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HomeMy WebLinkAbout22189-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-23248 Date SEPTEMBER 28, 1994 THIS CERTIFIES that the buildin~ Location of Property 1435 SMITH ROAD House No. County Tax Map No. 1000 Section 98 Subdivision SWI~IMG POOL PKCONIC, N.Y. Street Elock 4 Filed Map No. Hamlet Lot 16.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 15, 1994 pursuant to which Building Permit No. 22189-Z dated 4uh~ 15, 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 ABOVE GROUND SWIPING POOL WITH FENCE ENCLOSURE & ATTACHED DECK AS APPLIED FOR. The certificate is issued to MICHAEL & HARRIET GRMENBERG of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-326788 - SEPT. 13, 1994 N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOU';~O~.D, N.Y. N_O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 22189 Z Date ......... ~D~... ..................................... 19..?..~...~ Counfl/ Tax Map No. 1000 Section ....... ~..O~'. ........ : Biock ........ ~ ...........LotNo .......... ..,~....,~..r/ pursuant to application dated..~ ...................................... 192~..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR 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. 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 the solder used in system contains less than 2/10 of i% lead. 5. 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 plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. C, Fees 1. 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-existing Buildin¢ - $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 $15.00 Date ...... , ............................... New Construction ........... Old Or Pre-existing Building Location of Property ............................................ House No. Street Hamlet Onwer or Owners of Property... ~/~.~.X (~l~'~.~ ,,~,.. . ....... ~d~ ~C¢- .... ~ .......................... 000. ....... ........ ............. Subdivision .................................... Filed Map ............ Lot .................. .. .. Permit No..,.~..].~.~ ..... Date Of Permit.. ?.~..~...~. ............................ Applicant ..... Health Dept. Approval .......................... Underwriters Approval .................... Planning Board Approval ........................ Request for: Temporary Certificate ..... Fee Submitted: $. ~-- Final Certicate ' APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS a 1~,8~077 BUREAU OF E-ECTRI¢ITY ~- *'~' 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ~IET G~EN B~RG, 1435 SMI~ DRIP, PECONIC, N.Y. ~. ~h. yo".wi.~ t..c. tio.; ~ S.,e,~nt ~ ;st FL ~ ~ ~L O~/SHBD .%~aon ~ Lot ~ examlned on SEPT~ER 07,1994 and found to be in compl~nce wlth the NaMo~l Electdcal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SW~TCHES FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R V C NO. OFECCCONDpR,e' A w. O, OF CC. COND, OF HI,LEG NO. OF NEUTRALS OF NEUTRAL ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935 LIC. #3677-E 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 TH S COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS pa E 1185077 /,..-.~ ~ ~ BUREAU OF ELECTRICITY ~- ~ 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 Dete S~ 13 ~ 1994 ~pplication Ne. on file e639e994/94 N 326788 THIS CERTIFIES THAT ~RIE~ GREEN BERG, 1435 SMI~ DRIP, PECONIC, N.Y. in the followlng location; ~ B~ement ~ Ist Fl. ~ 2~ FL O~/S~D ,Section Bilk Lot ~s examined on ~T~ 07 ~ [ 99~ and found W be in compl~nce with the NaEon~ Electdcal Code. SERVICE DISCONNECT NO. OF [ S ~T. AMP. TYP~ ~U~. i,~2W 1,ff3w 3~'3W 3,ff4w NO SWIMMING POOL- 1 G.F.C.I.-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because o~ unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> RANGES PECtAL REC'PT. E R OF CC. COND. PER ,ff TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET  SYSTEMS AMT. AMPS. TRANS. NO, OF FEET V' I C A*W.G t40. OF HI-LEG OF CC. COND. OF HI-LEG EXHAUST FANS AMT. H* P DIMMERS oENr~AL 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. TH~S coPY, OF CERTIFICATE Mi)ST NOT BE ALTERED IN ANY MANNER. ~,/~ ~' Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 23, 1994 A. Reilly & Sons P.O. Box 98 Mattituck, NY 11952 Re: Michael & Harriet Greenberg Premises: 1435 Smith Road, Peconic To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. The check is (outdated/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 # 22189-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. {2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU/LATION [ ] FRAMING ., [~ FINAL REMARKS: ~ ~,, ~ ~ ~/~"t.~..~-~, TOWN OF SOUTHOLD /~Fv"/) .~,/~- ,.~'/'~'" "BUILDING DEPARTMENT " ¢'.