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Home My WebLink About32624-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32507 Date: 08/06/07 THIS CERTIFIES that the building ACCESSORY Location of Property: 825 (HOUSE NO.) County Tax Map No. 473889 Section 123 BUNGALOW LA (STREET) Block 3 MATTITUCK (HAMLET) Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 2007 pursuant to which Building Permit No. 32624-Z dated JANUARY 8, 2007 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DAVID & ROSALIND GORDON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 371985 12/04/95 PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 BJ,~~~~;~~0;=T ff::;-)~ ' "--- -if TOWN HALL I IIi 3 0 2C07 , Ul,; 765-1802 I L-_._,,,._ )1 I' B")'='~~'!'T' - 7[")11"""/0" ,__ -. I. APPLICATION FOR CERTIFICATE OF OCCUPANCy-o.kc".!!-L),C';Tr:xo .... This application must be filled in by typewriter or ink and submitted to the Building Department with the following: .- . A. 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 2/1 0 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. B. 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 proper! y completed application and 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 L Certificate of Occupancy - New dwelling $25,00, Additions to dwelling $25,00, Alterations to dwelling $25,00, Swimming pbol$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 - $.25 4, Updated Certificate of Occupancy - $50,00 5, Temporary Certificate of Occupancy - Residential $15,00, Commercial $15,00 Date:J~ <R.,,",,; 'LAro"7 Old or Pre-existing Building: / (check one) Location of Property: ~~':.- ~~ \-.~ 1VV\", li-< k-(c\P--=- ' House No. Street Hamlet Owner or Owners ofProperty:DA-\I \~H . G--<:irLuol'f" ""'1) <t- ~.sa.Lll'If) .M1, (~\)O(\./ Suffolk County Tax Map No 1000, Section J ~ ~ Block t) S Lot / {) )'-<Subdivision \ .?d.:~ (jJ - ~ ~ \ D Filed Map, Lot: Penmt No~-D,(P?,I.f- e ~te ofPenmt-.l]3/o/ Applicant: '~-:::>t\-\J lb vl-. &V~ DO"! Health DepL Approval: Underwriters Approval: New Construction: PI aIming Board Approval: Request for: Temporary Certificate Fee Submitted: $ Go 2: 3 ~') c:q ~0 .,J..Ot~ ) Final Certificate: 0i:;I/i~~ Applicant Signature ~--' . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY r- B5 JOHN STREET. NEW YORK. NEW YORK 1003B Datf> DECEMBER 04,1995 Application No. onJilt> 10656695/95 N 371985 THIS CERTIFIES THAT only the electrical equipment 08 described below and introdu.ced by the applicant IUiniedon:.theaoove application nu.mber in the premises oj DR. DAVID GORDON, 825 BUNGALOW LANE, MATTITUCK, N.Y. in theJollou:ing location; ~ Basement 0 htFI. o 2nd f'l. OUT Section Block Lo. U'OS examined on NOVEMBER 29,1995 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES INCANDESCEN T FlUORESCENT OTHER >HoT. I(W. >HoT. I(W. >HoT. K.W. >HoT. K.W. >HoT. !:l.P. . . 2 1 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE. FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI~OUTLET DIMMERS TRANS. SYSTEMS AMT. K.W. Oil H.P. GAS H.P. >HoT. NO. A.W.G. >HoT. >HoP. AMT. AMPS. >HoT. H.P. NO. OF FEET AMT. WATTS 1 F 1 20 SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF cc. CONDo A.W.O. A.W.O. A.W.G. >HoT. AMP. TYPE EQUIP. 1)K2W 1)63W 3.f13W 3,KJ,W PERi! OF CC. CONDo NO. OF HHEG OF HI.lEG NO. OF NEUTRALS Of NEUTRAL .. .. . . OTHER APPARATUS: SWIMMING PooL-1 TIME CLOCKS 40 AMP-1 G.F.C.I.