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HomeMy WebLinkAbout11604-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 7-, ~ I 6b~. Date ...... l~Iax { I 1953 THIS CERTIFIES that the building A¢oossary Location of Property 3695 Pine Neck Road Southold 070 06 025 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 29 198.~. pursuant to which Building Permit No...q.~}.6©~-7~ ............ dated Narch 34 198.2 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 ......... Per a~l in,round Pool Rudolph & Anm Bruer ...................... The certificate is issued to .............. [o~n'e'r, '/~s'~e or tenant) of the aforesaid building. Suffolk County Department of Health Approval ....N./.A. ................................... UNDERWRITERS CERTIFICATE NO. ·.......Iq56q0.~.} ............................. ......... Building Inspector Rev. 1/81 P~rmis~ion~! i~ hereby ~ranted to: ~ F OWN 0 iS BUILDING DEP~R~ME,Hi' TOWN HALL SOUTHOLD, H~Y. BUILDING I~ERM T, ~ (TH S PERM T MUST BE KEPT QN'TH,E P~E~,IS~S UNTIL F LL COMPLETION OF THE WORK' AUTHC~RIZED); I~ !i ~ ~ at p~emises CbS To Map No. 1000 Section !.. p~i(s~ant t~: application dated ?pproved by the FORM NO, 6 TOWN OF SOUTHOLD 8u~ding Deparzment Town Hall Southold, j'~.Y. 11571 APPLICATION FOR C2RTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and subn~[tted in duplicate to the' Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ' natur31 or tooograDhic features. 2. Final approval of Health Deo~. of water supp y and sewerage disoosal-(S.9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industr al buildings, Mu t pie Residences and similar buifdi,ng~ and instal a- tlons, a certificate of Code compliance from the Architect or EngJneBr responsible for the building. 5. Submit Planning Board approval of compieted site plan requirements where applicable. For existing buildings (prior to b~pril 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 7o Accurate survey of peoperty showing all property lines, streets, buildings and ~nusual natural or topographic features. 2. Sworn statement of owner or previous owner as to usa, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. / , Fees: 1. Certificate of occupancy $5.00 2. Certificate o¢ occupancy on pre-existing dwelllng or land use $5.00 3. Copy of certificate of occupancy $1.00 Pool Date ..May.lO, 1983 , .. ~litc~ik~ y. Old or Pre existing Building(X) ............ ZVacant Land Location of Property .... ~,]3.e..~qck Road, Southold, N~ York Hou~ No. $rresr ..... Hamie~ 0 0 ofPrope ty Rudolph & ~ip~a ~ ~q~ ' wrier or wners r . H. co ooos c o ' un ax Map n .... Block ...................... Lot ................ Subdivision F[l~d Map No ' Lot No ( . _:.. ..... .............. Health De~t Approval ....................... Labor Dept. Approval ...................... ,.. ..... Planning Board Approval .................. Request for Temporary Certificate · ..................... F[na~ Certificate ..... $.; ......... Fee Submitted S.. 5,.qq ...................... Re~, 10,10.78 .... ~ .:. '. . · THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICIT~ ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003~ "atelelay lZ, 1982 ~.ptlcatlo,, No. o,~fle 165438"82 N 5 6 ~L 0 7 3 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the eb°~e application number in the premises of I~dolph Bruer, Priwate t1~., off P:lx~e Neck P.d., Sou~hold, N.Y. in the following location; [] Basement [] 1st FI. was e~a,,,i,,od o,, May 6, 1982 FIXTURE FIXTURES OUTLETS SWITCHES i [] 2nd FI. O~tSJ. d~ Section Block Lot and found to be in cotnplian~e wltb the r~quirernents of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT MULTI-OUTLR1 SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C E OF CC, COND PER ~ff OF CC. COND A. W. G NO OF NEUTRALS A. W, G OF HI-LEG (~w~ Pool) 'ibis cer=~fmcace covers coaplia~_'e aC r~e dace of ~nSpec[ion only. f~.au~e o£ unusual e~v~xamlen~s i~ is ~le co ~ve fr~ t~ ~/or re~s G & S Electric, Box 215, Souchold, N.Y. 11971 Itc,S78E THIS OF FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL DATE COMMENTS ADDITIONAL COMMENTS: U N HP~ I-T~D ET CC.P ~---F'ROM~SKIMMERS / SEE TYP~CAL '~ ""~WALL SECTION FI.TERon: PUMP .~. p FROM F~ L~R IPING ARRANGEMENT COnCRETE ' 2'- 4' SAND BOTTOM SECTION B-B r2 4 4 $ 2 ,~ 36 E 36 '2 8 [2 4 4 ~.'S 2 ? ~'JO OPTIONAL STEP TYPF_. I. 6 'fL TY PIC'A L Y.'A LL SECTION STEPS OPTIONAL STEP TYPE 8. ~tJ~ 'N~ FORM NO. I TOW~ OF $OUTHOLD BUILDING DEPARTMENT TOWN C:LERK'$ OFFIGE SOUTHOLD, N. Y. ~]s~ro~eO ~/c ..................... .:~X...~ ........................................................... APPLIGATION FOR BUILDING PERMIT Date ..~..~..r.c..h. 29 lo 82 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 Iot and of buildings on premises, relationship to adjoining premises or public streets m 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 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 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. Swim King Pools (Signature of applicant, or name, if a corporation) Rte 25Aa Rok.k. ff Pointa NY (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bl~ilder. ........................................................... 