HomeMy WebLinkAbout14306-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19547 Date NOVEMBER 29, 1990
THIS CERTIFIES that the building SWIMMING POOL
Location of Property 305 TUTHILL ROAD EXT.
House No. Street
County Tax Map No. 1000 Section 55 Block 06
Subdivision Filed Map No.
SOUTHOLD
Hamlet
Lot 15.2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 3, 1985 pursuant to which
Building Permit No. i4306Z dated SEPT. 24, 1985
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 POOL AND FENCE.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
RICHARD & LAUREEN WREELER
N858948 SEPT. 3, 1986
J ~ -y Bu~ng ~nspect6r
Rev.
1/81
l{'Ol~{ NO. S
TOW'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NB 14306 Z
~,~.-I .f' '~Ufk} I I /R ~ ~ -3'
· . · o g 00"/'40 ~$
at premises ~ocateo at .......... ~..~..,' ....................................................... ) ...................................................
County Tax Map No. 1000 Section ........ .,~,~.. ...... IBIo~k ....... ...~.....~.. .... Lot No...~.../.~. ~'~
pursuant to application dated .......................~?. ........ .~. .................. , 19....~.~., and approved by the
Building Inspector.
......
Building Inspector
Rev. 6/30/80
Form No. 6
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~PLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept.'of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contm~-~
less than 2/10 of 1% lead. ,-
5. Commercial building, industrial building, multiple residences and similar bu~/dings
and installations, a certificate of Code Compliance from~architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-exist~ng'' land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate o£ Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2.Certificate of Occupancy on Pre-existing Building - $100.00
3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction ........... Old Or P_r___e-existing~,Building .................. ~/
Location of Pronertv .... '~. ~ ~f~ /o~7,/-/~J ~ . ' ....
, ................... . .......... ........ .....
House No. Street Han%l e t
O '
~ nw~er or Owners~?f Property .... .~.~.~.~..~./~f3.~f.~.~..~..~.~.~.~./~.~. .....
County Tax Map No 1000, Section....~.~. ....... Block....~....~. ....... Lot.~..~'. 2 ............
SubdiVision .................................... Filed Map ............ Lot. ~ ........... ; ........
Permit No... L.Z/.~.~.~..~....Date Of Permit...~./.'~. ?/..~.5~'...Applicant .............................
~{ealth Dept. Approval .......................... Underwriters Approval ........................ {
· Planning Board Approval ........................ '~
Request for: Temporary Certificate ..... Final Certicate .....
Fee Submitted: $ .............................
,, I o ........ ...................
THE NEW YORK BOARD OF FIRE UNDERWRITERS
[~.--~L~--90 BUREAU OF ELECTRICITY CO]¥~ECTION O~ N767227
~- pat 85 JOHN STREET, NEW YORK, NEW YORK 10038
Dat~ September 3, 1986 ~ppllcatlon ~o.o. fl~ 422736-86 N~58948
THIS CERTIFIES THAT
only the electrical equipment ~ ~scrJbed below and ifl~roduced by t~ applicant ~med on the above application nB tuber in the premises of
Richard Wheeler~ Tuchill ~.d., off of Yenn~co~t Dr,, Southold,
~n the followlng locatio~; ~ Basement ~ t~ Fl. ~ 2nd Ft. outside .%ct~o~ BI~ Lo~
w~sexumlnedon Auguot 25, [986 attdfoundtobeinco.tpllanceu'iththerequlrements~fthisBoard.
FIXTURE [ I FIXTURES [ RANGES ~C~KING DECKS [ OVENS r DISH WASHERS EXHAUST FAI4S
~RYERS j FURNACE ~OTO.S j FUTURE APPLIANCE FEEDERS ;PECIALREC'PT TIMECLOCKS J BEt[ IUNIT HEATERS ~ULTI-OUTLET DIMMERS
-
OTHER APPARATUS: I-G.F.C.I.
SWIMMING POOL: This certificate covers cpmpliance at the date of inspection only,
Because of unusual enviro~lments it is advisable to have frequent test/and or repairs
made by a qualified persor~.
Steve's Elec, I~c. ~~/ ~
P.O. Box 1268
Soathold, N.Y. 11971 Lic.3494 E GENERAL MANAGER
~ T~W~c~ mascot be oltere 'n ~ mo er; re um ~o t~e office of the Board if incorrect. Inspectors may ~e identified by t~eir credentials,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
iooo378 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
B5 JOHN STREET, NEW YORK, NEW Y~(~RK 10058
".% 19~ 422738/88
THI~ CERTIFIES THAT
the electrical equipment ~ &scribed below and introduced by t~ app~ca~t ~m~d o~ ?to 5~v~p~]icatlon number in the premizes of
in the followlng Iocatlon~ [] Basement [~ Ist Fl. [] 2nd Ft. Or. side Section Block Lot
was examined on ~q~2&St 'fl~ ~ 1~8~ and fottnd to be ln compllance uqt h the requlrements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS FANS
OUTLETS SWITCHES FLUORESCEN'f
2
DRYERS
MUlTI-OUTLET
SYSTEMS
NO, OF FEET
OTH~K AKP~gT.Sj-
E R
CC COND
NO OF HI-tEE
NO OF HEUTRAL$
A, WG
OF NEUTRAL
Steve's Electric Inc.
