HomeMy WebLinkAbout17281-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 217144 Date AUGUST Y, 1988
THIS CERTIFIES that the building POOL AND FENCE
Location of Property 1465 BRAY AVE. MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 08 Lot 08
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1988 pursuant to which
Building Permit No. 172812 dated AUGUST 1, 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 and fence as applied for.
The certificate is issued to SOPHIA i.uuuun
(owner, xxxxxxxxxxxxxxxxa
REPLACES B.P. #148082
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N756O42 6/25/86
PLUMBERS CERTIFICATION DATED N/A
~N~~ _
Building Inspector
Rev. 1/81
.
Fosas xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~4 ~1728~ Z Dote ........a./( 190 d
Permission is hereby grouted to:
f.....~'~I.~,f....~.~.....~....................
to ......~-..~,?~..~:::,.......~~~1
P..:~.......I.yPQoP.....!:~t~.....
-~r~`-~......
of premises located at .....................Q..............................................g,..~.........................................
County Tox Map No. 1000 Section .....1°t' 4......... Block Lot No......:~
J~ py
pursuant to application dated 19.a..e.., and approved by__the
Building Inspector.
/SO ,o-0
Fee $
uliding Inspector
Rev. 6/30/80
FOBM I+TO. D
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 14808 Z Date 19.~.~
Permission is hereby granted to: -Q~I -
~o.k..`~.~- VV
to . ~'.,~-~:.~n~..,~,.,~....~).~.~..d:.-~c.....~
of premises located at ..~..~.b.~.....~!~-!~`"~ ................'....~.`L~.r.......................................
1
.
County Tax Map No. 1000 Section ....~.-.~P......... Block .......C7...Q...... Lot No......~
pursuant to application dated ....~.~L.~••••••2-~"••••••••••....., 19~~.., and approved by the
Building Inspector. V
Fee
Building Inspector
Rev. 6/30/80
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~ D
Btio~.vE~Hp~O
gOWN
Mr. Dean Thomas Lahana
1465 Bray Avenue
Laurel, New York 11952
July 1, 1988
Town of Southold Building Department
Town Hall
Southold, New York 11971
Attention: Mr. Gary Fish
Dear Mr. Fish:
In compliance with the building departments regulations, I have
enclosed the form for the certificate of occupancy for our pool located
at the above address. As you can also see, I have also enclosed my
check number 158, dated June 30, 1988, in the amount of $30.00 to cover
the issuance of a new permit ($25) and the certificate of occupancy
C$5)
I would also like to point out that we have instructed our contractor
to change our original plans and not connect the on grade walk-way to the
existing deck.
I would greatly appreciate your cooperation in expediting the processing
of my application and issuance of the certificate of occupancy because it
' is required by the bank I am using in refinancing our home.
I am thanking you in advance for your time ///and cooperation.
(Yours truly,
J~,„y`y~'8~
Dean Thomas Lahana
DTL:db
Enclosures
J "x;
r ,
~ ~ FORM N0.4 ~ '
'
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y. "
r.,.~ . , :.r . -
~ ~ ~ Certificate Of Occupancy
No..?3,4:5'7......... Date Ma Y..2Q...
9 s35
THIS CERTIFIES that the building--new..dwe.l.7,ing,,, , , . .
, ~ erty ~b~.~4~5
t~ ;~~~iioq.:alv,~~, ;K~,~ ~ • ~xas AVe~u~ 7~a
: Sweet
Map No.• 1000 Seotion` , 'I , ~ ~i1~ x~~ H~
1~"
e ~
,~r .Block 0~ ^
y b ~ tyJ > s tt~ //gy~pp a,i i
a~. SUbd1VIS10t1 ~ ~ - t~. t-=r k~ti` i 8 m,~~ '
' a .............Filed Map No: X ..::~ot~No, ~ + ~ ;
conforms'substantially to the Application for Building Permit heretofore filed in this office dated
• • ...November , , , , I9$4, pursuant to which Building Permit No. ...13566 ,Z, ,
,dated , , , , ,November, 21, , , l9 ,84 was issued, and conforms to all of the requirements
of the applicable provisions of the law. Tlie occupancy for which this certificate is issued is .
,,,,,,a,.private one-family dwelling..
The certificate is issued to SOPHIA LAIiANA
' ..........~owner,~esseebt'terientl
of the aforesaid building.
Suffolk County Department of Health Approval .~4-50-
.79.,.5./.7!$5, , StepY~e~ ,A., Co~~~.,,, P,E.
