HomeMy WebLinkAbout24693-zFORM NO. 4
TOWN OF 80UTMOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hell
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26439
Date: 25/10/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: . 380 HORSESHOE DR
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 95 Block 4
CUTCHOGUE
(mUlET)
Lot 18.21
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 30, 1998 pursuant to which
Building Permit No. 24693-Z dated FEBRUARY 19, 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 A~mORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE TO CODE
AS APPLIED FOR.
The certificate is issued to CHARLES G & LAURA M GOY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-455996 06/11/98
PLUMBERS CERTIFICATION DATED N/A
/Inspe6
Rev. 1/81
FORId NO.3
TOt/~l OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
24695
BUILDING PERMIT
('[HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLEllON OF THE WORK AUTHORIZED)
Z
Permission Is hereby granted to:
CHARLES G & LAURA M SOY (CHITU~ ~)oo~
380 HORSESHOE ROAD
CUTCHOSUE~NY 11935
INSTALL AN ACCESSORY INGROUND POOL WITH FENCE ENCL0SURE TO CODE
AS APPLIED FOR.
· 380 HORSESHOE DR CUTCHOGUE
at premises Iocoted aT ...............................................................................................................................
CountyTaxMap No, 473889 Section 0S'5 Block 0004 Lot No. 018.021
pursuant to application dated JANUARY 30 19....?..8. .....and approved by the
Building Inspector,
150.00
Fee $ .........................
Inspector
Rev, 6/30/80
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.property with accurate location of ali 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 1% 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.
B. 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.
· ~. 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, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $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 .. ~.~/~. 7.?.~. ...........................
/ id n
........... o.
Location of Property... ~.¢... ~.~..~...bC. ............................
House No. Street Hamlet
Onwer or O ers of Froperty.. .......................... , .......
County Tax Map No 1000 Section Block ... Lot .....
Subdivision · · . . Filed Map... ....... . . Lot~..~ ................ ..
Health Dept Approval Underwriters Approval ..
Planning Board Approval ...............
Request for: Temporary Certificate·..
·
Fe.e Submmtted. $ ....................
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
March 3, 1999
Chttuk Pools
P.O. Box 9
Cutchogue, New York
11935
RE: Charles & Laura Goy, 380 Horseshoe Drive, Cutchogue.
1000-95-4-18.21.
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 Occupancy 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 # 24693-Z
Thank you for
Please contact our office on this matter.
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FOUNDATION ( 1
FOUNDATION (2nd
ROUGH FRAME &
.PLUMBING
3.
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'qNATER'°
UNDERWRITERS CERTIFICATE
REQUIRED
OCCUPANCY OR
USE iS UNLAWFUL
WITHOUT C
OF OCCUPANCY
NOTIIRf ~UlI~I~ ~ m
76~.1802 g AM TO 4 I~M FOIl I1~
3. iNSULJ;IION
4, FINAL o CONSTRUCllON MU~T
SE COMPLETE FOR O.O.
ALL CONSTRUCTION SNAa, L MEET
THE REOUIREMENT8 OF TIlE N.Y.
STATE CONSTRUCTION & ENER(~Y
CODES. NOT RESPONSIBLE ~R
DESIGN OR CONSTRU~ ERR~8
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] IN~U~.ATION
FRAMING [~i"NAL
1185077 BUREAU OF ELECTRICITY
~--.. 40 FULTON STREET, NEW YORK, NY 10038
Date JUNE 11,1998 Application No. on file 16153498/98 N 455996
THIS CERTIFIES THAT PE~[IT NO. 246932
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
CHARLES GAY, 380 HORSESHOE DRIVE, CUTCHOQUE, NY
in the following location; [] Basement [] 1st Fl. [] 2nd FI. OUT Section Block
was examined on ~Y 26 t 1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING nECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE RECEPTACLES
OUTLETS FLUORESCENT OTHER
1
DRYERS
SYSTEMS
NO. OF FEET
R V I C
PER ~ OF CC. COND,
NO, OF HI-LEG
OF HI-LEG
OF NEUTRAl.
