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HomeMy WebLinkAbout23270-z 'a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24523 Date JULY 26, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 36400 COUNTY ROAD •48 SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 4 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 1996 pursuant to which Building Permit No. 23270-Z dated FEBRUARY 29, 1996 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 ABOVE GROUND SWIMMING POOL WITH ATTACHED DECK "AS BUILT" AS APPLIED FOR. The certificate is issued to JAY & JEAN GUILD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-384100 - APRIL 24, 1996 PLUMBERS CERTIFICATION DATED N/A /Efftl3fing Inspector 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) pp C� Date................... .(............................ 19...!. .. N� 23270 Z Permission Is hereby granted to: 3�y..,...0:...��t�t./a/....................................... f. . ......... .. .......... ................ :�.......................<� , .......... f�........ �..... . .... . ., .... .....I.. ��- Lfo(/./�d.........GC � �....../. .......... , ............ '�,=�/ .... ........ ........./................................................................................................................................... ............I............................ ............ ...... ............................... ....................................................................... at premises located at.........A'C/ ............ .. . .....&........../�(/................................... ...............................I.....................//.. ��yy .,,.....................................,.......................... County Tax Map No. 1000 Section ........y6.?........... Block........(0�......./Lot No. .... ./.............. pursuant to application dated ...............¢ l`.............................. 19... and approved bythe Building Inspector. Fee$....�F .e....... 4 ��.. ........ ...... ... .. .................................. Building Inspector Rev. 6/30/80 r �7 Form Vc. o 7n vp 'L TOMN OF SOUTHOLD 3U-LD- TNG DEPART2. NT TOWJUL 2 21996 765- HALL 765- HALL BLDG.DEPT. ._P TOWN OF SOUTHOLD LICATION FOR CERTIFICATE OF OCCUPANCY A. This aDDlication must be =-,led in by rvoew itar 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-0 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. 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 Dian requirements. 3._y For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey of property snowing all— property lines, streets, ou,lding 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 !nsDector shall state the reasons therefor in «rc g to the applicant. ;. lees i . Certificate of Occupancy - New dwelling $25.00, additions to dwel _g $25.00, Alterations to dwell_ng 525.00, Swimming pool 325.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 350.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25c 4. Updated Certificate of Occupancy - 550.00 5. T_emD_ orary Certificate of Occupancy - Residential 515.00 Commercial 515.00 Date . . . .1/7�� . . . . . . . . . . . . . . . . . . . . . . . . . . . iew Construction. . . . . . . . . . . Old Or Fre-existing Building. . . . . . . . . . . . . . . . . .ocation of ProDerty. . . ... . . . . .36400. COUNTY. ROAD #48 PECONIC, N.Y... . . . . . . . .. . . . . . . . . . . . . . . . . . . House Vo. Street Hamlet )ower or Owners of Property JAY & JEAN GUILD :ounty Tax 'Sap No 1000, Section. . . . 69. . . . . . . .31oc1c. . . . 4 . . . . . . . . . .Lot. . . . . . . . . . . ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . -Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 23270 . . . . . . . .Date Of Perait. . . 2/29/96 . . . ..�DDlicant. . , ,JAY GUILD.'. . . . . . . . . . . . . . . ermit No. . . . . . . . . iealth Dept. ADproval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters ADDrovai. . . . . . . . . . . . . . . . . . . . . . . . . "_arming Board Approval. . . . . . . . . . . . . . . . . . . . . . . . equest for: Temporary Cert-zfcate. . . . . . . . . . . -ina1 Certicat e. . . . . . . . . . . _.. SuDmitred: � 25.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ax. 50 APPLICANT e©zA5 Ptd`Lil=1rlti;i'l=iCrluN_It1:Poi'IDAli _COMMLN1S - 1y -- — I x P(INIRATION ( I.'i'i') I FOUNDATION ( 2ND) I IU)I1G11 FIIAFIIi 6 I , PI.I)HO f NQ ----------- _ INSULATION PER N. Y. n STATE VNERGY CODE, — I Ff NAL I ADDITIONAL COMMBN.1.s, _=====w» O —_._.._.____.__.