HomeMy WebLinkAbout27270-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27729 Date: 06/05/01
THIS CERTIFIES that the building ADDITIONS
Location of Property: 1155 DEEP HOLE DR
(HOUSE NO.)
County Tax Map No. 473889 Section 115
Subdivision
MATTITUCK
(STREET) (HAMLET)
Block 13 Lot 10
Filed Map No. __ Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 24, 2001 pursuant to which
Building Permit No. 27270-Z dated APRIL 26, 2001
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 WITH DECK AROUND AND FENCE TO CODE AS APPLIED
FOR.
The certificate is issued to G SCOTT & PATTI J VERITY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF t~F~%LTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~u3
N/A
N 397391 09/18/96
Rev. 1/81
FORM NO. 3
TOWN 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)
PERMIT NO. 27270 Z Date APRIL 26, 2001
Permission is hereby granted to:
G SCOTT & PATTI J VERITY
1155 DEEP HOLE DRIVE
MATTITUCK,NY 11952
for :
INGROUND SWIMMING POOL WITH DECK ENCLOSURE AS APPLIED FOR. THIS
REPLACES EXPIRED PMT. BP23609Z.
at premises located at 1155
County Tax Map No. 473889 Section 115
pursuant to application dated APRIL
Building Inspector.
DEEP HOLE DR MATTITUCK
Block 0013 Lot No. 010
24, 2001 and approved by the
Fee $ 225.00
hormzed ~e
Rev. 2/19/98
ORIGINAL
lvOR~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
.....................
Permission is hereby gra~ted,~to: /~ ./ /) /~ ,~/ ,,
~:.~.~..~.#~..,.~.~...!~ .......
...£.~,..~.~ ........................................
.... ..~~.....~..Y.,....~C~C~
I at premises Ioca~ecl'at ..... ~.~..P...P....~.~...T~..~..:..~'..~..'.. ...............
..................................................... ~ .v..~C....~..~.~. ...............................................
County Tax Mop NO. 1000 Section ....... Z/../..~....... Block ..... /.....~.. ....... Lot No..../....C~.. ...............
pursuant to application doted .............. ~..~.. .............. 19.;P.(~, and approved by the
Building Inspector.
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1185077 BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NY 10038
Date SEPTEMBb~ 18,1996 ~ppIica~ion Mo. onf'e 12469596 / 96 N 397391
THIS CERTIFIES THAT
o~y the electrical ~uipment ~ ~crib~ be~w a~ i~t~uced by ~ applicant ~d on~h~ a~e aP~ication nu tuber in the p~m~es of
SCOTT ~RITY, 1155 DE~PHOLE DRIP, ~I~CK~ N.Y. ~
in the following h,c.tlon; ~ B~,e~nt ~ let Fl. ~ 2nd FL OUT ~ Section Bilk Lot
u~s examined on ~T~R 13,1996 ~d found to be in compliance with the Na~onal Elect~c~ Code.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT OTHER
1 2
DRYERS
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
S R, I C
NO, OF~E~CC~CO.D.
OF CC. COND,
OF HI-LEG
'40. OF NEUTRAU
OF NEUTRAL
SWI~ING POOL-!
TIME CLOCKS 40
G.F.C.I.-1
*(SWIt~4ING POOL) This certificate
covers compliance at the date of
inspection only, Because of unusual
-enviromnents it is advisable to
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2
Per GENERAL MANAGER
This certificate must not be altered.in any manner; return to the office of the Board if incorrect. Inspec!ors may be identified by their credentials.
COPY FOR BUILDING DEPAP~TMENT. THIS COPY OF CERTIFICATE,MUST NOT BE ALTERED IN ANY MANNER'
THE NEW YORK BOARD OF FIRE UNDERWRITERS 2
1185077 BUREAU OF ELECTRICITY
--- 85 JOHN STREET, NEW YORK, NY 10038
L~!~.,!: !~j~,'~ .... SEPTEMBER ',18,1'996 "' 'A~pficatio, No. on/He 12469596/96 N 397391
THIS CERTIFIES THAT
o~y t~ e~tr~ equipment ~ ~scri~ be~w a~ ~nt~uc~ by t~ap~ant ~m~ on the a~e applicat~n number i~the p~m~es of
SCOTT VERITY, 1155 DEEPHOI~ DRIVe, ~TTITUCK, N.Y.
in the followlng location; [] Br~ement [] Ist FL ~ 2nd f'L OUT ,%etlon Bilk
~ examined on ~ [ 3 t [ 996 and found to be in compl~nce wiTh the Nao~nal Egect~c~ Code.
