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HomeMy WebLinkAbout17351-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217489 Date NOVEMBER 4, 1988 THIS CERTIFIES that the building POOL Location of Property 1110 LIGHTHOUSE ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 5 Lot 9.2 Subdiv Filed Map No. Lot conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1988 pursuant to which Building Permit No. 173512 dated AUGUST 25, 1988 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 P06L WITH FENCE. The certificate is issued to CLYDE & JOYCE FRITZ (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N041231 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 F01B1lI NO. D TOWN OP 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°_ 017351 Z Date ... ... ..1!k:!!~.......as.........., 19.~.~ Permission is hereby grantedpto: _ / .1 ~ N 'J . ' ... 7 :..w' .. ~ . . . .. .. .... ........ ... .. ~~. . //. ........ .... ....... . to ..~r,'~..'.?.'.QA.t4rN.. ....~Z...M....../-.~:4!L!:9.1~-~..~~??X... ~... .>a!i!:l:.L'..'4......... ~.:.!?J............ of premises located at ..1,.1~?....~:R.41~.,...:..A~..~~.!!~.~4Y1::!4.3s.....!-1~4.........4..1.N~KkL.~ ....... 4 ....... .. ~. ~. ' ..~rQa.....! ........... .... ....................... ~ ................................................ 4...... ty1'.(/ .. .. / n ................ Block .. .. ~.Q.~:....... County Tox Map No. 1000 Section ....~:'.~".~...... .....os......... Lot No. ~~. pursuant to application dated .....1~-~-~..~~.~~••••••••••••., 19~.$.., and approved by the Building Inspector. ` Fee $..L.~~.,. /./ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF Instructions A. This application must be filled in typewriter OR ink, and submitted ~~r~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Cade compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pxnperty showing all property lines, streets, buildings and unusual natural or topographicteatures. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 'POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New llwellin~ $25.00, Accessory ~$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years yy$1~~0.0 ~J S.UodatedLCnO.C•0 $ 50.00 Date ../Va~.. ... .(..~.! ~~ NewConstruction,,,,,, dorPre-existing Building ...... Vacant Land ...... ....... Location of Property ......~ . o....... // C3 ~~~ ~I(~U~.~...~.~.~ .......... ~.u.~?~.r~(. House Na. Street ~ Hamlet n Owner or Owners of Property ...`' /y~~. ~..~~~-:-K-. ~ ~~ 5~ .~ .....................~.... County Tax Map No. 1000 Section ............... Block ............... Lot ..... ~.`....... . Subdivision .................................Filed Map No. ..........Lot No. ............ . Permit No.©~ . ! 3r,>>~ Date of Permit .~'. j~~J'~~Applicant .. y; /... , p~. ~,1. ~ 1,~. d.. ~-3-!l).~, (r/,^ Health Dept. Approval ........................Labor Dept. Approval ....................... . Underwriters Approval ...:':~::~./ ...............Planning Board Approval ..................... . Request for Temporary Certi`fic~ate .` ....................Final Certificate .........:"'~'.'......... . Fee Submitted $ . ~(~~.. Y: !'..` 1~~ ........ . Construction on above described building and permit meets all applicable codes and regulations. C.