HomeMy WebLinkAbout25805-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27480 Date: 12/19/00
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 1465 PINE TREE RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 98 Block 1 Lot 26
Subdivision Filed Map No. __ LOt No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 4, 1999 pursuant to which
Building Permit No. 25805-Z dated JglqE 18~ 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 ACCESSORY INGROUI~D SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
~e certificate is issued to RIC~IARD L HORTON JR & WF
(O~NER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ~%LTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA-A'~u~
Rev. 1/81
N/A
30639 08/11/99
N/A
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. 25805 Z Date JUNE 18~ 1999
Permission is hereby granted to:
RICHARD L JR & WF HORTON
1465 PINE TREE RD
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF AN INGROUND POOL WITH FENCE TO CODE AS APPLIED FOR
at premises located at 1465
County Tax Map No. 473889 Section 098
pursuant to application dated JUNE
Building Inspector.
PINE TREE RD CUTCHOGUE
Block 0001 Lot No. 026
4 1999 and approved by the
Fee $ 150.00
Autho~ Signature
ORIGINAL
Rev. 2/19/98
F~'~ NO. 4
TOWN OF $OUTItOLD
BL~,~]B]'G DEP~TMF. aNT
Town Clerk's Otiice
Sou',bolS, BI'. Y.
;,
Certificnte Of Occupnncy
THIS CERTIFIES that the building located at ...N./.S...P..ir~.e...T.r.e..e..R. qa..d .... Street
Map No. ~. ' Block No. '. ~ ...... Lot No..~....~. ~;C~.og~.~ .... N. ;.Y.; ......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .........Apt. il.. ].2., 19.73. pursuant to which Building Permit No ....
dated ..........AP.~$1 .... 13., 19.7.3, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
The eer~mcate is issued to ...~?.b.e.r.~...~.,. ?..~. y.~.k..l. ........ . .0~...e.r ...................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Dep~,-tme~t of Health Approval ~/..'~...[~..'?..~. .....~ .~..~ f.~. · .~-~
U1VDEBWRITERS CERTIFICATE No.. ~.. ] 3~ltlk ...... D.eC.. J.i.. ~19.7.~ ...........
HOUSE NUMBER ..... 1.tlr..6~ ...... Street .. ]~;l~e~. ~'.e.~. Rg.~,{1, .......................
..... ......
DEC 1 8 .~r~n
A.
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:
1. Final survey of-p£uperty with accu-£at~-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 o~ 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 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:
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. Tees
~. Certificate of Occupancy - New dwellin~ $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, ~Swimmin~ ~ Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existinK Buildin~ - $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
. ....... ..................... .
New Construction ........... Old Or Pre-existing Building...~.. ...........
.........C~/,.~ q'~n ~../ Co'/-~.ko ~, .,~/,¥.
House No. Street Hamlet
Onwer or Owners of Property ............................................ ..
County Tax Map No 1000, Section%~] 7.'%."~.~ .... Block .............. .. Lot ..................... ·
Subdivision ................................... . Filed Map ............ Lot ......................
Permit NoC~-~O .............. ~-~ ............. Date Of Permit ............. Applicant~...~.-.3.~f~.%~ ..
Health Dept Approval ... Underwriters Approval ~? ~ ....
Planning Board Approval ...................... ..
Request for: Temporary Certificate ........... Final Certicate..~ .......
Fee Submitted: $. .......................
.......
c ....... ' ..........
DATE: 8/] )/99
ELECTRICAl. INSPECTION SERVICE INC.
375 DUNTONAI~NUE
EAST PA TCHOGUE, NEW YORK 11772
(516) 286-6642
30639
APPLiCATION No. ON
[TI,LAGE: Cutcholgue
ADDRESS: 1455 Pine Tree Road
ISSUED TO: Rich Horton
Southold
IJVTRODUCED BY: Htmk's Electric
was exammed on 8- l 1-99
LIC ,5~: 2675-E
and found to be tn comphance wtth the Na#onal Electrical Code
LOCATION: Base.. 1st x
2nd 3rd A~c
Hot Tub Pool x
2 2 1
I
OTHER
EQUIPbitLVT
Outside Resident
1-500watt pool light
1- 1 1/2 hp motor
1-20amp t~me clock
1-20amp special
Section 098
Block 0001/Lot. 02~
BUILDING P ERM1T No.
