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HomeMy WebLinkAbout14373-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13,651 Date July 19 ., 19.8.5 THIS CERTIFIES that the building deck addition. 3225 Lighthouse Rd. Southold Location of Property ............................................................... House No, Street Hamlet County Tax Map No. 1000 Section 50 . .Block 3 .Lot 1 Subdivision x d M p N x x .............................. File a o. .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .~.r. j_..1..2.9. ...... 19..8.Spursuant to which Building Permit No. 13915Z dated ...... .lyl.ay.. 7 ................ 19.8..5, 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 ......... .... p.e.c.k., .a.a.d.~.e..~p.n..~.9..a.n., .e.x.~.s.e..&n.q..d..w.e.Z.~. X..ng.. ............................... The certificate is issued to ..... 4.3~...E.S.. P..R.I.T.C..H.A.R.D...~..D?.~. I..E~..g,O..S.E.~.B.L. 5.T.T' ............ (owner, Y,.~~ of the aforesaid building. Suffolk County Department of Health Approval .............. .N./.~. ........................ UNDERWRITERS CERTIFICATE NO .................... lxj../.3. ........................... Building Inspector Rev. 1/81 FOuwr NO. ~ TOV/N 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) NB 14373 Z . '~_.....~~....~..:~.......~.~S.n..~ .... . , .~~t' ' ~,.~¢~, ~. ' i~2;;~';2~;;';'"~'~':~ ........ ~..~...~~' ............................. .................. ~ ................................................ .~~.. Coun~ Tax Map No. 1000 ~ction ...... ~..~ ..... Bilk ..... ~.~. ...... Lot No ....... ~ ................ pu,uant to application dat~ ...~.~....~. ................... , 19~.~ and approv~ by the Building Inspector. Fee $..~.. ................... Building Inspector Rev. 6/30/80 Form No. 6 ~"~TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN lULL 765-1802 A~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) Approval' of electrical installation from B ar~f Fire Underwriters. less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ~roperly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00,_hjjitions to dwelling $~5 00 Alterations to dwelling *25.00, Swimming poo $25~.00 Accessory buildin~ ~25~00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 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 $t5.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ......... ......... ...... House No.' Street ..... '' ~ , ~ Haml e t , Onwer or Owners of Property.~.. ~.' ..... ;~.....~.. ~l ..... e~ ........ County Tax Map No 1000, Section ........ ~ .....Block ................ Lot ...................... Subdivision ................................. · · . Filed Map ............ Lot ................. . .. .. Permit No Date Of Permit Applicant Health Dept. Approval ...................... · · · · Underwriters Approval ............... ... ...... . Planning Board Approval ........... ..... ....... . Request for: Temporary Certificate .. Final Certicate · MF · ......... THE NEW YORK BOARD OF FIRE UNDERWRITERS 100012,1 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,a,e N756464 THI~ CE~IFIE~ THAT o~y the electrical equipment ~ ~scribed below and intr~uced by t~ ~pplicant ~med on the a~ve application number in the premises of D~el l~senbta't, Li~t~e ~t, ~d~ew Awing, ~ld, N.Y, u~s examined on J~ ~ ~ 19~ and found to be in compliance u'ith the req~irentents ~f th s Board. DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS= S E R V I C E NO, OF CC, COND A W G, A W O+ NO` OF NEUTRAl 1-G.F.C.I. . ,~NIS~__NG~j~___L~ This certificate o~vel-s compli0~lce at: the date of inspection only. Because of tmlkmlal envll, on~onts it is advisoJ)le to have freq%l~nt test/and or repairs ~nade by a qualified person. 275 Town Ilarbor Lane Southeld, N.Y. 11~71 Ltc. 28~E c,//1 m Per_ GENEa ~ This ce~ificate must not be altered in any manner: return to the office of the Board if incorrect. Inspectors ay be ;dentified by their credbntials.- COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF~ CERTIFICATE MusT~HOT~ BE -ALTERED IN. A~HHE ~ .... FIELD I N StY~EC~~ON F 0 U__.N D A~T Ip_N .--. (1st) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX ($16) 365-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1 197I OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 3, 1990 James Pritchard 3225 Lighthouse Rd. Southold, N.Y. 11971 Re: B.P. 9 14373Z Inground Pool & fence Dear Mr. Pri~chard: I am writing to you regarding the above building permit. This permit has expired and you have not passed inspection nor applied for a Certificate of Occupancy. You are in violation of the Code of the Town of Southold. Please contact our office immediately to resolve this matter. A fee of $25 is required along with your application for C.O. and an Underwriters Certificate after you pass the inspection. Thank you for your prompt attention to this. Yours truly, Secretary 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~UTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. '.~-~..[.?.., 19 .~ .