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Home My WebLink About20815-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21130 Date NOVEMBER 9, 1992 THIS CERTIFIES that the building Location of Property 1375 BRAY AVENUE House No. County Tax Map No. 1000 Section i26 Subdivision ACCESSORY LAUREL~ NEW YORK Street Hamlet Block 8 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1992 pursuant to which Building Permit No. 20815-Z dated JULY 13, 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 WITH DECK AROUND & FENCE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MICHAEL & NANCY SWEENEY N-243723 - JULY 22~ 1992 N/A / yildin'g Inspector Rev. 1/81 · OB~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-°N.o 20815Z Permission is hereby granted to: ...,~.:....~...~...~...~..~ .......... ..~...~..~..... ~ - '. ................................................ .....~.~.~......~..~.,..../....~..~..~ ..... , ,o..~~.....~...~..y~.....~:~.~....~.~.~......~... at premises located at ./...~...~..~.....~...~., .......... .....~~.~.~..U.:~...: ...... County Tax Map No. 1000 Section .... /...,~.,..,~,. ....... Block ....{~,...~, .......... Lot No....,~,,~, ............. pursuant ,o applicc~tion dated ...... ...~...~......~R ...................... , 19.~...J~:..., and approved by the Building Inspector. Building Ins4~ector Rev. 6/30/80 ~', : '" TOWN OF SOUTtIOLD : :~ TOWN HALL ~ '"~, ~. 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: 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 f{om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder ~sed in system contains less than 2/10 of' 1% lead.· $. Commercial building, industrial b~ilding, multiple residences an~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 p'lan requirements.' ~. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and *'.'pre-existing" land uses: 'I. .Accurate survey ~f property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatio~ and '~ 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 $50.00. 2.Cer. tificat~ of Occupancy on Pre-existing Building -'$I00.00 3.Copy of Certificate .of Occupancy - $5.00 over 5 years - $10.00 .Updated Certificate of Occupancy - $50.00 5.T~mporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date ...................................... ~ Construction.., ......... Old Or Pre-exis ng ~u ng,.. Street · ' .............. o., Hamlet ...... ...... ............. ~diviaion .............. . · ..... r~ .... ; ........ Filed Map ............ Lot ..... Appl' - nntng Board Approval ...... ~ ....... aes: Eor: Temporary Certificate ........... ~inal Cert~cate. Submitted: ................... 7 " ...... · · ~$ Oe . ~ZC~T' -'- ..... >~ .............. THE NEW YORK BOARD OF FIRE UNDERWRITERS p~' 1 ~,~t~).~) BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~' ~[~['¥ ~ ~ppli~ationNo. onfile ~3297592/~2 N ~43773 in the/olJow~ng Joca~ionz ~ B~ement ~ Ist FI. ~ 2nd FI. O~T Section Bilk Lot ~s examined on J~L~ 1.~, 1.99~ a~d found to be ln compfi~nee ~it. h the reqnlre~nen~s ~ff this Board. FIXTURE I SWITCHES OUTLETS t 2 DISH WASHERS EXHAUST FANS DRYERS ITHER APPARATUS: covers co~plJauce at the date e~viro~{~{~{{ti~ it is t~ve fr:equeut te~t/aad or repairs E R V I C E AWG, OF NEUTRAL GENERAL MANAGER [his ce~tiflcote must not be attered in any manner; return to the office of the Board if incorrect. Inspectors may be identi~qi~d.-b~/rtheir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,76S-t802 BUILDING DEPT. INSPECTION ',[ ]FOUNDATION IST [ ]' RO~/GH PLBG.' [, J FOUNDATION 2NO[ ] ~tsuLATIoN / [ ] FRAMING [~/FINAL REMARKS: ~-~ ~~~ DATE: INSPECTOR ?OU~;DA~ION (1st) ?OUI~DATIO:I '2nd ) ]OUGH FRAME & .FLUMBING :~SULATIO~! PER N. Y. STATE E~;ERGY CODE FI;;AL ADDITIO~A~L COMME~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~n ../..~...,19.9..z- Approved· .~,~. I..~.., 19 .~.*Permit NO. ~--.~..~ ./.~. ~ '~'~'~~ '. ' (Buqlding Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEFTIC FORH .............. CALL .. · .~- .. HAIL TO: INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 se.ts 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. ¢. 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ....~.... ~.