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Home My WebLink About11834-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15200 Date January 14~ 1987 THIS CERTIFIES that the building ....I?.qo..1 ........................................ Location of Pro-ert ' 20 15 COX LANE CUTCHOGUE House No. Street Ham/et County Tax Map No. 1000 Section 096 ·Block 3 . .Lot 007. 002 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated July 20, 1982 ..................... , ~.. pursuant to which Building Permit No... 1 J i~.3.4. ~ ............ dated . .~.u..g.u.s.[..2 .,.. [ 9. .8 .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 ......... 16X32 Inground pool *~ith /4' fence to code. The certificate is issued to . .J.A.~ .~ .S..D.:. 5..E.I..1e.E.~.~ . .~I....R.~ .A.C.H.E. ......................... (owner, ~.~,t~Kl~Ea~t,~ of the aforesaid building. Suffolk County Department of Health Approval .... lq / ,A UNDERWRITERS CERTIFICATE NO.. tJ 572333 PLUMBERS CERTIFICATION DATED: N/A ·/ ~"//' 'B~ii~i~g Inspecto; ............. Rev. 1/81 pen ~issior~ is hereby granted to._L~_~ BUILDIN~ BUILI~IHG~ (THIS PERMIT MUST BE KEPT ON ~H,E PRE?IS COMPL~ION OF THE WORK AO~0RiZE~ ~ to; of p~'emise~ located C6u~ty TdX Map No. 1000 SectiOn p~ir~Uant t0 ~ppllc~tion d~t~d Rev.~ 6/30/80 ., '· ~pproved by the FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ~ 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 natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercia~ buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requii'ements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~toperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Upda%ed C.O. $15.00 New C on s tru c t i on ...... Old or Pre-existing Building $15.00 Date .......................... ............ Vacant Land ............. House No, x , Street /~ Hamlet Owner or Owners of Property....~...~ .-~.../~..~..~..~J.~.~--~ ................. County Tax Map No. 1000 Section ............ Block ............... Lot ............. Permit No ................... Applicant., ,<:~,~ ,4~,. ,~, ;. ,/. ,(~, ,~,, ,~,..~-~,,... Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and peri'meets al~a~plic~e co~s:and regulations. Applican . ~ . ..................... Rev. 10-10-78 THE NEW YORK BOARD :OF FI~RE UNDI!RWRITERS BUREAU OF ELECTRIC~IT~ A~[~'~ 101 l~ 85 JOHN STREET, NEW ~ORK, NEW ~OR~ ~3~ ~,~ ~...~..o.~o.o,,~.. N 572333 THIS CERTIFIES THAT only the electrical equ~oment as described below and tnt~duc~ by.t~ aooBca~tAa~d on the ob~ application number in the premises of in the following locatlon; [] Basement [] 1st FI. w.~e~a,nlnedo. Augl~t 5~ 1982 FIXTURE OUTLETS EECEPTACLES [] 2nd FI. Section Block and found to be in compllaoce with the requirements of this Board. FIXTURES RANGES ' OVENS EXHAUST FANS SWITCHES INCANDESCENT FLUORESCENT 2 1 Lot DRYERS SYSTEMS NO, OF FEET E OTHER APPARATUS: 1-G.F, I. E R C OF HI-LEG NO, OF NEUTRAF, AWO. OF NEUTRAL (6WJ~t~g Pcol) This certificate covers compliance a~ ~he date Of inspec%lon only, ~use of unusual environments ±~ is advtsabl~ ~o ~ve fr~quen~ test and/or re. rs ~de by a q~lifi~ ~n. Th~s certificate must not be altered in any manner; return to the office of the Board 'if ~nco' rect Inspectors may be dent * by the r credent a s FIELD INSPECTION-. COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE ~0~ / ADDITIONAL COMMENTS: 0 ,% 76S.1802 BUILDING DEPT. INSPECTION FOUNDAllON ZST [ ] ROUGH PUG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ *]'~FINAL ,REMARKS: 70S.18~2 BUILDING DEPT. INSPECTI'ON FOUNDATION 1ST [ ] ROUGH P~BG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS, ~//~ Cs ~ DATE [ ] FINAL INSPECTOR P~£ CAST COPING 0 ,--- SKIMMERS VINYL LINE ~1~ _- _FILTER .- sEE 'T'%;C~: ..... ~_~. s,<,.,:~-',~ " / ' ~ ~ TO RETURN~ SECTION B-B / / MOULDED L[.,I.E C £ ~'n, LKS TO RE SMOOTH- NON SKID TYPE, L ,,WAy FROM POOL S OPED ~ WATER DISPOSAL SHALL B£ LIMITED TO ' P~O__PER_T__y .TO SU!T LOCAL R£GULATiON$OWNERS / ROLLED FOAM BET'WEEN LINER, ond'BLOC BOND" VinYL ST CO~ THICK TROWELED OF CONCRETE POURED FOOTtNG '' OPTIONAL STEP ''" SECTIOI Application No. ,('..~'~:~..~'.... ............ Dilraved a/c~...~: .................. ~ ........................................ - ' (Building Inspector) APPLICATION FOR BUILDING PIF, MIT INSTRUCTIONS a. This application must be completely filled in by t'Roewriter ac in ink and submitted in triplicate to the Building Inspecter, with 3 set, of plans, accurate plot plan to ~cale. Fee acaseding to ~chedule. b. Plot plan shOWing location of. lot and of building~ on premises, relationshipto adlom,ng' ' ' premmes' or public streets or areas, and giving a detailed description 6f layout ofprppet~ must be drawn on the diagram which is part of this application. c. The work covered by this applicGtion may not be commenced before issuance Qf Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pem~it 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 pu~c~se whatever until a Cer~lflcute of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bui dina Deoartment for the i~uance nf n B ................ Building Permit pursuant 'to the _udd;n.g. Zon,e Or.dmance of t..he Town of Southold, ~uuff~lk County, New York, and other applicable Laws, Ordinances or Kegu ar,ons, tar the construct on of bu,Mlngs, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laWS, ordinances, building code, housing co(~#rand r~B~ntiaris, C~ to admit authorized inspectors on premises and in bullding~ for necessary Inspections. SuLB Kin~ Pools (Signature of applicant, or name, lf~a corporation) ~.:.e. 25A Rocky Po£nl:, NY 11778 (Address of applicant) State whether applicant is owner, lessee, agent, amhitect, engineer, general contractor, electrician, plumber or builder. .......................................................... ........................... Name of owner of -remise- James & Etleen Roache · " ~ .................................................................... ;'~OVAt' ...... If aPPlicant is a corporate, signature of duly authorized officer. 1 "EP,~': J~cC..,~ ~XCESS FILL FROM ABOVE PRFr. J~ISES (Name and title of corporate officer) Builder's License No ..........6~, ...................................... Plumber's License No ..... ,N~A .................................... Electrician's License No. $1. O-Ei Other Trade's License No ...... ~/.A ................................. Subdivision ]. Location of land on which proposed work will be done. Map No.: ........................................ Lot No ......................... Street and Number~..°.../..~....C..o...~...I~....n.e Cut:choitue, ~ Munldpality . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .................... ,Re. iideQ~e ....................................................................................... b. Intended use and occupancy ~6~..~.2. T shaped inKround swimming pool wit;h /~' fence I:o code. County Tax Map No. Dist. 1000 Section 0 qU Block 0 3 Lot 00'~.00.~. 3. Nature of work (check whirl, applicable): New Building.. ................. Addition ....... t~ ......Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................. .... (Description) 4. Estimated Cost ,580.O.,.00 .... ................... (to be paid on filing this application) 5. If dwelling, number of dwell'lng units ............................ Number of dwelling units on each floor ............................ If garage, number of cars 6. If business, commercial or lmixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensiogs of existing structgres, 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 .................................... Rear ............................ Depth ........................ Height .................... Numbe~ of Stories ...................................................................................................................... 9. Size of lot: Front : Rear .......................................... Depth 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which, premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............... ?lO ..................................... 13, Will lot be regroded ..........ye.~ ........... Will excess fill be removed from premises: (X) Yes ( ) No Cox La. Cutch~,, 734-6888 14. Name of Owner of premises ....J..a...m..e...s...~.a...c:..h..e.. .................... Address ................................ ,none No ....................... Nome of Architect ........ ~,..LA.. ............................................ Address ...~..~.~'..C~..-...~ ............ Phone No.....'~.~..-~.'~ .......... Nome of Contractor ~..~.~.IB, ~:Lny~ Pools . -~. RI::. 25A Rocky 744-8100 t~aaress ................................ Phone No. PLOT DIAGRAM Po£~t Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and bl'ock number or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED SURVEY STATE OF NEW YORK, COUNTY OF ....... S~£f~lk ........ S.S Michele smith ................................................................................................. being duly sworn, deposes and soys that he is the applicon (Name of individual signing contract) above named, He is the ...................................... i .................... ~g~,~.l; .......................................................................................................... ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and' to make and file this application; that al~ statements contained in this application ore true to the best of his knowledge and belief; and thor the Work will be p,~forn~,in ;the manner set forth in the application filed therewith. · ...... ...."'' ................... _w__ ..... ..'~.. ' '/ / (~inature of applicant)