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Home My WebLink About21231-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22530 Date AUGUST 17~ 1993 THIS CERTIFIES that the building. ACCESSORY Location of Property 245 WINDY POINT LANE SOUTHOLD, MEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 6 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 17, 1993 pursuant to which Building Permit No. 21231-Z dated FEBRUARY 22, 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 ACCESSORY INGROUND SWIMMING POOL FENCE & DECK AS APPLIED FOR The certificate is issued to ANTHONY R. DANIELE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-279832 - JUNE 15~ 1993 Rev. 1/81 I~OR.~ NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~T? 212~1 z Permission is hereby granted to: i"i~/Z.(~[~ ....... iiii"iiiiii~iii ....... i ....... i .... ,o ..~m...~~J'~..m;~..~...~.~.....~.....~:~.. ~ ....................................................... .......:.....~....; ......... ~ ........... ~..-~_~ -~.~ ...... at premises located at .....~....~..~.......~....~....c~....~..:~..~ ...... ..~/.~ ...... County Tax Map No. 1000 Section ...... ~.~....~. ....... Block ...... .C~...~. ...... Lot No....!.~ ............ pursuant to application dated ..... ..~.~.~ ...... J...~. .......... , 19.~.~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 ill H~ ..... ~i! ! ~ TOWN OF SOUTNOnD II[f~· ,. O ,'i! ~,iii' BUILDING DEPARTMENT ',,~t ~:U$ 5 199o,, t~ TOWN RALL U~[ ....................... ~ 765-1802 BLDG. DL:PL 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. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/1'0 o£ 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate o£ Code Compliance from architect or engineer responsible for the building. 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 5,Temporary Certificate of Occupancy - ResLdential $15.00, Commercial $15o00 Date .............................. .. New Construction ...... ~... Old Or Pre-existing Building ..... '' .......... .... ~ ............... ~.-Y~.~,~. .... House No. Street 'Hamlet 0nwer or Owners of Property ............... county Map No 1000, Section ...... 7.'.f. Bloe ..... 5 ..../fit ..... Subdivision ..... Filed Map Lot Permit No ......... Dace Of Permi~ ........... A~I~ Health Dep~ Approval Underwriters Approval Planning Board Approval ~-~ Request for: Temporary Certificate ........... Final Certicate .... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~: ~ 1.~.85077 BUREAU OF ELECTRICITY ~ 0'UI~, [~z 1998 B5 .,JOHN STREET, NEW YORK, NEW YORK 10038 D~te ApplicutlonNo, onfHe 045~3293/93 ~ 279832 THIS CERTIFIES THAT only the electrical equipment ~ &scribed below and introduced by t~ applicant ~med on the a~ve application number in the premises of ~,~ ~.~ ~ ~, r~. ~ ~d r~. in the/allowing Ioc~i~ ~ ~ gse~ Section BI~k Lot u~s examined on arid found to be in compliance with the requirements q( this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES %OOKING DECKS OVENS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET OTHER APPARATUE= have f reqtteltL S E R NO, OF CC COND, AWG. OF CC* COND C NO OF HI-LEG E A W O NO OF NEUTRALS A, W, O. OF HI,LEG OF N~UTRAL 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 BUILDING DEPARTMENT, THIS COPY OP CEKTIFIC..AT[ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~1.8.5077 BUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK, NEW YORK 100"48 JUlt~ I5,1593 O~te Applic~tionNo. onfile 04603293/93 1~ 279832 THIS CERTIFIES THAT NTIiON~' lJhNIbJLLfl, t70 KOg~ DR'fV~ SOU~NOLD~ ~,%~ ,.77;i{}~s~tertt [] Ist FI. [] 2nd FI. OU'~ Sectlon Block Lot FIXTURE OUTLETS SWITCHES t 1. DRYERS FURNACE MOTORS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FtUORESCENT OTHER FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R NO. Og~CCgCOND OF CC CONO, c NO OF HI-LEG OF NEUTRAL TIMF, CLOCK AMP ~(SWI~IMING POOL) Thi~ certificat, e ~ve/'s COmDliallce at tl~e date of enviroameats IL is advisable to <<< Continued on Page 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. ',RED IN ANY MANNER. DUNDA~ION (lst) 9UNDATION (2nd) 3UGH FRAME & .PLUMBING :~SULATION PER N. Y. STATE E};ERGY CODE FINAL ADDITIONA'L COMMEHTS: FORM NO. 1 ; t !