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Home My WebLink About16966-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22032 Date DECEMBER 15~ 1992 THIS CERTIFIES that the buildin~ Location of Property 135 LILAC LANE House No. County Tax Map No. 1000 Section 104 Subdivision ACCESSORY CUTCHOGUE~ N.Y. Street Hamlet Block 1. Lot Zt Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 1988 pursuant to which Building Permit No. i6966-Z dated MAY 12, 1988 was issued, and conforms to all of the requirements of the applicable provisions of th~ law. The occupancy for which this certificate is issued is ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-018653 - JUNE 23~ 1988 PLUMBERS CERTIFICATION DATED N/A MICHAEL & JOAN REDDINGTON Rev. 1/81 1FOB,M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 16966 z ..~......~.~ .......... ~ ............ .~ ........................................................................ =t premises located at ..../.-~. .............. .~...~.~......~..0~-~ ............................................................... County Tax Map No. 1OO0 Section ........ ./. ~.. ./... .. . Block .............. /. ..... Lot No. ~'-/ pursuant to cpplication dated ~<~ .~../..~</. 19.~.~., and approved by the Building Inspector. Fee $.../, ,~, ~,..,.~ Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in 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 electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site 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 showing 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 i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......... ........... .. New Construction .... ..L~..... Old Or Pre-existing Building ................. Location of Property ..... Z ~. ~.. ......... .~...~ .~.~. ~...~...~..~. .......... .~..~7--~../~..~..Z~..~....~. ~. House No. Street Hamlet Onwer or Owners of Property..~Z~..~.~..~.... ?[...~.~.../~.../~..., ,,~...,,~.~4 ~ .~..~.~.~ ....... County Tax Map No 1000, Section ..... ~..~...:Block ...... Z ........ Lot...~.-~d .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No../.~.?.~..~ ..... Date Of Permit ................ ApplicantJ~ .~....~.,~..~. ~l~zP Health Dept Approval Underwriters Approval Planning Board Approval ........................ ~ Request for: Temporary Certificate .......... i Final Certicate .... ..~.... Fee Submitted: $....cj~.~..¢ ~f~ -~ ,~,, ~ ~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 102.5045 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 z),,,~. JUWE 23,1988 ~pplicationNo. on/ile 55383688/88 N 018653 THIS CE~IFIES THAT RgDDTNGTON, ~3 h[I, AC [,AMg, CUTCHOGU~, .nd f~nd to ~ in ~m~ian~ with the r~ulremen~s of th~ ~. nXZ~l~ RXTUI~S EAN~E$ OVENS IXHAUST FANS ~)K,'"~*~ FURRACB MOTORS R.ITURI AI,FUANCl PIIOIES 'UMICLO(3(S UNITHF. ATI~S ~111T MMMBIS SlaVIC] DISCONNECT OTHIR APPARATUS: *(g~MING POOl,} This cert~flcate covers compliance at the date inspection only. Because of environments it is advisable to have frequent test/and or repairs ~cade by a qua]Ji~.ed per'son. BRITE STAR EI,ECTRI. C 13 ~4ILI,ETT AVE SAYVILI,E, NV, 11.782 OF cc. ¢~o. c hlC)iNSE NO. 3398 Tnb ~'tifk:=te must not be altered in any manner; return to the office of the Board if incorrect, be identified by their credentials. .... ~ .... ~, ~ THI{ ~ OF CERTBFICA'rl MU~T NOT BE ALTERED IN Air/~R. DUND~TION ( ls t } DUNDATION ( 2nd ) )UGH FRAME & -FLUMBING ISULATION PER N. Y. STATE ENERGY CODE FINAL ADDITION-A'L COMMENTS: ," ' ~' 'FORM No. 1 TOWN'O~= S~bT"O'D BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 ', TEL,: 765-1802 E×amined...~'//(./. ~ ..... I9 ~ f~ Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Received ........... ,19... U~L_~_JL~ BLDG. DEF'T. TOWN OF SOUTHOLD INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink add}stllS~4j3~ted'ib~¥~e~Bulld'mg Inspector, w~th 3 sets of plans accurate plot plan to scale Fee according to schedule ~ ,;~ ..... b mot p]~ showing locahon of lot and of buddings on premise reJopens~bLto,~3og~ pr~m~ses or pub c streets or areas, and gives a det~led description of layout of property m¢~t b&~;~n g~'~;~ dX~gsa~'~¢fi is pa~ of this appli- cation. ..... ' c. The work covered by tMs apphcatzon may not be commenced bqfore msu~ce[~d~g~mzt. d. Upon approval of this application the B~lding Inspector wgl ~g~.0~dmg~emz{ ~ the ap~ Such pe~it s[all be kept 0n the premises available for ~spection ~roughout th~'~H .. [~I~ e. No bufld~g shall Be occupied or'used in whole or in p~t for ~p~~tlI~ficate of Occup~cy shall have been granted by the Building Inspector. ~ ~ {)t ~¢¢~1u,~ ~PLICATION rS' HEREBY MADE to the Bmld~ng Dep~tmeh~{J~f~e~s~j' ~.