____. a1 a"'aaa M � 1 i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 r103517ii BUREAU OF ELECTRICITY I 83 JOHN STREET. NEW YORK. NEW YORK 10038 Date APRIL 24,1996 Application No.on file 11216296/96 N :384109 THIS CERTIFIES THAT PERMIT NO. 282,70,7, only the electrical equipment os described below and introduced by the applicant named on the above application number in the premises of JAY W,GUILD, 36490 NORTH ROAD, PECONIC, N.Y. inthefollowinglocation; ❑ Basement ❑ 1st Fl. ❑ 2nd FL GAR/OUT Seetion Block Lot was examined on APRIL 19,1996 and found to be in compliance with the National Electrical Code. fIXTURE ECEPTACLES SWI7CHE5 FIXTURES I RANGES ICOOKING DECKS I OVENS I DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENTj FLUORESCENT OTHER AMT. K W. AMT. K W AMT KW. AMT K W AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIALREC'PTI TIME CLOCKS BELL UNITHEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P AMT NO A.W.G. AMT. AMP AMT AMPS TRANS. AMT. H.P SYSTEMS NSYSTOF FEET AMT WATTS SERVICE DISCONNECT NO.OF S E R V I C E PMI. PMP TYPE METER 1.0 2W 10 3W 3$tW t.e AW N0.OF CC.COND A.W.G. NO OF HI LEG A'W G' NO Of NEUTRALS A W G. EQUIP. PER a OF CC COND OF HbLEG Of NEUTRAL OTHER APPARATUS: RAYHOND L. CHESHIRE ELE. LIC.#3839 E 2482 RIVER ROAD CALVERTON, NY, 1.1933 GENERAL MANAGER 11 Per 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA(m 1 1035176 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10036 Date APRIL 24,1996 Application No.on file 11216296/961 N 384100 THIS CERTIFIES THAT PERMIT NO, 232702 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of STAY W,CUILD, 36900 NORTH ROAD, PFCONIC, N.Y. in thefollowing location; ❑ Basement ❑ Ist Fl. ❑ 2nd F'1, GAR/OUT .Section Block Lot was examined on APRIL 19,1996 and found to be in compliance with the lVational Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS i OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESC Tj FLUORESCENT OTHER AMT K.W. AMT. K.W. PMT K.W T. K W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS EEU. UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMi NO. A W.G AMT. AMP. AMT. AMPS. TRANS. AMT H.P. NO.OF FEET AMT. WAtit 1 20 SERVICE DISCONNECTNO.OF S E R V I C E AMT. AMP. TYPE METER I X]W 1,a 3W 3 9 SW 30 AW NO.OF CC COND. A.W.G. NO.OF HId�G A.W G. NO.OF NEUTAAlS A.W.G. EQUIP. PER e OF CC.COND OF HIAEG OF NEUTRAL OTHER APPARATUS: 9jy,+py t0) SWIMMING POOL-1 G.F.C.I--l *(SWIMIING POOL) This certificate coverts compliance at the bate of impect.ion only. Because of unusual environments it is advisable to -Save frequent test./and Or repairs made by a clRual.ifi.eci person. 7 .e' w<< Continued 6n Page 2 ;>>a GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. I'nspe0ors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE A TERED IN ANY MANNER. BOARD OF HEALTH . . . . . . . . . . . . . . . 1� FORM NO. 1 — 3 SETS OF PLANS . . . . . . . . . . . . . . . u TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT i CHECK . . . . . . . . . . ... .... .. ... . . . TOWN HALL SEPTIC FORM . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined........ .... 19.Zfi�l MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved....... 2r..., 191qq.. Permit No. 3 � Disapproveda/c .................................. .................................... ...................................................... a ................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . INSTRUCTIONS a. This application mast be completely filled in by typewriter or in ink and submitted to the Building Inspector wit] 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property most be drawn on the diagram which is part of this application. c. The work covered by this application ray not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucb permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector, APPLICATION IS FE-WHY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lawsAbuilfor es, building code, housing erode, and regulations, and to admit authorized inspectors on premises and in sa nspections. gCCUPANCY qR � .......................USE IS UNLAWFUL of app���anrname, if a corporation) ..� , -.NUVITHOUT CERTIFICATE OF OCCUPANCY (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... ........ ... ...APPi�OM ASAWD........... Q 317rD Nam of owner of premises .... ..�.�..............................DATE.. A.P.#. .. on the tax roll or latest deed) FEE: NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ......................................................... 1. FOUNDATION - TWO REQUIRED (Name and title of corporate officer) Lti"i:i.ti;°eds$6 4i;i C;k1' 1P1fCAtF3 FOR POUR RET FRAMING PLUMBING UfJIi{€3i 3. INSULATION Builders License No. ......................... 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Plumbers License No. ......................... ALL CONSTRUCTION SHALL MEET Electricians License No. ..................