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Home My WebLink About22723-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24696 Date OCTOBER 24, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 920 CEDAR BIRCH RD. (PVT. RD. il2) ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 8 Lot 26.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1995 pursuant to which Building Permit No. 22723-Z dated MAY 3, 1995 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 ENCLOSURE AS APPLIED FOR. The certificate is issued to of the aforesaid building. MICHAEL GREENLY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-399246 - OGTOBER &, 1996 N/A Building -Inspe/or FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUIHOLD, N.Y. BUILDING PERMIT ['[HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ z ~°'~ .......... ~~'"-'~ ................... Rev. 6/30/80 .................................................. LL.¥~.~.~.,~~ ........... z~:.~ ............................................. cou,~,¥'[axMapNe. ,000 ~t,o~ ..... /~ ...... ~,oc~ .......... ~ ........ Lo, N°. ~.~.,,..,'~ ....... pursuant to application dated ............... -~ .......... 19 .... and approved by the Building Inspector. ~u,a~n.,~nspec or No. 6 BLDG. DEPT. ~OWN OFSOUTHOLD _ ~L.iCATION FOR C~T[C~ TOWN OF SOUTHOLD BUILDING D EP .kP, TM~NT TOWN HALL 765-1802 This application must be filled in by ~ypewri=er 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 =he 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 cartificmte of Code Compliance from archi=act or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior =o 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. ,/li/Scertificate 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 building $25.00. Businesses $50.00. accessory 2. Certificate of Occupancy on ?re-~xistin~ Bui!dln~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $!5.00 Date ........ '.g~. ~%~ ............. ~ew Construction ........... Old Or Pre-existing Building....~.. ........... Location of Property ...... ?.~.~.....~.~%r..~.}~ ..~ .d-. .......... .~.~!~.~. ............. Rouse No. Street Hamlet Zounty T= ~p ~o 1000, Section..O.l~ ....... Bloc~...~ ......... Lot.. .&. ~,~ .............. S~bdivision ............ ~..~ ...... i ............. Filed Map ............ Lo~ .... ' .................. e=it Of ........................... eal b Dept. Approval ..... ................. nde..r!t rs Approval....? ........... Planning Board Approval...~.~ ................. ~Jil~V~ ~?e_. elec,fr,c,&a~ Request for: Temporary Certificate ........... Final Carticace ........... Fee Subm_ttea. $ ............................. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: '/,,/7,9'-./-- 3 ~.0~~- .<5) P _0 TO ROBERT T. BAYLEY A.I.A. Architect/Construction Manager 150 Lakeview Terrace P.O. Box 595 EAST MARION, NEW YORK 3.:1939-0595 (516) 477-5024 ~[] WE,ARE SENDING YOU ' Under separate cover via ~{, ~'~"~"~ ~the following items: [] Shop drawings [] Copy of letter [] Prints [] Plans [] Samples [] Change order [] Specifications COP[ES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: [] For approval e d [] For review and comment E3 FOR BIDS DUE [] Approved as submitted El Approved is noted [] Returned for corrections 19 [] Resubmit [] Submit [] Return copies for approval copies for distribution corrected prints __ [] PRINTS RETURNED AFTER LOAN TO US REMARKS ~, 40% Pre-Consumer Content 1 -Consumer Content 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION FRAMING ~ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING ~ULATION FINAL [ ] FIREPLACE & CHIMNEY ' 0 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] I/NS/ULATION [~]/FINAL [ ] FIREPLACE & CHIMNEY RrMARKSy/~ //// DATE INSPECTO~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ,ACE 1 1 . e99 SU.E^U oF E-ECT.,CrrY ~' 85 JOHN STREET, NEW YORK, NY 10038 ~ Da~:~, OCTOBER G7,1996 ~pplie.tio. Mo. o./ite 88172695/95 N 399246 THIS CERTIFIES THAT only the electrical equipment aa described below and introduced by the applicant named on the above application number in the premises of MIKE GREENLY, CEDAR BIRCH LA. , ORIENT, No Y. i. thefallow;.~ h,¢etlo.~ [] Basement [] Ist FI. [] 2nd FL OUT Section ~ees examined on OCTOBER 03,1996 and found to be in compliance with the National Electrical Code. Lot SWITCHES FIXTURES RANGES OVENS EXHAUST FANS SYSTEMS NO. OF FEET E OTHER APPARATUS: SWIMMING POOL~ G.F.C.I-! SERVICE UPGRADE~ 1 PANEI~OARD8:I-6 CIR. 125 *(SWIMMING POOL) This certificate cover~ compliance at the date of -inspection only. Bgcause of unusual eDvironments it is advisable to have frequent test/and or repairs E R <<< Continued OD. PaGe 2 ~,>> OF CC. COND. C NO OF HI-LEG bK~.~tc NEUYRALS 1/O GENERAL MANAGER 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 P~G~ ~ 1195099 BUREAU OF ELECTRICITY r- 85 JOHN STREET, NEW YORK, NY '10038 D. te OCTOBER O7~1996 Applic. tio. No.o,f,e 88172695/95 N 399246 THIS CERTIFIES THAT ordy the electrical equipment aa described below a~d introduced by the ~ppJicant named on the above application number in the premises of HIKE GREENLY ~ CEDAR BIRCH LA. , ORIE~?, N.Y. in the.following location; [] Basement [] Ist FI. [] 2nd FL OUT Section Block Lot t~s exmnlned on OCtOBeR O~ ~ 1996 and found to be in complian¢~ .