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Home My WebLink About12753-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NO. Z14958 Date October 6, ................... ]9.~6 THIS CERTIFIES that the building .... Inground Swimming pool Location of Property 320 Broadwaters Ro[ad Cutchogue, N.Y House No. Streer Hamlet County Tax Map No. 1000 Section . .1.0..~ ....... Block ...1. 0. .......... Lot...0. 0..6 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Q c..t p.b.e, r:..1.2. ,. ......... 19 .8.3. pursuant to which Building Permit No. 1 2 7 53 Z dated .. ~ .N.o.v.e.m..b.e.~.. 2. .0., ........... 19 .8.3. , 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 ......... Inground Swimming Pool The certificate is issued to Barbara Kunen ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... N/. g .............................. N643. 780. UNDERWRITERS CERTIFICATE NO ................................................ Rev. 1/81 ~OR~ NO. ~ 'rOWN 0]: $OU?HOI.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, ~t. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ ...~.~.~ ........ ~.~.~ ............ ~~x...~..~. ..................... ......................... ~..~.~.~..,...~...~.....1.1....2:?.~i ~o ...~~..~.....~....~-~ ....... t~.~ ...... ~....~.~ ............. ~~ .......... ~ ~~..~:.~ ..................................................................................................... ................. W~ ......... W ...... ot premises f~ote8 ot .................... t ......................... ~' .... ...... ~.~....~.~.~_~.~.~.~~...~.~g~ ................... coo~ ~ ~op ~o. ~ooo s~,o~ ....L~..~ ......... ~ ...... ~...~ .......... ~o~ ~o....~..~ ......... Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted 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 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. Commercial 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 requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing~!_ land uses: 1. Accurate survey of peoperty 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. Fees: ~ 1. Certificate of occupancy ( ~ / 2. Certificate of, occupancy on p~e-e~sting~li, ng 3. Copy of certificate of occupancy ($1,00) -- land use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ..................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . :~. ~?.... '.~..p~. ?..b ?. ]~.~ ...... . ...... . ye-, to. .. House No. Street Hamlet Owner or Owners of Property .. ~, .r~6, .(~.. ,~, · · I,~.~, ,id. ;E,~, .................................... County Tax Map No. 1000 Section ............... Block ............... Lot../?, ,~. ......... Subdivision .~ ,~. ,b~., .C!~?, ,~.~, ,~, ~, .. ....... Filed Map' No. /,' ,~. ~ .....Lot No .............. Permit No. ~,g.-.~'.~. 7! ,~a~e of Permit ~,'..~,~ .~'~...Applicant .~/~,, ,i~J~, )f,o,~,~, ,~, .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval....'~./. J.~/.~.L~ ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Subm itted $ ..... ~"~,.0. ~ .................. C°nstructi°n °n ab°ye described bu ilding and~ per 'mit meets~'l' ~plcable c°des and regu lati°ns'~ Oj~.}~ Applicant .................................................... Rev. 10-10-78 FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL NEW YORK STATE DEPARTMENT OF ENVIRONMENTAl. CONSERVATION PERMIT 'PERMIT NC}. lO UNDER THE ENVIRONMENTAL CONSERVAI'ION LAW ARTICLE 15, (P~otection of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwaler Wetlands) [] ARTICLF 36, (Construction in Flood tlazard Areas) B_ a r_~b~a~Ku~n e~n~ BPoadwaters Road~ Southold, N~ 11935 _OCAHON OF PROJECt (Section of slream, hdal wetland, dam, building) Broadwater Cove on 'the north side of Broadwaters Road )[SCRIP'fJON OF pROJECT f~l~_~_t_~_.~ pl~g~,d~_gg ap~g~e~l, and area. The 145' south of the tidal wetlands of Broadwaters Cove. 'DMMUN~IY NAM[ (Ci~y, low~, Vd~age) FLOWN Nassau Point j. Southold GENERAL 1. The permUfee shall file in lhe office of the appropriale Regional omplly in writing of the completion of the work. 2. 1he permilled work shall be subjec! to inspection by an der lhe work suspended if lhe pubhc interest so requires. 3. As a comhtiorl of the issuance of Ih~s permit, lhe applicanl has · pled expressly, by the execution of the application, the full legal respon- e~ ~,ulle~ed, arising out of the proiect described herein and has agreed lo ~sts oF every name and descripJion resulting from the said project, 4. Any material dredged iff the prosecution of Ibe work herein permitted Jail be ~emoved evenly, without leaving large refuse piles~ ridges across ,d of ~he walerway or flood plaul or deep holes that may have a lende~lcy to 5. Any material to be deposited or dumped under this permit, either in e waterway or on shore above hi,h-water mark, shaU be deposited or dumped the [ocality shown on the drawing hereto attad~ed, and, U so ~escribed ereon, within or behind a go~ and substantial bulkhead or bulkheads, sud~ . wdl prewnt escape of the material into the waterway. o~k herein ~ulhorized. 