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Home My WebLink About22267-zNo Z-23251 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF Date SEPTEMBER 28, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 1602 YOUNGS ROAD ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 2 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 1994 pursuant to which Building Permit No. 22267-Z dated AUGUST 15, 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 INGRODND SWIMMING POOL WITH DECE & FENCE ENCLOSURE "AS BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DANIEL & PATRICIALAT~AM N-326782 - SEPTEMBER 13, 1994 N/A Rev. 1/81 No FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMEI~ TOWN ~ $OUTHOLD, N.Y. ~UILDING PERMIT (?HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHOR~ED) .......................... Date ,,, ...... ;t ....... 'rr 22267 Z Permission is hereby granted 1o: A. 'REILLY & SONS, IIIC. a/c DANIEL LATIIAH P.O. BOX 98 ~TT~IT/CK, N~Y. 11952 to INSTALL INGROUND SI,/I/~,IING POOL NITH FENCE ENCLOSURE & DECK 'AS BUILT" DANIEL & PATRICIA LAI'HAH at premises located at ......... !,6..0..2....Y.,0., ,gl~l,.. ,Cl. ,S... ,R,~ ................................. ,0, P,, I. ~. ~ :...~ :~..: ........................... CountyTax Map No. 1000 Section ........... !,8. .......... Block ........ .2. ................ Lot No ........ .3..8. ................. pursuant to application dated AUGUST 2, 1994 19 ................ and approved by the Building Inspector. Fee $..~..'.. ?...~...~, .. Rev. 6/30/80 Form No. 6 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~IALL 765-1802 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final 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 "pre-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 applicanl. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. 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 Buildin~ - $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 $15.00 ew Construction .......... Old Or Pre-existing Building ........... House No. Street Hamlet nwer or Owners of Property ....... ~.~.~..'.~7.... ~f~(c~/~ f_/~-/~ . . ounty Tax Map No 1000, Section ...... . L~....Block .... ~... .... . Lot... ~ ubdivision ............................ · . ..... . Filed Map...... ..... . Lot ..................... . ermit mo ................ ~,~ Of Permit ..... -~alth Dept. Approval ...................... .. .. Underwriters Approval ...................... . . . lanning Board Approval ...................... .. squest for: Temporary Certificate ........... Final Certicate ......... ....... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 23, 1994 A. Reilly & Sons, Inc. P.O. Box 98 Mattituck, NY 11952 Re: Daniel & Patricia Latham To Whom This May Concern: We are unable to complete your Certificate because of the following reasons: xx xx of Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 # 22267-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. .~ i~LD FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ALL: CORi t. THE NEW YORK BOARD OF FIRE UNDERWRITERS Pa E 1 1185077 BUREAU OF EUECTRICITY ~-- 85 ,JOHN STREET, NEW YORK, NEW YORK 10038 D. te SEPTEMBER 13,1994 Appiieatiotl Mo. o. fiie 06390894/94 N 326782 THIS CERTIFIES THAT o~y the electrical ~uipment ~ ~scribed be~ and i~tr~uc~ by t~ applicant ~med on the a~e application nu tuber i~ t~ p~m~es of D~IEL T. ~T~, 1500 YO~GS RO~, OR~T ~ N.Y. in the followlng location; ~ B~sement ~ Ist FL ~ 2nd FL OUT See6,,n Bilk Lot u~s examined on ~ O7 ~1994 and found to be in compliance with the NaHon~ Elect~caI Cod~. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS E R V I C NO OF CC. COND OTHER APPAR~UE: SWIMMING POOL-1 *NO VISUAL DEF~CTS~ "An electrical survey has been made of the exposed electrical e¢~ipment in the premises indicated." "No obvious unsati.s~actory condition was found, ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935 LIC,#3677-~ OF CC. COND NO OF HI,LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL GENERAL MANAGER Per < This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING OEPARTNIEN'I'. THiS COPY OF CEF[I'IFICATF... NIUST NOT fl,l! ALTERED IN ANY MANNER. , FORM NO. 1 AI]G '12Ij~ TOWN OF SOUTHOLD BUILDING DEPARTMENT ,? TOWN HALL SOUTHOLD, N.Y. 11971 Examined 19.. P Approved x.:~_..