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HomeMy WebLinkAbout19936-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20715 Date MAY 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 705 HIGHLAND ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 8 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 1991 pursuant to which Building Permit No. 19936-Z dated JUNE 7, 1991 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 ABOVE GROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR The certificate is issued to GARY & LINDA LONG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-210129 - OCTOBER 29, 1991 PLUMBERS CERTIFICATION DATED N/A Bzild~pector Rev. 1/81 ros>ss xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) Na 1 9 9 3 Z Date .....~~,7 19..x,/ Permission is hereby granted to: , oy ~ of premises I«ated at ....y.G~.~........~~.........~,.~ ...............................................G :•c.~........................................................................... County Tox Map No. 1000 Section BI«k Lot No.........~............ pursuant to application dated ............11~ 19.~, and approved by the Building Ins~p/ector~! Fee S•.. ~,C v~Buildi I for Rev. 6/30/80 Form No. 6 i TOWN OF SOUTIIOLD ? ij BUILDING DEPARTMENT ' TOWN HALL ' ~ ~ „i:~~ # 765-1802 t S~4 z .~z APPLICATION FOR CERTIFICATE OF OCCUPANC. ? ejo,~ A. This application must be filled in by typewriter OP, 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-° 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 19 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. Zf 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 $15.00p Commercial $15.00 Date r"L/L' Z" New Construction........... Old Or Pre-existing Buil/ding.'/... Location of Property.... 7O J~ ................~,fP~~Jha-,l1rS...R.~f">.........~GiLG~!/~r~,G',-....... House No. Strcet Hamlet~~ Onwer or Owners of Property......6..~r.~. rz~~c~,,~~~~CS-...`0!7 J) 4 County Tax Mapy No//~1000/, Section.....i. a ~:...Block.....!~.........Lot Subdivision..lQp~g~~z'J4:~-~.C/...~.~~~:~e:~.........Piled Map............Lot.....J Permit No.. / EJ.'!:6 Z„Date Of Permit ................Applicant....~~:~.~.1~~~~.'............ Health Dept. Approval ................nn/N /~}}~.....Underwriters Approval....~,/.~................ Planning Board Approval........ .JYI:!...... t / Request for: Temporary Certificate...-..... Final Certicate...~/...... Fee Submitted: Z,'S,: ~ ~ ~ ~ A~ANT ~o ao2S THE NEW YORK BOARD OF FIRE `UN'DERWRITERS Pnc.~: ~ ?000837 •UREAU OF ELEGTRIGfTV 83 JOHN STREET. NEW YORK, NEVI-YORK 10036 OrT(>HF.R ?.9,]991. 74945791/41 ~ N 7'10)9 Mote Application No. on file r¦G TNI3 CERTIFIES THAT G- only the aleetricd equitment w daecrihed heloto and Ineredttced by the applicant wemed on the e6ooe eppilcetion nuwther ix the promisee of GARY I,ONC>, 705 HIGHLANt) RbAi?, C(PTCfAOGt1B; ri.Y. in the dblcin lace ? g.. t ? lx[ Fl. ? Ynd F7. Ql) r Section Block Lot u~as examined on and found to 6e in compliance with the reyuirementx of this Board. NXiUEE AC1/S SYMTCIIlS TIIRlS RANOEI COOKING RECK5 OVENS BIEM W EXHAUST FANS OUiIETf INCANDESCENT N.UOtESQNi OTNEP