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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