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Home My WebLink About22213-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23644 Date MAY 15, 1995 THIS CERTIFIES that the buildin~ INGROUND SWIMMING POOL Location of Propert~ 125 LIGHTHOUSE ROAD BOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 26.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1994 .pursuant to which Building Permit No. 22213-Z dated JULy 26, 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 AN INGROUND SWIMMING POOL & FENCE TO ~ODE TO A ONE FANIL¥ DWELLING AS APPLIED FOR. The certificate is issued to JOHN & JOAN CALLAHAN of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N322820 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner's) N/A AUGUST 8, 1994 N/A FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. No 22213 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED} Permission Is hereby granted to: .... P.O. BOX 98 MA'f'fI'fUCK, }i.Y. 11952 to CON.S.~.R.p.C. ~..z.~ .c..R..0.~...s..T,/.T~ .~N6...~.Op~., .~., ~,~'~I .q .~..~g...gp])~, A~..~ ~p.. ~ ................ at premises located at .......... i,,2...5.., .11.~ .g..~...'~...O..~..S. ~.. ~ .O,..A~.. ................................. .S..O. ~..'~.,..O..~..O. ,....~. :..~, .: ................ CountyTaxMap No, ]000 Section ......... .5,./j. ............ Block ........... .3. ............. LotNo ..... .2,.6.:,,3. ................ pursuant to application doted .......~.~.....7.: ..................................... 19....9.4. .......... and approved by the Building inspector, - / / I~, [fdlng Inspector Rev. 6/80/80 I~A¥1 1995 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPSRTHENT TOWN [L~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Hehlth Dept. of water supply and sewerage-disposal(S_9 form). 3. Approval of electrica~l installation from Board of Fire Underwriters. 4.' Sworn statement fromiplumber certifying that the solder used in system contairs 5. less than 2/10 of 1% lead. Co,mm~rcial building, industrial building, multiple re ' · · . gna lnstallations,~a certificate of Code c~ ~'- =s~dences and smm~lar buzldings 6. responsible for th~ building. -~mp~mance from architect or engineer Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '/~re-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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing guildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 '- 4. Updated Certificate of Occupancy _ $50.00 5..Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.O0' ~ate ...~ // New Construction.· .~ ...... Old Or Pr .......... ' .... ~ ...... ~..4/.~,~ ..... W ...... . . ' ' _~ ~ ~-=~s~g,~ui±aing..~. ............ ....... ...... ...... 0oanty Ta~ ,ap ~o 1000, Section .... ~q.~. Bloc~.. ~ ........ ~ot..~. ~ ~ Subdivision.. · ,.. , .................... Health Dept Approval Underwriters Approval Planning Board Approval ........... ~equest for: Temporary Certificate ........... Final Certicace ........... ee Subm. i~t~e<~. $ .... . 'li~imelll slapd~llds fo re~ d I al p ]o1~. II diving boalds or ~lldes ~re Io he used ~ ~ Poe ]nslJlute's mi}N }a~ds p~Dr to ]nsl~ti~p diCu~ boards or slides PI'~E O0 -, I REC 765-180Z BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. I] FOUNDATION ZND [ ] INSULATION []FRAMI G [/'~NAL DATE INSPE~O FOUNDATION { ]'st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL :fo o 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~.ATION [ ] FRAMING [ ~'-FINAL [ ] FIREPLACE & CHIMNEY - DATE ~~~ INSPECT~ /' RE"~I ,' X;', .. ' ~,':,: */'" . r . ; ,., ~', ,:, ,, ,r?/; ? & Poc~l Instiluto's rl~i~m ,~ds )rior lo Jr]stalling (livi,~ boards or slklos Print Key Output Page 1 920925 SOUTHOLD 07/07/94 09:48:02 5738SS1 V2R2M0 Display Device User PL010-23 WO *UPDATE* : DSP33 : GEOROIAR TOWN OF SOUTHOLD PARCEL MASTER FILE MAINTENANCE Address: 5 THIRD STREET APN: 1000 54 3 26.3 SEL TYPE EFF DATE 1. TRA 6/18/90 2. TRA 3/13/90 3. TRA 10/29/87 4. TRA 8/19/86 5. PMT 7/21/86 6. SPL 5/16/86 EXP DATE EXCPT DESCRIPTION TRANSFER OWNERSHIP PROPERTY TRANSFER OWNERSHIP PROPERTY TRANSFER OWNERSHIP PROPERTY TRANSFER OWNERSHIP PROPERTY BP# 15159 N/D - CO Z-16337 SPLIT PARCEL 7/07/94 9.47.27 TEXT? Y Y Y Y Y Y Selection: Cmdl-Prev Screen H=History, T=Text: H Cmd7-End Job Cmdl0-Entry Mode ~ JUL Examined .~/~/~ .~<.~. ........ , ........ Disapproved aJ¢ ..................................... APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 INSTRUCTIONS BOARD OF HEALTH ...... .... 3 SETS OF PLANS .......... SURVEY ................... CI1ECK .................... SEPTIC FORH .............. CALL ........ MAIL TO: 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- ca, ion. ~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 sflall 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit, authorized inspectors on premises and in building for necessary inspections. .... ,E.:. ~7.44 f r...4.<~......~/. ?., ......... -- (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. ....................... .~.'..fW..A .~-.,~. .... c",~..m/. FrVA~./:.."z~.. ........................................ Name of owner of premises ......... ~.~..h}..AJ....q..... C~../~......~. ~...C,,qJ~.,/~. ......................... (as on the tax roll or latest deed) If ~'s a ~9~por~jl~?,/~if/~tu,ry f duly authorized officer. (flame antt title of co~ofate officer) Builder's License No....~.//. ?.~.?..'./..'~.. ....... Plumber's License No ......................... Electrician's License No.. J~.O.g..g-~/(... ~'7. g ~.tC Other Trade's License No ...................... Location of land on which proposed work will be done .... .I. gS. ................. .2../.~...rn~.. ~s~.-... ~.~. ........... . .~ ~..'-&...*~. ..... .¢, .............. House Number Street Hamlet County Tax Map No. 1000 Section ........ .~..~. ...... Block ... 0._~. ........... Lot... c:~d.. 3 ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and Occupancy ................ l .~. '~. . . ~';'Yl. t t~..,,~. ~ ..... ~ ..... ,~ ~ ............ b. Intended use and occupancy . ]~l )")~./7'./. .~5~e-.. /.~/' [ 777~. .... :rrfl~Z) C-" ~ ~, 3. Nature of work (check which al~plicable): New Building .......... Addition .......... ~d~;er~fiofLX'Z.,];,; .... Repair ..............Removal ......... Demolition ............. Other Work ..... )(. .... ... OOB " "~''(Descnpt~°n 4. Estimated Cost , O~ ..................................... Fee .. ~ (to be paid on 'filing of dwelhng ~umts ~m)~;o~ ~ ~'--" 5. If dwelling, number ' ' ' . ..............Number of dwelling units on each'floor ;'7" ~'"'.'-. .... If garage number of c~s , 6. If business, ' ' commercial or m~xed occupancy, specfy nature and extent of each tg~g of use ..................... 7. Dimensions of existing structures if any' Front Rear ' ~ Dept'~ Height Number of Sto~es ~ ........... ~ ' ' ' D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth I HeiSt Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ...............Depth ............... Height Number of Stories ' 9 Size of lot: Front ' Rear Depth 10 Date of Purchase '" Name of Fo~er Owner 1 I. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violat~ any zoning law, ordinance or regulation .............. 13. W~ 1 lot be regraded ........ ~ ................ Will excess fill be removed from premises: Yes 14. Nme of Owner of premises ...]..C~&I~ .... Add~s .. ~&/~ ..... Phone No.. 7~ ~ Nme of Architect .. i .... Address ................... Phone No. ofCo t aoto ] .... .... Phone No. 15. ls th~s property wkthkn ~00 feet o~ a t~da~ wetland? *Yes ........ No ......... *Zf yes, Southold Town Trustees Permit may be required. PLOT DIAG~ Locate clearly and distinctly Ml[buildNgs, whd~er existing or proposed, and. indicate MI set-back d~ensions propeNy Hnes. Give street ~d block ~ mmber or descNption accord~g to deed, and show street nines and indicate wheth0r integer or corner lot. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONs: 'L FOUNDATION . '[WO REQUIRED ' FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3. ~NSULATION 4. FINAL . CONSTRUcTIoN MUST 8E COMPLE~iE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONsIBL DESIGN OR COa,~' ...... E FOR, ,,o , nuG ftON ERRORs STATE OF NEW Y..,ORK~ _ /L - S COUNTY OF..d .~/.J,/.?.. {~... ,' . ..... ..... (Name of individual signi0g cgntract) being duly sworn, deposes and says that he is the applicant above named. He is the ..................... ;. ...................... !: (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 manner !set forth in the application filed therewith. Sworn to before jne, ~his i , ............... day ........ 1 Notary Public, State of NOw YOH( No 4879505 ' ~ .,/0 Qualified in SuffolklCountY, ~/,1~'-/ ..... ~emmlssien Expiras December 8,19&7/ li;i;ti