6gent; ................. . .................... Name of owner, of premises Rudolph & Ann Bruer If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No, ~1 Plumber's License No. NJA Electrician's License No ........... .]:..!.0....~.~ ...................... Other Zrade's License No ..............N.../..A.. .......................... S u b d i v i s i o n 1. Location of land on which proposed work will be done. Map No.: ........... ~. .......................... Lot No ..... ~. ................. Street and Number Pine Neck Rd., Southold, NY ~ ~g'~-- Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Residence b. Intended use and occupancy 16x.3..2 T ingroun.d., swimming p. ool, with 4~ ..fence .~..o. ... code. County Tax Map No. Dist. 1000 Section ~)~C) Block O~ Lot 3. Nature of work (check which applicable): New Building'. ................. Addition ...... X. ......... Alteration ................. Repair Removal ~ Demolition .................... Other Work .... ~ (Description) 4. Estimated Cost ................................. , ......................... tee ~ ...... ,~. ....................................................................... ~ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling unit~ ............................ Number of dwelling units on each floor ............................ If garage, number of cars .................. t .......................................................................................................................... 6. If business, commercial or mixed c~ccupancy, specify nature and extent of egch type of use ............................ 7. Dimensions of existing struct6res, if a~y: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Si'aries ................................................................................................................. Dimensions of some structure with a terotions or additions: Front ....................................Rear ............................ Depth ................................ Height 'i .... Number of Stories ................................ 8. Dimensions of entire new co'nstructioh: Front .................................... Rear ............................ Depth ........................ , Height .................... Numb6r of Sto~ies ...................................................................................................................... 9. Size of lot: Front ...............~ ............. ~ .......................... Rear .......................................... Depth ................................ 10. Date of Purchase ................ . ............. i .......................... Name of Former Owner ........................................................ 11. Zone or use district in whichl premise! are situated ..................................................................................................... 12. Does proposed construction '~iolate ar~y zoning law, ordinance or regulation: ......... P.g. .......................................... 13. Will lot be regroded. ............ ,y. es ....... i Will excess fill be removed from premises: ~( ) Yes ( ) No 14. Name of Owner of premises ...,Br. ue.r.,t .................................. Address ~...]~.~.9..k....~.d..:.. Phone No ....................... Name of Architect N/~ i .................... ........................... ~ .................................. Address ................................ Phone No ....................... PLOT DIAGRAM Rocky Point Locate clearly and dmt~ncHy qll budd gs, whether exmtmg or proposed, and indicate afl set-bqck dimensions from property lines. Give street and block nur~ber or description bccording to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED SURVEY STATE OF NEW YORK, COLINTY OF ......... Suf£.ol.k......:F ' Mzchele A. Smzth bein ......................................................................... g duly sworn, deposes and seys that he is the applicant (Name of individual signing co.~tract0 above named. He is the ...................................... i ............. ' (Co of said owner or owners, and is d~ly auth tractor, agent, corporate officer, etc.) trized to perform or have performed the said work and to make and file this application; that all statements canto ~ed in this application are true to the best of his knowledge and belief; and thor the work will be performed in .:the man bet set forth in the application filed therewith. ' Sworn tq before me this .... ...... of ...... ......... "ote~ Public,. .......... ~U~ ............ ] ....... Coun~ ..~~...~- .:.~ ....................... pET~.,~ ] / / .~gna~f applicant) ~ No. ~2~12312 L // , Qualified In (516) 751-7900 Aa a rem~lt of your ~ o2ncerrOJ~ tho ~ Thor~fore, purs~mt to Part 661, ~ l~g~el~ of the. Stato of Attila 25 ('lq..dal. ,~r_.land~) of. the