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Home My WebLink About20471-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~4ENT Office of %he Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22350 Date MAY 21~ 1993 THIS CERTIFIES that the bui~din~ ACCESSORY Location of Property 610 TUTHILL ROAD EXTENSION, House No. Street County Tax Map No. 1000 Section 55 Block 6 Subdivision Filed Map No. SOUTHOLD~ N.Y~ Hamlet Lot 15.22 Lot No. conforms substantially to the Application for BuiLding Permit heretofore filed in this office dated MARCH 5, 1992 pursuant to which Building Permit No. 20471-Z dated MARCH 9, 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 & FENCE ENCLOSURE AS APPLIED FOR The certificate is issued to RICHARD & JENNIFER QUARTY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION NO. PLUMBERS CERTIFICATION DATED 1236 DATED APRIL 2~ I992 /~ui~ing- Ins'~pec%or Rev. 1/81 FO~,M NO. 0 TCFWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('THIS PEPu~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20471 Z Permission is hereby granted to: , ~~.' ..~:.~......x.~.'z.~,.z ............ ,o o, p~.m,s. ,,,,,,.d ~,' ' ..~.~..~'. ~-- ¢~....~. ....~~ .................. . ... .... .. .. ............................................... ~~~ ................................................................................ Co,,~ ~ .~ No. ~0 S,,,o~ ...... ~ ..... m~ .......... ~, ....... ~o, No ....... /~r..~..~ Building Inspector. Fee $ ............... / Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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: 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. 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, buildimg 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, AdditioBs 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 orr Pre-exieting 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 ~XP'" ~..'/~6~..~/¢1~ . ~ ~' ~ Propo ~y House No. Street Hamlet Onwer or Owners of Property ..................... ~ ............... ~ ........ County Tax Map No I000, Section ..... ..,...... Block ............ . . . Lot ............. . . .......................... Filed Map ....... Lot . . . . ................ ...... .... ........... , ....... .. Health Dept. Approval. .......... ~/~ .......... . Underwrzters A royal' p p . ..... .--~ .... ...... ' ' Planning Board Approval ......... Request for: Temporary Certificate...~... Final Certicate ..... ~.... FOUNDATIOn4 (__2 n d ) 2. ROUGH FRAME & -PLUMBING e IHSULATION ?ER N. STATE ENERGY CODE FI;;AL ADDITIO~;A'L COMME~;TS: b ~.t~ - 0 CIO 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1803 / Examined 8/.¢... ...... , 19ff¢,~ Approved~...~.? ...... , 197.~. Permit No....t~...~..7~..~ Disapproved a/c ..................................... I~ece±ved ........... ,19... (~t,i{ding ~ector) °'IMMEDIATEL¥,APPUCATIONFOR BUILDING PERMIT ENCLOSE POOL TO CODE Date ................. 19,. UPON COMPLETION " ' BEFORE "WATER" INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitt, ed 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 adj6lni~g pr~,mjs?s?¥ pubhc'gtreets or areas, and giving a detailed description of layout of property must be drawn on the.diagrafn Whi~ti"']s pa.ri bi"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, 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 code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect~fls. ,r~ , '~ (Signature of applicant, or name~.if a corporation) d.d./e. . . . . . r. .7. . (Mailing'address of applicant) is owner, lessee~ architect, engineer, general contractor, electi'ician, plumber or builder. State whether applicant Name of owner of premises~. ~-4..~.~./..~./. ~. ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ?.~)...~.. ~.~.~ ~ ........ Plumber's License No ......................... Electrician's License No ....................... Other T rade's License No ...................... ~::::.~ 1. Location ofland on wbich proposed work will be done. ~P .................. ~..~ ...... House Number Street Hamlet ,;00 ...... J.T ...... ,,o k ....84 .......... ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.../. ~ .~..~J¢.~.. ,&. ~.~.~ ................... ~ .... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ' .. Addition ... Alteration .......... Repair .............. Removal .............. Demolition ........... :... Other Work ............... , (Description) 4. Estimated Cost ./..~ b~.~.O ...... Fee ....... I ............ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars ............................................ I ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each tyEe of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... .J .......Depth ............... Height ............... Number of Stories ............................ ~ ............................ Dimensions of same structure with alterations or additions: Front I Rear Depth ...................... Height ...................... Number of !Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ........ i ....... Depth ............... Height Number of Stories 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .i ............................ 11. Zone or use district in which premises are situated ......................... , ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... I ............................ 13. Will lot be regraded ........... / ................ Will excess fill be removed from premises: .Xes .__No Name of Architect ................. Address .............. ! .... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property/ines. Give street and block number or description according to deed, and show street names and intimate whether interior or corner lot. UNDERWRITERS CERTIFICATE REQUIRED STATE OF NEW Y.O ' ' S COU~ Y OF ............... ~' ~ ......................... ...... (Name of individual signing contract) above named· , A ROVEO AS NOTED · Nb~:IF¥ ~ DEPA~T A 765-~1802 9 AM ~ 4 PM FOR THE FOL~O~NG INSPECTIONS: 1. F~UNDATION - ~O REQUIRED F~R POURED CONCRETE 2~ ROUGH - FRAMING & PLUMBING 3. ~NSU~TION 4. F{NAL CONSTRUCTtON MUST BE COMPLETE FOR C.O. ALL~ CONSTRU~ON S~ ME~ TH~ REQUIR~E~ OF ~E ST~E CONS~U~ON ~ ~ERGY CO~ES. N~ ~6~NSlB~ FOR DESIGN OR ~NS~U~ON ERRORS being duly sworn, depo?es and says that he is the applicant He is the ............................................................. i ............................ (Contractor, agent, corporate officer, etc.)I of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... /~%.~. ............. day of .~.~b~-~ ........ 19.C~ Notary Public, . C.~ ~.~ .~ ................ Count. y .~..../.~- . Nora- D-° 'N"NA _M. TAYLOR i~1~11~Tj~;~u~ f ~ kS~~ ~ ~" {' (Signature of applicant) / '" O~r¢ 4'/ I990 '~ v~'~ ..... .... SU~Y FOR .... SUFFOLK.. COUNTY DEPARTMENT OF HEALfit ~E~ic[s RICHARD QUARTY ~ OENNIFER QUARTY · - DEG 15,1990 ~ ~-'~ ~Q~" ~NGL~'FAMILY DWELLtNG~~O~LY LOT NO.19, "HIGHPOINT MEADOWS, SECTION TWO" OcT. ~0, ~990 DAT~H.S. REF. NO. AT SOUTHOLD ~rE: AUG. 15,1990 ~e sewa[e disposal and water supply f~diities for this ~N ~ SOUTHOLD SCALE= ¢% 40' ~ location have been insp9c[Gd by [h~s BCp~rtmgnt a~d/'or ~r ~i~nd f~d t~tls~ry. SUFFOLK COUNTY, NEW ~RK ,0. 90.0609 "' YOUNG s YOUNG SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR.I9,1990 AS FILE NO. BgH. AND LAND SURVEYOR N Y.S UCENSE N0.12845 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA~TION [ ] FRAMING V_~FI~AL DATE INSPECTO X