FIXTURE
· O~TLETS I
DRYERS
SERVICe DISCONNECT
OTHER APPARATUS:
Lot
RANGES
SPECIAL REC'PT
R
OF I S. ,, ~E ~
TIMECLOCXS BELLIUNIT HEATERSUNIT HEATERS MULTI-OUTLET
,~v,T. ,~PS. TRANE. ~ SYSTEMS
V I C
EXHAUST FANS
AMT. H P*
DIMMERS
NO. OF FEET AMT' WATTS
A,W.G, NO, OFNEUTRA[$ A.W G.
OF HI-LEG OF NEUTRAL
ROSLAK ELECTRIC
P.O.BOX 164.
CUTCHOGUE, NY, 11935
#3677
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. InspectOrs may be identified by !J~eir credentials.
COPY FOR BUILDING DEPARTMENT. THIS cOPY oF~CERTIFICATEMUST NOT BE ALTERED IN ANY MANNER.
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION 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:
i. 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 oh 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
'!pre-existing" 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 of Occupancy is denied, the Building Insp.ector 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 Buildinz - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ...... ~../.~ .~..~/.~. ......................
New Construction ...... ..L~... old Or Pre-existing.Builxding .................
Location
House No. Street ~ Ha~et
County T~ Map No 1000, Section...'..~.~.~...B~ck ...... [.~. ..... ~ot .... )~. ....... ''' ''' '
Subdivision..' ...........................
~~ Da'
Permit No ................ ~e Of Permit.
Health Dept. Approval ....... ~ ...........
Planning Board Approval .................
Request for: Temporary Certificate .....
Fee Submitted: $ ........ .... ~._....~
...... Filed Map ............ Lot ......................
· .~/..Z~/. ....... Applicant .............................
...... Underwriters Approval .... ...~J~.... ............. .
..... Final Certicate ...........
· ..............
50.0
G. GCOTT;~ PATTi d. VF__~tT¥
GUAP. ANTEED -P3 CH
r,',~-';-,¢F)tml/ ...'.~. -,, ?./f ~,-
M C. LAKID :.,:-;,<..' ~- '__'-b-: __'-¢'_'"--~-'-".-'-~-' t-:--." '~'
/.1,/",
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPt. ET~ON
BEFORE "WATER'
LIGHT
APPLICATION
STEF
APPLtCATION
LIGHT
CENTERED
RECTANGLE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INflATION
[ ~FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
FO~.[~[)AT iON (2NI))
ROU(';If I~R^HI~ &
Pl,ll~,ll? 1
TNSI}LA'I('H)I~ PICR N. Y.
STATIC,
C()I)I~,
IrORH Iq(). I
TOI4N ()lr SOUTIIOI,I)
IIUII,I)IHG I)E P A RTHFAtT
TOWN II^i.l,
~3OIJTIIOLI), N.Y. I 197 I
TI': L: 765- 1802
BOARD OF III~^LTII ...............
3 SIr. TS OF PLARS ...............
SIIRVI~¥ ........................
(;BECK .........................
$1[PTIC FORH ...................
~o'r] FY:
CALl ...................
HA 11, 'FO: ....................
~li ld[nl~ lnsl~clor)
,ICA'FlOR FOR BUII.DIltG PI':RHIT 7//
a. 'lhls al~fllcnki~t mint I~ c¢~ldel:ely filled in I~ tyl~,~iter or in ink a~xl suh,itt~ to the ~ildJn
3 ~ts of plans, accurate plot plan to scale. F~ accordi~ ko ach~lnle.
b. Plot: plan M~ing l{<al:i¢w~ of lot m~l of I~ildh~s o~ pro.ises, relati~mhip to ~joinlng pronisen or
c. 'lhe ~rk c(~r~l by'thJa al~flJcaLi{~ i,~ly I~}l. 1~ C{~llI~I~:~l I~fore isstm~e of l~fildi~ Peunit. ..