~mlOxn~ ~em~t pumuant to the Building Zone Otdiffan~e of[th3 T3~n ~of South;la, Suffolk CouB~;~~~2~ Laws, Ord~ces or Regulations, for the, c6nstm~gion of build~gs; additions or alter~[~ns¢-o~=f~:r~~OB} as herein described. The applicant ~agree~.~t9 comply with a~ app~cable laws, ordinances, bu~ ~Gu~g ~de, a~d regulations, and to admit authorizdd ~sp~tors on gr~mjs~s ~a ~ bulldog fo[ neces~/~s~~~~ ~~~ .... ¥ ;.;;.~ .; .... (Sigfiature of ~pplicant, ~ame, if a o p at'o ) State whether applicant ~wne~lessee, agent, ~chitect, engineer, general builder. or Name of owner of premises . ..... . I ............................................. . . (as on the tax roll or latest deed) If applican, t is a corporation, signature of duly authorized officer. ~ (Name and title of corporate officer) Builder s Lzcense No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done .................................................. ~ ~ s..~...~.!/..~...L~ .,.~..4~...o..~.~ ..... ..~..,~4.., ............ House Number Street Hamlet County Tax Map No. 1000 Section ...... l.(~..~. · .... Block ........ ( .......... Lot....~Y.I. ............ Subdivision .~.'.1~.~..~..~rl~... ~.V~...~. ............... Filed Map No...[.\.~..~ ........ Lot .[.1~..'7.~.t.~. ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... 2...~O.. ~ .2... !.....~c~..; .)~ .... j.~?. ([~ ................ .. ~.~..4..s......~...~..~. ~. ~ . .-~., .,~.~,.?~...7~. !. ~..4;...~. ~... b. Intended use and occupancy -4* aod¢, 3. Nature of work (check which applicable): New Building ..... ' .....Addition .. ,. ....... Al~r~ation .......... Repair .............. Removal .............. Demolition ........... . ,4~i~-er Wo~..~..~...r~... 4. Estimated Cost/. .r].l .............................. .~..t~. Fee .......... .......................... (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cars ............................................ i ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... : ....... Depth ............... Height ............... Number of Stories ........................ i ' ' ' ! .............. ,' -' ) ........... .~ Dimensions of same structure with alterations or additions: Front ...~,m~. ..... . ..... Rear .....zfi:q..., ///Depth..~..t~ .-., ..~.t ........... Height ................... Number ofiStories..~.. ,0..~ .~.m. i~.' i i " x,~. Dimensions of entire new construction: Front Rear i Depth ' ' Height ............. >. Number of Stories ............. / ............... i .............. t ............. 9. Size of lot: Front..)/-~. ................. Rear .... l~. ............... Depth .~./.~.,.~.~. .............. 10. Date of Purchase ... ? ......................... Name of Former Owner .i.~. .......................... 11. Zone or use district in which premises are situated ....................... : 12. Does pro, posed construction violate any zoning law, ordinance or regulation: .. ~,O .... ... 13. Will lot be regraded ....n.~. '~d~'n'l,'~'/l) ............... Will excess fill be removedxrom nremises' b~.--/~(~c~ ~qo 14. Nme of Owner of premises .~.,~ .~v~-...~e.~}.~.~ddress .q~..-~ ¢~.1.{. i..~.: Ph~one No '....Z. ~... Name of Architect ....................... Address ................ !.... Phone No. Name of Contractor ....... .~.~ou]vx .?~l .S, ......... Address .1.'¥.~... y~, .~2D~v~...~,~J~Phone No..~..~.~.-.~..~...z.~....""~' PLOT DIAGRAM Locate clearly and distinctly all bufld/ngs, whether existing or proposed, and, indicate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED OCCUPANCY OR USE IS UN WFUL WIIHOUT CERTIFICATE ,. OF OCCUPANCY 4.FINAL - CONSigN MUST BE COMmiE FOR C.O. ALL CONBTRUC~ON SHALL ME~ THE REQUIR~E~ OF ~ N.Y. STATE CONS~U~N & ENERGY CODES. DESIGN OR CONSTRUCTION ERRORS STATE OF NEW ~ORI~, , S S COUNTYOF....'~..V.~.C.% ... · , (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the 6"bo n ,,"c--- i ~:'.. '.$ .I (Contractor, agent, corporate officer, etc.) i of said owner or owners, and is duly authorized to perform or have performed the sffid work and to make and file this application;that all statements contained in this application are true to the best of his iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day of ............... 19 Notary Public ......... · .~. · · · .t~..%..~m~. · ........... County ~ /Q .,,.:. , · .............. / L.I / ~ Nol~/P~io; 8l~I~ ot Nee Y~ ~ ///(Signature of applicant) " No. 4895800 '" - Qualllticl Iff ~ffolk Oo~:. i A~ ~_~.~'~ ~poENGUIN OLS 288-3325 122 MONTAUK HIGHWAY WESTHAMPTON, N.Y. 11977