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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)