~.~-~,`-`t~~q Applicant ..?7.,~~,/~~.`.~..rr~G.y.1..S.. ~.!~~:~ .................. ~.~'"b.3~li~ Rev. 10-10-78 ~~(~~~~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date THIS CERTIFIES THAT only [he eleetrlcd equipment w deaeri6ed! 1,Ypf: F'RIT2., 7.11b 1.~LGHTHOiJ3F in tkefollorrinp ktca4igT}~~~~ 7.4, lY7SH rasa examined on O~(C~ 7. <E , r~ac,t.: } 52224208R/R8 ~ i74:! G3:1 Application No. on file ~elote and introduced 6y the applicant hawed on the ebone application number in the premises of t?OAD, !.TOt,N; ~T;!h$1(1, S~9irT8(?(,!), k.Y. OLPr ^ let Fl. ^ Ynd Fl. Sertion Block Lot and found to be in curnplianre with the reyuirernenta of this Board. NXTURE WIUTS AClES SWITCHES i RXTURES NCANOEUENr nu6aESCENi y RA NAT. NGES [. W. COOKIN AMT. G DECKS [. W. O AMT. VENS E.W. DISHWASHERS AMi. K. W. EXHAUST FANS AMT. H. P. DRYERS FURNACE MOTORS RlTUR! AFFIIANCE f^EDERS SMX7AL REC'FT TIMECIACKS MLL UNIT HEATERS MUlil-OUTIET DIMMERS AMi. K. W, ql H. P. GAS H. P. AMT. NO. A W. G. AMT. AMI. AMT. AAVS. TRANS. AMT. H. P. SySTEttS No. a IaT AMT. WA1T5 r ?0 :1 40 SERVNi DISCONNECT tq.OF 5 E R V I C E AMi. AMP. TTPE ME~F. 1 / TN t R J\V ] 13W 3 / AW ~. ~ ~ ~D. pF CC. COND. ~. q H4lEG a ~~_~G NO.OF NEUTRAIS Gj ~NEU~L OTHER AFMRATUS: 6.k'..t'.J',t-2 *{Sii:LM~i7W(; Ptx>1~1 TIIiw r~rr-iTirata eaver~s etaD~pti.ance at the ~ar.e FsT' i~ts~gr.ti.~n an:t,yr Becau3p laf` unusual ax~t~rt•omat~nrs it i,s advisable to have frequent. test/and c?r repairs itarle by a r,ua] i f.i.Eaci per son. JODY r'flM7t,C,0 7'l1'(' I,Af1h KA'1'TfTUCK., NY, J7.45~! This certificate must not ba altered in am manner; roturn OMIRAI '1 I~l:('F.PISF Nb. "I.?()4 f: Per tM office of tie Board if ineonad. Inspacton moy be identified by their tTadentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. `~`1!`'z"..1, TEL. ?C,5-18f)1 ~;~~ F or_,~~; . , Y `~O r t~~ G~~ TOtC IY OIL SOUTIIOI.d3 :ti•2766~ ' ' ~ OPi'1CE OP IIUILDING INSPECTOR rte-' ;'Xi.. ,4~' ~~'N ~ I'.O. RO}{ 1 17 9 ~ ~'?:~."~ ~ TOWN 1 TALL ~ fit" SOLJTIIOLD, N.Y. l 1971 ~. yo ~,~ . o~-~~ as, 19~`fi~ rl~z ~ o~-(,r~2.. ~~u~ ~o ~I~~Q ~eut,Ras,.Q..I ~r r~ . -~ 9 ~; E To L9hom This May Concern, ;; 4;e are unable r.o complete your Certificate of Occupancy because of the folloc•riny reasons. /_~'/ i1n application for Certificate of Occupancy 7 5 not n n f i ]. c .~EinT,~'-r~+J~.~ /_/ /VO Underwriters Certificate on file. /.~/ t'hc chec:}; .i:: (~.~~~T-nut on tile.).~'Q7~,~-~t /_/ No tL:a].th Dept. Approval on file. /_f P:o final insi~~ect:ion has been mace P]case contact: our office on this matter. Thank you for your cooperation. Ilrr.ildin~] Pcrrn.i.t. ff ~ .~ ~ S ` Z -CBCJ7~.d-~vrc~~~ Building Dupt. '"`/_/ tlo Plumber :;older Certificate on file. ( a7.1 I>nrmits irrvolvi.ny plumbing being issued after rlpri.1 1,19fl4 ) 173 sl 765-1802 BUILDING DEPT. INSPECTION [ )FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ]FRAMING [ FINAL ~~~ ~~A, REMARKS: ~C _ C-c~ DATE ~~ /~ ~ INSPECTORS ~~ ___~ ?