HomeMy WebLinkAbout25952-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27336
Date: 09/29/00
THIS ~E~TIFIES that the building ACCESSORY
Lo~ation of pro~rty: 7085 HORTON LA SOUTHOLD
(HOUSE NO.) (STREET} (HAMLET)
County Tax ~ap No. 473889 Section 54 Block 7 Lot 1.4
Sub~lvieion Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office date~ AUGUST 9, 1999 pursuant to which
~ilding Petit No. 25952-Z dated AUGUST 13, 1999
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 ACCESORY ABOVE GROUND SWIMMING POOL WITH DECK & ENCLOSED REAR YARD
AS APPLIED FOR.
The certificate is iseue~to JOSEPH W & CATHERINE HAWKINS
(O~ER)
of the aforesaid building.
SuFa~)LK(~)~NT~ DEP~TME~TTOF~E~J~THAPPRO~ N/A
~.w~T~/(~%L ~TIFI~ATE NO. N-529906 07/14/00
PL~ C~RTIFICATION DAT~ N/A
ho/d Signature
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.
25952 Z Date AUGUST 13~ 1999
Permission is
hereby granted to:
JOSEPH W & WF HAWKINS
7085 HORTON LANE
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY ABOVE GROUND POOL & ENCLOSED IN REAR
YARD AS APPLIED FOR.
at premises located at 7085 HORTON LA SOUTHOLD
County Tax Map No. 473889 Section 054 Block 0007 Lot No. 001.004
pursuant to application dated AUGUST 9 1999 and approved by the
Building Inspector.
Fee $ 50.00
uthorl z~nature
Rev. 2/19/98
ORIGINAL
~PLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOI,D
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 I% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code ComplSance 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:
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 dwelli/~g $~0~,__
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory b~/flding $25~O0,
~ Additions to accessory building $25.00. Businesses $50.00. //
2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 / [, ~' - /
3. Copy of Certificate of Occupancy - . .25'¢ [ x~ I
~. Updated Certificate of Occupancy - ~50.00 I ~-_
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15'JTYO
Date . ... _~.~'. ~. l~.. ~ ~k.~ .............
New Construction ........... Old Or Pre-existing Buildil~g¢ ............ Q~U%'h
o .
Location of Property...~...~...~... .... ~.--~....f~...~ ....... ~.~...~0.~.. .....
House No. Street Hamlet
Owners of Property..~.~., .~ ...~...~. .............................
Onwer
or
County Tax Map No 1000, Section...~..~. ....... Blo~ .... ~ ......... Lot...
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for:
Fee Submitted: $ ............................
Temporary Certificate ........... Final Certicate ...........
THE NEW YORK BOARD OF FIRE-UNDERWRITERS
],125110 BUREAU OF ELECTRICITY 4r
~-- 40 FULTON STREET, NEW YORK, NY. i0038
Date JULY :[4,2000 Application No. on rite ~103JS~(~)/(~,' ', N 5299¢6
THIS CERTIFIES THAT . '
only the e~e~at equipment as desc~bed below and int~duced by the applicant ~q~m.~d O~ t~f E~O{; ~pp(icaaon number is in the pr~mises of
JOSEPH }~INS, 7~85 HORTON ~, S0I~H0~, ~
in the following IocaMon; ~ Basement ~ 1st FI. ~ 2nd FL 0U~ Section Block ~t
was examined on ~ 2~ t 2~ and found to be in compl~nce with the Naaonal Elec~al Code..
FIXTURE RECEPTACffiS 'SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ~LUORESCENT OTHER
DRYERS FURNACE MOTORS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT . S E R
PERe
OF CC. COND.
OTHER APPARATUS:
*(SWI~.~4/NG POOL) This certificate
covers comDlia~,c9 at the date of
inspeution only. Secause of unusual
environme5%s it is advisable to
~ave freq3/ent test/and or repairs
made by a qualified person.
Continued on Page 2
C
NO. OF HI-LEG
GENERAL MANAGER
This certificate must not be altered Ih any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their:credentials.
COPY FOR BUILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST N~I. BE ALTERED. IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS AC.E 2
1125110 BUREAU OF ELECTRICITY ,
~-~ 40 FULTON STREET, NEW YORK, Ny 10038 ,
Date JULY 14,2(~O ApplicaHon No. on fie 10378500/0~ N 529906
THIS CERTIFIES THAT
only the electrical equ~pmettt as described below and introduced by the applicant named on the above application number is in the premises of
JOSEPH HAWKINS, 7085 HORTON LAN~, sOUTHOLD, NY.
in the following location; [] Basement [] Ist FI. [] 2nd Fl. OUT section Block Lot
was examined on JU~ 2(~ ~ 2(~)~ and found to be in compliance with the National Electrical Code..
(~XTLE~ RECEPTACLES SWITCHES FIXTURES
/
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDER~
MULTI-OUTLET
SYSTEMS
NO. OF FEET
RANGES
SPECIAL REC'FT.
I
TIME CLOCKS BELL~UNIT HEATERS
AMT. AMPS. TRANS. IAMt ] H.p.
C
OF HI-LEG
SERVICE DISCONNECT NO, OFI S E R V
AMT. AMP. WPE ~4~IEpE. IR2W 1R3W 3R3W 3R4W NO'O~p~CRC~COND' OF~Cl~/~:~iO.
OTHER APPARATUS:
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WAIII~
E
SHANNON ;L~CTRIC
62 t'IAK~MAN ROAD
H~{P~ON BAYS, NY,
11946
ThlE cedlflcate must not be altered In ahy manner; return to the office of the Board f nco rect nspectors mgy be dentifled by their ctedentlals.