7. That if future operation~ by the State of New York require an alteration ,stru~iion ~o the fcee navigation of said waters or flo~ Howe.or endange~ e health, safety or welfare of the ~ople of the State, or loss or destruction Hie natural resources of lhe State, the owner may be ordered by the Depart- this permit, Ihe structure, fill, excavation, or other m~ification of the ~tercourse hereby authorized shall not be completed, the owners shall, md~tion the navigable and flood capacity of the watercourse. No claim shall CONDli'IONS g. thai the State of New York shall in no ~ase be liable for any dama§e or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the Slate for the (onservatlon'or 9. that if the dmplay of Fights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be pre- free from flooding. s.~0-4 SUPPLLX'~NTARY SPECIAL CONDITIOI]S The following conditions apply to all pemnits: If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address and telephone noted below. A c_~p¥ o~ this 2ermit or a_RRroval and arm ponditi__gns shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit or a copy of approval letter shall be protected from the weather and posted in a conspicious location at the work site until completion of authorized work, At least 48 hours prior to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying tl]at he is fully aware of and understands all provisions and conditions of this permit, uithin one week of completion of the permitted work the bottom portion of that form shall also be completed and returned. For projects involving activities to be accomplished over a period or more than one year~ the permittee shall notify the Regional Permit Administrator in writing at least 48 hours to the commencement of resumption of work each year. If project design modifications take piace after pe~ait iesuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications° The permittee is advised that substantial modification nmy require submiss- ion of a new application for permit. Ail necessary precautions shall be taken to preclude contamination of any wetlands or watcrwoy by snspended solids, sediment, fuels, solvents, lubricants, epoxy coating~ paints~ concrete, leachate or any other environmentally deleterious materials associated with the project work° Any failure to comply precisely with all of the terms and conditions of this permit~ unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. The permittee is advised to obtain any permits or approvals that may be required from the U.S. Departs%ant of Army Corps of Engineers~ ~ew York District, 26 Federal Plaza, ~ew York NY 10007, (Attention Regulatory Functions Branch)~ prior to commencing work authorized herein. The granting of this permit does not relieve the permittee of the responsib- ility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services~ Tower Building, Empire. State Plaza, Albany, ~f 12242~ which may be required for any encroachment upon State-owned lands under water~ DEC # i0-83-~300 Regional Permit Administrator NYS Department of Eavironmental Cons. Bldg. 40, SUNY--Room 219 Stony Brook~ NY 11~94 (516) 751-7900 i 7GS..'I ~2 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS 76S-~,M2 BUILDING DEPT. INSPECTION --- FOUNDATION ~.ST [ ] ROUGH PLBG. FOUNDATION ZND £ 'I INSULATION FRAMING [ '1 FINAL / ~ / / J zooo?3~ THE ns O. te May lOt THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ ' ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 '~ : ~ ,~,,,,fic.tio, No.o.f,,e ~es~3:~-s4 N 643780 only the e~ctrical equipment as described belotv and introduced by the applicant named on the abo~e application number in the premi~e~ of Barbara Kunen, Broadwaters Rd, East Cutchogue, N.Y. in the following location; [] Basement [] l,t FI. [] 2nd FI. Out side s~tion Block Lot was examined on May 7 , 198 4 and found to be in compliance with the requirements of this ~oard. FIXTURE FIXTURES RANGES ~OOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT yAPOe DRYERS FURNACE MOTORS FUTURE APPLIANCE F~EDERS TIME CLOCKS UNIT HEATERS MULTt-OUTLET DIMMERS SYSTEMS HC). OF FEET SERVICE DISCONNECT S E R OF CC. COND. C OTHER APPARATUS: 1-G.F.I. ( SWiggING POOL) oL~ly. Because of unusual environments it is advisable to have and/or repairs made by a qualified person. This certificate covers compliance at the da%e of inspection frequent te~ Raynor Elect. ~~ 11 Burleigh Dr. ~m~m~~A~/r'~' ,~ olbrook, LlC.:/"::/? Per 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 credent*als. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 kpproved ~. ~..~...~+....~'. P.., 19~-~. Permit No. I .~..D..,..~..~..:~,. Application No .................. )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .../.q/~>. ........... 19~g. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building :nspector, 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 premis~, relationship to adjoining premises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 ;hall 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 ;hall 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 3uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, bui~l$ code, housi~jllg-c~de, and regulations, and to zdmit author/zed inspectors on premises and in buildings for necessary insl~ect.)on~O',('~ J (Signature of applicant, or name, if a corporation) (Mailing address of applicant) owner, lessee,~ architect, engineer, general contractor, electrician, plumber or builder. gtate whether applicant (as on the tax roll or'latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........... ~..~.-.t?.~).. [ .~..q.... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land ~n whi,ch proposed work will be done .................................................. .a. ......... ................. .............. House Number Street Hamlet County Tax Map No. 1000 Section .... I..~q .... Block ...... ! ~. ......... Lot ...... S' b~vision~°'~°'~"~'t'~ ~ ~"~" [ ~. ....... Lot. h. ........ .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy <~ [~ . ..................................................... b. Intended use and occupancy . '~'"v'~"""¢'5' ' ~.o~.:_: ............................................. = 3. Nature of work (check which applicable): New Building . l.,. Addition ......... Alteration .'. ~ ' Repair .............. Removal .... ' .......... Demorition .............. ~ther Work ..... i ~ _~ ,- (Description) L Estimated Cost ........... . .................... Fee . .' ................ -~ ......... (to be paid on t'fling this application) ~. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ L If business, commerciai or mixed occupancy, specify nature and extent of each type of use ..................... ?. Dimensions of existing structures, if any: Front.. ~.~. 7. ....... Rear . .~.~. ........ Depth . ././~ ........... Height ............... Number of Stories .......................................... : ............. Dfinensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... t. Dimensions of entire new construction: Front.../.~ .......... Rear ..... /.~ ........ Depth ...g.~. .......... Height ............... .Number of Stories ....................................................... L Size of lot: Front ....... t.2:. ~ ............ Rear .... ?.~. ............... Depth ...~.~>~. .............. ). Date of Purchase ............................. Name of Former Owner ............................. [. Zone or use district in which premises are situated ..................................................... L Does proposed construction violate any zoning law, ordinance or regulation: ....~ ............ . .z~:~i~ ...... t. Will lot be regraded ...... [i .................... Will excess fill be removed from premises:~ No L Name of Owner of pt, emi~s .~.~4~ao4~ .~.~.~xJ ..... Address ~~f~i~..~-O~Phone No..: ............. Name of Architect /'~.~.c~..,~ ............. Address~-t~:/~..'~...,~, ¥,~. Phone No. o.?..~ffl.~ ........ Name of Contractor .~ v~Irt..~..ff'.~,-$. .......... Address ~.~.5'~., .-~, .-~.~,.,:'. Phone No.. [ .......... ; .. PLOT DIAG RAM' Locate cle~ly and distinctly all buildings, whether existing or proposed, and, indicate alt set-back dimensions from :operty lines. Give street and block number or description , deed, and show street names and indicate whether terior or corner lot. rATE OF NEW,~YORK. OUNTY OF....'"'~A f"~...~. I~,-.... S.S ................ .~.~t~, llfl.~ ~.~: t ~ being, duly sworn, deposes and says that he is the applicant (Name of individual signing contract) oove named. .e is the.. a x52XLO'~'x'~' 't'~e ~)'fiil~;;, 'e't~ ') ............................ (Contractor, . f said owner or owners, and is duly authorized to perform or. have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . ?f) da,,of /'//)~J ....... ~'rdJ t~' ........ x ...... ~. ...... ~ ...... ~ ~' :-./q'-'-~ .~ o,.~n~a ~. ~a~ c~ (Signature of applicant)