~7.4c. :,.. ~. ~co&.s... ~..c.., ........... --' (Signature of applicant, or name, if a corporation) · K~:. ?.~. ?..~.,.. ~.*. ~ .~.,..r.... 5(.(....x(: ~../(. ?£~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ~.&~,. >.~...~. ..... .~...~7~...r~..~..~ ............................................... Name or owner of premises .... .~..,.C~/e)7~.L...~.. ?.. j?..~..c.~....~.,...3.'..e,M..g,f~..q~.."~ .......................... (as on the tax roll or latest deed) If a~ a corporation, signajSgr, e ~, uly auth~orized officer. Builder's License No ...... ~...~.~. ~.'-. (f..~.... Plumber's License No. -- Electri?ian's License No../~..6.~....g~....~..L..~-7.(.~..t.(.~ Other Trade's License No ...................... 1. Location of land on which proposed work will be' done ...... ~./~......~..(,/.&..~.../ ......~.d~..~..~..~.C~t'~. ..... .../. 973'............. ../3~;~. ... ~- ................. . .~. ~rz:./.~T:_~.. . .A6. 7. .................. Ilouse Number Street Hamlet County Tax Map No. 1000 Section .................. 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 .......... t~..(~./.~.6°~.. '.F-.<~. .................. : ..... ..... ;./:.: ............ b. Intended use and occupancy ........... .~..~'.././?~..(~7.r'.~. .... x,a/.t..77/.... ~'.~.~.t~,~ ...~i .' ~ ~%.. 3. Nature of work (check which applicable):. New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work .3'7.~. .....~" .~....~q.t~. 4. Estimated Cost. 0 tO, OO l .~.--'.~. ""-- ........ Fee .,. i (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ If garage number of cars 6 ' If busine'ss ..... ~ ................................................................... · , commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structurels,if any: Front ................ Rear .............. Depth ............... Height ............... Number of Stories .......................... ' .. . Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories ' .......... 9 Size of lot: Front ~ Rear ............................................. Depth ...................... I0 Date of Purchase Name of Former Owner 1 I. Zone or use district in which prelmise, s are situated .......... Jg.. {~.. 40..f~...~..c- ........: ................... 12. Does proposed construction violo~any zoning law, ordinance or regulation: ..... .~..(~../.~..6-.'~..f[-. g'.~. ........ 13. Will lot be regraded ............................. Will excess fill be removed from premises: ~ No 14. Name of Owner of premises .... ....... Address ...... Phone No ........... NameName of°f ContractorArchitect..~...~ . ..~.~..~g i.........it, .~ .~. X/.) .~."'"'"> AddressAddress ' ~.'~.' .' ~.'~] .'~ ii i".. PhonePh°ne Ne.N°' .' .~.-'6'~ '"' Is this property within 3100 feet of a tidal wetland? *Yes ........ No ......... ~If yes, Southold T;own Trustees Permit may be required. 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 ~tumber or description according to deed, and show street names and indicate whether interior or corner lot. 15. STATE OF NEW YORK, . country s.is ..... /~.(.,)g'~t/pp///////~...fi2..'...~..~.~ .L.q ~.... ~...- .......being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) above named. He is the ....................... ~~7~..~ ................................................ i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly {uthorized to perform or have performed the said work and to make and file this application; that all statements contain.ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner sgt forth in the application filed therewith. Sworn to before me this .......... &..~. ~ ....... d~,v-o f...,....~_ ~4x. 1~.2.~ .... ,19 .~..~ N°tary Publi~..~:., · ,C~~x -~ .~f County /~ I./7 Notery Pu~lol.o,48St~9~,aolNewYork ....y, ...... ;..;-,"~,. ~ ~/.. ,~.. ,';w~_ .~./ ......... ...... · ~U. Mlfl***~l!nSu_ff°l~k~Count~[ ~w ~-~ (Sign~/ofapplicant) ~m~mm~ton r=xplree uecember 8, 4.1 No'nt=~ BUILDING '?{~5-1~102 9 AM m ALL >- ?~5-!~0'/ ~'~ TO ~% PM FOR THE 1, FOUND,' , '~O REQUIRED FOR P~, qONCRETE 2, RQUG~ ,q,,~ING & PLUMBING ~4. FI~ . CONSTRUCTIONMUST BE ~)It4,F~LETE FOR C.O. IALL CON: T~UCTION SHALL ME~ THE ~QU REMENT8 OF THE ~ & ENERGY NOT RESPONSIBLE ~ J.OR CONSTRUCTION ERRORS S ATE~ j,.ONSTRUCTION