HomeMy WebLinkAbout17726-zNo Z17638
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date DECEMBER 28r 1988
THIS CERTIFIES that the building.
Location of Property. 29895 MAIN ROAD
House No.
County Tax Map No. 1000 Section 18
Subdivision
POOL
ORIENT
Street
Block 02 Lot 36
Filed Map No. Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DEC. 19, 1988
Building Permit 'No. 17726Z dated DEC.
pursuant to which
27r 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 POOL WITH FENCE ENCLOSURE.
The certificate is issued to DAVID P. & JANET V. MOORE
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N641763 APRIL 25t 1984
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
' Building Inspector
~'0~ NO. I~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No- b17~[26 Z
County Tax Map No 1000 Section
pursuant to opphcatlon dated ..
Building Inspector
Fee ......
Block ......... ~ ....... Lot No ....~.. ~...
., 19..~'~, and approved by the
Rev 6/30/80
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N Y. 11971
BOARD OF HEALTH ..........
3 SETS OF PLANS ..........
SURVEY ...................
CHECK ....................
SEPTIC FORM ..............
NOTIFY
t:xammcd .... l/ 7 ......... 19...
~isapprovea a/c . Iii lit ~
.........................
/
~ullaln~ Iaspector)
~PPLIC~TIO~ FO~ B~IkDI~G PEB~IT ~
~E:~~. ~/~~ INSTRUCTIONS
a ~~~ ~p~ly filled in by Wpewnter or m ink and submltted to th~ Buddm= Inspector, wt
sets scale accordmg to
b.'~"~~i~.~~and of bml~mgs on prem,ses, relauonshm to adjo,nmg prem,ses or pubhc sir
or areas~~escnptzon of layout of properW must be drawn on the dmgmm which ~s pa~ of INs a!
cano~:~~ &
c~' ~~~y~Wpj~S~i, on may not be commenced before issuance of Budding Permit.
d. ' ~gp~7~_~~, th~ Building Inspector will issued a Bmldmg Pe~it to th~ apphc~t. Such
shall ~{ ~~~a~abl~ for respect,on throu~out the work
e~o~~z~used m whole or zn part for any purpose whatever until a Cemficate of Occupa
shall ~~~spector.
~A~ I~A~o the Bmldmg Depmment for the issuance of a Bmlding Pe~it punuant to
Buzld~¢~~'~ Southold, Suffolk County, New York, ~d other apphcable ~ws, Ordm~ce-
Regulations, for the const~ction of buddings, addmons or alteranons, or for removal or demotmon, as hereto descnk
The apphcant agrees to comply w~th ail apphcab]e laws, ordinances, b~fldmg code, housing code, and regulatmns, and
admit authorized mspecto~ on premmes and m building for necessa~ ln~~~ _
,
(Madmg address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
(as on the tax roil or latest deed)
If apphcant m a corporation, mgnature of duly authomzed officer.
(Name and title of corporate officer)
Budder's License No ........................
Plumber's License No ........................
Electncmn's License No ....................
Other Trade's License No .....................
Location of land on whxch proposed work will be done
ff..el>.7 .........
House Number Street\
County Tax Map No. 1000 Section ............ B]gck ....
.......... F~led Map No.
Subdlvls~on ............ (~q'a;,i~) ''
Hamlet
........... Lot.......~..
............. Lot .............
State existing use and occupaiqcy of premises and intended use and occupancy of proposed construction
a Ex,stIng usc and occupancy ...~/,-.~..-~- ..........-. .. .......... ............. ...............
t--
b. Intended use and occupancy .............
3. Nature of work (check v,h~ch applicable)' New Building .... Addition ......... Alteratlon,, ........
Rep.~,r ........... R~:moval ............. Demolmon ............. Other Work. ~ .~.p.~;~. ~,-~.-...
~~ e~ (Dcscnptmn)
4. Esttmatld Cost ........................... F ..............................
(to be prod on fihng thru apphcatmn)
5. If dwelhng, number of dwethng umts ............ Number of dwelhng umts on each floor .........
If
:ara,e. number of cars . .[ .................................................................
6. If business, commercmi or m~xed' occupancy, specify nature and extent of each type of use ...................
7. Dtmenmons of exlst~ng structures, If any Front ............... Rear .............. Depth ............
Height .............. Number of Stones ..................................................