BLLrE ORIGINAL YELIX)W COPY
PINK COPY OFFICE
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
DECEMBER 4, 2000
Mr. & Mrs. Richard Horton
1465 Pine Tree Rd.
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
i~n application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25805-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ~ INSU~TION
[ ] FRAMIHG [ c]~I=INAL
[ ] FIREPLACE & CHIMNEY /
REMARKS: ~/~//~ ~ ~--~ --~
..~ I / / ,,4 ,," '
,DATE
/
INSPECT!
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
I~N
[ ~'] FINAL
[ ] FIREPLACE & CHIMNEY
,DATE
INSPECTOR
FORM NO. !
TOWN OF SOUTHOLD
BUILDING DEPARTHF-NT
TO,Hi HALL
SOUTUOLD, N.Y. 1197 !
TEL:
~...~.[~.s.'. ........ ~9.~ ~t bb...~..~...~..~---
Disappmveda/c ................................ . .
BOARD OF HEALTH ...............
3 SETS OF PLANS 2~.. ...... ......
s~wY ~. .......................
ca, cz ~. 4~ -~-~ ................. ·
SEPTIC FORH ...................
APPLICATION FOR BUILDING PERFIIT
INSTRUCTIONS
NOTIFY
CALL .................,
HAIL TO: ...................
a~ This applicatic~ ~st be caaple~ely filled in ~ ~iter or in i~ ~ ~itc~ to ~ ~ildi~ I~tor
3 ~ts of pl~, ~a~ plot plm m ~le. F~ ~i~ to ~e.
b. ~ot pl~ ~ l~ti~ of lot ~ of ~il~ ~ ~s, ~lai~ip m Mjoini~ p~s or ~lic
struts br ~, ~ gi~ a ~tail~ ~pti~ of l~t of ~ ~t ~ ~ ~ ~ diem ~ia is ~rt o
:als ~lia~i~.
c. ~ ~ ~ ~ ~is ~li~tim ~ mt ~ ~ ~fo~ i~e of ~ildi~ ~t.
d. ~ ~1 of ~is ~plia;i~, ~ ~ildi~ ~tor ~11 i~ a ~ildi~ Pe~t to t~ ~li~t.
~t ~11 ~ ~ ~ ~ ~ ~il~le ~r i~tia asr ~ ~k.
e. ~ldi~l ~ ~iM~ in~leor ia~ for ~ ~at~r mtil a~rcifi~teof
aI~ IS ~f ~ ~ ~ ~ildi~ ~t for ~ is~ of a ~ildi~ ~t ~t to t~
~ldi~~ 9~ ~ of ~ld, ~f~lk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s'or
~ati~i~ti~ of ~ildi~, ~itia or ~terati~, or f~ r~ or ~liti~, a ~in
~lati~, {to ~(~ ~tm~'~l~ ~a i~ti=.
........
~l~.i,~' ~ , ' , '.-x (S~ ~H~t, ~ m. if a ~rati~)
essee, ,~m~:, a~hirecr, e~gineer~ ge~er.al co~tractor, electrician, planber or b~il
~ :/Z~:. i/.. i.¢~. i..~.?. 1 ................................................ ......... L...,
the tax roll or latest deed)
~ature of duly authorized officer.
(Na~e and title of corporate officer)
Builders License bb ................
Pltmbers Li~-~. No.
Other Trade's License No ................
!. Location of land on which proposed work will be do~e ............................................................
.......... ......................
