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Home My WebLink About16896-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldln§ Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17391 Date OCTOBER 6, 1988 THIS CERTIFIES that the buildin~ Location of Property 1680 HENRYrS LANE House No. County Tax Map No. 1000 Section 74 Subdivision ACCESSORY PECONICr N.Y. Street Hamlet Block 2 Lot 5 Filed Map No. Lot No. conforms substantially to the Applicatmon for Bulldlng Permit heretofore filed an this office dated APRIL 4r 1988 pursuant to whlch Bumldlng Permit No. 16896-Z dated APRIL 15r 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whmch this certlfmcate Ks mssued is INGROUND SWIMMING POOL & FENCE AS APPLIED FOR The certmflcate is issued to ANTHONY & PHAEDRA SAVAS (owner, ~) of the aforesaid bumldmng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N021390 - JULY 12~ 1988 PLUMBERS CERTIFICATION DATED N/A Bumld~Ins~ctor Rev. 1/81 FOB,~ NO. [ TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N*_ t 6896 z Perrmss~on is herp_by gra~'ed to: .. _ .., ~ ~ · .~ .~/~ ~ ~z...~~..~(4 ....................... . ...~....~...~.~ .~.z.~a _ . ~ ..~~~:~~~..~..~.....~ ~.~ ..~~....~~. ~ ~,~ ~ ~ .Z~e... m ............................................................... County Tox Mop No 1000 Sect,on ... ,o ..... Building Inspector. F~e $.. 1..~..~. ~//~/~R Block ~'- Lot No '~ .............. , 19...~.~.., and approved by the Build~ Inspector Rev. 6~30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu{ldmg Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru application must be fdled m typewmter OR ~nk, and submitted m~ to the Budding Inspec- tor w~th the following; for new buddings or new use. 1. F~nal survey of property w~th accurate location of all buildings, property hnes, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal), 3. Approval of electrical installation from Board of F~re Underwmters. 4. Commercial buddings, lndustrml buddmgs, Multiple Residences and s~milar buddings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For ex~sting buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~operty showmg all property hnes, streets, buddmgs and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any houmng code or safety inspection of bullrings or premises, or other pertment reforma- tion required to prepare a cert~hcate C. Fees: Addztions $25.00 PO___OLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$10.00 Business $50.00 2 Certificate of occupancy on pre-exist~ng dwelling $100.00 3. Copy of certlficate of occupancy $ 5.00, over 5 years $]0.00 4.vao~nt ~.and c.o.~ 20.00 ~. 5.Updated C.O. $ 50.00 Date .. ,~./....-,~./~. NewCons tructzon ...... Old or Pre-existing Budding ......... ;~3 Vacant Land ............. Loc.t,on of .roperty./..~. ?~..~.~. ~. y.¥.. ~ ~.~ ..... ~../. ~...~ ¢ .... Hou~ No. / J ~ Street / H~let o~..r o, o~..r, o,,,o~.~ .. ~~~ ~.. ~~ ~.. ~~~ ........ c,~ty,~ u~p ~o. ~oooso~,o~ ..... .~.~... ~o~ ..... ~ ....... ~o~...~ ......... ........ Lot No .............. , Subdlwsion .............................. Flied Map No. '/'~'~ ~' '~;~'~ ~-~ PermltNo. /.~.,~.~'... Date of Permit .......... Applicant .~.~./../~.,..~'~.~..~'..?,~.~ ........ Health Dept. Approval ....................... Labor Dept, Approval ........................ Underwmters Approval ........................ Planmng Board Approval ..... ./. .............. Request for Temporary C~e ../..j,~ ........... Final CertWicate.....~.. ................ Construcuon on above descr,bed bu,ld,ng a~F t..~ ~rne~ts._al, ap~,bl?