~1 "'1 ,"~'~~ow~ ,A,L SOUTHOLD. N.Y. 11971 / TEL.: 765-1802 DisapprovedI a/c ............... ' ................. : .... ...... · ( B~SU'I din ~,q's p e c t o r ) APPLICATION FOR BUILDING PERM IT B6,~o OF ~at.r~ ......... ~ S~TS Or Pt.~S ......... SURVEY .................. ClIECK ........ ~ ......... SEPTIC ;ORH NO?IPY ~ CALL HAlL TO: Date .... 2/~.~- ........ 19 ?.~. INSTRUCTIONS 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 showing 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 muir 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 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 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. . -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~.~..~...'....~..~ .,~..,,c~r~z.' ........ ' ~ i.c.~.,~.~.. ~'~z'~,/.~..~ - Name of owner of premises ........................................... (as on the tax roll or latest deed) If app at duly authorized officer. "v '~77;'~;;~~ ___ ;~;r') ......... Builder's License No ..... '~' (l' '~'g~.. '//'~- · .... Plumber s Lmense No ....... . .................. Electrician's License No .... ~..3-¢-:~..C.....L?..~tC Other Trade's License No ...................... I. Location of land on which proposed work will be done...S./~..q/.?.....~. )J~...~....~..~2'~.. ?/./.C..~.~..01~..j'.7/~...~) .......... . . /.q ~.< .... .y'~. ,. ~ .... . .r¢. .~. . · .,.Y .~. ¢'x./~. . ~. .... A/!. ~ .... / O. ~. x ...... Itouse Number Street Hamlet County Tax Map No. lOOOSection ...:...'~.~.....:. Block ' .O.t~. ' Lot .... /~' / Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) · State existiug use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ' f..~/./~..~.~ b. Intended rise and occupancy ........ '' '~'y;:''u%; , · ','~ ' ~' .................... ., . '3. Nature of work (check which!applicable): New Building . ~ ........ Addition . .' ........ Alteration . ' Repair .............. Re[novel .... ........... Demolition ..... : ......... Other ~ork .... ~ . . . (to be paid on filing this application) 5 If dwelling number of dwelling units Number of dwelling units on each · If garage ' ' .............. floor ................ number of cars ' 6 If business commercial or mi~ed ................................................ · , . occupancy, specify nature and extent of.each type of use 7 Dimensions of existing structu' if Front ..................... · :res, any: .......... Rear Depth Height N tuber of Stories ..... ' Dimensions of shme structure ~v ........................................................ ith alterations or additions: Front ' Rear Depth ' ' Height ........................... ~ Number of Stories ' ' 8 Dimensions of entire new construction: Front ........... ' Rear Depth Height Number of Stories ............................................ Size of lot: Front i . r,.__ · ......... ~ °o~rru~;Cn.ase. ': .... · .... i .......... ' ......... Name of Former Owner ......................... e d~stnct in whmh premises are situated .......... ' . ... .......... . . .. Does proposed construction violate any zoning law, ordinance or regulation: ..... ". ....................... ,W, fil lot ?..regrade~d .... ...."i' ';~x ' · · :: · · .,; ..... Will exce~s fill be remqved from premises: Yes No Name of Architect ... ~. ~ .................. Address ................... Phone No .... 15.' I.s t:hJ.s properl:y wit:h±n !300 feet: of a t:±dal we,:lanai? ~Yes ........ No .... ~If yes, Soul:hold iTown Trust:ecs ?erra±t may be requ±red. ' .... ' ' PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or Proposed, and. indicate ail set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YOR-K ..... o ~ COUN~Y~gF ..... ~. ~ .t'-.'4·~..~.~.. °? ...... h. (Name of individual signing contract) above named, i DATE: ~ B.R ~ ~ F~E: d ..... BY: . 7~5-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1: FOUNDATION ' ~0 REQUIRED FOR POURED CONCR~E . Z ROUGH, ,FRAMING & PLUMBING 3. iNSU~TION 4, FIHAL ,. CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION 8HALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRUe/ON & ENERGY CODES. N~ RESPONSIBLE FOR DES~G~ 0. . R CONSTRUCTION ERRORS · ' .....being duly sworn, depose~ and says that he is the applicant Heisthe . :~ ............ i .~_~.~ i age 'p ffi ) ..... ontractor, nt, cur orate o cer, etc. >f said owner or owners, and is duly ' ' . ~authonzed to perform or have performed the sa~d work and toimake and file this ~pplication; that all statements contai~ed in this application are true to the best of his knowledge and ibelief; and that the ~/ork will be performed in the manner ~et forth in the application filed tllerewith. Sworn to before me~ this ~ ' i ............ .... /.//& or i . .z. ..... . ..... , l // · .... :'7 .... · ~' NOTAR¥~'UiffJE?Sfai'g~'Jt~v ' Term F.J~ .r~Malt IU, lb-~ .