HomeMy WebLinkAbout22225-z
" FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23340 Date NOVEMBER 10, 1994
THIS CERTIFIES that the building ACCESSORY
Location of Property 525 TUTHIL ROAD EXT. SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 15.17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 1994 pursuant to which
Building Permit No. 22225-Z dated AUGUST 1, 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 ACCESSORY SWIMMING POOL WITH DECK SURROUND & FENCE ENCLOSURE
The certificate is issued to JUDITH SEIBERT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-324497 - AUGUST 22, 1994
PLUMBERS CERTIFICATION DATED N/A
l
in Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date
Na 22225 Z Ct~C...... 79.j
Permisslon Is hereby granted to,
l.........% 6~f
..s..'.......7`%/.......
to.... ~
~.:~.rr. r.~.~ ~.~,,..~~.ca..l.......... rte..... ~.iv.~ ~U.s.c.~..oe~
rrp ?.(.1....... .,1~. !.!<J......... N. t .e.1~ ,
VVV
........f~ .,..Ajf. 1.(,:%A......C
at premises located at............ /....l.! 1./..G l
M.1 .....I
County Tax Map No. 1000 Section ....."I. Block k.q....... `F............~.. Lot No. ..f...~~~.
pursuant to application dated !..;x..L.f............. 19. 1~.K..... and approved by the
Building Inspector.
Fee
AfYI ~'j 1
WYII\
~)srqr~ `-..........emu
3 ~ ~ ~.x~~- ~go~ T Building inspec
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL - 11 ~ 10V 91994
765-1802
CM,
TOWN 0 SQUTH01..(
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 1% 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.
i 6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to 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.
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 Buildine - $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 .....,November 7, 1994.
(Swimming Pool)
New Construction........... Old Or Pre-existing Building
Location of Property..525............ Tuxh11j 44 .A3sta $4pthgld............
House No, Street Hamlet
Onwer or Owners of Property...J!1At 0.A% .$Pjhq VP
County Tax Map No 1000, Section....55........ Block Q6........ Lot...15._..17
Subdivision..AWLPa.f.riC.M 4499...$€.c.•..Z.....Filed Map...MJ..... Lot......L4
Permit No22225.K......... Date Of Permit. .QMOA194.....Applicant. ,UIB WR . AUDITH.
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
C3~,ec• Nf 7~f ~
~o ~a331 a
- g11FFOL,~~OGy
Town Hall, 53095 Main Road o
P. O. Box 1179 W Fax (516) 765-1823
Southold, New York 11971 O® Telephone (516) 765-1802
yol Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 31, 1994
Judith M. Seibert
525 Tuthill Road Ext.
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.
j (All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22225-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
a.-
a
W ,
.,NRS _ ti.~ rite
Town Hall, 53095 Main Road C44D Fax (516) 765-1823
CD
P. 0. Box 1179 Telephone (516) 765-1802
Southold, Now York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 31, 1994
Judith M. Seibert
525 Tuthill Road Ext.
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.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22225-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
COMMENTS
II m
a
)UNDATION 1st) a
UIJDATI01'1 (2nd) C/3
o..
UGH FRAIIE &
m
SULATI01! PER N. Y. I
m
STATE ENERGY
CODE I _
m
. -l
94
FINAL I s~j9ya ryr 0)
ADDIT JIAL COMMENTS: x
(22:autc,-~ aim
gs,
• x
^a
H
9 •
O
rri
• r
v•
r7l
t
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ J ROUGH PLBG.
[ J FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING rl/FINAL
L
REMARKS: C~/~ ~5I
rTt-~
DATE INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ NAL
REMARKS:
DATE KINSPECTOR
Z2,ZZ
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1000719 BUREAU OF ELECTRICITY
F 4 88 JOHN STREET, NEW YORK, NEW YORK 10038
B""ate 1. AUGUST 22,1994 Application No. on file 06295994/94 N 324487
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
SEIBERT,JUDITH, 525 TURTHILL ROAD EXT., SOUTHOLD, N.Y.
in the following location; ® Basement ? Ist Fl. ? 2nd Fl. GAR/OUT - Section Block Lot
was examined on AUGUST 15 , 1994 and found to be in compliance with the National Electrical Code.
