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Home My WebLink About17479-zFORM NO. 4 TO~q OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18145 Date JUNE 27~ 1989 THIS CERTIFIES that the buildin~ INGROUND POOL Location of Property. 205 PLUM ISLAND LANE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 015 Block 05 Lot 24.29 MAP OF Subdivision ORIENT BY THE SEA Filed Map No. 6160 Lot No. 180 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 22~ 1988 pursuant to which Building Permit No. 17479Z dated OCT. 3~ 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 INGROUNDPOOL & FENCE. The certificate is issued to RICHARD D. & EATHRYN C. FRANK (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NOVQ322 ~AY 5~ 1989 PLUMBERS CERTIFICATION DATED N/A Rev. i/81 lding Inspector FOB~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N, Y. BUILDING PERMIT (TH~S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 01747B Z Permission is hereby granted to: ~. __ · (~ ., \ ..... ...~...~.~........(..~..~¼~-~ ~'.g..L....~....~.~..~ ............ ~ ..................... ~. , ,o...~~...~..~,.~L..~....~ ......... ~.~..,.~..~ .~. ................................... ~....~.~. .......... .~..~._.....~...~ ............ ~..:~,...~ .......... at premises lecoted at .~.~.~...~. ........ ~J..~....~..~ .......... .k~,~,~ ............... County Tax Map No. 1000 Section ........ ..Q../..~.~.. ...... Block ...... ~. ........ Lot No...~.~..:...~....cj ...... pursuant to application dated .... .~..~.~':~.~........2~....~,........, 19..~...~., and approved by the Building Inspector. Building Inspector Re,,,, 6/30/80 TOWN OF SOUTHOLD BUILDINC DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ...... HOUSE NO. STREET HAMLET Owner or Owners of Pr perry ..... ~=...~... ............................. County Tax Map No. 1000 Section ...... Block ....... Lot ......... Subdivision ....................... Filed Map ........ Lot .......... Permit No. (.~.~.Zf.~Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate .~.. .... Fee Submitted: $ .,.~ .~: ~ .~? ........... Final Certificate ................ Co ,rev. 10/14/88 FOUNDATION { 1st) FOUNDATION 2. ROUGH FRAME & INSULATION (2nd) .PLUMBING ADDITION~L COMMENTS PER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~*~AL DATE ~INSPECTOR _ , _~.~f~ , THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- 85 .JOHN STREET, NEW YORK, NEW YORK 10038 Date I~.?~ ~}l~ ~ it o~?) /lpplication No. on file ( ~ ~ ~/?~/8~) ~ ()?{~'~, THIS CERTIFIES THAT only zhe electrical equipment o~ described below and introduced by the applicant named on the above application number in the premises of in the follotring I }cation: [] Bas, e ~n~ .ent fO'dO'>~),~1~ l )~:, [] Ist FI. FIXTURE OUTLETS DRYERS [] 2nd FI. O(P!' Section Block attd found to be itt cotnpllance u'ith the requirements af tit s Board. FIXTURES FURNACE MOTORS APPLIANCE FEEDERS RANGES ~OOKING DECKS OVENS DI~,H WASHERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEEt Lot DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E NO. OF CC, COND PER ~' R V I C OF HI-LEG NO. OF NEU?RALS A. WG OF NEUTRAL 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 credentials. V V 114 II I1. >.. BOARD OF HEALTH ...... 3 SETS OF,,,~LANS ~f. .... 'FORM NO. I SURVEY . .¥.~.,~... · , TOWN OF SOUTHOLD CHECK · · .~..f'l~._'Th. ~,~Cl ! BUILDING DEPARTMENT SEPTIC PORM ............. ; TOWN HALL NOTIFY ?,OUTHOLD, N.Y. 11971 Examined .~. ......... ~..., 19~...~. C , (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS 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 Southolfl, 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 necessary..........inspections...(~....~MD~.......... (Sign licant, or uame, ,f a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .... .................................. Name of owner of premises . .~.i.c.~.~5.( .~...~'.~ ..................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CON, TRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder s License No. CF. ~O.q.. ~. ............. Plumber's License No ..... ~'~.~ .eX.. ............. Electrician s License No ...................... Other Trade's License No...~.~.~t. .............. 1. Location of land on which proposed work will be done~ ................................................. House Num her Street Hamlet County Tax Map No. 1000 Section .0'.1.5 ............. Block . .~. .............. Lot..~..~.~...C( ........... · ' ' (Na~Je)' '- ............. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. x sting use an occupancy ..... .~ , ............................. ,. ......... b. Intended use and occupancy .~.c3 % ~-[0 IrX.o~O0'~ /35~0~,~, O<~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... ~h'~'vb6.~4 Repair .............. Removal ............ Demolition ........... Other Work ~0,~'. ,q,0., ! (Description) 4 Estimated Cost .{,o.Qlq3.(~, i Fee ~ " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercml or mixed occupancy, specify nature and extent of each type of use ....... 7. Dimensions',of existing structuies, if any: Front .............. Rear ......... Depth ............... Height ' Number of Stories ' ' Dimensions'of same~st~ucture with alterations or additions Front .. . Rear ................ Depth . .~!.~ ?.~, .~ .~ .... :..... Height ...................... Number of Stones ..................... ---8. Dimensidhs of entire new~c~lr~itruction: Front .......... . ..... Rear ............... Depth .............. Height ...... ;.,.... ii~., Nu..,hber of Stories .............................. 9. Size of let 3i~O~t~ ~.~. 5-'.'. '~ ~.w :[ ........ ~! .' Rear... . Depth ............ 10. Date-of'Pffichase .......... ~ ................... Name of Former Owner ............................ 11. Zone or use district in which premises are situated ..................................................... 12, Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded '~ ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~11.~.~,'~[...~.t .~r~.V,-,... Address ~.~.5-...P.~ .~, ,~.3).o,.%&.t~ Phone No ................ Name of Architect .... 5 ....] .................. Address ................... Phone No ................ Name of Contractor ~kO.w~,..~/~,O,~ .~.c~g~S .T-4~.,.. Address '.q~.l. ¢,..~.=q.. 5..~.., ..... Phone No. J.q.~J - 15. Is this property located; within 300 feat of a tidal wetland? ~Yes ~,.. No ~...' .......... *If yes, Southold Town Trhstees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines, Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y-:,O P,.K. cOum-y k--. s.s ............ '~J.~.~.~'l .....-. '.~ ,fiB. ~0,~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ................ '''1 ................................................................ ' (C ffi ) , ontractor, agent, corporate o car, etc. of said owner or owners, and is dqly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann,er set forth in the application filed therewith. Sworn to before me this ..................... day f ~ ...... ,19. Notary PubIic,. ...... 9. ~ ............ County , ~NOREEN L, HAGER"x Not aW I~t~% ~ t a~te,13,~ew · 1~;§2--45264~3 ~1 ~/;~'-"~-.--~ ..................................... Qualified in Suffolk County ~ (../ (Signature of applicant) Commission Expires · .O,z '1 O~