OTHER APPARATUS:
SWIMMING POOL- 1
TIM~ CLOCK 40 AMP-1
G.F.C.I-1
*(SWIMMING POOl,) This certificate
covers compliance at the date of
inspection only. Because of unusual
~q~vironments it is advisable to
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2 >>>
Th]s cerfitlcate must flat 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 MUSI NOT SE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E2
*1'].85(~7'7 BUREAU OF ELECTRICITY
V 40 FULTON STREET~ NEW YORK, NY 10038
Date JUNE 11,1998 Application No. on file 16153498/98 N 455996
THIS CERTIFIES THAT PERMIT NO, 246932
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
CHARI~S ~Y, 380 HORSESHOE DRIVE,
in the following location; [] Basement [] 1st
was examined on P. AY 26,1998
CUTCHOQDE, NY
Fi. [] 2nd Fl. O'JT Section Block
and found to bc in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
FIXTURE
OUTLETS RECEPTACLES FLUORESCENt OTHER
DRYERS
S E R V I C
SYSTEMS
NO, OF FEET
NO, OF CC COND, A ~W G NO. OF HI-LEG A W, G, NO OF NEUTRALS
PER ffi O~: CC. COND OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
ROSLAK ELECTRIC
P.O.BOX 164
CUTCHOGUEt NY, 11935-2453
LIC.#3677
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 fheir credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Disapproved a/c ..................................
APPLICATION FO PER14IT
FORi~ NO. I
'l'OIv~{ OF SOOTtlOLD
BUILDING DEPARTI~ENT
TOI~N HALL
SOUTBOLD, N.Y. 1197 I
TEL: 765- 1802
INSTRUCTIONS
BOARI) OF U~ALTlt ...y ............
B SETS OF P/I~ANS .ff .............
SURVEY ........................t~
CttECK .........................
SEPTIC FORH ...................
NOTIFY:
lqAIL TO; ....................
a. 'lhls application must he conpletely filled in by typewriter or in ink and sutxnitted to the l~lilding Inspector
3 sets of plans, aco~rate plot plan to scale. Fee according to schetkfle.
b. Plot plan st~o~ing location of lot and of lmildings on premises, relatlonship to adjoining premises or pt~llc
streets or areas, and giving a detailed description of layout of property nust be dra~n on the diagram ~ahich is part of
thi~applicatlon. .
'c. Tim ~ork covered by this applicatlon may not he tormented before ismutece of ~uilding Permit.
d. Upon approval of this application, the t~uilding Inspector ~.rill issue a ~uilding Permit to the appllcant. Such
petal; shal] be kept on the premises available for inspection fl~roughout tim work.
e. No building shall be occupied or used in ~hole or in part for any purpose ~dmtever until a Certificate of
Occupancy shall have been granted by the l~lilding Inspector.
APPLICATION IS I~BY t4Al~ to the lk~ilding Departr~nt for the ismumce of a Boilding Permit pursuant to the
P~filding Zone Otxlirmnce of the To~fl of Soutt~ld, Suffotk ceonty, ~ York, and other appllcab]e l~s, Ordinasces or
Regulations, for the construction of buildings, additions or alterations, or for resroval or demolition, as herein
described. 'gse applicont agrees to cmply ~ith all applicabIe la~s, ordinances, building cede, honsing code, and
regulations, and to admit anthori~l inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(~laillng address of applicant)
State ~eether applicant is o~er, lessee, agent, architect, engineer, general contractor, electrician, plmt~r or ~ilder.
........... .........................................................................................
of emises .... ...............................................
(as on the tax roll or latest deed)
If appllcant is a c~rporatiofl, signature of duly authorized officer.
..... .... ....
(N~r~ aod title of c~orperate officer)
Pl~iuers License No. , ·
Electricians License No ......................
Otter Trade's License ~ .....................
