HomeMy WebLinkAbout24901-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~NCY
No: Z-26626
Date: 08/12/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 375 PINE TREE CT
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 98 Block I
CUTCHOGUE
(HAMLET)
Lot 7.17
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in thie office dated APRIL 22, 1998 pursuant to which
Building Permit No. 24901-Z dated MAY 21, 1998
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 AS APPLIED FOR.
The certificate is issued to PETER M & EILEEN A WALKER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
pL%%~EERS CERTIFICATION DATED
Rev. 1/81
N/A
N 460151 07/24/98
N/A
Building tn ~p~tor~
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. 24901 Z Date MAY 211 1998
Permission is hereby granted to:
PETER M & EILEEN A WALKER
PO BOX 548
CUTCHOGUEiNY 11935
for :
CONSTRUCTION OF INGROUND POOL WITH FENCE TO CODE
at premises located at 375
County Tax Map No. 473889 Section 098
pursuant to application dated APRIL
Building Inspector.
PINE TREE CT CUTCHOGUE
Block 0001 Lot No. 007.017
22 1998 and approved by the
Fee $ 150.00
~ d~<~ector
ORIGINAL
Rev. 2/19/98
, , 765-1802
.................... i t APFLICATIOU mR. CERTIFICATE OF OCCUPANCY
~O~!¢2t~,:.&~;~i)¢~t-iSn must be filled in by typewriter OR ink and submitted to the buildiu
inspector with the following: for new building or new use:
1. Final survey of ~property with accurate location of all buildings, property linea
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
loss than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildJ
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
~. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
Ppre-existing" land uses:
1. Accurate survey of property showing ail property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the appiicar
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, Sw~,ming pool $25.00, Accessory building $25.00:
Additions to accessory building $25.00. Businesses $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.O0
7.1
/
New Construction...~... ..... old_Or Pre-existing Building .........
ocation of Property. ......... .......
House No. Street Ha~et
county ~ m~ ,o to0o, s~o~.O.~ ...... ~;o~.Q.I ............ ~o~.~,.t'g .........
Filed biap Lot · ·
Subdivision· - ......................
Permit No.~.~..~.0. ~..~...Date Of Permit ~1~.~t '~ ~ ..... Applicant'~'~'~' '~' '~'' 'L'~' '~ '~--
Health Dept. Approval..........-.--..-.--------Underwriters Approval ....................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Ce
Fee S~bmitted;
THE NEW YORK BOARD OF FIRE UNDERWRITERS pA v,i
1175~33 BUREAU OF ELECTRICITY
[~ 40 FULTON STREET, NEW YORK, NY 10038
Date JULY 24,1998 Application No. on file i6335298/98 lq 46Oi51
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above appfication number is in the premises of
MR. PET~'. WALKER, 375 P/NETREE COURT, CUTCHOGUE, NY
in the following locati~'~.¥ [] Basement [] 1st FI. [] 2nd Fl. OUT Section Block Lot
was examined on 20 t 1998 and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
DRYERS
FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS
FLUORESCENT OTHER
MULTI-OUTLET
SYSTEMS
NO. OF FEET
E R V I C
NO, OF CC COND.
PER ffi
OTHER APPARATUS:
SWII~ilNG POOL-1
T~ CLOCK-AMP.40-1
G.F.C.I-1
PANELBO/%RDS:i-2 CIR. 115
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environment~ it is advisable to
have frequent test/and or repairs
<<< Continued on Page 2 >>>
OF CC. COND,
NO. OF HI-LEG
NO OF NEUTRALS
OF NEUTRAL
GENERAL MANAGER
This certificate must not bo 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.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAOE2
1175003 BUREAU OF ELECTRICITY
~-- 40 FULTON STREET, NEW YORK, NY 10038
Date JULY 24,1998 Application No. on file 16335298/98 N 460151
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
HR. PET~ WALKER, 375 PINETREE COURT, CUTCHOGUE, NY
in the following locaaon; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot
was examined on JULY 20,1998 and found to be in compliance with the National Electrical Code.
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
FIXTURE RECEPTACLES
OUTLETS FLUORESCENt~ OTHER
DRYERS
SYSTEMS
NO. OF FEET
E
)THER APPARATUS:
made by a qualified person.
S E R V I C
NO. OF CC COND.
PER ~6
OF CC. COND
NO. OF HI-LEG
OF HI-LEG
NO OF NEUTRALS
OF NEUTRAL
QoC. ELECTRIC INC.
P.O.BOX 5i8
LAUREL, NY, 11948-0518
LIC.#3823
GENERAL MANAGER
rhis certificafe musf nor be alfered in any manner; refurn fo the office of the Board if incorrecf. Inspecfors may be identitied by fheir credentiols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FOUNDATION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
.PLUMBING
INSULATION FER N. Y.
