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Home My WebLink About21398-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22415 Date JUNE 22~ 1993 ACCESSORY THIS CERTIFIES that the building Location of Property 230 HORSESHOE DRIVE ' CUTCHOGUE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3~ 1993 pursuant to which Building Permit No. 21398-Z dated MAY 10~ 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 BRUCE & RITA FIGURNIAK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-279913 - JUNE 16~ 1993 PLUMBERS CERTIFICATION DATED N/A // Building Inspector Rev. 1/81 lVO~,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. N_~N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) · 4../....o. ............. 21398Z Date ..~ .......................... Permission is hereby granted to: _ .......................................................... £~,...:~/ . _ ........................................................ ,o ................. ,._, //-' -~ ~-:: ....... .~ ......... ~. .~ ....................... at:::re:::: located at .~.~..~......~..~~ ....... .~//r~ .................................................. County Tax Map No. 1000 Section ......... ~..~....... Block ......,~... ........... Lot No...../...~.~ ............. pursuant to application dated .......... ..~...~. ................................. , 19....~...., and approved by the Building Inspector. Fee $....../.....~.. · .~....~.. Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 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 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. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ........... ~ ........... New Construction...........X Old Or Pre-existing Building ................. Location of Property .................... .... House No. Street Hamlet Onwer or Owners of Property..~.C~.~.~...~..g.l~.~....~.~.~.~f~j.~l< .............. County Tax Map No 1000, Section....9.~. ..... Block ..... ¢. ........ Lot .... L~.'.~.a ........ Subdivision ......................... . ..........Filed Map ............ Lot. .. Bealth Dept. Approval ........................ Underwriters Approval .... Planning Board Approval ....... Request for: Tempo. r~ry Certificate ........... Final Certicate ........... Fee Submitted: ............ ~ ................. %atl .......... ~ ' APPLICANt- · Co gqlS . .,~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe, 1 ]-00138[ BUREAU OF ELECTRICITY ---- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oats JUNE 16,1993 Application No. onfile 81042693/93 N 279913 THIS CERTIFIES THAT only the electrlcaJ eouiprnent as d~scribed below and introduced by the app{icant named on the above application number in the premises of BRUCE EIGURNAK, 230 HORSESHOE DRIVE, CUTCHOGUE, N.Y. in thefollowinglocatlon: [] Basement [~ Ist Ft. [] 2nd Fl. GAR/OUT ,%ctlon Bt~k Lot ,~,sexa,,,inedo,, JUNE 11,1993 andloundto~,elnconpta.~'.,~'ththere,~ ire,nensqfthisBoard. EIX?UEE FIXTURES RANGES COOKING DECKS OVENS , EXHAUST FANS 3 2 DRYERS SYSTEMS NO. OF FEET E R V i C OF CC, COblO PER ~' OTHER APPARATUS: TIME CLOCKS-AMP.40-1 RECEPTACLES-1 FBEDERS~I-3 # 6 BASEMENT TO BASEMENT PANELBOARDSI1-5 CIR. 100 *(SWIMMING POOL) This certificate severs compliance at the date of in~pection only. Because of unusual enviromments it is advisable to <<< Continued on Page 2 >>> GENEEA[ MANAGE" This certificate must not be oitered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals. ., . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1081381 BUREAU OF ELECTRICITY --- lBS JOHN STREET. NEW YORK, NEW YORK 1003lB 81042693/93 N 279913 Date JUNE 16 , 1993 Application No, on file THIS CERTIFIES THAT BRUCE ~IGURNAK, 230 HORSESHOE DRIVE, CUTCROGUE, N.Y. in the followlng location~ [] Basement [] Ist FI. JUNE 11,1993 [] 2nd FI. GAR/OUT Section Block and found to be itl compliance u'ith the re I irements ~f this Board. OTHER RANGES C~KING DECKS OVENS . ~ISH WASHERS FIXTURES h~ve frequent test/and or repairs made by a qualified person. ~ TRANS. ~TIME CLOCKS BELL UNIT HEATERS R V I AWG. OF CC. COND. NO OF HI-LEG OF HI-LEG MULTI-OUTLET SYSTEMS NO, OF FEET NO, OF NEUTRALS Lot EXHAUST FANS DIMMERS OF NEUTRAL JODY PUMILLO LIC.~2300 E PAT LANE MATTI~UCK, NY, 11952 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Insl~ectors may be identified by/their credentials. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~F~AL DATE INSPECTOR~----"-- 'OUNDATION (2nd) ~OUOH FRAME & -PLUMBING .~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: OR 'SAFETY PROMOTION PROGRAM'~' 66~ ~ lq§FMoo 'aau!l qldap aIqm.;tea 'II~I OE ql!A4, 'IUD 00Z'IZ ~09-6~t-t, 'IUD 0fi/'ZI Z09-6fiSt-t I 9 ~EO.7~I: '[eD ~9Z'0[ 'IUD ~9~"6 ~;09-Lg~[-[ 'led 00fi'6 'IUD 00~'9 ZO9-I~g~[-I I D~69 · pxeX~Iaeq .moa o~ pal!ns XIl~al.tad az!s lood pug noX i;~un ~oded uo saz~s sno!