HomeMy WebLinkAbout16568-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate OI Occupancy
No. z-17048 Date July I, 1988
THIS CERTIFIES that the building INGROUND SWTMMING POOL
Location of Pro~ertv 2800 Bridge Lane Cutchogue N.Y.
House NO. Street ......... I~t~r~/e~
County Tax Map No. 1000 Section 85 .Block 2 .Lot 3
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October 23, 1987 16568 Z
..................... pursuant to wh/ch Building Permit No ......................
dated ............................ October 26, 1987 wasissued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
INGROUND Si4IMMING POOL & FENCE AS APPLIED FOR
The certificate is issued toRICHARD KIRN & FRANK McGUIRE
..................... x ....................
of the aforesaid building.
Suffolk County Department of Health Approva[ N /A
UNDERWRITERS CERTIFICATE NO N01 1548 - May 6, 1988
N/A
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
FOR~ NO. 0
TOWH OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~16568 Z
Permission is hereby granted to:
~'-~o h~ ~ h, ......
.........
County Tax Map No. 1000 Section ......(~....~...~.-. ......... Block ......~..~ ........ Lot No.......(~....~,. ...........
pursuant to oppl)¢ation doted .....~..~.~...~...~. ................ , 19..~..~.., and approved by tJ~e
Building Inspector.
Building Inspector
Rev. 6/30/80
BLDg. DEIST,
TOWN OF SOUTHOLD Southold, N.Y. 11971
......................... 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Instructions
This application must be filled in typewriter OR ink, and submitted 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, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 appraval of completed site plan requirements where applicable.
For existing buildings (prior to April 1957). Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occbpancy 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: Additions $25.00 ?OOLS $25.00 ALTERATION $2.5.00
1. Certificate of occupancy New Dwelling $25.00, Accessory..$10.00 Bus±ness $.50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5 .Updated C.O. $ 50. O0 Date ~.. ~ .~..).--~....~..o~., ./. ?.~. ?.
NewC ons tr uc t. ion Old or Pre-existing Building Vacant Land
Location of Property .~. o? .O .O. --~/?. / )P ~-- f~' /~,~ ~-~ ~ .C. ~ .-~..C'..(.-J. o GL ¥ ~
House No. Street Hamlet
Owner or Owners of Property )~' { C- ~r ~-~ I'~' I~ ) )'t_J~_.) c{ I-~-F~/~J Id_ /~c ~-~(J I I~
County Tax Map No. 1000 Section . .~...~...-~.~. ...... Block .. ~. ~ ........ Lot ..... .O...~. .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No.'/'~. ~.~.~..~.Z.. Date of Permit .......... Applicant ./~..~.~. ~.-~'....-~.~-~./:c./.?..f...~.....~..~. ~.~'
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and P~~des and regurations.
Applicant .................................................. ~-~/~' ~
Rev, 10-10-78
c o'
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
1988 S' .JOHN STREET. NEW YORK.---- "----- '----I~i:d~]~/l~803S
PAGE 1
RXT~JK'E lEPTA I T I HXTUIIES I RANGES COOKINO DICKS OVENS DISH WASHERS EXHAUST FANS
,
~T. K.W, ~k ', ~S H.P* ~T* NO. A.W.G. ~T. ~P. ~T* ~PS. TRANS. R'~' ~T I
covers ~o~pli~nee a~ ~he date of
~nspe~t~on on1¥. Be~use of ~nusu~l
environBents it is advisable to
have frequent test/and or repairs
made by a qualified person.
A.C.R. ELECTRIC CORP.
117 CORNELL DRIVE
COMMACK, NY, ]1725
I~l.T_,his_,ce. rtlflcate must no! be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified b~ their credentials. EI
COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MAHKER.
Dute Applicution No. on file
THIS CERTIFIES THAT
on/y the e/ectrtess/equipment as deserihed helo~ .nd introduced ~y t~ ~i~t ~ on t~ ~ ~t~ numar in t~ p~m~ o~
KIRN & NcGUIRE, 2800 8RIDGE LANE, CUTCH~UE, N.Y.
OUT
~ examin~ on and found to be In core.lance with the r~uirements of th~ fl~rd.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND
[ ] FRAMING
REMARKS:
[ ] IN/SULATION
[~FINAL
/
TOWN OF SOUTIIOLD
OFFICI.: OF BUILDING INSPECTOR
iLO. gOX 728
TOWN HALL
SOUHIOLI), N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are urlable t;o complete your Certificate
of Occupancy because .of the following reasons.
/~ An application for Certificate of Occupancy
is riot on fil~.
