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HomeMy WebLinkAbout22995-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24930 Date MARCH 17r 1997 THIS CERTIFIES that the buildin~ ACCESSORy Location of Property 1300 ~ AVENUE House No. Street County Tax Map No. 1000 Section 56 Blbck 1 Subdivision Filed Map No. SOUTUOLD, N.Y. Hamlet Lot 2.27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~GUST 25~ 1995 pursuant tc which Building Permit No. 22995-Z dated SEPTEMBER 7~ 1995 was i~sued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY INGROD-ND SWIMMING POOL & FENCE TO CODE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE DATED PLUMBERS CERTIFICATION DATED Rev. 1/81 MARTIN & SUSAN FLATLE¥ N/A AUGUST 28, 1995 -- J9244 N/A uilding I n/~pe~t or~ / FO~M NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENt' TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN'QL FULL COMPLE~ON OF THE WORK AUTHORIZED] N? 22995 Z Permission is hereby gr~,~'ed.to~ ~ /' ..... ..¢...¢....¢., ......... ~,......~ ............................. ....... ~/../.~.....~./~,,.~.'./......,,z'....z .......................................................... ~~ ....... /...7...,..~ ............................ Counl'cToxMopNo, 1OO0 Section ......................... Block .......................... LotNo ............................. Building Lq. speotor. Pe. 8...Z~,O,. ........ Rev. b/50180 and approved by Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by t~vpewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of..property with accurate location of all buildings, property lines, streets, amd unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical inst~tation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in syste= comtains less than 2/10 of I% lead. 5. Commercial build'ina, industrial building, multiple residences and sJmStar buildings and inscallations, a certificate of Code Co~p~liance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, i957') {on-conforming uses, or buildings and Upre-~xisting" land uses: 1. Accurate survey of property showing alt 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. 1. Certificate of Occupancy - .New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00~ Accessory huLlding $25.00, Additions to acoessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - $20200 4. Updated Certificate of Occupancy - $50.00 5. ~Temporary Certificate of Occupancy - Rasidential~lS.~0, Commercial $15.00 Date ......................................... New Construction ........... Old Or Pre-~isting Buil~ing..z~ ocation of Property. , Rouse 1{o. ~ Stree~ ~aml et Dnwer or Owners of Property .... ~f% ~ ~ ~ ~t..~.~.~.O~...~...k.~..'~.....~.~..~....~....~...!.~J..~..~~ / 3ubdivision.~. . .~ .................... ~//~/~..Filed Map ............ Lot ...................... Health Dept. Approval .......................... Underwriters Approval... ~ ................... ?tazzning Board Approval ........................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 3, 1996 Mr. Martin Flatley 1300 Laurel Drive Southold, NY 11971 To Whom This May Concern: We are unable to complete your Certificate of because of the xx xx Occupancy following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 # 22995-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENLrE EAST PATCHOGUE, NEW YORK 11772 9244 DATE: 8-28-95 ADDRESS: 1300 Laurel Aw2nu¢,~ ISSUED TO: Mr. & Mrs. Flatle7 VILLAGE: Southold APPLICATION NO. ON FILE TOWN: Southold ~NTRODUCED BY: Underqround Specialties Inc. LIC. NO. 2740-E AREAS LISTED WERE INSPECTED ON: 8=28-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. LOCATION: ~c BASE TIME CLOCK SWITCH GFI RECEPT. T1 PU~P ~OOL LIGRT SERVICE DISCONNECT METERS AMPS PHASE __iST 2ND 3RD __ATTIC ~ POOL __.SMOKE DETECTOR __.DETACHED GARAGE TI-ES CERTIFICATE MUST NOT BE ALTERED Eq ~ MAN'NEtC INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. · PRESIDENT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 3, 1996 Mr. Martin Flatley 1300 Laurel Drive Southold, NY 11971 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22995-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD INSPECT[ON REPORT DATE COHMENTS FOUNDATION (IST) FOUNDAT I ON (2ND) II ROUGII FRAME & PLUMBING [NSUhATION PER N. Y. STATE ENERGY CODE 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [~FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR~ I~ORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT,. TOWN HALL SOUTHOLD, N.Y. 11971 . / />"'~.' ' '~."-'~.,¢ ~.~ , TEL.: 765-1802, 19,. ,/ .~ . Db~pproved a/c ..................................... ' A~EICA~ION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF liEALTH ..... 3 sETS OF PLANS ..... SURVEY .............. CIIECK ............... SEPTIC FORH ......... · AUG 2 5 I995 a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, v sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public s or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this cation. c. The work covered by tkis application may not be commeuced before issuance of Building Permft. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Sucli p 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 Occul: sliall have been granted bY the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for tile issuance or' a Building Permit pursuant t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinan, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desc~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, aa admit authorized inspectors on premises and in building for necessary inspectionr,~ , .~;4,~ ~lJ~?..~ (S gnature 07 applicant, or name if a corporation) (Mailing address of applicant) [1 ')~ State whether ~pp.~lica~nt is owner, lessee, agent, architect, engineer, general contra~[or~ian, pinmber or bui Name of owner of premises ..................................................... (as on tile tax roll or latest deed) If applicant is a corporation, signature o£duly authorized officer. (Name and title of corporate officer) Builder's License No. /4glq{''~ (v ~ ~-- Plumber's License No ............... .......... Electrician s L cense No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .............................................. ..... /. 3?..o. ....... . ....... ........... .... .'z./. ..... Ilouse Number Street Hamlet County Tax Map No. 1000 Section ...:..~..~. ........ Block ...... ( ....... :... Lot....~.?.?':.? .... 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 .... . .B .'~..~.( .~.*'~. ?..¢'. ~... b. lutended use and occupancy ..................... ' ........................................... '3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ......... Repair ........... ;.. Removal .~., ............ Demolition., ; ......... Other Work .............. 4. Estimated Cost .................. Fee ..................................... (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 ....................................................................... 6. If business, commercial or roi.xed occupancy, specify nature and extent of.each type of use ............... , .... 7. Dimensions of existing structures, if any: Front ............... Rear.. ............. Depth .............. Height ............... Nmnber of Stories ....................................................... Dimensions of shme structure with alterations or additions: Front ................. Rear ................. Depth ....................... lteight ......... ~; ........ ;.. Number of Stories ' 8. Dimensions of entire new construction: Front .............. : Rear ............... Depth .............. Height ............... Number of Stories ....................... ~ ............................... 9. Size of lot: Front ......... . .......... ' Rear ...................... Depth 10. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lbt be regraded ....... '. .................... Will excess fill be removed from premises: Yes N 14. Name of Owner of premises ............... ~ .... Address ................... Phone No ............... Name of Architect ........................... Address ................... Phone No ............ :... Nmne of Contractor .......................... Address ................... Phone No ............... Is 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 ~xisting or proposed, and. indicate all set-back dimensions frm property lines. Give street and block number or description according to deed, and show street names and indicate whethc 15. interior or corner lot. 3. INSU~ON 4. FINAL - CON~RU~ION MUST $~ COMP~E ~R C,O. ALL CON~RU~ON SHA~ ME~ THE REQUIREME~ OF ~E N,Y. STATE CONS~U~ON ~ ~ERGY CODES, N~ RES~NSIB~ FOR DESIGN OR ~NS~U~ON ERRORS ~TATE OF NEW YORK, ,~_ ~ S ... ~.~ .~,. ~. ~~ .~ .......... being duly sworn, deposes ~d says that he is the applicar (Na~ne of individual signing contract) (Contractor, agent, cor'porate officer, etc.) said owner or owners, ~d is duly authorized to perfom~ or have perfo~ed the said work and to m~e and file th tpplication; that all statements contained ~ this application am true to the best of his knowledge and belief; and that tk uork w~l be perfo~ed in the manner set forth in the application filed therewith. ¢wom to before me this ~ H~V POaU~xS7,~.~2~ · ' (Signature of applican L.o~. "IMMEDIATELY"~ POOL TO ~X~E UNDERWRllEf~S ~ =STAK[ SUSOIVISION MAP FILEOIN THE OFFICEOF THE CLERK OF SUFFOLK COUNTY ON NOV. 2a,1990 AS FILENO. 9051. SURVEY FOR MARTIN FLATLEY 8~ SUSAN FLATLEY LOT NO. 3;~, "LONG POND ESTATE$~SECTION TWO" AT ARSHAMOMAQUE TOWN O~ SOUTHOLD SUFFOLK COUNTY, NEW YORK YOUNG 1~ YOUNG,,ooo,~,,~,. RiVERHEAD, NEW ~DEN W ~NG, PROFES~IONAL ENGIN[ER HOWARO W. YOUNGm LAND SURV[YOR o,J 0 UND~RWRIT£R$ C~TiFiCATE M£A&.TH D£PARTM£NT-DATA FOR APPR(~4~. TO CCe~STRUC T TEL SU~:)I¥1SION MAP FILEDIfl THE OFFICEOF"['HE CLERK OF SUFFOLK COUNTY ON NOV. ~:9,1930 AS FILE:NO. 90;~1. SURVEY FOR MARTIN FLATLE¥ 13 SUSAN FLATL. EY LOT NO. .3.3, "LONG POND ESTATES, SECTION AT ARSHAMOMAQUE TO'~N Of' SOUTHOLD SC~.L£= I"= 50' SUFFOLK COUNTY, NEW YORK YOUNG & YOUNG ALDEN W, YOUNGj PROFESSIONAL ENGINEER AND LAND SURVEYOR NY.S, LiCEN$F' NO, 1g'845 HOWARD W, YOUNG~ LAND SURVEYOR N,YS LICENSE: N0,4S~195 NK 400 O'aTRANDER AVENUE: RIVERHEAD~ NEW YORK