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HomeMy WebLinkAbout14804-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N Y CERTIFICATE OF OCCUPANCY NO: Z-33026 Date: 05/13/08 THIS tu~KTIFIES that the build{~g ACCESSORY Location of Property: 4430 BRIDGE ~ CUTCHOGUE {HOUSE NO.) (STREET} (HAMLET) County TaxMap No. 473889 Section 84 Block 5 I~ot 5 Subdivision Filed Map NO. __ ~ot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 1986 purs-2-t to which Building Permit No. 14804-Z dated APRIL 26, 1986 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. THIS CORRECTED C/0 REPLACES C/O Z-14687 ISSUED ON 7/23/86. The certificate is issued to AUGUST N & CHRISTOPHER J GANDIA (OWNER) of the aforesaid building. SuF~OLKCODNTYDEPART~TrOFHEALTHAPPi~OVAL N/A ELECTRICA~C~KTIFICATENO. 749762 05/15/86 PLU~I~R~ C~KTIFICATION DA'£~u N/A /~Autho~re Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application tntist bc filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: Filial survey of property with accurate location of al/buildings, property lines, streets, and unusual natural or topographic features. 2Final Approval from Health Dept. of water supply and sewerage-disposal (SO form). 3Approval of electricaI installation from Board of Fire UndeF, vriters. 4Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5 CoImnercial building, industrial building, multiple residences and similar buildings and installations, a certificate o f Code Compliance from architect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. B. For ex shng b~ tidings (prior to April 9, 1957) non-confornfing uses, or buildings and "pre-existing" land uses: I Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by tile applicant. If a Certificate of Occupancy is denied, the Building hlspector shall state the reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25 00, Alterations to dwelling $25.00, Swummng pool $25.00, Accessory building $25 00, Additions to accessor,/building $25 00, Businesses $50.00 Certificate of Occupancy on Pre-existing Building ~ $100 00 3COl)V of Certificate of Occupancy - $25 4IJpdated Certificate of Occupancy $50 5Tmnpolm,~ Certificate of ©ccupanc;, - Residential $15 O0, Connnercial $1 q 00 Location of Propel1¥' ()Id or Pre~existing Building' House No Streel Owne: OI COwne:~ ofPtopeUv ~~ .~ I ~ $+__ Suffl:lk u.nunl,~ 'l ax Map No 1ClO;~, Section ~ __ __ .-- (check one) Filed Map .... Lot Applicant__ Jndelqvrite~ s AIq)royal Final C'ertifit_ate O/'o (check TOWN OF SOUTHOLD BUILDING DEPARTMENT P~O~B~x 1179 TO~N OF $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14804 Permission is hereby granted to: r/~) ~ ...~)..~ ............. .~. ...................... ~ .............. ~o .~.~..~...~....~.~.~...?~..x...~.~.....~...W~..~ ..~....~ .................. ]...~....~r .............................................................................................. co~[o~ ~ so. ~o0o so~.o~ ...... L.L~ .......... ~k ...... ~.D ....... co~ ~o....~...[ ............ pursuent to ~ppiicotion dated ~ , 19.~.~. and opprov~ by the 6uildlng InSpector. Building Inspector Re~. 6/30/§0 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~ 'L 5 ~ .8.7. ....... Date ......... .J .u.]_.y....2 ,3 ................ 19.8. 6. THIS CERTIFIES that the building ..... ~.~g?.qqz3¢..~.~ $¢.m.~qg. p.qo. ~. ................. Location of Property ...4.63.0. ............... ]3.v. 5. c3g.e..L,~a.e .............C.t]~;¢ia.qgg.e .... House No. Street Hamlet County Tax Map No. 1000 Section ..... .