/-/ :1o Underwriters Certificate on file.
/~ The check .Ls(outdated/not ou ~ c,,.
__ · ~
/~/ I'Io llealth Dept. Approval on file.
/~/ ~'~o final inspection has been made.
P]ense contact our office on
Than'~ you for your cooperation.
Building[ [)opt.
this matter.
Mo Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April !,1994 )
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG;, 1
1000310 BUREAU OF ELECTRICITY
--- 83 JOHN STREET. NEW YORK, NEW YORK 10038
O,,t,~ HAY 06,1988 ~pplicationNo. oflfile 54533588/88 N 011548
THIS C. ER'I'IFIES THAT . ·
~ t~ e~tr~ ~uipment ~ ~ri~ ~w o~ ;nt~c~ by t~ ~p~ic~nt ~ on tAe a~ ~pl~t~n n.m~r m t~ p~m~ o~
~. ~o,o~;.~ ~,~.,o.; ~ ~.~ ~ ~. ~:. ~ ~.a n. OUT .~;o. ~ ~t
FIXTUR; ~ ] R~ RANGES
DRYERS ~ ~RHa=E ~TO~ ~ ~TU~E ~ W ' ' ~ ~ANS U~IT HEATERS
APRIL 18,1988 and found to be in compliance wilh the requirements of this Board.
EXHAUST ~
DIMMERS
G.F.C.I:-X
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent test/amd or repairs
~de by a qualified person.
A.C.R. ELECTRIC CORP.
117 CORNELL DRIVE
COM~ACK, NY, 11725
Ptr
~, certfflcete m~st not be c~ltered in =W manner; return to t~e office of the Board i~ incorrect, inspectors may be iclent~fied by their credentials.
FOUNDATION (1st/
FOUNDATION I 2nd )
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAB
ADDITIONA'L COMMENTS
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[//]~INAL
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
IN SAND
FILTERS,
ENGINEERING
MAKES THE
DIFFERENCE.
1. Seamless fiber-
glass construction
eliminates possibili-
ties of leaks. Can't
rust or corrode.
Long filter cycles
make operation eco-
nomical,
2. Top-mounted
pressure gauge pro-
tected from "water
hammer."
3. 360° diffuser has
"swing away" design
for instant access to
sand.
4. Thermoplastic
bulkhead fittings are
threaded for easy
service.
5. Multiport back-
wash valve has six
positions.
6 Econornical push-
pull valve also avail-
able.
7. Lateral filter ele-
ments are threaded
for easy individual
disconnect.
8. Unique overdrain
keeps sand level,
water evenly distrib-
uted.
9. Combination sand
drain and water drain
makes servicing and
winterizing fast and
easy.
10. Automatic air
relief saves time
during start-up.
11. Available as part
of a money-saving
system-skid-mount-
ed with a PAC.FAB
high-performance
Hydropump~''' or
2-speed Energy
Master (see photo
on front) which
cuts energy costs
60%.
MODELS AVAILABLE
TRITON SAND FILTER
FILTER MODEL ND, GPM
TR-40 40
TR-140 f40'
TRITON FILTER/HYDROPUMP'~SYSTEMS
FILTER MODEL NO SECOMMENOED HYDSORDMPS ~ '1__~
RPF590 F~HP, RPF590 ~H p
RPF590NHP RPF590 1 HP
TS-lO0 RPF 700 1~, H F RPF 700,2 H P
TS-140 RPF 700 2 H,P RPF 700 3 H
TRITON FILTER/2-SPEED ENERGY MASTER HYDROPUMP~ SYSTEMS
FILTER MODEL NO RECOMMENDED I!NEDG¥ MASTER HYDDOPUMPS
TR-40 RPF592 ~ H.P
TR-60 RPF 592 1 H R
TS-100 RPF702 1~ H P, ~
TR-140 RPF 702 2 H P,
'?~ PacoFab, lnc.
~¢ PO Box 1205. Sanford. North Carolina 27330
~AC'~AB PO Box 4999, El Monte Cahforma~1734
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .O..~...~... ~.~., 19~'.~.
Approved .C~...~. ~ .&~.~., 19~..7. Permit No.)..~..~.~. ·
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVE · '
CHECK
SEPTIC FORM .............
NOTIFY
· ~.0'
MAIL
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ... ?/:/..--3. ........ , 19.35..7
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 Occupanc2,
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 th(
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~
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 tc
admit authorized inspectors on premises and in building for necegvary inspe~ti_ons.
