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Home My WebLink About21027-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUpANC~ No Z-24526 Date JULY 26, 1996 THIS CERTIFIES that the building Location of Property 105 HILL ROAD House NO. County Tax Map No. 1000 Section 70 Subdivision ADDITION EOUTHOLD, N.Y. Street Hamlet Block 4 Lot 33 Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 1992 pursuant to which Building Permit No. 21027-Z dated OCTOBER 20, 1992 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 SWIPING POOL WITH DECK & FENCE 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 Rev. 1/81 THOMAS A. & PATHICIA L. COOK N/A N-276151 -- MAY 17, 1993 N/A Building Inspecto/ !~0~'tw ~0. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 2102TZ Permission is hereby granted to: ~ . ~ ~ ............... ...~....q..~ ......................... ~..... .................. ..~.~.~ ........ ~..~ ......... . ,,.~..,,-~ .................. ~ ,o .~.~......~..~......~...~.~.~......~ L..~...~.~...~ .~ '~ ~ ~.~..~ .. at premises located at .L~..~........L~.....'~R..?-,~X~...~.¢.~..~&~.~..~...~ County Tax Mop No. 1000 Section .... ,,~..-]...O,. ........ Bloc/l~ .... ~..,~ ......... Lot No..~,~ ............ pursuant to application dated ..~..~..~....../...~ .................... , 19c~...-~., and approved by the Building Inspector. Fee $.~.:...~ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 1. Bertificate 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 New Construction ........... Old Or Pre-existing Building.. ~ .......... Location o~ Property ..... Z~o:.. ......... ....... --~,.~.~ .... .~. .................. ~:~,..~"~''~. .... Honse No. Street Hamlet Onwer or Owners of Property ...... .~.zgfl~./~. ~. ~ T~./.<~.~..~..~..~.~ ~ County Tax Map No 1000, Section ...... 7.~....Block ..... 9' ........ Lot .... .~..~. ............. · ~ ' Subdivision .................................... F~led Map ..... ~ ..... Lot ...... ~ .... ~ .......... e' - Permit No..~.I~.~.~. ..... P rmlt .... Applicant ........ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ...................... .. Request for: Temporary Certificate ......... Final Certicate ..... Fee Submitted: $ ......... .~.~e ............... .............. THE NEW YORK BOARD OF FIRE UNDERWRITERS · [1~(~'77 BUREAU OF ELECTRICITY j~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~]~¥ 17~1993 /~pplicationNo. onfile 0.4~69793/93 N 3' ~' ~Z6151 ?H~S CERTifiES T~AT only the electrical equipment as described be~ovo and introduced by th~ applicant named on the above application number in the premises of TOM COOK, 1~5 WEST HILL RO~3, SOU'['HOLD~ N.Y. in the following location; [] Basement [] Ist FI. [] 2nd FI. OUT Section Block Lot 5 tt~sexaminedon ~A¥ 20, ~ 99[~ and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES FLUORESCENT OTHER EXHAUST FANS SYSTEMS NO, OF FEET OTHER APPARATUS: have fx~quent test/and or rep~irs ~llade by ~ qualified person E R V I C No, O~RCC~CO.0 ^. W O /, w O. ~o. O~ .~UTR^~S ,~. W O. O~ CC. COND OF HI-LEO OF NEUTRAL ROSLAK EIJ{CTRfC P.O,I~OX 164 CUTCHOGUE~ NY, ~]935 LIC, 0367'7-~E GENERAL MANAGER 11 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 ~ ~ [ [~(~'~' BUREAU OF ELECTRICITY r~- es JOHN STREET, NEW YORK, NEW YORK 10038 ~':~ , Date MAY 17~:[993 ~pplicationNo. onfile 04469793/~3 ?,~ N 276151 THIS CERTIFIES THAT in the foltowlng locatlon; ~ B~semenZ ~ Ist Ft. ~ 2nd Fl. OIJT Section Bilk Lot ~5 ~s examined on ~Y 20 ~ 1 ~9 ~ and found to be in compHance with the NaHonal Elect~c~ Code. DRYERS FURNACE MOTORS FU~U~ ~.PPtlANC$ ~EEDSR$ ~. ~.w ~ ~.~.. o^~ ..~. ,~ ,o. RANGES )EClAt REC'PT TIMECLOCKS~RAN~ ~ SYSTEMSBELt, UNIT ~EATER$ MULTI.OUTL~Ti~O. Of FEET R V I C E EXHAUST FANS DIMMERS NO OF CC COND A, W,G. NO OF HI-LEG PER ~t OF CC. COND. A W G. ~O, OF NEUTRALS A W, G, OF HM, EG OF NEUTRAL SWI~4ING POOL- 1 HOTOR F'-! POOL HBATBR'..1 MOIL'ORS: 1.-1., 5 '(SWIPING POOL) This certificate U{~uers compliance at the dat{~ of inspection only. Because of unusual envirollments it is advisable to <<< Continued on Page 2 >>> GENERAL MANAGER This certiflcote must not be oltered 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 NO? BE ALTERED IN ANY' MANNER 765.1~0Z BUILDING DEPT. INSPECTION FOUNDATION 15T ~ ] ROUGH PLBG. FOUNDATION ZND [ ] I~L~TION FRAMING [/,,']"FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH/PLBG. [ ] FOUNDATION2ND [ ] IN~JI.ATION [ ] FRAMING [~]"FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND**.:. [ . ] I~I~ATION/ FRAMING [ ~"] FINAL / FIREPLACE & CHIMNEY ? DATE INSPECT~ 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 March 28, 1996 Mr. & Mrs. Thomas Cook 600 Hunt Lane Manhasset, NY 11030 Re: Building Permit #21027-Z - (pool & deck) Premises: 105 Hill Road, Southold Suff. Co. Tax Map ~1000-70-4-33 File under Margaret Ho~F. During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. OUNO^~ION ( ~ st) OUMDATIOH (2n_____~_d). OUGH FRAME & .PLUMBING NSULATIO}! PER N. Y. I! STATE ENERGY CODE FiHAL ADDI N~L COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 :\pproved .O:..