-1 * (SWD1MING POOL) This certifica'te covers compliance at the date of inspection only. Because oil unusual -environments it is advisable to have frequent test/and or repairs ~r~ made by a qualified person. <<< Continued on Page 2 >>> GENERAL MANAGER Per. ._".1:~."",.-,-"".-" This certificate must not be altered in any manner; return to the office of the Board. if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COpy OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. .....~'----_..~.:..~;~:.~.:'"--'-'- ~_------..,c..............:~~..,~,~.:.~~,:.......:.......-.,-----,.'-'----:~_~'__~c.,,_._ -~,~- - -')') 7ii;~ ---, ~"---'--.",-'" .-. .,p' "'...,:..1' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Datp DECEMBER 04,1995 Application NO-.QnJile 10656695/95 N 371985 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises oJ DR. DAVID GORDON, 825 BUNGALOW IJ\NE , MATTI TUCK . N.Y. in theJollowing location; [Xl BaselTWnt 0 lJdFl. 0 2nd 1'1. OUT Sertion Block Lot was examined on NOVEMBER 29,1995 and found to be in compliance with the National Electrical Code. . . FIXTURE ECEPT ACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANOESCEN T . flUORESCENT GTHER "'-T. K.W. AMT. K.W. AMT. K.W. "'-T. K.W. "'-T. H. P. . . .. DRYERS FURNACE MOTORS FUTURE APPliANCE FEEDERS SPECIAL REC'PT TIME CLOCKS 'Ell UNIT HEATERS MUL T1.0UTLET DIMMERS TRANS. :i>.MT. SYSTEMS "'-T. K.W. OIL H. P. GAS H.P. "'-T. NO. A.W.G. AMT. "'-P. AMT. AMPS. H.P. NO. OF FEET AMI. WATTS . . SERVICE DISCONNECT NO. OF S E R V I C E "'-P. METER NO.,OF CC. CONO. A.W.G. A. W. G. A.W.G. "'-T. TYPE EQUIP. l./l2W lJ8JW JKJW J,JJAW PERK OF CC. CONO. NO. OF HI-LEG OF HH.EG NO. OF NEUTRALS OF NEUTRAL OTHER APPARATUS: - ROSLAK ELECTRIC LIC.#3677 E ~~~ F.O.BOX 164 CUTCHOGUE , NY. 11935 GENERAL MANAGER 11 '. /"",,7 ,/',',,': _,..... Per. < <----- This certificate must not be altered in any manner; returll to the office - of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ FORM NO. 3 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) PERMIT NO. 32624 Z Date JANUARY 8, 2007 Permission is hereby granted to: DAVID & ROSALIND GORDON 25 FENBROOK DR LARCHMONT,NY 10538 for : CONSTRUCT AN IN-GROUND SWIMMING POOL W/FENCE ENCLOSURE AS APPLIED FOR .THIS PERMIT REPLACES BP # 22762 at premises located at 825 BUNGALOW LA MATTI TUCK County Tax Map No. 473889 Section 123 Block 0003 Lot No. 010 pursuant to application dated JANUARY 3, 2007 and approved by the Building Inspector to expire on JULY 8,2008. Fee $ 150.00 4c~~ Authorized Signature ORIGINAL Rev. 5/8/02 f}~ I(~ fIJ FORM NO.3 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) N~ 22762 Z Date ...s:'/r.............................................. 19.zs.:::- Permission Is hereby granted to: JZ A' /. . ,/,? ;/ .' 4" ~y~.....~~...:t~.~~...v..~~ -1!f!.i" ,[2:T~",L~~....m '~~~~~-.('1'2~r/C!"Zo:: ~ ~~~~(~~~.............. .......................;~.7'.....................Z....... ...................................L1'...~.............................2................ .................P./..o/L;,..~........!~....~....~......#...... .A~~.......q/......Y..~......~._.......................................................... at premises located at....;::2.::r:.....f<f31~.4ze................ ......................... ................. .......,.."""""",..............,.,.."..,...............""..............,.."".........................................................".,.,..,........ a . County Tax Map No. 1000 Section ......../..:::?-3.... Block .......................... Lot No. .../tl................. 4 pursuantto application dated ...~....~/............................19.9.'s.:=.. and approved by the Building Inspector. -~ Fee $/.2.~..:x'X". ~ Rev. 6/30/80 tJ'-tt .LOt ::lW.L....;.LO . ~4!08!1995 09:04 ~~.L~40.L""~~~(O~~b~(~b . " ".,' i \' '.' "."~ ." .; ~i.. )~'.i"-' "}7 ".':":"lT~h BROFF~IAN ARCHITECjT ,if' . , 5169224855 AIOM 1. Krupski. Fresidenl John Holzapfel. Vice Presldel11 Willlam G, Albcnsoo Martin H, Garrell Peter Wencul . ;~AGE 03 ,- T , .! :~ RI: .( '[1 ,II Hall 5309~".ain RQad P,Q,Ox 1179 SoUtl)Qld,w York 11971 ~~ 'i.;\ Teltphon~l 16) 765,1892 Fu CStl ~ 765-1823 .. Ii. . " 4:0- BOARD OF TOWN TRUSTEes '}'OWN OF SOUTHOLl) Maroh JO, 1995 Cliff Br.offman, Architect 49 Highwood Road East Norwich, NY 11732 Re: DAVID GORDON SCTM *34-5'"15 APR 2 1_ Dear Mr. Broifman, The fOllOWing action wag ta.ken by the BOa.l'd of TILlstl;)6S at. th,) regular meet.ing of Maroh 30, 199~: .' RESOr,Vh;Il.that the S(Juthold Town Board of '1'rLlst'~e:; approve all Amendment to Permit #1751 fot" tin existing dook., :;tair's /;. tloal: and to extend the dock to 4' X 32', extend ramp 3' X 14' and float 6' X 20', und to transfer owne.sbip from Elsi~ Kastner to David Gordon. Also to Jlnlend Permit #4)O~ to reduce the siz of the additiontl as noted in lettu of March 22, 1995. As per survey dated February 27, 1995, the propo~ed swimming pool is out ut the Trustees jurisdiction. Please, note that the dock is not approved until such time that.' the fees are paid. A detail of these fees have already been sent to you. It you have any questions, please call our otfice. Very truly YOUrs, '6 b"~1 V I,-r ~;2J Albert J. Krupski, Jr. President, Board of TrUStees AJK/djh Ge. CAC ,.', 1\;' I:"~.','\\ , t; ,~ ..~" 'it '-!;d:~, '~_f,'.~- ,\"1 w.:: .;{; ;i i , I. ~' ~.~- 3 GLb Q2-f z.. ;; TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 \: INSPECTION ; [ ] FOUNDATION 1ST [ ] ROUGH PL~G. [ ] FOUNDATION 2ND [ ] INSULATIP"~ [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION U , . rf- ~ 4. ~ DATE , 7~ ?-~() 7 INSPECTOR ~.~ ~, 3> 'J-J, ?-'f Z- TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PlBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [)4. FINAL /l: [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: f ~ ~ ~~~< ~,~\:9,~ DATE ;--1" -- 0 7 INSPECTOR ~ - FIELD ilQ"SPEl:TION REPORT DATE COMMENTS =========================~========U=====~================================================= II II II II . " II II II II II II I II II II II II II III1 .11 II 11 II II II II II II II FOUNDATION (2ND) II II. ~============~====~======~~~======~~===========~~===============~~======================== II II II " II II II II II II II II II II II II II II II II II ~=================--====-~t========~======================================================= II II II II II II ii II II II II II II II II II II II II II II II II II II II II II II II II II II II =========================t========ft====-~======================:z;:======-======-=- 117- ;2..-311 r ~ . II II 111~J6./~ 11 II II II II II II II II Ii II II ~========================~========~======================================================= FOUNDATION ( 1ST) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ========================================================================================== ADDITIONAL COMMENTS: (>J '9...) ;g '~ ~ '}:.) t:1 ......