'
(M'ailing address 6f applicant) '
State whether applicant is o__wner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
Name of owner of premises/~..'¢{'/~-.~../~z~.,O',. ~... ~M ~.. ~.6.e ?.~.0 .........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer·
(Name and title of co,orate officer) .
ALL CONTRACTOR'S MUST BE. SUFFOLK COUNTY LICENSED
Builder's License No ..... ~ .... 7 [ ~.Z~ J ....
Plumber's License No .........................
Electrician's Liccnse No .......................
Other Trade's License No...~/. ~..'T. J~..-~. .........
1. Location ofland on which proposed work will be done~ .~./.._s.q~)..~.. ,~,~,~6e'- '~'~5 ~O:z~,O .3Z o r~
House Number Street Hamlet
County Tax Map No. 1000 Section ...... (D.8~'' .... Block ..... 1~.~ ........ [or .... .(~.~ ...........
· Subdivisiou ..................................... Filed Map No ............... Lot ............. :.
(Name)
2. State existing use and occupancy of premises and intended ose and occupancy of proposed construction:
a.
Existing
~.,ature of work S~'m"~"~'¢* '
(check which applicable): New Building Addition ¥. t '../.',P,~O¢ Alteration ...... · ....
Repaii' Removal Demolition Other Work
f ~/ (Description)
Estimated Cost .... .f-J./..~Cf-P.(~.'7 ..................... Fee ....~'~.~ .- ............................
,! ' (to be paid on filing this application)
' If dwelling,'number of dwelling units! .... .'??'.~. ....... Number of dwelling units on each floor. Wf.,T ...........
If garage number of cars .' ~,7~
,. If business, commercial or mixed occupancy, specify nature and extent of each type of use . W.Z.,9' ......
'. Dimensions of existi lg.stru~tutes, if anY: Front ,J~g~.. g ..... Rear ...?,~,___~(p.x...,... Depth . ./'Jt[~ !~: ....
'gl' 'oq~t N Of St /
Hm it .~ ........... umber ories ................. ; .......... . ................
Dimensions of same structure w~th aliterat~ons or a~d~itions: Front .. ,~f,'~. ~',-Cd. ...... Rear ...~OCt..-rCc~-g,~.. ....
Depth ......... ~,,~-e~;'. ..... Height ... ~.'~ :~. ........ NumberofStories..~.~',~y.-e~. .........
;. Dimensionsiof entire new constructiqn: Front ..... k~.Co... ..... Rear .... ~. ~o ........ Depth . ,/.~. ..........
Height /.~.C~,,,'d.: ....... Number ~f Stories ./.~..G,fd~., ...............................................
'. Size of lot: Front ....-1 ~). ~(P. i ....... Rear .... /0.-70, .c/5 ........ D?.th ...~.l.~f-'J .. ~ .........
~. Date of Purchase . .r3.[.~ ..... ~ ............ Name of Former Owner .£~O~)~.'. ................
Zone or use district in whicl/premises, are situated ...... : .............. . ................................
' Does proposed construction violate any zoning law ordinance or regulation:
, Will lot be ~egraded . .o .... ~6.-7r. i ............... Will excess fill be removed from premises: ~ No
NameofO nerof rern~s%ts .'~.~..~'.~('~(-~.c¢~,~Address.,~e~'o/J~t ~ L ,~" -n No 7~.Y.'7..5~.~s/ .
· ~Sv .,p ..... , .... , ........ c. 0$ ..~c ...... Pho e ..........
amc of ~ .... ~.., ..... q-)/ ................ Address ............ ~ ...... Phone No ................
Name of Contractor ./9~(-t~,e?7...~¢.~.c.a. ......... Address ~¢. Y~ ~"~.t,~. U~'./.~. Phone No..ff¢.~ r.q .~./. ¢>...
,. Is this property located within 300 feet of a tida~ we~nd.~es ..... No
· If yes, Southold Town Truste&s Permit maybe required.
PLOT DIAGRA~
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
operty lines. Give street and block number or description according to deed, and show street names and indicate whether
;erior:or corne'r lot.
'ATE OF NEW YORK
)UNT~Y OF. ~(d'~. ~(q~k. ,
S.S~
..
(Name of individual signing contract)
ore named.
being duly sworn, deposes'and says tha~r~e~is the applicant
-- ' re of applicant)
is the ......................... ~...r, g4 .~..~.'-ff-~. .....................................................
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly aathorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
)rk will be performed in the manner se~ forth in the application filed therewith.
~Z:t° 'bef°r? me thisj~ cf-~ ~; 6; ~ ~-'.~- 19
1.Heater to be installed as
required.
2.Fill spout to fill pool as
required. (See pla/t).