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HomeMy WebLinkAbout21544-zFORM NO. 4 TOWN OF BOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23260 Date OCTOBER 4, 1994 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property~ 570 HORSESHOE DRI~-E CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULy 7, 1993 pursuant to which Building Permit No. 21544-Z dated JULY 16, 1993 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED LAWRENCE & ANN EKSTER N/A N-284068 - JULY 26, 1993 N/A ]~ing Inspector Rev. 1/81 FORM NO.3 TOWN Of: $OUTHOI.D BUILDING D~PARTM~NT TOWN HAJ.L SOUTHOLD, N.Y. No 21544 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Permission Is hereby granted to: .................. pursuant to al~llcaflon dated ......?./~. .......................................... 19...~....-~... ..... and apDroved by ff~ Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~'~ m ® ~ I ~ ,J~ BUILDING DEPARTMENT ::!*~F .................... ~i~ TOWN HALL APPLICATION FOR CERTIFICATE OF gOOUDA~iov ~ ,, ,~.OG, DEP~ v~o~o~ ~ ~OWN OF $OUTHO~ D 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: t. ~inal survey of property with accurate location o~ all bu±ldings, property lines, 2. Final Approval from Health Dept. o£ water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of lg lead. 5. Commerc±al building, industrial building, multiple residences and s±milar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval et compZeted site plan requirements. 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, bu±lding and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicanb. If a Certificate of Occupancy is denied~ the Building Inspector shall state the reasons therefor in writing to the applicant. :. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinaning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Comercial $15.00 Date . ..~..~..~.... ew Construction .......... Old Or Pre-existing Building ocation of Property..~."~......... /~.o.~S~.~. p~. ~ C~TC~.~)..~2. 0 House No. Street Hamlet ewer or Owners of Proper ...... ; ................................................... ounty Tax Map No i000, Section...'~.~.~.. ..... Block ..... .~.. ........ Lot...~..~.,...~.~. .......... bdi ~'~..~. .... Fil .... '.'-;~. u vision ................. - ~ ... ...... ed Map .... Lot.. ,rmit No. Of Pe it...7/ +/Y.3..Appl cant. ~alth Dept. Approval ............. .. ...... .. . .. Underwriters Approval..~/. ................. ... . . harming Board Approval .......... equest for: Temporary Certificate ........... Final Certicate...~.'~ ...... ee Submitted: $....~.~.~..~ .~ .. . Ygs / ......... · .................. 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 26, 1994 Larry & Ann Ekser 570 Horseshoe Drive Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: XX Occupancy 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 # 21544-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OU~DATIO:! {2nd) ,~UGH FRAME & .PLUMBING ~!SULATION PER,N. Y. STATE E~iERGY CODE FI;;AL ADDITIONA'L COMMENTS.. ~UILDIN~ D~T. INSPECTION c ~ ~)x~oN ,ST ~ ~ ~U~. PL~. [ ] FOWIJ)J),TION mD [ ]INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS [0(} [093 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oai& JULY' 26,1993 Application No. onfile 04781193/93 H 284068 THIS CERTIFIES THAT o~y the electrical ~uipment ~ ~sc~bed be~w a~ int~uc~ by t~ applicant ~m~ on the a~ appl~ation number in the p~m~s of i. thefollowi.g loca~io.~ ~ Bas~men~ ~ I~t FL ~ 2nd ~. 0~ Section Bilk Lot ~s examined on J ~ h ~ 2 ~ ~ ~ 9 9 3 and found to be in compliance with the NaMonal Elect~cal Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES ;PECIAL REC'PT SERVICE DISCONNECT OTHER APPARATUS: R qO* OF METER COOKING DECKS OVENS DISH WASHERS V I C E No. o~e~c~co.o, A.W 0 OF CC, COND NO. 0F HI*LEG A.W G. NO. OFNEUTRA OF HI-LEG EXHAUST FANS DIMMERS OF NEUTRAL made by a qualified per,on. DOR08~ HI, gO. INC, 425 MONS~LL LANE CO~CHOGUE, NY, 11935 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, A~ER~ED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~001~93 BUREAU OF ELECTRICITY ~" 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date O[lh¥ 26~93 ApplicationNo. onfile ~'~[~3/9~ ~ ~05~ THIS CE~IFIE5 THAT o~y the zl~trical ~uipment ~ ~scrib~ be~w and intr~uced by t~ applicant Mmed on the a~ve ap~ication nu tuber in t~ prem~es of the following locaeion; ~ B~sement ~ let Fl. ~ 2nd FI. 0~ S~tlon Bl~k Lot examined on ~ ~ h ~ ~ 1 r ~. 9 ~ ~ and found to be in compliance with the Na~onal ElectOral Code. 1 2 1 DRYERS SYSTEMS NO. OF FEET E R V I C Ho. oE CONg. O~ ~:C. CONO OTHER AP~RATUS: ~gINM~N~ POOL-i TIMg G,F,C,I-I ROTOR8:{-1,§ *(HglMMIN$ POOh) ~hi~ certificate covers compliance ut the date of inspection oaly, Because of umusaal environ~ents Jt is advisable to have frequen~ test/and or ~epai~s <<< Cont. tr~ued on Page A. WG OF HI-LEG NO. 05c NEUTRALS A. WG OF NEUTRAL GENERAL MANAGER 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 BO~ ILDING DEPARTMENT. THIS COPY OF CERTIROATE MUsT~No~LTBE~A[T~E~RED~iN A~Y MANNER ~ITER~ REQUIRED ,/ Examined .~ .~..~ .......... 