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HomeMy WebLinkAbout6588-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF O~CUPAN~Y No Z-25079 Date JUNE 10, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 2150 ANCHOR LA.& 845 WINDJA~ER House No. Street County Tax Map No. 1000 Section 79 Block Subdivision Filed Map No. DR. SOuT~OLD, N.Y. Hamlet Lot 34 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAX 22, 1973 .pursuant to which Building Permit No. 6588-Z dated MAY 22, 1973 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 ING~O~ND BWI~ING POOL WITH FENCE AS APPLIED FOR. The certificate is issued to JOAN M. DAVIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-055476 - MAY 30, 1997 N/A Building ~ nspe/r FO~ NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIGE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6588 Permission is hereby granted to: Orient tmteking& ConSt~* A/C JaIeS Da~s O~ent blzlld new private swimming pool With fence ere Anon, or La & Wi~Jamme~ Southol~ pursuant to application dated ..................... ...]~..~. ......... ..~,~. ............ , 19..~.~.., ond approved by the Building Inspector. Fee $~..~..e...0~.. ............ Form No. 6 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. 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2'. Certificate of Occupancy on Pre-existinK Buildin~ - $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 ~ /~ /~.~ New Construction ........... Old Or Pre-existing Building ................. Location of Property.. ~/.~] .O... ~../~.~.~.~...~.~.~. ~ .................. . .~.~ ~...~. F. ~.~.. ......... House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No I000, Section .............. Block ................ Lot ............... Subdivision ............ ...... ............. . .... Filed Map .......... .. Lot ................. i .... Permit No.~~'~'~ ..Date Of Permit...~ /~/ ~'7 .Applicant. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate ........... Submitted: $ ..... ............... ......... ............ ~.r~.5~OOI ~/ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWR~RS ! ~6~21(:~ BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 Date ~'~Y -~ 1997 ~pplication No. on/ilo ~ 3970397/97 ~ ~- ~7~5 ~ THIS CE~IFIES THAT ~y t~ ~tr~d ~u~nt ~ ~d~ ~ ~ int~ ~ t~ ~t ~ ~ the a~ ~at~ numar in t~ p~m~s of in t~ followiflg hwation; ~ B~nt ~ Ist FI. ~ 2nd FI. ~ ~ ,~tlo~ Bilk ~' ~t ~ exemi.~o. ~Y 2 3,1997 and found to be in compliance with the National Electrical Code. V I C A. W.O. I~O. O~ HI-LEG A. W, G, COOKING DL~CKS OVENS DISH WASHE8 AMT. K, W. AMT. K.W. k~T. 1~ K. W. I MULT~-O~LJ SYSTEMS EXHAUST FANS DIMMERS ~NII~{ING PCOL- 1 * {SWD~HIN,3 P~?~L) This certificate ,:~ v~s compl.[ance at the dire of ii}Sl~ection only. Because of unusual environments it is advi?;abte made by a ,~lified per.on. <<< Continued ,~n Faqe 2 >>> This ce~i~ m~t not ~ alte~ in any manner; ~turn to the office of the ~ard if incorre~. Ins~ors may ~ identified 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 ~,.~_c~ :~ ~_~(~]0 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NY 10038 ~ lL~ ?O,1C) 97 ~pplicationNo. on/ile 139703'37/q7 H 055476 THIS CE~IFIES THAT o~y t~ ~t~M ~u~ment ~ ~ ~ ~ int~ by t~ ~nt ~ on ~he g~ ~t~n numar in t~e p~m~s o/ Lot ~IS R v I C Mi~C~pI' i~'zw I.i'3w 3.e'3w 3.~4w $NO, Of~CC~¢ONO. A. W- O. NO.(~ HI-LEG A.W.G. Of CC. COND. O~ HI-LEG EXHAUST FANS DIMMERS 2150 ANCHOR I~IE SOUTIfOLD, NY~ 11971 ~ ~t~l~l 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 HANNER. 765-1802 BUILDING DEPT. INSPECTI [ ] FOUNDATION 1ST [ ] IGH PLBG. [ ] FOUNDATION2ND [ ) JLArlON [ I FRAMING [ ] FINAL [ I FI~EPLA¢~IMNEY REMAR~ DATE ~~/ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] RO/~GH PLBG. i ]] ~ORAU~iDNA~ION 2ND i ~FiNAULLATION [ ]FIREPLACE & CHIMNEY REMARKS: 76S~.802 * ~BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST []~/UGH PLBG, i i ~ORAUMNiDNA~ION 2ND i~/] IFNiNSAU~ATION [R£]MFIREPiACE &~HIMNEY ~ DATE INSPECT~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS El. This completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, ~ith~J 3 sets of I~lm, 4Ccur~e plot plan to scale. Fee aCCOrding to schedule. b, p!pt_jllJl) ~ location of lot and of buildings on premises relationship to adjoining premises or pub c strew? or areas,~nd giving a detailed dl~eription of layout of property mu~ be drawn on diagram which is pert of this application. c. The wo~ coy~Ked by this application may not be commenced before issuance of Building Permit. d. Upon ~ of this al~olication, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises a~eilable for inspection throughout the work. ' e. No building Ihall be occupied or used in whole or in pert for any purlxrse whatever until a Ce.rtificate 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; am:J'other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions or alterations, o~ for removal or demolition, as herein described. The applicant agrees to comply with all al~olicable laws. ordinances, building ~qhousing co~Je, and regulations, and tO admi~'~0th6fi~edi~JPectors oh la'd~rs~s and in buildings for uecassery inspections. (Signature of applican'C or name, if a corporation) Orient (Address of applicant) State whether applicant is oWner, lessee, agent, architect, engineer, general contractor, electrician, plumber or b~Jilder. Contractor Name of owner of premises ..... ~.