HomeMy WebLinkAbout26529-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No E-27170 Date JUNE 29, 2000
THIS CERTIFIES that the building ADDITION
Location of Property 2200 LITTLE NECK RD. CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 4 Lot 30
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 26, 2000 pursuant to which
Building Permit No. 26529-Z dated MAY 26, 2000
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 HOT TUB & PORCH ENCLOSURE IN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to KEVIN RYAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-068352 - JUNE 23, 2000
PLUMBERS CERTIFICATION DATED N/A
C `
B xlding Inspector
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. 26529 Z Date MAY 26, 2000
Permission is hereby granted to:
KEVIN RYAN
2200 LITTLE NECK RD
CUTCHOGUE,NY 11935
for
PORCH ENCLOSURE AND HOT TUB AS APPLIED FOR.
?Pr-R tC.ES 4 )6146=
at premises located at 2200 LITTLE NECK RD CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0004 Lot No. 030
pursuant to application dated MAY 26, 2000 and approved by the
Building Inspector.
Fee $ 75 .00
Autho iz d Signature
ORIGINAL
Rev. 2/19/98
L5 E (1 Form No._. 6
. _.
TOWN OF SOUTHOLD
L 6 2000 BUILDING DEPARTMENT
TOWN HALL
G.CEPT. 765-1802
U;SOUTHOL;
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 ofpropertywith 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.
B. 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 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 Building - $100.00
3. Copy of Certificate of Occupancy - .25c,,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/ Date . . Jrrl ?{ .Y�. . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .Y . .-.1. . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. .T.2aO. 1--coQ.Ne5tl . .P5Ij. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . u !&�4 . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . D 3. .. . . . .Block�.l. . ..T . . . . . . . .Lot. . .;3
.6 . . . . . . . . . . . . . .
_f A10C)SC noUe Q+ fOJ-E rUf,1,y �—� 01--, S�SubdivisionNQ.e. .D. . . . . . . . . . . . . . .. .. . . .. . . . . .Filed Map. .3ri% J71. . Lot. .
Permit No.^ " ' F.{(` ._Z . . .Date Of Permit. .�...�t� . . /. .Applicant. . .&Y!11 .9y(!v. .. . . . . . . . . _
Health Dept. Approval. . . . . . . .. . . .. . . . . . . .. . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . .
Request for: Temporary yCeertificate. .. . . . . . . . . Final Certicate. . . . . . . . . .
Fee Submitted: $. . .A`'.d. . . . . . . . . . . . . . . . . . . . .
(QIc- APPLICANT
Co -?-- a ?) 717 4'1"1- Fsbu�
Cul2�l � — CUIP"F5 �2 � 04 U V1 CkQrLAjr,'%Ierr. LP / fr �IrCC4e U/
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VLA_(� -�
--t-14 L4 -1 1( �JP ✓I hY CM LL c( P. v So 177 C1rPP 1 r�. �1 11�
THE NEW YORK 'BOARD OF FIRE UNDERWRITERS PAGE 1
8088262 BUREAU OF ELECTRICITY
40.PULTON .$TAROT, NEW YORK, NY 1008E
Date JUNE 23,2000A Iteahon No. a Ale 10314400/00 H 068352
THIS CERTIFIES THATT - 16146
orso the electrical fqutpment or described below and Inhodueed by the applicant named on the above application number is in the prem Net
KEVIN RYAN, 2200 LITTLE HELI{ ROAD, SEC.IOM-103, CUTCHOGUE, NY
In the following location; ❑ 849111111010 IN lift F!. ❑ Ind Fl, Section 810cA4 Lot 30
I
was 111vamined on !ME 16,2000 and found to be to compliance with the National 81ectMcal Code,
PIXTURI RIC[PfACLU SWITCH[I COOKINIS I I0 1 I QVINS I DISH WAININI IXHAUST F!
ODUTL[Tf
INCANDUCINVI TOIOIIUCim I OTHII I AMT. I K.W. I AMT, I K.W. I AMT. I KEW. I AMT. I K.W. AMT.__ _H.
I
ORYERB I FURNACI MOTOR[ I FUTUR[APPLIANCI FIID[RI IFICIAI RIC'PL tIMI CtOCK6 16L UNfT HIATT MULTI• U LIT DIMMIR
AMi. K.W. OIL H.P. alit H. AM}, NO. - H,W.O. AMT. AMR AMi. AMM: TRANh AML H,R N�Y OPIIT .AMt WA
BERVICI 018CONNICT7' ' O,0111 8 1,:. R. .. . .V 1 ., C t. .,, 7t -7,
AMT. AMR tYlt 144011: I e 2W11 e iW 4 f JW 7 e 4W N0.0I NI•ue N0.qr NlUtuu
OTHIR APPARATUS: - -- - -
"NO VISUAL DEFECTS: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated.` "No obvious
unsatisfactory'cbndition was found.