=3cLD~I~;SPEC;IUt~ IDAT~ ~ %OMMENIS _, f 4: -o m 1 ~ . _ Fri _ _ -- H _ ~ POUI7DATION (1st) - ~ c~ ti OUNDATI0IJ ( 2nd ) m~' ~~ z o ROUGH FRAME & PLUMBING H ' ~' 3 . ca m IIdSULATI0I1 PER N. Y. H STATE ENERGY i CODE x i /D ~ ~ ._- ~ y a . f I FIidAL ~ o z ADDITIOPIAL COMMENTS: x~ • f f C4 k - ~ o ' ~ f a c y ~ H 0~ ~ J 2 S C+7 r H ~ m 2 b [s7 *i ~- . i . ~''. ~`'. E3t7GEf2 ' '' ~_... ._... _.._.. _._ d Sui . RO5E:NE7ErzG DJROSI~1; t~ ~z< Cvtcn-.ir) . , ~ {vpctitilT•) I (vnc~+.r~r) " ~ ~ ~ . $ 1 ~ ~ ~ ., z p ~~ :;., .cxoo~v~c ,..Zpx.yU ~`D~..~~UE;%p• ... - .. e. y =.rlw ice'` ter" . ` 1w\ d-; NOLlp~i ~' ~' .. 24TSrF¢.t•10. ~~ ___ ... `~,~ al l~`f' ,. , .•~ ~~ ~. .. - ~`, ' ~~, ,~ ,,. .FVI.e •~ 1, . . .~t1$,Ql~1}d"~,/,.. ;Ile, .. ~. ;^----"V-""'„-_....._.._ .: •w.~iNrzid ,. ~~ . ~: , ~ l ~. . ' :,~: ,~ . Ma~• t~~~~~~~~r~.~r~. ____w__; . - ~~ - ~~ • s.;.::ar ~ . . 't'GWN OF SOU1"WGL.t~, N.Y, , . . i JrQ6.~F) ~' ~'~ • •• 1 ,:~ l ~~ .. (j. ,x,.5`5 !J /~ , ., C L y1~~ .~ /r-~z-~ 2 ~----- ~,, , ~ - ,~. „t accu~a~cr a~ uo~sE ~'\ ~ak~a+~u~e. U5E !S UNtNWFUt . TANIG~ FI ~. /,'~ .^ ~ .~~~~ w!~lauY CERriflcarE 1 ~ i2 .,0~ ~ ~~ r ~ ~~. Qf aCC~PANCY r~ oxl.:.. ,. DYN! USt ~ e~Np~~yyt!]l~y,Y~ilr /~ pp+ pp~~//~~,~qecyy la:;:..:(.:I6(""~!{~VVCd MO'itH'7'I: A/._..il...~.:vr~i~ .•'~1;a1-~ •.<'. •: .. ...... ~ ~ ' ..J.. ~ ~. J~-.......~ :~J ..41 .' 1.. ~ pATE•-~~ B.P. J/ ~ 1,c ~ a' , .... ...... FEE: ~ ~~ . •"' BY . G' L. NOTIFY BUILDING OE.PARTMENT AT 765.1802 9 AM TO 8 PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION TWO REQUIRED FOR POUREp CONCRETE 2. ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST ~ COMPLETE FOR C.O. ~' ~STRUCf1ON SMALL MEET ?I~ ~i Of 7NE N:Y. STATE Ct1NSTlNlCT1pK aN E~IE#pIr °~+ ~'-~T+owiRRO ` NC _' /,t.e~ of S, 19 ~ ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~Q"". ?:~, 19~~ Permit No..I 7..,~SI,',~ BOARD 3 SETS SURVEY CHECK SEPTIC NOTIFY CALL MAIL Disapproved a/c ..................................... ..................................... d~....... ... ~'~' ~ a., .~._. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OF HEALTH ...... OF PLANS ....... .......... FORM .............: ................ T0: Date ... ~/~~........, 19 0.~ 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 areas, 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 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 necessa inspections. .~:..C1~1`c 9.~..s~h!s, ..1~~. !c.~ ............. . (Signahire of applicant, or name, if a corporation) (Mailing address of applicant) /()f~~r State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....~~./. ~i4~...."~'~ ..'.~T.~/~. ~.e.... /- ~ I .T~- ............................. . (as on the tax roll or latest deed) If p 'ant is a corporatio signature o duly authorized officer. (Name and title of co to officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ....Z~'~,-r...//;~....... . Plumber's License No . ....................... . Electrician's License No. .~6/,~~t?.N. • • ~Z~Tt~'.~C Other Trade's License No . .................... . 1. Location of land on which proposed work will be done. House Number Street County Tax Map No. 1000 Section .....~.J~. ~ .. . Subdivision .................................. (Name) 2. State existing use and occupancy of premises and intend rHamlet // .. Block ........~?........ Lot..../..l.~ .~.. .. Filed Map No . .............. Lot ../........ . ed use and occupancy of proposed construction: a. Existing use and occupancy ........... ~.C~/~/{J,~~."