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Home My WebLink About20595-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20806 Date JUNE 18~ 1992 THIS CERTIFIES that the building. Location of Property 305 BIRCH LANE House No. County Tax Map No. 1000 Section 83 Subdivision ADDITION CUTCHOGUE, N.Y. Street Block 1 Lot Filed Map No. Lot No. Hamlet 29 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27~ 1992 pursuant to which Building Permit No. 20595-Z dated APRIL 29~ 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 SWIMMING POOL WITH DECK AROUND & FENCE ENCLOSURE The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 TODD & CHRISTINE SCHROEDER #1358 - MAY 22r 1992 N/A 1~0uM* ~TO. O TOWN OF SOUTHOLD RUILDING 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? ~0591i Z ...... ~ ........ Dote ~...~ ~ ............................. Permission is hereby granted to: ..... ..... ~.~.~.....~...~...~ .............. at premises located at ...~....~.~.~.y.~.~.~l~,.~ ............................................................... .................................................... ....................................................................... County Tax Map No. 1000 Section .......... ~..~. ..... Block ...... ~... ........... Lot No ..... ~...~... .......... pursuant to application dated ..... .~../~....~... .................................. 19...~...~,., and approved by the Building Inspector. Fee $. J...~-.-~ Rev. 6/30/80 Form No; 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 aontains 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. B. For existing buildings (prior to April 9, 1957) non-c~nforming 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. :. Fees 1. Certificate of Occupancy - New dwelli~Additions to dwelling $25.00, Alterations to dwelling $25.00, Swin~ing poo~6BT~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 Construction ..... i.k ' ............... ...... uouse No. Street ................ \~ ..... ' ..... ,unty Tax Map No 1000, Section .............. Bloc~ ....... alth Dept Approval Underwriters Approval arming Board Approval .......... ~uest for: Temporary Certificate ........... Final Certicate ........... c o--2_o?o g-0C ......... ' ~OU~DATION I 1st) ~OUNDATIO~U (2nd) IOUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 17, 1992 TODD SCHROEDER & WF 305 BIRCH ~ CUTCHOGUE, I~Y 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT 20595-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLU TOWN BUILDING DEPT. SWIM KING POOLS ~9o.0 rT'~ DUCI~ , <' ' Iz]AP OF ~., u~ 2.... ,,'~2 et:;[:> ,~'..". ........ , N ,) 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION ZST [ ] ROUGH PLBG. []FOUNDATION ZND [ ] INSULATION []FRAMING ~ REMARK?.: DATE ~ INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~'~RAMING [ ] FINAL REMARKS: R 2 8 1992 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved ale ..................................... (Buildin. gg/Inspect~) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... gBPTIC ~ORM ............. CALL ..- MAIL TO: Date ....... 1 a. This application must be completely filled in bY Wpewrite~ 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 com~nenced 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 Sou:hold, 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 c{~ housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~elptionsA ~ (S'~~plicant, 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 premise~(~.~ .... .~-~.' .. · · .~.. · .C-~..~-'. C ......................................... (as on the tax roll or latest deed) If applicant is a cor~>oration, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S 1,1II~T.,~E_~I~E.I~..OLK COUNTY LICENSED Builder's License No. Plumber's License No ......................... Electrician's License No... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ .~:~..~.{..'~...~....[~..~C..~.. t~)4) "~lflC~ · t~;;,~ ~q'U}~; ~;r ........ Str'e~i ..................... h~;n'l&i .................. County Tax Map No. 1000 Section ..... .~..~. · ........ Block ...... ~. ........... Lot...~.~.~. ............. Subdivision.. ~)./.~....~. ]/.~.~..~. ............... Filed Map No. ~-{ .C~0''~' Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: i ' Existing use and occupancy I /?r... ~.~..~....~-~.~M4~ii\~ ~...~ .......... b. Intended use and occupancy .~....' .L~C)....~.~ .......... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alter~ion '... i .... .,. Repair ....... , ....... Rem~vai .............. Demolition .............. Other Work 7--~..~.~....~.. 3. ,. t'[ ~ (Description) 4. Estimated Cos~....~., .,~...~ .......................... Fee. ~..~..t~.:~ ........................ ~ " (to be paid on filing this application) 5, If dwelling, number o f dwelling: units ............... Number of dwelling units on each floor ................ If garage, number of cars .... 1 .................................................................... 6. If business, commercial or mixe, d occupancy, specify nature and extent of each type of use ..................... 7 ' ' r~j9f ' ' ~ 'f D~pth · Dlmenslo s existing structur s, 1 any: Front ............... Rear ............................. 'ght J (.'~. nab fSt ' Hel ........... Nu er o cries ...................................................... · qth alt t' addit Font Rear Dunenslons'ofsame structure w era Ions or Ions r .................................. Depth ................... !... Height ...................... Number of Stories ................... 8 tru ' F pth '-. , Dimensions of entire new cons ctlon: ront .......... . ..... Rear ............... De .............. Height ............... Number of Stories ....................................................... 9 Size of lot: Front ~ Rear Depth 10. Date of Purchase ............................ Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 12. Does proposed construction vi~late any zoning law, ordinance or regulation: ...[x..M~ ........................ 13. Will lot be regraded ...x{. ~. \5' ' M-~' '~'z..tJ.:z~k'.z · Will excess fill b.e removed from premises: ~ No 14. Name of Owner of premises .~gtTt.~..-C~.~.~..~..cL~'~..~ Address'~. ~:~r~..M~..,... Phone No..-1.~.q..Z..~. ~.... Name of Architect ......... ~ .................. Address ....~..o~....~...o.~f .... Phone No ...... .2 ......... Name of Contractor .~x~..i?B. ~ .cO,..~..O~.~ ...... Address '~.~. C~.4:...i~.~/~ ..... Phone No.'~..~ .~7~..~..~t~..)... 15. Is this property locatediwitJlin 300 feet of a tid~'°w~ah'~.~g~3~2?].'?'~ No ..... · If yes, Southold Town TrUstees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly ~l~ buildings, whether existing or proposed, and. indicate all set-back dimensions fro~l property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S ·...~7"~_. [~. V~ ................ being duly (Name of individual slg~~ lng contract) above named. He is the.. (~.A-~...("~....~. ..... of said owner or owners, and is du AP, PROVeD AS NOTED ~ .. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES· NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) y authorized to perform or have performed the said work and to make and file this application; that ali statements conl ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann( r set forth in the application filed therewith. Sworn to before me this ............. ? .... ~.7 .... day o~ .... ~.'?.~.'~.~'.. ~ ......... 19 .~./'7. Notary mublic~.~-{%....~...~...~--n--~-~2o~ (Signature of applicant)