-t: ... .~ ~~ ~A~ ?\r ~ ~ ~1 t ~~ '" ~' '"'~ ~. ;.".) '''' s C"<j , ~ ............ ~OQ ~~ :~ ~ '" ...; .f~~"":{ ~ !;'\ ~, @-~ a ...~T'7~'~ . , 11 j "~.~"~.."._"~. '" '_' . ! ".~ Ii . ""=--~"'~-~~""I: . , , , ':!_','J . I :l id'APR 2 J /995 ' FORM NO.1 BOARD OF HEALTH ........ J StTS OF PLANS ......~. SURVEy................. CUCCK .........,........ SEPTIC TORN _........... " .), , . ,',;;~:;~[l~fi~;:~~ . 5.~?- ""5- . Exammed . . 'If.'. . . .. . .. . .., 197,. . Approved .-0.~........, 1 91hermit No..P.?.7.(;7, ~ TOWN OF SOUTHOLD BUiLDING DEPARTMENT TOWN HALL SOUTH OLD. N.Y. 11971 TEL.: 765,1802 r r: (}il F Y : '4'&. ft,o, CALL ,................ HAIL TO: .. e'. _..............oo..oo... pp dale. ". . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . O"~~"Hq.HHH~ ,U, .. , , .... ....(B~iicii~~.I~~~i~... APPLICATION FOR BUILDING PERMIT .. .-..........oo............. Date.... .7. .'::?:r..... .,199.'.( INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and subinitted to the Building Inspector, with: 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 street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of thisappli 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 Occupanc, 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,.Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitiCln,a;s,'herein described. The .applicant ag~ees to comply with all ap~licab!e !aws, ordinances,. bM~.~it!:H?q~" g,(N-\rRw1code, and regulations, and to admit authonzed mspectors on premises and m bUlldmg for necessary mspeCtions;\,':L":,'",.',,.', ' " · '.' '1}.:',.a!;?il(f~,.')':C"'~~~)Vj . '77lJ(' . 0." ,'" .f.~i,:t"i~"",_,,:''.o:,,(j~t':t..... .,.,.~.. ~','" .,.... " (Signature of applicant, or name, if a corporation) .. .f:.~:.(J~?<. ?~I' .1:tt./fmfM;.( }/.t~. ..... (Mailing address of applicant) . ,. ~~, ~":~,' , "~, ....... ~... 13(l'~' State whether applicant is owner, lessee, 'agent, architect, engineer, generai 'contractor, electrician, plumber or builder. ........................ .Gt:N?rrY~. ~~~~...........................,............... Name of owner of premises ...... (?Q$.IJ:t.<I:f7YlJ.. . ~. . . P.lfl:t!r.o. . . .. G. an..e20A1. .. . . . . . .. . . .. . . ... . . . (as on the tax roll or latest deed) of uly authoriied officer: ..... ........ .... officer) Builder's License No. ... .4(, .)~.~. H:F.. . ... . Plumber's LicenseN6..; , ;. , .. . . . . . . . . . . . . . v- . Electrician's License No. .'.f(..':7~ ~~~~.. .~~(l;Vc. Other Trade's License No. ........... ....... ........ 1. Location of land on which proposed work will bedone. .. .13.7!.~q~.. .h../9?'!1.f:1. .J:2t.If7.(/.~(r(.... .... .!l.:(~....,.... /).t1./)l.~fJ7-.~'7... ?MK.;........)U.lif7J? ~C.. .M.Y~. /(~J7-... House NUI11 ber Street Hamlet County Tax Map No. 1000 Section . (J3..~..... Block.... )(.3...;... Lot.. .1:5-:. ./0...... Subdivision.. . . .. . . . . . . . . . .. . . . . . .. . . . . . . .. . .. .'. Filed Map No. .............. Lot............... . ~am0' '.' 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction': a. Existing use and occupancy............... f?A'f..~ ~?>:v.17.tf!.,...~................................... b. Intended use and occupancy .............. .11f!S!/:?&vT! ~f;\,.\;1!'frQl!'P:1'/f!.OR?-... . . . . . " . . . . '" . . , . " .