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Home My WebLink About15125-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17125 Date JULY 28~ 1988 THIS CERTIFIES that the building Location of Property 1800 SHIPYARD LANE House No. County Tax Map No. 1000 Section 35 Subdivision ADDITION EAST MARION~ N.Y. Street Hamlet Block 8 Lot 5.3 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14~ 1986 pursuant to which Building Permit No. 15125-Z dated JULY 22~ 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isINGROUND SWIMMING POOL & FENCE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GUSMAR REALTY CORP. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - JUNE 20{ 1988 N/A Building Inspector Rev. 1/81 l~w'~' NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15125 Z Permission is hereby granted to: .... ~.~?~.,.....~. ............... .~..o..x....~.~.?. .............................................. ..~..~....~...~,.....J.~..r..z.~. ........ ,o...~.~....~..~.~.~...~..~. ..... .~..~ .... ...... ............................................................................................... County Tax Map No. 1000 Section ..... .~...~..~. ..... Block ..... ,.C:~....~. ......... Lot No..,.~..~..:..~ ........... pursuant to application dated ...... ~ ........L.~,. ............... 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 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-(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 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 requ ired to prepare a certificate. C. Fees: Additions $25.00 POOLS $25,00 ALTERATION $25.00 1. Certificate of occupamcy New Dwelling $25.00, Accessory '$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 1800 Shipyard Lane East Marion House No. Street Hamlet Owner or Owners of Property GUSMAR REALTY CORP. County Tax Map No. 1000 Section 35 Block 08 Lot ... ?...3. ~ubdivi~on ................................. Filed Map No ........... Lot No. POOL) ............. ~ 15125Z Permit~o ........... Date of Permit .Applicant Gusmar Realty Corp./Peter Fakiris Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval PENDING-6/20/88 PI dApp ........................ anning Boar royal ...................... Request for Temporary Certificate ..................... Final Certificate 25.00 Fee Submitted $ ............................. Construction on above described building and J~mit meets a.II apj~licable codes and regulations. Applicant.. ~Z~"~~ ................... Rev. 10-10-78 REALTY COP. P,, SHIPYARD bANE, ]~i~.ST I~AR[ON, N~Y. OUT ,~tlon ' Bl~ ~ examin~ on ond ~ound to 6e in complionce with the r~ulremenfs o~ th~ ~. DRYERS MOTORS SERVICE OtSCO~NECT S E R V I ¢ E pANELBOARDS:I-5 CIR. 125 *(SWlMNING pOOh) Thi~ certificat~ covers compliance at the date of env~ronmeDts it is a4visable to l~ve frequent temt/and or repairs made by a qualified person. ........ ~ .,,m.,,,~.u~'w~ 'ink ~ 4~ CERTIFICATE ~T NOT BE ALTERED IN~ MM'I~F.R. G & S CONTRi~,CTOR ~ ~ BOX 215 · ,.qOUTHOLD, NY, 11931 Ptr 11 ' i This certificate must not be altered in any manner; return to the~h~c~ar&'~Kil~brrect' Inspectors may be identified by their credentials. 7(,S4J02 BUILDING DEPT. INSPECTION ~,~'OUNDATION 'IST [ ] ROUGH PI.BG. I' ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE F/~ INSPECTOR 7GS.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pIRG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR ~'IELD I~S'~ECTiON ¢ FOUNDATION FOUNDATION ROUGH FRAME & FLUMBING (1st) (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . .~..~..~'.. · .. 19 ~.~. Approved...~a,~..2~.~..., 19~.~. Permit No. ]..~?..~'..~..~. Disapproved a/c ..................................... ~/,~" .................................... (Building l-ffspector) 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 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insl~ectio~. ~ (~X V,.~ ~ ........ ............ (Signature of applicant, or name, if a corporation) .. (Mailing address of applicant) State whether applicant is.owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~. ~r'.l ./-J .