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Home My WebLink About16872-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19002 Date MAY 1, !990 THIS CERTIFIES that the building. Location of Propert~ 680 FAIRWAY DRIVE House No. County Taxx Map No. 1000 Section 109 Subdivision FAIRWAY FARMS INGROUND POOL Street Hamlet Block 05 Lot 14.4 Filed Map No. 6066 Lot No. 4 conforms substantially to the Appllcatmon for Bumldlng Permit heretofore filed in thls office dated MARCH 28, 1988 pursuant to which Building Permit No. 16872Z dated MARCH 31~ 1988 was issued, and conforms to all of the requirements of the applicable provlslons of the law. The occupancy for which this certificate is lssued is INGROUND POOL & FENCEr AMENDED TO INCLUDE DECK ADDITION. The certzflcate ~s issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ARTHUR HERBERT & WIFE N011541 MAY 6~ tgBB N/A //Building-Inspector I"OKIW NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° ] 6872 Perrmss~on is hereby granted to: C ..~....?,~..~..;:f~....~.~.., ......... ...~.~..~.~% ...................................... ..~.~...~ . . ~ - . . ...,~ .......... ~ J..~.~.~ ..... at premises ,~ted ~t ...~.~.~.....~~~.~ ........ ~~~ .... .% ............................................................. ~un~ Tox Mop No 1000 Section ... /.~.9 · - Bilk .... .~,~ ...... ~t No... J .~,.~. ..... p~u~nt to ~mi:~,on dat~ .. ~.~ ..~ ......... 19~.., and appr~ by the Buildmng Insp~tor, Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled mn by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrmcal installation from Board of Fire Underwrmters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. Commercial building, ~ndustrlal building, multiple residences and smmllar buildzngs and installations, a certificate of Code Compliance from architect or engmneer responsible for the building. 6. Submit Planning Board Approval of completed smte plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showmng all property lines, streets, building and unusual natural or topographic features. ~ 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwellmng $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swmmmlng pool $25.00, Accessory building $25.00, Additions to accessory buildlng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~l~ Z~ ............ New Construction ........... Old Or Pre-exmsting Building ................. Location of Property ..... House No. Street Hamlet Onwer or Owners of Property ...... ~.~.~.~.. ..... /.~..~..~..~.~......*....~.~.~f. ............ County Tax Map No 1000, Section .... ~.~.~. .... Block ...... .~.~. ..... Lot ...... ~.'..~. ......... SubdivisiOn ...... Filed Map Lot .......... Permit No..f~ ~. ~. ...... Date Of Permit .... ~/.?f/~...applicant..~.~..~.~.~.{% ~..ri...~.~. Health Dept Approval Underwriters Approval ........ Planning Board Approval .... Request for: Temporary Certificate .... Fee Submitted: $ ...................... ....... Final Certicate..~. I)at~ Application No, on file THIS CERTIFIES THAT mtly t~ e~ctrlc~i equ~ment m described b~low and introduced by th~ applicant nam~i on the ebove application number in the premises of in the followill~ Ioea~i [~' ' ~ ~nt [] I~t FI. [] 2nd }1. OUT ,~.ection Block Lot was exarnined on ond found to be in complionce with the requlremenl~ of thls Board, FIXTURE ~,a,.EPTA,.,L.e[ e~"T"L'~ [ FIXTUI~S I UNGES I¢OO"NG~CKSl OVENS ImSHWASHEIISI EXHAUST FANS I,'o....,I- !'. ! ! .j..., ! COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST 14GT~ BE ALTERED IH AHY MANI4ER. ' FOUNDATION [ 1st] FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMME~ITS: ............. April 13, 1990 I have set up the Campbell B.P. for an inspection on Monday. I'm enclosing the receipts for the t~o deck additions. Arthur Herbert is 0.I for a C.O. so if Campbell passes on Monday they viii both be ready for g.O. VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 6, Town Hall, 53095 Mare Road PO Box 1179 Southold, New York I 1971 1990 Mr. Arthur Herbert 680 FAIRWAY DRIVE Cutchogue, N.Y. 11935 Re: B.P.{I6872Z POOL & PENCE Dear Mr. Herbert: I am writing to yon in regard to the above Building Permit. It has now expired. You have not obtained a Certificate of Oc- cupancy for the pool. It is now in violation of the Code of the Town of $outhold. in regards to this Please contact our office matter. Yours truly, ~ecrctary 1802 ~ !,OWING OUNDA'r for this location have been to be ~atisraotory. Services /75 00' Lot 4 Areo= 40,257 sq fi, ~ ~',.. , z~ <3- ',\", ,~ ~,~ --1 ......... , .~;~: ~ .~q ~ ~ ~, ~ ~b~ zo"w zoo oo' - - DEPARTMENT AT ~0 REQUIR~ DR POUF ~lJ ,2ONCRE rE OUGM ~RAIwlNG & PLUMBING 3, INSULA riot' 4 FINAL CO*,'P'~RUCTION MUST BE COM~,F~ FORCO ALL CONSTruCTiON S~LL TI tF REQUI*'k',~r,'TS DF T~Y. ~ONU~E~F 0'001- L 7~ facflitien for this location have been l~B~t~ hy tbi4 de~mcnt~nd found to be ~atlsfaotory.~'~ ' Servioes 1~5 00' -_ AP~:~ ~ r4~ ~F~,~o,,w 200 oo' - - ~ i~Y 8LJ~D~NG DEPARTMENT AT ,~o~ ~,~, ,o, ~. ~. ~ UN~WFUL ~ ,~o~,~ .