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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 ~ ' ........................ ............................................ ........ / / J