~O., ....... Disapproved a/c ....................... / J ~'~)~ ........., ///~ICATION FOR BUILDING PERMIT INSTRUCTIONS SETS OF PLANS .......... SURVEY ................... CIIECK ..... ................ SEPTIC FORH .............. C^L[ ... MAIL TO: Date ..... ~ 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admi,t author/zed inspectors on premises and in building for necessary inspections· ·../.,2.. ................. > ......... .. ...... -- (S~gnature of applicant, or name, ff a corporation) /..-.o:.~.~.z.?~. .... .~...,~_zr.~...~r...4..Z. (Mailing/addre's~ ;f applicant) '?~'~d~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ff /..~. . I.~ .... ~. . . ~ ..... ?/~?~ /.c./. .~. .... Z . .0.~ (as on the tax roll or latest deed) If appl~n}~ a corporatior~sigglgture of duly authorized officer. .... ......... Builder's License No ..... 3[./J.g. ?../.f~.... ..... Plumber's License No ......................... Electrician's License No....~..~',~.(~.,. Z--'~ZIE~ ~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. tx/¢6' ~ /~ / t~],t, / O,~-" ........ .............. 0.~,~. c..~a~..~.. A,~., .............. ./6o'~_ .... ~o..~.~6.~ ..... .~.. ~./ .......... . .......... House Number Street Hamlet County Tax Map No. 1000 Section ..... /Y ......... Block .... .~. ........... Lot ..... ~..~ .......... 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 ............ /.~'~ d./.~..fff..af~.. :'~ ........ ~., , .... b. Intended use and occupancy ............ ( ~%~.~.. ~ z.,~ ~.~ ~. 4. Estimated Cost ..... :". ~a~'u ~ Fee ,' (to be pai~~~) 5. If dwelling, number of dwelling[units ............... Number of dwelling units on each floor ............... If garage number of c~s . 6. If business, commercial ' . or mxxeO 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 st~cture with alterations or additions: Front ................. Rear .................. Depth I HeiSt Number of Stories 8.. Dimensions of entire new constMction: Front R ............... ear ............... Depth ................ Height NuMber of Stories 9 Size of lot: Front [ Rear ~ Depth I0 Date of Purchase ' · Name of Fo~er Owner 11 ' ' ' h' hp ' ' ' d . Zone or use district in w lc remlses, are situate .. ....................... . .. 12 Do 1~ i gl ......................... . es proposed construction vic ny zon n aw, ordinance or regulation: ........................ ~'. 13. o eregraded . . ' ...................... · . excess e remove om premises: No 14. Nme of Owner of premises ...~. ~. Add ~ ..... ress ................... Phone No ................ Nme of Architect ...M ..... ~ ................. Address ................... Phone No ................ Nme of Contractor . .~.: ~¢~ ..... Address .. 15. Is th$s property w~th$n 300 feet of a tSdal wetland? *Yes ........ No.~ ...... · If yes, 8outhold ~own Trustees Permit may be requSred. PLOT DIAG~ Locate clearly and distinctly ~1 ibmldmgs, wh~ther ~xisting or proposed, ~d. indicate ~1 set-back d~ensions from prope~ ~nes. Give street ~d block ~ umber or description aecord~g to deed, and show street nines and ~dicate whether interior or comer lot. STATE OF NEW YORK. S.$ cou y OF... :c... ..... ~"..' ['~''~-('~P.('('... ~"-~.: ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... ~ ....... ~ ................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly outhorized 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. Swum to before me this Notew Public, State of NeW York No, 4879506 ; /9, .~' ........ - Qualified in Suffolk County c,,/f__~ cant) ~ommisslon Expires O~emb~r 8, 19 ~.f OCCUPANCy OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPAN .' ~'"'~"~ 765-1802 9 A~ TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~3(: CO}V;', ,' :, ,: C