UNDERWRITERS CERTIFICATE NO........ N69'I494, , , , . .
[ .x ,'~a.3,,~k s ie>.
~ k ~ x~` ac
~ ~
~ ~ ~ ~ ~ -
~ - . _ Building Inspector
Rav, 1/a L.
e
f -
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FORM N0. 1 ('y-~ ~ cam- v
TOWN OF SOUTHOLD ~..m+:'
BUILDING DEPARTMENT ~ ~
TOWN HALL ARR Z ZZ i986
SOUTHOLD, N.Y. 11971 _ G~
TEL.: 765-1802 l
ESI.DG. DEPT h
" TOWN OF 50UTh9C)t_i~
~ w.,„~,..,a.,.,.!
.......,19...
Examined . c~r.IQ.., 19~~? Received... .
Approved .....~P 19~~. Permit No.
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERD/IIT n
Date ....-l/~OC 19 ~:C
yp INSTRUCTIONS
a. This application mu~~;~~t$I~1~R~by~~~a41; in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot ~•tq ~c~l~!~"ee~Ul'liing to schedule.
~ 4.. § w
b. Plot plan showing f a~trbi7~0"3'tl~'~t~'~"buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description o layolxYa$f 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 availaple farsiit~sp~otigf5gt~rroughout the work.
e. No building shall be occupied •o-i fits~ddiir~~v.,~yol;; or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the BuilQing~3nspe~Ct~oz., ~ s a ~
~
~ g~. ~ y.r
APPLICATION IS HEREBY MADL`~b the ~Building„Y~g,,p'~rtment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town itf Southoid,<S~l~~, Counfy, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of'buildirigs, a'ddit}o s alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all,applicalile la s, rdinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises aril in bµildit~g for necessary inspections.
_
(Signature of applicant, or name, ~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 p.~ ! .FL .....~.~3..611. t~,(i~.6.~ .
(as on the tax roll or latest deed)
If 'cant is a corporation, signatur o duly a thorized officer.
(Name and title o corporat fic r)
Builder's License No. ........`.U
Plumber's License No . .
Electrician's License No. ~~?~~dC.
Other Trade's License No . .
..,~lC
1. Location of land on which proposed work will be done. ~
House Number Srt~~re//e~~t nn Hamlet
County Tax Map No. 1000 Section ~GxC?....... Block b........... Lot .
Subdivision Filed Map No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..................ni.~.~~~!.G?J"C................................
b. Intended use and occupancy ~'?L~ , i
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D ra BOARD OF HE.\LT}} , : • • • • •
FORM NO. 1 3 SETS OF PLANS
SURVEY
TOWN OF SOUTHOLD CHECK ..~..I,`T ~ . . . . . . . . .
BUILDING DEPARTMENT SEPTIC I'OR:I .
TOWN HALL
BLDG. DEFT. SOUTHOLD,N.Y.11971 NOTIFY =2 y8-~7sy ei.
TOWN OF 50UTFIOLO TEL.: 7GG-1302 Gad- ~.S"9v
/ ,p CALL
L•xantincd ~~pp I9 ~ MAIL TO • . .
.\PProved ....V,~l, 19~r PcnnU No...I ?1~/ $SAP.
Disapproved a/c
.../.Y.~.
.(Building Inspector)
APPLICATION FOR BUILDING PERMIT /
- Date . ,7? c~~S~' 15i~cF
• INSTRUCTIONS / '
a. Tlris 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 !ot 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 approvai,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 untit a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issua~~
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and ap ticable L it pu dianances or
Regulations, for the construction of buildings, additions or alterations, or•~eitr~
The applicant agrees to comply with all applicable laws, ordinances, buildin erein described.
admit authorized inspectors on premises and in building for necessary inspe ~ions, and to
,,1 ; . ~r<,-.y ~ ?a, (Sign[ r .
~ - ~ ~ 9 p~ranon
~ ~ ~ ( A i ` ~ Ia
~ e ' ~ J _ ~ ~ .
,.F ~ = a„ ~ ~~~i g d iess o ~ ~ ,
State whether'~tl~phc#lri~,tg` owixec,°less~e ~~~+ennt ~rohitect, engineer, genera con rac
s a J{~11~4 Di~Aber or builder.
~~~r~1'1.~,
"t~4L.+.......... 1~IW .IJIM ~4"f~1il .t.€,~,
~ , ~~1 .
