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Home My WebLink About16989-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No CO Z-17089 Date JULY 15r 1988 THIS CERTIFIES that the building. Location of Property 745 GRETON COURTt House No. County Tax Map No. 1000 Section 107 ACCESSORY MATTITUCK{ N.Y. Street Block 2 Lot H~let 3.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1988 ~ursuant to which Building Permit No.16989Z _ dated MAY 13, 1988 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INGROUND SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued toLAWRENCE & SHERRI KELLY (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N019683-JUNE 29, 1988 PLUMBERS CERTIFICATION DATED N/A · Building Inspector Rev. 1/81 FOBM NO. J TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE 16989 z Permission is hereby granted to: ~ . ~ ~ ~0, . 119~'~- at premises located at ...'].~...~.......~.,~t~.....~...'. ............ ~..~..~.., .............................. ..... ........................................................................ County Tax Map No. 1000 Section ...... L...O...'~. ........ Block ....... .(~.....3~.. ..... Lot No...~..~.,~ ........ pursuant to application dated ..... ..~.~ ...... m~,.~. ................ , 19.~.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ m....~., to the Building Inspec- tor with the following; for new bugdings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial building's, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable, B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occr~pancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 ]. Certificate of occupancy New Dwelling.$25.O0, Accessoryi$~0.OO Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS truct i on ...... Old or Pre-existing Building ............ Vacant L{~._ ............. Location of Property...~. ?...~'. ..... ~....¥. ?T ~ .~...~......~..-/~. ............................. House No, Street f ......................... County Tax Map No. 1000 Sect on .... ./~..~./7 .... Block...~ ........ Lot....~...,.C~.? .! ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No .... Date of Permit . . pplicant ....... .-~_..1'..~? ......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval./~.?/ ...... ............ .o~..o~'~ . Planning Board Approval ..................... . Request for Temporary Certificate ..................... Final Certificate ...~.. ................. Fee Submitted $..~..~,J~C~ ................... Construction on above described building and p~mit,~eets all applicable codes and regulations. Applicant ..~...~ . .~ .................. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F'- 85 JOHN STREET. NEW YORK, NEW YORK 10038 29 ] ~te ' Applica~i~ No. on file THt~ G~I~I~ THAT fiHRKE[ & [,~RflY KEhI,Y, 545 ~ exami~ on and found to be in compliance u'ith the requirements of lh~ ~. FIXTURES ~ O~ ~$N WASNIRS EXHAUST FANS ORY~RS TIME CLOCKS MULTI~4JT~T DIMMERS SYSTIMS NO.O~ FI~T SlRV~C! OISCO~NECT S E R V I C OTheR A~ARATUS: "(S~'[M~]:NG POOl,) Th~s cert;i~:i,"aio have freqtmn% NO. OF CC. COHD. A, W. G. )F CC, CONO. OF NEUTRAL JODY Pilt~ 1] L[,O L[CENS~ N¢). 2~00-~: Ptr ~This certificate must not be altered in any manner return to the office of the Board if incorrect. Inq)ectors may be identified by their ctqKlenti~ds. ~r COPY F01~ BU~LDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MI~T ~l ,~ FIELD FOUNDATION I 1st} FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~otllti~ for thio loeitloo ~e boom ~ ' ' "~ ...... '. 201 0 9 pAI~K M,4 P OF CERTIFIED TO'* cHIcAGO TITLE INSURANCE COMPANr MARY ANNE HEILAND. LOT 9 BOARD OF HEALTH ...... ~ '~om r~o. ~ SURVEY .......... II;'(I ' ~1111 TOWN OF SOUTHOLD CE~CE .......... '~ ~ ~ ~ .... ~[ BUILDING DEPARTMENT ~EPTIC FORM ............. : ~ ~" ~ ~ ~ j~ TOWN HALL ~ I ' 8OUTHOLD, N.Y. 11971 NOTIFY '--~~T~DTOW~~ j TEL: 765-1803 MAILCALL T0 ........: ~, ~: ....... ~ ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................... 