Loading...
HomeMy WebLinkAbout22484-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCy No: Z-25780 Date: 06/18/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 2345 PLUM ISLAND LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 24.3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 1994 pursuant to which Building Permit No. 22484-Z dated NOVEMBER 21, 1994 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 ACCESSORY INGROUND SWIMMING POOL & FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to PATRICIA LOLLOT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 18469 12/05/94 PLUMBERS CERTIFICATION DATED N/A Buil/n~g/'In~ Rev. 1/81 FORM Ne.2 TOWN OF $OUTHOLO BUILDING DEPARTMENT ToWN HALL SOUTHOLD, N.Y. N_o 22484 Z BUll. DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ~ . ,- . . ~ ~.....x...:...b...~.~.~..~:..x/-/~, ~ ~,~, .~.'l........~...,x., ......... ....~ ......................................... ,-, -'~ ~~~ ~.~ ......... ~ .......... ..... ,~'.~,~. ............ ~ ............ ~..~<~ ......... ~...~..x......~ ................. .... ~ .......... ,~...~.....x'..~..., ........................................................................................... Z',',',',',',',',',',',',',',',',',',',',',',',','.','.',',',',','.','.',i ',i Z',i] Z]',i'. ~' ..~~............................................................~....Z............. i'.iiiii',ii ',', atpr~,s~s,~at~a~ .............. ...X.'..~..~.....~~ ........... ...~..: ...................... CounlyTax Map No. lO00 Sectlon.......~..~ .......... Block ......... ~ ...... LotNo ........~......~..'....~,.,, ...... pursuant to application dated ................................... ~. .......................... .~ ..... Building Inspector. Fee ~....L...~.....:..~... and approved bythe Rev. 6~30~80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ?LICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of.property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. 2. ~Finai Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. ~Approval of electrical installation from Board of Fire Underwriters. 4.-Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: 1. Accurate survey of property showing 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 Building Inspector shall state the reasons therefor in writing to the applicant. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....... ~ew Construction ........... ~Old Or Pre-e~istingvl~..~. )~.~..Building.Q~... ] ......... O~l~ bocation of Property .... · ................ House No. Street Hamlet 9nwer or Owners of Property ..... - ..... 0ounry 1000, ection .... !.5 ....... .... ........ .. Bubdivision............- .......... · .......... .. Filed Map ............ Lot ...................... Permit No.~..~.~.~..~....Date Of Permit ........... .~....Applicant ............................. Realth Dept. Approval... ................ ... . .. . Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 9.9. ....... Fee Submitted: $ .......... ' ............ ~.~ ' ~ (1 ~/b ~ APPLICANT ............... ¢ 2 gO 1-11/2 hp motor 40 ~Imp timed ,nOtch :POOL' NO VISUAL DEFECTS BUILDING PF.P,3,11T No. ORIO~/AL YELLOW C~PY HUGO $, St/ItDI pIh~IDE}VT idL, t~I4p ~. 'OCCUI USE IS wI;rHOI OF REQUIRED S CERTIFICATE REQUIRED ~NCY iDIATELY'" CODE' 3LATIO.~I PER'N. Y. STATE CODE COt~M£NTf. J~ ~DDITIOtlA'L C0:-~IEIITS: ./ .", P?I RI.DG TO Swim~#ing f.,~G' Pools Route 25A Rocky Point, New York 1'] 778 (516) 744-8100 FAX {516) 744-8292 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] IN.>~ULATION [ ] FRAMING [~NAL ~J~ [ ] FIREPLACE &.~NIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] I~LATION [ ] FRAMING [~' FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR ' ;,i Examined ... Approved . . .//.//~./.. ...... , 19 .~/~ermit FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC FORM ..... ' '' NOTIFY CALL ..................... MAIL TO: Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with.3 sets of plans, accgrat,e plot plan to scale. Fee according to schedule. , b. Plotlpla~' sligwinj l~cation of 16f and of buildings on premises, relationshi to adjoini~g premises or public streets or areas an.d,.gxvm$ a .detmled descnptron of layout of property must be drawn on the diagram which is part of this appli- cation. ' c. The:work.