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HomeMy WebLinkAbout14132-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15286 Date February 19, I987 THIS CERTIFIES that the build~g INGROUND SWIMMING POOL & FENCE 435 Westview Drive Mattituck, New York Location of Property ............................. ............. Ho~,~ No. ' 'S't/o3i .......... h~ie~ 0! 23 County Tax Map No. 1000 Section 139 .Block ............... Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, 1985 pursuant to which Building Permit No. 1/4132Z dated Ju I y I I, 1985 , 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 PAMELA J. SELLARS The certificate is issued to ..................... ~o~n'e;',)$s~X'~iiaVa~k ..................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO N 79 I 82 I N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 IrOR~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT [THIS PEPu~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 14132 Z Date Permission is hereby grant~ ~..~.~.~...~.~.~ .......... ~..?..~...~..~ ............................................ · .......... ~.~~J~....~.:~. ....... ~.~.~ .......... . ,o..~.~......~...~~.~. ......... ~ ......... ~..~ ............ ..~.~.. at premises located at ..,~.,~.~.....,.-~,.~ ............................... ,.,~.~ ......... County Tax Map No, 1000 Section ...... },...~.....c~. ....... Block ...... .,.C~..~. ......... Lot No .....,,,c~.~. ........... pursuant to opplicotion doted ....... ....~..~.[..~. ..................... , 19..~...~...~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION 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 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-iS-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 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. 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Dat .... New c OhS % r u c t, i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property.. ~..~,'~. ............... ~,~,~T.~.(.~..~.,., ,~. ,, ......... /~.f~./~-~.(.~,.. House No. Street ~mlet Owner or Owners of Property ............ ~ ~ AZ.~/2 County Tax Map No. 1000 Section ./~.~.'.0..C~.... Block . 0 ./, .t~. ?, .... Lot. ~.4~. ~ .~ .~)...'~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./¢l~, ,~.. ?13ate of Permit . .Applicant. /z~-/~Z~, .... .~.'..~.<.~.~. Health Dept. Approval ........................ Labor Dept, Approval ........................ Unde~riters Approva( .~/ ................. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $,,/~.i~'. .~. ?....~.. ([.~,~. ........ Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10.78 co~ 15~b THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 00314 aS JOHN ~;TREET, NEW YORK, NEW YORK 10038 THIS CERTI~T 2, 1987 451004/87 ~am Seller, WeB,view Drive, Browers Rd., ~ttit~k, ;n th~ followlng loca~io.; ~ B.~emen~ ~ ~st FL wasexa~ninedo~t~ ~ 1907 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE SWITCHES DRYERS 1 MULTI.OUTLET SYSTEMS NO. OF FEET $ E R OF CC. COND~ 2-G.FoCI. (SWIMMING ~DOL) THIS C~RTIFZCATE COVERS CO~LIANCE AT T~ DATE OF INSPE~ION ONLY. ~USE OF U~S~ ENVI~N~TS IT IS ~VIS~ ~ ~ F~Q~T TEST ~D/OR ~PAI~ ~E B~ A QU~I~'~D PE~O~. B. J. ~lectri¢ sttllwa=er Ave. Cutchogue, N°Y. 11935 LtO#2670E This certificate must rot ,be altered in any manner; return to the office of the Board if i.cgrrect Inspectors mo), be identified by their credenfiaJs. COPY FOR BUILDINGt DE PARTNIENT. ~-S cOPY. OJC (~ERTJF JcATE J~UST , ~OT_ B~. ~E~br ~ jJ~J ~.NY ~NJ~ER, FIELD INSPECTION FOUNDATION (2nd) 2 o ROUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /JAn application for Certificate of Occupancy is not on /_~/No Underwriters Certificate 6n file. /5/ The check is(outdated/not on file. /~/ No Health Dept. Approval On file. /5/ No final i~spection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit #. /. ~ ~ _~ ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving pl%mbing being issued after April 1,1984 ) NOTIFY FOLLOW 1 3. ALL THE STA'[E 765-1802 BUILDING DF. PT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND []~UILATION [ ] FRAMING ["'] FINAL REMARKS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ' '~.q~i l~ ..... , 19~..~. Approved ...... [.I ....19~..~. Permit No. 1 .~. ,.~ .~..~.. Disapproved a/c ..................................... ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ... 7/) .0 ............ 19... INSTRUCTIONS a. Tins 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 ~rr~ections. . ............ (Signature of ~lSplicant, or name, if a corporation) ' '/'/~' ~ ~'~'(Mailing address of applica~) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... :J. APPROV a DATE: ......... ~,P. Name of owner of premises .......................................................................... (as on the tax rcl~l~r~g~d).,,, If applicant is a corporation, signature of duly authorized officer. 7~5-1802 ~, ..~ ....... ; ~'~. ?Cd POR THE FOLLOWf?-! .............................................. 1 FO'J,~;, (Name and title of corporate officer) FOCI~'*'"'~,~, J. ....... ~:. ~. ~>, ' ..* ~'.~ Builder's License No .......................... 3. IN~,, t,-.. ..... ~"" "t'~' MUSI' 4, FIN/,!. Plumber's License No. ~E C,~,?~ Electrician's License No ....................... THE REQUtD~5~ENTS OF Tile N,Y STATE CONSTRUCTION ~ ENERGY Other Trade's License No ...................... CODES. NOT 1. Location of land on which proposed work will be aon . ?¢g.YTg House Number Street Hamlet County Tax Map No. 1000 Section .... ~. 7[. ......... Block .... ~ ............. Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premis~ and intended use and occupancy of proposed construction: a. e i ting ................................................ b. intended use and occupancy .. ~2 ............ .......................... 3. Nature of work (check which applicable):/New Building ..... ' .....'A dition ........ Alteration ..... Repair .............. Removal .. ~ .......... Demolition .............. Other Work ....... ~ (Description) 4. Estimated Cos .., Fee ¢ :~ ~ (to be paid on filing this application) 5. If dwelhng, number of dwelhng, unl~ ....0.~ ~ ....... Number o f d~ elhng umts on each tloor..O, lt0~ ......... If garage, number of cars .... ~.[~. ............................................................... 6. If business, commercial or mix6d occupancy, specify x~a.ture and extent ( f each type of use ..................... 7. D~menmons of ~,x~stmg strnctur~s, if any: Front... ~,~ ......... Rear .. Iff ......... Depth . Height . f.~.~.~ ......... Number of Stories . .0.~(~ ............. ........................... / ......... Dimensions, of same stmc,ture ~vith alterations or additions Front ~/, ~ / Rear Depth .~..~ .././f../(.~.~, .. Height. ~f~./,.5.. /.. . .l~umb,e. rofStories'.-J~.cO/> ... ...... 8. D~mensmns of entire new constTuct~on: Front... / ~... Rear ~ ~./ . Denth ff. ~[~. 9. Sizeoflot Front ¢.t{z.k$., , Rear ..~.'~.,Aq .... ' . De~th ~.~.: . ' .... 10. Date of Purchase ~.~'~///~.////.~ ...... ~,~ Name of Former Owne~&,/.,.~.q%.. 11. Zone or use district iffwhi~h p~emises are situated. ~.?~:~:2,.,%.{.~. ILq. T/..f. - ' .... 12. Does proposed construction violate any zoning law, ordinance or regulal 13. Will lot be regraded ...... ~,. ,'. ............. .~ .....Will excess,~,fill e remo~~_Y,~e~s ,~, ,-, No 14. Name o )yJlerf/_p, renl!ses0f.~.. ............ {{ .... Address ~.. ~. _. :Name of Contractor..o.~)..~..~.~ !~.~. ............. Address ,c-~.. q~.~, ~?~c~[< . Phone No ............ property lines. Give street and blocl interior or corner lot. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos~ : number or description according to dee~ STATE OF NEW YORK, COUNTY O~ ~ ......... ~d, and, indicate all set-back dimensions from , and show street names and indicate whether " being duly s deposes and says that he is the applicant ........... .', .................... ~ ,.-' .. ............. lorn, (Name of individual signihg~d0if?act) above named:Y:' , : ,V, ',,: ': He is the ..................... , ..................................................................... i (Contractor, agent, corporate o 'ricer, etc.) of said owner or owners, and is duly authorized to perform or have perfo raed the said work and to make and file this application; that all statements con!dined in this application are true to th~ best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed there' vith. Sworn to before me this i ...... day; .... ....................... NOTARY PUBLIC, State of New York ........ ~0. 4707878, Suffolk C0uilt~ / (Signature of applicant) Term Expires March ~0, 17~