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Home My WebLink About20757-zFOBt4 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22053 Date DECEMBER 23~ 1992 THIS CERTIFIES that the building ADDITION Location of Property 1125 POINT PLEASANT RD. House No. Street County Tax Map No. 1000 Section I14 Block 1 Subdivision Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 3.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1992 pursuant to which Building Permit No. 20757-Z dated JUNE 23~ 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 INGROUND SWIMMING POOL & DECK ADDITION 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 VICTORIA H. & JOHN W. MOLLER~ JR. N-244800 - JULY 29~ 1992 N/A Rev. 1/81 ~ORM' NO. f' 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) N°_N°. 2075TZ Permission is hereby granted to: ro ..~,.. .......... '..;F,~,r...~.. .................. ; .................................................................................................. .~ ~ ~. ,.~, ................................. .................. ~ ......... ~ .......... ..~.~ ........... ~ ................................................ ........................................................ ........ ................................................. ......................................................... ~...~_..~r~g...~.~.....~../m.~ .................................................. Coun~ To× Uop ~o. ~000 S~.o~ ......... .//~ ...... ~lo~k ........ ~ ........ Lot Uo ..... ff:..~. ........ ~u~uont to opp,,cot,o~ do~O ......... .~//..~ ................................ , i~..~ o~d oppro¥~ ~ t~ Building Inspector. /B~ilding Inspector Rev. 6/30/80 ~ ~F~ ..%' ~ ~-~ 7'~ ~ TOWN OF SOUTHOLD --~j ~ ~ - BUILDING DEPARTMENT , TOWN HALL · 01{C I 7 IS o2 765-1g02 ~ ?' :.~ ...... ~ ~PLICATION 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. 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. Co~ercial 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 applicant. If a Certificate of Occupancy is denied, the Boilding 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 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 ....... House No. Street Hamlet Onwer or Owners of Pro rty ............................................................. ty 1000 ' Coun Tax Map No , Section ........... Bloc ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ............... Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Approval ....................... ~ / Planning Board . Request for: Temporary Certificate .......... · Final Certicate ........... APPLICANT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 DECI~IBKR 16, 1992 fi. RgILL¥ & SONS~ INC. P. O. BOX 98 HAI~ITUCK ~ NY 11952 RE: DOROTHY HOLLER To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x~x 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 ~ 2015?-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: DOROTIiY MOLLER FOU~__~DA'TION-~ ., _(_1 st~) FOU~DATIOr~ (2nd) ROUGH FRAME & e. ,PLUMBING INSULATION FER N. STATE ENERGY CODE FI;;AL ADDITIO}I~L COMMENTS ]65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~..ATION FRAMING ~]~INAL DATE INSPECTOR, 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I.~ULATION FRAMING ~ FINAL REMARKS: DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS [0{~,:~St BUREAU OF ELECTRICITY ~' 85 JOHN STREET, NEW YORK, NEW YORK 10038 , 0.~ 3tl~,Y 29~t992 ~ppllcationNo. onfile e334~59~/~2 THI~ CERTIFIE~ THAT o~ly the electrical equipment ~ ~scrlbed b~Jo~ a~ introduc~ by the applicant ~med on the a~ve application number in the premises of inthefollowlnglocation; ~ Basement ~ IstFI. ~ 2nd FL 0~ Section Bl~k Lot L'[L 8 ~ was examlaed on ~ [1[~ 23 ~.99~ andfoundtobeincompllancewiththereq.irementsofthisBoard. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS t 1 DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS! E R V I C NO OF HI-LEG NO OF NEUTRALS OF NEUTRAL *(~IM~IN~ POOL) ~hts certificate covera coapliance at the date of laapectioa only, Because of enviroameats it is advisable to .adc b~'a qualified person, GENIAL MANAGER Per ~, ~. i(; This certificate must not be aJtered 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. Examined ........... · .~/~./~ .. 19 ... Approved ....... ~.~3 ...... 19~ Permit No. ~ . . Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 BOARD OF HEALTll ........ , .3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. . (~fiilding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Dat~,.. a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ~r areas, and giving a deta/led 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 hall 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 hall 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 6ther applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed. ?