` ~ ~ ' ~Y~lAi;1~ ~fYI\r a '
Name of owner of premises . /~C,-h A,(~ A ; , , , • • ~
~~~I (as on the tax roll . 1..`! g ~~r-ts s.% .
'~~~F°~'f ~i ~#R'S
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder'sLicenseNo....,/.~,,,,,,,,,,,,•,.••.•
Plumber's License No . .
Electrician's License No. ~,Q /11 f.=,R N, ,~,~~-C~~
Other Trade's License No . .
Location of land on which proposed work will be done. ~ ~l U~
,U
House Number Street
~ Hamlet "
County Tax i\tap No. 1000 Section 6 , , , ; Bloek e~, , , , ,
Lot.......
Subdivision F.ilcd ,\fap No. .
Lot...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
,
a. Existing use and occupancy , , , , , , ,
b. Intended use and occupancy ....~~'.+Q L.,Dt.,~, , ~~~~p ~ ~ ~ •
3. Nature oCwork ? 5~~~'~+,,,::~...~..4;`:~;e"a~..ix"yw:~3 ~ i
Re mr (check which applicable): New i3uilding ~ + ~
p R,cmoval . Addition '.r. V cr ? .'fie,;..
' • • • • • • • Demolition ~
,
a ~
a
Estimated Cost ,fjj,Q, p ~,,Q...-. • , , , , „ (g¢~?.~uon;
Fee ,
.r P1Yi{•... 5 .
5. If dwcllin~, urnbcr of dwell (to be paid oh filing this application)
n ngunits,,,,,,,••
If garage, number of cars ' • • • • • Number of dwelling units on each floor •
6. if business, conuncrcial or mjxed occupancy, specify nature and extent of cacti type of use .
7. Dimensions of existing structures, if any: Front ,
Hcigltt . Number of Stories Rear Depth , .
Dimensions of same sttucturo with alterations or additions: Front . • ,
Depth........ .i....IIcight. Rcar.........•......
8. Dimensions of entire nett' coristnrction: Front , ' ' ' ' ' ' • • • • • Number of Stories • ' ' '
Height NNmbcr of Stories Rear Depth............. .
9. Size of lot: Front
10. Date of Purchase ~ Rear Depth ' .
. • .............Name of Former Owner • .
11. Zone or use district in which premises are situated • •
1 Z. Does proposed construction violate any zoning law • • ~ • ~ • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
ill lot be re raded
,ordinance or re ulation: ~ ~ ~ • ~ ~ ' ' '
g
g P ~`'Q' SQ p•~• • Will excess (ill be removed from premises: ye
14. Name of Owner of remises . I, , ' ~ • • • • '
Name of Architect
' A~'~`uMO1.Address :-Q•r+1.Q. , , ,Phone Na. , r~
.
Name of Contractor : i Address a ' ' ' ' ' ' ' • • • •
``'~`+~`-t2~ ..Phony No.
15.Is Chis property loc~,atedthin Address Phony No, o~9~:'.`><O.~.Sn,
*If yes, Southold Toc~n Trustees Permit may bearequiredetl nd? *YES....NO....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-b`pck dimensions fror•.~
property tines. Give street and bloc!; number or description according to decd, and show street names nd indicate whethc:
interior or corner lot.
, wv
~ OCCUPANCY OR
a
" w~. USE IS UNLAWFUL
~ ~ iNITHQUT CERTIFICATE ~ .
~ ~ ~ aF OCCUPANCY
STATE '
DESt N'0~ ~1lllfjlli
,
ST,1TE OF NE~V YORK,
=OUNTY OF S,.S
i
r
(lvame of individual sip I~ ' ' ' ' ' ' ' • • • being July sworn, deposes and says that he is the applicant
:hove named:' ,nin~g contract)
lc isthc
• . • (Contractor, agent, corporate officer, etc.) • • • • • • • • ~ • • • " " " " "
f said owner'; or owners, and-is duly 'rmthorized to perform or have perforrncd the said work and [o make and Glc this
'Plication; that all statements contaigcd in this application arc true to the best of his knowledge and belief; and that the
ork will be performed in [!tc manner s'ct forth in the application lilcd therewith,
+vom to before me this
..............~.~s/.....dayof. I! , 19~~.
ataxy Public, ......aC,•QZ.,~,r..
County
HELEN K~bE VOE
~1~470
878 ~n~~Rb • ~~~i~5~ V
Txm ERplrea tMr h 3p, l8~ • .
(Signature of applicant)
CIS. -.IUR:NC1'_~ j C:.oSIGENC E.)
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