19~ Approved ...... I ermit No. ~ ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... APPLICATION' FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY .................. CIIECK ................... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of ~ot and of buildings on premises, relationship to adjoining premises or public st?eets br 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 appl/cation, the Building Inspector will issued a Buildhng 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 purpos~ 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 describbd. The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecfi,,~s. ~ ~ .. . . -- (Signature of applicant, or name, if a corporation) (Mailing addrass'of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai ·contractor, electrician, plumber or builder. ' ' owner .. ~J~- U .~./~..~..~.~~ Name of of premises i~-, ,,~-,-.~.. ? (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' Builder's License No .... ~..M4...n..e. ~ .......... Plumber's License No ....... · ......... . ......... · Electrician's License No ....................... Other Trade's License No ...................... Loc tio ofl d hichp d ork ill be 'do ' : a n an onw ropose w w ne. ..~ .............................................. . 57'_ . .'. i : .... .i.N. .e. . .e: ..... .e. , ............... ' ' e u -,-c . .C. ......................... House Number Street Hamlet Couhty Tax Map No. I000 Section ...C].~.... ......... Block ............... Lot...'./.~...~) ....... Subdivision .... '. Filed Map No Lot · (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructiom / ........ .. .... .................. a. Existing use and occupancy ....... ' , It4 .... t"~[d ..-. .... .... ,, b. Intended use and occupancy ~...c~!...r~. ¢1..~,~ ~¢~ .-..~.i .... .~,;~'~ hr".4~.~ .......... ' ....... ' J · ..'- Cl ,I~'o~ ~ ~ · 3. Nature of work (check which applicable): New Building . ~ ...... Repair .............. Rem?al ....... Demolition'' Addition ........... Alteration/j..,. ........ .... : ......... Other Work ........ '..~. ~] ' (D ipti ) 4. Estimated Cost .O. ~. ~ .Qi 9. ............. Fee ......................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor · If garage numberofcars ................. 6 ' If butane'ss ......................................................................... · xed occupancy specify nature and extent of · , commercial or mi. , .each type o£use 7 Dimensions of existing structure~ if any: Front Rear ..................... Height Num;er of Stories ............... ............................. . Depth Dimensions of shine structure with alterations or additions: Front .................. Rear .................. Depth ' Height Number of Stories ' ' 8 Dimensions of entire new construction Front ................ · ' Rear Depth Height ~. .............. Number of Stories ............ ~. Si~e Of,oh Front ........... i .... :.. Rear ...... i ........... ' ................... :" ........ ............... Depth ................... I0. Date of Purchase ......... i. i ........ ' ......... Name of Former Owner ................... I 1. Zone or use district in which oremises are sitnated ......... ' ': ...... 12 Does proposed construction violate any zoning law ordinance or regulation: ' ' 13. Will lot be regraded ....... '. · · .................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises Address ........... ; ........................... Phone No ................ Name of Architect ......................... Address ................... Phone No ................. Name of Contractor Address ' Phone No 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ........ · If yes,~ Southold Tbwn Trustees Permit may be required. ' · ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frown property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS ~JOTED DA'~E: -------------B.R # ~EE', ..... BY: ,-.---- NOTIFY BUILDING DEPARTME'N~"AT 71;:;5.1802 9 AM TO 4. PM .FOR THE FO[LOW~NG ~NSPECTIONS: . % FO,UNDATR)N - TWO REQUIRED FOR POURED CONCRETE ~, ROUGH ~ F~A~NG 8~ PLUMBING 3, iNSULATION ,~, FINAL CONSTRUCTION MiIST B5 COMPLETE ~::OF{ ALL CONSTRUCTION SHALL MEET TNE REQUIREMENTS OF THE S~;~Tt~ CON~T~UC~]ON & ENERGY CODES· N(~r RESPONSIBL~ FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW Ye P,,K-. couwrv OF...~.~ .E~.~.. s.s: ........ Ft.ro.¥...~. ~..w,m~ ............. . ........ (Name of individual signing ~ontract) above named. being duly sworn, deposes and says that he is the applicant ~Ile is the ..... . .................. ~x~.... .................................... . (Contractor agent corporate officer etc ) .................. of said owner or owners, and is duly adthorized to perform or have performed the said work and to make and file this application: that ail statements contained in this'application are true to the best of his knowledge and. belief; and that the ~VwOrk will be performed in.J~e manner seti forth in the application filed therewith. ' orn to before me th~) ........ ~..~.~... ~.,~. ,.~..daff'0~../]... ~G... '.~-.X' . .~. i, lo~ . o'ta- Pub,' . ........ ., ,y c, .~.?/.. ~_.~.~:~...~.. County . · ' '($ignatureof p .cant) · . · . ,. . er,, ~ir~mya~, m ~. .