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Home My WebLink About16129-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17468 Date OCTOBER 26, 1988 THIS CERTIFIES that the buildin~ Location of Property 3130 PEQUASH AVE. House No. County Tax Map No. 1000 Section 103 subdivision INGROUND SWIMMING POOL CUTCHOGUE~ NEW YORK Street Hamlet Block 13 Lot 25 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 8, 1987 pursuant to which Building Permit No. i6129-Z dated JUNE 24~ 1987 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 & FENCE AS APPLIED FOR The certificate is issued to KENNETH & LUCILLE ETZEL (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-825398-AUGUST 6~ 1987 PLUMBERS CERTIFICATION DATED N/A · Building Inspector Rev. 1/81 I~ORM NO. ft TOWN OF SOUTHOLD BUILDING D£PARTA4£NT TOWN HALL SOUTHOLD, N. ¥, BUILDING PEIU~IT CTHIS PERMIT MUST BE KEPT ON .THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: , -- ~ ,'1~,"~*~ ~ ~' ~..,~..~..~..~...~...:. ....... ~~ ~__~...~ ............................................. ............ v ........ 7:~--;"'~'~ ........ '~'"'"~""'"~Z~ ...... ~,'"L' ..... ~ ....... ~'"". ....... ~ .... at premises located at ..... ~..~..~..~... ...... .~...~.~, ....... '..~./~ ....... /...[..~/~'-'-'-~. .......... ....... County Tox Mop No, I000 Section .../~......~. ........ Block ...J.....~. .......... Lot No....~..~... pursuont to opplicotion dated~, ....... .,~... ...................... 10.~.z onrt approved by the Building Inspector. Fee $.,/. ,~. ,. ~..¢.~...~. Rev. 6/30/80 TOWN OF SOUTHOLD . Building Department ' ~l'own Soutbold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must b~ filled in Wpewriter OR ink, and ~ubmitted m~ 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, arid unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-{S-'~ form ~r equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. C. ommercial buildings, Industrial buildings, Multiple Residences and similar buiidings and installa- tmns, 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: I. 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 safew inspectio,n of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATTON $25.00 1. Certificate of occupancy New Dwelling.$25.Q0. Accessory '~;lO.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 t'. " 3. Copy of certificate of occupancy $ 5.00. over 5 years $10.00 4.Vacant Land C.C. $ 20.00 5.Updated C.C. $ 50.00 Date ........... f.~.' ............ New Cons %puc t i on ...... Old or Pre-existing Building .... ~ ..... Vacant land . ............. Location of Property ......................... ' , ...................... ... House No. Street /tam~ut Owner or Owners of Propert¥ : ...... ~<~.f~ . ; .7-~=., .~. ........... County Tax Map No. 1000 Section ........... Block ............ Lot ............ Subdivision ....................... Permit NO. /~ {...2-;.f. Date of Permit Health Dept. Approval . ... ..... .,~J/~.. Approval ...... ~,,.~, ... Underwriters Request for Tern ~l~3rary Certificate ..... ......... Filed Map No ........... Lot No ............... · ....... Applicant ......... ~-¢7'. 4 L~-~..~ .,.,%~-. .... , ..... ........ Labor Dept. ApProval .... ' - .Z[/./~ ./~,.~-_:/x ......... ......... Planning Board Approva~ ................. ............... Final Certificate ....... .'.~... ........... Construction on ~bove described budding and per ble codes and reg61ations. Rev. 10-10-78 ~ ¢v,',C, 2, GOLfO Town Hail, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (631) 765-1823 Telephone (631) 765-1802 January 12, 2000 Mr. & Mrs. Kenneth Etzel P.O. Box 181 Cutchogue~ N.Y. 11935 Re: Premises @ 3130 Pequash Ave., Cutchogue, N.Y. Suff. Co. Tax Map ~1000-103-13-25 Dear Mr. & Mrs. Etzel: Enclosed is the Certificate of Occupancy for the "as built" deck addition on the above property. Please be advised that the fence around the Inground Swimming Pool does not meet the New York State Pool Enclosure requirements, and should be corrected immediately. If you have any question regarding this matter, please do not hesitate to contact me at this office. Respectfully, SO HOLD_ TOWN, B~UILDING Gar/ J/. Fysh, Buflding 'Inspector DEPT. GJF:gar UND~TION ( ~ s t ] UNDATION (2nd) UGH FRAME & ?LUMBING SULATION PER N. Y. STATE ENERGY CODE Fi'NALj . Al ITION~L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I- ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [~F~NAL /~/~ DATE INSPECTOR FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL for porn, it to construct..,~,..~/..~~ ............... ~. at Location of Property ~Z~' <~' '~~' ~ ........ ~~ County Tax Map No. 1000 Section . .'./~. .... Block . ~ ,~ ........ Lot .. ~ .... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on tim fo[lowing grom~ds ............................... Building Inspector RV 1/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY V ~-0()~.3~[ B5 JOHN STREET, NEW YORK, NEW YORK 1OO3B THIS CERTIFIES THAT o~y the electrical equipment ~ ~serib~ be~w and int~duced by t~ appJlcant ~med on the above application nu tuber in the premises of Kenneth ~,t,el~ Pequ~h Aw~.