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Home My WebLink About22866-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23901 Date SEPTEMBER 20, 1995 THIS CERTIFIES that the building. ACCESSORY Location of Property 265 LISA DRIVE SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 15.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~NE 20, 1995 pursuant to which Building Permit No. 22866-Z dated JULY 3, 1995 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 SWIPING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to TERRY & MARY WHYARD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A JULY 31, 1995 N/A FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N.Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date 22866 Z ..... ~z/....~....~..~ ........................................... .... ~...~..~.,.~/......~...~...z./...z.z.,~. ........................... ...................................................... ~.~ ......... ~'...~.,. ........................... Coun~/Tax Map No. 1000 Section ....... ~, ..... Block .......... ~ ........... LotNo...../,....,~..~....~... ....... pursuant to application dated .................. . ..~..,~..~.~. ~ ...... 19...~..,,J'.......'~, and approved by the Building Inspector. Fee $..../,...~-..~,,....,~ Rev. 6/30/80 Fncm No. 6 '[OWN OF SOU'['IIObD BUILDING OEP ARTHEblT TOWN HALL 765-1802 APFt, ICA'[IOM FOR CEI1TIFICATE OF OCCUPANCY 191995 BLDG. D~PI. ,~J, OWN This application .mst be filled in by typewriter OR ink and submitted to the building inspector with tbe following: for new buildi.g or new use: 1, ~inal survey of property with accurate location og all buildings, property lines, streets, and unusual natural or topographic fe~tnras. 2. Yinal Approval from Health Dept. of weter supply a.d sewerage-disposal(S-9 form). 3. Approval of elect.rical installetion fro,. Board o~ Fire Underwrit0. rs. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% le~d. 5. Commercial buildiog, industrial building, multiple residences and similar buildings and installations, a certificate-of Code Compliance fro,. architect or engineer responsible for the building. .' 6. Submit Planning Board Approval of completed site plan requirements. g. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property si~owieg all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Bui. iding Inspector shall state the reasons therefor iu writing to the applicant. Fees ' 1. Certificate of Occupancy - New d~0elling $25.00, Additions to dwelling S25.00, Alterations to dwelling $25.00~ Swimmin~ pool $25.00, Accessory building $25.00. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinz Buildiu~ - $[00.00 ~. Copy of Certificate of Occupancy - $20.0U fi. Updated Certificate of Occupancy - $50.00 5. Iemporary Certificste of Occupancy - Residential $i5.00,, Commercial ~[5.00 Neu Conseruction ........... Old Or Fr~-ex~sr~ng BuLiding ................. ltous~ .o. Street llamie t 9ubdivision .................................... Fi led Help ............ Lot ...................... ile,I. Lh Dept, Approval ....... ~ .1~'. ............. Underwriters Apprnwll..~_fl.~(~.~.~, ............ 'ia,ming Board Approval ...... N31~ ............. '{equesr for: Temporary Certi[icake ........... Fi. hal Cer~ica/e...~.. ...... 7ce Subnlit ted: co z.g3 01 Town Hall, 53095 Main Road P, O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 13, 1995 Randy T. Rodecker Inc D/B/A Swim King Pools 471 Rt 25A Rocky Point, NY 11788 Re: Terry & Mary Whyard Prem: 690 Oriole Drive, Southold To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22866-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECTION REPORT DA'rR ROUOII FRAHE $ PI,UHBI~G " ST~T~ ~ERG~ ,, . ~ ADI)ITIONAL CO~ENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] I~.N,~ULATION [ ] FRAMING [ ~] FINAL [ ] FIREPL~ACE & CHIMNEY R £ M A R K-S"?/~/~///~ DATE INSPEC~ JU~ '~ 0 1995 Examin .,3 Approved ...~....~...~.... 'FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19 . it No ............ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. ; NOTIFY CALL ---; ............ MAIL TO: Disapproved ale ................... ' j/2'~ ............ ,' ~~i~ ?d~~ ..... Date .~. ~--~. ~ .~. ~., 19~.~ INSTRUC~ONs / a. This application must be completely filled in by type.wqte, r ~r in i'nk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. I , b. Plot plan showing location of lot and of buildings on prera~es, 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 B~.~ ~t~r~..