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HomeMy WebLinkAbout20740-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22779 Date DECEMBER 10, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 21755 COUNTY ROAD #48 CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 96 Block 1 Lot 18.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NNE 16, 1992 pursuant to which Building Permit No. 20740-Z dated NNE 19, 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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to ROBERT & BARBARA TAYLOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - DECEMBER 9, 1993 PLUMBERS CERTIFICATION DATED N/A uil ing Inspector Rev. 1/81 FORM NO. 2 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° 2074OZ Date f..wnX.... .g 19.9..a- Permission is hereby granted to: ~,....G....`:....... nx....q..) ..~d~~rs.S...-....:V.:~.r... x(..9..3.5"'....... to ...5.... .....a.'`?3't14.... II.~~srr? ej.... . ~nn 1 a w...... of premises located at °Z. E 229 9t....................... ..k4-.. ...a/S t l e4....1Y.a4~fdl:f.A...c. lA1r . .................................................................p................... County Tax Map No. 1000 Section .......Q.9. Block Lot No.... ~..A4 pursuant to application dated -4 l R ......./.(o 199. Z-.; and approved by the Building Inspector. Fee $1,~.... . 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: 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 17 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, 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 (ABOVE GROUND POOL) Date .....P~~.•.$a.~~83 New Construction- A Old Or Pre-existing Building Location of Property....... 21755. County. Road 1148 Cutchogue: New York House No. Street Hamlet Onwer or Owners of Property......., ROBERT fi BARBARA TAYLOR . County Tax Map No 1000, Section 96....... Block ............Lot..18:? Subdivision ....................................Filed Map............ Lot...................... Permit No „20740-Z Date Of Permit„ June 19, 1992 Applicant„ ROBERT S BARBARA TAYLOR Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final ticate... Fee Submitted: ?5:00 APPLIC jl~S1IFFGtA, O EIAZABET14 A. NEVILIX Gy Town Hall, 53095 Main Ro, ? TOWN CL.ER.K = P.O. Box 1179 0 N 2 Southold, New York 1197 REGISTRAR OF VITAL STATISTICS • Fax (516) 765-1823 MARRIAGE OFFICER Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER ZZ, FREEDOM OF INFORMATION OFFICER - OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION 1. TO: (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) - 13 .2- Y Signature of Applicant: Printed Name: Address: Mailing Address (if different from above): Telephone Number: Date: ( ] APPROVED ( ] APPROVED WITH DELAY* [ ] DENIED* Elizabeth A. Nev llb Date Freedom of Information Officer * If delayed or denied see reverse side for explanation. SECTION 11. ('For use by Freedom of Information Officer only.) Your request has been DENIED or the reason(s) check below: ( ] Confidential Disclosure ( ] Part of Investigatory Files I ] Unwarranted Invasion of Privacy [ ) Record of which this agency is legal custodian, but cannot be founc ( ] Record is not Maintained by this Agency [ 1 Exempted by Statute other than the Freedom of Information Act [ 1 Other (specify) v Your request is, ACKNOWLEDGED. There will be a delay in supplying the request record until Reason for delay: SECTION 111. RIGHT TO APPEAL YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION IN WRITU WITHIN 3:0, DAYS OF THE DENIAL. CONTACT THE SOUTHOLD TOWN BOARD (s below). THE TOWN BOARD MUST RESPOND TO YOU IN WRITING WITHIN TEN BUSINESS DAYS OF RECEIPT OF YOUR APPEAL. Southold Town Board .Southold Town Hall 53095 Main Road Southold, New York 11971 Telephone: (516) 765-1800 I INSPECTORS Victor Lessard J~.