~ .1.5....Block .......... 7. .... Lot 4 Subdivision ............. .X ................. Filed Map No ..... X....Lot No ..... .3(. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ~.g? ~.1..2. 3 ...... ,19 .g.~. pursuant to which Building Permit No.. 1 4 8 0 6 Z dated ........ ~. p.p.~.l...2 .6 ...........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 ......... Inground swimmin~ pool. The certificate is issued to ............ .d.~.. E..S..~...B.E.T.XY...H.~.~ S..C.Itfi. F. T. .................. (owner, i~glO ~K ~OJ~ of the aforesaid building. Suffolk County Department of Health Approval ................. ~ ./? ...................... UNDERWRITERS CERTIFICATE NO ....................... ~ 7. ~. ~.7.6. 2. ................... Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF $OUTHOLD 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 m laa~mm~a 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-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and sifnilar 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property..~..~..3..../~./.~..~...~-~/~.... ............. .~.~c/~.'..~t_~,' ~.;~... House No. 6/ Street : .......... Owner or Owners of Property County Tax Map No. 1000 Sect~"6'n ..././..5~ ....... B~:~ck ....'-7. .......... Lot....~. .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./¢~..Z~.. Oate of Permit .7.-'..o~.-.~.~.Applicant .~.~~.~. · · ..... Health Dept. Approval ....................... Labor Dept. Approval' ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Construction on above described building and permit meets all applicable codes and regulations. BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY c~'O~O~ as JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by t~ applicant ~med on the able ~ppllcatlo~ ~m~r [~ t~ preo~i~es of Hcrrsch~%, e/s 4430 ~idge in thefollowlnglocation; ~ Base~ne~t ~ 1st FI. ~ 2nd FL O~sid~ Section Block Lot was examined on~Y ~- ~ ~ ~ ~ ~ ~ ¢mdfou,td to be in compliance witb the requirements of this Board. FIXTUKE OUTLETS RANGES OVENS EXHAUST FANS DRYERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: only, Because of unusualt, environmenzs tt is advisable to have frequent tost and/or repairs made by a qualified Henry Bohn 121 ,~heep Pasture Rd, Seteuket~ N~Y,, 17~'1~3 GENEI~AL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. c0PV FOR ejmLome OEP/mT~?~T. THru COPY OF CERT~Fm6TE M%sT ~qT ~EALTEREO !r~ AS¥ ~Ar~E~. FIELD INS~'ECTION FOUNDATION {1st) FOUNDATION 2. (2nd) ROUCH FRAME & ?LUMBING INSULATION STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: . ,,~,.~. , ~* BUILDING DEPARTMENT ..... . T~ HALL - · ~ ~ ~, · ~ ~OUTHOLD, N.Y. 11971 ..... ',-~: ;/;'~i>~. ..... ~ *~ TEL.: 76~1~3 .~..~.~...., ~ ~ . . ~,= ~ .... , ~ ~... ,~,~ .~, .~.~.., ~. ~ ~1..~ ....... append ~ ..................................... APPLICATION j~:tR BUiLDIN~ PERMIT INSTRUCTIONS tress, anti ~ivi~ a {ietailed description of l~yout of {lm, ol~a, tiy imwt be arawn on tim.als{ram wmen a lim~ o[ tins app- e. N~ ~ ~ b~ OCCupied ? ~ fa whole or in parr ~or~ny purpoee what~ner unto a c~nmca~e of occupancy ldin{i Zone ~ of ~ ~tl? Town of,.Seutho~, .~aff. olk q~ty, New .York, and dtanthOrm~ on · (Si~etu~ of appUeant; or ~n~~ation) ~/~ ~/~ /~,Ls~/ ~'~/~.~_~.~... ~A-~..:..~/<~. ,..~.<~..~...~.