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Home My WebLink About28078-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29382 Date: 04/22/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1755 YENNECOTT DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 4 Lot 21 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 2002 pursuant to which Building Permit No. 28078-Z dated FEBRUARY 12, 2002 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 ABOVE GROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to THOMAS & LORI A RUTHINOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 493823 07/09/9 PLUMBERS CERTIFICATION DATED N/A E;i �kl&A, — Authorized Signa e Rev. 1/81 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. 28078 Z Date FEBRUARY 12 , 2002 Permission is hereby granted to : THOMAS RUTHINOSKI 1755 YENNECOTT DR SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. MAINTAIN 5 FOOT SETBACK. This permit replaces BP# 25745. at premises located at 1755 YENNECOTT DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0004 Lot No. 021 pursuant to application dated FEBRUARY 12 , 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 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. 2574 Z Date MAY 25, 1999 Permission is hereby granted to: THOMAS RUTHINOSKI 1755 YENNECOTT DR SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 1755 YENNECOTT DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0004 Lot No. 021 pursuant to application dated APRIL 15 99 and approved by the Building Inspector. Fee $ 50 . 00 Author ze Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD r ( r p1r, BUILDING DEPARTMENT TORN HALL � 2 ZQ� 765-1802 � I APPLICATION FOR CERTIFICATE OF OCC JAN -z—� 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 2/10 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. 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 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 1. Certificate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swinm ing 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.0/0/ Date. 'T -")-)-(7 3 New Construction: Old or Pre-existing Building: (check one) '7C p p Location of Property: ' �{Anne C '9W 0"g- House No. yy Sttreet Hamlet Owner or Owners of Property: f2t T�1 I Suffolk County Tax Map No 1000, Section 's-s— Block 7 Lot Subdivision �) Filed Map, Lot: Permit No. Date of Permit.c)-0-O Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: \ Request for: Temporary Certificate Final Certificate: v (check ne) Fee Submitted: $ �j lic t Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 85077 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 09,1999 Application No. on file 18506299/99 N 493823 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of TH011AS RUTHINOSKI, 1755 YENNSCOTT DRIVE, SOUTHOLD, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd FL OUT Section Block Lot was examined on JULY 01,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKS BELL UNIT HEATERS M SYSTEMS I-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. N.P. NO.OF FEET AMT. WATTS 1 20 1 40 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1.2W 1 0 SW S®JW S f 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEO NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWI144ING POOL--1 GFCI-1 *(SWIMMING FOOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. t<e Continued on Page 2 »> GENERAL MANAGER Per- This er This certificate must not be altered In any manner;return to the office of the Board If Incorrect. Inspectors may be Identffled by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JULY 09,1999 Application No. on file 18506299/99 N 493823 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of TH4MMAS RUTHINOSKI, 1755 YENNSCOTT DRIVE, SOUTHOLD, NY in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd FL OUT Section Block Lot was examined on JULY 01,1999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pr. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.O. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0�W /SW 3 O 4W PER 0 OF CC. G. NO.OF HIAEG OF�_� NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ROSLAK ELECTRIC LIC.#3677- L L� P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER Per. 11 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. N LOT 22 29 iD. 6 P/O LOT 31 � N s� N. moo, 2 � T ` 0 j o;I LOT 21 o P/g LOT 31 NN % 1-1 It 1— LOT 32 O ort° CLOT 30 —„ p .,• y NI NI e � Fly, O _. S. 63.4'00' w. 125.00' DRIVE YENNECOTT SURVEY OF P/O LOT 31 YEAMCOTT PARK” PLED OCT.AWO FM NO.5187 AT SOUTHOLD TOWN OF SOUTHOLD CERTFEDTHOMAS UT SUFFOLK COUNTY, N. Y. THOMAS RUTHINOSK/ LORI A. RUTHNOSK/ 1000-55_04-21 VERNON NE 4E LD GU AL6ERTGUILD Scale: 1"= 40' dT10NAL TITLE INSURANCE COMPANY OF NEW YORK Sept. 28, 1995 Oct. 14, 1995 .��Of NEWYO AREA =29,105 sq.ft Fr!Y f4 ANY AL TERAr G AMrKW TO TNS"VEY E A V10LATGN T3 pp��dECTKW TE09 OF TIE NEW YGRN STATE£OLCA7/DN LAB [x FAS PER SECTiO'/7E09W.BWVSSTAT f.ALL MAX F�h+�k., •S. LIG NO, 49616 BMaApWON ARE VALG FM rW MAP AM CG S TI SVF QaEY F MRT.g TCI.IE iA RS�aaE SEAL OF TNS SLRVEYON P 5 P.C. f5l 0Apy Y TO COWL WTH SAG LAW TW rf? ALTERED BY' P. 0. AA M/eT LusED BY ANY AM ALL u VES=Urt¢we A COPY 1230 TR R STREET TTEi w.�ic YAAAV ME MAP. AS COW,0. WiN LA SOUTHOLD, N.Y. 11971 95- 246 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNEY REMARKS: P�PTr>( i1 GJar-iC . 6,J 74 ec, lo 7-/e Oiee, /` CING� CrG'��/..fi.J� Z /Ci -� F1•,� y�'s. DATE ozz/ y41az- INSPECTOR �CJr 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING ] FINAL [ ] FIREPLA,C(�E A CHIMNEY REMARKS: /f DATE X.)- C:5-INSPECTOR Its 765`180?. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING & [ FINAL [ ] FIREPLAC"A HIMNEY REMARKS: DATE C� INSPECTO GELD INSPECTION REPORT DATE COtMENTS 4�J OUNDATION ( 1ST) OUNDATION (2ND) " N r n N 2 OUGN FRAME bu O ii Y N � PLUMBING N p u YI� NSULATION PER N. Y. STATE ENERGY N CODE N N N N ol q FINAL ADDITIONAL COMMBNTS: 0><+ 47�1 P.a -e S C.1T fO tee.-,j er...T 70 M O x N9y �- P7 BOARD OF HEALTH . .. . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . TORN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . .. . . . . . . . BUILDING DEPARTMENT CHECK . .. . .. . . . . .. . . . . ... . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . .. . .. . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . F�mined..Sb�S........ 19.c.`.q MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..SJ:ti!�:....... 10f q Pe.At,Nn. ..a 5':?`-f?.- . .................................. Disapprovedarc .................................. .................................I ...................................... .......... (Building Inr) IM APPLICATION FOR BUILDING PERMIT 13 `� ._J Date.Ua. .. . .l. . . . . . . . . 19� INSTRUCTIONS r;"?r 0 .. a. Ihis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector t 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 dram on the diagram which is part of this application. c. The work cornered by this application nay not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 MAIE to the Building Department for the issuance of a Building Permit pursuant to the Building ?ane Ordinance of the Town of Southold, Suffolk Canty, New York, and other able Laws;, �'.es or Regulations, for the construction of buildings, additions or alterations, or for removal ordeonlition, `a.s herein described. The applicant agrees to comply with alfapplicable'laws, ordinaoces1-bAiuu ng-e6&phaasing,.co ,aaim regulations, and to admit authorized inspectors,on premises and in"buildi for necessary i tions ...�..�..�. M •-; �i.:�'�R'.�••`i"7W7• .i•r. r fir. .... a (Signature of li ;a-cp_Wr4ion) ��R'ullari (Maili of appliicand)• 4rxtc9 h StatA4P§WA1piidhot is owner, lessee, agent, architeet:; engrneex '.'ge6eral c tractor. electrieianr, pinub6i•+or'rbui1d /�-- ........................................................ .... ............ Name of owner o€° r'ih ses t [11)..