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Home My WebLink About20612-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21057 Date SEPTEMBER 29, 1992 THIS CERTIFIES that the building. ACCESSORY Location of Property 3495 HAYWATERS ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section Ill Block I1 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4~ 1992 pursuant to which Building Permit No. 20612-Z dated M~Y 6~ 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 & FENCE AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 RICHARD VON SEELAN N-240785 - JUNE 29, 1992 lrOUM NO. 0 TOWN OF SOUTHOLD BUILDING 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? 2o$1az Permission is hereby granted to: ....... ........ ......................... ......... ~.?.~...~. ................................................. ,o ..~~.....~...~. ......~..~....L~.~_....~ ..... ~... at premises located at ....~...~,.._:.....~....~.~......~_~, --tL ............. ~~.4~gb,,~r~ ................. County Tax Map No. 1000 Section ....... ~../../. ........... Block ......... I.I .......... Lot No....~J ............... pursuant to application doted ........ ~...~.~ .......................... , 19.~....~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 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: I. 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 mud 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: I. 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 - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.'Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............................. New Construction'. ~%~."l.~ld Or Pre-existing Building ................. Location of Property ...... ~. .............. ~.~z~ ......... ~C%~.. 77~..,. ........ ., House No. Street ' Hamlet Onwer or Owners of Property..~f-~...~%-...~.'~ ~'3. ~ County Tax Map No 1000, Section .... /../Z~'~ .... · Block/./% .~. .... Lot,..a~- ....... ~3~30 ....... Su vision ..................... ; .............. Filed Map ............ Lot. ..................... Permit No .... Date Permit ................ Applicant. .. . ...... Health Dept. Approval .......................... Underwriters Approval~7~.C..~.%%...~.7 .... Planning Board Approval ........................ ./.. Request for: Temporary Certificate ........... Final Certicate ...... Fee Submitted: .. · .................... v '" APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS [[8~077 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~; ~I}~'1~)~)2' ~pplicationNo. onfile 03t75392/92 ~ 24~7~5 THIS CERTIFIES THAT o~y the electrieaJ ~ulpment ~ ~scrlb~ below a~ ~trodRced by t~ applicant ~med on the a~e application number in t~ prem~es of Lot FIXTURE OUTLETS DRYERS ~WITCHSS FIXTURES RANGES OVENS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: ~I~tI~ POOr,- ~, cover~ compliance ~t the date of inspection onlv, )3ecau~e of unusual envtronme{~ts It, J~ advisable to ~ve frequent I:.es~/m~d or repairs made by a qualified person. E R V I C .o.o~,,cc~co,o. o~ ^ ~' o, ,o. o~ ,,.~o ^ w o. NY, 1193,q OF NEUTRAL GENERAL MANAGRR Per 1 t 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 CERTIFI/CATE MUS~ NOT BE ALTERED IN ANY MANNER. 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 SEPTEHBER 21, 1992 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 GENE CHITUK BOX 9 cIJTCHOGUE, NY 11935 liE: RICRARO & CAROLYN VON SEELEN (POOl,.& DECK) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 20612-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: RICHARD & CAROLYN VON SEELEN ~OUNDA~ION (1st) ~OUMDATIO~! IOUGH FRAME & -PLUMBING Z~;SULATION PER N. y. STATE E?;ERGY CODE FI;;AL 4 VONgEEL. EN GU-FGf--IO,SL~E, Iq. 'i'OWN OF ~ 'u ITl m 7GS-ZS02 BUILDING DEPT. !NSPECTION '~,[ ] FOUNDATION 1ST [']' ROUGH PLBO.' [. ] FOUNDATION 2ND [..] INSU ,LATI?~_~~ [ ] FRAMING . ._.[~]'FINAL REMARKS: DATE F4/~ INsPEcTOR~~ 76.5..1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ,,, REMARKS: ,, £xamined . .X,proved ....~..o%.t~ ..... 19~ .~. Permit No..~ )isapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 BOARO OF HEAL/ti ......... 