COP-Y FOP~ BUIL~D!N~ DEFARTMENT,-THI$ UOFY OF-CERTIFICATE MUST .NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ~JLATION
[//] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ]FIREPLACE & CHIMNEY
.E.A.KS.' ,~,0~/~~
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
INSPECTOR~
,~S1J~TION PEK N.
STATE ENERGY
CODE
FIlL
COMMENTS
ADDITIONAL COMMENTS:
BUILDING DEPT,
INSPECTION
[.] F~] E UNDATION 1ST [ ] ROUGH PLBG.
[ ~'~' FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
_ ~.~
:.. ~.' , // ,'~ .
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INS~ATION
~-~NAL
[ ] FIREPLACE & CHIMNEY
~.~MARKS: ~/~~
DATE ~INSPECTOR~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] I/~ATIoN
[ ~ FINAL
[ ] FIREPLACE & CHIMNEY
DATE ,~'~'~ ,~// INSPECTO~
uj r'''~ 7 t'ltf!'t '"
TO~-,",I OF ~OUT~OLO j
FOI~ NO.~ I '~' '
TO~I OF SOUTIIOLD ~
BUILDING DEPARTffiIN~
TOI~NHALL
SOUTHOLU, N.Y. II~?l
~L: 765-1802
,,,~,..~J,.~ ......... . ,om. ,,~t ~...~..?.f.~...~:~
Disapproved a/c ........................... . . · . ---
APPliCATION FOR ~UILDI~ PE~IT
BOARD OF BEALTH .'. .............
3 SETS OF PLANS . ........ ' ......
SURVEY ........................
CI~CK .........................
SEPTIC FORH...... ....... . .. ...
NOTIFY:
CALL ..................
14AIL TO: ....................
INSTRUCTIONS
3 sets of plans, accurate plot plan to scale. Fee according to sahedule.
b. Plot plm gx~ring location of lot and of imildi~s on premises, relatio~hip to adjoining premises or p~blic
srr~ts or areas, and givi~ a detailed description of layout of property mst be dr~ on the diagram d~iah is l~rt of
this application.
c. The ~o~k covered by this application may nor be c~menced before issuance of lhilding Pemit.
, d. Upon approval of this application, the Building Inspector ~ill issue a Building Pemit to the applicant. Such
pemit shall be.kep~ on ~ l~ai~es a~ilable for inspection Cb~on~honc the ~aork.
e. I~o building ~n~ll be occ~ied or treed in vahole or in part for m~y puxlmse whatever until a Certificate of
Occupancy ~hall have been grmted by the lhildiug Inspector.
APPLICATI~ IS I~a~i ~ to the ihilding Deparment for the ism of a l~uilding Vemit pursuant to the
lluildi~g Zone Ordimmce of the To~n of Smthold, Suffolk Cotmty, 1~/York, and other applicable Ia~s, Ordirumees'or
lk%,ulations, for the construction of buildings, additiorm or alterations, or for xm,~al or demolition, ~ herein
regulations, ~nd to ~it mthorized inSl~ctors on premises ~al for :ions.
~his application mst be ca4)letely, filled in by type~iter or in ink and sul~itted to the Building Inspector wi
corporation)
~id~ess of
State vhether applicator is mawr, lessee, al~mt, architect, ~ngine~, ~;: ~ral ~Cr~tor, el~tricim, pl~r or
.....~--~-.~.~.~ ........... .~ ........................... .....-;:..=~" ....... ,.,. .... ~. ..... : .........................
o, o, ....... e... % .......................
(~ ~ ~ ~ ~11 or latest ~) / ,
If ~li~t is a ~t~, si~ of ~ly ~t~ri~ offi~r.
3. Rabsre of ~ork (check Mdch app!icable):
Repair ........ . ... ~l...,~ ...... . ... ~
4. Estimted Cost . i .......
Building .......... t~lditioa
,litioa ............ Otl~r I~brk
,(1)escrti~ioo)
£ce .........................................
(to b~ paid on fili~ this applicatJl~{)"
'IMMEDIATELY"
CCUPANCY OR
SE IS UNLAWFUL
ITHOUT CERTIFICATE
APPROVED AS [tOT£D
70~-1802 9 AM TO 4, PM FOR THE
~ ,'H.LOWING INSPECTIONS:
'NDATION - TWO REQUIRED
'OHRED CONCRETE
, ,,~,;4 FaAMING & PLUMBING
,t il, M. - ':~Ng~RIJCTION MUST
ALL COaStH,J( ,",~ :~4Ai.l~. MEET
'...n~ OCCUPANCY I T,E R~OU,REME"TS o~ T,.~,~- N.Y.
. , ,,~,n~ffrrn~s ~IH~TE ~ STATE CONSTRUCTION & ENERGY
~.~ ~ ~ t~ ~[ n~u,. , , ~ DESIGN OR CONSTRUCTION ERRORS
(~tr~Lor, ~n~ ~o~rate o[~icer, eLc.)
.... ..... a~ .~...~.
5. If ~lling, nurser of d~elling units ............ Number of a~elling mits m ea~ fl~r ................
?. Di~nsi~s of ~sti~ st~m~s, if ~ ~t ................ ~ar ............... ~pth .................
I~i~ ......................... ~r of Stories ......................
~p~h ........... ... ...... ~i~ ............. .. .. .. , ~r off Stories ......... ... ...
[~i~ ........................ I' ~r of Stories .....................
I0. ~te of ~dm~ .............. ] ....... ~ of Four ~r ........................................
12. ~s ~ ~t~tt~ violate a~ ~ing 1~, o . .
13. ~ill lo~ ~ ~ ~
.......... i .......... Will ~ss fill ~
14 ~s of ~r of p~s '
I
~ ~ o~ ~it~t . .~ ....... ~-,-.~, ~...-~.~ ........ ~ss .............................. ~ ~ ..............
I PLOT DIAG~H