~odes and~guJatlons. Apphcant .~'. f~,-~..~?..?-~.~-~'.(4 ~ ................. Rev 10-10-78 DUNDATION (1st) DUNDATION (2nd) DUGH FRAME & PLUMBING ;SULATION FERN. Y. STATE ENERGY CODE FINAL ADDITtO~AL la THE NEW YORK BOARD OF FIRE UNDE~RITERS P.OE~ ~,~ t0~50~3 BUREAU OF ELECTRICiTY [] ~-- 85 JOHN STREET. NEW YORK· NEW YORK 10038 m J[J}~¥ ]L:1988 55748088/88 N 021390 Date Jpplkation No. on file THIS GEITTIFIES THaT SAVAS, E/S )680 H~NRY~ LANE, PECONfC, N.Y. . (,)l) P ~t G3.C.I:-I *(SWIMMING POOh) This certificate covers compliance at the date of environments it i~ advisable to have frequent test/and or reDairs made by a qual~fie4 per,on. HANK ' S SETAUKET, NY, 11,733 ~ICENSE NO. 24)75E This certifkate mu~t not be aired in any eymnnr; return to the office of the Board if i~. kspectm's may be ~ k/ ~ credentials. ....... ~lll [ ...... l~ .... ~ .... --~--~-- I~ ' [ [ -- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ::'ND [ ]/~NSULATION [ ] FRAMING /r~ FINAL /~ REMARKS: f 6, ~.~ DATE INSPECTOR ENCLOSE POOL TO CODE UPON COMPLETION BEFOR6 "WAT£R" t' t,/o. 4,;. "~ MEOIAT_ELY ,-~'~: '"'- ~, CLOSE POOL TO CODE · ' ~ UPON COMPLETION ~.,, ' BEFORE -, \ , . ~ c ¢ /.,.~ '... ,._ .¢, ¢.:~ - /, .A, /.qr ' O/r' rr--'A'OpEI;,*T).,'' ~RE CAST ~ COmNG S LO PE ~' 2'x B' TREATED WOO0 PLATE ANCHORED TO CONCRETE ~PRE CAST CONCRETE BLOCK /COPING GRADE THICK "OWENS CORNING" FIBERGLAS'BLOC 8ON0' TROWELED ON EACH PACE OF CONCAETE BLOCK WALL. .,__ __ ___-- VINYL L BTEPS OPT,ONAL P L A N NOTES WALKS TO BE SMOOTH- NON SKID TYRE, SLOPED AWAY FROM POOL WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPEWTY TO SUIT LOCAL REGULATIONS GRADE SEC SIZE ~EET 18'x36 16'x 32' 16'x 36' 20'x 40' ROLLED FOAM , BETWEEN LINER ond'BLOC BOND" VINYL / TY PICA L WA LL AND BOTTO ' SECTION B-B SKIMMERS RETURNS<! ~TO FI~ER SKiMMERS ILTERand PUMP TO RETURNS FROM FILTE P I PI_N_~_G __Ap RAN G E MENT /3 STEPS co,,~ ,,~, ,, //"- 'o_~ -"7-L%. F, RO~REO OON~RETE OPTIONAL STEP : FOOTING SECTION ~SEE TYPICAL WALL SECTION~ CONTRACTOE SWIM-KING POOLS, ROUTE 25A ROCKY POINT, TYPE 2. INC. NEW YORK FIBERGLA. MOULDED piECE OPTIONAL STEP TYPE: I. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ............ . Disapproved a/c ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter or mmk 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 ~reas, and giving a detailed description of layout of property must be drawn on the diagram which is part of flus app.- cation. c. The work covered by tt~s application may not be commenced before issuance of Budding Permit. d. Upon approval of this apphcatlon, the Building Inspector wflI issued a Budding Permit to the apphcant. Such permit shall be kept on the premises evadable 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~. t~Imldin~ Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the constructnon of buddings, additions or alterations, or for remoyal or demohtion, as hereto described. The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing cgde, arid regulatIons, and to admit authorized respecters on premises and m braiding for necestsa~ ~.ll,spectlons. ~ ,-~ _. ........... ~ (~lgfi. a'ture of applicant, or name, if a corporation) (Mailing address of apl3h~ant) //7' State whether applicant is owner, Iessee, agent, architect, engineer, general contractor, electrician, plu~.bq~r~&r builder. ofownerofp mlses ...... .... .................. (as on the tax roll or latest deed) If applicant is a corporation,,s, lgnature of duly authorized officer. Builder's License No. ~ / Plumber's LIcense No ............. Electnclan's L~cense No ............ Othel Traue s License No .................... 1. Location of land on which proposed work will be done . ~-. ~q. 9.~. ./'/.~?.'(~..5..L.~r2..~. ........ .C... House Number Street Hamlet County Tax Map No 1000 Sectmn ....... ~..~ ..... Block ,. ~- Lot. (Name) ~eg 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructIon: a Exlstmg use and occupancy ... ~' . .~.q~, ~g.. ~e.~?.c'.~.~ c..~ .................. b Intended use and occupancy t Q ?.~yy.O..d , , 3. Nature of work (check which apphcable). New Budding ....... Additton ........ A/teratmn .~-/ ..... Repair ............ Removal .............. Demolmon ............ Other Work ............ (Descnp,ton) 4. Estimated Cos~ .......................... Fee .................................... ..... - ~ ~, (to be paid on fihng this apphcation) s. fdwen?,.............. Number ofdwelhng umts on each floor ....... If ~/rag/; nu~er'offcm ...................................... ' ........ 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. D~mensmnsofexm~ngstmctures, ffany: Front .............. Rear ............. Depth ............... Height ............ Number of Stones .............................. D~ensmns of same structure with alterations or ad&nons. Front ................ Rear ................. Depth ..................... He~t ..................... Number of Stones ...................... 8. D~mensmns of enhre new constmctmn: Front ............... Rear .............. Depth ........... Hexght ............ Number of Stones. ' ' ' ' 9. Size of lot. Front .................... Rear ...................... Depth ...................... 10. Date of Purchase ......................... Name of Fomer Owner 1 I. Zone or use &strict ~n which premises are s~tuated 12. Does proposed construction violate any zoning law, or&nance or regulatmn' . .~q.. 13. Will lot be regraded ~O ....................... 14 Nme of Owner o~ · · -...~.¢ .~... Will e~cess fill be ~move~from premises' _ ~ No · ,, .... ~. premises :f) ~/...~: . Addres~ .~. ~. Phone N~eofContractor~.~.~e~ . Address ~4~d~ ~ -- ,, 15. Is th~a roe - ' ' ' ' ~b~' ~'?'." rnone mo/r~. ~<~... p p try xocated wtthtn 300 feet of a ttd~a~(~... ~o . · Zf yes~ Southold To~ Trustees Pemtt maybe requtre~ /z77~ PLOT DIAG~M Locate cle~ly ~d &stinctly ~1 buddings, whether exisnng or proposed, and indtcate ~1 set-back d~ensmns from prope~y hnes. Give street ~d block number or description accord~g to deed, ~d show street nines and intimate whether tntehor or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY "IMMEDfATEL¥,, APF2C' dD AS NOTED 765-]802 9 AM TO ~ p~ FOR THE FOLLOWING IN~vECTIONS FOUNDATION - TWO REQUIRED FOR POUR:D CONCRETE 2 ROUGH - FRAMING & PLUMBING 3 INSULATr~N 4 FINAL - CONSTRUCTION MUST BE C~*~m"TF FOR C O ALL COF,'cm~' ~CTION SHALL ME~ THE RE~"~rMENTS OF THE N Y STATE C~NCTRUCTION & ENERGY CODES N~T RESPONSIBLE FOR DESIGN m~ fq~ISTRUCTION ERRO~¢ ;TATE OF NEW YORK. :OUNTY OF .... s.s '' "?~" ' "?~/' ' "~?~' ' '--f-~' '~" ' ' '~' ' ' .............. being duly sworn, deposes and says that he is the apphcant (Name of tn&v,dual s,gmng contract) bore named. te ~s the ...................... (Contractor, agent, corporate officer, etc.) ,f satd owner or owners, and ts duly authorized to perform or have performed the said work and to make and file tlus pplzcat,on; that all statements contained m this apphcatmn are true to the best of his knowledge and behef, and that the zork will be performed in the manner set forth m the apphcation filed therewith. worn to before me this .. County . / // . t~(// (S~gnature of apphcant)