HomeMy WebLinkAbout11319-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Zq 3609 Date July 9 85
THIS CERTIFIES that the building inground swimmin~ pool.
Location of Property . '1400 Praity Lane Cutchogue
House No. Street Hamlet
County Tax Map No. 1000 Section flOC) Block 5 . ,Lot 25.
Subdivision z x x
............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
xucust ~ ~9 ~1
...................... pursuant to which Buildin§ Permit No ......................
dated ...... 4u..~.u.s.t...6 ............. 19 .8.!, 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 with fence enclosure.
The certificate is issued to ALFRED & PEGGY S. PFEIL
..................... b¥,,~~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval .... N/A
.~.¢o7¢~.
UNDERWRITERS CERTIFICATE NO ...............................................
Building Inspector
Rev. 1/81
~o~ ~o. ~
TO~VN OF $OUTHOLJD
BUILDING~ DEPARTMEN~
TOWN HALl.
SOUTHOLD, N~ ¥.
BUILDING PERJGiT~
(THIS PERMIT MUST BE KEPT ON THE PRE~IS~S UNTIL DULL
COMPLETION OF THE WORK AUTHORIZED) '"
N°. 11319 Z Do,e ...... ! ~ ...............
Permission / ~ /~ i ~ ~/-~ ' .,:22 /
...... ................
z oo
at promises located at .......
County Tax Map No. 1000 Section ....../~.;.~...~.. ....... Block I... ?~...~.. ........ Lot No.....~..~..~.. .......
purs~ont to oppllcotion doted ...... ~..~..~..~..~:.~.......~..i....ii._... 19..~....../., ond opproved by the
Building Inspector.
Budding 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
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tot 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.
B. For existing buildings (prior to Aprd 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 features.
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 oceupaney $5.00
2. Certificate of oecupanc¥ on pre-existing dwellin9 or land use
3. Copy of certificate of oecupaney $1.00
$5.00
Date . .Au, go.S?: 10,
1982
Pool' & Fence
New Building ............. Old or Pre-existing Building(Z) ........ =/Vacant Land ............
1400 Praity Lane, C~tchogue, N.Y'.l1935
Location of Property ............................................... ~ ........ ~-. .........
House No. Street Ham/et
Owner or Owners of Property Al£red & Peggy ~. Pfe±l
County Tax Map No. 1000 Section 109 Block .,5 Lot..25,
Subdiwsion ................................ Filed Map No ........... Lot No ..............
Permit No..1.~.3.~,9. .... Date of Permit .8,/. 6. /.8.~. . .Applicant To~D. & Country Poo'ls
Health Dept, Approval ........................ Labor Dept. Approval .........................
Underwriters Approval ........................ Planning Board Approval .................. ~ , .~
Request for Temporary Certificate ..................... Final Certificate . ?, ..... - .........
Fee Su bm Itted $. 5, .0.q .......................
Construction on above described building and permit'mee~s all appl~_cab, le,~odes and regulations.
~ppdcant ....... ~..~_.. ~: ........ ~ ~ .....................
'- ' ...........
~,~.~0-~o,~ Mai] to Peggy S. Pfeil
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLDI N.Y. 11971
TEL. 765-1802
This is to advise you tha~ t~e ~ob under ~uildin~
on W[~//{ zor~,~ p~,$ ~ as c~mpteted and
a fzflal znspection ~as~ has not~ been done.
In order to complete this file, it is necessary that
a Certificate of Occupancy be zssued. Please fill out the
enclosed form(s), return same to the above office with a
check for $5.00 payable to the Town of Southold. Please
indzcate to whom the Certzficate of Occupancy is to be mazled,
and arrange w~th thzs office for an inspection date.
Thank you for your prompt attention.
Very truly yours,
Victor Lessard
Administrator
VL:ec
Enclosures
THE NEW YORK BOARD OF FiRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
itt the fi, llowing lobation; ~ Basement ~ 1st FL ~ 2ad FI. [~tSi(~ Section B~ock Lot
w,,s exa,t, lrted on OCtOber* 26 ~ 1981 ar, d found to be in tompllartce w,th the requirerner, ts g this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST
OUTLETS EWITCHES INCANDESCENT FLUORESCENT
DRYERS
SYSTEMS
NO. OF FEET
$ E R 'V I C
AWG
OF CC COND
NO OF HI-LEG
OF H~-LEG
NO OF NEUTRALS
AWG
lxc. 2941-E
11
Per. --
TNs certificate must not be altered ~n any manner, return to the office of the Board ~f incorrect, inspectors may be identified by their credentials
FiELD-i~S~'ECTION COMMENTS
FOUNDATION (]st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL COMMENTS:
Memorandum from....
