The URL can be used to link to this page

Home My WebLink About13212-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15716 Date Hay I, 1987 THIS CERTIFIES that the building. DECK ADDITION & INGROUND SWIMMING POOL Location of Property 2510 Grand View Drive Orient, New York h/el ...................................... ................. Street Hamlet County Tax Map No. 1000 Section 0 14 ..... Block 2 .Lot p/o I . 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...J.u.n.e..1.2:..I. 9.8..4 ..... pursuant to which Building Permit No. 13212 Z dated J un e 12, I 984 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 ......... DECK ADDITION & INGROUND SWIMMING POOL AS APPLIED FOR ROBIN WAGNER The certificate is issued to ..................... [o~n'o'r,'~'~8,~'t'f2~ .................... of the aforesaid building. Suffolk County Department of Health Approval N'/A N802379 UNDERWRITERS CERTIFICATE NO ................................ ' .................. N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/1tl I~K~ NO. B TOWN OF $OUTHOLD ~UILDING DEP~RTUENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED} N? 13212 Z Permission is hereby granted to: ......... ~.~~.....~:.....~c.~ .......... /..~o....~. ~.~../.~.~.....:D~ .... ......... .~.o~o~..,.-**...~..'2.., ............. ~o... ~ ~.~.~..z~.~....:~... ~o~. z~..~. ~ ~.z~.... z~/z. _a~.,~.~. ~.. .... i..-:~.~.~ ............ :~.~c.~.:.. ............. ~.~.....l..V..~z~. ......................... at premises located at .....~...':...~...7:.~....~..: .......... ~.~/~.~J~'~. ......... ~.:~.~.....~.~ .................. ............................................................................................... .~.~,~.~.....=...~.~.~ .......... cou.~ 'to× ~°p No ,00o Sec,o. pursuant to application dated ........................................................ , 19 ........ , and approved by the/,~..~ Building inspector. ~ee ,..~..~'...~. Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD 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 featu res. 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. C, Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date Se,pre.tuber 12, 1986. NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Grand View D.rive ' 0 Location of Property ................................................... ri ent House No. Street Hamlet 0 ty Robin Wagner Owner or wnersof Proper ............................................................ County Tax Map No. 1000 Section 014 Block 0.2 Lot. P/.0 00l .1 Subdivision (Hinor) Witcom .... Filed Map No. .Lot No. (3) 13212Z .5./.7./.8.4 Appli Robin Wa .g.n e.r Permit No...,....... Date of Permit . ... cant ......................... ,. . ... Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... FeeSubm~tte $ ......................... Construction on above described building and per it_ ~,~ .al,lt~li,(~codesandregulations. Applicant .... . . . .~..~'~,., .~v~'~.Lc,;L~.., .................... Rev. 10-10-78 FIELD INSPECTION. COMMENTS FOUNDATION (1st/ FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY Or,,/ /~aZ~ FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 o,,~ April 7, 19fi? 4590~4/~7 o. N 802379 THI~ CERTIFIES THAT ~tstde in the followlng l,,cati4~e~ ~e~ ~ Ist FI, ~ 2nd ~7. Section Bl~,k Lot OUTLETS DRYERS SWITCHES 3 3 FURNACE , 1 FUTURE APPLIANCE ~:"U,'#: TIME CLOCKS EXHAUST FANS [JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DI~CONNECI' OTHER APPARATUS: i-~.F.C.I. tOOL S E R V I C NO. OF NEU?RALS AWG OF NEUTRAL This certificate coves oon~01ience at the date of inspection only unt%%~l~l environments it is advisable to ha~ fl~que~t t~st and/or rep~ll~ r~e by a qualified Cmry Doroski 425 ~on~ell Lane Cutchogt~, N.Y. 11925 MC. 2941E: This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY EOR BUILDING DEPA THIS COPY OF GENERAL MANAGER i 11 m~¥ be ~dentlfied by fheir credenfiols. iN]ANY MANNER. , [ooo77[ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applleant named on the above application number in the premises of Pa~bin $~a~ler~ N/S Route 25~ Orlent~ N. Yo Southold~ N,Y.300' E/O Nar~x3w River I~ad in the following. Iocatlon;~ ~ [] Basement.~ , t~st FI. was examtned on ~>~p'~f:~ilJ~,~ 20 ~ FIXTURE OUTLETS 43 iECEriACLES SWITCHES FIXTURES NCANDESCENT FLUORESCENT G1 ] 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. RANGES OVENS EXHAUST DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATER~ MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: A~tor~; 1-3/ibp. 2-4.5~v. Itot Water II~ater. S E V I NO OF CC. COND A, W* G 1 2/0 R C E AW, G OF NEUTRAL Rulm~d Elu~3tric Co. P. O. tMx 3.43 t,D. ttituck~ N.Y. 1195~ Lic. 242 GENERAL MANAGER Per~ This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspectocs may be identified by their credentials. COPY FOR B ~ NOT BE i Y ANY MANNER. · , k.