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HomeMy WebLinkAbout24832-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26589 Date: 07/23/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 175 EMORY RD CUTCHOGUE (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 39 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1, 1998 pursuant to which Building Permit No. 24832-Z dated APRIL 15, 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 INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to CLAIRE CHAPMAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 M/a N 455186 N/A Building Ins~ctor 06/03/98 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. 24832 Z Date APRIL 15 98 Permission is hereby granted to: C CHAPMAN A/C CHITUK POOLS PO BOX 9 CUTCHOGUE~NY 11935 for : CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 175 County Tax Map No. 473889 Section 103 pursuant to application dated APRIL Building Inspector. EMORY RD CUTCHOGUE Block 0004 Lot No. 039 1 98 and approved by the Fee $ 150.00 Building I nspe~or~ ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo filled in by typewriter OR ink and submitted to the buildin ~ector 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar build~ 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 t0 April 9, 1957) non-conforming uses, or buildings a ~pre-exist~g" 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 applican If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 Buildinm - $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 Location of Property..l.~.,~...~.~...~.~.[ ...... .. County Tax Ma; No i000, Section../.0 .~. ...... Bi'ck. ~ .......... ~ot .............. '- · Subdivision .................................... Filed Map ............ Lot .................. Permit No ~W~ Applicant ...... ................ Date Of Permit ................................... Health Dept Approval Underwriters Approval · Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. v- " .... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1185077 BUREAU OF ELECTRICITY ~' 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 03,1998 Application No. onfite 16115798/98 N 455186 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant trained on the above application number is in the premises of CLAIR CHAPMAN, 175 EMOR¥ ROAD, CUTCHOGDE, NY in the following location; [] Basement [] 1st FL [] 2nd FI. OUT Section Block was examined on MA~ 29 ~ 1998 and found to be in compliance with the National Electrical Code. FIXTURE RANGES COOKING DECKS OVENS DISH WASHERS OUTLETS Lot EXHAUST FANS DRYERS SYSTEMS OTHER APPARATUS: SWIMMING POOL- 1 TIHE CLOCKS 40 AMP-1 G.F.C.I-1 E R, OF CC. COND. C NO, OF HI-LEG OF NEUTRAL - l Per llGENERAL MANAGER 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. ROSLAK EI~CTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT GE ALTERED IN ANY MANNER, Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF 8OUTItOLD June 23, 1999 Chituk Pools, Ltd. P.O. Box 9 Cutchogue, NY 11935 RE: Claire Chapman, 175 Emory Rd., Cutchogue. To Whom This May Concern: We are unable to complete yocr~Certificate of Oc6upancy 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 # 24832-Z Please contact our office on this matter. cooperation. Thank ¥ou for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 23, 1999 Chituk Pools, Ltd. P.O. Box 9 Cutchogue, NY 11935 RE: Claire Chapman, 175 Emory Rd., 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 Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 24832-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & .PLUMBING' (2nd) INSULATION PER N. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ~~I~L 7GS-I.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FII CHIMNEY REMARKS: BUILDING FOLLO ,W, lNG INSPECTIONS: ~. FOUNDATION.; 'TWO REQUIRED FoJ3 POURED CONCRETE. .,,.. .2: ROUGH - FRAMING &: PLUM[~ING .3. ;NSU. LATION. ~ 4. FK~AL CONST~LICTIoN MUST ' BT'COMPLETE FOR C.O., ". ALL CONSTRUCTION SHALl; '¥HE REQUIREMENTS (~ THE N.~ STATE CONSTRUCTION'~ EN~RG~ ' "'.. ,"', C(' ~)FS NOT ~ RESPONSibLE FO~ '" ' · '" ' SUFFOLK 'CO. HEALTH ' 'H . .' ATEMENT Or IN ," ', ,;, THE WATER SUPPLY. AND. SEW~GE, DIS~&L .: ,:/" '~, ,." ', ,L' ",, ~ - SYSTE~ ',,,. ,. ~,, ,.. .. ,CONFORM TO THE STANDARDS OF THE ~'~~. .. ~FFOLK,, , ~. CO. DEPT. OF HEALTH'~ERVICES..: ., ,,"" : ,, ~ ., .... , , (~) , ,,,~, 'SUFFOLK. COUNTY DEPT. OF ~ALTH ';~ .