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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: $. . .A`'.d. . . . . . . . . . . . . . . . . . . . . (QIc- APPLICANT Co -?-- a ?) 717 4'1"1- Fsbu� Cul2�l � — CUIP"F5 �2 � 04 U V1 CkQrLAjr,'%Ierr. LP / fr �IrCC4e U/ �yGn , ICa v . n (fie` a6s- ),9 Z ) VLA_(� -� --t-14 L4 -1 1( �JP ✓I hY CM LL c( P. v So 177 C1rPP 1 r�. �1 11� THE NEW YORK 'BOARD OF FIRE UNDERWRITERS PAGE 1 8088262 BUREAU OF ELECTRICITY 40.PULTON .$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. C� I P FAWN LANA �UL4;E y � .':' f 0lZ _ 1 " AT i i 73 4 42 �y PT ��Ar.r�F� BLacKroPFa2rvE , r !_ _ 30 v ` N01 UNIT Jrt ` f a rv 'v1 < L 4;�T NO'r } r � aVE.}QN Ft,,_�;iY THE .}F" 07 52,.. u� ` . COUNTY C_L.EQ%,,C `:. 0i 1 {C+_ 1, lrfQ� •� 5.78°4'40 r`w: 200, { . OF NE r C� APAGK V4 �� UDT 8 y o` G li - .� s O .S ♦ _.._...— — is `MAP �` Y .�o ¢ �i--El j{lnv s GPiI t Nr11i�:c � UF X'.MAP NO. 32�1, - vrd} � yrs _ <szsb � POLAND OCCUPANCY Cf'Z USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FEE N r�ll't ;n-' -ji DAfi rmbNT id-f le F A 80'�, Q, 5 PM POR THE Fo ", Flfl -t--(-IUIRED Lo VL1 D 1H, i", it), CO - II lw wy S T It rt �:t g(JI*N ?4 WERCZY Cuff." FOR W)l V(A i IN lob pr A/l kk C 1Ttt�n� tJr IV Li tly j� r " p (6 dr No S % 013�A 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 4M po. r, IDA v' cy Al MD. po, Powl-I.-w the MKs (t-,bo Vsul PAP Sid k, ve 90) reerF�'a Try iL VIP Lip 2 L OA _ r � Gs�«, t� r�Nsroti S 1 Ile � CSr / 900f 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 4 :2a cn Q ' UNDATIO;d ( 2nd ) m �'.rh.Bsli S' ' z tom. O UGH FRAME & N PLUMBING N Cj7 SULATION PER N . Y. H STATE ENERGY CODE z t I n FI44AL z ADDITIONAL COMMENTS : x Vy X C H obi O z � a � H d -v H 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,