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Home My WebLink About14196-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. z- 15206 Date January 15, 1987 THIS CERTIFIES that the building Inground Pool, deck & fence & Accessory ..................................... L'e'dti ' '-'t'6 ' Lo ' on 3500 Boisseau Avenue Southold, New York cahon o~ rroperty House No. ' .... '$'t/e~[ h~/a/ei County Tax Map No. 1000 Section 055 .Block 0.3. .......... Lot 08 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated July 31, 1985 14196z ........................ pursuant to which Building Permit No ...................... dated..A ...... u g u s t...1 .... 2, ..19 .... 85 . ...... ., 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, deck & fence & Accessory Lean-To The certificate is issued to ROBERT J. & LINDA J. WHEELER ..................... /oW,,',,;, x .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO .... N 708866 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FO~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT crHts .E~T MUST BE KEPT ON THE .REMfSES UNTt, FU'L COMPLETION OF THE WORK AUTHORIZED) ~4~96 Z Date ~44,,,~'"" / ~ ~9...g.,..~ County Tax Map No. i000 Section ......¢~...~ ....... Block ....... ..C~....~. ....... Lot No ...... ~.~ ........... pursuant to application dated .... ....~......~...~,.~ ....................... , 19.~.~...'"~, and approved by the Building Inspector. ,/ Fee $...~... ............... ~~~.;..~.. .... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD I~uildlng Department. Town Hall $outhold, Al.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions .~. 23<; ? A. This application must be filled in Wpewriter 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, stroets, 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 property 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre*existing dwelling $15.0 0 3. Copy of certificate of occupancy $1,00 ,~.~. ,0/~, ~,. ,~. 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 . Z7 D~te.._, ......... NewConstr'uction ...... Old or Pre-exist~ng Building ~/'..(2~.../.' ' va.' ..~_~ . cant Land .......... ~.. Lo o. of r ' ....... 5'o./?Z cat I' operw ......... w-.- ............................. Owner or Owners of Prope~y ...... ~ .................................. 3"~ ....... County Tax Map No. 1000 Section ............... Block ... ~ ........ Lot ................ Subdivision ........................ '/' 'r ' ' ~iled Map No ........... ~ot No .............. ~ermit NoJCJ~ .~ Oato of ~ormit ~.~ .~ppHcant . ~: ~/~}.. f..~. ,~ .~,. Health De~t, ~ppro~al ........................ Labor De~t. ~mval ........................ Unde~riters Approval ........................ Plannin~ Board Approval . } .................... ~equost for Te~orarg Certificato ..................... Fina~ Cortificato ...~ .................... Fee Submitted $ ............................. Construction on above described building and permit meets all aFplica, ble codes and regulations· _ · , ,J Applicant ....... :.. . ...................... Rev. 10-10-78 Memorandum from ·. · · BUILDING INSPECTOR'S OFFICE TOWN OF $OUTHOLD TOWN HALL, SOUXHOLD, N. Y. 11971 765-1802 January 7, 1987 Dear Mr. Wheeler: I am writing to you regarding your ap- plication for a Certificate of Occupancy. Please send us another check for $30.00 to cover the additional fee due for the accessory amended to your original ap- plication. And the separate C.O. Required for this. We have your check of Aug. 20, ~986 for the C.O for the pool and fence but cannot process until we have the addit- ional amount due. Thank you. FIELD INSPECTION 1. FOUNDATION (1st) COMMENTS /OUNDAT [ON ( 2nd ) 2, ROUGH FRRME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE ADDITIONAL COMMENTS: Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD Town HALL, SOUTItOLD, N, Y. 11971 765-1802 January 7, 1987 Dear Mr. Wheeler: I am writing to you regarding your ap- plication for a Certificate of Occupancy. Please send us another check for $30,00 to cover the additional fee due for the accessory amended to your original ap- plication. And the separate C.O. Required for this. We have your check of Aug. 20, 1986 for the C.O for the pool and fence but cannot process until we have the addit- ional amount due. Thank you. BUILDIN~ DEPT. INSPECTION, [ ] FOUNDATION XST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE .... ~INsPECTOR ,~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS l~J BUREAU OF ELECTRICITY ~e~tc~b~,r 16 ~ ~91~ JOHN S.rREE.r, NEW YORK, NEW YORK 10038 Date /lpplicatlon No. on file 35~5~5/85 -r.is CSR.r,.,ss 'rr.A.r N 708866 only the electrical equipment as described below and introduced by the applicant named on~ the above application number in the prernises of l~obert: J~ Wheezier, J~7. ~ 3500 Boissean Avenue~ ~)u~hold~ ~ 'n the lollotv,ng Iocatlon~ ~ B,sement [] 1st FI. [] 2nd ~'l. O~tside Section BIoc~ Lot tvas examined on ~t~ 0~ ~.~ andfoundtobeinco-tpliancewiththerequirementsofthisBoard. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN OUTLETS SWITCHES 1 I 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C E A W.G. [ NO, OF HI-LEG A~W.G. NO OF NEUTRALS PER ,e' OF CC COND OF HI-tEG OFA -1 NEUTRAL aT ER PP R U: (__S~G g____OOL___).. ~hi~ Certificate cover~ compliance at t/~ date of tn~ectfon only. of unusual environments l~ is advisable to have f~eque~t test and/or repairs m~de by Oody Pu~dllo Pat ~ane ~attituck, NY 11952 Li~$Z300~ /~AL MANAG~ certificate must not be altered in any manner; return to the office of the Board Jf Jnco[rect. Inspectors may be identified by their credentials. / / / i LOT · %CALC-. 