D~menmons of same stmc~~t~ons or additions Front ............... Rear ...............
Depth ................. 'l ....limit .................. Number of Stones ........... / .......
8. Dlmensmns orenUre new constmctton. Front .~. t ....... Rear ~ ~ ........ Depth .~ .........
Hmght .............. Number of Stones ..................................................
9. S~ze of lot. Front ~.~ ............... Rear ./~ .... . ........... ~ept~,
10 Date of Purchase . ~ff ................... Name of Fo~er Owner ~~.. .
11. Zone or use d~strict in wh~cf~premmes are situated .~.~... ............... _ .~,~...~....
12. Does proposed construcuon wolate any zoning law, ordinance or regulatmn: ~ ~.~{li ...........
NI
13. W~I1 lot be regraded ............................ Will excess fill be removed freedom,seN:
Nme of Owner of premxses .................. Address ................... ~nWNo ..............
Nme of Architect ....................... Ad r ss ............. ~m~,~ .......
Locate cle~ly ~d d~stmctly,~l buddings, whether exmtmg or proposed,~~ ~k M~o~s rrm
propemy hnes. Gwe street ~d blo[ck number or descnptmn according to deed, ~d show street n~es~Sa~ &heth~
STATE OF NEW YORK, S S
COUNTY OF ..........
.............................. being duly sworn, deposes and says that he is the apphcal
(Name of mdiwduai mgnmg contract)
above named.
Itc is the ..............................................................................
(Contractor, agent, corporate officer, etc.)
of smd owner or owners, and m duly authorized to perform or have performed the smd work and to make and file th
apphcatton, that all statements contained m this appltcatmn are true to the best of his knowledge and behef, and that tt
work wdl be perfo~ed m the m~ner set forth m the apphcatmn fiIed therewxth.
Sworn to before me tim
~ PUfiLIC, Sbte of Ne~ Y0~ (Signature of apphc~
TOWN OF SoU'rHOLD
Building Department
Town Hall
Southold, N Y; 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual
natural or topographic features.
2.Final approval of He~alth Dept. of water supply and sewerage disposal--(S-9 form or equal).
3.Approval of electmcal installation from Board of Fire Underwriters.
4. Commercial buddings, Industrial buildings, Multiple Residences and similar buddings and installa-
tions, a certificate of Code comphance from the Architect or Engineer responsible for the budding.
5.Submit Planmng Board approve] of completed rote 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 property showing all property lines, streets, buildings and unusual natural or
topograph lc features:
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings.
3. Date of any houmng, code or safety inspection of buildings or premises, or other peF;~nent mforma-
t~on required to prepare a ce~tlhcate.
C. Fees: Additions S25.00 POOLS $25.OOALTERATtON $25.00
1. Cer~f~eate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00
2. Cerbflcate of occupancy on pre-exmting dwelhng $ I00.00
3. Copy of certlficate of occupancy $ 5.00, over 5 years
5.Updated C.O. $ 50.00 Date ...............
NewCons truct ion ~..~,., Old or Pre-e×tstlng Building ............ Vacant Land .............
Loca,,on o f prop erty .2-.¢.~...~'~. ....
Owner or Owners of Proper~
CountyTax Map No. 1000 Section ...~.....~. ........ Block ............... Lot ............
Subdivision ........ ~ ..................... Fded Map No .......... Lot No ......
Health Dept. Approval .................. . .... . kaborDept. Approval ...................... ..
Underwriters Approval, ........ .,....o..... . . . Plannmg Board Approval ..................... .
Request for Temporary Certihcate ..................., , Final Ceruficate . ~ .................
Fee Submtt d" Z~--~
Construction on above described buddmg~a permit m t Il phcable codes and regulations.
Apphcant~ .............................
