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HomeMy WebLinkAbout18002-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219018 Date MAY 4, 1990 THIS CERTIFIES that the building INGROUND POOL Location of Property 450 JOCKEY CREEK DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 070 Block OS Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1989 pursuant to which Building Permit No. 180022 dated APRIL 5, 1989 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 POOL, FENCE & GROUND LEVEL WALKWAY. The certificate is issued to WILLIAM & ANN KNOELLER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NlA UNDERWRITERS CERTIFICATE NO. N074128 MAY 30, 1989 PLUMBERS CERTIFICATION DATED N/A % LG Z' .~Z :~'t_ Buil ing Inspector Rev. 1/81 l08M N0. ~ 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) q a 1$ ~ ~ 2 Z Date .....~r~.................., 19.~.d Permission is hereby granted,Qto: ..1.:1.:... ~ r............. i~ Q ............~~.e.~.. ~n9s, to ..C~:~^...-'4~4.r.. hr.S.e,~......carYa..,d••~-~.IT...~`t..+.~.~...... SY!'~"...~.4~... a"-- ca,```~P.~.`.. n_ n at premises located at .....~....C.~4~C....1....Ei.9~Y. ....1..~.,...lr.1.l.CrM.~.....~ County Tax Map No. 1000 Section \....Q~.~...... Block ......~.J Lot No....a...l............ pursuant to application doted ........i.~..l.?..z7 19~.d.., and approved by the Building Inspector. J Fee S.l s~.:.. g...~c ildin 1 for Rev. 6/30/80 TOWN OF SOUTHOLD D {5 ~ ~ ~ /~'IA/L l v BUILDING DEPART2IENT SEP ( ~ X989 f Gtl. ~.~/oEGG~~ {~O ~OX ~7~ - TOWN HALL f EG~~l G i(J,y SOUTIIOLD, NEW YOEiK 11971 6vDG,pEPT. 9s-g' 765 - 1802 TOWN OF SUUTMOLD / APPLICATION FOR CERTIFICATE OF OCCIIPANCY DnTE . ~S~j . NEW CONSTRUCTION ~._._.OLD OR PRE-E%ZSTZNG BUILDZNG......VACANT LAND........ Location of Property..~s0...._ ?_oC,eEy'G.PC=~,C_,D,e:__.._._SoU~,~/oc~__..__. HOUSE•NO. STREET HAMLET Ovner or Ovners of Property. LU~LLlq/r1 ~.Q:fl!il _~nloEGL-~E.~ County Taa Map No. 1000 Section 7 Block Lot subdivision Filed/ Map ..,.....Lot.......... YermiL No. .Date of Permit ~ls~r~_Applicant 'g:'QE/GLY+~.Sous~.ve. Hea1[h DepC. Approval Undcruriters Approval._.._.__..___. 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Y. ~ • STATE ENERGY CODE . -_+/,r /.y{ ' y 4 . ~Y~1 h~-J FILIAL o E ADDIT OPIAL COMMENTS: x i x,.<. ~ t ; 8kiir~fYE.1C~I #i~A~l.'?S"i flkfri'.11PlROYAL ' ~urirolix CoinrrY i~unra' ns>PA:tr~a~is • ' ' ,aArt NOV 16 X92 s. fl. nar..#~nsg 1 ihs seep tisposal,saQ water eTSrp12 . iaoilitiea for [hia leeetlN hsRra heed taspeoted by this ~epnrt~ Wit,. totm+ ' , + - 3TAT~EI~t~NT [liG` iMT6N'1' - ee '~e,aa;~ta~ase. ~ s. ~ k ~ , da ~ • t ~ Qak'L.~l'ICSC : . ~1NFF!1't"~1["C.Y.IRpIC?_91tilk3il~AL• ^ Chlet orNrst ~slprlty 'S7i"~1'1`! ..^t*i0l~ ~ 1"HiS RE5lt1iL~NC~ iNilt „ E :.'Reh+rxob tiNf~' 'CMS' STANt?All~ Of THE SAP t~ ~1+r'e~;,K, ~tlt~i'• oir ~+irA~ftr°s~ievfcES. ts! j y _ lli3p'R`C~.:K . COl#/TY E~P'F. pF pilcAt,TH ~ ..y>Etf"" ~4~RViC~S:..•,FOR AMYY'OYA4 OF' f ~~CON57RU~'i'iCNd dN4Y I A~MI~VlEt4i: i ~ Water not. to'bea used.Eor pr;egaiation of baby formula or consuinptioa by; infantw,:uA ' ~~-i'hEi,~ItiPl~YTIt?Ml'• ~ under 'K months , o~;.age. . t'1'• ~C1'. 8l~.[,}!CK' ACi.. , ,.rr~:yc o'rr,~ s5 ~3 • - f 4 ~ . ~ ~ ~ t0 TI{I~ fVRVFY FP A VIOlAT10N Or i ' ' "a ~ ~ •~T' ` ~ SfCTIEN,~U9 Of TNF~NFW YORK fTATi ' i~ + , r- ~ FOUfAtI frIN FAWN ~ ; - ~ J s ~ `~.6w. f j "COPtss Or THIf SURVEY MA! ewY REA0.M:. t ~ "w ~ + _ 4 r_.