`J G Principal Building Inspector Curtis Horton SCOTT L. HARRIS, Supervisor l a " Senior Building Inspector Thomas Fisher Southold Town Hall Building Inspector P.O. Box 1179, 53095 Main Road Southold, New York 11971 Bui ding Inspector Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 18, 1993 ROBERT S BARBARA TAYLOR BOX 462 CUTCHOGUE, NY 11935 RE: JENNIE HARRIS ESTATE C 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) XXX No Underwriters Certificate on file. XXX The check is QQKUUdXWnot on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20740-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1cLD IPA-- it o;."fMLNT'~ ! 0 J H Q 7OUNDATION (1st) a a w 'OUNDATION (2nd) z 0 LOUGH FRA14E & PLUMBING h c/i INSULATION PER N. Y. y STATE ENERGY II CODE ` c= ge- zls~ FINAL / S ADDITIONAL COMMENTS: m x ,q • to H x H ~p Q O AN m m 1 -o a M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL REMARKS: C/(/-- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. L ] FOUNDATION 2ND L ]INSULATION L ] FRAMING Lam] FINAL P REMARKS: Le, I DATE INSPECTOR J" j Q0) y0-2-~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1~ 37 aN I BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 NFfcT, R In' 1993 7930'791/92 H {331631 Date A licalum No. on ~e74G THIS CERTIFIES THAT 'r~, 4f NO. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of POBFRT TAYLOR, 27735 NORTH POND ROAD ROU'),N 48, CQT no(,I)f" N,Y, in thefollowinq location; ? Basement ? Ist Fl. ? 2nd Fl. GAF./ONT Section Block Lot CFI,PMk1411 09 1393 was examined on ' and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACIE$ SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W AMT K.W T. K.W. M17 K.W. AMT. M P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECT TIME CLOCKS BELL UNIT HEATERS MUITI.OUTLET DIMMERS AMi. K. W. OIL H. P GAS H P MIT. NO. A. W. G. AMi. qMP. AMT AMPS. TRANS. AMT. H P. SYSTEMS AMT WATiS NO. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP, TYPE METER EQUIP. 10 2W 1 q 3W 3,e 3W 3,e 4W NO OF C. COND A. W. G. NO OF HIAEG A W G. NO. OF NEUTRALS A. W G PER 9 OF CC. COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: SWIMMING f'OOL I. RECFVTACL9S-1 G.F.C.I-1 "(onmiLfING POruI Thir.. CR'r'(Afjcate covers vamOliance di, the dai,e of inspection nnlq. Nel'&ndie of Ullui+nal wlvirlonlKlanCs Lt, i,s actoisaltie to have fiequeol, qua+~l.lfii,d p of zeha9rrs Iaarle b by y a :a gnPie 1~le risou. Krc Coutinued on Pa(0 2 *a> GENERAL MANAGER Per 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 Prtcr) ' B037504 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK. NEW YORK 10038 D£~cvmlmm; 1<b,t99 79,163792197 if 03907 Date erh7IiPnrl ":and'IM0 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ROBERT TAYLOR, 21755 NORTU POW) ROAD ROUTE 48, CflTCflOGUE, N.Y. in theJollowing lacattlgrEli f~Pl~ Bop4.tnelr4t~.1? /xt F1. El 2nd Fl. GAR/OUT Section Block Lot was examined on G Il V 7 i and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K.W AML K.W AMT K.W AMT. H