~ith ~he National Electrical Code. F XTURE L I HES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS I FURNACE MOTORS [ FUTURE APPLIANCE FEEDERS ;PECIALREC'PT TIMECLOCKS I BELL IUNITHEATERS MULTI.OUTLET DIMMERS I I s,Ev,~. D,~O..,CT I.o~.o.I s E R , C ~ OTHER APPARATUS: made by a qualified pearson. 350 M~RINE PLACN GI~EENPORT, ~, 119~4 lloENrrr~'MAN&GSR P~r 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. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 //. (Building Inspectorr ' ~. ICATION FOR BUILDING'PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relationship to adjoining premises or public st~-eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appLi- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throug!lout the work. e. No building shail 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 HEREBY 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 laws, ordinances, building/hdc, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~t~/r~. ~- -~ ~) / .., -- ' (~;t~r'e';; ~plicant, ~¢, ifa corporation! .... ~Q,..~.a.4 ¥27...~4.. r.~ .~.t~.,a t.t!.~.~.~...-~..s. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. ...... A./4...<t:t.t.'(.-e.a".-ff.. ............ .' .................................. . ........................... N~me of owner of premises ./)~, IC~'[t.~.~..~.-. . .~ .~..~ .~./.~7~ .......................... } ..................... (as on the tax roll or latest deed) If applicant isa corporation, denature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~../q. ~.L4.O./,t4.44...~. ~./.~ .... B~ARD OF HEALTH ......... 3 SETg OF PLA~s SURVEY CIIECK CALL · ~^ZL TO: Date Plumber's License No... ~)M/.d-A)/)24)/~...Y-~.'T ..... Electrician's License No. x) l~l ~pg~-E * ~F-- ~[~iTl2l~ Other Trade's License No../M ~ ................ 1. Location of land on which proposed work will be done ................................. ; ................ ..... ¢).¢.o? ............ ¢..¢.~.~M.. ~t~..o.d... b~.~..c:~.. ............. ~ .~.t..e~...T ................... House Nmnber 'Street Hamlet County Tax Map No. 1000 Section '.. ' .~./.~...%..':[ Block ...~. ' Lot..~.~.,fi]' ............ Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. I. - ............................... .....,......... b. Intended use and occupancy. ?~ I .kO~ L ~-.- .~.~.M. II~.~.. Ppli ' Additi ' · 3. Nature of work (check which a cable): New Building .......... on ...... Alteration . .. .~ Repair .............. Removal .............. Demolition ..... Other Work ..... ' 4. Estimated Cost .'~ .~'.~'. l .~.~.c>. ' [*a~, I ~ * ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .... [ ........... Number of dwelling units on each floor ................ If garage number of cars ~lb ' 6. If business, commercial or mi.xed occupancy, specify nature and extent of,each type of use ....k3.~,. .............. 7. Dimensions of existing structures, if any: Front '~ .r.;.W.~i.~.'.. Rear .WA.~I0~O.~ Depth Height Number of Stories 'V~ ~.. Dimensions of shine structure with alterations or additions: Front .~...1~.~.. p.~.~.~: ..... Rear .............. Depth ' Height · Number of Stories 'y.vd.o. ' ' ' ' ' 8. Dimensions of entire new construction: Front ?..~.~...~...~. ~ . Rear Dan'th .Height ............... Number of Stories .... .~..w.? ..... , ....;. ........ 9. Size of lot: Front ..."d-J .Z-..,.~.. . Rear '2.1 12. ord .......... 13. Will lot be regraded ....... '.. ........ ~ ........ Will excess fill be removed from l?femises: Yes 14. Name of Owner of premises JC~C. tf$,~.g..~....~. ' ~.. Address~q~iu.'t'r.o.m. 1%.. ~ .5:o. ~¥¢.*.~.al~l~one No. qt.2.-. 7p',e:.. ~&.. · Name of Architect .~0. ~.~r..~.~YI-~.Y. ...... . Address [~t~g.5.~.~. ~-PSrg3l~l~... Phone No. ~;~/LT.Z'. Name of Contractor . ~q.~..~.. :f~.fl~:~.~.. t~ .TI~..T .... Address .................. Pho. ne/.No ........ ~...' .... 15.' I.s this property within 300 feet of a tidal wetland? ~Yes ........ No..%~ ...... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED NOTIFY eUILDING kD EPA, R~ME NT~,.Z~;. 765-1802 9 AM T~THE FOLLOWING INSPECTIONS: I. FOt)NDATION 'BAtO REOUIREO FOR POURED CONC[iE*I*~ 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4*. ~INAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL. MEET THE REOUIREMENTS OF THE N,Y. STATE CONSTRUCTION 81 ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK S'S ,: "~~' '~' '" · JT~'- · ~'VQI,'~' !'~ ....... ' ......... being duly sworn, deposes ~d says that he~s the applicant (Name of individual signing]contract) above named. He is the . .'~ ............... . .......... ..... ............................. .... . .. .. (Co tractor nt coiporat office etc) .... . n , age , e r, . af said owner or owners, ~d is duly ~aut~odzed to perfom or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained ~ this application are true to the besf of his knowledge and belief; and that the ~ork will be perfomed in the manner set forth in the applicatisn filed therewith. ~wom to before mff t~i~ .......... ~..:....~ .'...day~f/~...' ...... 19~ _ . ...... . / ......... ;;:' · '.:"': ~o4~5. ~ 3~4 .. . / t ~l~ature ~l appnc~t) Qualified in Suffolk ~ou~ty Commission Expires Mag 22, I 1