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HomeMy WebLinkAbout21028-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22395 Date JUNE 15, 1993 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 3210 LITTLE NECK ROAD House No. Street County Tax Map No. 1000 Section 103 Block 9 Lot 11 Subdivision 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 CUTCHOGUE~ N.Y. Hamlet Building Permit No. 21028-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 ACCESSORY INGROUND SWIMMING POOL WITH DECK AROUND & FENCING AS APPLIED FOR. The certificate is issued to WILLIAM & PEGGY SCHWARTZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-266280 - FEBRUARY 11, 1993 N/A /~7~' lding Inspector Rev. 1/81 1~O~ NO. ! TOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N.o 21028Z Permission is hereby granted to: ..~, ~.~..~' ........................... .'. ......................... ,o...~.~.....~....~.~0....~...~.~...~ ............ .~.~..~ .......... .~......~ ................ ..~~...~ ........................................................................................ at premise, ,ocated o, .....~.~.~..O......~.~...~.~...~...~.: ......... ~a~.:..~t~........ County Tax Mop No. 1000 Section ..... J....O...~ ........ Block ....... .~....o). ....... Lot No .....!.! ................. pursuant to application doted ....C~.. !...~ ................... , 19..~....;~and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT TOWN ~LL 765-1802 ~PLICATION FOR CERTIFICATE OF ~CCUPANCY ~ j 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. Co~ercial 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 ~proval 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 sig. ned 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_O. ccupancy - Residential $15.00, Commercial $15.00 New Construction ..... .~,... Ol~d Or Pre-existing Building ................. Location of Property .... ~..~/.0 .......... ~..f...~..~.-.~...~..~...~ ............................. o. .. . House No. Street Hamlet On,,er or Owners of Property ....... .... .............. Connty 1000, Section. /OS . loc .... Subdivision .................................. . . Filed Map ............ Lot ................. .. . .. ~/0~ Date . . ~1.~ ~/. ~ ~Applicant .... .~.~ . .~..?~ .~...~..~.~..~..~. Permit No ............ ~.~. Of Permit. Health Dept. Approval ........................ Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ....... Final Certicate ..... Fee Submitted: $ ............. ~ ~i. ................. THE~ NEW YORK BOARD OF FIRE UNDERWRITERS ~a(~ l ] '[8~i(;)?'[ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the followlng locat~on; ~ Basement ~ Ist Fl. ~ 2nd FL Oil? Section Bilk Lot ~s examined on ~ ~ [~[l~f~ 05~ qq/} a~td found to be ln compllance u, lthther~qulre~e~ts~fthisBoard. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET OTHRR APPARATUS: E R V I C NO AWG OF CC. COND NEUTRAL 164 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 OF CERTIFICATE NtUST NOT BE ALTERED Ill ANY MANNER. OUNDA~ION (lst) OUNDATIO:4 (2nd) OUGH FRAME & .?LUMBING I~SULATION FERN. Y. STATE ENERGY CODE Fi~;AL ADDITIONA'L COMMENTS: / / THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK, NEW YORK 10038 Date Applic~tlon NO. on file THIS CERTIFIES THAT iR thefollowing location ~ B~ement ~ Ist FI. ~ 2nd FI. 0~}~ Section Bilk Lot . ¥ ~ B [~.~Y ~ ~ ~ ~ 9 9 ~ and found to be in compliance with the requ rements of this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HRATERS , MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E OTHER APPARATUS: aade bva qualified R V I C E 164 OF HLL~G NO OF NEUTRALS ' GINEIIAL 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 OF ~ MANNER. ~' - la'--:' A.gEZLLY and~ONS ZNC P.O. BOX 98 I~TTZTUCKNY 11952 ! ,,"' 3. Nature of work (check which applicable): New Building Addition .......... mteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ./.~C~D. <>'-.~ (Description) (to be paid on filing this application) 5. If dwelling, number Of dwelling units ............... Number of dwcSlling units on each floor ................ · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and. extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ........ Rear .............. Depth ............... Height ............... ~umber of Stories ...................... Dimensions of same structur,~ with 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 ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate ~ny zoning law, ordinance or regulation: ................ . ................ 13. ',Vill lot be regraded ......... A~.O. ............... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ...~ .t~]~y.)f-~. F~~ ..... Address ...~..~:2:~'~.~. (~,(~%... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town 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 number or dbscription according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW YJ21RK.~ S S COUNTy~ __ OF ......... ; ....... ' ...... ~~ ~....~: ............. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. ~le is the ................... ~~ .................................. nira tot, agent, corporate officer, etc.) ff said owner or owners, ~d is duly authorized to perform or have performed the said work 'and to m~e and file this tpplication; that all statements contained h this application are true to the best of his knowledge and belief; and that the york will be perfo~ed in the manner set forth in the application filed therewith. ;worn to before me this ..... ' . , / . · · .... r ........... ......... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c .................. BOARD OF HEAL'rtl ......... 21 SETS OF' PLANS .......... SURVEY ................... CI1ECK ........... CALL . . ...... flAIL TO: · (Building Inspector) ,APPLICATION FOR BUILDING PERMIT ] '- INSTRUCTIONS Date.../O:/.L 7. ...... i97.? rate whether applicant is owner, lesseel agent, architect, engineer, general contractor, electrician, plumber or builder. :amc of owner of premises ....... (as on the tax roll or latest deed) a~'~ si~ure.4o f duly autt[orized officer. · ' '~'" ;.'/~ ' ''-'. ~;l · · · ~ ............. (Name and t,t{e' ;t~ ~'r~or]i~ officer) . & 19. Builder s License No ....... 7.! ......... Plumber's License No ............ i ............. Electrician's License N~ .......... i .... Oilier Trade's License No ......... Location of land on which proposed wlork will be' done' .L t . .~"~.. 2-" tlouse Number I Street Hamlet County Tax Map No 1000 Section ~ /~..~--,q Block ' 'l ............................ Lot ................... Subdivmon ...................................... Filed Map No ............... Lot ............... (Name Slate existing use and occupancy o£ pr~ :mises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~.~. / .~.g.~. 7~../..~.. b. Intended use and occupancy .. ., .............. c., (Signature of applicant, or name, if a corporation) · I:...o,. ox. (Mailing address of applicant) a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale· ~ee according to schedule. b. Plot plan showing location of lot~and of buildings on premises, relationship to adjoining premises or publ/c streets r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation, l c. The work covered by this applidation 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 ~all be'kept on the premises available for]inspection throughout the w6rk. e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy mil have been granted by the Building In,specter. APPLICATION IS HEREBY MADE io the Building Department for the issuance of a Building Permit pursuant to ~he 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 ail iapplicable laws, ordinances, building code, housing code, and regulations, and to Jmit authorized inspectors on premises aCd in building for necessary inspections· _' ' .. ........ v ............. DA - 7_ · ~ENTS OF THE N.Y, ,'