~, \ 0' ";.;:;:,;?;J,"".)::'\,~>:~: i~ l~-i r: "l~Jf\i~ SW".........'N{, Pd21L rbvcE ,3. Nature of work (check which applicable): New Building. : . .. . . . . . Addition.. . . . . . . " Alteration ....;..:... Repair .............. Removal.....,...... .. Demolition ... ....... .\. Otrl'r~j;Work.. .. ........... 4. Estimated Cost ~ . . . . . . . . . . . . YQJ.~:. 0? .. . . . . . . . . Fee. . . . . . . ~ . . . . ~ . . . . . . . . . .. . .(~.e~~r.i~~i~~~ . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . : . . . . . . . .. Number cif dwelling units on each Iloor . .. . . . . . . . . . . . . . . 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 structures, if any: Front. . . . . . . : . . . . . . . Rear ............... Depth............... Height ............... Num ber of Stories. . . . . : . . . . . . . . . . . . . .'. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear................... Depth. . . . '. .'. . . . . . . . . . . . . . . . Height. . . . . . . : . .... " . . . . . ,. , Number of Stories. . . . . . . . . .'. : . . :. . . .. . . 8. Dimensions of entire new construction: Front. . .. . . . . . . . . . ... Rear. . . . . . . . . . . . . . . Depth '" .>. . . . . . . . . . .Height ............... Number of Stories.... ....... " .................... . .. .. .... .......... ........ 9. Size of lot: Front . . . . . . . . . .. . . . . .. . . . . .: .. Rear.............;........ Depth ...................... 10. Date of Purchase ............................... Name of Former Owner ............................. II. Zone or Use district in which premises are situated. . . . . .. . . . . . . . " . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinan:ce or regulation: .................................. 13. Will lot be regraded .......:. M. . . . . . . . . . . . : . . Will excess fill be removed from premises: ~ No 14. Name of Owner of premises . ./JIt0.I4. .G.p.'1-PP7Y.. Address . .Ih~I!';.... Phone No. ...........;... Name of Architect ..................... ..' . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. ......... . .'. . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . ; . . . . . . Phone No. ............,.. is.' l,s this property within 300 feet of a tidal wetland? . *Yes........ No,........ *If yes,'Southold Town Trustees Permit may bEe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, wheth~r existing or proposed, and, indicate all set-back dim ensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interioror corner lot. ' . ~ :; L-1:T #777le/fG-lIJ' "IMMEDIATELY" ENCLOSE POQl. TO CODE UPON COMPLETION BEFORE 'WATER': Jc.,ozvry """" ~!ff'V niP' ec\.; t\ll r ,\1';1... ill.' I~ USE IS al:~iiJ\V~f!Jl_ wrnunn CERTiFICAi~ .. Of OCCUPANCY 11 , ......... .~P,P~ ~ !liS flom> ...L ~W"~ . BP.# ~~7G~F 0",,,.... . . ., , \.f~- ~. FEE: /~ BY. . NC!1'IPY ~~IG DEPA . T AT . 165-1802 9 AM 10 4 PM FOR THE . FOLLOWING I~JSPECTIOfllS: 1. FOUNQATIOI\I - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8. PLUMBING 3: INSllLATION 4. FINAL .. CONSTRUCTION MUST BE COMPLETE FOR C.O. . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS dl// O~~l~, 6~~~~~~~.~l{"'!?%:. . .s.S . . . . . .N9nmHN. . Il... (?f!/4'1. . . J!1: .'. . . . . . . .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) lOYe nam ed. eisthe........................ .r;;l?~~~..,.................. .'