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HomeMy WebLinkAbout17242-z , , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18218 Date JULY 26, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 3780 BAYVIEW ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 078 Block 3 Lot 52.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1988 pursuant to which Building Permit No. 17242-Z dated JULY 20 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 POOL & FENCE WITH ON GRADE WOODEN WALKWAY_ AROUND POOL AS APPLIEB FOR. The certificate is issued to JOEL & JUDITH WHITTINGTON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-026885 - AUGUST 10 1988 PLUMBERS CERTIFICATION DATED N/A -F~ w"-~ _ Building Inspector Rev. 1/81 gosai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NQ 017242 Z Dote 19..0 Permission is hereby granted to: o. ~s.. ~.3 G................ to ..l.~iS:K......4~xa.......... ,R,Mr!r!^l.~...~l,.~.. ~'.~.t,~!:l..i'r.~:.....~..... f ..............................~........D.....~.............................~............................~.y.-.~....'...n..~.f.................. at premises located of ........~.~.........J?.°..'~~ ..M~!:`~ ...........:............9~~5~^:~1/.a..Y.frt!~R~.~....... af Caunty aT x Map No. 1000 Section .......Q.~..~...... Block Lot No.....~!~..!..~...... pursuant to application dated 19~..d., and opproved by the Building I~ns1pector. Fee . Building Inspector Rev. 6/30/80 . TOWN OF SOUTIIOLD D a ~ BUILDING DEPART2lENT TOWN HALL SOUTDOLD, NEW YORK 11971 (p3 765 - 1802 T0WN0FSOUTtiOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY 1 DATE _ . NEW CONSTRUCTION .,,,OLD OR PRE-E%ISTING BUILDING.._...VACANT LAN(D`~1.._.._.. Location of Property.:3.~.~~.?,,,,_,~,, _ ~~~©~,~J_.-Nl/ HOUSE NO\. I (1~) STREET • . HAMLET F 1L-yyt - Owner or Owners of Property; ~1,, ca~~V(Xt) ,.~~~IN~~~~_.__. County Taa Map No. 1000 Section ~,~,y , gloclk . _ , , Lot" 5~: , Subdivision Fi^~led Mapp ........Lot.....(.~..(y.. I ` Permit No.~.~.~.~'.l~-Z.Date of Permit ./~~~1~~,Applicant(~.H;I,$?1),Y~(.)~'~W~~1~ ~©Yv Health Dept. Approval V Underwriters Approval PlanninE Board Approval Request for Temporary Certificate Final Certificate Pee Submitted: APPLICANT........ Ca i /Sa/S' I rev. 10/14/88 _ THE NEW YORK BOARD OF FIREu UNDERWRITERS pAC;>': BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10090 A.Ut;[3ti•I' 1(?. '1vR8 ~6~~R~,RR/RY, i4 02i,RRF Date application No. on file THIS CERTIFIES THAT only the electrical equipment as described bsbts and tntreduced by the applicant horned on the above application number In tM premises of .lo'Ha: al~~•rlNr~°ox, Hnyvlt;w Rona, pc~i.r:I~+~tn, s<)II')•H<x,P; ta_y, ru'C in theJolloLCinq loeot~~~,y ~ Bas~rARent ? lat FI. ? 