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Home My WebLink About17642-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zi8809 Date FEBRUARY 16~ 1990 THIS CERTIFIES that the building INGROUND POOL Location of Propert~ PRIVATE DRIVE OFF EAST END AVE. House No. Street County Tax Map No. 1000 Section 004 Block 005 Subdivision Filed Map No. FISHERS ISLAND Hamlet Lot 19.5 Lot No. conforms substantially to the Application for Bulldmng Permit heretofore f~led in this office dated NOV. 10, 1988 pursuant to which Building Permzt No. 17642Z dated NOV. 28r 1988 was issued, and conforms to all of the requmraments of the applicable provisions of the law. The occupancy for which thms certmfmcate KS lssued ~s ATTACHED INGROUND POOL WITH FENCE, The certifzcate is issued to MICHAEL ROTHFELD (owner) of the aforesamd building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N085925 AUG.9~ 1989 PLUMBERS CERTIFICATION DATED N/A Bulldmng Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT CFI(IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N8 bl?6q2 Z Counh/ Tox Map No 1000 Section , . ~..., Block pursuont to opphcot,ort, doted .././.~.~::~.'~'.~.~ ., 19. .., and approved by the Rev 6/30/80 TOWN OF SOUT~OLD BUILDING DEPARTHENT TO~N ~ALL SOUTHOLD, HEY YORK 765 1802 APPLICATION FOR CERTIFICATE OF NEW CONSTRUCTION ...... OLD OR PRE-EKISTING 1197 I OCCUPANCY BUILDING ...... VACANT LAND ........ Owner or Owners of Property...~.~ ...................... Coanw Ta~ ~ap Ne. ,000 Se~tioa ..~.. Elo~ ..~-... Lo, Subdivision ....................... Filed ~ap ........ Lot Permit No. J~...Date of Permit J~ff./~.t..Applicant ~.d.~...... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval Request for Temporary Certificate ....... Final Certificate ..... & .......... Fee Submitted: .................. rev. 10/14/88 ~i£LD ii, S!a~-~-: ~OUNDATION =OUNDATION (1st) qOUGH FRAME & PLUMBING ~NSULATIOH PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL COMMENTS: iI- C) ? f q Oj~3~ 3. Nature of work (check which applicable): New Building .. Addition ......... Alteratmn,. ___-- ..... Repair .............. Removal .............. Demolitmn .......... Other Work (Descnpuo Estimatld Cost... ~,.'xl.v..d>..C~."~ [~/') ........ ~ ............ Fee. , ................... 4. (to be pald on filmg fins apphcatmn) 5. Ifdwelhng, numberofdwelhngunlts .... ~ ....... Number of dwethng umts on each floor . .;. .''. ...... If garage, number of cars .............. .-w;--. . .................................................. 6. If business, commercial or m~,:ed occupancy, specify nature/and extent of each type of use -- 7. Dimensions of existing strtctures, ~f any. Front ...... ':~i- ...... Rear .~, 1~' .......... Depth .'~[-(:~. Height ............... Nmnber of Stones . ,"~- ............................................... Dimenmons qbrdlllllp]~[ ~[t r~ql~re w~th alterations or additions' Front ......... ~ ....... Rear ...~ ....... Depth ..... ~ ~;. '.\ ....... Itelght ..... ~ .............. Number of Stones...'w-. ..... 8. Dimenmons of entire new construction. Front . t~o! .......... Rear . .~Or:.(z~ ...... Depth ~. Height . [ 1~ (~1~:%1:~.%/i'q.~"."2. Nm~}ber of Stones .: . . .-: .......... ~ ........................ ~ .......... 9. Size of lot: Front .... .'.'~.'Z...~ ...... , ...... Rear ....'~.'.'.'~."2,- ........... D~pth . .'.'.'.'.'.'.'.'.'.~.. ~ .......... I0. Date of Purchase ......... ~ .... : .... i ......... Name of Former Owner t'/~/tl't, l~.~l~r'.~-~.{~..al.t?..'~.( I 1. Zone or use distract in which premises are situated ................................................. 12. Does proposed Constru~ction vl.qlate any zoning law, ordinance or regulation: . .P,~.O, ..................... 13. W~ll lot be regraded ~/P"~/. ~6f.~.~../~/~: .......... Will excess fill be reraoved from premises: Name of Architect .... .......... ,, ...... .% ..... Address ............... ....-.. o ?hone No ............. Name of Contractor 5.14~.~...G-(,,I~IE .~!/~--& .~.~..~2 ....Addrcss'7,t~.V/:} .1~. iii.0. ~_~'~tG'~'Ph one No ............ 15.Is this property located within 300 feet of a tidal we'tland? *YES .... NO~ *If 7es, $outhold Town Trustees Permit may be required. PLOT DI AG RJ~M ' Locate clearly and dmtinctly all buildings, whether exlstmg or proposed, and. indicate all set-back dumensmns f property hnes. G~ve street and block number or description accordmg to deed, and show street names and indicate who intoner or comer lot. t COUNTY OF...f./~ ..... S S ' .,...~. ) .&.~../"J~....~ .~>~-?~..."~F~ ................ being duly sworn, deposes and says that he ~s the appt~ (Name of mdtv~dual signmg contract) above named H~ m the .......... ' ............... ': ........................................ (Contractor, agent, corporate officer, etc.) of smd owner or owners, ~d ~s duly authomzed to perform or have performed the said work and to m~e and file applmatmn; that ali statements contamed m thru apphcat~on are true to tt~e best of Ins knowledge and behef; and the work will be perfonned m the manner sci forth m the apphcatmn filed therewith. Sworn to before me ttn~ , .............. .... ...... March 31, 1993 , ~ (Signature of appli