P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIMECLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P GAS H. P AMT NO A. W. G. AMT. AMP AMT. AMPS TRANS. AMT H P SYSTEMS AMi WATTS NO. OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AM7. AMP METER TYPE 1 ]W I S, 3W ],e' ]W 3,e' dW NO.OF CC COND. .W G. NO OF HIAEG A. W G' NO. OF NEUTRALS A' W G. EQUIP. PERe Of C. COND OF HbLEG OF NEUTRAL OTHER APPARATUS: 1Ctt7:0O1. M' TAYLOR C70X 462 CUTCflOGUF, NY, 11939 GENERAL MANAGER 11 Per 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. .FLOQ2. . . -"PJ.7LESS.AUAPr2R FQUODATIOM 5G.P.M."PUMP 42r,AL-TANK - ¢ 6 N. TOWN_ AF'.-c;OUT OLD 4) <,t* __L-ROUND' WATER :.W ELL POINT CKtDN[ FFN~,= zoo 3-- TYPICAL WELL`:'. _JQP.Q _t~o l ~lj ! Z +j.• D z LOT I 3 LOT 2 Li ft}". ' 2$,5025.6 x(951" .Q v ~Pool ~Q- i ' a A Y2i _ j 19 '41 POOL fi 1 ryHO. wYLtl. tl 1 F2H0, l75 rooLi 12 YII ~~r ,r T,i sits U3 ...7 tao.o , lao.o ' wa~+ IMMEDIATE - - ENCLOSE' POO TOZ:00~ - _3,z ° ?v w ZGC.~ ' 918' * TV cox'S i AN E - - - UPON CO LETION BEFORE' ATEfV APPROV AS NOTED MIL-VLE C,12g8 120Av - `DATE: ? B.R 39 a.~~. OCCUPANCY C - NOTIFY BUILDING DEPARTMENT AT 765-2£302 P+ AM TO :S PM FOR THE USE IS UNLAWFUL FULLOVUIIV.L", INS~~~TI~~~~ -=~9~#~~` C~LC ~ 1. FOUNDATION 'M/0 REQUIRED t OF OCCUPANCY - . POURED? CONCRETE 2. ROUGH - FRAMING 2, PLUMBING 3. INSULATION 4. FINAL - C ON:;TRuC'rm MUST UNDERWR R9R NIMTE BE COMPLETE FOR C.0 1 ALL CONSTRUCTION ,rxl-ALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION ENERGY APProwd in •rcor&w, CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SUBJECT TO COVENANTS! APPROVED 13 PIAF•7ulP'_ C042D [Hau ~FFOLKCOUNrYD oreNew York 01 T09Mt3 OP SOJTHO LD tEtily that Ma{ DAT for_ tj. un ibe abo BOARD OF HEALTH l'• .:_.a~~' , FORM NO. 1 3 SETS OF PL.121S Il TOWN OFSOUTHOLD SURVEY Jul 1 71992 Ih,~ i BUILDING DEPARTMENT CIIECF TOWN HALL SEPTIC FORA SOUTHOLD, N.Y. 11971 1 VU13!°t'3.97fi•'1'. TEL.: 765-1802 t: DTI FY PlOs~ ;3(1F8d3i..D CALL • . v. .H+,~.. Examined... • . 9a-- MA I L TO: • • - . Approved . 197L: Permit No. ;Z9. l+A 3~ . Disapproved a/c _ . .6~ . (Building Inspector) APPLICATION FOR BUILDING PERMIT / Date . 19 INSTRUCTIONS a. This application must be completely filled in by typewriter 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 Dr 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 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 hall 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 ,hall 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 lullding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, 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 a regulations, and to dmit authorized inspectors on premises and in building for necessary inspect' s. _ (S at Yfe of applicant, odare,i fa corporation) (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . dame of owner of premises . (as on the tax roll or.latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ...d&)4~! t/ , , , , , • • , Plumber's License No. Electrician's License No . - Other Trade's License No . Location, of land on which proposed work will be done . . . . / 75 5~ G~yfi! House Number " " " " " " " ~j /Street Hamlet County Tax Map No. 1000 Section • (a.... Block r, , , , , , • • , , Lot . 17. Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....a, b. Intended use and occupancy ....fill..°...... ' Nature of work (check which h applicable): New Building Addition Alteration oval Demolition Other Work • • • • . /!