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Home My WebLink About20691-zIlO. 4 TOWN'OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20835 Date JULY 2, 1992 THIS CERTIFIES that the building Location of Property County Tax Map No. ABOVE-GROUND SWIMMING POOL subdivision 505 BAYER ROAD MATTITUCK{ NY House No. Street 1000 Section 139 Block 3 Lot 13 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3~ 1992 pursuant to which Building Permit No. 20691-Z dated JUNE 5, 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 ABOVE-GROUND SWIMMING POOL AND ATTACHED DECK AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING 775801/92 PLUMBERS CERTIFICATION DATED RICHARD & CORRINE GARCIA JUNE 30, 1992 N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne-No. OSglZ Permission is hereby granted to: County Tax Map No. I000 Section ...../...~....~. .......... Block ....~.~. ............ Lot No ...... ..~...J~,. ............ pursuant to application doted ............ ...~...~..~....,~, ............, 19..~....'~, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 !~/ , ",~ ' BUILDING DEPARTMENT ' ~, TOWN HALL ,~'~ i,~' , 765-1802 T~!",W (!' , ~'; ~'¢)i ~ 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: 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, 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 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, 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 .... 3w Construction ........ Old Or Pre-exist~n i 5 g Building ..... ~cation of Property. ~ ...~..~.~ ~.;.~. .......... llouse No. Street Hamlet ~wer or Owners of Property .... Oe unty Tax Map No 1000, Section .......... Block ..... bdi visio~ ............. .... Fil rmit No ..... '" ........ Date Of Permit ................ Applicant ............................. alth Dept. Approval ......................... ' Underwriters Approval ....................... arming Board Approval .... quest for: Temporary Certificate .......... Certicmte ........... . Final ..- .. _ ................ ~ APPf,IC~Nm FOUNDATION ~ 1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI~;AL II ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E 197~. · ,\pprov~d .~. ,,--~. 19 ?~.~Permit No. Disapproved a/c ..................................... BOARD OF HEALTIt 'I,~'' o SURVEY ............... q SEr c FO R,'t .............. CALL ................... HAIL TO: ..... ~Inspector% APPLICATION FOR BUILDING PERMIT Electrician's License No. Other Trade's License No. ...................... UNDERWRITI~RS CERTIFICATE ..................... REQUIRED Location of land on which proposed work ,,viii be done ..................... ............................................... ...... llouse Num bet Street Hamlqt County Tax Map No. 1000 Section ...[~ ~0 Block SubdMsion ..................................... 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 ..................................................................... ntended use and occupancy ~ ~)M/.~ .~ [t~ ~ ~ ' ' ' NOTIFY BUlL,DING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: t, FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING &PLUMBtNG 3, iNSULATION 4, FINAL ~ ~ CONSTRUCTION MUST ~E COMPLETE FOR C,O, . ALL CONSTRUCTION SHALL.MEET THE REQUff4EMENTS OF THE N,~ 33TATE CONSTRUCTION & ENERGY INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ,ets of pIans, accur?te 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit .hail 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 ha,Il 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations. 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, housi~fl code~, and regulations, and to :amir author/zed inspectors on premises and in building for necessary.~.?~ns/.----~..c-~..~:?~..X'ff~/~ ' - -~ (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. v: CL ............................... . ........................ X:ame of owner of premises ..... .6'..fl~...C!./.q'7. .... .~..[ .C(,.~./-ff.~,J~...,~......C~.O.t~.Li.~.,.¢'t~.. ,~(},~.,l~r~f ./~' .... (as on the twx roll or latest deed) t I_lta ...... f applicant is a corporation, signature of duly authorized officer.:/'F' s¥: ~'3 ....................... ' ....................... OCCUPANCY OR (Name and tide of corporate officer) USE IS UNLAWFUL Builder's License No. ' ....... . #ITHOUT CERTIFICATE Plumber's License No ........ '. ................ OF OCCUPANCY ( ~ ppli bi ) 3. Nature of work chec which~a ca e: New BuiJding ......... Addition .. .'.,:. a .... Repair .............. Removal .............. Demolition '' L j ~ ............. ~ Other Work ........... , 4. Estimated Cost ....... ' .. c ' ' ' Fee (to be paid on *fiHng this application) 5. If dwelling, number of dwelhn~g units .... Number of dwelling units on each floor If garage, number of c~s i ........... 6. If business, Commercial or m~xed occupancy, specify nature and e~''~ '-~ ' ', '- ..... ; ........................ 7. Dimensions of existing structures if an,.. g~.+ ................... ~tvHt Ut 0OCli type OI use , ............... .... ... ...... H Nu er o tot ........... · ........ D~ens~ons of same st~cture lth alterat:ons or addmons: Front ............ 8 Depth ................... j... Height ......... ' ................ Rear .................. Din io f tlr s* ti F ........... Number of Sto~es ......... · lens ns o en e new con nlc on: ront .. · ............ H igt N ~b fSt fi ............. Rear .... D pth e ~t ............... u er o o es ...... ' .......... e ............. 9 Size of lot: F i " · ront ....... ' ........................... I0. Date of Purchase ', ........... ar ....... pth ............... .......... ' ......... ' .... Name of Foyer Owner ..... '... 1 I. Zone or use district in w rich p~emises are Does proposed construction vi ........ ' ........ 12. ~late any ~.;. ~ -,' ................................... ...... g ,aw, oramance or regulation: .... 13. Will ot be reeraded i'~ e~h --~r,~ ' WHI excess fill be removed from premises' '';el ....... 14. NmeofOwnerof~remises ~$ ........ Address ..[q[ Nme of Architect ......... ~ .... · · ~ ..... ,v~. ·. rhone mo.. ~mo.';~¢~.. N~e of Contractor . · ............ Address ................... Phone No ................ ....... ~ ........... .. · Address ...... . Pho~ No ..... . 15. Is this property within ~ f a tmdal wetland? ~Ye;.'.'.'.'.'.'.'.' ........... ~If yes, Sourhold ~et ~ No.~% ...... w irusuees Permit may be required. ... ~ PLOT DIAG~ Locate clearly and distinctly ~lj buildings, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from property Hnes. Give street ~d block ~umber or deschptio~ accord~g to deed, and show street nines and indicate whether interior or comer lot. ~ It! TA, TE OF NEW YORK, , i )ore named(.Name of md wdual s{gmng contract) Js the ' { ontractor, agent, corporate officer, etc.) said owner or owners, and is duly adtborized to perform or have performed the saki work ~nd to make and file this plication; that all statements containe~ in this application are true to ~rk will be perfomed n the m~ner set[ forth in the application filed therewith, and that the i ' the best of his knowledge and belief; 'om to before me this ' ......... ~ ........ day of... ......... , 19.. N~a~ Public, ~tete of New Yoffi~ ~%4822663, Suffolk ~W ~ ~ (Signature of applicant) Term ~lrea De~m~r 3~, ~