P. O. B3x 12~8
Sou~lold, N.Y. 11~71
I&c. 3494E
GENr~AL MANAGBR
Per - 11 i L~'
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.
COPY FOR BU~ILD NG DEPARTMENT. THIS COPY OF CERT ~CA~E .Mg~NO, T BE ALTERED IN ANY ~NNER.
~iELD INSFECTION
COMMENTS
.~OUNDATION
(2nd)
tOUGH FRAME &
PLUMBING
i~NSULATION ?ER N.
STATE ENERGY
CODE
FINAL
ADDIT
~L COMMENTS:
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF $OUTHOLD
May 9, 1990
Richard Wheeler
1215 Tuthill Road
Southold, N.Y. 11971
Re: B.P.914306Z
Dear Mr. Wheeler:
I am writing to you regarding the above permit. The
permit has expired and you have never scheduled a final
inspection and you do not have a Certificate of Occupancy.
This is a violation of the Code of the Town of Southold.
Please call our office immediately to set up an inspection.
An underwriters certificat~.,is required. After you pass
the inspection please file~ Certificate of Occupancy. The
fee is $25.00.
Yours truly,
Secretary
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND Il IN/,~4JLATION
]FRAMING
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined 7'/~d-X (~.~/fl~ 19--._ ~[-
Approved ................ 19 .~.~ (Permit No ............
Disapproved a/c ............................. ~ ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
TOWN OF SOUTHOLD
Received ........... ,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
i. 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 neces~af~/gfftio__ns.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises..~ .~ .~.~. [.4r. ~ .... .~.~..~ .-3L.~ .....................................
(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 .... .~. f(k7 ..............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
, ' - ......
. ................. . o .-r.14. t . '. -. .................
House NumberStreet .. * Hamlet
County Tax Map No. 1000 Section...~.~,.~C .... i .... Block .... '.~...~. ........ Lot
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of J)xeBmises and intended use and bccupancy of proposed construction:
a. Existing use and occupancy ~~"l~.~..~.~..~ .D~m/...~.~.~....Z .............. ; '"4' .......................
b. Intended use and occupancy .~.~>~ .~~ .... · .f~../. · .~.'~..~ .....j;it¢~:,]~.~.'~i~· ..................
3. Nature of work (chec, kwhi 0pplicable): New Building .......... Addition .......... Alter~ion . ._,'; .
Repair .~.1 t .(~ l~e~oval ...... Demolition .......... OtherWork,-~./~4. ~.
· ~ i I (Description)
........... ......................................
"r ~' ~ ~ (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, commerciai or mixed occupancy, specify nature and extent of each type of use .....................
7.Dimensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Nufnber of Stories ........................................................
~ ' ' structure With alterations or additions: Front Rear
Dimensions of same ...................................
Depth ................... !... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Ho ght . . N~ tnh~r_of Strw~eq ............. : ....... . ........
10. Date of Purchase .......... i'. ................. ,qName of Former Owner .............................
11. Zone or use district in which premises are situated.. ~<~lrT::~z>t 4,~L%KJ-~14~.(~ ...............................
12. Does proposed construction viblate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ...... ,,~.4,~.~. .............. ; Will excess fill be removed frorg premises: Yes
14. Name of Owner of premises~;!..kt?.~t.,~... Address .%~:~.O.~'..~..(~. ~-2(~hone No .............
Name of Architect ~ ....... ~.~,..,~ ..... Address . .,~ ............ :..~. Phone No ................
Name of Contractor ~L~...r~..~,. ....... Address. g t q. tTa lq .[. , hone No. 77.'.2<7:~
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocl: number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK,
~S.S
COUNTY OF .................
................................................ being duly sworn, deposes and says that he is the applicant
(Name of individual sigping 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 fiI~'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 mannler set forth in the application filed therewith.
Sworn to before me this
................ / ........... 19 ~...~
NotaryPublic,. .i.......... . ...t,: ..... ~..~. County._..~_ .~.~,,.z.~ ~.~
~ ~. o~ vet ~ .~,~. ~
N(~ It~$LIC, State of *~ ~ ~'~ ........ ~- ~ ....................
No. 4~}~/11; Suflol~ co,,nty ~ 3 (Signature ,of applidant)
Term Expkaellkletl 30, 1~-.-1~ /
j