(/.i 010 (Description) . . 4. Estimated Cost . . Fee ...~C~ (to be paid on filing this application) S. If dwelling, number of dwellin units , Number of dwelling units on each floor . . If garage, number of cars S or mixed 6. If business, occupancy, specify nature a g , , and extent of each type of use . . . 7. Dimensions of existing structures, if an Front Nm ber of Stories Rear Depth , , , , , , , , , , , , , Height Dimensions of same structure 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. 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 viol , 13. Will lot be regraded ate any zoning law, ordinance or regulation: . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .Address . Phone No. . Name of Architect Address . . Phone No. . Name of Contractor Address • • . 15. Is this property within 300 feet of a tidal wetland? *Ye . " " .Phone No . *If yes, Southold Town Trustees Permit may be required, " ' No......... 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 description according to deed, and show street names and indicate whether interior or corner lot. r _ r TATS OF NEW YORK, OUNTY OF S.S • being duly sworn, deposes and says that lie is the applicant (Name of individual siSning contract) ,ove named. is the (&n tractor, agent, corporate officer, ctc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner se't forth in the application filed therewith. om to before me this 1. ......day of. . J 19. Z tary Public, < , ,.-County CE M. WILKINS Notary Public, State of New York r? No. 4962246, 622X, Suffolk Gou " " " " t Term Expires June 12;18 (Signature of applicant) - a. .,...•.-..1:....3'w+mn.•. sas: i,:;~,,;•,.,:ti4Niuc.an,^ s~ki*fisui~e; > ,::<t<.. .>,r7sw s dain4a?;Y3S9di; i Z m z ^ m O 6 `n in O Z 'n rtl mr~ n~ q n TOWN OF SOUTH-TOLD D n 3, rycLokle, FENCE 44 50Y W. M 24s.ho 1 rt1 _n is Y ZZ ~ p N_ 8UC.70P GA2. ~ ~ ~ SHEp , W 25 r w 1' i (1 rrni n D t o (i 3 0 Z I *rl icy £ + b z a I trj I NJ FENCE SNOII _ ? Po s' r O D i3 ?8.19 U Fz a bi I I' G LOT 2 6 rn m n m m ,i i i i 1 C~1 II ~I n I o U1 r.7 M (m11 rt m it ! V I^ I = O~c11 ~r-y rn m I .o v ICl`s'm wog mv•.c` 014, 5E 85~ p5 L+ o gb Aal s.a my Fi p, x t, o g s z B~ksm~ $~3 R`$. w 1FCy tl' ~.~l K s~~ JMO= rME%Aahrrea MP,P OF FOUNDATION P OF A MINOrz 5U5DIv~1or MADE FOrz~.~ _.,..,.s.... -TANK 2 -CAL ,JFl\rJ N I k CUTr-HO(;U,E" d e v F OUTRQLC2 Cy4 Ish 4 C TOW~ TOWN OF 5OUTHOLD, UY, 8m MR qa ~ , ~ ~ WecLPVINt` 6 -'W >N~l1 G/vCIDWE FEN ' .TYPtC71,L'tnLELL t .loom(- w&LL .-o r OF NEw h6 } 1 Z tJ U ' AP P'GfKgry O y0~ 'JR G~\ h _Z p T 'LOT 1_ a' LOT 2 Ld : ~ J.ry \Fj IANU~> POOL -SCALE-56 I'` 'A[ZEA:44, 53 e. TA N W. LI var.. 51111 LT> E->'f dS q r dl '_^<zi Isv v n In,n •a~;V 11,,11, nm nnarav I N N.t10 41fL~ l~ pr-l". rstCf)1 9,1 5~'d a: 99 l'e Carltll,^.af4 t1 - floP4_'`pj °gq`i 1 In b ad 3 valN Rua cWY 1-1 1.;",. tl~ hIll th~ I'll Ill 1 wtL~L .I Ip0.0 ' IW.O It it nnJ Cn M1:SW rllrofia c OaoITnma:lja: ~ y eotl I :ou li'LSl,rmcn. J of O:n j ~ ' gis ? rti tax's LMY~I~ not u.r.. Fle ' ~ ,~~nt:IWt on, or eut^.nqueni ow;cr.. ' 4 NF,lPPLE, 24$ , : "f20Ai} L FC!_U('~rTY IS IN 8LALD 2 IN 8IJILDING ZONE A• RESJAGk, p 2,L;ONTO~ U: 5, 2EFk:(2TQ,N 'EF (Q_-KV N- J FA LEVEL, NfAP~DISTA %.fs']L~0 096- I - l8, ' y aw 'FKIfiF4~3.T'AV NhAP'PNV HY F'. AWENU&O Fee. 29,1989 • FEB.,15~1991 j/ Y ~ ~ 1 's i ~ ~ I~ ~ i, ~ If T 0' V4,1 , ~ ~ I ~1 ~t v 1 Sp f' IS,IrAhIP,- u1$vEYJ.I25 - Cj12f F!JN'U~2I~N.S