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Home My WebLink About16954-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18117 Date JUNE 14~ 1989 THIS CERTIFIES that the building Location of Property 200 MATTPIEWS LANE House No. County Tax Map No. 1000 Section 84 Subdivision M/O NORTHWOODS INGROUND SWIMMING POOL Street Block 1 Filed Map No. 5469 CUTCHOGUE~ N.Y. Hamlet Lot 22 Lot No. 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19~ 1988 pursuant to which Building Permit No. 16954-Z dated MAY 10~ 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, FENCE & DECK AS APPLIED FOR The certificate is issued to ROBERT E. & LINDA M. TAPLIN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-025066 - AUGUST 2~ 1988 Building Inspecfor POEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALI. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ,'~""). ~. _. , '4'/, ~0,., )~..~-- ,,,~"~ ...~..o.?.......~..~...~ .............. ..~~~,...~.:~ ........ ~.~.<. ...... ,o ..~.~...~...~~..~,...~.~¢,.~.~.~ ................. .......... ..................... ot premises I~ated ~t ..~.~ ......... 2.~..~.~.~ .................... ~-~.~ ............ County Tox Map No. I000 Section ....~.~...~ ......... Block ...... ..{~....L ........ Lot No ......~...7. ....... pursuont to epplicotion doted ...... ~ ....... !..~. .................... 19.~..x~., and approved by the Building Inspector. Fee $..~....~....'...~ Rev. 6/30/80 TOWN O~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 BLDG. DEl ~. O TOWN OF sbUTHOL~ APPLICATION FOR CERTIFICATE OF OCCUPANCY HO~SE NO. STREET HAMLET Owner or Owners of Property..~{~'~" ~-~/~Z//O..~ ~/~>/~ ~ Coup[7 ~az Hap ~o. lO00 SecE&on ..... ~[ocE ....... ~o[' ~ ~ ............ 5 ........ Filed Map ........ et .......... -~2...Date of Permit ........ . .......... Permit Health Dept. Approval .................. Underwriters Approval .... ~ ........ Planning Board Approval ................ Request for Temporary Certificate .~.. .... Final Certificate .. ....~.. ......... Fee Sob itted: BOARD ,oF FIRE UNDERWRITERS THE NEW YORK 1001381 BUREAU OF ELECTRICITY T-'- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT RObeRT E. T~PI,I~ 3RD, 200 ~TTH~WS LA~E, CUTC~OGU~, in ~f~lo~in~l~tlo.; ~ ~nt ~ I~t FI. ~ 2nd ~. OUT ~exami~on ~{~ ~,~Y ~1,, ~9~ and~oundtobein~mplian~it~ther~ui~meRtso~thisB~ _ DIIYB~ I RJIINAC~ MOTORS I FU~RB AP~tJAI~ FIlDIRS ~overs compliance at the ~at:e of ~nspect.~on only. Because of unn~ua] environments it is advisable to have irequent teat/and or repairs ~e by a ~ualified person. JODY PitMI[,LO MATTYTUCK, NY, 11952 [.~]iC{{:NSF, NO. 2'300 E certificate must not be altered in to the office of the Board if incorrect. Inspectors may be identified by their credentials. C;OFrf FOIl BUILDIm DEPARTMBdT. THIS ~)PY OF CERTIFICATE _M.~ T ~ MOT mm~ *.t. TmRm~ mN ~ ~n. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING e INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: .f BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO, I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: ....Y.~...~./. P..., 19'$.~. Exainined ~c34~k310 , 19~~9 No. l~ c~ ~ .'~ Approved ............... Permit .......... Disapproved a/c ............................... ~',~ . ff' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 lot 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 approval 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 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 a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and admit authorized inspectors on premises and in building for necessary ~, ~.~ (Signature of apl: , or name, t (Mailing address of applicant) I t~(33' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... O. W n et7. ............. ............................... .......... Name of owner of premises . .O~J.