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HomeMy WebLinkAbout21693-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23151 Date AUGUST 9, 1994 THIS CERTIFIES that the buildin~ INGROUND BWIP~4ING pOOL Location of Property 2325 NASSAU POINT ROAD ~oTCHO~UE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 13 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1993 pursuant to which Building Permit No. 21693-Z dated SEPTEMBER 14, 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 RAISED DECK, PATIO & INGROUND SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to ~ENN~TE & o~ISTIN~ RATHGEBER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-317050 -- JUNE 13, 1994 Rev. 1/81 /ld~ng Inspector TOWN ~LL 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 lihes, 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. 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: 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 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-existing Buildinm - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Da te ~' · ........ ' New Construction ........... Old Or Pre-existing Building .............. Locatio~ of Property.. ~. .............. ~ House No. Street Hamlet Onwer or Owners of Property..~.~.~.~W~.~....~..~..~.~.~.~.~.~ /~V~~ Oounty 000, ection ..... ..... ....... ........ ................................... Filed Map ........... Lot ........ ......... Subdivision . .lealth Dept Approval .......... Underwriters Approval /lanning Board A~proval ...................... (equest for: Temporary Certificate ........... Final Certicate ........... "ce Submitted: $. ~-~ .. AP PL~CANT_~, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY B5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIF:IES THaT only the eleetrlcal equipment as described below and introduced by the ~pplieant named on the abo~e application number in the premises of f4R. & .HRS. RATHGED~_,'R~ 2325 NASSAU POINT ROAD, CUTCHOGUE, in the fotlowing location; [] Basement [] Ist FI. [] 2nd FI. ©UT Section Block Lot ~s examined on JUNE 09 ~ 1994 and found to be in compliance with the National Electrical Code. -- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS --AJ~T K, W. OIL H. P, GAS H. P AMT. NO, A. W G RANGES ~FECIAL RECq COOKING DECKS OVENS DISH WASHERS A~gT. K W, A~AT K W M,~T K. W TIME CROCKS BELL ~UNIT HEATERS MULTI-OUTLET SERVIC~ DISCONNECT fiNER APPARATUS: V I C E EXHAUST FANS AMT, H P. DIMMERS AMT. WATIS A W O. NO OF HI-LEG OF CC, COND, AW.G, OF HI-tEG NO, OF NEUTRALS A W G, OF NEUTRAL have freqtlent test/and or repa.[rs marie by a quail, fled p~'soD, UNDERGROUND SPEC. INC. 128 PULASKI ROAD KINGS PARK, NY, 11754 LIC.#2740-E GENERA/ 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~2'[5002 BUREAU OF ELECTRICITY [~ S5 JOHN STREET. NEW YORK. NEW YORK 10038 Date 31[JNE ~l.~ t 1~4 ~pplication Ne. on file 83962494/94 THIS CERTIFIES THAT only t~ electrical equipmen~ ~ ~scribed be~w a~ int~uced by t~ applicant ~med on the a~ve application number in the prem~es of ~. & I~S. R~THGEBER~ 2325 N~SS~U POINT ROAD, CUTCH~UE, N,Y. in the following b,catlon; ~ Basement ~ Ist Fl. ~ 2nd FL O[}T Section Bilk Lot ~s examined on J[]~ ~ ~ ~ ~gg and found to be in compliance with the NaEonal Electdcal Code. FIXTURE OUTLETS 10 DRYERS SERVICE DISCONNECT I NO. OF [ S At4T. , METER. OTHER APPARATUS: RANGES ~PECIAL EEC'I ANIT. Al, Ap FURNACE MOTORS FUTURE AP~uANcE FEEDERS OIL H, P GAS H P. ~%%T NO, A W, G, R NO OF CC COND V I J~NIT HEATERS MULTI-OUTLET TSYSTEMS NO. OF FEET C A. W G OF CC. CONO NO OF HI,LEG AWG OF HI*LEG EXHAUST FANS AMT. H P. DIMMERS Af4T. WATTS E NO OF NEUTRALS A W G. OF NEUTRAL FEEDERS NO.OF COND. 3 A,W.G. 8-1 8W]]~MING P£~L- 1 PANELBOARDS ~ 1-4 CIR. *(SNIPING P~L) This certificate ~vers co~R31i~ce at the (iate of inspection only, Because of unusual environments it 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. FOU~IDATION (1st) FOUNDATION (2~d) 2. ROUGH FRAME & PLUMBING 3. ZNSULATZON PER N. STATE ENERGY CODE FINAL ADDZTZONA'L COM~IENT$ 765.t802 BUILDING DEPT. INSPECTION [ ] FRAMING [ ~FINAL · REMARKS: ~ _D I_4_L.L ~'ALV E PUMP '~ WASTE FILTER POOL PLAN & PIPING SCHEMATIC UNDI~WRITERS CERTIRCATE R~QUIRED ~'' "~x~'~,"~x, $#3 ~ BOND BEAM HORIZONTAL STEEL /.s-i lz" o.c. ..HPICA L. WALL S£C_TI OIL-- ~.TYPICAL SECTION_:= Drawing .Drawn By :Date: Checked Date: :-:D E S I G N? DATA = POOL AREA WATER SURFACE ~ SQ. FT- ;TURN. ~FR ~ / © HOT~S PUMP RATING ....... Rein~rclng tecl~ defo~ 10~l~r d,ame~rs sh~B~i.hav¢ than AQUA- QUAL Sw~[Nc POOL CO 22 Allen Blvd."' Fa rmingdale, New Yorl 293- 8540 Approved ...... Disapproved a/c?.