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HomeMy WebLinkAbout25686-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26707 Date: 09/27/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 275 BALDWIN PL (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 103 Block 10 CUTCHOGUE (HAMLET) Lot 2.2 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1999 pursuant to which Building Permit No. 25686-Z dated APRIL 22, 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MICHAEL J SIRICO & VERA ANN REID (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 489726 PLUMBERS CERTIFICATION DATED N/A 05/26/99 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) PER~IT NO. 25686 Z Date APRIL 22~ 1999 Permission is hereby granted to: MICHAEL J SIRICO 275 BALDWIN PLACE CUTCHOGUE~NY 11935 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 275 BALDWIN PL CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0010 Lot No. 002.002 pursuant to application dated APRIL 9 1999 and approved by the Building Inspector. Fee $ 150.00 Authorz zed~8~gnature/- Rev. 2/19/98 ORIGINAL , SEP 1g BLDG. DEPT. TOWN OF SOUTHOLD Form No. 6 ,~L~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 building~ 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 '.'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,~.~wimming pool $2~.0~ Accessory building $25.00, Additions to accessory building~2~.O0. Bhsinesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...~J./~. ........................... · New Construction ........... Old Or Pre-existing Build%ng ................. __ Location of Property..~.7.~.. ~.~.' '~"' 'l' '~~ .... /'~'~' ~'s~ ............ House No. Street Hamlet Onwer or Owners of Proper ....................... County Tax Map No 1000, Section .... ~.~.+¢. .... Block ............... Lot.. ' ............... Subdivision .................................... Filed Map ............ Lot .................... ~ ~ .~..'?.~.'~ ~ Appli Permit ~ .Date Of Permit .... cant ................... Health Dept. Approval .......................... Underwriters Approval ....................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... F~ Submitted=~ 0-t'~"~0'75 .... ' ................... ~..~..(~....~. ~...~ ~(~ ~¢~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E .UREAU E'EC .,C, Y ~-- 40 FULTON STREET~ NEW YORK, NY 10038 Date HAY 26,1999 Application No. onfile 1.8272199/99 ~! 489726 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of MIKE BIS%CO, 275 BALDWIN PLACE, CUTCHOGUB, k~Y in the following location; [] Basement [] ]st FI. [] 2nd FI. OUT Section Block was examined on [~Y 21 t 199J and found to be in compliance with the National Electrical Code. Lot FIXTURE OUTLETS 1 DRYERS RECEPTACLES SWITCHES FURNACE MOTORS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO. OF CC COND. A,W G PER~ OFNEUTRAL OF CC, COND, NO- OF HI-LEG A, W, G, NO OF NEUTRALS OF HI*LEG SWI[fl~ING POOL- 1 *(SWI~IING POOL) This certi~icate covers co~pliance at the date of inspection only. Because of unusual environments it is advisable to made by a qualified person. <<< Continued on Page 2 >>> Pe This certificate must not be altered in any manner return to the office of the Board if incorrect. !nspecfors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185~77 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date I~A¥ 26,1999 Application No. on file 18272199/99 ~I 489726 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appllcant named on the above application number is in the premises of MIKE SISICO, 275 BALDWIN PLACE, CUTCHOGUE, NY in the following location; [] Basement [] 1st FI. [] 2nd Fl. OUT Section Block was examined on 1~¥ 21,1999 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES OVENS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS FLUORESCENT OTHER DRYERS R V I C A. W.G. A. W, G. NO. OF NEUTRA~.S PER ffi OF CC. COND NO, OF Hi-LEG OF HI-LEG )THER APPARATUS: ROSLAK ELECTRIC ?.O.BOX 164 CUTCHOGUE, NY, 11935-2453 This certificate must not be altered In 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 NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 12, 1999 Chituk Pools, Ltd. P.O. BOX 9 Cutchogue, NY 11935 RE: Sirico, 275 Baldwin Place, 1000-103-10-2.2. Cutchogue. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupa~pY is not On file. (Enclosed) 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 # 25686-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. OUNDATION OUGtt FRAI~ & PLUI~ING DATE COt~4ENTS I iNSULATION PER N. ¥. STATE ENERG~ CODE II Jl-- ~DITIO~L OCCUPANCY 0 USE IS UNLA~ ~vlTHOUT CER' OF OCCUP^H~ UNDER~R]T.ERS CERTIFI REQUIRED "IMMEDI, ENCLOSE PO0 UPON COM! BEFORE"M ~UL ~TELY" ,TQCODE LErION ATER' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ~INAL FIREPLACE & CHIMNEY DATE ~//.//~' ,NSPECTOR~~ HAP OF Pr~OPEI~P~' STATEMENT OF tNT~NT THE WATER SUPPLY ANO SL~WACa~ DI~ SY~EMS FOR THIS RESIDEKE WILL SUffOlK CO. D[~. O~ ~[~TH ~WC~ -~FFOLK COUHTY DEPT. ~ HE~TH H. S. ~. ~.. ~0'~ '0~ , ~UFFOLK CO. TAX MAP Ds'SIGNATtO~: DIST. S~CT. BLOCK ~AL BLDG. DEPT. .... FOI~ HO. I TUb/It OF SOUTItOLD BUILDING DEPARTNEN~ TOI~N RALL SOUTBOLU, N.Y. 11971 TEL: 765- 1802 · 0 ~.