2nd FT. Section Block Lot wea a:amined un ~ +6S and found to 6e in compliance with tlLe reyuiremend of thu Buord.. R%TURE R%TURK RANWf COOKING DECKS OVENS OISN WASHERS EXHAUST FANS OUTLETS TANS SWITCHES INCANDESCENT FLUp1ESCWi v NAT. K. W. AMi. K. W. AMT. K.W. AMT. K. W. .AMT. N. P. ~ ~ 1 I DRYERS RIRNACE MOTORS NIiURE ANMIANCE tElDEItE SMCIAL REC?T THE GOOKS Elll UNIT IIGTEK EMUL~I~ DRWNERS AMi. K. W. Oll N. P. GAS N. I. AMT. NO. A. W. G. AMi. AMP. AMT. AMPS. TAANS. AMT. M. P. ~ IMT AMT. WAITS T 7.4 ~ 411 flRVICE DISCONNKT tt0.0T S E R V 1 C E METER NO.Of CC. COND. A. W. O. A. W. G. A. W. G. AMi. AAV, 1vPE t A t\4 , / 3N' J d tW 3 / KW ~ / OF CC. C NO. OF NI-lKr OF HI-IEG NO.OF NEUTRALS p NEVTRAL OTHER AN'ARATUS: *!bk'IAIM:I R(, f>0O;,} 'rhti s: cart i.,#ici#Ee . I•avers rompl i ance a~t the d~tw of. ins;neCtia±r nniy. PP-c•rJUS'ae o9' ur!n`3W+1 mv;virl>nmPnta ;tss 3rivisah7e to hr~rre f'rec7uenz. vest/and or re;,nirr *.atd? lay a IgTl~l7. i f ed per~31>n. .[yo'` ~tt)DY F>I)tq'tt,Ll) t )':4'C i1P1F' MA'I"L'f'1'I,Jt"il, NY, 7.7.951, OYIRAl MAl1AOB1 _ f 7 .I 1,?!"@'ItiSN No. ~30bN; Per Thin certificaN mLnt not ba altered in airy manner; return to tM office of tM Board if illcorract. Ilnpectors may be. idenlifi~d b their crodentials. _ COrY FQR NJIL,DINfi DE*AItT~1~1T. TINE COlI?, Of CERTIiNJLT! IMIST INfT NE ALTER~C M7 A!M ¦ -1~;,D 1icSP~CTIU;J ~~I)ATE ~ COMMENTS ro:~ m ~ 7. ~ ~ _ H Y~' c0Ut1DATI0N (1st) ti~ OUNDATIOtJ (2nd) ~ - mr, 2. o ROUGH FRAME & ~ PLUMBING ~ ~ ~C ti h H 0. 3. m m II7SULATIOf1 PER N. Y. y STATE ENERGY CODE x a. .J y FZiJAL o z ADDITIONAL COMMENTS: x~~ L-) 4 L~ ro ' x _ ro• H "'l~l-• ~ r y ti~ O Z 0 Y H Z d [7 -v H ~ Z" T65-1802 BUILDING DEPT, INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~-RtN?~L r REMARKS: 1u~rti;~ DATE ~ INSPECTOR ~ ~.~~~.~~tn~..j;~~~r: ~m ® , ~ dal i.U E(1 Ki N~^ 1 . 1' Y' ~y ~t~ , i t> (A S C/~. ~r~ j n C) ~ Z G ~ ~l , 1~ ~ ~ ~a v. ~ ~ t ~ y ~ `N• ~ , ~ ry y ' ' ~ i ~ f , + « ~ s- ~ . ~ ~ ri G`i ~ ~ ~ A,~~~ ~ ~ ~ ~ a~ .mot !~~i~9 ~,7 ~ -'f t 6' p ~ ,:w: ~ ~ ti ~ dZ ~ ' ~ r n`7 L. 1 ~ { I 4 ~ ~ K...~ . ~ ~ c V T # S, yam 1' r~N ~ L i ' ~ , ~ -I ~a.. mAHxA AWlf~~11+O~OJiZm O Z~Q~mO~DC~~2 _r2OK\ ,J ~~9~~ w%y 7~0zQ"Gt$i~~~~20~7,z^~w~ ~ ~ r~'"ti.~ mG~7 A~ypem ZTm02Aa ~ ~ OZm{~1 nm0 yc~zv. ~ s ~ 2 W ~O xO ~ ~ ~ ~ 7 rt1 m m T ~ >~Q ~.1 O' ~ m ~ ~ N a0i < < '1 ~ i C~ ~'.U m -pi BOARD OF HEALTH (""~i°-''"~ 3 SETS OF PLANS _ SURVEY . ~~2~ L.1~V~1 ~ FORM NO. 7 ~ }~m TOWN OF SOUTHOLD CHECK • ~--~/1.9~ . f1 JUL ~ 318 BUILDING DEPARTMENT SEPTIC FORM . . . . t TOWN HALL NOTIFY ~i SOUTHOLD, N.Y. 11971 CALL - CI-rG. 9a.,, f. TEL.: 765-1802 ' ' ' ' ' ' ' - - ~ ~ - - - ~~,yYOVUNOF50UTHOLD MAIL T0: VO• ~37 . . Examined 19 ~lla.~' Approved 2A • 19~'~ Permit No. j.~. a~'+~.:~ Y Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT 77~~~ Date ....//~1.........., 19~a 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 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 necessary inspections. (Signature of applicant, or name, if a corporation) ' (Mailing address of applicant) +S ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~G n .