~,~c~,o.~. USE IS OUNDA'rlb~~ ~0 REQUIR~ o..o~,.,,-o.~.,~ WITHOUT CERTIFICATE 5. INSUL~ riot T~ ~ ~EQL;~~ ~- -~ ~,'T8 OF ~Y. ~o~r ::;',-,7::;"""'""""" '" "~ "" """" "" ~¢~"¢K*;"' x~. ,,¢, ~ ,., . .... ., ,, ,.,, .,,,. [DWAHD G AB/TZ LOT NO 4, "F~IRWAY FARMS " .... ,, ....... , .. ~r- CUTCHOGUE I~UA.~NT~EO TO Approved'~dta4 Disapproved a/c BOARD oF HEALTH ...... 3 SETS OF PLANS ....... FORM NO 1 SURVEY .......... TOWN OF SOOTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM .............. TOWN HALL NOTIFY $OUTNOLD, N.Y. 11971 TEL.: 765-1803 CALL MAIL ;d:' '~ ~,' '9~'~ .... ., 19g a Permit No../O. gT..& .... .... (Building Inspector) APPLIgATION FOR BUILDING PEFIMIT INSTRUCTIONS Date a. Tins apphcatlon must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjommg premises or pubhc stree or areas, and glvmg a detmled description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by tins application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant. Such perm shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupam shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bml&ng Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the constructson of buddings, additions or alterations, or for removal or demolition, as hereto describe, The applicant agrees to comply with all apphcable laws, ordmances, building code, housing code, and regulations, and admit authorized mspectors on premises and in bmldmg for necessary inspections ......... (Signature of apphcant, or name, if a corporation) /.o, (Mailing address of applicant) State whether applicant m owner, lessee, agent, architect, en=mneer, general contractor, electmclan, plumber or bmlde ...... ~.L-~,Z-~.~.c.. Co,~wra, or~v-m,g ...... Name of owner or premises .. p//'c ,,~. ~ ,.'- cO .... .... (as on the tax roll or latest deed) If aPl>h'~ is a corporation, signature of duly authorized officer · (Name and title of corporat~ officer) ALL CONTRAUTOR~$ MUST B~ SUFFOLK COIINT¥ LICENSED Plumber's License No. . . Electrician's License No ...... 2 Other Trade's License No. Location of land on which proposed work will be done House Number Street County Tax Map No 1000 Section /0 ~ Subdivision (Name) .. ~ ~ 7-c ~'~- czr?=- ......... Hamlet lock .$' ..... .../%.¢ . ile apNo.¢. State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy .. ~r~'"~/./~ .g?]'? ~ ............................. b. Intended use and occupancy 3. Nature of work (check which applicable) New Building .. Addition . .. Alt .~. Repair .... Removal ..... Demolition ........ Other Work .... .~.t~. OO (Descnp¢lon) 4. Estnnated Cost ~ Fee (to be paid on filing this apphcation) 5. If dwelling, number of dwelling units ....... Number of dwelling units on each floor ....... If garage, number of cars ........................... 6. If business, commercml er mixed occupancy, specify nature and extent of each type of use ........... 7. Dnnenslons of existing structures, if any Front Rear ...... Depth ...... Height ....... Number of Stones ........................... Dunensions of same structure with alterations or additions Front ...... Rear .... Depth .......... Height ............ Number of Stones ......... 8 Dimensions of entire new construction Front ...... Rear .......... Depth ...... Height ..... Number of Stones .......................... 9. Size of lot Front ......... Rear .. . Depth .......... 10 Date of Purchase ............. Name of Former Owner ................... I I Zone or use district in which premises are situated ................... 12. Does proposed construction violate any zoning law, ordinance or regulation ...................... 13. Will lot be regraded .. ./~/O ........... Will excess flu be removed from premises' (~ Nr 14. Name of Owner of prem~ses . . f~/~Y~¢Z-.~..~.. .Address ~O~.(J-.Q'-~/.t~e/~-f-~..PhoneNo .......... Name of Architect ...... Address ........ Phone No Name of Contractor. ~'i PC~J~'A~. }r./:. j~/.~ .. Address ' ~J/~'/f".*.*.*.*.*.*.Y~2~'..Phone No. '~. ~.L.O~.'~. 15. Is this property located within 300 feet of a tzdal wetland~ *Yes ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether existing or proposed, and red,cate all set-back dnnenslons frorr property hnes Give street and block number or description according to deed, and show street names and indicate whethe~ interior or corner lot, STATE OF NEW YORK, S.S COUNTY OF ....... (Name of individual signing contract) above named being duly sworn, deposes and says that he is the applicant He ~s the ........................................ (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file tins application, that all statements contmned m this apphcation are true to the best of his knowledge and behef; and that the work will be performed in the manner set forth in the apphcatJon filed therewith. Sworn to before me this ........ .~..~ .... dayof . .~....~t~.. ...... 19~..f' Notary mubhc,. ~..~f~..~q~E~ .///.~ ...... County ~'~,,,_~, /,~ ~ ~ /~ ... I. r :. ...... . ~ ~?~'" - ~ c~t~o (Si of apphcant) *em£x[~u~U~icL:0,19 ~ / (Sfg]/atu/fe/of a[