JENNIE'k'Ct B. GO=
P. O. BOX 177
GREENPORT, NY, 11944 GENER MANAGER
I 11
I
per
This cerHfleole must not be altered In any manner,return to the office of the Board If Incorrect.Inspectors may be Identified by their credentl
I
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
8080262 BUREAU Of ELECTRICITY
I 40 FULTON STREET, NEW YORK, NY 10030
Date ' No.
JUNE 23 2000 10314400/00 H 068352
App��lk�a�tion n le
THIS CERTIFIES THAT YLrlilLLT Ni).o6146
only the ekatrkal equipment as dercHbed below and Introduced by the applicant named on the above application number U in the premises of
KEVIN RYAN, 2200 LITTLE NEC{ ROAD, SEC.1000-103, COTaMffl, MY
' -
in the following locadont ❑ Basement ® Lt Fl. ❑ 2nd Fl, Section BkcA4 Lot 30
was examined on JUNF 16,20N and found to be In con Glance with the National Skatrkal Code.,
FIXTUR! RlCIrtACtm EWITCXlS R COOKING DICKS VINE DISH WASHIRII !%NAUtt PANE
OW= NCA/10YC1 rwoslum OTNIK AMI, K.W. AMT. X.W.- AMG. K^ AMT. K.W. AMTS N.►,
DR R$ FURNACE MOTORS FUT11IEAFFUANCI111101111E 1PICIALRICIFLI TIME CLOCKS Slit UNITHIATIRS M!YlTIM!tt DIMMIRE
AMt. K.W. OIL XA, IsmXd. hut. NO. A.W.O. AMT. AMI, AMT. AMPS. SRAN{. AMT. Ill. N0,OF 11117 AMT, WAM
BERVICE DIECONNICT NO, S E R V I c I
AMT. AMP. TVPI SGUIF. 1 R sus 1 e GW seri( i!AW Xa.a Nh= At.MWIjbX0.0!N/OT1Ml3
OTHIR APPARATUS:
"NO VISUAL DEFEM: "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
JEMITM B. GOULEI L L
P. O. BOX 177
GREENPORT, NY, 11944 GENER MANAGER
11
Per
This cedlecate must not be altered In any manner,return to the oeke of the Board It Incorrect. Inspectors may be Identified by their credentials.
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UF X'.MAP NO. 32�1, - vrd} � yrs
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POLAND
OCCUPANCY Cf'Z
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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FORM Ma s
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)
N2 16146 z Date ........I ..... ................... .9p.7..
Permission is hereby granted tto�o:
.............. ..
... ... . . ... . ... .I........... ......4.!9. .........
to ........ .....I ... .........t..............
d r ... ..... ... Q.. .. ..
............................................................... . ......................................................................
................ ........
at premises located at .. �� � . f-!7 s...........
.... ... .... .... . . .....................................................................
County Tax Map No. 1000 Section ....... ..,�. ........ Bl�ock ....... A....... ^tLot No. .-Adw.0..............
pursuant to application dated ....... .�...A.................... 19. .7., and approved by the
Building Inspector.
Fee $..?~�� :. .......
.. ... . . .. ..
Building Inspector
Rev. 6/30/80
OCCUPANCY OR
USES UNLAWFUL �few
.IU fl,I TCERTIFICATE
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765-1802
BUILDING DEPT.
INSPECTION
[ } FOUNDATION 1ST [ ] ROUGH PLBG.
[ } FOU ATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
REMARKS:
DATE INSPECTORS l
TOWN of SOUTHOLD
OFFICE OF BUILDING INSPECTOR
Town Hall
Receipt N° 57919 Southold, New York 11971
Date........ ...................._........
R eived of.. .........
.................. ........ ................................................................._.._..._.._...._..._.._................_...._..................._
�1t' . ......i�.�........ ......................................................................._.._..._......._.._..........................._.._.... 0 Dollars
For........ . .�~ ..�r.... ......._�..f7..1.. ... ..............................................................
Fee for
Fee for Fee for F Certificate
❑ Sign ❑ Flood Development Pmt. Building Permit ❑ of Occupancy ❑
❑ Cash
Check
$....._..........1.5...:..........I........_.......... .._..._.--------
....._....................._.................._.._........_..._.._..._._......_........_...._
Building Depafinent
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOU DION 1ST [ ] ROUGH PLBG.
? ov_7,
[ ] FOUND ION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL /
REMARKS:
C
DATE 7 _INSPECTO
765-1802
(BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL8G.
