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HomeMy WebLinkAbout11302-zNo Z-22641 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date OCTOBER 5~ 1993 THIS CERTIFIES that the building. ACCESSORY Location of Property 1090 GOLD SPUR STREET CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1981 pursuant to which Building Permit No. 11302-Z dated JULY 28, 1981 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 & FENCE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEAL~{ APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES F. & CONSTANCE M. KING N-530993 - AUGUST l0w 1981 N/A Building Inspector Rev. 1/81 N°. FOEM 1~0, 2 ToW~ o~ S~T~O TOWN HALL SOUTH'OLD, N. ¥. BUILDING P, El~ ITi BE KEPT ON YHE PRE/~IS~S UNTIL EULL (THIS PERMIT MUST COMPLETION OF THE WORK AUTHORIZED) 11302 Z Date .:....i.~ ................. 19. Permission is hereby granted to: ' .... ,~.~..zz.x..2=..~..r~,~..:....~.,6.~ .............. //~__,~ ~o ....... .¢~.~.~. ...... ~.¢~.~......~.~~.~...~ ............... ....... ~ ................ ~~....~.....~.....~.&~.~....(~ .............. Cou~ Tax Mop No. 1000 Section ...~ ....... Bloc~ .~.~ [~': ....... Lot NO pursuant to application dated .......... ~, ................... , 19. , and approv~ by the Building I~spector. Rev. 6/30J80 ~ BLDG, D~PT. 'FOWN OF SOUTHOLD ....... APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Con~ercial 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-conforming uses, or buildings 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. C. 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 to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .. .IR .~ .............. N ~ ' · ..... Old Or're-existing Building..~.~...~.~..~ ew onstruct on ..... . O_ e, Location of Property ............. ~O~ ~.~~ ............... House No. Street Hamlet -~ Subdivision ........ F~Zed Hap ..... Lot ................. Health Dept. Approval .......................... UnderurSrers Approval ......................... Planning Board Approval ................... .... . Temporary Certificate ..... .. o. · . Final Certicate..~. ...... Request for: lOOO THE NEW YORK BOARD OF FIRE UNDERWRITERS [~ BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 .ate AU~Aat 10, 1981 133284 - 81 N 530993 THIS CE~IFIES THAT o~y the ~t~ ~u~ment ~ ~cd~ ~ ~ int~ ~ t~ ap~t ~ on t~ a~ ~pl~at~ ~um~r i~ t~ ~m~ of in the following l~ation; ~ ~ement ~ lst FL ~ 2nd FI. ~a~ - ~L S~ao. ~t~ ~t ~ ~.~d o. ~C 6, 19~ ~.d fo..d to be in compliance with the requirements of this B~rd. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 1 1 2 1 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDEES TIME CLOCKS UNIT HEATERS MULTi-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 1-G.F.I. NO, Of: CC. COND. pER .~ OF CC. COND. NO. OF HI-LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL (Sw~ng Pool) This certificate cov~-~ cc~p1 ~mce at ~ ~ of inspectio~ o~ly. Because of unusual env~-,--~ts it ia advisable to have frequent test and/or repn~re made by a qualified perm. Glean R. l~:adlay RFO 169 - Hm:t~t't Ave. MaCcAtuck, N.Y. 11952 lic. ~227 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY. OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FO~{M NO. 6 TOWN OF SOUTHOLD 8u itdJng Department Town Hall Southold, N.Y. 1197'I APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s apphcat~on must be filled In typewriter OR ink,, and submitted in duplicate to the Building inspec- tor w~th the following; for new Duddings or new use: 1, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2, Final approval of Heelth Dept. of water supply and sewerage disposa)-(S-9 form or equel). 3. Approval of electrical installation from Board of Fire Unde~riters. 4. Commermal bLHId~nfls, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Archdect or Engineer tesponsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For ex~st~ng buddings (pno~ to Aprlf 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate su~ey of peoperty showing all property lines, streets, buildings and unusual naturai or topographc feat res. 2 Sworn statement of owner or mev~ous owner as to use, occupancy and condition of build~ngs. 3. Date of any housing code or safety inspection of built rigs or premises, or other pertinent inf~rma- hen required to prepare a certificate, 1. Certificate of occupancy $5.00 2. Cort~hcate of occupancy Or1 pre existing dwe ng or land use 3. Copy of certH~cate of occupancy $1.00 N~wqu drr .... ).1'.. ....................... Vacant~,. ............ ~ ,] ........... ( d o~ Pre-ex st ng Build ng ........... ftouse No, ~ [~ j/ , Street Owner or Owners of Property ...~..'~(~ .... T . ~.7 ................................ Health Dept Approval % '2 ~ ¢ ................... Labor Dept. Approval ........................ Cfequest for Temporary Certificate ..................... Final Certificate ..... ~ ........ :onstruction on above described budmng anf P~ets~icable codes and r~gulation,. FORM NO. 6 TOWN OF $OUTHOLD J~uiJdJng Department Town Hall Southold, N.Y. 1197'1 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Tiffs applicaVon mus[ [se fdled in typewriter OR ink, and submitted in duplicate to the Buiidincj tot with the following, for new boildings or new use: 1. Final ~ey of property w~th accurata location of all buddmFs, property lines, streets, and unu~al naturat or topographm features. 2. Final approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Aoproval of electrical installation from Board of Fire Underwriters. 4. Commercial bu~Idmgs, Industrial buildings, Multiple Residences and similar buildings 8nd installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5 Submit Pi~nnmg Board approval of completed site plan requirements where applicable. B, For existing buddings (prior to Aprd 1957), Non-conforming u~s, or buildings and "pre-existing" land uses' 1. Accurate ~*~ev of peoperty showm9 aH property Fines, streets, buildings and unusual natural or topo~raph lc fee tu res. 2.Sworn statement of owne~ or previous owner as to use, occupancy and condition of buildings. 3. Date of any housm9 code or safety inspection of buildings o~ premises, or other pertinent informa- ~lofl required to prepare a certificate. C. Fees' 1. Cerofmate of occupancy $5.00 2. C~rt~flcate of occupancy on pre-existing dwelhng or land use $5.00 Date ............ New Buikhng ...... Old or Pre-ex st ng Budding ............ Vacant ~and ........... ~o,,.~ ,~o ................ f-~ ' s~' ............................. d ~ ]~ , eot Ham/et Owner or Owners of Proper~y . .~., .... ~.. ~ Ooon~ ~ ~,o. ~000 S~t,on .... ~ ,o~~ .... O.D ..... ,o~.. ~ .... Subdivis,on..(~..U~..~:.'': F edMapNo LotNo Dace 'lealth Deot Approval ~ · . Labor Dept. Approval Unde~riters Approval , .~~ ....... Planning Board Approval ". ...... r{equest for Temporary Certificate ,~ .................... Final Certificate .............. Fee Submitted S ..... ~...' .............. :onstruct~on on above d,,,scdbed building an~~des and r~gulations. lev. 10-10-78 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL REMARKS: DATE / /~*~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR FIELD T1ON COMMENTS FOUS~D~TIOi~ (1St) FOUNDATION (2nd) 2 o ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE o FINAL ~0~ ~0. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y, (Building Inspector) APPLICATION FOR BUILDING PERMIT ................... ": ..... a. This application must be completely filled in by typewriter or 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 buddings on premises, relationship to adjoining premmes or public streets or areas, and giving o detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wdl 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 Budding Zone Ordinance of the Town of Southold, Suffolk County, Nc Regulations, for the construction of buildings, additions or a The applicant agrees to comply with all applicable lows, ordinances, admit authorized inspectors on premises and in buildings for of a Building Permit pursuant to the Ordinances or herein described. and to (Signature of applicant, or name if a~ ......... ....... .................... (Address of applicant) State whether applicant is owner, lessee e rchitect, engineer, general contractor, electrician, plumber or builder. ............... 7~ ....................... ,?f"r ......... '; ............ z: ......... 7q ...... ':~ ...................... /'; .............................................................. / I . Name of~wner or premises .,,.~.,.j'..ll;'.,/.'n:./.:.... ........ '. ...................................... ;; ....... , ............. .4 ................................................. I f applicant ~porote, ~nature o~d, uly authorized off,car.I/ ............ ...... .................. ~'(Name and title of corporate o~ficer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No:....:~ .......... .t/. .............. : , Other Trade's License No I,.~. :~. ~ ~' ' ~.)4L4D~ ('I/ ] Location of land on whj~i%prop~o~ed wo~r,,will be done. Map No.: ................................... ~,. Lot~,N~ ......................... Street and Number ...~...~...~n ~ /d?O Mr~'~icip;ii~ ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , a Exisiting use and occupancy ~.~..~,~.~2 ..~...'~...:~...~. .................................................... b. Intended use and occupancy ...... .f.? ...... .07 .... ~!?..fl...~. .......................................................................... 3 Nature ol work (check which applicable). New Building .................. Addition ......,,q. ......... Alteration ..... Repair ................. Retie,vol .................. Demolibor. ................... Other Work .fi;..v....C<~......rCt;......M..~4.%..er:¢-~<., ............ ~'A'A&7/~ , ¢¢/ , ~ (Description) 'stimated Cost v-O' ~¢¢(,/~ 0 Fee . ~e paid on filing this apphcation) 5, If dwelling, nurnber of dwelling units ........................... Number of dwelling umts on each floor ......................... if garage, number of cars ..................................................................................................................................... 6. If business, commercial or mixed occupancy, specify/~"-/rnature and extent/z/°f 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 addmons: Front .................................... Rear ......................... Depth ................................ Height ........................... Number of Stories ................................ 8~ Dimensions of entire new construction: Front .................................... Rear ............................ Depth ....................... Height .................... Number of Stories ................................................................................................................... 10 Date of Purchase ............ ..~..~ .................................. Name of Former Owner ...... ; ................................................ 1 1. Zone or use district in which premises are situated .................................................................................................... 12 Does proposed construction violate any zoning Iaw, ordinance or regulation: 13. W, II lot be regraded ......~.....,C~.. ............. Will excess fill be removed from premises,;, ( ) Y~s ~ No Nome of Architect .............~ ........................................... Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all:buildings, whether existing or proposed, and indicate oil set-back dimensions from property lines Gwe street and block number or description according to deed, and show street names and indicate ¢/hether interior or comer Io~. 5TA'I'F OF NEW '~j)l~,_~l/ ~ e c LOUN ~Y OF ..... ~---- / f -- ,~2"'~'"'! ........... .~ .......................... ,.~...~..~..,,.¥..;.....-,~.../...~.k21..¢..~./¢./iZ...~ ...... being duly sworn, deposes and soys that' he is the apphc~r,J (Name of indi~iduaJ signing contract) ~ above named. He is the ..' ................................................................ ~ .................................................................................... ' ........... ] (Contractor,(~gent~corporate officer, etc.) oF said owner or owners, and is dul~ authorized to--tm or have per~ormed the said work and to make and fda this application that all statements, contained in this appJicotion are true to the best of 17is knowledge and beheF; thor the work wdt be performed in the manner set fodh in the application filed therewith. // SWorn to ~re me this ~ ~ ' -- z . ~ // ...... ~.~. .......... day~ ....~.~..~ ....................... : 19..~ /~~~~ ~ ~ ~ Notary ~ubiic, . ...... ~:.~,,..,.:.~ ...... Coun~ ........... ~~~.~, / ,5' DAY,OCT 14. !~!/ ~. o. REF The sewage disposal and wate fao-Z~itie:~ ['or thLs Locatlor %0 bO satisfac~__ J~ 1~,1977 SEPT ~, 19FF OCL I0~ IgFF YOUNG & RICLt<~ L 400 OS[RANDER AVENUe, ' SLIRVFY FOR, OF ~0 12 ' ~ ORFGO~ F~'~TATES '