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Home My WebLink About19009-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19972 Date JUNE 12~ 1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 725 SHIPYARD LANE House No. Street County Tax Map No. 1000 Section 38 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1990 . pursuant to which EAST MARION, N.Y. Hamlet Building Permit No. 19009-Z dated MAY 14~ 1990 was issued, and conforms to all of the requirements of the applicmble provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL & FENCE ENCLOSURE. The certificate is issued to HFJlTHER TAYLOR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-183420 - APRIL 16~ 1991 N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS P£P-J~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORE ^UTHORIZED) Ne I900~ Z Permission is hereby granted to~ ...a.~....~.~....~..~...Y..~J-~ ..~.~.~_~,,,~.:.~.:...u..~...~..~ ~ ......................................... : .......... ~..: ............... : ........ ~ ....................... ~**~..~ ............ : ................. ~ ~r,m,,~ ,~,,~ ~,..2a~ ........ ~~....~......~-~:...--~~ .............. Coun~ Tax Mop No. 1000 Section ...... ~.~ ....... Bilk ........ .~.~ ........Lot No ...... ~.~ ............ pu~uant to application dated ....... ~,~,,,,~ .................... , 19,~.~., and approv~ by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ' 765-1802 ~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: 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 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 archiuect or engineer responsible for the building. 6.Submi~ 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 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, Switching 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 - $I0.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Connnercial $15.00 Date :f:/.. ............... ew Construction.. ~ Old Or Pre-existing Bu ng ................. ......... ildi oca io of roperty..7. g V. ..... ?. ................. House No. Street Hamlet ~wer or Owners of Property..~.~'.~.~..~.~ .~..~.. .. ~anty Ta~ Map No i000, Section ..... ~.~. ..... Block..~.I .......... Lot.,~...~.... ~bdivision .............. ............... Filed Map Lot ~rmit No.. 1 .~.~. ~..~..~.Date Of Permit. ~-~-~.~ .~-~.~.Applicant. ~.~.~....-~.~...~...~.. ~alth Dept. Approval .............. ............ Underwriters Approvai ............ arming Board Approval ........... ~quest for: Temporary Certificate ........... Final Certicate ........... Submitted: $ .~..~. ...................... .. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ,. ~., ~ 2 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK in the following location; ~ Base.*ent ~ Ist FI. ~ 2nd FI. Section Bilk Lot ' ~ ~'~:~ ~ ~ ) ) ~ J ~)~)~}' and,found to beit~ compliance u. ltb the rett.irements of th~s Board, FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 20 I{~ DRYERS MULTI.OUTLET SYSTEMS NO, OF FEET E R V I C E BOX '1~;8 GENERAL MANAGER 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 credentia{s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE'ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION DATE INSPECTOR. COMMgNT$ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS~ TO~VN OF SOUTE[OLD OFFICE OF BUILDING INSPECTOR P.O. BOX "12g TOWN tlALL $OUTItOL0, N.Y. 11971 June 3, 1991 TEU.'765-1502 ISLANDIA POOLS, INC. 108 Fishel Ave. Riverhead, N.Y. 11901 Re: Heather Taylor To *Whom This May Concern, We are unable to complete your Certificate of Occupancy bccansc of the following reasons. /~_~//~.~n application for Certi'ficate of Occupancy J).% not on file. ' (ENCLOSED) /_~'/ Thc check is ~/not on file.) $25.00 /_-/ No llealth Dept. Approval on file. /_--/ No final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]dinc_i Permit t{ [ 9 0 0 9 Z Duildinq Dept. ***/--/ blo Plumber Solder Certificate on file. ( all permits involving plumbing being .~.,oued after April 1,1984 ) ~IOT~FY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE EOLLOWING INSPECTIONS: I.:FOUNDATION - TWO FOR POURED CONCRETE 2JROUGH'~ FRAMING & PLUM[~IN~r 3.INSULATION 4. FINAL CONSTRUCTION ~UST ~:~o~ ~c~ ~ BE COMPLETE FOR C,O -',~et~on 'ALL' CONSTRUCTION SHALL C,~m~ ~,~m~t~m~ THE REQUIREMENTS OF THE NY, STATE CONSTRUCTION & ENERGY .~ODES. N~ RESPONSIBLE FOR ~,,,tothe pemo,~or whom OR CONSTRUCTION ERRORS ~ ' h~ USE IS WITHOUT CERT! OF OCcUpANCY .,%. ~,. 6S~ /~PP~O~/ED AS ~OTED ',?, ;,~/5_/" ........ NOTIFY BLt LDNG O~RART~IEN7 ¢OLLOWING INSPECTIONS, ],, OUND~rlON ~/O REQUI[~ED ¢~;- FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBI~IG 8. INSULATION :4, FINAL: - CONSTR COMPLETE FOR C.O "/: ~,.~7.,;~ AEL CONSTRUCTION SHALL MEET "",;v.