~Z/.., ,9.~ ~t ~o ................. Dis~l~roved a/c (Building In~aeetor) BOARD OF HEALTH ............... 3 SETS OF PLUS ............... SURVEY ........................ CBECK ......................... SEPTIC FOP~ ................... NOTIFY: HAIL TO: .......... APPLICATION FOR BUILDING PEP~IT INSTRUCTIONS a. ~his application must be completely filled in by typewriter or in ink ana anl~itted to the Building Inspector ~rit~ 3 sets of plus, accurate plot plan to scale. Fee according to schedule. b. Plot plan ~hoai~g location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a &tailed description of laymt of property n~st be draan aa the dingrm ~/aich is parr of this application. c. The work covered by this application may mt be tormented before issum~e of Building Permit. d. UlXm approval of this application, the Building Inspector ~ill issue a Building Permit to the applie~t. Suah permit shall be.kept on ~ premises available for inspection throughout the ~ork. e. No building shall be occupied or used in rahole or in part for any parpose ~ahatever tmtil a Certificate of Occupancy i~aall have been granted by the Building Inspector. APPLICATIC[I Ig 1~1~t¥ ~ to the Building I)epari2mnt for the issuance of a Building Permit pursuant to the BuildingVl~ase Ordinm~e of the Toan of Sourhold, Suffolk C~m~y, ~ York, and other applicable La~s, Ordin~eesor Regulations, for the eoastruction of buildings, additions or alterations, or for removal or demolition, as herein described. TnB applicator agrees to conply with all applicable la~s, ordinances, building code, housing code, and regulatioas, and to ad,it authorized inspectors on premises and in building for necessary inspections. UNDERWRITERS CERTIFICATE REQUIRED "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE '~NATEI~' (Signature of applicant, or naue, if a corporation) (l~lailing eddress of applicant) State ~ahethor applicant is onner, lessee, agent, architect, engineer, general contractor, electrician, plunber or builder. ....................... ~)~¢: .~..oZ' ........................................... ~R~Eb ~s.0n'0 .......... ~ of ~ of ~tses ..z~..t ~(~ .... ~/.7c./~r2 ............... : ............ ~:.q..~)-:~.~-~...#-~~ (as on the tax roll or latest deed) ~I=I~G. ]~O ~ B~ ~ If applicant is a corporation, siguature of duly authorized of~ ' ~'IFY BUKI~NG DEP~ , / ,/'P _ /" . \ \ 765-1~0~ e~ TO 4 PM FOR THE ....~..~. ~~ .... :~.~.~: ......... ~ ..... /! _~ t~ J ';- ' -- -:qB DE co ra~e 'off,esr) //t/l"" /. / 1 FOUNDATION I~NO REQUIRED [ ~ ~ / I ROUGN - ~ & FLUMBING · .............. / ~ ' ..-/~ ~ ~ E. I~SULAT1ON Builders' LlCer~se No .~, ~.~.7 ~..... mm,bere ~ee~e ~ ................... ~tP.~I I DJ~[I'P"'V ~tD ~ SE COMPLETE FOR C.O. ' UL~UUI rM~l~l UR ALL CONSTRUCTION SHALL MEET Eleet,:~.,--L~,~ ~ ................ USE,o*e UNLAWFUL T.E REQUIREMENTS OF THE N.Y. .T,',TE CO.T. UCT,O. *, rr C.EI .I'IF. I.CA E ,OOEB. ,OT ,ES,O,S,S,.E l. Location of land on ~ahich · .iaEE4GN-OR. CON61:RUOTION-ERRORS-' 0 .,, .............. ...... .................. ............... ..... ~ limber Street ~let Coant~ Taxl4ap No. 1000 Soctlon ...~..~.~. ....... Rloek ...~..0. ......... L~t ..~.*.~, ........ Subdivision . ~. .................... No .......... Lot .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ha,ting ~ ~ o~ .................. ::t',..: ........... .... .......... ~ocate clearly and distinctly al f-mm property lines. Give street and ~hether interior or corner lo~. {l~ture of work (check ~hich applicable): Itepair ............ P~vul ...~ ......... Ik~olition ............ ~lmr ' (l~escriptiou) (to ~ ~id ~ fili~ this a~li~ti~) If ~elliq, ~r of ~11i~mits ............ ~r of ~llin~ ~its ~ e~ fl~r ................ I~ ~r~e, ~r of ~rs ..... ~ ................................ If I~i~ss, ~rcial or ~ ~, ~i~ ~re ~ ~tent of e~ ~ of ~ ...................... ' t~i~t ..................... i ~r o[ S~ories ................... Di~i~ of ~ st~ ~h al~erati~s or ~iti~s: ~C ............... ~ar ............... Di~nsi~ of entire ~ as~ti~: ~ ~i~c ......................... ! ~r of Stories .~ ................... ........ ...... ..... ~e of ~dm~ ............... ~ ...... ~ o[ Four ~r .................. ~ or ~ disCric~ in ~i~ p~i~s am si~t~ ............................................ ~s ~o~ ~C~Ci~ violate ~ ~i~ 1~, o~i~e or r~la~t~: .. ~ ................. ~ill loc ~ ~ .ff~ .... ~ ......... ~ill ~s of ~r of ~s ~ ~{~ ............ ~ress ~?~. :~Z..~.. .... ~ ~..~y.~/.~ ~ of ~it~t .............. ~ ...................... ~mss .................... · .. · .. · · . . H~ ............... ~ o~ ~o~ ~.~ .................. ~e~ ~.~. ~.. ~J, ............~ ~.2~~ PLOT DIAGRAH ~I~ ~r ~ ~scrip~i~ ~co~i~ ~o ~ ~ ~ strut ~s ~ ~icate UNDA&COO~ ~ (Si~t~re o[ A~ti~t) N~aW Public, 8tare of ~w Yo~ No. 4822563, Suffolk Coun~ ~ Term ~pir~ De.tuber 31,~ ~