HomeMy WebLinkAbout19665-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20185. Date AUGUST 29, 1991
THIS CERTIFIES that the building ACCESSORY
Location of Property 6010 SOUNDVIEW ROAD SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 59 Block 8 Lot 5.11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 12, 1991 pursuant to which
Building Permit No. 19665-Z dated FEBRUARY 13 1991
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 ACCESSORY INGROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to DHNNIS A. & JANICE F. DAMS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-197695 - JULY 26 1991
PLUMBERS CERTIFICATION DATED N/A
uilding Inspector
Rev. 1/81
1A73ffi N~. 8
TOWN Of SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
5OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 19 6 6 5 2 Date 199.1..
Permission is hereby granted to:
at.pre ate ....1J7 ~.1..0.....11....1-?.~;!J....!:.Y.:ll~.....~cX::':
txl{
~.F'-~,.,,
.....~~...~.~:...~.:~............qq
County Tax Mop No. 1000 Section ......~.~~....1..... Block Lot No....~:..~.~.........
pursuant to opplication dated Z:.........., 19.9.1.., and opproved by the
Belldin~ Infol'. (V\
Fes i,~:.~~..~..a..:~-
.....,~c~w,..
Buildlnp ~Inswtct~
Rev. 6I30IE0
u ~ .lo D
Form No. 6
TOWN OF SOUTHOLD c Mn' C
BUILDING DEPARTMENT ~ ~ 6{991 ~
TOWN HALL
765-1802 6LDG. DEPT.
TOWN pF SOUTNOID
APFLICA'IION FOR CERTIFICATE' OF OCCUPANCY
.1. This application must be filled in by typewriter OR ink and submitted to the building
inspector caith the following: for new building or neco 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 Corm).
3. Approval of electrical installation from Board of Pire Underwriters.
v. Sworn statement from plumber certifying that the solder used in system contains
less Chan 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.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Scainnning pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Euilding - $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
aew Construction........... Old Or Pre-existing Bui~//lJJding
Location of Property.....~;Q~Y.... ~l1[J~~.lQ.b;%Eif;..
House No. ¢ /Street Hamlet
Onwer or Owners of Property.. J!~.'~!~''!S .qf~ ..,7.. ~!!?'v~GE...~... ~?UG S • .
:ounty Tax Map No 1000, Section....: /.......,Block... P. ...........Lot. 5.~~
subdivision ....................................Filed Map............Lot......................
ermit No ................Date Of Permit..............,.Applicant.............................
ealth Dept. Approval ..........................Underwriters Approval.........................
lanning Board Approval
quest for: Temporary Certificate........... Final Certicate...........
e Submitted: $...a~S•.t~ ~ ~ .
APPLICANT
cc~acis_5
THE NEW YORK BOARD OF FIRE UNDERWRITERS YAG;:;
7.425120
BUREAU OF ELECTRIGTTY
85 JOHN STREET, NEW YORK, NEW YORK 70038
Date ,IUI,Y ?.6,1991 Application No. on file 7 36 51 5 91 /91 N 197595
THIS GERTIFIE3 THAT
awly tht ehetrieal puipment a daterihed he/oto and intredacsd 6Y the applicant homed oa the a6ooe application aum6er in the prvnttESE of
rNNIS DAMS, 6010 SOUND VIE;N, SOU1'HOf~D, N.Y.
in thefollominp krc nt Ol)T
atlRPw 0~ BaEe~ne ? Int Ff. ? Ynd Fl. Sectian Block Lot
tesa examined un ~lUliY SLY`/ andfoundtu be in rnmp7iance with-the reyuirementA Of thu Bwrd.
pXly~ XTUMS COOKIN6t1E01s OVENS T FAKE
OU71E7S At1l5 SWI7CME5 INCANOtSCIM.PIWatflM OTHEn AMi. K.W. AMT. K.W. AMT. K.W. M17:. K.W. AMT. N. t.
DRYEES RMFIACE MOTORS FI71NE AFRIANCE IEEEMS SMOAI NC'Fi 7MIE t30dlf EEU IMtII IIEA7NK ETl,... OIIEIA~S
AMT. K. W. Oll N. r. f:AS H. t. MAT. No. A, w. 0. AMT. AMI. AMT. AMrS. TRMtt. AMT. X.I. tM RET AMT. WAITt
SERVICE EgCONNECT NO.Of S E R V 1 C F
AMT. AMr. TrtF e~, i,a aw : w tw t i tw t,E ~w No. of ~
jctKm. a'~c
' ' o. wo. tir a.itc A.~.~ no. of tauuMS ~ }rtunAt.
o7t1ER APMRATUS:
a
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ROB~:RT G. BARF;R LIC.~'795E
NORTH SHONF. R1,F..