H0dse N~ber Street/,~*-_.a~c, ,. -~ ~~ ~ ''~ -- -Yn ~/7~q/// ~1 et, ~-- .
tx~auty Tax ~ bb. ]0~0 Sect~oa ................ BIock ......... ; ...... Lot .~ ..............
~bdivisio~ .,. .................................... Filed ltap No ................ Lot ...............
2. ~ate ex~stm~ use a~d occupa~y of tmemlses ~ m~eeded use a~d ,occepa~y of proposed
......... i .......................
Repair ............ ~1 ' ' . .......... Ottmr Work ..................................
4. E~tlmated Cost .... J .................... f~ ..............................................
(to ~ ~id ~ fili~ this a~li~ci~)
5. If ~111~, ~r of ~lilng ~ics ............ ~r of ~111~ ~i~s ~ e~ fl~r ................
6. If ~i~sa, ~ial or ~ ~, ~i~ ~ ~ ~enC o~ ~ ~ of ~ ......................
7. Di~i~s of ~sti~ st~s, if ~: ~t ................ ~ ............... ~pth .................
t~i~t ......................... ~r of Stories ......................
Di~i~ of ~ st~ ~th alterati~ or ~iti~s: ~ ............... ~ar ...............
~pth .................... ~i~t .................... ~r of Stories ...............
8. ~imi~ o[ enti~ ~ mt~tlm: ~r ................ ~ar ............... ~p~ ..............
~i~t ......................... ~r o~ Stories .....................
,. ,,~ o, ,o~, ~ .~g~:~c ......... ~/~,.~m...~..
,~. ~ o~ ~ ................. 7" ~ o~ ~o~ ~,.~~.:~.~~~ ~ .....
II. ~ or ~ d~*trlct in ~i~ ~ m ~i~t~ -.....X~X~ ...........................................
13. Will lot ~ ~ ...... ~ .......... :. Will ~ss fill
~ o~ ~ o~ ~-,.,,.~__.,_.~.~ ...... ~___~~.. ~ ...................
~ o~ ~,~~ ..................... . ........... ,' .',~: ............ ,..~ ·
I~. I~ this ~ ~i~ ~ fei e[a Ei~t ~tt~? .......... ~ "A' .....
PLOT DIAGRA~
I~cate clearly ~ di_~tL,~ctly ~]l l~.]~ldlngs: ~hether existing or proposed, and
from property lines. Give street mxl block ~,,~her or description according to deed,
whether interior or corfler lot.
indicate all set-back dimensions
and show street r~res ar~ i~dicate
NOTIFY SUILDIN~ ~ AT
768.1802 g AM 1~ 4 I~1 FOR THE
FOLLOWING INSPECTION~
1, FOUNDAllOI4 - ~ II~tNRED
4. FINAL. CON~rm,ld~110gl MUST
ALL CONSTRUCTION 8HAU. MEET
THE REQUIREMENT~ OF TI~ N.Y.
STATE CONSTRUCTION & ~NERGY
CODES. NOT RESPONSIBU! FOR
DES~N OR CONSTRUCT~N ERRORS
~FA'[E OF ~I':W
T.
(F.~e of indlvld~ml s~gni~ cc~trsc~)
says that he is tim applic~t
(OTatrscto~, agent, corporate officer, etc.)
o[ said owoer or ~ners, and is duly ~uthorlzed to perform or have perfoxmed the said work and to make ~ad file this
application; that all statements contained is this application are true to the best of his knowledge and b~liefl and
that the work will be performed in the marker set forth in the application filed therewith.
A-A
PIPING' ARR~A _N G E ME,N,~
· OPTIONAL STEP
TYPE I.
' ", ,' 6PTIONAL' ~TEP.
TYPE 2 .....
IIANDY ']['.- ~flDEC~ER,
/~,
;a OAO
,YU,~V£YED FO£
I~- lC HAP-_D
· E)E: B,,~A. S,. ;-~Om'TON
AT
T'O~/~,I Ot= . ~ou'rklo~.D~ IV.
$c::¢lm: 4'0'=C' ' ...........