[ ) FOUNDATION 2ND [ INSULATION
[ ] FRAMING ,,[ ] FINAL
REMARKS: �,� ,,�k-fG: 0,1�oz
41y� .
DATE ai 7 INSPECTOR `
� t
Ml
UNDATION ( 1st ) `1
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UNDATIO;d ( 2nd ) m
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UGH FRAME & N
PLUMBING
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SULATION PER N . Y.
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STATE ENERGY
CODE
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ADDITIONAL COMMENTS : x
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FORM NO. 1
TOWN OF SOUTHDEPARTMENT
MOVSDEUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined . . . 143. Application No. . . . . . . . . . . . . . . .
Approved . ."�24.- . !;'I . ., 1923. Permit No. 1.WY07??. �ry�. �l/• 6�
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A"1 G
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
J•ti a `: . . . . . . . . . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT J
r/n/E
Date . . . . . . . . . . . . . . . . . .. 19 . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app]
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 perm
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 Occupanc
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 th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances c
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describes
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t
admit authorized inspectors on premises and in building for necessary in
ec io s
(Signature of applicant nn� if a corporation)pr
. . . . . .�. . . . .
(Mailing address of applicant) r
State whether applicant is owner, lessee, age t, architect, engineer, general contractor, electrician, plumber or builder
��. .>.n . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises .I. � ��Vr N
(as on the ax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporr-ate officer) !,
Builder's License No. .�.?,
. . . . . . . . . . . . . . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . .
Electrician's License No. . . . . . . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . .
ZGO kT ric NtYK . . . C�P, . . . .`arc Nd ✓E N •
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . .� .
. . . . . . . . . . . . . .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . . . . . . . . Block . . .�. Lot . . . .0. . . . . . . . . . . . . .
Subdivision . . . M.!0. S.C. . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. ':> °2. . . . . . . . . . Lot
(Mame)
2. State existing use and occupancy of premises and intended use and� occupancy of proposed constriction:
a. Existing use and occupancy . . . . . . .r. ��7 M . y a l. . . . . .
EWCbCel) P02 C4, -4- /40 i— Y"VZ$ ria ,. .. ; . ....f
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . ... . .
3. NNaa az 1�v'ork (check, i� applicable): New Building . . . . . . . . . . Addition . 1/. . . . . . . Alteration . . . . . . .',
1
. . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . .
(Description)
4. Estimated Cost !P01-00.. . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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, commercial or mixed occupancy, specify nature and extent of each t pe of use . . . . . .
7. Dimensions of existing structures,if any: Front . . ,l'jr .1 . . . . . . . Rear �. . . . . . . . . . . Depths
Height . . lris . . . . . . . . Number of Stories . . . . . .l. Y. . . . . . . . . . . . . . . . . . . .
Dimensioip of same str�uSture with alterations or additions: Front .G.S. . . . . . . . . . . . Rear . �. . . . . . . . . . .
Depth . .� 4 O.�S. . . . . . . . . Height . . . 4i . . . . . . . . . . . . . . Number o'Stories . . ! . . . . . . . . . . . . . . .
8. Dimension.If entire new construction: Front . . . . . . . . . . . . . . . Rear . ...�r�: : : : : : . . Depth .l L. . . . . . . . . .
Height . . .(. . . . . . . . . . . Number of Stories . . . I. . . . . . . . . . . . . . . . . .
9. Size of lot: Front . . . . . . /.?7. . . . . . . . . . . Rear . . . ./. . . . . . . . . . . . . . . . . . Depth . .
10. Date of Purchase e of F rm r Owner . .. . . . . . . . ELL
11. Zone or use district in which premises are situated . . . . . . i. . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: . . . /`�O. . . . . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . .!V'd `. . . . . . . . . . Will ex ess flbexemov d from premises: Yes
14. Name of Owner of premises . °✓i✓. .� . . . . . Address c�! .. . . . . ... . . . Phone No. 71!' 7(r7
Name of Architect . . . . . Address J)*
. . . . . . . . . . . . Phone No. . . . . . . . . .
Name of Contractor . . . . . . Address .��t ?t
. : : : : : . . . . . . . : : : : : cv�
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions fron
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY.QF�>. . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applican
(Name of i contract)
above named.
Heis the . . . . . . . . . . . . . . . . /P .' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 file thi
application; that all statements contained in this application are true to the best of his knowledge and belief;and that th
work will be performed in the manner set: forth in the application filed therewith.
Sworn to before me this
. . . . . . . . A .. . . . . . . .day of[.�. . Y-11_-e . . . . . . . . . . .119 7
Notary Public, County
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NNY ��OfNo (Signature of applicanl
Na 4101E1E,Sd fa6 <j
Term DOM uAreh 30,