . · · · · · . .-r~...~..~. ............. Plumber's License No ......................... Electrician's License No.. ~ J Other Trade's License No .......... r-. .......... 1. Location of land on which proposed work will be done ..... ~.. ....................................... / nX7/ ./J. : . . (/. .......... House' ""''""'""'"""'"'"""""Number Street '""""'''"'"' ""'Ha~n'l~t ty T ................................ Court ax Map No. 1000 Section . . , Block ...... Lot .' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and °ccupancy °f pr°p°sed c°nstrucfi°n: Existing use and occupancy ....... b. Intended use and occupancy / /c.)/... /.D?.~.q~. .... 3 Nature of work (check-which applicable): New Building . 'Addition Alteration Repair .............. Removal .............. Demolition .............. Other Work ............. ; ~' (to bo p~d on filing ~is application) ~. If dwel~ng, number of dwe~n~ units ............... Number of dwelling units on each floor ........ If g~age, number of c~ ... ~ ........................................................ .... 6. If bus~ness, commercial or m~ed occupancy, specify nat re ~d extent of each type of use ............. D~enaons of ex~st~ng structures ff any: Front Rear Dep~ Height ............... Number of Stories.. .............................................. 10. 11. 12. 13. 14. Dimensions of same structure With alterations or addil Depth ................ ;... Height ........ Dimensions of entire new construction: Front ..... Height ............... N~_mber of Stones ..... Size of lot: Front . .../~..~..~C .......... Rear property lines. Give street and bloc interior or corner lot. ions: Front ................. Rear .......... Number of Stories ......... Rear ............... Depth ....... .../. (~.~. %?.~. .......... Depth ...~'~D· i ?.ff. .... Dare'of Purchase i Name of Former Owner Zone or use district in which premises are situated ' Does proposed construction violate any zomng law, ordinance or regulation: .. ,,~.~ .................... Will lot be regraded ....... ~ .................... Will excess fill be removed from premises: Yes Name of Owner of premises.~.,~v./~~. f~..~..~ .... Address ~./~-~7. a~.~..~?g~,}?Phone No.~..~.~.~. .~..~ .'~...'. Name of Architect ........ ~ .............. Address ................ ~..'. Phone No .............. Name of Contractor .~Y..v~./?..~?. &...~..~.v.z.~.. i i... Address ~k./,../~.7/.~..~. ....... Phone No..~.~.¢...~./.~P. · · PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate, all set-back'dimensions fro : number or description according to deed; and show street names and indicate wheth ·. being duly sworn, deposes and says that he is the applicm STATE OF NEW YORK, S.S COUNTY OF ................ ..... ............... (Name of individual signing contract) above named. He is the (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 th application; that all statements cofltalned in this application are true to the best of his knowledge and belief; and that tt work will .be performed in the man~er set forth in the application filed therewith. Sworn to before me this ....... ~..~,..c~<.. ........ day ~f..~ ........... 19~. No~tar~ Public, ............... ..~... County Notary Public, State of N~ Vo~ ! -- ~i~tature of applica~ No. 4822563, Suffolk Term Expires December 31, 19 ,o, ~,