.! r~B 0
fB.O
MAP 3F PRO,:'ERI ",
SUR~ EYEP ~
OR~Eh~T
_,_,_SU F'FOLK_.' _C~,_~, N Y
NOTICE OF
TOW~
TO
~OORE. DAVID g NF SSB
MAIN RD
ORIENT NY 11957
CHANGE OF ASSESSMENT
OF SOUTHOLD
PARCEL ID
473889 15.-2-36
ACCOUNT NO. 035941
LOCATIONIDFSCRIPTION
FAIN ROAD
TAX-CODE: 100
YOU ARE HEREBY NOTIFIED 1N ACCORDANCE gITH THE REqUIREmENTS OF
SECTION 510 OF THE:REAL PROPERLY TAX LAW THAT THE ASSESSED
VALUATION OF ThE REAL RROPERTY IDENI1FIEO ABOVE, OWNED BY YOU, HRS
BEEN ADJUSIED AS FOLLOWS:
19~& ASSESSMENT 6,500
1983 ASSESSFE~T 6,100
NET CHANGE +400
A PUBLICATION CONTAINING PROCEDURES FOR COKTESTING AN ASSESSPENT, ENTITLED
"HOW TO CHALLENGE YOUR ASSESSMENT", IS AVAILABLE Al THE ASSFSSOR'S OFFICE.
GRIEVANCF DAY IS JULY 17,19R4
IF YOU HAVE ANY OUESTIONS CONCERNING THE ABOVE CHANGE, YOU ~AY
TELEPHONE THE ASSESSORmS OFFICE AT 516-765-1937
ROll INSPECIION WILL BE HELD AT TOWN HALL, ~AIN ROAD
SOUTHOLD, JUNE 28 THRU JULY 17 PFTWEEN THF HOURS OF 9A~
AND 5PM AND 7PM TO 9PM ON JUlY 9. GRIEVANCE HOURS: 9AM
TO 12 NOON; 1PM TO 5PK AND 7PA TO 9PF (JULY 17 AT TOWN
HALL). THE TOWN OF SOUTHOLD EQUALIZATION RATE IS 9.58.
BOARD OF ASSESSORS
TOWN OF SOUTHOLD
SDP:GO:583
298-5010
ShinnB Pools and Spas Inc.
Vinyl Liner
One Piece Fiberglass A H E L D O R D I S T R I B U T O R
Gunite
Mare Road,Mattituck, N.Y 11952
SALES SERVICE SUPPLIES
NAME ' DATE
ADDRESS SALESPERSON
PHONE RECOMMENDED BY
ALL POOLS INCLUDE: DELUX FIBERGLASS OR STAINLESS STEEL SAND OR D.E.
FILTER SYSTEM, Z. H.P. RUMP AND MOTOR, ~..__~ID~ MOUTH SKIMMERS, INSTRUCT-
_!ON MaN:~a~ ~D START UP DEMONSFRATION. /COM~L~TE~ION PLANS --
~ND PERMITS.] ROUGH GRADE OF POOL AREA.
REINFORCED STEE[ WALL CONSTRUCTION WITH CEMENT SUPPORT SYSTEM
Pool Size Diving Area Depth Price Installed
With Coping
18 x ~6
20 x 40
28 ~! - 8 .,¢oo'7 ¢/5-'~
"L" SHAPE ADD ON'S
8 X 8 $500. l0 x 12 $925.
8 x 10 $600. 12 x 16 $1400.
8 x 12 $725. 16 x 16 $1875.
8 x 16 $825. 20 x 20 $2675.
ACCESSORIES
LADDER [3 STEP S.S.]
DELUX VACUUM SET
8' DIVING BOARD
8' WALK IN STAIRS
UNDER ~ATER LIGHT
MOOD SETTERS
AUTOMATIC CHLORINATOR
CURVE SLIDE
ROPES AND FLOATS
HEATER
AUTOMATIC VACUUM
****PRICES ON ANY
SHAPE AND SIZE AVAILABLE ON REQUEST'.,
FILL SPOUT
WINTER COVER
SOLAR COVER
FENCING
SPA COVE
DECKING
o ~
UPON COMPLETIONi
BEFORE "WATER"
"iMMEDIaTEL[Y" ~ '~ ~' .\
ENCLOSE POOL TO CODE t~L/~l~ ~ \ ~-~ ~
"IMM EDIATELY'-~, ~
ENCLOSE POOL TO CODE ~z /
UPON COMPLETION ~r~ !
BEFORE '"vVATER" ~- -
,,iMMEDIATELY"
ENCLOSE POOLTO cODE
uPON cOMPLETION
BEFORE '%~ATER"
'/5 0
S66 50OO
LIRE
\
OCCUPANCY O.R .
USE IS uNLA~
WITHOUT CERTIFICATE
~CCUPANCY
_SUf'FOLK CO ,,_NY