19 a. Tkis 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 Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, addiQons or alterations, or for removal or demolition, as herein described. ' The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections· .... ~,...~..~. ?.z. ~ r...47. ~ .~.s.~....,/:~..?.. ......... (Signature of applicant, or name, if a corporation) · ~ .~.~...~. ~.~... ~ .4.27:/. ?-/~.c/~...,~.: Z... (~Vlailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ .~.4.~..L%.,q.,r.... C.o. ?..~z.. :~..~:,TP..~. ~ Nameofownerofpremises ....... ~/~...'C .... .~.~i" i;.~.'i~' i).~.'Z'4; i i d.~.'.~.~.;~, i~.i)} i} (as on the tax roll or latest deed) ~ If at'ant is a corporation, signature of duly authorized officer. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ........ 2,? .L. :.../1~- · · Plumber's License No ......................... Electrician's License No. p~.f,O.g-3¢..~...~.Z .~. ?''j~e Q- Other Trade's License No ...................... Location of land on which proposed work will be done..~..~..~.~...~.~..~..~...)~....C..r~.,. ~..~..~.'..~....~./.Q. .... ~.. i?.~f. .... ~,,e.~..~...,q. ..... ~. ~ .................. ~ ~.T~... / ~.~.~..c./..c..../¢..Z.. House Number Street Hamlet County Tax Map No. 1000 Section ..... /.O..~. ........ Block ...... ~ ......... Lot ...... .~.~..~... ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. .~.~.'~..t'.~.~..~o~.. [~.. .................................. b. Intended use and occupancy .................... .~. fi..'~./..~. ~..~..T.../.~f..t.... ~ ?./.~..7~.....~..6.~.{, ...... 3. Nature of work (check which applicable) New Building ..... ' ..... A~~,~n .......... Repair. ............. Remo:val .............. Demolition ...~ .~..~. ~.~0'1~ ............ Ch [ ~ ............ !~Z l~Descfiplion) Estimated Cos ~ (~ O'SZ) ~ " ,~ 4. ' t ............ i'" ....................... Fee.. f.k ....~~.¥;'>! ...... i " (to be paid on filing thais application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~'oo,~ich floor . .! ....... If garage number of cars ~ '~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ................ Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8 ' ' ' ¢ ' R pth - . Dimensions of entire new constr ctlon: Front .......... . ..... ear ............... De ............... Height ............... Number of Stories..: ..................................................... 9. Size of lot: Front ........... ? .......... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ........ 11. Zone or use district in which premises are situated ............ /~-~. ~.~....~..~.~'J.'"~.' i i i i i i i i i i i i i i i i ........ 12. Does proposed construction violgte any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ~. O .................. Will exce~s fill be relgoved from premises: Yes 14. Name of Owner of premises . .. i..g~( .t'.~.~/ ....... Address . ~t~/~7.. t~.?/-O~. . .~/('... Phone No ............... ."~.. Name of Architect .......... i ................ Address ................... Phone No ......... j .... ~,. ~N~ne of Contractor . 8 '~'~'Zp'~!~'~'~' ~...~/,)~}tA~.... Address . ~/,t"7_~.~/~'. Phone No....~J~..J"...~. 15. I~ this property located ~ithin 300 feet of a tidal wetland? ~Yes ..... No .~.. *Il! yes, Southold Town Trustees Permit maybe required. i PLO-T DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S'.S COU IxrI'Y OF ................. ' being duly d s and says th t h is the applica t .............................. 1 ................... sworn, epose a e n (Name of individual signirtg contract) above named. He is the ....................... ! .................................................................. ! (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiauthorized to perform or have performed the said work and to make and file this application; that all statements contaioed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this plicant) Iff~LEN IL NOTARY PtlBLIC, State of New yolk