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Home My WebLink About13270-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No z-24106 Date JANUARY 4, 1996 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 9630 NEW SUFFOLK AVE. CUTCHO~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 5 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3L¥ 2, 1984 .pursuant to which Building Permit No. 13270-Z dated uun~ 16, 1984 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 ABOVE GROUND SWII4/4ING POOL WITH SMart. DECK & FENCE AS APPLIED FOR. The certificate is issued to of the aforesaid building. SANDRAItENRIKSEN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING -- DECEMBER 26, 1995 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13270 Z Permission is hereby gronted to: ..~~.:~..¢..~.-......~~~ ~.~..~ ........ ~..~...~.....~..~. ........ ~o..~~. ........ :. ......... .¢..~.....~ ................................ ~ ................... ,~...~.....~...~..~.....~..........~....~..~..~.: ........... nt pr~mises locoted ot ............................................................................................................................ County Tax Map No. 1000 Section ...... }..t...~. ......... Block ........ ..~.~.. ......... Lot No. pursuant Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~7~11 TOWN ~ALL { ~/-I APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. Commercial 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. B~ 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-existinR Buildin~ - $1OO.O0 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 New Construction . ..~/.. .... Old Or Pre-existing Building ............. ~.. "' ,- . C x ..C ..... Location of' Property..~.~.~.~O .............. i,b' '~, ................... [ '~, '' House No. Street Hammer Onwer or O~ners of Froperty ................................................... County Tax Map No 1000, Section.../.7-~- ....... Block .... .~.~. ........ Lot.. Subdivision .................................... Filed Map ............ Lot ...................... Pa=it No.~,~...--.~,--'~Z ~0 .... Date 0f Pe=it .. cant .... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. .~~....~f.~.~. /I.... ~,,^ ~ ,............... Raven Restoration & Custom Carpentry Ltd. Box306 Riverhead, N.Y. 11901-0203 To: Sandy Henricksen Re: Pool deck steps and handrails. # 9630 New Suffolk Ave., Cutchogue, N.Y. Total cost of materials and labor to complete construction of one set of steps for the pool deck, including handrails, is $385.00. This price does not include any painting or staining. Respectfully Submitted, David E. McClure (Pres.) R.R. & C.C. Ltd. SANDRA K. HENRIKSEN P,O, BOX 353 CUTCHOGUE, NY 11935 7 4 8 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] I/NgULATION / FRAMING [(/J FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CE~IPlES THAT only the el~tricaI equipment ~ ~scrlb~ be~w a~ int~uc~ by t~ applicant ~med on the a~ve application number in the prem~es of SAND/~A Hg~RJ/K:~I~ 96'~O ~EW SHFFOLK AVENUE, CUTCH(~[~, ~.Y~ in the followlng locatlon; ~ Basement ~ I~t ~7. ~ 2nd ~. G~/OU~ Section Bilk Lot ~msexamlnedon ~ }[~]C~I~ ~B ~*~I( ~() ~ J'9~[~ and found W be in com~iance with the Na~on~ Elec~al Code. FIXTURE FIXTURES RANGES ' OVENS EXHAUST FANS OUTLETS SWITCHES DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: ~NO VISUAl, D['IFEC~'S~' "An e !.ec~'tric~al survey has b~.,en made of electric~,l aqu'Lpment .Ln the premises il'~dicated~" "No obvi. ou;..; unsat;.isiactory condition w¢~s found~ OF CC. COND A. WG OF HI-LEG AWG, CU'/.CHO(3P~, NY, 119 :~'; 11 This ~edifk.te must notbe altered in any manner~ return to the office o{ the 8oerd i{ incorrect. ImpeO~rs may be identified bv their credentlqls C°PyF°~B~ILOINGDEPARTMEN* THISCOPVOFCERTI[ICATEM ,~ OTBEam RED IN aNY MANNE. · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined.. . l .~. .... , 19~/ Approved . ./..~..., 19~.~.PermitN°'/''3'D'''~''~' ''~' Disapproved a/c ..................................... ................................ ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Re c e ired....7/.'27 .... , 19 .~¢ Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) (Name and title of corporate officer) Builder's License No.......ff~...o¥.. ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... . sr. .................................................................................... Nameofownerofpremisesy. /~e,n,,,e.¢~..~. ~,,/r~. ~gOvr~,e, '~ ........................... 'e' (as on the tax roll or mresrue=uj ' If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING O~PARTM~M~ AT ~65-1802 9 AM TO d PM FOR THE ~OLLOWING INSPECTIO~t L FOUNDATION - TWO R~QUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 2. INSULATION 4, FINAL Cm~STRUe'FION MUST BE C~MPf ~-~ ¢~R C. O. ALL CON?~'JCm~N ¢LfA[L MEET THE REQUfRrM~NTS OF Ti4c N.Y. STATE CONSTRUCTION & [~,F~Gy CODES. NOT RESPON?~[ F FOR Location of land on which proposed work will be done ............... Dg$~N 'OR'CONSYRUCT[Ug'~p;~O~&: ' ' ' 'House Number Street Hamlet County Tax Map No. 1000 Section . [[.( ............. ,Block . .~ .............. Lot. ¢ ................ Subdivision ......... ~e4g~e{g ................... Filed Map No. ~¢~ ........ Lot . .~. ........... (Name) tate existing use and occupancy of premises and intended use and occupancy of proposed construction: Sxi,ting and occ,pancy ....... ............................... b. Intended use and occupancy ................ 2 ...."~*~. 3. Nature of work (check which aplplicable): New Building ..... ' ..... Addition i ......... Alteration .......... Repair .............. Removal .............. Demolition ............. Ot°~~. ~..~¢.%~. ~ (Description) 4 Estimated Cost'~"-~:?.O°° ~I *" (to be paid on filing this application) 5. If dwelling, number of dwelling t~nits ...=T?.. ......... Number of dwelling units on each floor ................ If garage, number of cars ..... i .................................................................... 6. If business, commercial or mixefl occupancy, specify nature and ext0nt of 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 additions: Front ................. Rear Depth .................... !.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction'. Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9.../ Size of lot: Front .... ./~.q~....! ........... Rear .... t'($: .............. Depth .Zo.$/.~.' ............... 10. Date of Purchase ........... ! .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ,~.! ................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises I ...... Address . Phone No.. '73Y'7(..~..F'~'. :.. Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor ......... ~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block :number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ................. ............................ ~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ......... ............ i ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 the manner set forth in the application filed therewith. Sworn to before me this Notary Public, ........ County NOIARY PUBLIC, ~tate o( New Yo~k . , ................. No, 4707878, Suff~)ik C0unt~,~ (Signature of applicant) lerm Expires March 30, 19~[,.~,