~....~.1.~..~. I~....~..,...T/~.r .~..Lc. t .~..~'. ............ APPR0~I[B- A~~ ........ (as on the tax roi1 or latest d~d) ~, If applicant is a corporation, signature of duly authorized officer. N~OETi F~y~,~FEE, - ;~-' · .............................................. 7~-1802 9 A~ 'l~'~%~M FOR (Name and title of corporate officer) - FOLLOWING INSPECTIONS: ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICEI~SED 1. FOUNDATION - TIAtOREQUIRED Builder's License No .......................... FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Plumber's License No ......................... 3. INSULATION 4. FINAL CONSTRUCTION MUST Electrician's License No ....................... BE COMPLETE FOR C.O. ALL CONSTRUCTION SHAH. MEET Other Trade's License No ...................... TIlE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 1. Location of land on which proposed work wilt be done ................ CODE$~ · ~. RESPONSIBLE. 'FOR ...... ...z..o.?. ....................... ..... ...... House Number Street Hamlet County Tax Map No. 1000 Section ~ ~'~ ' Block -'[- Lot .~. iu~,. Subdivision... N..O.r .~.~?1..O.O.D.~. .................. Filed Map No...~...~..~. ~ .... Lot .... .~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.. ~gF.[~/.8[?..~....O..B.~...~.~.~);( ~.. ~...~.. { ( I?l..J. ........................... b Intended use and occupancy in.j:r., nd ,t,& deck, ............ 4. Estimated Cost ..... ~.<~,., ...................... Fe~[SQ = ~ ' ' (to be pai~ on~~lba¢ion) 5. If dwelling, n tuber of dwelling umts ............... Number of dwelling umts on-,a~ flbor ................ If garage number of cars 6. If business, commercial or mixe4 occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ............... Height Num~eFof Stories D~ensions of same structure wRh alterations or additions: Front Rear Depth .................... ~.. Height ......... ~., .~ .( ........ Numbe~ of~to~es ............... / ....... Dimensions of entire new construction' Front f~ ~. ~aar /.~ ne-t~ / ~ 9. Size of lot: Front ........... i ........... Rear ....... ~ ~ . j ~ ~'~. ~ept~' . ~' 10. Date of Purchase ........... ~ ................. ,~ N~ of Fomer Owner ...... }. 11. Zone or use district in which premises are situated...{515(~[?~'~.%1. .... { ~' ~,{<~ .. 12. Does proposed constructmn ygol~te any zomng law, ordinance or regulation: . ~. .... ~[g~O$...~..*..~ 13. Will lot be regraded ...... . ~.~ .................. Will excess fill be removed from premises: yes 14. Nme of Owner of premises . .~.g~ .......... Address ................... Phone No.. ~C ~{~... Nme ofArchit t ' Add Phon N ec .......... : ................. ress ................... e o ................ N I . me of Contractor ......... : ................. Address ................... Phone No.. ~ ............. 15. Is this property located 0ithin 300 feet of a tidal wetland? *Yes ..... No .~.. *If yes, Southold Tom TruStees Permit maybe requSred. PLOT DIAGRAM Locate cle~ly ~d distinctly ~1 [buildNgs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property lines. Give street and block humber or descriptio: or corner lot. / 13o' , prq . - 3(0' show street names and indicate whether STATE ~iN'~l~O~l~s~ ,- liOi,.Q'q ~ COUNTY OF.. ~ % ~.~ G~Y.i&t~,~ g ................( .,.~' ....~. ," ~ p'~,. ,~..~','v..,..v, ......... ·. being duly sworn, deposes'and says that he is th~ applicant e ~s me~ ~}~j.~. B~. :~il(~.~ ............................................................. ~$ ~a~¢ "O ~= ~q(Contractor, agent, corporate officer, etc.) 0r ow,= o~ ~wp~59 =d i, du~y~ ~utho~d to perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner?et forth in the application filed therewith. Sworn to before me this . .............. /, ........ day of ..., .~.~ ......... Note, Public, . .... County ~ [ OE;~E (Signature of applicant)