HomeMy WebLinkAbout13843-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OOuumANCY
No Z-24221 Date MARCH 19~ 1996
THIS CERTIFIES that the building ACCEBSORY
Location of Property ROW OFF EQUESTRIAN AVE. FIS~ER~ ISLAND, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 9 Block 9 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MB/~CH 1~ 1985 pursuant to which
Building Permit No. 13843-Z dated APRIL 8, 1985
was iasued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is INGROUND EWIMMIN~POOL & F~NCE ~ APPLIED FOR.
The certificate is issued to JOHN C. ~-ANS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS OERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
PENDING - MARCH 13, 1996
N/A
FOB, H NO. fi
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y,
BUILDING PERMIT
~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
13843 Z
~~..~R_~ ............
...........
...........................................~,~ ~-~..i~:.~.~.:./ ................................................
.......................................... ~~ ...... ~/~....~.....~......, ..............
~o..~ To~ Mo~ ~o. ,ooo ,,c,,o~ ....... ~'. ........... B,~ ........... i% ..... ~, ~o ..... /...b.. ..........
Building Inspector.
Fee $. ~x(~.~. ,' ...........
Building Inspector~
Rev. 6130180
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
BLDG. DEP'f:
TOW!ipf sgu'mo~_~
APPLICATION FOR CERTIFICATE OF OCCUPANC~
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 contains
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
Vpre-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 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, 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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .
New Construction .... ~ ...... Old Or Pre-existing Building .................
Location of Property. .. ~
House No. Street Hamlet
Onwer or Owners of Pro err- ~k~ C' ~'~'%.~ ....
Q..og..~ -i ~ Oq, oo Otg.ooO
County TaX Map No 1000, Section.. ' ...D oc~ ................ Lot ...........
Subdivision .................. · · .. .... .. ........Filed Map............Lot ......................
Permit No..[~.~..3. ..... Date Of ..... ant .............
Applic . · ...............
Health Dept. Approval ........................ .. Underwriters Approval ........................ .
Planning Board Approval ....................... .
Request for: Temporary Certificate .......... Final Certicate. ~..
Fee Submitted' $
STEPi~EN L H~,'~, l]I
~Y~ATTI~]~W$ ~
ATTORNEYS AND ~OUNS~LLORS AT LAW
Souz:i~P~O~, N.Y. 11968
FIELD INSPECTION iiD ATE II COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, i'.l.Y. 11971
TEL.: 765-1802
~Examined .~ .~..., 19
19 -. ermit No.
Disapproved a/c ....... : ............................ '.
MAR .'.9-~ 198
BLDG. DEPt.
TOWN OF SOUTHOLD
Application No ...............
(Building Inspector) ,
Ao~ PXT hIFOR_nU!LDiNGPER,M!T
.... LI_,.-.,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Pict plan showing location of lot and of buildings on premises, relationsMp to adjoining premises or pnblic stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram which ispart of tbis ap.
cation.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon apprc,'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen
shall be kept on the premises available for inspection throughout the work.
e. No building sbalI be occupied or used ~n whole or in pa~ for any purpose whatever unt~ a Certificate of Occupar
sh~I have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to '
Building Zone Ordinance of the Town bf Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ
The applicant agrees to comply with ail applicable laws, ordinances, building code, honsing code, and regulations, ~d
admit authorized inspectors on premises and in buildings for nece~a~ inspections.
....... .......
(Signature of applicant, or na~ if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
... c-o. .....................................................................
Nameofo,,:eroft,, )rc,uises ;[Fot-t~J C. , ~-OA~.S
(as on the tax roll or latest deed)
If applicant is a corporation~igm~u reof duly authorized officer.
·
(Name and title of corporate officer)-
Builder's License No ....... .~. ,~..fl ............
Plmnber's License N,o .........................
Electrician's License No..~. ?..~:...C.~.../'2~°t...c-.'f.'.~..~.
Other Trade's License No ......................
Locationoflandonwbichproposedworkwillbedone. .'~..15~I'=~_.5 ~.[~tt~O ]4~, k~
County Tax blap No. i900 Section ...... g ......... Block ..... ¢ ........... Lot / ~/
Subdivision ..................................... Filed Map No. , Lot
(Nalne)
State existing use and occupancy of premises and intended use and occupancy of propose)3 c4nst'metion:
a. Existing use and occupancy ... . ............................
~O-.LV.I ~1,7.1 ~f.~. .... .-" ................
Repair .............. Removal .............. D~:mo,~on .............. ther Work
. (to be paid on filing this application)
If dwelling, number of dwelli~g units ............... Number of dwelling units on each floor ...............
If garage, number of cars ...i ....................................................................
If business, commercial or mi4ed occupancy, spec~y fiature and extent of each type of use ...................
Dimensions of existing stmctqres, if any: Front .......... ' ..... Rear .............. Depth .............
Height Ndm her of Stories
Dimensions of same structure ~witb alterations or additions: Front ................. Rear ................
De ~ .................. : .... e~ ~t ...................... u r ...............
~. { Rear ;5~0 r Depth
Dimensions of entire new congtructmn: Front .... [.. .........................
Height ............... Nt~ber of Stories ....................................................
Size of lot: Front ' ' ' Rear Depth
Date 6f Purchase Name of Fenner Owner
Zone or use d~stnct in which ~remlses are situated .......................... : .................
D,~es proposed construction viplate any zoning law, ordiaance or regulation: ... ~ .~. ......................