NAT. K.W. AMT. K.W. AMT. K.W. NAT. K.W. AMt. N.P. ~ 'S 2 DRyNS RANAQ MO70R5 IUiUM AMl1ANCE RItOERS SFlCIAL ERCFT iRAE tAOCItf Rpl UIai IKIAiNf MNtiHMRtEt OIMMEK S AMT. K. W. dl N. I. GAS N. I. AMT. N0. A. W. G. AMT. AMI. AMT. AANB. tRANS. AMT. X. P. ~ ~ AMT. WA1T5 s SNVICI pEOONIMLT NO.OF S E R V I C E AMT. AMr. Trlt , r xw , w tw t a tw t r AW No. o~c+ctxm. a: cc caAD. No. a n-,tc No. aF NEIITIIAlS or"'r eunN OiMR AFMRA}Uk - sWZMMxwr, PoolA-1 - SP1tCIAL RSCEPT,20A-1/G.F.C.7.-)-2 *(Si1'tMMTNG P00J,) This certiP,i.rate covers compliance of the date of inspection only. Seca+tse of unupua?. environments it izw advisable to have frequent test and/or repairs ~ mach by a qua2.ifier! pert~on. SPUDS FhJti~'tR7:C SE;RVrCa; t,Cr,.N19?.-F, 175 3Rn.5'P RQX 1.66 oiwu MANA.a/~ 5 ~ ST. JAMBS, NY, I:I78U ptrl) - Thit prNfiMe tnwt not M ohsnd in any atarew nNurn to Nn offip d if. intorroct. by their cr~dantiols. - I - - - c~rr rat etn~+c ~rr~r. ~s car o~ r oar t~ ~r u,+/~r MwMMt s THE NEW YORK BOARD O~ FIRE UNDERWRITERS ~'aG~. ~ E '.OOOR'97 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Dote NOVp<HRnk 0(+,19x1 APPlicetionNo.onfile 75054!)9,1 !4f it ~'tiR1Q G- THIS CERTIFIES THAT only the s4ctricd puipment a. dsscrihad 6aktto and introduced 6y [he eppliAwnt named oa [4e dtow applicatiars numher in tAe premLea of =tiRY" LONG, 705 N~tifH1,kN!1 RtIAf), CIPICN~~Gtir'„ N.Y. in the fdlotrinp Incotion; ©Bosement ? IAt Fl. ? Pnd Fl. i10T .Sertian Bloek Lot r moe examined un 0C7'hq': R 11. , 7. x x y and found to 6e in compliance with the reyuirementx of tkia Board. ~s RXilltl ACIA fYYliGkS fIXTURK RANOEf COORRMi D[CIIS OVENS BISN T FANS W7U7S INCANOFSCENT fLUOeESCENT OTHER NAT. R.W. AMT. R.W. AMT. R.W. AMT. R.W. AMT. N.I. BRYERS RBRIACE MOTORS R)TWE ARLANQ RRAERS SFEGALRECR TIMl C1.00(f ~N1 IRNi HEATERS AWUt.OYitlT~ BMt1AN5 AMT. R. W. OR N. P. GAS N. P. AMT. NO. A. W.O. AMT. ~ AMP. AMT. HMS, TRAMS. AMT. N. P. p ~T AMT. WATTS SERVIO7 BIECCEMilCT MO.OE S E R V 1 C----E-- AMT. AMI. TTPE AIEIRR t / tw 1 / tW ] / TY J / AW No.OP CC. COND. A. W. G. NO. OP NFIEG A. W. G. NG. a NEUnMS A. W. G. EmtI1F. PH s OP cc. cONO. oP Ni.IEG a NtuTRAt ~ 1 200 CH X i 210 .10 OTSNR AMARATUS: c r SPt725 F1T,i'?"''RTC SF.RVLC:6; =,u".7x2-R `~,/t` 775 3110.4"i'. HUX lh5 O~AI MAMAORR ST, dA'??P,S. NY; )''.7k<Il 1 lr. Psr L1/ ~ This nrliEirote must aet b• allerad in a moaner; RlVrn fo Nw otfw of Hie Board if ipcorract. - s identified .credentials..- _ _ ' 1N~ MIM.91l16 PJ! . 7llli CfMFY ~ E~T11~ IARfi ~ ALTS Ni ~ IA~iMNR. INSPECTORS 4 Principal Building Inspector ~~~~>11gtI(~ Curtis Horton r+~ ' ; ' SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ ' 'i ' ~ Thomas Fisher ~ : , ~ Southold Town Hall ' P.O. Box 1179, 53095 Main Road Building Inspector ~ ~ ~ Gary Fish Southold, New York 11971 Building 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 MAY 4, 1992 GARY & LINDA LONG BOX 1016 CUTCHOGUE, NY 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. xxx The check is $d;t~~./not 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 # 19936-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. -1SLD il:S:c~:lU;i j~U;,:c j` ~Ud`1bILNT~ •v ~i C>, ~ 1 H y r'O UIJDATION ( 1st ) FOUNDATIOIJ (2nd) 2. z 0 ROUGH FRAME & 0 PLUMBING UI ti H 3 . m IIJSULATIOfJ PER N. Y. • • y STATE ENERGY CODE x a W '7' 4. F I N A L o ~ E ADDITIOfJAL COMMENTS: x~~~@ . ro H\ a ~ H\ H O Z . ~ ITI a H~ • x c7 c~ ro y 'C"_~, BOAfiD OF HEALTH ~ FORMNO.t 3 SETS OF PLANS ' SURVEY ~~N~'~{99I ~ TOWN OFSOUTHOLD CHECI: E. I!i BUILDING DEPARTMENT SEPTIC FORM { i ~ i.,.'J~ ~~t lSft:~.....,.. TOWN HALL ' . s ~~L~ifq S fC - r-~."'