HomeMy WebLinkAbout16871-z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Bullding Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18435
Date OCTOBER 2~ 1989
THIS CERTIFIES that the building
Location of Property 430 SKUNK LANE
House No.
County Tax Map No. 1000 Section 97
Subdivision
ACCESSORY
Street
Block 3
F~led Map No.
CUTC~OGUE ~ N.Y.
Hamlet
Lot 8
Lot No.
conforms substantially to the Application for Bulldlng Permit heretofore
filed in this office dated MARCH 28~ 1988 pursuant to which
Building Permit Ho. 1687i-Z dated APRIL 1r 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 WITHFENCEAND ATTAc~t~D DECK.
The certificate is mssued to
(owners)
of the aforesa~dbui~ding.
SUFFOLK COUNTY DEPARTMENTOF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N-013563-
PLUMBERS CERTIFICATION DATED
CRAig & SUSAN LEHMANN
MAY 23r 1988
N/A
Rev. 1/81
/Building Inspector
FOEM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERM, IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO_ 16871 Z Da, e ...... ~......J. ..................... , ,~.~...~
Permission is hereby granted to: t~ .
..... .........
ro ~.~ ..... ~ ..z~..et~ ._.J -?.~..~....~._ .-~.......c~., ..~...
County Tax Map No 1000 Sect,on . ~.~..-]. ..... Block ...... ..~......~. ...... Lot No ...C) ~J ....
pursuant to application dated . .~~J~..~...~, ....... , 19.?.~., and approved by the
Building Inspector.
Rev 6/30/80
TOWN OF SOUTHOLO
BUILDING D~PART~I~NT
TOWN HALL
$ONTHOLD, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
CONSTRUCTION .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND
HOUSE NO. STREET HAMLET
Subdivzsion ....................... Filed Map ........ Lot ..........
Health Dept. Approval .................. Underwriters Approvat .... .~. .......
Board Approval ................
Request for Temporary Certificate ....... Final Certificate
APPLICANT .......
rev. 10/I4/88
co
~~ BUREAU OF ELECTRICITY_
~~ 54609088/88
N 013573
C~AIG LEBMANN, 430
m the following location,
,~sex.,,,,.,~o. APRI5 21.1988
FIXTURE ~R
OUTLETS ECEPTAC[E$
SKUNK LANE, CUTCHOGUE, N.Y.
NCANDESCEMT
1
SWITCHIES
SERVICE DISCONNECT NO OF
G.F.¢.I:-i
*(SVI~I~ING POOL) This certificate
covers compliance at the date of
/nspeet%on only. Because of unusual
environments it is advisable to
have frequent test/and or repairs
made by a qualified person.
~PECIAL REC'P1
V I C
JODY PUMILLO
PAT LANE
MATTITUCK, NY, 11952
EXHAUST FANS
DIMMERS
GENE~.AL MANAGER
Th~s cerhflcate must not be altered in any monner, return to the off*ce of the Board ~f incorrect Inspedors may be ~denhfled by their credenha;s
TOWN OF SOUTIIOLD
OFtqLE OF BUILDING INSPECTOR
ILO, BOX 1179
TOWN IIALL
$OU'I IIOLD, N,Y. 1197I
September 21, 1989
CRAIG & SUSAN LEHI4AI~
430 BAY AVE.
MATTITIICK, l{.y. 11952
TEL 765-1EO, 2
To Whom This Ma~ Concern,
We are unable no complete your Certiflcate
of Occupancy because of the fo!lowing reasons.
/t// An applicatzon for Certificate of Occupancy
No Underwr~-ters Certificate on file.
_ The check ~:;(~X~dLYdI~X~/not on file.) $25.00
/~/ No Health Dept. Approval on ~ile.
/-_'/ No fzna! ~nspcct~on has been made.
P]easn contact our office on this matter~
Thank you for your cooperation.
Ht~[lcltng Permtt' I! I 6 8 7 ! Z
Bt]i ld Lng Dept.
*~*/~/ Ho Plumber solder Certificate on file.
( all peLmits involving plumbing being
i~sucd after April 1,19~4 )
NO~: BEFO~ CO ~ BE ISS~D, ~ PE~IT TO INCL~E ~ ,l~ ~ ,
1148 SQ. FTR. DECK X .15 SQ. FT. FEE OF $171.90 ~ ~ ~ ~
14 81 °~'/'50"£. - 18S.00
o
MAP OF' PP-.OPEI~T¥
Ci~A1E, ~ SUSAN LEHMANN
Scale: 40% I"
t
FOUNDATION
(1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
FLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINA/
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INS~.ATION
FRAMING ~r,~ FINAL
REMARKS: //?~ ~_~ ~
DATE
INSPECTOR
OCCUPANCY OR
USE iS UNLAWFUL
WITHOUT CERT~RC~T£
OF OCCUPANCY
BOARD OF HEALTH ......
3 SETS OF PLANS .......
FORM NO. I SURVEY ........
TOWN OF SOUTHOLD CHECK -~¢~-~. ·'~" ~' ~, ~ ~.
