HomeMy WebLinkAbout22195-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCU~J/~1CY
No Z-23857 Date
SEPTEMBER 7, 1995
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property. 425 TUT~ILL ROAD EXT. SOuT~OLD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 1994 .pursuant to which
Building Permit No. 22195-z dated J~LY 19~ 1994
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 AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AND
DECK SURROUND AS APPLIED FOR.
The certificate is issued to
MEINRAD & KAREN DANZER
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
5357 AUGUST 8, 1994
ELECTRICAL INSPECTION SERV.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
FORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
No
BUILDING PERMIT
(THIS PERM T MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
22195 Z
Permission Is hereby granted to:
....... ~....:... ....... ~..Y~.,.7.../....£~ ....... ~../,.
........... ~...a.~.~..~./. ~....,......~.....Y.,~ .....
to ........ /..~ ....................................................................................................
..¢..¢~..L ......... ~.~./.,~...,....[...~.~.c.~ .......... ~..~.c.../...o...~..~....¢..~ ....... /~,~. ..........
....... ~..p.¢/..,..,z ......... ¢.,...,, ........... . ...................................................................................
at premises located at ..........................................................................................................................
................................. ~~.L~.....~....Y..;. ............
Cou,*/Tox Mop No. 7000 Sect~o, ~<"5' B~oc~ dC ,otNo../.~ /~'
pursuant to application dated ...... .,.~,.,..(w¢...../~.....'.'.'.'.'.'.'.~..,..,... ,~,,...~, ............ :., 19.,~,,..,~.~ ...... and approved by the
Building Inspector.
Fee,..,./..:...O...~ ....
Rev. 6~30/80
-
Form No. 6
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
TOWN HALL
765-[802
.~PLICATION FOIl 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 all buildings, property lines,
streets, and unusual natural or topographic features.
Final Approval from Health Dept. of water supply and sewerage-disposal(S-? 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 Ltl%ding, industrial building, multiple residences and similar buildings
and installations, a certigicate-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 to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properiy completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupaecy is denied, the Building Inspector shall state the
reasons there£or in writing to the applicant.
C. Fees
i. 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-existin~ Building - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificete of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00
New Construction ........... Old Or Pre-existing Building .................
Location of Property...~.~...
House No. Street Hamlet
Onwer or Owners of Property .... ~.~'~.~...~.~.~....~.~.~.~ .............
'lanning Board Approwll ........................
:~equest for: Temporary Certificate ........... Final CerCicaCe ...........
(515) 286-6642 ELECTRICAL INSPECTION SERVICE, INC.
375 UUNTON AVENUE
EAST PATCHOGUE, NEW YORK 11772 __5357
Dale __8-8.94 APPLICAIION No, ON FILE
ADDRESS: 425 'l~J~i.:l,1 1Coati VILLAGE!___-_~3t~ .]~_ _-[.~_.~1~..~.!97~ ._TOWN:
ISSUED TO:
INTRODUCED BY [~'li'~:'lEI ~I. ec'I~J.C :T~. LIC. NO. 2675--E
was examined orr. ~-8-94 al)d found to be in compliance with Ihe Nalional Electrical Code.
LOCATION BASE, lsL 2nd __3rd Attic
__ DET. GARAGE HOT TUB 0[~]~1~
FIXTURE RECEPTACLES SWITCHES G.F.C. 1. DIMMERS FANS AIR. COND,
2 I 1
DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE I OVEN SMK, DET,
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT
i1~ ~ ~vleters I ,~mDs. ;-'nase
Fil~er
40A D.P.S.T. Time
President
This certificate must not be altered In any manner.
Inspectors may be identified by their credentials.
'OUI~DATIOI! ' {2nd)
OUGH FRAHE &.. .,
7SULAT~ON PER'N. Y.
~TATE ENERG~
.' CODE
'FINAL ' ' '.
ADDITIONA'L CO;¥1E~ITS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [] ] I~ATION
[ ] FRAMING [c-:~FINAL
[ ] FIREPLACE & CHIMNEY
DATE INSPEC
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INS~TION
[ ] FRAMING [.//]/FINAL
[ ] FIREPLACE & CHIMNEY ///-~ * .~
REMARKS:
DATE~//y "~/~///~'~ INSPECT~
~JUlq 2 919 BUILDING DEPARTMENT
," , TOWN HALL
BLDG. DEPT. SOUTHOLD, N.Y. 11971
?OWN 0F SOUTHOJtD i TEL.: 765-1802
Disapproved a/c . '
A..~ATION FOR BUILDING PERMIT
INSTRUCTIONS
~OARD OF HEALTH ......... SETS OF PLf[~S ..........
/.suRv~-v ...................
/c~!Ec~: ............
CALL .............
HAIL TO:
8TAI~B CONSTRUCTION & ENERGY
Location of land on which proposed work will be done. ' .COOB$.. NOT. . RtESPONSIBLE..FOR ....
............................................... ~q!.~ .................... .
House Number . Street ~ Hamlet
..... ....... :... .... ........
Subdivision...~/'~.~...~,~. ~.~?~ ~. Filed Map No. ~/.~ .... 2.. Lot.. ~.3 ........
(Name) ,
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing Use and occupancy ~ ~ ~ O ~ ~ , .
_ "", ............... A .............. ~:/:.'F 'r'.' ~:": ...............
b. lntended use and occupancy ~ ~ ~*~b,~ O~' :?~~ '~t~,~ ~*l'
FOLLOWING INSPECTIONS:
I, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, RO[JGN ~ F~Ah4iNG & PLUMBIN.G
4, FINAL CONETRUCT/ON MUST
BE COMPLETE FOR C,O,
ALL (~ONSTRU(;TION SHALL MEET
THE REOUIREMENT~ OF THE N.Y..
