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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'~