~ · · · ~ ~ (Mn_tH_~il or builder. (a~ 0n ~e t~ mU or ~st de~) Utle of corporate officer) ....... ~UUd,~, u~, No ..... ~./. .................. Plumber's License No .......................... Oth~ T~e's ~ NO r- · · H~bt State exls~s a~ ~d ~oup~ of p~es ~d ~nd~ U~ and occup~y of pm~d colorlon: a. ~i m and Cp~cy ....................................... ,~ ........................... 3 Nature of work (check which lpplicable): New Building " . 'Addition Altoration Repair ... ,.: ,.,., R mo ai ..... , ........... Other__Work... 4. EstimatedCost' ............................. . ..... 'Nee ........................ . ........ ~' (to be paid on ~ this application) $. If dwelling, number of dwallin~ units ............... Number of dwallin~ unlit.on each floor, ........... If garage number of car~ 6. If business, commercial or mixed occupancy, specify nature and, exton$ of ~ach, tylm of u~ ................. 7 Dimensions of existing structures if any: Front Rear ' ' .- Depth '. H.ei~ht ............... Nun?er of Stories.. .... . .............. ' .. Depth ...................... Height ......... ~ ............ Number of Stories .................. 8. Dimensions of entire new construction: Fron . ..... Rear .......................... Height Number of Storler , 9 Size of lot: Front /~.SW-.' Rear ?// Depth -.~. ~. ?. ~. 10. Date of Purchase ............................. Name of Former Owner ......................... 11 Zone or use district in which premises am situated , , ~ ,4 12. Does proposed construction violate any zonin~ hlw, ordinance or regulation: .. ~/Q ....................... 13. WiHlotbere~aded ........ .,~..._.,. .............. WillexcessfHl_beremovedf~l~: _Yes___ 14. Nnme of Owner of premises .?/.~?..~..~f=.~f~.~'Y'Addrass .~'~..~.~/.~.~..~,... Phone No.Y'.~.~. ;. 7."~-~.~.· Name of Architect ........................... Address ................... Phone No ............ · · Name of Contractor ¥~/.~. ?,/.,~f...,~.~.~.s. .......... Address ~.Z/.,~ff-,f/~. ,~.~./,~.~,.../ff.~ ~/ Phone No..7~' ;--.~./.Q ~... PLOT DIAGR,~ Locate clearly and distinctly all buildings, whether exhtin$ or ,oropos~d, and. indicate, all set-beck.dimensions frt property tines. Give street and block number or description according to deed[ atM sh0w-st~eet names and indtcate wheti interior or corner lot. STATE OF NEW YORK, S.$ COUNTY OF ................. ~ ~'/-- ~,4/--'~,~-~- ~.o being duly sworn, deposes and says that he Is the applicn (Name of individual si~nin$ contract) -, above named. · He ts the ........................... ~ ................................................. (Cootractor~ a~ent, corporate officer, e. tc.) of said owner or owners, and application; that all statements contained in this application,are true to the best ofhts knowisd~e and bet~f; and that work will be performed In the manner set forth in the apl~l~on filed therewith. ' Sworn to before me this Notarr Public, ........ .~-,, ........, ...........County , , . . ....... ..... FIBERGLASS MOULDED PIECE OPTIONAL STEP :, TYPE. 2. OPTIONAL i. STEP NOTES .... WALKS TO BE SMOOTH- NON SKID TYPE. SLOPED AWAY FROM POOL TYPE WATER DISPOSAL SHALL BE LIMITED TO OWNER'S ~ PROPERTY TO. SUIT LOCAL REGULATION;~ SAND BOTTOM ~ '~ .... . **. SECT!_ON B-B ® GRADE PRE CAST COPING S ECTION ~:, A-A. SIZE A B C O E F G ~ cAP. 16'z 32' 16 32 8 8 12 4.! 4 512 I~00, 16' x 36' 16 36 12 8 12 4 4 576 ,_--..=yv,.y~= SlOE OR END BLOCK GRADE ROLLED FOAM BETWEEN LINER ond'BLOC BOND" VINYL 2'- 4" TY PICA L THICK 'OWENS CORNING' FIBERGLAS*BLOC BOND' TROWELED ON EACH FAC OF CONCRETE BLOCK WAI-~ POURED FOOT I N G WA LL )~ SKIMMERS CONCRETE S ECTIOI~ RETURNS~~[~ ~TO FILTER SKIMMERS ILTERond PUMP TO RETURNS FROM FILTER