~ea puc aged s;q~ uo u~oqs sgul~mp [ood aql ash 'uaq& 'p~uX~aeq anoX jo ~noXeI puc suo!suom!p ~alogs gSnoa ~ romp puc ~opIo~ ~noX u[ popiamd xaded p[a~ aql ash 'guglos pauX~aeq anoX qalem o~ az~s lsaq oql pug oL 'spoou anoX laam ol sppom [ood IeXO pue punox jo luamlaosse og~q e S$ZIS ~0 &Nt~&~OSSV DNI&IDXt NOTE: · *~ MONUMEN? SUBDIVISION MAP FILED I1~ TIlE OFFICE OF THE CLEf~K OFSUFFOLK COUNTY ON YOUNG & YOUNG~',- YOUNG SURVEY FOR: LO T NQ 2_2 ," ORE C~ OI~ W '~, I,Y ESTATES" FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 · ' TEL.: 765-1803 Examined~::..:...:'19''~'~' ' ' Disapproved a/c ' - · 7PBuild~Inspector) · APPLICATION FOR BUILDING PERMIT SURVEY CIIECK ..... Date ...~..-. .......... , 199. 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 s6'eets ,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, fO,rothe construction of buildings, additions or alterations, or for removal or de~,olition, as herein described. The applicant a~rees to comply with all applicable laws, ordinances, building code, ~ousing/?c/ode, and regulatio/n>% and to admit authorized inspectors on premises and in building for necessary inspgqtions // _~._~- - , ~/ · " · . (Si,~natur~ of applicant, 0gname, 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 o f premises ......... - (as on the tax roll or latest deed) If applicant is a corporation, signa%ure of duly authorized officer.' (Name and title of corporate officer) Builder's License No ....... ' Plumber's License No ......................... Electrician's License No. Other Trade s Lmense No ...................... ENCLOsI~ POOL 70 CODE UPo co P .Er o, BEFORE WATEr' I. Location of land on which proposed work will be done. ' ¥. /."' ' ' · ....... da ................. , House Number Street Hamlet Con~ltyraxMapNo. 1000 Section ....~. ~.-~..0.0 Block ~...~tQ.(~. ' Lot...O./.~.;..~.~a Snbdivision ........ . ............................ '. Fried Map No. Lot (Name) ............................. 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' ' ' . " ~ /..g'~IL~:~.:~-,' ~ ~,, ,'.>, · b. Intended use and occupancy . . . }. t't,r~ CS,,r'~alu,~/ti,~.;~ ............ ;v , "~i~fl ~¥~ e .................... k ( h Ppli ble ........ Nature of wot check whlc la ca R pai R mo j: r~ew J~uumng .......... Addition .......... Alteration . · . ] ~.~ ~ ................ Other Work ................ 4 Estimated Cost ..7~ ~ ~ . (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ~ · · · Number of dwelling units on each floor ................ · Ifgarage, number of cars . .. ...... If business, commercial or mlX~ed occunanc- s"ec:" ..... ' .................................. ... ..... . r ~, ~ -y natureana extent of,each t e of 7. ,D,n.n.enmons o! exmtmg structures if any: Front ........ , YP use ............... : ..... ,mglat ............... Nffmber of Stories ....... . · · · ~ear .... ............ Depth ............... Di f with It DD~etehnnSions o shme structure aerations or additions: Front ................. Rear ........... Hight ' Numb fSt . ' ............... D pth . e ............... er o cries ....... e ......... 9 Si ~ ..... . · ze orlot: Fro ~t ........ ,[. · .' ' Rear... · ............. 10 D .......... pth · ate of Purchase .......... I... ' .................. De ......... ' N off ........... I1 Zo di i i t , · .......... '.. amc ormerOwner ..... · ne or use sir ct n which premises are situated ........... · ........................ 12 D i61 hah'ce o'r re .... · ocs proposed construction v ate any zoninr~ 13. Will 16t be re,reded . ~ .... , gulation: ................... . ...... 14 N cfC - fp ....... Will fillb dfr i y ....... ......... excess e remove om prem scs: es No · amc wnero remises . ' ..... N of A dhit .......... ~ ........ ress ..;... Ph No , Add amc r eot ....... , ................ N f C · ' ' .................. Address Phone No. amc o ontractor ........ ~ ................. Add ......... ' ...... 'i ... · ty 1300 ress ............. . ...... Phon~ No ................ 15.' Is this proper within feet of a tidal wetland? *Yes ........ No..,~ ...... ' · If yes~ Southold Town Trustees Permit may be required. .... . i PLOT DIAGRAM Locate clearly and distinctly all[ buildings, ~heth~r existing or proposed, and, indicate all set-back dimensions fror~ property Hnes. Give street and block inumber or description according to deed, and show interior or corner lot. , , street names and indicate whether 3TATE OF NEW yOPW . , 7OUNTY OF.~... '. .... K. Z.. . .... ,.. (Name of individual signing contract) bore named. ' APIq O D AS NOTED 1. FOUNDATION . ~OREQUIRED FOR POUREDCONCRETE. 2. 'ROUGH . FRAMING & PLUMBING 3. INSU~TION 4. FINAL . CONSTRUCTION MUST 8E COMPI.~E FOR C.O. ALL CONStRucTION SHALL ME~ THE REQUIREMENTS OF' THE STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORs ....... being duly sworn, deposes and says that he is the applicant [e is the , · ~ (Contractor, agent, corporate officer, etc.) f said owner or owners, and is dul- ~uth--' ....... ' ' J I m zcu to pcrmrm or have performed the said work and to make and file this · plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner s~t forth in the application filed therewith. worn to before me this ' ................ '...day of.. i. 4,. ~ ..... ' ...... ota~ Public ...... ~ ........ County : ..... . '