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Home My WebLink About13914-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No ..... z. ] .6.7.7.6. ...... Date . .fi..u.g.u.s.t:..7., ..................... 19 .8.6. Inground swimming pool & fence THIS CERTIFIES that the building ................................................ Lo ..... 1750 Gillette Drive, East Marion, N.Y. cauon OI rroperty ............................................................... House No. 0 3 8 St~t 1 8 Hamlet County Tax Map No. 1000 Section ............ Block ............... Lot ................. S ..... M/o Marion Manor 2038 16 UOUlVlSlOn ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated June 20, 1985 pursuant to which Building Permit No. 13916z dated . .J..u.n.e..2. ]: ................. 198...,5 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 William Schwab ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N 702694 Building Inspector Rev. 1/81 FOI~[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13914 Z Permission is hereby granted to: . <. .......... ~~......~..~......0~.~ ............... ...!.~.~...~...~~ ........ .... ~.~...'L-~, ~....~.:.~,.....~,~.~_~ ........ ,o ...~a:..~.~...~....~.....~.....~~.~ .............................. at premises located ............... ..~ ...................................................... ~ ................................... County Tax Map No. 1000 Section ......~....~..~ ......... Block ..... ..~...~.. ........ Lot No....L~. ............... pursuant to application dated ........ ....~...~,..~.. ................., 19..~...~,."~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Bui;ding 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 II~mm~a 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 ~ines, streets, and unusua~ 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 Undervvriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Amhitect 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 pZt~perty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date .......................... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ./.~..~. ......... .~ ............ House No. Street Hamlet Owner or Owners of Property .~. ff4~. (~Zc)//J,,/~ ~ /..~L..~../~-.~. ............. 100(~ Section ..... .-~.O~.. ...... Block .... ~..'/'~.. .......Lot .... '.~.. ........ County Tax Map No. Subdivision. H.../~...~.j/~... ..~..~..~.d..~. .......... Filed Map No. ~...0 ?..o~'. .... Lot No...L.~. ........ Permit No Applicant Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. Construction on above described building a it meets, all I s a ations. ........... Rev. 10-10-78 1025045 ~ THE NEW YORK BOARD, OF FIRE UNDER~ii~ITE~S-~, r-]'023045 BUREAU OF ELECTR C TY / lehg E5 .JOHN STREET, NEW YORK, NEw Y(~RI~:'I~)O~e' William Schw~,~ 1750 Gillett ]}rive, Cast Marion, NY ~n ,hef,,llo~in~ /or. Ho,,; [,1 IJ.~,,,,~e,~ [ ~} 1st FI. ~] 2~d FL Outside FIXI'UEE RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DIMMERS i~G;F.G.i. , , ~, (SWIMMING POOL)THIS CERTIFICATE COVERS COMPLIANCE AT ~E..DAT~. OF OF UNUSUAL ENVIRONME~NTS IT IS ,ADVISABLE TO }SAVE QUALIFIED PERSON. ' r Brite Star Electric 13 Willett Avenue Sayville, NY 11782 : Lic#3398E must not be altered Jn any manner; return to the office of the Boo~d { JncOrrect. COMMENTS FIELD IN'~'EC{ION 1. (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-XS02 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~FINAL REMARKS: DATE "FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL,: 765-1802 xamined' ' '~'~' '~'~,z ..... 19~ '~'~ ,pproved .... .~ .g'~4....g-.~ .... 19~.y. Permit No. I.'.~..'7/.'T..44 )isapproved aJc ........................ ] ........... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN Ok: $OUqHOLD Received ........... ,19... Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 all 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 dl 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 ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. }e applicant agrees to comply with all applicable laws, ordinances, b~ffJding cod~ housing cod~, and regulations, and to :mit authorized inspectors on premises and in building for necessary in~pJ~¢tidns. " ............... ~ (Signature 6f applfcant, or name, if a corporation) (Mailing address of applicant) rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...: ..... .0. ......... , ................. . .............................................. ame of owner of premises ~ . .~..Z..~... ~ -/~..F--~/~.~.' .................................. (as on the tax roll or latest deed) 'applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~'...~.ff. .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. 1.757.o. ....................... . : ¢ ,,e :r:. , . lDO ............. l.:: .z :. . . .,< c . ............ House Nmnber Street Hamlet County Tax Map No. I000 Section ...~..~. ............ Block .....~ ............ Lot...~.../.% ...... Subdivision....~.a.l~.;.O..d....~....0~...O.C ......... Filed Map No~..'3. ~. ......... Lot... 16 ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ (~..,~.~ .... /~..~?~.. f.~. ~....~..r~. ,~. f./../.,~. ~ .......................... b. Intended use and occupancy ............. .~...S.,~.~./[.D..~..L~ ........................ 3. Nature of work (check which applicable): New Building ..... '.' .... 'Addition .......... Alteration .......... Repair . .,~a~li.,q .q .Shl- · Removal .............. Demolition .............. Other Work/$z'~-/.~'.~'fp.,~.~..~ ~,~ 4. Estimated Cost .~.. Q.'.°. O! ~-. .... Fee ~ ~" (to be paid on filing this application) 5. If dwelling, number of dwelhng~umts ............... Number of dwelling units on each floor ................ If garage, number of cars .... t ................................................................... 6. If business, commercial or mixeld occupancy, specify nature and extent of each type 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 of Stories ...................... 8. Dimensions of entire new construction:. Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ..................... Rear ...................... Depth ...................... 10. !)ate of Purchase .......... I .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ i" .................. Will excess fill be removed fro, m premises: Yes No 14. Name of Owner of premises~¢ ~-r~ .~?g~'. ~.~..~ ..... Address~. ~(,¢7'~ P~ ~.P~'~'~'. Phone No.Z~. ?.~. ~7~../.~..... Name of Archit,ect . 'O ...... i ' ' '-- .............. Address ................... Phone No .... ~ ........... Name of Contractor ~.'~..,~..~./.-~/. ~.oq..~ .......... Address/~t~.~/.~.~.ff~..IAr.~.~q/q~.. Phone No 2~t~-~. ~ ~ .,J'~... PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed and, indicate all set-back di~pensions from property lines. Give street and block:number or description according to deed, and show street names and indicate whether interior or coruer lot. ! STATE OF NEW. YORK, , S S COUNTY OF ~,~9~.-~.c.f.~.', ..... ' · . ~}/~.~/.~r'~t..,,,{&/vf~.~.,~: .! .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigr lng contract) above named· He is the ........ ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 manne~ set forth in the application filed therewith. Sworn to before me this . ............. F POOL PLAN DETAIL StO. E W~.LL 5Ec"rlON A-A N.$.P.I.. 1~2 MONTAUK ~THAMPTON N.Y.