[~r the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southoi~~~i~¢} New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, ad~~~, or for removal or demolition, as herein described. The applicant agrees to comply with all applicab~~ds,.building code, housing code, and regulations, and to admit authorized inspectors bn premises and in b~g'=for~?~e~ry inspections. '- '~gr~a3~,~[;C.j ~~ applicant, or name if a corporation)l ...q.n · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ~.~.~.~......~..~ .... o.~.n~-.rn.. ..................................... ' Nme of owner oLpremises .~~. ~. ~. · ~~ ................................ (as on the tax roll or latest deed) If appli~t is a~corgoration, s~ature of duly authorized officer. ' ALL COntRACTOR'S ~UST BE ~SUFFOLK COUNTY LlCgNSED Build~s License No ...... ~. I.~ ~ .~. I ....... Plumber's License No...~ ................ Electrician's License No..~ ~ ......... O[her Traae's License No... ~ ............ ~¥~ L 1,, ~. ~ ............ - . 1. Location of land on which proposed work will be done...m ........................... ...~q¢...-.~.o.~ .... b~.V.~.;...~~g.~..,.~N...L~.I. -.. House Number Street . Hamlet ~ou~,~ ~x '~ ~o. ~ 000 ~eo~o~ ~ ............... ~,o~. & .............. Lo,...t.~., D...'. ' Subdivision ................ ..................... Filed Map No.- .......... - .... Lot ............... (Name) 2. State existing use and Occupancy of premises and intended use and occupancy o~ proposed construction: a. Existing dsc and occupancy ~.. ~~...~...~~...~.~. ~. b. Intended use ahd occupancy- .~Q. ~'.~----__ ....... ~ ~.-~ .... ---~:~..~~ .' ......... , 3. Nature of work (check which a >plicable): New Building ..... ' ..... Addition ..~.q~oJ. Yf Alteration .......... Repair .............. Rem oval .............. Demolition .............. Other Work ............... i (D rip:ti ) 4. Estimated Cost ............................ Fee ...................................... ! ' (to be paid on filing this application) 5. If dwelhng number of dwelling umts ............... Number of dwelling units on each floor ................ If garage, number of cars .. I ................................................................... 6. If business, commerciai or mixed 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 newconst.ruchon:' ' Front .......... ' ..... Rear ........... .... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front .......... i ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... . ................... Name of Former Owner ............................. 1 1. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Wil! lot be regraded ........ i .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. ! .................. Address ................... Phone No ................ Name of Architect ~ ................... ~/~v,...~dd]~ess .... .~ ., ............ Phone No ................ Name of Contracto~~.,/c~0~t)~//~ ...... ~['~s~".~... ~. ,qE~]qo ...... 15. Is this property located[within 300 feet of a tidal we~a"~I~'~"d~ ...~.['t¢~oX~.... *If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. "IMMEDIATELY" AP P, JO-VF-D AS NOTEO ./ FEE: ~/--~ ~ BY:f UNDERWRITERS C£RTIFICA*r[ NOTIFY BUILDING · 76~-1802 B AM TO 4; P~ THE UN WFUL O;gT CERTIFICATE STATE OF NEW YORK, S S cou i ..... · (NameJof individual signing contract) above named. He is the .............. FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH o FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ..... being duly S~orn, deposes and says that he is the applicant of said owner or owners, and is, du application; that all statements corn work will be performed in the mann{r set forth in the application filed therewith. Sworn to before me this I ' ' ................. day ........... , (Contractor, agent, corporate officer, etc.) [y authorized to perform or have performed the said work and to make and file this ained in this application are true to the best Of his knowledge and belief; and that the No. 52-452~ Qualified In 8uffol Commission Expires { County I now or formerly Robert Goldsmith now or formerly Chester Finne HEALTH DEPARTMENT.DATA FOR APPROVAL TO CONSTRUCT OTHEH TH~ THOSE SHO~H HEHEON NOTES t I = MONUMENT ~ =STAKE ~ SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON MAR. 19,1990 AS FILE NO. 8910. BRANDIS & SONS INC. SURVEy FOR D.B.M. COMPANY LOT ND.I, "HIGHPOINT MEADOWS SECTION ONE AT SOUTHOLD DATE . TOWN OF SOUTHOLD SCALE: SUFFOLK COUNTY, NEW YORK NO NOV 20,199 I MAR. 8, 199 I FEB, 25~199 ! DEC. ?~ 1990 I"= 50' 90 - 0977 A~EAL BANK YOUNG YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S. UCENSE NO HOWARD ~ YOUNGt LAND SURVEYOR N YS. LICENSE N0.4589~ 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK