HomeMy WebLinkAbout17630-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
218808 Date FEBRUARY 16, 1990
THIS CERTIFIES that the building INGROUND POOL
Location of Property PRIVATE DRIVE OFF EAST END AVE. FISHERS ISLAND
House No. Street Hamlet
County Tax Map No. 1000 Section 002 Block 001 Lot 008
Subdivasion
Filed Map No
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOV. 10, 1988 pursuant to which
Building Permit No. 176302 dated NOV. 23, 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 POOL WITH FENCE.
The certificate is issued to DR. KLAUS MAYER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL_ _ N/A
CERTIFICATE NO. N085908 AUG. 9
PLUMBERS CERTIFICATION DATED
Building nspector~
Rev. 1/81
rosat xa s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
70WN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No 017630 Z Date ...,1/,~~..3 ................................. T9~~
Permission ~s h`ereb~y rant to•
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....a-~......~~r~-~.c,Q~y..~....~1,~..i.,....... ..~./// ../ ....................~........................
ct premises located at .......-~,~.~,~t..a....,~,~ .~4•-••/ L/.. ..,....;..~iC.1.41$~.T~.. ~.~
County Tox Map No T000 Section .. ...~. Block ........ ~... ... Lot No...ST......
pursuant to application doted ...
Budding Inspector
Fee 3.~~D. ~'
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.........l.,l~,~ ... .............. 19.A. Cl., and approved by the
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..e...... ..... ..... .
Bull g I for
Rev 6/30/80
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API'LICATIOti F'OR CCRTI PICATE Ok' OCCUPAttCY
tiF'.8 COtiSTP,UCTION ... Y_ _ .OLD O}i PFLL-F?RISTItiC 15UILD2IIC..... _d((//ACAitT LAtii7.. _ _ _ _ _.
Location a£ Propcrtq.~~1"f~!~~.~ _~st~2~ ~
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Ovr.cr or Ovncrs of Property...f'Y.~1::1_'"~`~"•-~'~v .......... ...............
Couniq Tax tfap tic. 1000 Section .QQa. Block _OQ~__ Lot ._008._.
....................
Subdivision _
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. filed trop _..._._.Lot..._.__.._
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PC remit Ito. ~f~P 3D.. _.ll~[c of PI•rmit ep
~~'3f4Q ._Appltcant ~°!`P?~"~ •.r~.._
Flraltt~ Ucp[. Approval .................. Uudorvritcrs ApprovaL............._
P Laren ing Board Apps ov.tl ..... ....... ....
Rcquc:t for Tr.mporary Ccr[ifita[c ....... I'inaL Ct:rti£ica[c ._ /..........._
E'er Submtticd: ^y ~~'~~ ...... .... ...
nPPLICAtrT~~!_:"~:`;~:'!:~~L~l7G~~~ V~~
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FOUIIDATIO^! (1st) _ _ ~
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=OUNDATI0IJ (2nd) _ _
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?OUGH FRAME &
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IIISULATIOf1 PER N. Y. . • '~ ..
STATE ENERGY
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THE NEW YORK BOARD OF FIRE UNDERWRITERS ' PALS 1 ~
1075012
BUREAU OF ELECTRICITY
5 JOHN STREET. NEW YORK, N
38
N 085908
6 Oa31$9/89
AUGUST 09,1989
Date APPlication No. on file
THIS CffRTIF1ES THAT
only the aleetrinl aqutpment ae dsecri6ed helotx and introdutad by the applicant named on the shoos appligeton nuwsMr to thepremieex of
DR.KLAVS TIAYBR, PRIVATE DRIVE, FISHERS ISLAND, N.Y.
ttwsz D~g..~mant OUT
in thefolbu'inR bta AUbOS'1" U9,17ri9 ^ Ixt Fl. ^ Pnd F1. Section Block Lot
AUb ,1~ U`J, 1789
and found to 6e in compliance with the rryuirementx of tkix Boord.
uqs eromined un
RXTUtfK ttANOaS COOKING t1eCKS OVlNS -WASNtUf SkNAUST FANS
R1ITN
ACTES fWRCM6
GUTTER INpNDlSCENT HUatltCENT OTNER NAT. K. W. MAT. t. W. -AMi. [.W. NAT. K. W. AMT. N. 1.
3 1 2 3
oETells Futnup MOTOES NITIME AtNUANp IEEDNt6 snau E~-T TIhY ctocKS Ent uraT INATMS MIILTIAUTSlT DIAtIAEEti
AMT. x. W. pl N. 1. 6A5 X. 1. AMT. NO. A W. a. AMT. AMT. AMT. AMK. TRANS. AMT. N. 1. ~ t ~T AMT. Wx1TS..
I r 1 ao 1 ao
SMVIC! DISCONNtiCT NO. G S E R V 1 C
NAT. AAV. 11'PE ~ 1 / tVI I J tW D R JW 7 R eM ~' K~ % ~D. q ~C C ~ NO. w M4LEG a ~ f'~ NO. OF NIUTMIb '~~W~~l
OLIN AIIMATIIS,
PANEhBOARDS:1-6 CIR. 100
G.F.C.I:-2
*(SMINNING POOL) This certificate
cavera coppliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent teat and/ar repairs
leads by a qualified person.
Po~
,
GADA CONTRACTOR LIC.N296-E
DRAAER - B og MANAOY
PISHBRS ISLAND, NY, 06390 J`
Per
This certificaN tlNrat not be altmad in any manner; return to the offip of the bard if incwracf. Inspectors may be ids their credentbls.
~_-~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN HALL
SOUTHOLD, N Y. 11971
TEL.. 705-1802
Examined .1~~~-3......., 19 ~~
Approved . ~~~~:/~......., 19 Permit No. ~?~:30~
Disapproved a/c ......... .
ITOARD OF HEALTH ...........
3 SETS OF PLANS ...........
SURVEY ....................
CHECK .....................
SEPTIC FORM ................
NOTIFY
CALL ..
MAIL TO
~ ~~~
........................ ...~~.. ,... ,.itm.%CQ~ ..... .
Bui g Inspector)
APPLICATIO FOR BUILDING PERMIT
INSTRUCTIONS
c1~
Date ../~/.........., 19
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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, relattonship to adjoining premises or public stree
or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this app.
catron.
c. The work covered 6y this apglication may not be commenced before issuance of Building Permit.
d. Upon ap,»roval of this application, the Building Inspector will issued a Building Permit to the applicant. Such peen
shall be kept on}he 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 Occupanc
shall have been gi.inted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department For the Issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York,-and other applicable Laws, Ordinances c
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~
The applicant agrees to comply withrall applicable laws, ordinances, building code, housing code, and regulations, and Y
admit authorized inspectors on 5i-emises and in building for necessary m ect' ns. St/v~c~ ~ ~ ~ f~C
" (Signature of ap hcan//t~~, or n//ame, if a/c~orpora~noin.,)~
\ -, ~ , 2~c~ l/.a GGE~ F,C~Ad~. ~osWd...c: ~ ^
• ~ . - (Mailing address of applicant)
~^~' ,
State whether appllcd>'i a~ pwner, lessee, agent,/architect, engineer, general contractor, electrician, plumber or builder
~n/T .F.4!l: ;,~s,G'i' ,° ~"~;:Gd~.~..L .G~?`!~r9~ . ~.v1~zA~,e) ............... .............. .
. .. .. ....... ...
Name of owner of premrses .., .`..... .
~ r ~ , , (as on the tax roll or latest deed)
If apphcan s a coypoi a#ior~;~ignatii;e of duly authorized officer.
, ,•
(Name,3nd title` corporate officer) ,.
Builder's License No ... ~JX,t ,,3ZC7.::~z....
Plumber's License No. .... ~.`l.. 0~2r?... .
Electrician's License No. .. gy .. ~~E~?~..... .
Other Trade's License No .................... .
1. Location of land on which proposed work will be done .. ~ $: `./.E2S . /S~i41•-rte
.........................
House Number Street Hamlet ~7
County Tax Map No. 1000 Section ....... ~........ Block .....~ • • , , , , , _ , , Lot ......4
Subdivision ......... ...... .. ................. Filed (ttap No. .............. Lot .............. .
(Name)
2. State eeistmg use and occupancy of premises and intended use .ind occupancy of proposed construction
a. Existing use and occupancy ....... ~E-S~!~~•~`•~• ~'~• • • • • • • • . • .
........... ...................
b. Intended use and occupancy'~~-~~~~1'• ~N~~~~~~ • ~W gym"'' '"'~ ~~~ .......
3. Nature of work {check which applicable). New Bwldmg . ('..... .. Addition ........ , . Altcrauon . ~.. .
Repair ........ ..... Removal ... ........ Demolition O[her Work ~!*!<mlhi^!f%
.............
~%5 (Descnpu~
4 Estimated Cost ...,3..7~`%G1C~ ... ............ ...... Fce . .....:~ . ~: ~~.
(to be paid on filing this application)
5. If dtwelhng, nuW,lis[ of dwelling units . ... ~.,.. .. Number of dwelling units on each floor ..."
~~ i if g~cage, nuc$~bc~pf cars .... .......... ..... ......... .... ... ............ ............. .
6. If business, coi'ninercial or mixed occupancy, specify nn~~tum and extent of eafh ty~ic of use .....": f.....
7, i f existing stnictures, if any Front ... ~ l.d ~ ...... Rear . ,/~L11........ Depth . ~~ ..... .
~~~........... Number of Stones . ~ .... ....... ...... ...................... .
imensions of same structure with alterations or addihons~ Front .... -7R~~ ..... Rear ....~?:4!'?'U. , ,
Depth ........~.9!!~:~ ........ Ileigltt ...... SainF, , , .Number of Stones ..... ~?.^`.~:a:~ , .
.....
8. Dmtensions of entire`new construction Front ..... S.O. .... Rear ...."` ...... Depth ...~ Lo n
Height 3 U.'.. I9,5,,'-~o.. Number of Stones ..... /.V.~:4ol;NP ................. F ......... .
... .
9. Size of lot Front , ...~Zy ............... Rear ... /{. 7¢:............. Depth 3~,~.....h~i .... .
10. Date of Purchase ..... . ...... ................Name of Former Owner ...~At~?rnct~ ... G!u,!x~;yrT
11. Zone or use district in which premises are situated .............................. .............. .
12. Does proposed constructt4n vtolate any zoning Iaw, ordinance or regulation: .... .... ~U , ...... .
13. Milt lot be regraded Y~S~,. f~A:Pa,'!.A.4 ............. Will excess fill be removed from premises. es
14. Name of Owner of premises .. !j~G,.f1~s /"?'.ax~:~, .Address ~X4S. ~L~~.~°'?'~'°YE Phone No(~~.Z~.$ 6.:~r?
iL__ _~ . ~__._ Address ....
,...,,ictrx~zLnuecr ..... ... . ;~ ... tiY ^i,y. /ooa~ ..Phone No.. .
.+ ANC ,AI.LE ~fl. 2v3lS~e/ -/20_
Name of Contractor .~ .~~'. ~ ~~s , , , , , , , Address ~f.?'i~.v.... ,`/.... Phone N~ ........... .
IS.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 f
property fines Give street and block number or descnption according to deed, and show street names an>; indicate whe
intenor or corner lot. '~
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
STATE OF ~. ' S S
COUNTY OF . ~.. .. ..
(Name of individual signing contract)
above named.
He is the ... ....... ....... .~``! .(~.~i'V /
aP :o O aS NOTED
DATE: // ~a ~~ B.P. M "63c~
FEE ° BY
N~FV I G DE A7
7Bb• I80Z 9 AM 7C) 4 PM FOR THE
FOLLOWING INSPECTION;
f. FOUNDATION TyyO REOIl1RFD
FOR POURED CONCRETE
2 ROUGH . FRAMNdG ti PLUMBINQ
3. fNSULAT1pN
4 FINAL - CONSTRUCTION MUST
eE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
7HE REQUIREMENTS OF TtIE N y
STATE CONSTR~CIN ~ g,IEpG~
CODES NOT RESPC)N$18LE FOR
DESIGN OR CONSTRUCTION ERAORS
being duly sworn, deposes and says that he is the apphc
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file
application; [hat .ili statements contained in this application are true to the best of his knowledge and belief, and that
work teill be pertonned m the manner set forth m the application filed therewith.
Sworn to before me this ~ /~~~ {~
.... , ..... ~.~..... ~ .day of .. ~~'~~Le!1it14':r!C-....., 194 .
Notary Public, ......!~~.~.1aii~t-~G~ ........... .. County ..... ~~
ff ~f oo "lY~t~.~
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