~."' Appr°ved '0~'~ ' ' '~' '" 19 ~'~' Permit N°' ! '~' '~'~' 3' '~' ' Disapproved a/c ..................................... (Building Inspector) . . .3 . . . INStrUCtiONS' m q~s a~]JcatJo~ must be com~ete]~ filled ;ets of p]~s, accurate ~ot ~ to scaJe, ~ee acc0~dJ~ to schedule. b. ~]ot 2~ s~ow~ ~ocafio~ of ~ot a~d o[ bufld~s o~ ~emJses, ~e~atio~s~i~ to adjo~J~8 ~e~Jses o~ ~ubQc steers o~ a~e~s, ~d 8N~ a det~ed descd~fio~ of ~ayout of ~o~e~ty must be dm~ o~ t~e dJa~mm w~Jc~ Js ~ of t~is ~- c. q~e wo~ co~e~ed by t~is ~HcatJo~ may ~ot b~ ~om~e~c~d before issuance of ~ugd~ ~e~mit. d. ~o~ a~o~a~ sb~] be ~ept o~ t~e ~emises a~aJhbJe fo~ J~s~ect[o~ t~mu~out t~e wo~. e. ~o b~fldJ~8 s~aH ~e occupied o~ used i~ w~o]e o~ J~ ~t fo~ ~ ~u~ose ~ate~e~ u~t~ a Ce~JQcate of Occu~cy s~aH ~a~e bee~ ~m~ted by t~e ~ufldJ~ ]~s2ecton A~[CA~]ON BuJ~di~ ~o~e O~di~ance of t~e ~ow~ of Soft,oM, ~ffo~k Cmmty, Re~n]atJom, fo~ t~e const~ctio~ of build,Ss, additions or ~te~atJo~s, o~ fo~ ~emo~ o~ demolition, as ~e~eJ~ described. · ~e a~Hc~t ~8~ees to com~]y ~it~ aH a~Ucab]e ~aws, o~d~a~ces, buQd~8 code,~ous~ code, ~d ~eSuhQo~s, a~d to admit authorized inspecto, on premises ,d~ build,g, for necessa~on~~~_~~ .... (Signature of applicant~e, if a corporation) . ~ .... ~O~. ~ .... · ... (Mail~g address of applic~t) I f~ i~ ~i f~ilc~llu t h o riz e d officer. Builder's License No ....... .~. ! .~. ............ Plumber's License No ......................... Electrician's License No....~.~..O..[~....(~...C~??..,~.. 1. Location of land on which proposed work will be done .............. .... ..... House Number Street County Tax Map No. I000 Section . .-~.Q~ ........... Blocks,:~ Subdivision ..................................... Filed Ma (Name) 2. State existing use and occupancy of premises and intended use and State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. · .............. , .. ................................. , ........ · .............. ........... ~,~q-lO~,~ ~4$ 61~IED Nmne of owner of premises .. ~:0.*. ~ .... ~l~i :.Ca &¢,h .... ~,~. ~01~.')/~ :-. B' P' ~" ~~' (as on the tax roll o~at~ de~ .... ,~ ' ,,~oTIFY BUILDING DEPARTi,~ENT "65,t802 9 AM 'Fro 4- PM FOR THE ~-OluLOWtNG INSF~t:CTIONS: 1 FOUNDATION '~O REQUIRED FOR POURED CON~ETE 2. 'ROUGH FRAMING & PLUM~tNG 3. INSULATION 4, FINAL CONSTRUCTION MUST B5 COMPLETE FOR ALL CONSTRUCTION SHAft. MEET THE REQUII EMENTS O~E N.Y STATE ~ R~EE FOR ' 6f~'roposed construction: a. Existing use and occupancy ..... C).~..~-.. ~.~.te .~ 1... ~ ~.~. ..C~ ............................. b. Intended use and occupancy .... ~.O. ,k~>~..V. (?.y./-~.· · .~. i..°~..t.~..: .~..C,m.....~..c~.../.,~.... j .... ....... o o 10. 11. 12. 13. 14. Nature ofwork (check which applicable): New. Building .......... Addition ,:.,..,. ....... Alteratioq .......... Repair ' Removal .............. Demolition ....... -i ....Other Work~l,4t fi>: ~.,k..~... (De.scription) ..5.9..029..: Estimated Cost ..... ...................... ............................. ia_ j~,~ e paid on filing this application) If dwelling, number of dwelling units ............... Numbe~,~lil~f~}n~each floor ................ If garage, number of cars ........................... '' ----. ~.'~.- -~.J~..*q~...~__ .'~. ~". ~,..~'j ....................... Dimensions of existing structures, if any: Front ......... [,J~/Y}~"~ *~1~'/~ - ~'~.~ ,~ ~ * .~[~1t~/~ ...~.i~/j~.__jH~th ............... Height ............... Number of St6ries .......... ~¢'~,../~ .~. W~..~. ;.~ :~ '~l~' .................. · Dimensions of same st cture with altera.ons or' dditions: FronC SD . 5. ................ Depth ...................... Height ...... ' ............... e~rr~.w~e, . .................. Dimansions of entire new construction: Front ............... I~ a r .~¢i~4~,/~'~11~d~il ............... Size of lot: Front ...................... Rear ..................... i ........... Date of Purchase .................... ......... Name of Former Owne( ............................. Zone or use district in which premises are situated ....................... ! .............................. Does proposed construction violate any zoning law, ordinance or regulation: .. ~ ............................. ~ill lot be regraded ...ga.O ..... ._. ........... ~.. Will excess f. il~l be removed from premises: - Yes Name of Owner of premises ,,~.~ ,o')**,2~, t)(c,,[.c,~.O~. Address ~4..~.-[~ t'~.u.,-q.¢...g.~.. Phone No. Name of Architect ................... . ........ Address ............. ] ...... Phone No ................ Name of Contractor ~Od~'7~:[6.1..~. [~.Cg~. ~:~ ...... Address . .t~O.~.t2~..~.~a .., Phone No. 7/a~..,.,~.}.~.~.k~.. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,lindicate 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 comer lot. ,~ STATE OF NEW YORK, S.S COUNTY OF ................. · .~..t~.....,.~l.~-i,t~_~ ~...6)..~. ...................... being duly sworn, d~poses and says that he is the applicant (Name of individual signing contract) above named· He is the .............................................................................. (Contractor, agent, corporate officer, elc.) of said owner or owners, and is duly authorized to perform or have performed th'e said work and to mako and file this application; that all statements contained in this application are true to the best o£his 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 , ·