~ Main Rd.~ ~tcho~ue, ~.y, in. the followlng location; ~ Basement ~ Ist FI. ~ 2nd FL (~%1 tS i~e" Section Bl~k Lot u~s examined,, on ~%1 ~.,~ .. 0 ~ ~. ~ 7 attd ~ound to be in co~nplla~tce ~'it h the reqalrementz 9f this Board. FIXTURE ~CLE$ SWITCHES OUTLETS DRYERS FURNACE A FIXTURES RANGES OVENS EXHAUST FAN FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E NO. Oi~E~CONO R V I C E A w, G J NO OF HI-LEG A W G, NO` OF NEUTRALS OF CC COND OF HI-LEG AWG, OF NEUTRAL I"'G oF.C. I . *(~~QQ~) THXS CERTIFICATE COVER9 OOMPL/ANCE ~NSPECTION O~Y. BECAUSE OF ~JSUAL E FREQUEN~ TEST/AND OR ~:P.A~[RS ~DE BY A QUAL/FIED PERSON. Jody Pumillo Pat Lane Mattituck~ 11952 GENERA[ f This certificate must not be altered in any manner; return to the office of the Board if incm'rect. Inspectors may be credentials. COPY FOR NO DEPA THIS COPY OF CERYIF ~,T BE ED IN ANY MANNER. FORM NO. 3 TOWN OF gOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTItOLD, N .Y. NOTICE OF DISAPPROVAt, ' }LEASE TAkE NOTICE th~ your applicatio~ dated :...~. ~ ......... 19~.~ County Tax Map No. 1000 Section . .'.~ .... Block . ~..~ ........ Lot ..~ .... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds ............................... ........ ...................... Building Inspector OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPLICANT: .......... ADDRESS ....... 'Ohief of gener~l Engineerin i ' /' " "IMMEDIATELY" llEFORE "WATER" .YOUNG & YOUNG 400 OSTRANDER AVENUE' RIVERHEAD, NEW Y( .31¥01Ji1830, CODE ,,,? ~ ~.,~,;,~' 2 ¢~ ':~ ~*~0~N O F SOU TH O L D ~ -*'~ ~' ~'X~UILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11971 TEL,: 765-1803 Examined .r/~~ ,9~.7 Ap prove~/J~..,1 ~ ~memit No../~/. ~ ~ Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Th~s 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 descrip,tion 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) (ma±l±ng address ot: appiSeant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If apl~5~wJis a corporation, sig~atugse~f dulywauthorized officer. (Name and title of corpora~ officer) Builder's License No ...... 2~..~. .~....~.~.~--~. · . · · · Plumber s License No ......................... Electrician's License No.../~... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ......... e..Ox.'~.,c. .~. 9.~..~. ~..~....'~-.~..-~'. ........... · so. ........... House Number Street County Tax Map No. I000 Section .... l.O. ~. ........ Block.· .~. ............. Lot....C~.~.. ......... Subdivision ..................................... Filed Map No ................ Lot ............... (Name) 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 ............. ~.~.~..Z.~..~-~/...~-/..~..g: .... .~.. 7...~./.~ ..... .~.~.~....~z. ............ 3. Nature of work (check which applicable): New Building.. ......... Addition .. ......... Alteration ........... Repair Removal ' Demolition ........ I .....Other Work ." 4. Estimated Cost ......... f.~ ............. Fee ....................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uhits on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each {ype of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ..... , ......... Depth .............. Height ............... Number of Stories .......................... i ............................. Dimensions of same structure with alterations or additions Front ..... . ............ Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8 Dimensio of ntir struction Front Re ~ Depth · ns e e new con ~ .......... ar · . ight b St He ............... Num er of ories .......................... .............................. 9. Size of lot: Front ...................... Rear ....................... Depth ...................... 10. Date of Purchase ............. , ................ Name of Former Owner, ............................. 1 1. Zone or use district in ~hich prenhses are situated ........ ~. ~..T../.~'~9~..T'//~.(-, ........................... 12. Doe proposed construction wolate any zoning law, ordinance or regular, on: .. .... ~ ...................... 13. Will lot be regraded ....... ?~;,~... ................ Will excess fill be removed from premises: (~e~.) No 14. Name of Owner of premises . 1~.l%~. .. ~rTY-,-,~&'7_... Address ............. i ......Phone No ...... ~ ....... Name of Architect .... .,. ·., ...... · .............. Address .... .......... ! Phone No ............... · If yes, Southold Town Truste~es Permit may be required. 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. : ~', STATE OF f/, OF.. 7.. · · .J~'~' · ff~.~'~Q · ]. · .///~. ~.~/.~..~..~ ..... ~ ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe ..................... -' . ............................................ (Contractor agent, c~orporate 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_.~_ ~'z~ 'me this ~f~ .' ~'~7 ' ....................... day of... ~.. ...... ,19. ~. ~"~ /Y7 i ~,.~_~.~_,.~,.,~~"1 (~ .~. ~. f~ '11~ /YE / _ ._~.._,~,,~ ..... l...-.o.?:.~..,-~..m/....~....,,q,.~ ...... _ 9u~llt~l In 8~1~ Counav c,~7~ t .. (Signa~ffrfi;~f f~plicant) ~omm~s~lon Enl~lt. Slt Deoember ~'lg.~''~ ' ' ~ C./'