Bill lot be regraded ..... ~.' .................. Will excess fill ke removed from premises: ~Y~
~-,~ -e~,'nor of~remise~t~O~~ ~Qfl~5 address ~:'~ C~ Phnna ~
......... 7~ ~ U~' "~ .............. . ~ 1 ........... ~ ............................
Name ofArclut~ct . .~}..,M~ ........... '..A~dress J~. ~. . .Phone No
Nme of Contractor ~ gq I.~ .~9~.g~¢,.. Addreis .~gMW[q~ ~ Phone No..~'77~.&..
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all'set-back dimensions iron
roperty lines. Give street and blodk number or description according to deed, and show street names and indicate whethe
,tcrior or corner lot.
ZONING
§ lO0-gO
by L.L. No. 2-1983] Garden house,
playhouse, wading pool or
pool incidental to the residential use of the
and not operated for gain, subject to the
requirements:
(!) Any swimming pool shall be completely eneloecd
with a permanent chalnlink or similm..type fence
of not more than two-inch mesh, not less than
I four (4) feet in height, erected, maintained and
provided with a self-closing, self-latehlng gate to
prevent unautho~zed asa of the pool and to
prevent accidents. However, if said pool is located
more than four (4) feet above ~he ground, then a
I fence is not required, provided that all points of
access to s~id pool are adequately protected by a
self-closing, self-latching gate. Any swimming
pool in existence at the effective date of the
provisions of this subsection shall, within one
year from such date, comply with all of the
provisions hereof. [Amended 2-1-83 by L.L. No. 2-
1983]
PATE OF NEW YORK,
j a ' ..... S. '
usame o~ inuixiaual s gni~g contract)
>eve nmced.
' ....
(Contractor, agent, corporate officer, etc.)
f said owner or owne~, m~d is d~dy authorized to perform or have perforxned the said work and to m~e and file
)plicatio¢; flint ali statements cofita/ned in this application are true to the best of his knowledge and belief; and that th
'ark wQ1 be performed in the mancer set forth in the application filed therewith.
~om to before me this
....................... day of ................ , ,.
............ County
ota~ Public, %, .'.. ~ ..
,
P,'e'O?£,~Ty LII..I£ ~
1
_PmO?£~TY
~. ~°- Z~' W. 480,5(~'
PLA/,4
OF
oP ,e Ty
TFI/S Pool. FA¢/I-ITy WAS B££1.1 D£5'I~i'JED
I~EGUI~4E~ITS OF WEALTH AND ~AF£Ty
(N~TIOWAL YPA CPO0h /WST/TUT~) , ~0 ~OCAh YTAT~ Z)IEPAEFMENTS OF
MAAIA~£A41~i~T,
L/PON
PI~OP£~
_CA FF--_ T y
~££1q Pi~EPAEED FOI~
~ET~ AND TILE,
TIlE MAIN
~UPE~ V/~'/0 N
{014~ D,CRA TI OdS
PLIRPOSE OF S,qOwIN6
l. llvllF~' OF f~E~PoI, J5-
LIMITS OF
ML/~'T ~. idLE. A~'L)z DE, F/NED /id TH~ .JoB CONTRACTS-.
MK..]OH IV C,
LiFELI~E
--tEL. t00'- 7~/Z,'' (TYP.)
$,$,
~/.. A t,,I o,~ Po o L
A/OT TO SCA
WA TE~ LINE El.,
~" TO
MA~CIT~
FIMISM%
#..~ NOO.S' 10" ~. C.
t~ 0 TM I,VA y_~ -
WALLS ,AND FLOO,~
TYPICAL WALL ~£TA//...
~CALE '
£l-. ioo'- 7Yz'
S~dM~.D I, gAT£R' £1i,,1~ ,Ct.,.
/8'- 0"
TiDAl
~dA I,.E. ,,~ "= Ic 0~
AOJL/ETA~LE ~'O/.LA~
~oV,.~'
.~'K / M M E,~
~£ TA I/,.
FiLLS'POUT
U~IOE~
LOCA TED
Z~IVI~V~ 2~OA
5 TA /,~ D£TAI/,.
APPROVED AS NOTED
A~dMED WA T F~ ~ ~OTIFY BUILDING DEPARTME~ AT
~1~ ~L, I00'-0 ',, ~ dAPACITy ~F ~00~ /~./~.~ 765-1802 9AMTO4PMFORTHE
FOLLOWING IN~ECTIONS:
-- --i .... ~'~ / Z, ~00~ P~IMiETE~ PIPIN( A~ E~IPME~ ~OOM PI~IW~ ]' FoRFOUNDATIONpouRED CONCRETE' ~O REQUIRED
I~ 70 ~ /00 P~I PO~ YE~~ A~/O~ ~C~DU~E 2. ROUGH - FRAMING & PLUMBING
~. INSULATION
.... ~ 40 ~V~. 4. FINAL - CON'STRUCTIQN MUST
BE COMPL~E FOR C O
~LL CONSTRUCTION SHALL
~ ~ 1' /0~ P~/ - THE REOUIREMENTS OF Tu ....
~O~YETMELE~ PIP~ STATE CONSTRUCTION ~,
CODES. NQT RESPONS p"
DESIGN OR CONSTRUCTION ERROR~
/W~T ~ITTI~ I s, I ToP LINE
~00~ FACIal T y Nor[o ~
AT
/4?'
£1LL sPOdT A~/D /NI,..£T$
~CA£E'
~)£ TA IL
77..?-IO/-Z