STATE ENERGY
CODE
FINAL
ADDITION~ )MMENTS:
UNDERWRITERS CER'IIFIGA'[E
REQUIRED
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
UNDERWRI'I'fERS CERTIFICAT£
Cocxcv"e_.-k.-e_. g._~o-k e.c"-
OCCUPANC¢ OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
] FRAMING
[ ] ROU~H/~-BG.
[ ] IN~JI.ATION
[ *~FINAL
] FIREPLACE & CHIMNEY
DATE
INSPECTOR
FORH NO. I
TONN OF SOUTIIOf,D
BUILDING DEPARTMENT
TOWN I1ALL
· qOUTI1OLB, N.Y. 1197
TEl.: 765- lB02
1)[ m~pproved n/c ....
SURVEY ........................
SEPTIC FORH ...................
NOTIFY:
HAIl, TO: ....................
(Ikd hli.R lnnpr~:tor)
AFPI,TCATION FOR BUII,I)TNO PERHIT
I NSTIUICTTONS
Date ................ , 19 ....
n. 'llda appl|cnLlon nlJat be c~m~)letely fill~l
3 ~ts of plnn$, acolrnte plot plnn to ~ale.
b. Plot plan ~l~ l~tt~ of lot ~ of Imtldtngs
struts or nrean~ n~l glvi~ a ~tn[l~l ~rlptim~ of layout o~ pro. try ~Jst I~ dr~ ~ the.5lia~an d~lch in l~art or
e. a{~ ~ ~r~ ~ fids a~llcoti~ ~y ~t l~ ~1 Imfore is~m~e of Afildl~ Pemit.
d. Ui~ n~al of Ods n~lieati~, tl~ Ikfild}~ Ins~ctor will ism~ a ~ildlng Pemit to the applicant. ~ch
e. ~ ~tldl~ ~mll I~ ~t~1 ~ ~1 tn d~le or in ~rt for mW ~ ~at~er t~ttl n C~rtificnte of
~l<y ~mll h~e l~n grnnt~ I~ Om ~dld[t~ ]nestor.
~,ICA'rl~ IS IE~ [~ to Om Ikfildtng ~art~nt for the t8~e of n ~ildlng ~lt plrannnt to 'lbo
I~ildi~ ~ ~di~ of t~ ~ of ~tl~td, ~ffolk ~Jn~, ~ Yo~, ~ otlmr a~ltcable I~9, ~di,~es or
~dati~s, for tim ~at~tt~ of hdtdl~s, a~ttt~a or al. terati~s, or for r~al or ~lition, ~ I~re{n
~scril~. ale ~ll~nt ~a to ~ly vi~ all a~ltcable
...........
(glg~mture o[ e~ltcant, or ~, tfa cor~ration)
............
(~ili~ ~reas of a~l ice&t)
State ~[l~r n~licent t~ ~r, le~, ~ent, arddt<t,
...................................................................................
........................................
(an m tl~ tax x~ll or latest d~)
If aa)ticant la a co~ratlm, sl~e of &dy ~U~)rtz~l officer.
(Name and title of corporate officer)
Ikdlders License N~ ..........................
Plunt~rs Ltcen~ Ro ..........................
Electricians Licen~ Bo ............ ... . · .. .. ·
0tlmr Trnde's Ltcens~ Bo .....................
I. locatitm of le~t on ~ddch proposed ~ork will be done ..............................................................
2.
3. I~;imre of ~ork (d~-k ~llidl al)Plicable)~ 1~.~ l~Hldi~8 ........... &~l~i~ ........ ~. Alteration ~ ........
I~l~ir ............ ~al ............. i~l~l l~lon ........... 0flier ~E~ L~¥ ':~.~ .......
,,. ~.~,,~.~ c~ .~ ........... ~ .. .5~ ~ .........................
l~l)Lh .................... I~J~lC .................... ~d~r O~ ~corie~ ...............
I~i~l~ ......................... ~all~r o~ SCot[ca .....................
I~]le o~ [~r(]*a~ ..................... ~ o[ Forl[~r ~r ........................................
~ propel ~mC~CJ~ violate any ~Jn8 I~, ordJ[~me or re~uTacJ~; .~ ..................
15. la this pml~rLy witl&J[: ~ ~c.o~ a thAI T~CI~? * YI~ .~ .... ~ ..........
(~XJNI¥ (]F .......................
(~ of i~livi(l~ml. ,18, I,8 c(~tract)
i..,~ .~.~~
((k~Cractor, asenc~ cor~rate o~icer, e~e.)
said ~r or ~r~, e~gl [~ duly m~Lhoci~ ~o lerform or Imve [~n'l'or.~l Lhe m~hl ~rk mgl ~o neke taxi file thi~
.ppi icaci~,; Umc ali ~CuLe~en~a c~Cai~l in I:his ~lq~[icacio~ are the Lo fl,e I~ac of Ida ~l~&e
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