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Home My WebLink About21051-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22336 Date MAY 17, 1993 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 590 SOUNDVIEW AVENUE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 100 Block 1 Lot 28 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1992 pursuant to which Building Permit No. 21051-Z dated OCTOBER 27¢ 1992 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 INOROUND SWIM~INO POOL & FENCE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM & ANN CREMERS N-271643 ~ APRIL 3, 1993 N/A Rev. 1/81 Form No. 6 TOWN OF SOU~HOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be fi21ed 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 Health Dept. of water supply and sewerage-disposal(S-9 f~rm). 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. B. 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 2' 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 dwglling $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 Building - $100.00 .3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... ................ New Construction ........... Old Or Pre-existing Building ................. Location of Property....~f~.... fie ~*~/~-~ .~.~_ ~.~..~..~/ House No, Street Hamlet 0nwer or Owners of Property ...... . ....... County Tax Map No 1000, Section ......... Block ............ Lot ...................... ~ubdivision .................................... Filed Map ............ mot ...... ...... ~ate Of Fermit. pp ........ _ .............. · ...... 'lanning Board Approval ' equest for: Temporary Certificate ........... Final Certicate ........... THE NEW YORK BOARD OF FIRE UNDERWRITERS J~ ~-~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~P~['~ ~'J~J,~)3 ~pplicationNo. onf~le ~?~l~/~ ~ ~'[[~ o~ly the electrical ~uipme~ ~ ~seribed below and intr~uced by the appllc~t ~med on the a~ve application ~umber in the premises of in the follo~iflg /oca~ion~ ~, ~ment ~ Ist FI. ~ gna FL O U ~ Section Bilk Lot u~s examined on arid found to be in compliance with the NaEonal Ele~cal Code. FIXTURE OUTLETS SWITCHEE FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS DRYERS MULTI-OUT[ET SYSTEMS NO. OF FEET OTHER APPARATUS: C 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, THE NEW YORK BOARD OF FIRE UNDERWRITERS [(:)(~}~'/[ 'q BUREAU OF ELECTRICITY ~- 88 JOHN STREET, NEW YORK, NEW YORK 10038 THiS CERTIFIES THAT ~s examined on ~ ~' ~' [~ ~ 2 ~ }, 9 9 3 and found to be in compliance with the Na#onal Elect~cal Code. FIXTURI~ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCEN? OTHER 1 DRYERS FEEDERS SYSTEMS NO. OFFSET E R V I C OTHER APPARATUS: ~(~D~Rt~(I POOl,) ~'hi~ ~wJ.~:o~m~mt,~ it, [~ ad~J.:~ahle t.o AWG. OF HI-LEG INO OF NEUTRALS AWG OF NEUTRAL GENI~RAL MANAGER 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] I~TION / REMARKS: ~'~,/~ ~~, ~--~/~ DATE: INSPECTOR OUNDAT!ON (2nd) OUGH FRAME & ·PLUMBING NSULATION STATE ENERGY CODE PER N. Y. Fi~;AL ADDITIONAL COMMENTS 0 ~Zo~ .~0TM 0~>~ m~ O> o ~o F '7, -, ~.,,~£(3~I'V1NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19.,. INSTRUCTIONS a. Tkis 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- caticm. c. The work covered by this application may not be commenced before issuance of Building Permit. ,.4. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit sha~l 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, an~d regulations, and to admit authorized inspectors on premises and in building for necessa~,inspections. (Sienature of applicant, or name,~f 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 . .~.~~..[..[~.. il~.! .0r~.. ~C~:......~)..~. .............................. ~ (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate office~ .............. -'~ Builder's License No...~..qP.~ ~ ~'?~ ..... ./T Plumber's License No ......................... Electrician's License No.. /~. 1(~) -- ~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ' House Number Street Hamlet County Tax Map No. 1000 Section ....... [ D.0 ...... Block .... f ............. Lot.. ~':~ .......... Subdivision..~ ~.[~.~.l.~.~.. ~~ ........ Filed Map No...~.E~... Lot...d ........... (Name) 2. State existing use and occupancy of premises a~d intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................ .... ...... 'zx3.a ........................ 3. Nature of work (check which applicable): New Building ..... ~ ..... Addition..: ........ Alteration ....... Repair .............. Removal .............. Demolition .... : ......... Other Work..1/~.. ~.0.0.... ~..C~aJ--O.O D i '(Description) 4. Estimated Cost ................................ Fee .......... . ............................ ' (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwetling unitk on each floor ................ If garage, number of cars ............................................ '. ........................... 6. If business, commercial 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 ............ i.:... Rear .................. Depth ...................... Height ...................... Number of iStories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ j ....... Depth ............... Height ............... Number of Stories ............................ i ............................ 9. Size of lot: Front 161~i .~i~.i {?.~7.' ~i" Rear ...................... Depth ...................... 10. Date of Purchase ....... Name of Former Owner . ! ............................ 11. Zone or use district in which premises are situated ......................... [ ........................... 12. Does proposed construction violate any zoning law, ordinance or reaulation' ID D . '3. Will lot be regraded ....... .~ .................... Will excess~fil, be ~:~n~ ..... ~i;e's; ........... 14. Name of Owner of premises- .(2~.~-'~D9/~.~. ......... Address ~.¢.0..~U~ff.//-c0 i . .~o~he No ?.~ .~.~.~r~'~. Name of Architect .......................... Address .............. i ' ' ' Phone No ........... Name of Contractor ~,-~..~...0~q~..~.. ..... Address .~f.3..~.~.'~-~.~l~ .. Phone No. ~..c/~.'TW~ 00~ ~ ..... 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 sho~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF .................. ' . ....... ~[~'~.~....~.....~-~. F~. · ~./~..~ ........... 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 authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application~are true to the best of hisI knowledge and belief; and that the .work will be performed in the manner set forth in the application filed therewith. : Sworn to before me this I .... 3~) ................ day of .~.~,).. ......... , 19 .(~... Notary Public, .~.4f .~ ~.~.\ .~,~ .................. County ........ ~ Oual/fl~ In 8uf~l ~mml~lon k ~un~ (Signature of applicant) 0