I. h~cation of land on ~hich proposed ~ork ~ill be done ..............................................................
ltotme l~fl~er Street }h-~nlet
(~ame)
2. State existing usa and occupancy of premises and intended tree and occupancy of proposed construction:
I0.
II.
12.
14.
15,
from prolmrly l[r~s. Give nl:t~_el: and
whetlmr interior or comer IcC.
~z~lure of work (ched~ ~lHch apl~licoble): 14e~ lh~Jldinp, .......... Nklit~.9!¼.
l~l~ir ............ l~al ...j .......... I~1 ilion ...........
] (Lo ~ ~id ~m filing t.his
{L~ll lng, lal~t~r o[ ¢~11 Jt~ units ............ ~r ce ¢k~l ling zndl's {~1 end: flor ................
garage, tal~t~r of tara ..... ] .................................
.
l)i,,en,,it~,s of ~,ating atn<turea, if any: l~{mt.~.~. ...... ~or ..~ ....... I~pth .. ~'.~ .......
l~i~,r ..~& ................. i. K,,{~ of 8t.orie~ ..... ~ ...............
l)i,~nsi~s of sa;~ stricture wtlth alre~at~{sm or ~kli{:ions: Front ............... ~ar ...............
l~pth .................... lbiO~r .................... K~,tmr of Storlea ...............
Diu~.si~m of entire ~ c¢,mtr~mLl¢~u Irt'~l: ................ I~ar ............... I~pth ..............
I~i~0,r ................... {. Ki,i~r of 9tories .....................
/,
si ¢ ,o,:: ......... ........ ...........
lkl{'e of I~n-{:ha~ .............. ~ ....... ~ of Forn~r ~u .........................................
7~ or u~ district: in x~dch l~r~tses a~ s~t~l .~{~~ ......................................
Ikmi; prolm~l c~,srrtmLi~ violate any z~dng 1~, onllnmme or regulaLion: ...~ ...............
~a oE Architect
............. . ....................... ~klresa .............................. t~ ~ ...............
this p~ty within ~ f~'r of a tidal x~rla~l? * ~ .......... ~ ..~ .....
PI.OT D [A(;RAH
l~:ate clearly a,~ dlsri~tly a~ll lmildings, x~mLlmr existing or pro~s~l, m~l i~xllcaCe all set-l~rk dh~mions
bl~k t~s,imr or ~scrlpt:ion acco,ling t'o (~l. a~ M~ street ~mm~ ar~l i~licat~
(Nm~ of hMi~iduat, signing c~troet)~
or naid ¢~r or ~ers, ~}rxl is duly authorize1 to l~rfonu or have l~rl'o~u~d the said ~rk at~l t.o ~lce taxi file thD;
appl icati~q Omi: nil s~ll.o~nts c(mt~ taxi in I:hJs alq~l t(:att~} are I. lam to the I~nl: of his k~l~ll~e m~ I~.l lef, mKI
that the ~)rk will I~ l~rfon~d itt th~ nfl[ncr ~t forth in the appl. tcal:lon fi.lml tt~r~tth.
..... .... .....
.
i%[ary I~bhe ....
JOYCE M. WILKINS
Notary Public, State of NeW York
No. 4952246, Suffolk Count~
Term Expires June
NO TE :
· = MONUMENT.
SUBDIW$1OIV MAP F/LED /IV THE OFFICE
OF THE CIEHK OF SUFFOLK COUNTY ON
APH/£ '¢, 1975 AS MAP NO. 6247.
NE~4FCEST WATEN MA/N= 4r M/LES t
V/,~TER SUPPLY = PH/VATE WELL.
~EV,S,O~S YOUNG & YOUNG
AUG./I,/977 400 OSTRANDER AVENUE, RiVERHEAD. NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
SUrVeY FOr:
FR,4NK ~O~N
LOT NO. 21, "OREGON VIEW ESTATES'
AT CUTCHOGUE GUA"ANTE~D
TOW. of ~OUTHOLD
co.,