��cL.tel. 1r 1 VI 0 `� plhl� .... ss k� e S ff �•ia w1.........n!:L� ............. ......... ....... ?1613Fr / o (as m Clue tar€ Poll or�4Eeatt 11ehi) If applicant is a cnrppfaIrtm. signature of duly;a; ipUy pf r�r. ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ....................:.... I Electricians License No. �.�..b C.... yg Other Tirade's License No. .................... 1. Location of land on which proposed work will be done.. I ....................� ........................ cyu ..N.��.0 � . Haase Number Street Hamlet Canty T�x Map No. 1000 Section .5.5........... Block .D./J......... Lot ...�:/......... Subdivision ...................................... Filed Map Nn. .............-:. Lot ............... (Nae) 2. State existing use and occupancy of promises and intended use and a& Cry hMlp-i �truction: /- � ter. � ' � a. Existing use and occupancy ... t ..._..:� �othf�l'7 :4:.fII .................. ` b. Intended use and occupancy .�i b�it� � rUu�c�....��c� � ...)S. fa.................... Ic, (�t, .......... nnoi[ion ........ Altera on Repair ��oval De oliti ............ Other Work rl��':: c� L� (Description) 4. Estimated Cost ......................... fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Haber of duelling units on each floor ................ Ifgarage, number of cars .2:.................................. 6. If business, coa ercial or mixed occupancy, specify nature and extent of each type of use...A�4............... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... [Luber of Stories ...................... Dimensions of sere structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nudher of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... ..//.��....L......Q.......... Rear .................... Depth .................... 1I 0. Hae of Purchase �.l.`1.....1. ... Name of Former Owner ...W.1..'hS........................... II. Zone or use district in which promises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ............. 13. Will lot be regraded ....... ....... Will excess fill be resnved from promises: YES 14. Names of Owner of premises ..0 1.�:�....N..SK........ Address �.�51)..��.�....(.C�1 .... No. .............. Name of Architect .................................... Address .............................. Phone No. Name of Contractor ................................... Address ...............................Phone No. ............. 15. Is this property within 300 feet of a tidal smtland? * YES .. : ND .. .... *IF YES, SOINIIHD TOM 1KNIEES PM41T MAY HE WEQIRRED. PLOT DIAGRAM Locate clearly ad distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block Haber or description according to deed,, and show street names and indicate whether interior or corner lot. ARPROVED AS NOTED DATE Asa B.R fk s�qs OCCUPANCY OR "rED FEE: `SCIO— BY u Nam BUILDING D ARTMENT AT USE IS UNLAWFUL 786-1802 B AMTOEC 4 FOR THE FOLLOWING INSNSPECTIONS:S: WITHOUT CERTIFICATE DEPARTMENT 1 FOUNDATION - TWO REQUIRED OF OCCUPANCY 4 PM FOR FOR POURED CONCRETE -c IONS: 2. ROUGH - FRAMING & PLUMBNGO 3. INSULATION J CON 4. FINAL - CONSTRUCTION MUST UNDEANRITERSIMINCAN FRAMIN PL{ MMMIG BE COMPLETE FOR C.Q. REQUIRED ION ALL CONSTRUCTION SHALL MEET COMUST THE REQUIREMENTS OF THE N.Y. .OMP FOR CA. STATE CONSTRUCTION & ENERGY :ONS UCTION SHALL F" CODES. NOT RESPONSIBLE FOR *IMMEDIATELY" RE IREMENTS OF THF DESIGN OR CONSTRUCTION ERRORS MULMINOOLTOCODS ATE ONSTRUCTION & EP UPONCOMPUITIDN OD . NOT RESPONSIS' STAIT Or N51 YM BEFORB"yWTW DE N OR CONSTRUCT1or OOUNIY,por �. t.J�.II,\......L.. SS .........................beiug duly sworn deposes and >. says that he is the applicant (Name of individual signing contract) above named, nn nn fieis the .�Y1�.1lsC!(..,..................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this l✓.. ....day of ��!. .. ...19.��%//J / Notary Public/ �//..J...K`.S .... r�`=' G /�"✓ . .. ... �S� ...: ... AE '$ Applicant) NQTARYPUBgYgk ` No.01 STSW8173,Suffolk County Tenn Expires June 8,20.9jO