~'-.{ ~-~. · · · (as on the tax roll or latest deed) If ap~ io~ized officer. (Name and title of COrlkerfft~ officer) Builder's License No ..... ,~. IN .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ltouse/' )~9 '0'Number ............. .,,~1.-¥.~. ,~*'1"~..Street/"fir '~' ~'~' ........... ~'~'' 'Hamlet..~O~. eL~ .~... ~ .~...~ ........ Yf County Tax Map No. 1000 Section .. ;1~).~::~' ........ Block . .C~.'~. ........... Lot...~.: .'~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and ocgupancy of proposed construction: a,. Existing use and occupancy ..... ~..~_%7.Q.c~. ¥.[....~.~ ......................................... b. Intended use and oc~ · ~cy ../.~..~-.~.~.~...~..c~...'~..~... ~..TC".~..L~.. ~.A.k[..~.~/t~..~/.~.../-:.l.~,,I.~. ~.~-,...~.. 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration. ..: ..... .'.. ~Repala. .............. Removal .............. Demolition .............. Other Work~.Ek :. ~..(-r. ~ (Description) 4. Estimated Cost~: .i. ,~,~./~ · ...................... Fee ...................................... : " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature ond extent of each type of use .. ~ .... 7. Dimensionsp.fexjstingstmctures, ifany: Front ~ "~ Rear .~.~ ,-, .... ' '6' i'_' ........ Height ...."~. ~. ....... Number of Stories .. ~ .................. . -- . ~,cpm ~ ~ ......... Dimensions'of same structure with alterations or additions: Front ................. Rear Depth ..... t~. ............... Height ...................... Number of Stories .................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ............... 9. Sizeoflot: Fr nt ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner 11. Zone or use district in which premises are situated. Does proposed construction violate any zoning law, ordinance or regulation: ... Ly~: ....................... 13. Will lot be regraded .... /~.",Q- · · ~. ..... ~. ........... Will execs? fill be removed from premises: Yes ~'~ t4. Name of Owner of premises ...(~1~/'¢..I.~J~-.% Address.5¥,p.¥A .~.. Name of Architect .'r:r. ' a,~,~ .... · v ......................... ...................... Phone No ................ Name of Contractor . .'Tr. ...................... Address ... ~ ........ Phone No ................ ~5. la this property located within 300 feet of a tidal wetla~ *y~'g ..... No ~... · If yes, $outhold Town Trustees Permitp~rbe required. DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or comer lot. ATE OF NEW YORK, /UNTY OF ................. S.S · ........... (Name of individual signing contract) ~ve named. being duly sworn, deposes and says that he is the applicant is tn. .... .~' .~l~,f'~ ~ .t~ ~.r 7~ . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )lieation; that all statements contained in this application are true to the best of his knowledge and belief; and that the ek will be perfomed i:. the manner set forth in the application filed therewith. orn to before me tais ........... ~--~i~]'~.':~ ......... ,1 .~..7 .:ary Public, ./~.."7~...'~./'.'~~~ ...... County ,, tx ~ . No. 46743~, Suffolk CounW ~ -~ . ~ ~ Commission E~k~' ~uly 31, 1~ ...................... ~ ................ , ' ~ture of applicant) El A B C D E F REVISIONS O, 5 ~5% 4-1- 5o FI~ ~ BE REQUIRED~ G ~OFFOLK CO. t~IE. ALTH D..,l:;'"t, AF~P~ovAL 5,3 JU~ 9 1998 SC D~PT (~F ,4'T .. ,q'.; 'T hffA r~ t o kJ L,T ~J, 'T', PLOT LAN 3 4 -- JL1 4- {'4 REVISIONS ' 4 OCCUI'AI OR 3 NOTIFY BUILOING OEPA~ENT AT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION TWO REQUIRED FOR FOUflEO CONCRETE · ' 2 ROUGH FRAMING & PLUMBING 3. IN~JLATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CON-qTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY CODEE. NOT HE~ONSIBLE FOR ~'~IGN ORCONST'RUCTION ERROI~, ~-CAR GA~AGc- FOU~DAT IONl pLAHI S E.C"T ~a ,...t s J ELEX/AT~O~S I , Oz,v 'x SOU'.qlOLD POOLS INC. I P.O, BOX 539 ~ SOUTItOLD, I'IY 11971 OccuPANCY OR USE IS UNLAWFUL WITHOUT CER'flFICA'fE OF OCCUPANCY "IMMEDIATELY" ENCLOSE POOL TO UPON COMPI. En~,N BEFORE "WATER APPROVED AS BY' CLO£