~-.....~T.~.~.j. Trd....D.9.-..... R,tf H!.! TP~G'T.d.z?...... . (as on the tax roll or latest deed) I appli t is a corpo do si a ure of duly authorized officer. (Name and title of co r officer) ALL CONTRACTOR'S MUST E SUFFOLK COUNTY LICENSED Builder's License No. ......~,~2.."':/.~/.,-•7~.... . Plumber's License No . . Electrician's License No. .~LQYJ~tr/....E'ZC~~~ G Other Trade's License No . . 1. Location of land on which proposed work will be done. /„/!~.y.10/G'(-!... • • •u•~C.n.7~Z . • • • . .....~.7.8.~? ..............I~~Yvr fin ~d li-~ra.~ ...lfl House Number Streetp Hamlet ~s~a County Tax Map No. 1000 Section ......0.~.4 Block Lot J.Pf.e • • • • • . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of pr~e~/mises and intended use and occupancy of proposed construction: a. Existing use and occupancy • • • . ~ b. Intended use and occupancy ........~~.~~~~,T!ak• • • . ~!.~f.... ~~v.L . W ~ N1 rih i rUG ~1azlG ~y . . 3. Nature of work (check which applicable): New Building Addition Altera ion . Repair Removal Demolition ..............Other Work . (Description) w 4. Estimated Cost C~ Fee .,jr!`:............. . ' (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, commercial or mixed occupancy, specify nature and extent of each type of use . _ 7. Dimensions of existing structures, if any: Front .Rear Depth . Height Number of Stories , . Dimensions'of same structure v~ith alterations or additions: Front Rear . Depth ..Height , Number of Stories . Dimensions of entire new construction: Front Rear ...............Depth . Height ...............Nu~nberofStories........................................................ 9. Size of lot: Front : Rear Depth , . 10. Date of Purchase : ..................Name of Former Owner . 1 1. 'Lone or use district in which premises are situated ~t~.l ,n~.Y/~ t. . 12. Does ro oseg construction viglate any zoning law, ordinance or regulation: . P P 13. Will lot be re raded . tQ............ Will excess ill be removed from premises: es No 14. Name of Owner of premises ~~,1.'~7Y7y?>?~~~Address ..:~1ti~?.r.~ ....Phone No . Name of Architect ........:Address .........:..:.....:Phone No.:............. . Name of Contractor ~ `.~7~1-: y..7.~~?^~~. Address ..,/,~'l!~7:1/.TGC-l~/7l Phone No. ,~,4'.~.~.5.',p~ property located 15. If yess Southold Town Truwithin 300 feet of a tidal wetland? *Yes No * stees Permit ma be reggw~ired. PLOyI' DIAGKAM Locate clearly and distinctly al~ 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. S~ !I /~i~/}c~n spy STATE OF NEW YORK, S.S COUNTY OF : being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe (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 contained 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 ......day of/... , 19~ Notary Public, ../~K~:ri!...~.k~~Y`~(/........ County NOTARY PUBLIC Ste~ta~at ~w Yak , No. 4707878,Su9tolkCounq Term Expires M:rch 30,19 II (Si t r of applicant)