2900 BOISSFAU AVF;. 9~EEEGtMAFNOM _
SOUTN0I,D, NY, 1.1.971 11 /'i
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Thk nrM not ha akarod in any manMr; rNurn t0 d. ~ Datrd N.~illoerraet. ~a ~ ~ ~ ~ Ily •r endmtiak..c
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L. MOR i1~.AIM~ DEPART~+I~IiT. 71Ni C~1t1f QE ~Tii#~#~TE MNIf~'t'IAQT ~ A~TIR~ IN A~iFlf AI#R.. _
_ ~ _b._._~__
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC;:,
lozs7 zD
BUREAU OF ELECTMCITY
BS JOHN STREET, NEW YORK. NEW YORK tOOSB
Date :TUI,Y ?.6,7991 ApplirationNo.onjile ~i667697/41 R :19769"i
s
THIS CERTIFIESi THAT
Doty the a(ectrieal pulpment os dsecri6ed 6ebw end introduced by the applicant named on the okow eppfbetian numhertrrtthe premLn of
IENNTS DAVTS, fiGlo SOUND V"(F;W, SOU'ftfQi,D, N.Y.
- OUT
' in the fdbrinp IocatlWF:. ~gkepaent ? !et F!. ? Snd FI. SertiwF Bloek LGt
uw examined on 1 U 1 T ~ A and found to he in romplienre with the requirements Gf ehu Board.
RXTi1KE ACtK fYY1TG11F9 RXT KANOK COOKa10 aKCK5 OVIKt{ ONitW T FANS
p OUTIaTL INGNDltCFNT FIUGFFSCFNT OTM[n AMT. K. W. AMT. K. W. AMI. K.W. AMT. K. W. AMT. N. P.
R
- ORYlK iVBIMCE MO RITYC AfR1ANCl IKSOKKS feSC1AL KfCSt TIKIS CLOCKS EN4 Wai RfATMS~ IMIgtOYfYF IRkt1ABRS
AMT. N. W. Oll N. P. S N. P. AMT. NO. A. W. G. AMT. AMI. AMC AMM. BANS. AMT. N. 1. ~ NAT. WA1T5
7 D
SIIRVICt OISCONSKICT NO.Oi S E R V 1 C E
- AMT. AAV. TRt p~IKS, i x tw , x tw t x tw t x ew No. oP~cacoNO. oP is ' No. oP N4lFa ~ ~ w1Pb tto. a IEUTtAIS a 'NWFVAAI
oTNn AsM1ATU5:
SWIMMSNG PO(>L-7.
RECEPTACLES-1 /G.F.C..7.-7°2
PANEl,BOARDS:1-7. CIR. tA0
s_
A(SW7MM:tNG PCbT.) This certificate
e covers co®pli.ance at the date of
inspection only. Aecause of unusual
P,avi.ronments i.t is advisable in -
$ have frequent fast and/or repairs ~
- made by a qual i.f i.ed per.gon. ~r
ttt Continued on Page ~
tiIBNBBA? IaaRMM
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a
This cartNicoM nNAtt not l» aNarad in any mariner; returo to 1M ofBca d }he Board if inc I^~rs 6a idMtN~d r cmbMialt. -
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p aM , Lx ~•`"'~"'~'tF SOUTHOLD
t I BUILDING DEPARTMENT
Z~ TOWN HALL
6~' f.OUTHOLD, N. Y. 71971
BLDG. DEPT. TEL.: 765-1802
TOWN OUTHOLD
Examine .,19°I/. Received...........,19...
Approved ~ 19Q(. Permit No.~. q~?.~os~'z°-
Disapproved a/c .
.
Cil .Kt... ..,P~.!J t3.t~ .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19.. .
INSTRUCTIONS
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 azeas, 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 CertiScate 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 Lawa, 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 inspec'r}7''pJ_»s'~/
(Signature of applicant, or na Ye,.if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, ent, chitect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~,fj7G//S~ .~!!rC~z t2~S .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporateGOfficer)
Builder's License No. ~5~~4. ~--r .
Plumber's License No. .
Electrician's License No. .
Other Trade's License No . .
Location of land on which proposed work will be done. 6~J/.
D ,S~o!~ D t r?
..~o/f~ SpundY/P7~!~, ..............................SOH. ?HGI-ltd-Q.V..................,
House Number S-tr^eet Hamlet
County Tax Map No. 1000 Section . Block A Lot ...J..1 l ~ .
Subdivision ......................................Filed Map No. Lot...............
(Name)
State existing use and occupancy of pre~/m-ises and inten,,deld use a`n~d occupancy of proposed construction:
a. Existing use and occupancy 1 /~/SZ-/i?~~~7' . L.YG!-~!,".~.~!'.,....n .
b. Intended use and occupancy ~.l~ lW~ rn.n"t q /~/~c.~
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