BUILDING DEPARTMENT SEPTIC FORM ..........
TOWN HALL NOTIFY
$OUTHOLD, N.Y 11971
TEL.: 76§-1802 CALL
Examined ~ /. . .., 19~.~.
Approved (~ /. ..... I9~fPermitNo.] ~ ~. 7ti %
Disapproved a/c
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tlus application must be completely filled m by typewriter or in mk and submitted to the Budding Inspector, with
sets of plans, accurate plot plan to scale. Fee according to schedule
b. Plot plan showmg location of lot and of bmldmgs on premises, relationship to adjommg premises or pubhc street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
catton
c. The work covered by th/s application may not be commenced before issuance o£ Buildmg Permit.
d. Upon approval of flus application, the Building Inspector will issued a Budding Permit to the apphcant. Such perm/
shall be kept on the premises available/'or mspechon throu~aout the work.
e. No buildm§ shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc
shall have been granted by the Bmldmg Inspector.
APPLICATION IS HEREBY MADE to the Budding Department/'or the issuance of a Building Permit pursuant to th
Bmlding Zone Ordmance o£ the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmances o
Regulations, for the constructton of bufldmgs, additions or alterations, or for removal or demolition, as herem descnbe~
The applicant agrees to comply with all apphcable laws, ordmances, buildmg code, housing code, and regulations, and t
admit authorized mspectors on premises and m bmldm§ for necessary ]~spechons
(Signature of applicant, or name, if a corporation)
(Mailing address of apphcant) /Z .9d'--2_
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde,
Nameofownerofpremmes .C~./q~jtl~' q- .~. 6ttff~'f~g/ .
(as on the tax roll or latest deed)
If app a corporation, slgnature~f duly,authorized officer
' (Name and mie of~orporate oq~i~er) ' ' '
ALL CONTRACTOR'S.MUST_BE__~ SUFFOLK COUNTY LICENSED
Builder's License No .- 1:'/-~7~.. .
Plumber's License No
Electrician's License No
Other Trade's License No ..........
Location of land on which proposed work wdl be done
q 3o .... .,q7
House Number Street
County Tax Map No 1000 Sect,on · ~7 ..
Hamlet
Block . . . 3.. Lot .~
Subd~vimon (Name) Filed Map No Lot
State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction
a. Exlshng use and occupancy . . f~-~'t t~gg:~'F, t .4 c
b Intended use and occupancy .. .............
Nature of work (check which apphcable) New Building ..
Repair ..... Removal ....... Demolition
Addition .. . Alteratlon ..
........ Other Work ......
(Descnpl~on)
4 Estimated Cost .... ,~.~..~.~.r-Y~'h.~f.~.. ........ Fee ....................
· (to be prod on fihng th~s apphcat~on)
5. If dwelhng, number of dwelling units ........ Number of dwelling units on each floor
If garage, number of cars .................................................
6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ................
7. Danenslons of existing structures, tf any. Front ............. Rear ............ Depth .............
Hexght ....... Number of Stones ............................................
Dwaenslons of same structure wtth alterations or additions. Front .......... Rear .................
Depth .................. Height .................... Number of Stones ....................
8. Danenslons of entire new construction. Front ............ Rear .......... Depth ..........
Height .......... Number of Stones .............................
9. S~ze of lot Front ................... Rear .............. Depth ...................
10. Date of Purchase ........................ Name of Former Owner
11 Zone or use dtstnct ~n wtuch premmes are s~tuated
12. Does proposed construction v~olate any zoning law, ordinance or regulation
13. Will lot be regraded . .. ~ ......... Will excess fill be removed from premises. (~ No
14 Name of Owner of premises . .~'-~..~'1./,47~/~.... Address . . C r..4 t.-7-~c..050.(.~--f4f&~ Phone No. '
Name of Architect .............. Address ........... Phone No..._ ..;. ~ ......
Name of Contractor i d-i ~. P~ .t- ~..~.O,,c~ .... Address 'r~/~'/~'~]7. ?-.-.-~/(Phone No..~ff.~.~.~.
15. Is this property located within 300 feet of a t~dal wetland? *Yes ..... No~;..
*If yes, Southold Town Trustees Permit maybe required.
PLOW DIAGRAM
Locate clearly and distinctly all buildings, whether exmtmg or proposed, and red,cate all set-back dimensions from
property hnes Gtve street and block number or descnptton according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S S
COUNTY OF. ..
.......................................... being duly sworn, deposes and says that he is the applicant
(Name of ~nd~vidua! stgnmg contract)
above named
He ~s the .....................................
(Contractor, agent, corporate officer, otc )
of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file ttus
apphcat~on, that all statements contained m thru application are true to the best of his knowledge and behef, and that the
work wdl be performed in the manner set forth m the apphcatlon filed therewith
Sworn to before me th~s
........ ......
ota Pu ll ..... .... Co ty
~ POflL C, ~te o~ New York
"~ 4~78~8, S.fiolk C~.~ [ (S~atu~a~phcant)