~; •,M~~1°`"'! ~ CHI LAND WRVFYOR'f IN4b SEAt OR ~ j x r -~+E ~ ~ Y { ~,ti ~ 'EMfoss3o sEwt sNAU Nor w;earauEaueD 'r Y y K, `y~W # W, ~f0 IE A~YAIIC illUE (:OFY. ' 1 ~ ~ Y ~ y ; ifPE~PfPT+ OUAMNIYFf INAiSATEL' NFRLON SNAU. RLN . • + + a~dr -.r "ONLY TO iMF VE:SGi i0R WHOM 7NE IWtYFZ 1 a^ a ' JAM' 1 ~ ~'l ~ k' ~ - (f 71tEPAREO, A~ ON HIS tfNAIF TO 1M . Sky e: ,,^r~'q':' } i1T1F tOMPANY,C;OYFRVp,FLNTAt AGTNCT AEG F 3h `r' .+T` ,x y,~•. +''t ~ j'i . LFNtlING INSiITUTWN. UfrU) MfR/ON, ARF7 a ~ `~~p~` ~ fi• ' ~ L rd THE AffWNEFf 4f.THE LENDRfO MbTM 1 ' 'R' v 3 i ,4 $d.' ~ Ty A }ate art a- "nON. IXEARAWIdiS ~AAE.NOi iRAP1ENRA1!!E wL. ~,.y ' _ AbgnoNAf-MISTITwwra; ots.A~ks~CC^^`-;, ' TYAE7rP{ tD R~'~..t r G' r r-~ ~ ! 5 a E i ~1 r ,`~~'y ~ r C c ~.^f ~ a. j i a Gyy~~E,.;, 4b „f~•+{~ sRA T" J •'~{-l Ki ~ lip • [ _ R'M'~~T]NCr`: ~w'Y,~.t. R ,~Fd }v '~~~F'F Y ~ ~ 3 .ay, '1 _ FL '~ryyf t ~'.+:...:}a .':v ~f' ? T ~ 1 l N T,y} N r r, r ,.w ' R t r. 38y aA fr 4 °n S w~.Awrr+,t ry 3 I nrnrk r z w~ x z ~ f w ~ y k L ,.;T a. M,^'. T ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1061381 EUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK T003B c Date NAY 30,19$9 gpplicattanNo.onftle b2097989/89 N 074128 F TH15 CERTIFIES THAT only the ek+ctr4d ayutpmen[ a deecrihed 6e/om and tn[rodttced by the applicant named on the shove application numher in theprornieee of HILLIAN KNOELLER, 45^0 JOCKEY CREEK RD., POLE N4, SOUTHOLD, N.Y. in the follotcinR local}op. 2 Ll ~pgQment ? I et Fl. ? Ynd FI. pUT Sertiun Bfoek Lot was examined on IIAT dd„..LL~07 and found to 6e in wmplianee with the reryuirementx uJ this Busrd. R%T{NR % RANOaf RtO DRGIi qSK W T OUTIRTS M~AB 4~TCIRS INUNEE[CENT rIVOIIFtRNT OTHER AMT. K. W. M1i. K. W. AMi. K.W. NAT. K. W. AMT. N. A. 1 3 1 aR'TfAS fVMiAtR MOTORS R/TIr! M7UANq RrRYf AI RRC~T IMIR CI[IC115 RML , IM11T IrATMt MIaRAYfW fMMMRftS AMT. K.W. pl N. I. OAt N. t. AMT. NO. A.W.O. AMT. AMI. AMT. RAVE. TRANS: AMT. M. r. ROItkT AMT. WAM'~ a 20 i~ SRRVICa allOpN1lCT NO.t>f S E R V 1 C S AMr. ~ AAV. TYtE p~j i.E ra i w ew a w ew t i .w No. o~ckcoNC. A. w. No. a Nl~ua a~~~ w. of uounAls a •r~i~At OTIrR ANMRApIk G.F.C.I:-1 '(SHINNING POOL) This certificate covers corpliance at the date of inspection only. Because of unusual environments it is advisable to have frequent teat and/or repairs rode by a qualified peraoa. / ~~"l JODY Pi1NILL0 LIC.l2300E PAT LANE NATTITUCK, NY, 11952 11 Pn ThN eartificote mrp rat ba dNrad is manTar;_raturn ro TM eNtca of tM fbard ff incornA. I . itleaNfied - '1Mir k. _faR,~ pEPARTI~NT. TNbL COPY OP tERTIPICATR Ilq~ ; R M BOARD OF HE.ILTH D " ~ ~b 11 U IS D 3 SETS OF PLe1NS FORM NO.t SURVEY ~ET~ TOWN OFSOUTHOLD CHECK .3f'.-3L(z`~~::::::(4F,!L BUILDING DEPARTMENT SEPTIC FORM . TOWN HALL BLDG.DEP7: SOUTHOLD,N.Y.11971 NOTIFY TOWN OFSOUTHOLD TEL.:765~1802 CALL ' i ~ MAIL T0: Examin 19 ' Approve ~ 19~~ Permit No. ~ ~ O6, ~~l DisapProvedalc ,t~cT~! ~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT l Date S .°fj 7......, 15~. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets at 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app} cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applicant. Such perm. 