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HomeMy WebLinkAbout14883-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z14888 Date. September ~7, 86 THIS CERTIFIES that the building ..... .i.n.g .p p.u.n.d...s.w.i.m..m.i.n.g. Pg.q!..&. f.e.n. 9 ? ....... Location of Pro-ert' ~305 West Road ' Cutchogue~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 'l 1 0 .Block 0 ? r:: .Lot 0 01 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated M~a[y... 9, ................ 198..6. pursuant to which Building Permit No. 14883 Z dated ...~. a. y..I.2. ,. ................. 19.8..6, 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 ......... Ingroun. d swimming pool.& fence The certificate is issued to James & Susan Trentalange ..................... ?o¥,,;'r, ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A N76.6462 UNDERWRITERS CERTIFICATE NO ................................................. Building Inspector Rev. 1/81 ~'0~1~ NO. ~ TOWN OF $OUT~OLD BUILDING DEPARTJv~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14883 Z County Tox Map No. ]000 Section ...... ],..]..,.0. ......... Block. ....... g~)..,,~ ....... Lot No, ..,.,,~.,,?,..,.,[ ....... pursuant to application dated ...... "..~...,.~,.....~. ....................... , 19.~,..,(0.,- and approved by the Building Inspector. Fee $.¢~., ................... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 DN FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted I ~ 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 disposel--(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 featu res. 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 occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling 3, Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewCons truc tion ...... Old or Pre-existing Building $15.00 Date ............ Vacant Land ............. Locat on of Pro crt ~ House No. __ , $~re~t Hamlet County Tax Map No. 1000 Sectioh ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.¢0'O.. ¢.~,''.~. .~. Date of Permit .......... Applicant. ./~..~...'~.. ~.. X ."~.~.~. ~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .~.,. 0'~...~..[.(05.(~ ........ Construction on above described building and permit meets all applicable codes and regulations. Applicant ...... V~. ~.dO, ~..,, ,'.~...~ , ............ . Rev, 10-10-78 FOUNDATION (1st} FOUNDATION 2. ROUGH FRAME & FLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL (-qtatutory authortt¥: Executive Law, § 37~) Pa~ ([~ 7~.1,7~.8) ~pealod by L. 1~1, ch, 7~, [II, egg, Dec, al, 1983; new (~ 7~.1) S~g{{On ~2{.{ Oene~{ ~quiromontm. An enclosure ~hallbe provided a~und out. d~r sw{mm~g ~la w~gh 8ur~unds U{e ~1 nnd accesso~ eqnipmeni o~y, ~nch enclosure 8hall be at loast iour Ieet ~ height, Imve a max~um clearance to adjoin{nC grade ot two ~chea; and open~gs, ff provided, shall p~blt ~e pasnage oIa two.inch diameter ~phere. Such enclosure shah reoista ho~ontal force ol ~ 90und~ per · pplied at a height oI Iour feet, 8~ctural brac~g aha{ be wi~ ~o onclouure, Oa~{ ~uno l~l~ wl~ at leant 46 inches between ~ ~ca{.~ or ~l wp ~ so Jobbing grade, a~ exempt i~9 requirement p~vfded that access 1~ ~st~cted, A ~1 Ieee th~ 24 ~chee deep i9 exempt f~m ~ls requirement. 7~ ,4 {llstortcal No~' 72~.7 {{{Istoriea{ pealed by L, 1~81, ch, 707, { 1~, mtf, Dee, Historical Not~ Dec. ~t, 516 EX 11-~-85 Examined. · .~.%.}. ~.. Approved ..~% FORM NO. 1 TOWN OF SOUTHOLD .... BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 ., 19~..~. ., 19 .~¢. Permit No. !.Sg,~. ?.~...'~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlder. .. ................................................................................ Name of owner of premises .... .~ ........ / ............................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ':"m"~l ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... / ,.~ 0 ~ 1. Location of land on which proposed work will be done...~.':~.. '.t~..~7~.77~ .O..~.?. ....... ........ ' /-- ,~ ~ . ~ ' ~.~ ............. t.'~ 7. ' .:~ ~5.~-~.,...r:~ .~.~ ................. .c:...~.2¢ .o.¢~.. House Number Street Hamlet County Tax Map No. 1000 Section ...... 1/.~ ........ Block ..... O. 2 ......... Lot.. Wa / ............ 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 .. ~.~,.~.~.O..~.]?..~.. ~..~.0~..~r.. ¢.0..~.~.'(../¢.qC.T/.~..~/. ff.C.' .~..//.l/?-,.~. ] .t/.~.7. ~...~ b. Intended use and occupancy ............................ to, l~,k he~'i,-'¥' ~ok ............... ~-~2~ ~- bE. ca' ' 3. Nature of work (check which applicable): New Building .......... Addition .' ........ Alteration ...... i... Repair .............. Removal .............. Demolition .............. Other (Description) 4. Estimated Cost ...... t ....................... ee ...................................... (to be aid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i ...... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ............ ~ .... Rear .................. Depth ...................... Height ...................... Number of ~tories .................... 8. Dimensions of entire new construction: Front .... 4 :& ........ Rear ... :~. i ...... Depth . .J~.~.: ...... Height ......... Number of Stories .... 9. Sizeoflot: Front ...~(~ .............. Rear ................. ... Depth~ . ........ :~: ~':~. ........ 10. Date of Purchase ............................. Name of Fornaer Owner .: .......................... 11. Zone or use district in which premises are situated ................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i .................... 13. Will lot be regraded .... ......................... Will ex,c~ss fill be removed from premises: Yes ' 't~N~ 14. Name of Owner of premises ~. &.~.~.. Lt,. 'T,/~.~"~dA~9 .............. i... Phone No ................ Name of Architect ........................... Address ............... ,4.,. Phone No. 15. Is this property located withinl,00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required.~'r[~fY,~'~ PLOT DIAGRAM I -- Locate clearly and distinctly all buildings, whether existing or proposed, anddndicate 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, S S COUNTYi.i __.OF"'~,.~.*..,,'/'M..~ ~ ........... ' ' V/'[.~.0 .°' :' ,/.~((~.~.K/.rT.~/.JJ~. · · ?, .~.. · .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above llumed. { He is the ..... .~?..~..~f.~.."~-. ............................................ : ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sold work and to make and file this application; that all statements contained in this application are true to the best ofhi~ 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 · .~.~.~.~../~..~. ...... day of.. Notary Public, '~"Ot'.~..~,(2-:~r' ...... II ' County // . ' '(../ ':/"-- , , . '0 MEET N.Y ,,iMMEDIAT,EcoLoY ' ENCLOSE POOL TO uPON COMPLETION BEFORE: ~NATER" SURVEY FOR JAMES N. TRENTALANGE 8~ S;JSAN C. TRENTALANGE AT CUTCHOGUE TOWN OF 80UTHOLD SUFFOLK COUNTY, NEW YORK DATE: JAN.6, 1986 S~ALE: I" = 50' NO. 85- 1321 NUOA ~3N 'OV3HU':tAIH ]i'tN3AV EI3ON~q~U.~O 00~ ;.6tl$)"ON 3SN33rl '$'A'N UOA;^U(I$ QNV'I 'gN(IOA ',~ CIEVA~OH 'ON 3SN3~'S'AN UOA3^~S 0N~I 0NV 9NflOX IZ£1 -g8 'ON ,Og ~ ,,I :3'tV35 9861 '9'NVP :31VO Q~OHi~OS JO NMO~ 39N¥~¥1N2NI '3 N¥S£~S ~ 39N~lN3~l 'N S3~VP UOd A3/~lns .I. HglNnNOt~ =lB 'd'S 869Z9=Y3t:IY :310N ' ,, 1,9~0: '3 ,v, ,_~_" ."~nL T0 coDE NCLOtsI: VE PLETION ON cOM ,, U~OR~ ,qNATER NOTIFY' DUh..D~NG 765-t802 9 .~(~ TO ,~ PM FOR THE FOLt, O~rCfNG 1 FOLfi~O;vcf[~2; '~WO REQUIRED ALL Ct~¢'-', , ,~ ', ~¢ ;', ;'.,;%r,,LL MEET x~o~s ~o