.......................... (Contractor, agent, corporate officer, etc.) . said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this' application are true tb. the best of his knowledge and belief; and that the )rk will be performed in the mann s t forth in the application filed therewith. . lorn to before me this ...... 9-r-??...... UNDERWRITERS CERTIFICATE , REQUIRED 'tary Public, . / ROBERT f. SCt JR NOTARY PUBLIC. Stat~ o/N y. No. 47.25089: Suff()fkC;ou " Term Expires Mav31. HI ~ ............. re of applicant) . D~l:?~:,;:'~F < "~l- IJS -3- '0 OWNER, ", iP ',' "y1,~~, RO~JI'rd.: "L"/f t ' , FORMER OWNER , ,;,' ~"" AGE NEW , Farm Tillable 1 "'-, Tillable 2 Tillable. 3 Woodland Swampland Brushland'- House prot' ' .. ~r ", _.. Total ,,,_~+l.Q..}-Z- ""U,"~'~' j~~:OF".SOUTHOLD PROPERTY RECORD} CARD I \1 ~ , )1 7,1 ~' \'~4P117"\.1.-~ I. W, /'1-23 STREET ..... <g1'2-:- G~~~ ~ ~ SQ ~,~ '.UI3, /LOT TYPE OF BUILDING k V'O-d- liND, ~ "1 SEAS, , ! l COMM. CB. I MISe. FARM VL. IMP, DATE REMARKS TOTAL .' . '. I/LLC'711Q/v = (' 2. ,0-- a(~-& T",i:L S/ ,,= ~/'1..A ~ ' r " NORMAL BUILDING CONDITION BELOW ABOVE bwL Acre -r.~' .~~~~ Value Per Acre Value (f.-,:->, ./:..... t! ..- . >. IhS~ ~i: "/U.-vJ " ~ ; r, ... oO"-2-/?-S ,~ - ..,.,.., -~ ~ ",'J~'~ J j I \. ;;,. ,;,'.;;1, - - .. \ - i , \ ~ 1 , ) I'j f i~ I, II 'i I, I' - , 1 ) , , \ l , I ',.'1 . '.------.-,., , 1; ~ ,. t', ~ I. .<1. ~lj1' .y, . ~J~\ ~ -j:; , 11~. . ~ ~o /?,.JJ.4 (/ . IV P *,-;.:;f- , 'l--vf~P-, '1/1 y,.8a# ;><7 ,/) y- O' T' " k> J;- -;: h~A . ", .. "...'" [~ lll' ,11 \, \ \ I'Y' M. Bldg. i r:LJ '};- & X -:?" " 6 D Foundation Extension (t> 'f.. ~I '" ')-., ,D. " 'Basement Extension 9 Ij Q..' ~'~.Lo 'J.-t1'~'r-;1 . Ext. Walls ~l"nslo" ,..../) U ,\; 'e ~I;o /. . / t", Fire Place '''?Cfyj'v~V>-~ "/:2cA-1 *"is . 'fO, " \, .0,:, ~.. .. '. _ i.._ ";; .f" '.;0 . t",l:r._, ,".~ ..- './, _:", ,--..- ~Br",~zeway ..' \. j. " \ Patio coaroge .'/1*", iz,';"'2:z.m' y P'~'0 Driveway O:oB,tlnW' '\)nA::...S;(-f"b/ ~! l'fCQ"P' FI,?;'~~fl'- /Ii ~~:':Ifi;i$'" '. .... uio""": ;-i"'I:,].i;4~'1-':~b.37t;Yl/\, .,.' ...: f~~~' '.' '7C1... ..,.....;.'..... ~.:,...">2~!~~.!!.;;~t,~ .'. .......... >'.". . '.. .;~!"~,~ih;t~;:. ~..,-=c'CO"-"i;""'Y'!_ . ..,.... ....."...':;:.... i.. ~..' ..... .";"';:!{M~~i1\i1i ':CD,' '112.0 -' ,:::: oJ 1/ In..<< I... 0/.. !/tAl P;;~h '; r It)' 'f/i;'-'- Porch ,. : .' ~ .. f:-~f4 j' .1'>-......- (.I ~ , Both Floors Interior Finish Heoit e,l Attic Rooms 1 st Floor RoOms 2nd Floor . ._' f" ..' '., ..... i I ~ Iv " -.<.,- 1\ I ~ I ~ .-( 1\ / 'h.-] /;;,<U: .f'1- II ki. N-w. ./ 2-1-. 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I I ~' ,I Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 27th, 2006 David Gordon 25 Fenbrook Drive Larchmont, NY 10538-1029 RE: 825 Bungalow Lane (in-ground pool) SCTM# 123 3 10 Dear Mr. Gordon, Please be advised that your Building Permit #22762 issued May 15th, 1995 has expired. According to the Code ofthe Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 19, 2007 David Gordon 25 Fenbrook Drive Larchmont, NY 10538-1029 RE: 825 Bungaiow Lane, Mattituck TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not one file. (Enclosed) ~ No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Final Health Department approval not on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Certificate of Compliance from the Trustees. Final Planning Board approval Finai Fire Inspection from Fire Marshal. BUILDING PERMIT: 32624-Z SOUTHOLD TOWN BUILDING DEPT.