~ ~ . . . . . . . . . t~,,,POif6~CaIC7t;,~,~,rj,-;,~jit~ ~ $OUTHOLD,N.Y.11~J71 NOTIFY; TEL.:7G5•1II02 CALL Examincd..~/•~........,19~,( I•IAIL TO:........_......... Approved 19,~,lPcrmi[ No.. f1~, 5'3~c; ~ . Disapproved a/c q ~ ~ ~ ~ ~ ' ~ '~o•as~a~~a tll~fMED • ....t?RTk~:• G . ~ 993 ~ . F u os~ ~ ~ 1~' • nN clj~Ia~op FEE: ,G~/~ ~ sY: ~ / BEFORE •ryyA7ER.. NQTIFY Bt.t~IVG ~ ()EPA NT AT.... . , ,e, 7tib~7f302 ;3 AM TO # FOR THE ,.(Building Insp r) FOt.~t)Vcr1NG!NSPICTlO S: APPLICATION FOR BUILDING PERMIT 1. FZ)UtYDATtt)h - M!O REQUIRED FOR POURED CONCRETE Date . ~ . 2. ROUGH - FRAMING & PLUMBING 15.~j 3. INSULATION INSTRUCTIONS , d. FINAL - CONSTRUCTION MUST a. T~sp@pyl~~~~gyg,gz completely filled in by typewriter or in ink and submitted to the Buildin; Inspector, with 3 sets o~R.4~nSAttC1'10NpIShl~Icc3tl~EFee according to schedule. b.7~atRSt~~$o~go~ 1btYnnd of buildings on premises, relationship to adjoining premises or public streets or area pp~Tgd~p~ ~s~of layout of property must be drawn on the diagram which is part of this appli- cationCODES. U7'r'~~ NS I~t FOR o' D~ '~0m~'~~~~~n may not be commenced before issuance of Building Permit. d. Up'ori: approval of tliis appiication,'the Building Inspector will issued a Building Permit to the app&cant_ Such permit shall be kept on the premise¢;,available,for inspection throughout the work. e. 1`tc~..k}jijdi~~,sli~jltbetbd¢u{~bi!tf-t~4! used in whole or in part for any purpose whatever until a Certificate of Occupancy shall haveE~b,Get~B~n.yed.Eby;Clte~iB03ldlif~lIn~~~ctor. ~ " t} t~,. x°flh3 APPI~~,~T~ ~It>: f. a Buildin De artment for the issuance of a Building Permit Building ~ofi~t0~ t~~ ~ ~~I~[~ p pursuant to the f q,{ , E~~wn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Rcgulationsl1F,,~~F p~~f,, ~~y'~ s, additions or alt rations, or for removal or demolition, as herin described. The appl~catt~~~} s pj~ tin at~applica6le laws, ordinances, building code, housing code, and regulations, and to idmi[ aut~to~ ' building fox necessa B. FINAL ' - ~~3~S~I~I~`11~~~$n ~ ins~P RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET ~ ~ ~(Signature~o ~ C~?~ E1xR ~ • • . THE REQUIREMENTS OF THE N.Y. Pl. , or n e, if a corporation) STATE CONSTRUCTION'& ENERGY ~y-. ~©X COj~ ~ ' CODES. NOT RESPONSIBLE FgR ~ ~:C"_...: DESIGN OR CONST~ON ERRORS (Mailing addresf'bf applicant) ~ ~ ~ Mate whether applicant i , ovine ,lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i game of owner of premises . •~'r'~'\ ..L~`ti?Yir: . ' (as on ;the tax roll or 1 est deed) t . f applicant is a corporation, signature of duly authorized officer. (Nam;v~~e of co orate officer) Builder's Liccnsc No....::: ; ~h~~,~it-~ I Plumber's Liccnsc No. , , Etcctrician's Liccnsc No . Other Trade's Liccnsc No. , , , , , , ; , , , , , 'Location of land on which proposed work will be ore; ' (louse Number Street . • . • • • . • • . Hatn ct ' ' County Tax \lap No. 1000 Section . , (,U ; ; , , , , ; Block , ~ i f Lot .1... ` . Subdivision fiilcd AJap No. . Lot........ ' (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction- s. Existing use and occupancy . i. Intended us • . ~ and occupancy . !l.N~ ataoW • ~~.1~ . . , UV V Nature of worl. (checl. whtch applicab • e). New Uuilding Addition • Alteration , . Repair Removal Demolition ..............Swimming {}Oo1, , Tennis•Court•.... ~/Ac2ces'sory Building..........Fence .Other Work:. Estimated Cost •,/~UU,•OV Fee . (to be paid on filing this application) if dwelling, number of• dwelling units Number of dwelling units on each floor ICgarace.numbcroCcars if business, commercial or mixed occupancy, specify nature and extent of each type of use , . Dimensions of existing structures, if arty: Front Rear , Depth . . Heig(tt Number of Stories . Dimcy~~rp. ~atth alterations or additions: Front . Rear Dimes 11 %+"J'7~y'~" • Fi iglu Number of Stories >~Q ~,t+f}omttstntction: Front Rear ...............Depth . Hci•,ht . ~ H~H ,~;,;yw10~3:1~lumbcr of Stories Size oC iaC E:ront . , . . , . Rca_.............,.....'.... Depth 1: Date oC Purdtase _ • , , .Name oFl=ormcr Owner , T_.ane or use djstrict in which premises; arc situated . , . , pars proposed construction violate any zoning taw, ardinancc or regulation: ~ ~ • • • • • • , . . . it 1VUl lot be regraded , • , • , ..1Vill excess fi(I be rcmovcd,,(cgm,premiscs: Yes . , No . . i. Name of Owner of premises , . • I. ,Address . .......Phone No.. . Name of Architect ~ ,Address , j~. PhgnerNo...... ~ • , Name of Contractor ~ . ,Address . , . Phanp. No, ,~1'. , , . S.Is this property located'i~within.$00 feet of• a tidal •weti~twNn~l?aPyQ$RS•~.•:~`NO,... *If yes, Southold Town Trtisstees Permit may be requireda'aq ?sir ~~l s: ' , I PLOT DIAGRAM fi;3+~-9t+l~ d tprr,z . Locate clearly and distinctly a1] buU~tings, whether existing or proposed, and.in~~~~~Jt'~~~~~~tck,'dim~ri$ion§•frorn -operty Unes. Give street and block number or description according to deed, and show stY ~t r(a`rt{bs and indicate WEtether tterior or comer lot. t~t Cam' G~~ ~ p~ ~ ~ ~ ~ ~ ~ ~s ~~Se i C e2 "IlVIMEDtA ENCLOSfi POOL O CODE UPON COMPL ON ~ q 9HFORE "WA ER" i If . ~ ~~P RWARS~C~Al1iiCAtE 1 TATCOFNE~VYORK, SSI :OUNTY OF (N c of indi idual signing ~ • ~ ' ' ' ' ' • • • being duly swam, deposes and says that he is the applicant • (contract) , bovc named: , Er is tltc o c'u'r'.; . . • • • • . ~ ~ • {Contra[ r, agent, corporate officer, ctcJ f said owner or owners, and is duly aYthorized to perform or have performed the said work and to make and fi]e this Pplication; that all sta[ements contained in this application arc true to the best of his knowledge and belief; and that the ~ork will be perl'omted in the manner set forth in the application lilcd therewith. ' tvom to beiorc me this ! . lei ~ ~.r~ a{ ' - ayof.nr.. 19... • S~~a~~~ 'otaryPublic, .County . . . ~ (Signamrc of applicant)