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary inspections. ...,~..,...~.--/.4e Z..'t..~. e.~:~.~....r~v. ~: ............. -- (Signature of applicant, or name, if a corporation) .~. e:. 6'.~.~...¢~.. ~. ~rF.r .~.~.c./¢..V/.../.( ~4..~-.. (Mailing address of applicant) ]tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, etec~j[~Ij~0~u~b~ffDbuilder. ....................... 6'] ./:w..~..~...c~z~m..~..~ ................. Name of owner of premises ....... '. .. DO/ZOT7'/~' I9'1 o c 1./~.~. FEE: -~9' ~ ....... NOTIFY' BHIEDING; 'OEPARI~ENT' AT (as on the t~x roll orlatest d~)lB02 9 AM TO 4 PM FOR THE [f applig~ corporation, ~ig_nature of duly authorized officer. ' ' ' '~'~~' ~~r') ........ ONDERWRITEItS ~ERTIRCATE REQUIRED Builder's License ~o ...... ?~' ":' ~" '~' ...... "IMMEDIATELY" Plumber's License No .......... .-? ..... ~ ..... 8..N~;.OSE ROOLTO ~*ODE u.o. cou.~-n.o... Electrician's License No .... ~.. qr~/~?~.,,.0.. ~-~..~..~.,~.. ?~_~EFORE 'qlNATER , Other Trade s Lmense No ...................... FOLLOWING INSPECTIONS: . 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRA~ING & PLUMBING 3. INSULATION FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NO~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Location of land on which proposed work will be done... ~/-/.9 .~.~... ~.[g..F:".. 7.F.~.~. ?.'..~. ...... House Number Street Hamlet County Tax Map No. 1000 Section ..... /.1% ......... Block ... ~..O.I ..... Lot ..... Subdivision . Filed Map No. ~ Lot ,~Z. (Name) ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... ~ t ............... ,%~..~. ~ ~;.' ;? ............. b. ~tended us~ and occupancy ........................... ~...; .,.:..,,;,/. ............... property lines. Give street and block nu!mber or interior or coruer lot. Nature of work (check whichapphcable):i ' New Building .......... Addition .......... Alteration' Repair RemOvaI Demolition Other Work ~iii ...... /~ ~ (Description) Estimated Cost ........... !.? ....................... Fee ................... ., (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor · If garag6, number of cars ........................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use Dimensions of existing structures ................. if any: Front Rear ..................... Depth Height ............... Nmnber of Stories Dimensions of same structure wiih alterations ~ ...................................................... additions: Front ................. Rear .................. Depth., Height Number of Stories Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ............ .......... Rear ...................... Depth ...................... Date of Purchase ......... ': ................. Name of Former Owner Zone or use district in which premises are situated ~! C5>Ov'r?~(~. ............................. Does proposed construction violate any zoning law, ordinance or regulation: ..... ,,~ ..................... Will lot be regrakie'd ' . ....]~?.. I .................. Will excess fill be removed from premises: Yes (~ Name of Owner of'premises .~>.~.~.FJ~..~.~ .~ .%~.-~.~.. Address ... ,/jq?jtT~.,r.&c~(... Phone No ..... Name of Architect ........... r ............... Address ........... ................... Phone No ................ Name of Contractor ' .......... ~ ............... Address ................... Phone No ................ Is thi~i~roperty within 30'0 feet of a tidal wetland? *Yes ........ No.. ~. yes, Southold To~n Trustees Permit may be required. '''' PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, anti, indicate all set-back dimensions from descriptioh according to deed, and show street names and indicate whether OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY TATE,,OF NEW YORK; ', ' ' ' '/Y~ ".. ~,~6-9~oia~?JO)a!~f~ning"~ ""~ ~' "'~ ......... cdntract)~ ........... berne dulo Y sworn, deposes ~d says that he is the applicant oove na~6d. ................... ..................................................... els the ~ (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly ant~orized to perform or have perfo~ed the said work and to m&e ~d file this ~plication; that all statements contained N this application are true to the best of his knowledge and belief; and that the ork w~l be perfomed in the manner set forth in the.application filed therewith, .voru to before ~e this CLAIRE L. GLEW ' . .... ! ....... Not~w Publl% State of New York -,-~ .... NO. 4879506 [ .. // plicanti Qualified In Suffolk Coun_W l /-~ 9 /