~../~.~.~. : ................ ............ : ............... ..... FORM NO. 1 BUILDING D [ ~A EI~I~I',I'~ ' TOWN~ gOUTHO LI~,~Y. 11071 '~: APPLICATION FOR BUILDING PERt~/IIT Date .................. , 19... INSTRUCTIONS a. Tkis 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 in$pections. ... X~.o.x.: ~ .~. :%..,~.~,~ .~.~..~.~.~... (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...]~..t~.~/...~.l~. ~.~.4.. ?.. ~ ~. ( ~' .... ~.!( '~ ~ ~ ....................... (as on the tax roll or latest deed) If applic~t ~s a corgorationfsignature o~ duly authorized officer. .... .... .... (Name and title of co,orate officer) Builder's License No .... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... M~AS'r' g't"'~ o~ ~.).t,~Ao [57ff /~9q2>, Location of land on which proposed work will be done...J. 7~..'...,~.~..~.'Q.k[....o.~'....~.,~..-(.~.t..~.t~....~.~..: .......... ·..,t'~..z.(. ...... ~.x..,. ~x.o.... ~, ~.~.. ~s~ ~ ........ .~.o.-r¢.d.o. ~.o. ~. ................ ttouse NumberStreet Hamlet County Tax Map No. 1000 Section ... !..d~...~. ........ 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 .... . .~..~..t..~.~(..~.~". .... . .~...~'.~.l.~ .Z.~./ff~ W,_~. ' b. Intended use and occupancy . .r~..,~t. !/A[TT.t~ .~t,d.t~x(..~j.,q. a~ r~o~6_ 3. Nature of work (check which applicable): New Building ..... ' .... Addition .......... Alteration .......... Repair .... Rembval ,.. Demolition ............ OtherWork ...~... 4. Estimated Cost. ~. ~ ~.O .................. 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 mixeg occupagcy, specify nature and extent of each type of use ..................... 7. Dimensions of existing strncturds, if any: Front ............... Rear .............. Depth ............... Height ............... Nun :her of Stohes ........................................................ D~ensions of same structure whh alterations or additions: Front ................. Rear .................. Depth ..................... Height ...................... Number of Stories ...................... Dimensions of entire new const] uction: Front .... ~.'. ..... Rear .... ~O. { ...... Depth ... ~ ~ ....... Height ..... ~ ........ Nun ber of Stories ......... ~ ......... 9. Size oflot: Front ..e~l' t 'JZ~Z~Z'b~ ............ ' ........... .. '. ~ ........ Rear ....... ~.~..~.. th ...~]~ ............. 10. Date of Purchase .............................. Name of Fomer Owner ............................ 11. Zone or use district in which pr~mises are situated ....................... ~ 12. Does proposed construction viol~a~any zoning law, ordinance or regulation: ... ~ ........................ 13. Wflllotberegmded ~o~.;~q~..,~ ..... ~..Willexcess~ll~eremo~ed~ompremises: ~ No 14. N~eofOwnerofpremises~ ~4TIJ'~B~[~Address~S~4o~l~ ~ph~u~ ~$~ - ~& Nme of Architect .......... [ ................. Address .................... Phone No. Stone of Contractor ~oA..~:4A~..~?~el9~.. Address .~ .g~6~¢.'~.~. Phone No. ~ ~ ~ ~ Locate clearly ~d distinctly ~1 [bufld~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions~ from property ~nes. Give street and block number or description according to deed, ~d show street names and indicate whether intehor or corner lot. 7S~-~802 9 AM ~ 4 P~ FOR THE l. FOUNDATION ~VO R~QU{RfiD FOR POURED CONCRET~ 2. ROUGH - FRAMING ~ PLUM8ING 3, ~NS~LATION ,~. FINAL CONSTRUCTION MUGT [~E COMPLETE FOF{ ALL CON[~TRUCTION SHALL MEET T~ REQUIREMENTS OF THE N.Y. STATE CONSTRU~ON ~ ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, SiS COUNTY ' ........... ~ ........ . . ,~ .~-%! .,~..~.. .../~ (. ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ............................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly iauthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et fortj~in the application filed therewith. Sworn to before me t~rd~ . ........ :'...%'.. ............ V/.. ....... h~i ~') Public' .", v. ~.-~ (Signature of applicant)