FIXTURE KEPTACIK SWITCHES FIXTURES RANGES COOKING DE;IOVEINI;SDISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUO RESCENT OTHER AMT K W. AMT. K. MT K W AMT H P
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS MULTI.OUTLET DIMMERS
PMT K. W OIL H. P GAS H. P AMT NO. A. W. G. AMT. AMP. AMT. AMPS. SYSTEMS
NO. OF FEET pMi. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
MIT. AMP. TTpE METER I X ]W I 3W p 3W ],e' dW NO.OF CC COND. A. W. G. HIlEG A W.G. NO.OF NEEQUIP. PR P OF CC. COND. rl OF HHEG Of NEUTRAL
OTHER APPARATUS:
R.C. ELECTRIC CORP. LTC.#1610-E
112 KEYLAND COURT
BOHEMIA, NY, 11716 GENERAL MANAGER
11
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 PAGE 1
1000719 BUREAU OF ELECTRICITY
" BS JOHN STREET, NEW YORK, NEW YORK 10038
Date AUGUST 22,1994 Application No, on file 05295994/94 N 324487
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant homed on the above application number in the premises of
SEIBERT,JUDITH, 525 TURTHILL ROAD EXT., SOUTHOLD, N.Y.
in thefollowing location; IT Basement ? IRE FL ? 2nd Fl. GAR/OUT Section Block Lot
was examined on AUGUST 15 , 1994 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES 111)( 1111,1111111111'11 RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUOIIESCENT OTHER AMT. K W. AMT K.W AMi. K.W AMT K. W.
AMT. M.P
1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT K. W. OIL H. P GAS H P AMT. NO. A. W. G. AMi. AMP AMi. AMPS TRANS. AT, H P SYSTEMS AMT. WATiS
NOAF FEET
i
1
SERVICE DISCONNECT NO. OF S E R V 1 C E 1
AMP. TYPE METER
AML 1.02W 103W 3,e 3W 3,e dW NO. OF CC COND. A. W. G. A W G. A. W.G.
EQUIP. PER 0 OF CC. COND. NO. Of NI-LEG OF HI-LEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
SWIMMING POOL-1
TlPffl CLOCKS-AMP. 40-1
G,F.C.I-1
''(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
-environments it is advisable to
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2
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.
C!<o(i r : • ';~s• nS:, FORM NO. 1
TOWN OF SOUTHOLD i
lrJ 1'~V+i ''"I BUILDING DEPARTMENT
TOWN HALL
II II 19 1994 SOUTHOLD, N.Y.11971
(~y ~7 7 CJ
n~~B pG1 E C~ TEL.: 765-1802
Approved NLOf U7PT l 19G... Received........... , 19.. .
H ~f~
19. . . Permit No
Disapproved a/c
(Building Inspector)
P CATION FOR BUILDING PERMIT
Date 19 .
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 showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
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 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 er demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, bu' ding code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary 'ape tions.
( 'g ture of applicant, name if g corppxatron)
x.... ~xw. .
aildrof ap~z~~~ .
State whether applicant ' owner lessee, agent, -architect, engineer, genera co t act pl b r or builder.
Name of owner of premises DJ,( ` k..,L~--
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ..7T . ~..J l r~• .
Plumber's License No .
Electrician's License No. -..1 M ._.c..... .
Other Trade's License No .
1. Location of land on which proposed work will be done. ~/YX J x~/ . • • . • • • • • . • .
House Number Street Hamlet
County Tax Map No. 1000 Section ..S.,6 Block . Lot L 11 r. Y......
SubdivisionN .f-)u-z4 . Filed Map No. l .l~ Lot ...1.q......... .
Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .
b. Intended use and occupancy
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TOWN OF SOUTHOLD
SURVEY FOR
RICHARb FOGLIA &'JOSEPHINE SCIACCA
LOT N0.14t11HIOHPDINT MEADOWS( SECTION TWO"
AT SOUTHOLb 1`"'•`i`t'" DATE%' DEC, la, 1990
TOWN OF SOUTHOLD "Y i•, i SMLf) III"TI
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1tt YOUNG a:~YOUNG RR EADt, NEWAYO KE
!10TH n, S7nKC D.PIPE ALDEN W. YOUNG, PROFESSIONAL ENDINEE"
SUPDIV1410N IAAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.UCENSE NO IE645
SUFFOLK COUNTY ON MAR,t9,1990 AS FILE NO.9911.
HOWARD W. YOUNOI LAND SURVEYOR
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NRANOIA R AONA INC. '
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9 1994
Js
TOLD DEPT
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~ ""DER'"R'~ m "F"E"E OCCUPANCY OR
USE IS UNLAWFUL j'
f`, ; •IMMEDIATEL WITHOUT CERTIFICATE
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It d r MCWSE rood To CON ;
FRsf ' I~ rc ~ L a UPON E OF OCCUPANCY
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