~.T_~~ ...................................... . b. Intended use and occupancy .............~~1.`J~'?~!?'(1~:1.-, . , , W 1,'T~~, , , ~Q~, ~., ........... . .S l-S //x ,x. / NG (~aat, rG-tt/~~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... . Repair .............. Removal ..... , ........ Demolition ............ , .Other Work ..............., 4. Estimated Cost ........ (~~~~. •. ~ .................. Fee ........................... i~Csirn) . . ' ` (to be paid on, filing this applicationy 5. If dwelling, number of dwelling 1Gnits ............... Number of dwelling units on eaeh floor .'............ ~...,, , If garage, number of cars .....'; ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... . 7. Dimensions of existing structureg, if any: Front ............... Rear .............. Depth .............. . Height ............... Number of Stories .........:............................................. . Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................. . Depth .................... .Haight ...................... Number of Stories ..................... . 8. Dimensions of entire new construction: Front ............... Rear ...............Depth .............. . Height ...............NumberofStories........................................................ 9. Size of lot: Front ........... . .......... Rear ............:......... Depth • .................... . 12. Does ro osed construction oln ' ' • Name of Former Owner ............................ . 11. one or use district in which remises are situated ........~.~`$/~,1~iL•'T. /. !/.4 ... , ..... .. .. .... . p p to any zoning law, ordinance or regulation: ....... /~ ................ . .... 13. Will lot be regraded ...... /~..... ........Will exces~~S++fill be removed from premises: Yes No 14. Name of Owner of premises ~I?(~ .........Address ..,,).~~2ip..... Phone No... ?~ "v~.f`~~ Name of Architect ... .... ................Address ...................Phone No... .. ~. Name of Contractor .~ ~ }.'CL74G.x~:..S!A':~:... Address . ~~.jl.~"%TGil~K.... Phone No..~~:'.~a.~ . 15. Is this property located within 300 feet of a. tidal wetland? *Yes ..... No .~. *If yes, Southold Town Trustees Permit ma be re uired. PLOXI' DIAGRAM Locate clearly and distinctly all ,buildings, whether existing or proposed, and, indicate all set-back dimensions from property Bnes. Give street and block qumber or description according to deed, and show street names and indicate whether interior or corner lot. ~~ / / i'/ ~~ ~G'~ S~'~v~''~ STATE OF NEW YORK, S S COliNTY OF ................ . ••••••••••••••••••••••••••••••'•••••••••.•........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. I He is the ...................... ............................. ................................... (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 this application; that all statements contaiz<ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .............. ~5.. day of .'..............,19~~ ..... 0 Notary Public, ....... ~ ..~ . AJI~VK..... County ~~.~~X/,//eJ HELEN K DEIYo New Yak ...... ....... .~/~ ' ' ' ' ' .. . i ....... . N6TARY PUBLIC, StatA Term'Expiies M's~ch ~O, ioaob (Si a e of applicant)