HomeMy WebLinkAbout8508-z TOWN OF SOUTHOLD
BUILDING DEP~TMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26501
Date= 06/14/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: PRIVATE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 12 Block 2 Lot 5.3
Subdivision
Filed Map No. __ Lot No.
FISHERS ISLAND
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 1976 pursuant to which
Building Permit No. 8508-Z dated APRIL 19, 1976
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 DECK & FENCE TO CODE AS
AppT.TRD FOR.
The certificate is issued to JANSEN NOYES, JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 06/02/99
PLUMBERS CERTIFICATION DATED N/A
Building ~nspector
Rev. 1/81
FO~M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
85O8 Z
Date ....................... d~J).~;[],.....] 9. .......... , 197.6 ....
Permission is hereby granted to:
~.,LA ~g~er...g.~..I~c.....~.O...Jar~en..~.~Te s Jr
..... ~.~.....~.a~t ..~o~A .........................................
....... ~anle~...O.~am .............................................
to ...~MJ. 1CL.. ne ~... pr.i.va f,e.. awimm.ing., tma ol..wit h.. f~n~e.. ~.. Ac c~ s.~o r.~a ....................
at premises located at ....~.r~.l~at~..Raaa..E~...I.sahell~..Beach ...............................................
............................................... ~Fisher~..Is~Aancl .......... E.,¥., ...........................................................
pursuant to application dated ...................... ,Lpr:Li.....1.3 ............ , 19.?.6..., and approved by the
Building Inspector.
NO~8 ~ee4 underwriters certificate ~ hookup to pool & eqp
Fee $.~.,~ ...........
Form No. 6
TOWN OF SOUTI~LD
BUILDING DEP~/~TMENT
TOWN HALL
765-1802
APPLICATION FOR.CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildin§
inspector with the followin§: 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-conformin§ uses, or buildin§s 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.
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 tD accessory building $25.00.' Businesses $50.00.
2. Certificate of Occupancy on Pre-existinK Buildin~ - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary ~ertiftcate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or Pre-existing Building ..... i .......... surrounding deck..~.:
Location of Property ........... .R.%g~ R~.~ .9~A .~.9~. ~99~ ........ ~pp.S..~ ......
House No. Street H~mlet
Onwer or Owners of Property...~p.~9~,..~; ...........................................
iCounty Tax Map No 1000, Section .... i% ....... Block .... ~ ........... Lot .... P:~ ...............
Subdivision .................................. ~.Filed Map ............ Lot ......................
Permit No.. ~P~.~ ........ Date Of Permit.. ~/~%~ 7 ~ ...... Applicant ~.q~ ~qy~..~ ..........
Health Dept. Approval.' ......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate .......... Final Certicate. X
Submitted: $ 25.00 .
THE NEW YORK BOARD OF FI!RE UNDERWRITERS
%~)~91..~ BUREAU OF E:LECTRICIT¥
~-" 40 FULTON STREET, NEW YORK,i NY 10038
Date JU[~ 30,.!999 AppticationNo. onftle 1B3~4899/99 N 493q)66
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the appticatti named on the above application number is tn the premises of
Jb~NSEN i~'IOGES ,7H, , 2 WILD~RNE~$ DRIVE, FISHieR ISIJLND, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot
was examined on JUNE ~2, %999
FIXTURE RECEPTACLES
OUTLETS SWITCHES
and found to be in compliance with the National Electrical Code.
RANGES
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
AMT K.W. OIL H.P. GAS H.P. AMT. NO A.W. G
SERVICE DISCONNECT I NO. o~I ~
SPECIAL REC'PT.
AMT. AMP. i
R
TIME O£OCKS BELL IUNITNEATERS MULTI-OUTLET
jAMT. i X,P SYSTEMS
~MT. AMPS. TRANS. NO. OF FEET
V I C
EXHAUST FANS
AMT. H P
DIMMERS
AMY WATTS
AWG.
NO. OF NEUTRALS OF NEUTRAL
SWI.~{ING POOL-<[
~NO VISUAL DEFECTS: "3n electrical.
survey ha~: been made of the exposed
electrical equipl~ent in the
unsatJsfactorV eonditfion was found.