BUILDING INSPECTORS OFFICE
TOWN OF $OUTHOLD
TOWN HALL, SOUTROLD, N. Y. 11971
765-1802
FOR,~ NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD,, N. Y.
Approved / 19..~.)... Permit No..../../...~.~..?.~. .......
Disapproved a/c ............. ~'""Z .............................. ~~ ....
Application No..Z'.('...~..../..~.~ .................
APPLICATION FOR BUILDING PERMIT
D. August 3 81
ate ................................................ , 19 ............
I NSTRUCTIONS
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 buildmgs 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 Buddmg 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 Occupa~ncy
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 insp~ctio~
.............
(Signature of apl:
5 Rula~d Road,~
rant, or name, if a corporation)
Lville,n.Y. 11743
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or budder.
.................. ]).~J,.L4.ex ................................................................................................................................................................
Name of owner of prer/fises ...... .A..t.S..,....P..f..e..i..1 .........................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder s beense No ............................
Pbmber's kiconse No ............................... /..J ..............
Electrician's License No .............................................
,2.
Other Trade's License No ...............................................
Location of land on which proposed work will be done. Mop No .... ~.0.§.(~ .......................... Lot No ......... .8. ..............
Street and Number ....... ~.~B~q~..6.~..~.P..r..a.~i~.~.y~.L.~.q.~.C..u..t'g.h..~.g.u.~9~.~. .........................................
~/¢~)~ Municipality
State existing use and occupancy of premises and intended use and occupancy of proposed construction'
a Exisiting use and occupancy ...o.~e,..~.a..Rt~.[.~,.~.e.?,.J:~.e,p~.e...-,/. ..............................................................................
b. Intended use and occupancy one family.use /44./.~~ .~.~~.~..~...
-- '"'
/imLEA~ HOLD FOR PICKUP
R & H DF AI ING
3. Nature of work (check which applicable). New Budding .................. Addition .................. Alteration .....:~ ..........
Repair .................. Removal .................. Demolitior' .................... Other Work S~ti'(~ P01DTb ,
(Description)
4 Estimated Cost $7900.00
(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 ........... ,8.,0. ............. Rear .......... .8..0. .................. Depth .....4.5. ...........
Neight ...... ~7. .............. Number of Stones ..... DB~ ...................................................................................................
Dimensions of same structure with alterations or addmons: Front ....-'~..~.~ ........................ Rear .........................
Depth ................................ Height ........................... Number of Stories ................................
8 Dimensions of entire new construchon: Front ......... ~,2. ....................... Rear ........ ~ ................ Depth ......... .[...6. .........
9. Size of lot. Front ........... 2...4..5,. ...................................... Rear .................. ..2..4..5. ................. Depth ..... .2..0..5. .....................
1 1. Zone or use distnct Jn whichlpremises are situated ........ '..'..:.'.,"..~..'.."..'...~.L.".T ....................................................................
12 Does proposed construction violate any zoning law, ordinance or regulation'. ..... ,n.,o. ...............................................
13. Wdl lot be regraded . ............ (..Re ........ Will excess fill be removed from premises: (XX) Yes ( ) No
Name of Architect ........... p..o'q...e. ........................ , .............. Address ~..[~..~ ...... ,Phone No .......................
PLOT DIAGRAM
t Locate clearly and distinctly a'll buildings, whether ex~sting or proposed, and indicate all set-back dimensions fronfi
pr,,cpcrty lines Give street and b pc< number or description according to deed, and show street names and indicate
wl~ether interior or corner Iol
~O'S, 0
STATE OF NEW YORK, [ c c
COUNTY, OF ................................
...................... · V.t.~e~ts..,7~..~c,~ ....................................... being duly sworn, deposes and says that he ~s the apphc~n~
(Name of individual si~ning contract)
above named.
(Contractor, agent, corporate officer, etc.)
of said o~,ner or owners, and is d~ly 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 fha manner set forth in the application filed therewith.
Sworn to before me this
, \ ~/(Signature of applicant)
'I
~D ~'~ o" o~ ~P ~.,
~A~ PER ~AC~ oF
WALL SEOTIO N_ ~
Bx,B.
A
F~C~NG
., ,SECTION
$ cHE~AT I C: PiPiNG
'"" -- WATER
ADRANGI~ENT ,,,,
r...4) NTR ACTOR.