~:r,..~ .......... TOWN OF SOUTHOLD .',' ~; BUILDING DEPARTMENT ' ' F~ I 7~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .X'..aW, 19 Approved .~.~.~ a,x., 19~.~ Permit No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK~ .................... SEPTIC FOR~! .............. 2//? Date ................... 19. , 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 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. .. ~d, .k~ ¢:¢..c. ?.~.. 4~..*..-r,..._z~...: .......... - - (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. Name of owner of premises ........ //J-. :/~J...~./t~g-~.z'l/. ~ ..... ~.. .... ~. fi/: .~../. d{(~.~...., i~-.. :-..L59....t .~-..~. ....... (as on the tax roll or latest deed) If apes a c°rp°rai~_ .~ 7uly auth~°rized °fficer' '' ',~' ' ' ~qame and t~Jd ;~ 'c~'r~r'a~ g~i~;ri ........ Builder's License No ..... 2/.t9 ~/Tz~--~ Plumber's License No ......................... Electrician's License No...]'~O~. g"')'/-~....~.t[~--. - .'f-~c-~ Other Trade's License No ...................... t. Location of land on which proposed work will be'done ...... '.~..ff..~...~.C..~. .... . .~.':..~. ............... ...... ...~..~,/~. ......... /,~n~l~.a.'7. ....... x~ct 77,,oc o llouse Number' ' ~;/'~'tl/,~r'e~/[~:~>~: I._~/A/~ ..... I~i;~'l~i ....................... County Tax Map No. 1000 Section ..... 7..~. ........ Block ~ Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 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 ........... cr'9..'2~7.."/. ..... Nature of work (check which ap!plicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rem6val .............. Estimated Cost ........ /. O:)..~..O~..., . .Cr.~... Demolition .............. Other Work ....... ~ ...... (Description) ...... Fee .................. ~..~. "[} ......... (to be paid on filing this application) 5. If dwelling, number of dwelling Units ........... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixec~ occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ......... . ...... Rear .............. Depth ............... Height Number of Stories Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase · · ' Name of Former Owner Zone or use district in which premises are situated; ...... ~ 6-~. ~ ............ ~ .................... 12. Does proposed construction violfite any zoning law, ordinance or regulation: ..... ' .......................... 13. Will lot be regraded ......... r~ '~' ....... ~-' ..... Will excess fill be removed from premises: ~ No 14. Name of Owner of premises ... J'J/~-~/! ~/d .. Address . ..~gn,'~-4'""d~. · Z'tO.. · ·. Phone No ...... Name of Architect . ......... · ................ Address ................... Phone No ................ Name of Contractor .~..... ~.}./,,{..~. ~.~..~...... ~Address...~/~.. ~1~'7~.c.. Phone No.. ~'.4?.'-.,~..O..~. 15. Is this property within 300 feet or a txaa± wetland? *Yes ........ No ......... · If yes, Southold Tpwn Trustees Permit may be required. PLOT DIAGRAM Locate dearly and distinctly ail buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK. ,. ,. ..... //~. ~/?¢ .~.....~.'....~.~.C[.~. .... ~. :. · · being duly sworn: deposes and says that he is the applicant (Name of individual signin~ contract) ~bove named. :{e is the ........................ _ __ : (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this tpplication; that all statements containod in this application are true to the best of his knowledge and belief; and that the .york will be performed in the manner s~t forth in the application filed therewith. {worn to before me this ........ . .... (q ........ day of. 'i' '"' '~'"'~'~' ....... ,19 .~. ~, · ' CLAIRE I. GrEW County. Notary Public., State of New York . No. 4879506 i . ' - Qualified in Suffolk Coun~ ~t~,~L, ..... ' .... ~omml~lon Expires December 8, 19 &../