¢oYered by this. a, ppli, dhtion may not be commenced befdr6 issuance of Building Permit. d. Upon apprqyal Of this apl~lication, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises avaihble for inspection throughout the work. e. No3building 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 !S, HEREBY MADE to the Building Department for~the issuance of a Building Permit pursuant to the Building Zone Ordnance of th, e, Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the~ construction of buildings, a.d. ditions 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 authbrize~ in~pe,k, tors on pr~r0is?s and in building for necessary inspections. State whether applicant is owner, lessee, agent, architect, engineer, g~neral contractor, electrician, plumber or builder. ....................... e.q ..... .......................... Name of owner of premises ...r~.~..%_y:.~.+ .q .~.....~...~..47..L~A?..v~. ..... ~. ~.1.[.0 .~. ........................ . (as on the tax roll or latest deed) If applicant is/ja, corporhtion, siynature, of duly authorized officer. , tr~ame ana(t e of corporate officer) ' ~- Builder's License No ......... .~. ~..q. 3.'&..~..~.... Plumber's License No ......... I~) ]~. ........... Electrician's License No ..... .~g,.'"[~.. ~-- ....... ' Other Trade s Ltcense No ................. 1. Location of land on which proposed work will be done..~, .~..~.~.. .d?[0,:,~....~'7~(~.~. d..~.qo..-~... ....... ~.35/S-. ....... ~:o.... ,-n. ..r~.~ .............. House Number Street Hamlet County Tax Map No. lO00 Section .... rS..I.~.~ ....... Block ..... ~.. .......... Lot...o~ .~.,..~' ......... ~l'a?~?'..-iTl:t?.....~'.o._.Filed Map No....~./.O.Q .... Lot .... I .~7..'TL Subdivision .... Ch F) .-4? ~/'a..°17..( ..... 2. State existing use and occupancy of premises and intemled use and occupancy of proposed constrnction: a. E'ist'n use and occupancy ....... .... 7. b. lntended use and occupancy .J-(P.-~.-.~.'~....I-~..'.~.J~ FI~. ~.'~C~']'i ........ i ...... ......... .... ................ (:ltmo!ldd~ jo o.tnl~u~!s) noO qlotln~ Ul peltll~nO 8g'~O~gt~g 'ON .,.._~ ~I00A ~N ~ e~l$ '011qn.,d/dillON { s!tI~ otu o.[oJoq,ol uJO,~$ I 't{1}~0'l°tI1 POlU uo}l~o[ldd~ mil U~ l[1goJ ~as zau~m oq~ m pauuolJod aq [~h~ ~o~ o~1 l*ql pu~ Ijo~ioq pu~ o~polaxou~ sgljo lsoq otll ol omi ' s[ql o[~ pu~ o~m ol pug ~OAX pms~oql u°~l~a~Iddu sBU u[ pau~luoo SlUOUml~ls llt~ lUt[l :uo[l~aHdd~ . pomJoj~od oa~t[ Jo maoj:od ol pozNoqln~ Xlnp sI put 'sJou~o Jo aouaxo p~us jo : 'potuuu oaoqg '' (louJluoa 2tqu~]s N~p~A[pt}!jo aum~) ' 'NNOXAi~N dO SIiOU~l~t NOIJ.O~ItI.SNO0 UO NDIS=a tlO..I ~qEIl'aNOdSgU £ON '~gQOO ADUBN~! · NOIJ.31'II:LLSNO0 g.I. YJJt 'A'N giLL dO SJ.N~IlN=qtlflO~IU =HJ. .LgalN 'IqYHS NOLLOIII:I.LSNO:) '1'1¥ 'O'O 804 ~lJ-qldlNO::) gtl J. St'lIN NOIJ.DffilJ. SNOD ' 'I~NI:I NOU,~IftSNI '~ g.EIBONQD Q;I~I~:I UO~ O3[tU'lO=qt O/g~i, · NOLI.~aNflO=I '1,' :SNOi. LO~aSNI ~NIMOTIO4 ~IH.L tlO:l INd ~ OJ~ INY 6 ~:08t'ggL l.V lNgl~LLtlYdaO ~)NIQII~I! AdlJ.ON :=va · 1oi' sougoo .~o .~ot~olu! zotBoqm oleo!pm, pu, so~u loo~ls &ogs p~ poop ol ~paooo~ uo~ldFosop ~o zoqmnu ~oolq p~ loozls oa!O 'soufl X~doad mogj suo[suo~p ~o,q.los ID ol~a[pu[~p~ 'posodoxd ao ~uusIxa ~o~1o~ 'sg~Pi~nq ID XDouus[P p~ A[~o[o ~DVI~ ZO~8 "' 'Pg~Tnba~ aq ~em ~m~o& saa~sna& u~o~ pioqanos 'sa~ ~I~ .... ON .... S~X~ ZPUeIaOnI IepT2 e ~o aoog 00E uxqaTn PaleaoI l~aodo~d sTq~ si'SI '' ' t PPV ............. ON OUOq~ .................. SSO~ ....... ' ................... ~O~O O O~ ................ oN ouoqd ...... ~ ............ ssoappV ...................... ;~o;~qo~DJ° ~ N · V 3 N d ' ' ' ~ ............ sso~PnV ......... sosr~o~d$o ~u~O jo o~ ................................. ' ' ' ' popm~ oq lo{ II!M 'EI ..... , P~;enm g~e sos ~o~d qon[~ ut ;ou;sip osn ~o ouo .................... ' ' · Z 'II ~0~O ~0~O4 IO Om~M ............. . .. ' ...................... q;do~ ' .i .................... ' ............................... ~ ......................... ;uoa4 :~o[Jo oz~s '6 I so,olD JO ~oqtunN ............... ltl~mH ............... qldoG .......... ~ ..... ~uo~ ................ ~ lUOld :UOIlaRiIS~O~ A%0H 0111~0 JO SuOlSUOttlT~ ...................... souols jo ~oqmnN ...................... lt[~otI ...................... .................. Juo~ ........ ; ......... 3uold :suolllppu Jo suolluj;llU iiilAX qldo~ { , . olnlo~ls ot~s jo SUOlSUOtul~ qldo~ J~o~ ' :Xuu j~ ......................... ] ................... sou°Is J° JOqmnN I lUOJ~ 'soanlalHls ~UllSlxo jo suo suatul~ osn jo od~l ~aeo jo luolxo puc o~nluu XJ[OOds Aouednaoo pox~m ~o l:[~J*hmloo ' 'ssammqjl '9 ................ sago jo ~oqmnu o~m~jl JooU qoeo uo slmn ~mllO~p jo Joqt~llN ................ slmn ~mllOaXp jo %urll°a~P JI (uo~leoqddu s~ql guqD uo p~ud ~q >1)' ' aoqmnu . ..... ~ ~'~'~' ~o~ ~0 ..... °°d i:~ C) ' ' ' lsoo polem~ls~t ....... uouqomocl ........ . ..... le^OtUOZI .............. · . jmdo}i u?!I[PPV .......... ~u!plIn~I ^~ON :(o qea!Idde tDnl^x :{oaqo) :'No^x jo o}nleN ,*-I r~lTI .q -J 0 --I ITl '*0