~ d. UI~ nl~al of this al~A~eatlon, the I~Hlolng sl~c :or will ism~ a l~hll~g Permit to the np[;l~can{-. ~Jch
AHq,I(Z'I'I~ IS I~I~IIY [~II~ [~ tl~ l~dldin8 l~lmrOm~t [or O~e is~a~:e of a I~dlding Peimit ~srmmne to the
Ikdhling 7xa~ otMhm~:e of Lhe T(~ of ~ltl~ld, ~ffrolk (X~;nLy, ~¢ Yod% ar~ other applJeMfle l~a,
l~gulatl~m, for t.l~ c~laLt~tl~l oe hfildinga, ~Mttl~ s or alteratlolm, or for ~al or (~lltlOtl. ae hereJu
{bncril~l. Ilm Ol}llJea~t ag~a to cm~ly with ; .....
reDdati(~m, m~l Lo ~dt: msO~rJz~ tnSlmctor~ (~t pronlses m~l in I~}ildh~ for ~cessa~ ins~cl:i~m.
(.qign. ture of aFpl|canl:, or J~'~e, if a coqx~rat:ion)
~:~.:...0. 0.~ ?.L....~..o. ~/. ~c.....~.....
([%|lhw. ~klress of app[icaat)
· qCnte wheLImr applicant ia (~er~ lessee, ageaC, orchil_ecL, ensh~r, ge~ral contracEor, eleetr{elm~, plmi~r or I~Jilder.
......... .................. ....
(~s ~,, th~ ta~ mH o~ ~t~sc ,h~) N~I~ BUILD~NG O~~
~ . , , ~ ~fi~ ~ 7~5-1802 9 AM ~ 4 PM FOR THE
'-~' ~ ~'~ ...... ~' ~?j~' '~' ~ ~'~- ~ ~ FOR Pb~REDCONCR~E
~q~e ~) , 2. ROUGH . F~MING & PL~BING
~ ' ~ ~' % 3. INSU~ON
........ ~7' V~{~ ~PA~.~V ~ co~.~m.c.o.
Ikdldera License ~ ..........
THE REQUIR~E~ OF ~E N.~
glecl, rlclm,s l,ice,,~ ~... ~.~ .... ~' C STA~ CONS~U~N & ~ERGY
~ COOE8. N~ RES~N~ FOR
UN~RWRIIE~ CERTIF~TE
....... /.~ ..................... ~....Z~.~..~m. ~c~., ........ ~/~C ........... ~ama ......
t~}se B~{mr Btr~t I~nleL
~.,,,,~','.~.,,, ~. ,~ >~:,-~, ..... ~.~ ..... ,,,,~k ..... L?. ....... .,~ ..... ~9 ........
"/~MED~
~,. ,,.,,~d ,,~ ~,~ ~,,,~,,:y .......... ~.L~.~...~ ~ ..... ~.~:..,': ..................
'
I
PI,OT 1) IA(BIAt'I
l,r×:ata cleurly mvl di~tincLly nil IAdl(lin~, ~el,her exist:lng or pro[greed, fllXl i~lJcnLe ~llt ~et-lmck d[f,~,mion~
~d~elher Jnl'e~Jor or conmr lot,
N~a~ Publio, Stato of Na
No. 4879606
Qualified In Suffolk Col
~mmJssJon ~xpires Deoom~
"IMMEDIATELY"
ENCLOSE POOL'tO COOE
UPON COMPLETIC~I
BEFORE "WAI P--~~
LIGHT
APPLtCAT~C'N
STEF
*0:,3.
071
RECTANGLE
I BLDG, DEPT,
'L~,o.. o~o.~.o~ ~
.1
$.87 ~9 ~ E. .
WALL
! 50.0
ENCLOSE POOL TO CODE
UPON COMPLETION
RSFORE '~VATER"
TtTL~