$~RVICE5 - FOR A~PROVA'ik,. OF ..... CONSTR UCT'~N ONLY ~ ,,.' ,-., ' .' ,'.... ,, , ,. ::;., ,:,,,. , .. , ', '" H S .'NO.; , ,... . .... ' -. 'O~ST. /~,' , ,,",, "~' ' '. ,,. , .,. , . 0~.~-'~' '_~.. ~..~"':.-: '; ..... "' '" ' "*" ~ ' ' ' s?,~k ". , , . . .,, 'TEST HOCE ' ~AMp ' · i . I., :',, ,~.,, '.,. ' .,.* .... .;..,. : <..,, ,. .... ,:,.-.,.~. ',,, ..,.,. , .'. , ,,. ... ', ~,,,' ?.. ..r, ,, - ., ~L,L,G, ¥; kYT. ' FORH NO. TOWN OF SOUTHOLD BUILDING DEPARTHEIqT TOWN HALL SOUTBOLD, N.Y. 1197 I TEL: 765- 1802 Disapproved a/c ................................ · · AI~I,ICATION FOR BUILBING PERMIT fNSTRUCTJONS I~OARI) OF ItEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CItECK ......................... SEPTIC FORH ................... NOTIFY: ~A[L TO: .................... a. This application r~st be caupletely filled in by type~r~iter or in ink and submitted to the l~lilding Inspector with 3 sets of plans, accurate plot pla" to scale. Fee according to schedule. b. Plot pla. slmwing location of lot and of h~ildings on premises, relationship to adjoining premises or pablic streets or areas, a.d giving a detailed description of layout of property n~st be draw. on the diagram ~icJ~ is part of this application. c. The ~ork covered by this application may not be cctxaeoced before issuance of Dailding Pemit. d. Upon approval of fl~is application, the P~ilding Inspector xeill isane a B~ilding Permit to the applicant. Such permit shall be l~pt: on the premises available for inspection thronghont the work. e. No h~ilding shall be occupied or used in M~ole or in part for any parpose x~hatever until a Certificate of Occupancy shall trove l~ee grant:ed by t[~a Building Inspector. fiPPI.ICK~ICI~ IS l~g~¥ lq~g to the Building Uepartnmnt for the issuance of a Building Permit parsaant t:o the Building Zone ordimaoce of the T(xm of So~thold, Suffolk C~xmty, New York, and other applicable La~s, Ordinances or Regulations, for the constpaction of beildings, additions or alterations, or for removal or darolition, as herein described. The applicant agrees to cc~ply with all applicable laws, ordinances, building code, h~asing cede, re~nalatiorm, and to admit a~thorized inspectors on premises and in building for necessary inspections. ... .............. (Signature of applicant, or name, if a corporat:ion) (Nailing address of applica"C) State ~tmther applicant is o~aer, lessee, agent, architect, engineer, general contractor, electrician, plmtmr or builder. Name of o~er of premises .. ~..~/. t~..... ~/~'.~... ......................................................... (as on the tax roll or latest deed) If applicant is a corporat:i~on,/sis~at~re of duly a"thorized officer. ...... (Nam and title of corporate officer) Builders Liceese No. f.&.-/.~. ,7...: ./f.._~. ....... Plua~hers License No .......................... Electricians License No ...................... Off,er Traders I.ieense No ..................... I~)cation of land on M~ich propnsed ~ork will be done .............................................................. ..... ..................... ,ZT../¢. ........................... ...................... lk~se Ns~i~er Street Ha~l et: County Tax Nap No. I000 Section..,~.~.~. ....... Block....~.. .......... Lot ..... ~.~. ....... aaxiivision .~.ccm .... q..~...~. .............. Filed t~ap No..~.~..~../. ...... lot ..,~.~ ......... St:ate existing use and occapa"cy of prendses and intended use md occul~ncy of proposed construction: a. isting ........................................... J f garage, rllli~r of cars ..... J ................................. ~m~ of Archi Leer I Is thi~ pml~rt? ~ithin ~) f~'t of n tidal ~l:Jnr~l? * ~L~ ~ Iix:ate e]oarJy ar~ dJstimtl'ly a~l I~JldJ~s, ~ther exisl;iJ~ or proT~d, m~] J~Jcate all ~t--i~zk dJn~rmions , (,~ st~t ~serlptmn acco~mg ~o de~l, a~ d~ sLreet x~LJ~r interior or co~r ]o1:. I ......... :I .................... IK~JIIJ~ duly .m~n~ de~×~.~__.~ ~I'KJ ~]s that he ~s ~Lhe aj~)J J~ml; Ik~ iS the 0 ........................................................... ((~xJtractor, nl~ellt~ c~orlx)rate officer, etc.) of said ~K~r or (~-s. m~ ]n duly ~horiz~l to I~rfonn or ha~ i~rfor.~d the ,aid ~[k m~l Lo rake a~x] file this Jl~d i~1 I.his nl~l icaLJo, nre In~ to the I~8L o[ hi, k~x~lc¢ll~ n~ Ix~iie[~ lJIgl ii~llJlRr ~et forLh in Lhe al?/Jcnti(,1 fi[mi tl~rmith. ap[)l [cati~; thai. nil 8Lal:~ent.~ conta lilat Lhe ~)rk will I~ I~rl'ont~l ~Jrn Io i~[or~ I1e IhJ.q