WALL IK)BDRT E, LIC.#2455-
ALPINk: AVE
This ce~ifico~e musl no~ ~e oliemd in on~mon~e~; relum ~o *he office
. COPY FOR BUILDING THIS ~COPY O~
GENERAL UANAGER
r be identified by their credentials.
ANY MANNER.
E. L.. WAGNER CO., INC.
TEL.: 203-354-2274
BOX 389 ROUTE 7
NEW MILFORD, CONN. 06776
TRANSMITTAL
~o, ~,.,~_~,,~ i,,,~.r~, ~A~, 41/~/~
We are sending you the following~ as noted hereunder.
No. of Copies Dwi. No.
Sent: ~/ Herewith For:
Separate Cover
By Bearer
Copy to:
Your files
Approval or cormments
~/~'Per Request
Fabrication
Very truly yours,
E. L. WAGNER CO., INC.
~0/1999 11:81 516-7885519
ROBERT 5 WALL
BUILDING DEPT.
INSPECTION
FOUNOATION 3,ST [ ] ROUGH pI. BG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [,,.~NAL
Ri. MARKSI t,~ /j,, /.. ~L .c:L
!
IrOJU~ NO. 1
TOWN OF SOUTHOLD
BUILDING DI~pART/VlENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥o
Application No ................
APPLICATION FOR BUILDING PERMIT
Date.. ...... · *.~.. ~./..X/. ...................... , 19~.f~: .....
INSTRUCTIONS
a. This application must be completely filled in by typewriter o~' in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application.
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 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 hove 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 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 buildings for necessary inspections.
(,~ddress of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If appJi~zant is a corporate, signature of duly authorized officer.
.......
........ ~'~'"'"il~me a~'c~t~f corporate officer) ....
Builder's License No ...... .~...~..'(~..Z...~...T~:..~z...~ .................
Plumber's License No .................................................
Electrician's License No .............................................
Other Trade's License No ...............................................
Location of land on which prop,o~ed work will be~done. Map No.: ...~..~._~.5....~c~...~ ..... Lot No .........................
Strebt and Number ,..~.~.~..C!...~ ...... .~.~.......~..f~.~,,~.e..,,:=~......~..~..,.~,.¢...~.... ......... . .~..~../...~ ..................................
Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o. Exisiting use and occupancy ..... .~...~.~/~.~.~..,..~..J~.~,.J.~ .....................................................................
// /
3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ...............
Repair .................. Removal .................. Demolitior ..................... Other Work .~..~../~//./~.l/~.~..,..~.~./~ ....
(Description)
4. Estimated ~//I ¢0(~0 . .......................... ~...~.Z.~ ........................................................................
Cost ........ z' ........................ Fee
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............................ 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 of same structure with alterations or additions: Front ....................................Rear ............................
Depth ................................ Height ............................ Number of Stories ................................
8. Dimensions of entire new construction: Front ....~...~,)...~..~,/Z....~..~t.)~. Rear ............................ Depth ........................
Height .................... Number of Stories ......................................................................................................................
9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
1 1. Zone or use district in which premises ore situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................
13. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises .................................................... Address ................................ Phone No .......................
Name of Architect .............................................................. Address ................................ Phone No .......................
Nome of Contractor .~,g,,,,...~.~.~./h/.l~,.~........~...x...J. hlf~... Address _~.~...~/...~.~'.~.'Z'..../.~..D, Phone No. ~.:.~...~...~./.
PLOT DIAGRAM D~-'/¢/ ~,
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set*back dimensions from
proporty lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, [ ¢ c
COUNTY OF ................................ ~'~
................. .~...~..4..~.......('..:...~..'..~...c../..x~....~...~...y....~(..---.~...~ beinc~ duly sworn, deposes and soys that he is the applican~
(Name of individual signinglcontmcf)
above
named.
He is the ....... ~-, ............................................................................................................................................
(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 fo~h fn the application filed therewith.
Sworn to before me this ~ '
........................ ............................................ ........
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