4C~'- I" ,'/ , #t. Ac~To (" Y 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Exam' . ..t~.../..~..., 19~ App pe=it No. APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot plan to scale· Fee according to schedule. b. Plot plan showing location of lot and ofa~;l-ings on premises, relationship to adjoining premises or public streets br areas, and giving a detailed description ~y~t'~'f~e~erty must be drawn on the diagram which is part of this appli- ! c. The work covered by fore issuance of Building Permit. } d. Upon approval of t~i~llilla~tion, Ol~!~tJllilg./~['~t~v~l issued a Building Permit to the applicant. Such permit ihall be kept on the premi~la~l~a~, l.~i~c~i,q~O~t}o~tt the work· [ e No building shall be o~d~t~usea~n ~i~r~part for any purpose whatever until a Certificate of Occupancy shall have been granted by th~k,~n~ i APPLICATION IS HEREB o epartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the~.n ~b]O~d, Suffolk County, New York, and other applicable Laws, Ordinances or ~, tdditions or alterations, or for removal or demolition, as herein described. ~egulations, for the construction~u~ The applicant agrees to comply v~lall applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) · .~. 7.. (Mailing address of applicant) !f ap/p~s a corporation, ~i/~ature of duly authorized officer. i " , .......... ,/ (Name and title of corporiffe ttffffcer) Builder's License No ........ ~..O. .............. Plmnber's License No ......................... Electrician's License No...A~.9.~D/. .... .~g~c~_~. t (., irate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ......... ~.9/.C~.~. ......................................................... · _ ~ ,A~PRO~ AS NOTED (ason the tax roll or 1~~ B,P ~ !~[ 7~ ~ r'OLLOWfF/: ,~oP[. tO 3, }NSOLAT,O ,~ ~. FINAL CO:a~*T?~ ,U ~ON MUST ALL cONSIRUCTtON ~AL[. MEET THE R~UIP~MENT~ OF THE N.Y Other Trade's License No ...................... ~ATE CONSTRUCTION & ENERGY ~ ~ .~/~A 6 ~DES. NOT ~SPONSIBLE FOR Location of land on which proposed work will be done .... ~ ~"" % ~' · :~E~N OR OO~~ ~PR~RS,. · ~9 ..... O~ ~W¢.~..~ ~ ........ Po.~%<~ ~ ~... ~.%,~.-..~:. ~..//. ?.2z ............ House Number Street Hamlet Co,nty W~x m, So. ~000 S~tio, ....... ~5': ...... mo~k ..... .S .......... ~o~ .... 0 ~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~. ~i~ting u~ and ooc.p~.cy ......... ~ C7X; f.e~T(.fl .~ ......................................... ~¢/~ ....... :. ............. . b. Intended use and occupancy ........................ 9. 10. !11. · ,12. 13. 14. Nature of work (check which ~pplicable): New Building .......... Repair ~ .............. Removal .......... Demolition .. Estimated Cost ...... : ~.~.Q.~)...~..~." ............. Fee. If dwelling, number of dwelling units .............. Number ofd If garage, number of cars ... i ............................... If business, commercial or miaed occupancy, specify nature and extent Dimensions of existing structures, if any: Front ............... Rea Height .............. Number of Stories ................... Dimensions of same structure with alterations or additions: Front ... Depth .................. i... Height ...................... Dimensions of entire new construction: Front ............... Rem ~ddition .......... Alteratior~-~_~Zr: .~H,~.~ ~.... ~ ........... ~ (Desc~C (to be paid on filing this application) ~elling units on each floor ................ of each type of Use .................... .............. Dep{h ............... ............. Rear .................. Number of Stories ...................... ............... Depth ............... ight N~mb f S*'-,~ o He ............ er o Size 0f !ot: Front ......... ~ ............ Rear ...................... Depth ...................... Date:of Purchase ............................. Name of Form{ r Owner ............................. Zone or use district in which remises are situated .............................. Does, proposed construction ~ 91ate any zomng law, ordinance or regulation: ~ . , . Will lot :be regraded ...... ~ ~ ................. Will excess fill be removed from premises: ~Yes ' ~ Name of Owner of premises . , .C)(~.~.T..~y.....kt)./~.~'./~.~ddress ...... [ ...... Phone No ~.~'£ w ~./~...'-~.. Name of Architect .................... Address ...... Phone No ............. Name of Contractor ....... , .................. Address ................... Phone No ................ Locate clearly and distinctly all buildings, property lln~s. Give street and block number inte~4or or corner lot. PLOT 1, indicate all set-back dimensions from and indicate whether STATE OF NEW YORK, COUNTY OF ................ S,S ~ being duly ' i (Name of individual si ning contract) above nam~ed; He is the. ................... , ................................ ',. , ~ (Contractgr, agent, corporate o of said owner or owners, and is d~ly authorized to perform or have perfo application; that all statements con:rained in this application are true to the work will be 15erformed in the manner set forth in the application filed there' Sworn to before me this · ..: ....i....~../..,~. ........ day;f ....... $°t~ry m?lic' ' ~' ' '~"' ' '~'L' ?' 'S~' ' ' '~" ' ' '~' '~' ' C°un .~/~.HELEN K. B£ ¥OE t.y. NOTARY PUBLIC, State of New York ' . ~.½707878, $~ff01k C0ull~Y mm i:xpires M~rch ~0, orn, deposes and says that he is the applicant 'fleer etc ) 'med the said work and to make and file this best of his knowledge and belief; and that the vith.