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No. .................... CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I. Location of land on which proposed work will done........................ ................................ _ House Number Street��ssJJ Iamdet County Tax Map No. 1000 Section ......I........ Block ...... .. Lot .. ........... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................ b. Intended use and occupancy ..... .......................................................... p p able): New Ikuildhil. .......... Ackdition .......... A]tera'ion ......... ). N;llurc of work (dteck wtutdt applicable); , Ite air ..... Iteuuoval ....... Deanlition ............ Other Work . y���,'.,�Y ..J..0:1 .................. (Description) 4. Est invited Cost .. � ....... fee .............................................. (to lie paid nt filing this application) 5. If iklellinp, osier of ckaelling units ............ Mrdter of dwelling units on each floor ................ If garage, nxdter of cars ....... G. if Ixusiresn, ccnnercial or mixed Occupancy, specify nature and extent of each type of use...................... 7. Dinensiaa of existing stnucwres# if any: Front................ Rear ............... Depth ................. height ......................... INadrer of Stories ...................... Dimensions of srave structure withlalterations or acklitions: Front ............... Rear ............... Will .................... Ileiglut' .................... Number of Stories ............... R. Minensioos of entire new construction: Front ................ Rear .... ........... Depth .............. Ileiglu: ......................... aluber of Stories ..................... 9. Size of lot: [YrxuC ............. ...... Rear .................... Depeh .................... 10. Mare of Arrciase ................ .... Nene of Fortner (Mier ........................................ H. Zone or use district in twliidl preTises are situated ..........................................................„... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ............p....... Will excess fill he removed from prenises: YFS NO 14. Names of (timer of premises ......:.................... Ackiress .............................. Bane No. .............. Nine of Architect ...............�1..................1. Miress .............................. Phone No. Kane of COntractor ..............«.............I...... Arklress ...............................lhone No. .............. 15. Is [his property within 300 feet Of a tidal wetland? * YES .......... ND .......... *IF Yf?-S, S(Unal) lam 3RIlsnrl:3 inwr MAY w w. iINRED. PLOT DIAGRAM Incate clearly and distinctly allllxdldings, panther existing or proposed, six] indicate all set-lack dimensions frau property linea. Give street and bock n ober or description according to deed, and allow street nacres aril indicate ubellter interior ��or/�c�orne/ry�1of. IMr ” %"° ��� I ��--- x.01 --- s'NII3 (Ne wm Y(AU(' (XNIN Y (N /..r(�/�/��/ .. ... .. .... .••............... ...................lairgl duly sworn, deposes mil says that be is the applicant (N . f individual. signing contract)' ��� alxrve tanrxl, Ikein Lla ....... .................... .....................................................I.............. (Contractor, agent, corporate officer, etc.) of: said owner or soars, and in duly authorized to peri'ona or have performed the said work and to notice and file this application; LnaC all statements contained in this application are tnie Lo lite beat of his knowledge and Ixifief; and that. the mirk wiit lie performed in the ujvaner set forth in the applical:ion filed Llterewitil. Sworn to before ne this .....clay of V .. .19.9 ... tkri.ary lutblic ....... lA/ LINDA A COOPER ( t ,oat re of Applicant) Notary Pubilc,State of New York No,4822563,Suffolk County Q' Term Expires December 31,1 ll 48 C'. ROAD261 54 l N - ° � . 42 I.E �IDv 94 5 0 40• E' 10.x'"' 2 sforJ' o N, 54• j4 io� go✓Sc � 22,y / m n ,r..i•' deer m mrl o ZW u e s { o n e a° 2.f m bfr e a µ, � 2'° G7 Cl) u Z �� U Pkat farm ttl r 20 23" E /ank 2/2 4 y Ra o �- 1 co � cred �' C greenhouse m N m n q z F 0 O T oz� —4 2e m 25 A 27 U it- T � L9 e tp P \ m z s s o s z o c m a n ° ` C N 1 \ \ w R C � U U m SURVEY FOR JA Y W. GUILD A T PECONIC p ;,�k TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. ° {rome 1000 - 69 - 04 - 07 h o 5 E SCALE: 1" = 30' 9 ern AUG. 27, 1991 �2k ram e ho�sc w green O m N l {eal AREA = 35880 AcresROAD —_ 3 58. 30, 30• W. RAID ISLANDrr�rtiip`Uh'\f:� Prepared En scoordbwo With die/ll%R!inm LONG G standards for titb surveys as estabbshedr* by do LLA.LS and i roved and adopted /l Y. L NO. *9818 for such use by The New York Stats Land PfC VFiK P.C. Tide Associstron. 4 P.. . B ,, P. O. BO.�'^ , MAN ROAD SOMHOLD, KY. 11971 91-225