Builder's License No ................. ' .........
Plumber's License No ....... . ..................
Electrician's License No.
Other Trade's License No ......................
a. This application must be complbtely filled in by Wpewriter or in ink an'd submitted to the Building Inspector, with 3
se'ts 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 sti'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 thi~ 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,,
ghail be kept on the premises available for in'spection throughout the wdrk..
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of OcCupancy
;hall have been granted bY the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pdrmit pursuant to the
Building Zone Ordinance of the Town of Southbld, 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.
Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
~dmit authorized inspectors on premises and in building for necessary inspections. /'"1 . '
-- (Signature of,applicant, or n~Jme, if a corporation)
~Maliing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~,ineer, general contractor, electrician, plumber or builder.
[f applicant is a corporation, signature of duly authorized officer. ' ~,.~ ~o t. ~ _ _ ,o
NOTIFY BUILDING DEP~J~MENT AT
(Name a~d title of corporate officer) 765-1802 9 AM TO 4~ FOR THE
· 3. Nature of work (check wh]~ch apPhcable): New Building ........ ~dditio~.
Repair ........ Ken, oval Dcm i ' ~.~_. ........ ~tura~lo~ '.?..: .....
...... · ........... ol t~on ..... : .' ........ Other Work ....
,
4. Estimated Cost ....... , Fee
(to be paid on filing this apblication)
5. If dwelling, number of dwelling~ units ......... Number of dwelling units on each floor
. If garage, number ofc~s .... ~. ' ..... ' ................
6. If business, commercial or m[xe~d occupancy, specify nature and extent o each e o use ..............
7. Dimensions of existing stmctur s, if any: Front ......... ...... Rear .............. Depth ...............
Height .. . Nmfl~
D~ensions of shme stmctur~ w~ith alterations or additions: Front ................. Rear ......... ' .......
Depth .... ] ............... ~.. HeiSt ....... ~": 'r ....... ;.. Numberfif Stories .......... '.. :? .........
8. Dimensions of entire new const~ction: Front .... ~. ...... : Rear .. ~ .......... Depth . g~.. ' ........
Height ............... Number of Stories . . .
9. Size oflot: Front .. l~/ I & ..... ')'~'4;'? ...... , ................................
10. DateofPurchase j'.'~Z-~. ~.[ ....... l~ear..~.q,.¢O. ........... ~epth ..g.~.~ .........
I1. ~"¢m~al~mc[lnwnlcnpremisesaresituated e , ~t
.... ~ .0.~.e ....................... ]..: .....
12. Does proposed construction viol~, ........ '
. ~[u aag zomng mw, orainance or regulation' . . ~ ..... ..
13. W~llot beregraded ; ( ' ,,, ............ ~ ·
..... ~, · · · · :..,. .......... wm excess fill be removed from premises'
14. N~e of Owner of premises ~ 0~ a~a .... ~.~.,,~ ~ ._~ ~ No
.......................... · ~ ~*.~ ........ rhone No. Y6.~ ~g~... ~
Nme of Architect .... ,' ' ·; · · [. · · ~ ..... Address . Phone No .
yes, ~outnold ~own Trustees Parm~t may be required. ·
.,.. ] PLOT D~AG~
Locate clearly ~d distinctly dl ibuild~gs, Whether exis~in- or ~r ..... 4 ~4 ............
property nnes. uive street ~a mock ~umber or descfiptmn accord~g to deed, and show ~ · '~
~tefior or corner lot.
/ 8X 3 6 TO ~EMOV~ EXCES~ F~LL
TO I~qVlOVl iIXCiI~8 IqU. =
FROM ABOVE
Rf~RADiNG lOT .'
DRIVEWAY ~..ONITRU{~I'I 0N
STATE OF NEW YORK,_
covey of ...... .~6~.'k¢~., s.?
(Name of individual signing; contract)
lbove named.
FROM ABOVE PR'EMIBfi~ BY
Rf~'GRADINfl LOT
~IVEWAY C~TION . '
....... being duly sworn, deposes and says that he is the applicant
[e is the . .'.... .......... .~. ?~..~ ....... .... .............................
: ~ (C p ) '
~ ontractor, agent, cor orate officer, etc.
.f said owner or owners, and is duly ahtl~oriz~d to perform or have performed the said work and to make and file this
pplication; that all statements containdd in this application are t'rue to the best of his knowledge and belief; and that the
forth in the application filed therewith.
,'ork wi/l be performed in the manner selt .
worn to before me this
' ~, 4~5~,.~ff~u~' ' of applic~t )
N. 88° 59'00"E,
now or ~erly
Richard 6 Laur, Wheeler,'
249.37'
Lot 13
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
OCCUFANCY OR
USE IS UNLAWFUL
W~THOUT CEF~TFlCATE
OF OCCUPANCY
i~IT,Y DEPARTMENT OF HEALTH SERVICES
~IGI,E FAMILY DWELLING ONLY
.~ '~1991H.S. REF.
sposal and water suppl~ fs~ilities for this
Y~l inspected ~y this Department and/or
~d found to be satisfactory
Bureau of Wa~e~a~r ~gement
SURVEY FOR
UNI)ERWRITERS CERTIFICATE
REQUIRED
MEINRAD DANZER ;3 KAREN DANZER
LOT NO. 15~"HIGHPOINT MEADOWS ~ SECTION TWO
AT SOUTHOLD DATE:
TOV/N OF SOUTHOLD SCALE:
SUFFOLK COUNTY, NEW YORK
AUG. 26,
AUG.
1% 40'
9 I' ' 0724
(!1 m '~ V~I II~IC ,n. V('~I !!~1~ 4000STR~NOER'~