3 SETS ~.~.~LAN$ . . su,wY ..... :2:.2.'2.': C,l~-;~ .................... SEPTIC FORfl .............. CAL~ ...~,.; ............ HAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .-ts of plans, accurgte 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ~c. The work covered by this application may. not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ~a~l 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 mil 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 ~Iterations, 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 building for necessary inspections. ~j/ / (Signature of applicant, or name, if a corporation) .~o.~..~..P. ,:~qz~4~.~- ,¢.).~. //~L~. (Mailing address of applicant) .rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .~./,4 .~..~ .............................................. - ........................ . ~anle 0£ owner Of premises .'~..ff.~.ff..f'~.., . ,k~./_).iQ ................................................. ~.~:~..~. .... (as on the t,ax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ?~.~ ,/~.Z.~ .~,¢T ............ Plumber's Licensd No. ' Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ......................................... ' ......... tlouse Number Street Hamlet County Tax Map No. 1000 Section . '.~ .............. Block ./Il. i-././.'-..~--.f. ...... Lot...~.~O.~ ............ Subdivision .t~.~'.~:F?.'~..~'~./d.~. ................. Filed Map No. . ~./__o ......... Lot ...'lff-.~.'~. ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ./..~.<q(v'/4~.... ~(?4~J'ff. . dff.d~...4?. ...................................... b. Intended use and occupancy .d. ~.'~//.ff-~.... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remoyal .............. Demolition .............. Other Work.~6~4,~l~ ?.~ 4. Estimated Cost . ./~gY,.~,(~? i .~.t~.D.,~.O. ttJescnpuon) i (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ............. Number of dwelling units on each floor If garage number of cars I .............. If business, commercial or mixed ioccupancy, specify n?ure and extent of each type of use ............... 7 Dimen ions of i ti tructu ifa y Fro ~.~. Re 7,~' Depth ~-~.,.". ...... Hight f'~5'.~ Nu Der f Stofi .~. .................... Dimensions ?f same structure wit~ a terations or addi ions' Front R pth i ' ' ................. ear .................. De ..................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ........ i . ....... N,umber of Stones . : 11. Zone o~ use district in which premises are situated..~.~/$~'&l.~,,~.. ....................................... D 12. ocs proposed construction viola!e any zoning law, ordinance or regulation' ~ . .. 14. · ; .................. ~m excess nn ne removed from premises: Ye~ Name of Owner of premises~¢~'gF~o. 1~$.6~[,~}.. Address~A~.~.,~.~.,f,4lY~.E Phone No ............. Name of Architect ........... ~, .............. .. Address .. Phone No . xs tnz:i~r~PesertsYo~on~ ~0 r~eet of a tidal wetland? *Yes ........ No...~. ..... j , own irustees Permit may be required. PLOT DIAGRAM Locate clearly and.distinctly all t property lines. Give street and block nl interior or comer lot. ' TATE OF NEW YORI(,.~ OUNTY OF ..... (Name of individual signingI contract) )ore named. uildings, whether existing or proposed, and. indicate all set-back dimensions from~ :mber or descr/p lion according to deed., and show street names and indicate whether being duly sworn, deposes and says that he is the applicant ~ (Contractor, agent, corporate officer, etc.) · said owner or owners, and is duly ahthorized to perform or have performed the said work and to make and file this plication; that all statements containdd in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner se,lt forth in the application filed therewith· mm to before me this ,f~.~ · .. .4 .......... , .......... ~IOTARY PUBLI_O, 8t~f~ ot #.Y. (Signature of applicant) No. 472508% Suffolk COUD~Y,,~ -~.n M n.~. -oz , ~. q =.q ~ , , ~ n ". n ~. . , , ~- n "- n~'.. ' , , 'l 'l , ~ , .... ~ ~ ~ ~ZZZ I -- ~ 0~ ~Z Z I ~ mmmm I~ ~ ~ ~ ~mm mzMm Im ~ I ~ I iii J