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 Occupant 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 th Buildin; Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Rcculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe Ttte applicant agrees to comply with all appiicalile laws. ordinances, building code, housing code, and regulations, and t, admit authorized inspectors on premises and in building for necessary inspections. (Signature ot""applicant, or name, if a corporattorn~~) (Rlailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildez Name of owner of Premises W (~u,~yq.; . W ~....l9p?H!_ , , , ,k~QEGG,(:'7~ . (as on the tax roll or latest deed) [f pIi t is a corporation, signature of duly authorized officer. (Name and title of co rate officer) Builder's License No. .....2,`~.?r.:.<'~.~....... Plumber's License No . . Electrician's License No. .~I dd?~7?~..~`.2~T?~.`G Other Trade's License No . . 1. Location of land on which proposed work will be done. ~O ~?;~ttZl~, , , . N.. ~5 a ~C~ Kt-L=1<.....Q?C I rJ~ >SD.Gt./"~fo.4 ~ ~ .7 . House Number Street Hamle[ q. Count} Tax Map No. 1000 Section .....Q Block Lot . Subdivision Filed iliap No. Lot . (Name) State existing use and occupancy of pre~/mises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ 6. Intended use and occupancy .........~~l.Ot~?z:~!~L.... , U,~ J~O~ sW~ezernrrvc On - r~~'~ 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolition ............+~ti~ • . • • . . (Descnpnan 4. Estimated Cast ~U -Fee - - (to be paid on fling this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . Ifgara^c.numbcrofcars 6. If business, commercial or mixed occupancy, specif•y,na[ur~ and extent of each type of use . Dimensions of existing structures, if any: Front Rear Depth . Heigftt ...............Number of Stories . Dimensions of same structure with alterations or additions: Front Rear , . Depth Ifcight ......................Number of Stories . Dimensions of entire new construction: Front Rear Depth . Hci~ltt ...............NumberofStorics...........,...:....................................... 9. Size oflo[:Front Rear...................... Depth I0. Date of Purchase .............................Name of Former Owner 11. Zone or use district in which premises are situated ............~.G~/1r~~?'!7.-(d9yy~~,,,,-... . 12. Does proposed construction violate any zoning Iaw, ordinance or regulation: , ~ru . 13. IYill lot be regraded J . ..................Will excess fill Ue removed from premises: Yes 14. Name of Owner of premises NyL-.44E?Z; • • • Address ...S'P.~?~~z.©..... Phone No . Name of Architect . ........Address ...................Phone No... c. . Name of Contractor ./.Q: Y~k:(GL;~ t• ..~ox!c.. • • Address ..,1~1.~.7T/..Z~~~G... Phone No.:'.~~. ya.~„1 15.Is this property located within 300 feet of a tidal wetland? *YES..~NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lat. r`~~ ~~e~~ Sit ~/t v~~ STATE OF \E1V YORE, COUNTY OF ...S ~~rC S.S y~ Ltj/,.... • • . ~dQt~~..s,.~ {~r : • • ~~t:~ X • • • , • • • • • • • . • . being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. Iieistfte ...............`.~~'~"C~....................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application; that all statements contained in this application arc true to the best of his knowledge and belief; and that tl work will be performed in the manner sM forth in the application filed therewith. Swom to before me this a.~. day of...)...~//'/Y~Lta.4~:....., 19~.~ ~btary Public, I~Qr .4Ar/e County HEtFN K !>E YOE n . NOTARY PURUC, State of Nevi Yolk . Nc.4?67&78,SuttMkl~uobG1! (5i,nat applicar Twm Fxpiras March 30, t