~.~-~ ~ 19 .~/[ . Permit No. Disapproved a/c ................................... _ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTtt ......... 3 SETS OF PLANS .......... SURV£Y ................... CIIECK . . CALL . . . · ..... HAlL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 2ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship tb adjoining premises or public streets r areas, ando~Vm,,*' ' ,, a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ¢. Tile work covered by this application may n~t 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 pen'nit hall be'kept on the premises avai/able for inspection throughout the wbrk. e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy lall 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 .uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for' the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to Jmit authorized inspectors on premises and in build/ng for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. :amc of owner of premises ........ . .~.~..~, .6'. ............. . ................................ (as on the tax roll or latest deed) f ap~on,~i~o f ? a u theorized officer. .... z'ii& "; .... 'a: .... [ e a hue or corpor~vt~'Yficer) . 2./0 /:f_Z-- B dder s Lmense No ............................ Plumber's License No ......................... Electriqian's License Nb....)~.q~.~.*../Y...Z'.~.~.~.~7.'.-~..~ Other Trade's License No ...................... Location of land on which proposed work will be' done ........................ llouse Number Street Hamlet County Tax Map No. 1000 Section ............... Bloc~ ..... Lot Subdivision .............. ' ......... Filed Map No. Lot (Name) ............................. State existing use and occupancy of premises and intended u~e and occupancy o~propo~2d co1~struction: b. Intended use and occupancy ........... ~ (~(~_ ,~ ~ (~ 3. Nature of work (check which apl~licable): New Building .......... Additio 'I--Z"~/C.~ Alteration .......... Repair .............. Removal ............. Demolition ........... Other Work .... ,~. ..... 4 Estimated Cost .~.~V ~)O, ~ (Description) .............. Fee (to be paid on filing this application) 5 If dwelling number Of dwelling u'nits Number of dwc~lling units on each · ' .............. ~oor If garage number of cars i ................ 6. If business, commercial or mixedioccupancy' specify nature and extent of each type of use 7 Dimensions of existing structures if any: Front ........... '~ Rear ..................... · Height Numi~er of Stories .' ...... Depth ............. Dimensions of same structure "h ' Depth wi! alterations or additions: Front ................. Rear Height ' Number of Stories ...... 8 Dimensions of entire new constn4ction: Front Rear ...................... .............. Depth Height Numl?er of Stories ' .............................. 9 Size of l~: ............. ' ....................................................... Front Rear ............ ~ ................................ Depth ...................... 10. Date of Purchase .- . ........... ~ ................. Name of Former Owner ............... 1 I. Zone or use district in which premises are situated .......... .~. ~../..,"~ .d~./7. 0~ .............. 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ......... ~ ....... 13. Will lot be regraded ......... ~ ............... Will excess fill be removed from premises .......... ~ 14. Name of Owner of premises .... '-/~.....~. ......... Address ....d~.ol .~k74~0.~.~. ..... Phone No ............... Name of Architect ... h: '.'~ .... i ·; .... ,~, ......... Address .... ,_. ............. Phone No. Name of Contractor .wi~;,~r&lx/.C.!~ ~....3f~.~..,r... .... Address C, ' .............. .../~.. ~"~F',TY.Tfl~w..'./<,_. Phone No. tgr-..~.-; ¢'.~..q~ .... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold T6wn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block r umber or description according to deed, and show street names and indicate whether interior or comer lot. .... ,/,///////n~..Q)~.~.../,~....~ .... L~.~...~ (<..~'... ~-~L., ........ being duly sworn, deposes and says that he is the applicant (Name of individual signin~g contract) ]bore named. ....................... ............................................ ' (Coniractor agent corporate officer etc ) )f said owner or owners. ~d is duly ~aut~orized to perform or have performed the said work hnd to ,n~e and file this ~Pplication; that all statements contaiqed ~ this application are true to the best of his knowledge and belief; and that the york w~l be perfo~ed in the manner ~et forth in the application filed therewith, ;worn to before me th s '/)' '~' $ '~...~.~ .... ~...,., 19 .... ................ ...... ,'"''"'"'" ' " ,' /