~., N.Y. 11 September 1986 Town of Southold Building Department Office of Building Inspector Town Hall, P.O. Box 728 Southold, NY 11971 RE: Robin Wagner Deaf Sir/Madame: Enclosed is a copy of the certificate of occupancy for Robin Wagner. This was issued on Spetember 25, 1984. Is this all that is necessary? Sincerely, ~chael Keller MARVIN SHULMAN, INC. MK/rk Encl. cc:Robin Wagner TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 ' TOWN HALL SOUTHOLD, N.Y. 11971 August 28, 1986 TEL. 765-1802 Re: Robin Wagner To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following, reasons. /~/ An application for Certificate of Occupancy is not on file. /5/ The check is outdated, IX/ No final inspection has been made. No Underwriters Certificate. Please contact our office on this matter. Thank you for your cooperation. Building Dept. We have your check on file for the Certificate of Occupancy. Flease fill out the enclosed application and return it to this office. A final inspection has been scheduled for Wednesday September 3rd, 7GS-X802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~-~. DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Approved .~.~.t~r~' · . [.Z .., 1 ~. Permit No...//..~.~./. - .~ Disapproved a/c ...... ~-.~-7.--:..-~...~ .......... /re. ........ / (Building Inspector) APPI_ICATION FOIl BUILDING PEIIMIT Date... 5//~. .......... 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 deznolition, 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. ...... ~.%~OTI.-I.~.{.l"~...¢,. ~g. ~>...I.OC~.: ........ (Signature of applicant, or name, if a corporation) .../.~/~.o .... ~a0~.~, (Mailing address of appli~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... C~-O.....c.~. T.~.~ .c-.T.~..,g~. .................................................................. Name of owner o f premises .. {'~.Q (~i ~O....~ .~.C,~. ( .F/,.., ................................................ (as on the tax roll or latest deed) If applicant is a corpoI'atign, signature of duly authorized officer. (, t~i, tte Builder s License No ....... . . .~./.~ .......... Plumber's License No ......................... Electrician's License No .... ./~.O.~./~. ~ .~. ~ ....... Other Trade's License No ...................... 1. Location of land on which.proposed work will be done ......................... . ..... ;,. ................. ...'Tg ...o....¥.v.'....~:.t't.~.~.r~. ...... B .'rt... ,h r;7. . ................. Oe.[ r..,,o'-', ..... ~o ...~.t ............. House Num bet Street -- Hamlet / County Tax Map No. 1000 Section ....OI51 .......... Block ..... O.~, ......... Lot .... ~--/~r~.~:x. ..... Subdivision ..................................... Filed Map No ............... Lot..../.~E/~.~,~. (Narne) i 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: occupancy .... 0/0.~..r.-JP~i./.~./..~.~.~ t[.I.~.~c:~ ...... 7 .............. : ............ a. Existing and use b. Intended use and occupancy · · .V ...--~J~/.~0;~..~ .;,.~. .... .~] .....O.q-~.~. ..... 3. Nature of work (check which applicable): New Building . .~ ........ Addition .......... Alteration .......... Repair .............. Remloval .............. Demolition .............. Other Work ............... 4. (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 D' 'ons of ' ti gstructurbs 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 Rear Depth 10. Date of Purchase .......... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction vio!aJke any zoning law, ordinance, or regulation: .... . .~.O ........................ 13. Will lot be regrade~d ...... .?~? ..... .. ........... Will excess .fill.be removed from premises: Yes Name of Architect ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly all 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. COUNTY OF..-.~.~,, .... i~' . .... .~lr[~i ~TO.O..t.4.~F.?...'~.'.../~c...M!b4 ~.~Ti~ ~..c*:::a ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....................................................... ~ ........... (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 eont~iined 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 Term Fxdm8 M~ ~ In ~ isLAND souND ~hs sew~me d~t~osaT h~ water supply faeil[~''~ ~'~ '~,% ,,: ~on ha*e been inspected ~¥ ~L;: ,l~u~i,m~n% a~d found to be satJ. s£a~tor¥. Chief of uenerai ~ginee[in8 .Services HEALTH DEPARTMENT-DATA FOR APPROVAL TO cONSTRUCT M NEAREST W~'ER MAi#--MI. -~ M SOURCE OF WATER: P~I~TE ~/ P~IC __ ADDRESS I- MONUMENT AREA=5.806 ACRES SURVEY FOR ROBIN WAGNER AT ORIENT TOWN OF' SOUTHOLD SUFFOI~K COUNTy, NEW YORK ~U~U, THO~tZEO ALTERATION OR AOO;TION TO THIS SURVEY I$ OWNERS I% INSET I" GO' SCALE: AUG. 31, 1984 dAN 18, IgS~ DATE: FEB. 28, 198~ SCALE: I": ~00' 83-38 GUARANTEED TO~ SOUTHOLD SAVINGS BANK YOUNG a YOUNG ALO~EN W. YOUNG, PROFESSIONAL ENGINEER AND~LAND SURVEYOR N.Y.S. UCENSE NO. 1~845 HOW?RD W. YOUNG, LAND SURVEYOR N.Y, ~, LICENSE N0.45895 ~NDER AVENUE APE',E, OVED AS NOTED "~ __ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULAT!ON 4. FINAt. - CON'STRUCTIONI MUST BE CqMPl FTE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REO~IR~MENZS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~T RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, ¥ x --All Lull J Z C t