~HE REQUIREMENTS OF THE N,Y, S~ATE CONSTRUCTION & ENERGY AT tho ~W Yo~. ~t~t~ , ' OCCUPANcy USE l$ II~iLltl, .,"~C FORr,,/I NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 7G5-1802 E~an,incd...~..~.. 19 .~.~. ' Approved · --~ .~'~*/?..., 103 .~. Permit Disapproved aJc ..................................... (Building Inspector) BOARD OF HEALTH 3 SETS ......... su vE ......... CttECK SEPTIC ..................... FOR~ APPLICATION FOR BUILDING PERMIT ........... , INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building I~spector, with 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- 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 wLll issued a Building Permit to the applicant. Such permit shall be kept on thc 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 thc Building Department for the issuance of a Bttilding Permit pursuant to the Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or R. cgulatio,ns, for the construction of buildings, additions or alterations, or for removal or demolition, as hexein described. Thc applicant agrees to comply with all applicable laws, ordinances, buJJding code, housin~ code, and regufations, and to admit authorized inspector~ on premises and in building for necessary inspections. (Signature o? applicant, or ~r~g, ir'a' o; o'rif &' ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) Irr~7~alc°~°~ation, signatureo£auIyauthorizedofficer. Plumber's License No ......................... Electrician's License No ....................... Olher Tradc's License No ................ i ..... I. Location o£1and on which proposed work will be done; House Number Street, ' ' ' ' · ....... Hamlet ....... County Tax Ma o lO00 S~ction ............. BlOck . ...Q I Subdivision ..................................... Eiied Map No. · State existing n~and occupancy of premises and intended use and occupancy of ro osed co ' ' .~ ~ P P nstructiofK ' -- . -"- Existing use a~ occupancy ........ .0...&,j~,, ...~ ....................................... 3. Nature ofxvork (check which applicable): New Building .......... AdditiGn .......... Altcratmn ........... Repair .............. R~mova,l .............. Demolition ........... .. Swimr.~ing,, pool..~'... . .. .n_..7-~ i ~'~:~ rk. ~..' ........ ~- Tennis Court .e ........ Ac,cessory Building .......... ~ence ....... 4. EstimatedCost/~t~2'~(~ ~.,'~. .... (to be paid on filing this application) 5 lf d 11' f d ' ' Nt Iii · we mg, numbero wclhngumtS ......... ii'i'i-'tmber°fdwe ng units on each floor ........... I£ garw'e, number of cars ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................. 7. Dimensions ofexistingstructures, ifany: Front ............... Rear ............... Depth .. ......... . Height . Number of Stories Dimensions of same structure with' alterations or additions: Front Rear Depth ..................... - Height ...................... Number of Stories ............. 8. Dimensions of entire new construction: Front ............ ~ ~,. ~ ........... Depth .......... .. Height ............... ,Number of Stories../'~,,4~'...~... 9 Size of lot: Front ' Rear ,Depth ~0. Date of Purch:~e ................ .. .,.... .. ... Name of Former Owner ..... ...................... 11. Zone or use district in which premises are situated .................................................. 12. Does proposed Construction violat~ any zoning law. ordinance or regulation: .......................... 13. Will lot be regraded .; ........................... WilIcxccssfillberemovcdfr. om premises:a'/r-~.~:..~°{..q~7. '- 14. Name of Owner of premises . ~'.~/~..g5~...~. ?...~.~.a..X-. Address .':5~. ~.fl~. F,/../~/.q..~..~..'. ri,one No. · Name of Architect ...... Address .. Phone No . . Name of Contractor ...... ' ..... Address ............ Phon~No ..... · If yes, Southold Town 'Erustees Permit may be required. PLOT DIAGRAM Locate cleaxly and distinctly all buildhqgs, whether existing or proposed, and. indicate all scl-back dimensions from ~roperty tines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE O F NEW YORK COUNTY OF~ ...... .......... 0...: .............. being do, sworn, deposes sa s that ,s the a p,icant . (Name of ildiviUual sign ng contract) above named. (Contractor, agent, corporate officer, etc.) of said oxvncr or owners, and is duly authorized to pe,rform or have performed tile said work and to make and file this application: that all statetnents contained in this application are true to the best of his knowledge and belief; and that the Work will be performed in tile manner set forth in the application Hied therewith. S',vom to before me this ..... ~.~..2. ............ day of..~.~...~'.... . . ,~o,a. Pubhc,~..~...474&~... ~..~/..~..//.<. Coun,y ~,LAN R. DATERS ~OTARY PUBLIC, State of NoW York NO, 52-46~,7566, ~mmissiml [~xpir~s ~ ~/~/~/). ......... ]gq~E