~$.$.~..~.~.V~ ............................................................................................ ~ .................... If applicant is a corporate, signature of duJ~ authorized officer. (Name and title of corporate'officer) Builder's License ~0 .......................................... ' ................ , Plumber's License No ....... ~.~..~[ ........................................ Electrician's License No ........ ~u~],o,J'~ ............................ Other Trede's License No ................................................... 1. Location of land on which proposed work will be done. Map No ........... ..~..a..r...b..°...r....L..~J~.~..~....Lot No. ~' Street and Number .....,....Jl[~J~...m~..~iZ'...~,....Al:t(tj3,0~..~.~_~_~ ........... ~g.~J:tCtl rl .................................................... Municipality 2.State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....J~all] '14 nc, ..... · b. Intended use and occupancy ...........,sa~e...wl~b...p=l,z~t,e...sv~ ~m!~..pc~o/. .......... ' ................................... 3. Nature of work (cheek which applicable): New Building ....................... Addition ..................... Alteration .......... ; .... Repair ......................... Removal ................. Demolition ........................ Other Work ,,.,~..o.p.~, ...................... (Description) L~' 000 + Fee ....... ~ ~.,.Q.Q. .............................................................................. 4. Estimated Cost ....................... · ............ w. ........ (to be paid on filing this application) 5. If dwelling, number of dwelling units ......0. .......... Number of dwelling units on each 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 structures, if any: Front .....................Rear ........................... Depth ................................... Height ........................................................... Number of Stories ............................................................................. Dimensions dY same structure with alterations or additions: Front .......................... Rear ......................................... Depth .......................... ... .. .... .... ...... Height ......................................... Number of Stories ........................................ 8. Dimensions of entire new construction: Front ........... ;,~ ......... Rear ....... -1~ ................ Depth .....~ ....................... Height ................................................. Number of Stories...... .......................................................... ....... ............ ...... 9. Size of lot: Front ............... , ...................... Rear .......................................... Depth .................................................. 10. Date of Purchase ..................................... Name of Former Owner ............................................................................ ~i 1. Zone or ,,se district in which premises are s~tuated ...... ~.....~,~,A~ ............................................................... . '12. Does proposed construction violate any zoning law, ordinance or regulation: ....... 31o. ............................................... 13. Will lot be regraded ..... ~r~,~ .................. Will excess fill be mmoved from premises: [X] Yes [ ] No 14. Name of Owner of premises 'Tames & .Toan Davis (Address) (Phone No.) Name of Architect ...; ............................................ (Address) (Phone No.) . Name of Contractor ......O;~le~lL..t~lz:tg.,&..cap.~l~z%ta:l;l~ .......... ; ........................................................... (AddreSS) (Phone No.) PLOT DIAGRAM Locate clee4~/an~ distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from' property lines. Give~stre~ and block numbe.r or deacription according to deed, and show street names and indicate wheth- er interior or cornellot.I ' // STATE OF NEW YORK ) ,,~ COUNTY OF ............... ~.~.~ ~.O11c ................... ) .............................. ~.O]D~,Z'.~..~.O.11g].~S,~ ................................... being duly sworn, deposes and says that he is the applicant above named. (Name of individual signing contract) He is the ................................................... .O...q.~..~.~.~..~.~.O..~'. .................................................................................................................................. ..' (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly ,a~orized to perform or have performed the said work and to make and file this application; that all statements contained in this applica.t, idn are true to the best of hi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ...........................