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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' ' ...........