HomeMy WebLinkAbout19945-z ,
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20263 Date OCTOBER 3, 1991
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property 250 PARADISE POINT ROAD SOUTHOLD, H.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 93 Block 1 Lot 5.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 14, 1991 pursuant to which
Building Permit No. 19945-Z dated JUNE 14, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR.
The certificate is issued to R. DOUGLAS & SUSAN BLIVEN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-199375 - AUGUST 9 1991
PLUMBERS CERTIFICATION DATED N/A
uilding Inspector
Rev. 1j81
l08M NO. f
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= 19945 Z Date ......~~i~ 1s.9?..
" Permission Is hereby gmnted
!7.~~ S ~'~~-~?'`r~..... `mod
_`~~..l....l..9..~~-
...P~r.~I.,~rul.~...... r~l
rf'?...... G~~~t~~i...
of premises located at ..w°rl..,?~..a...G .l%a~..~ ..its J:.
County Tax Map No. 1000 Section ........93..... Block Lot No...: ~,r.Z...........
pursuant to application dated 19........, and opproved by the
Building Inspector.
a-o
Fee S.•~~~.:
..4q
y 'Ao~%
B ding Inspector
Rev. 6/30/80
Po nn No. 6 /
~ a TOWN OP SOUT[10LD
i BUILDING DGPARTMGNT ~ ~ ~
OCi ` z I99~ r.~ TOWN BALL
::.1 ~lJ 765-1802 ~ "
W~
UrsDU
FI
PLICATION FOR CGRTIPICATL OF'OCCUP:\NCY
This application must be filled in by typecariter OP, infc and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property caith 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 Undercariters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of ly, lead,'
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code G;mpliance from archi_ect 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:
1• Accurate survey of property sttocoin~, all property lines, streets, buildins 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 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 Builclins - $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 $15.00
DaCC • / 1l • •
^ew Construction.~~~~, Old Or Pre-ex f. " •
fisting Building.,
ocation of Property...c~.~7i.J ......~,yy~~,(5./,.3~r.... ~~~°stJT•
liousc No. Street ~ ~ • • • • ~f-`~(„CT./.~n•~~~3• • "
Hamlet
twer or Owners of Property. , p5,,• •,j~(~{,4~ j.~~~ ~ ,~5'!(•~/~-
:only Tax Ptap No 1000 Section.. .,l,~,•, / •
, .Block.... f.:.........Lot...~
bdivision... "
.................................Filed i`i;ilt............Lot..
trait i\'o.,~~r,~•1~~~•Date Of Pcrmi.t.. / ~ /
.Sr!~ y/l' •APPlic:ant.,lT.~.~.. ~,ildT~l~.~/~.l;S;r~~'
~lth Dept. Approval.....,
•'•••••••••••••.....Undcrwriters Approval...........
Inning Board Approval
:uest for: Temporary Certificate........... Find Curticate.......,
" Submitted: •
~,~a~^p APPLICANT
e~
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAC; t:
l.G?,50?.3 BUREAU OF ELECTRICITY
BS JOHN STREET, NEW YORK, NEW YORK 10088
AUGUST 09,I997 73951491/97 N ~9v375 a
Date Application No. on file ~
s
THIB CERTIFIES THAT ~
only the abetrieal equipment v deeeri6ed 6eloro and Introduces! 6y the appliesus[ nomad on [he a6oos appBcotlon number in thspremises of
R pOUGi,AS 81,7VEN, '1.5q PARAi17,SF,, POINT ROAD, SO(J4'BOL7), N.Y.
in the dbrein bcetbn5 meet [lUT
f R J171,Y 1.991. ~ IAt FI. ? Pnd Fl. Section Block Lot
roar examined un and found to 6e in Eronrplionce with the reyuirementr of thie•~rerd.
11XTtrE RXTUMS RANOlf COORRIO DlfRS OVENS RIIN WA lXXAUST FANS
OUTEEtf At~EEf ffriT~ NiCANDE[CENi PIUDIIEECENi OTNEn ANT. t. W. AMT. E. W. AMi. W. AMT. t. W. NAT. N. P.
7 7 7. 7
~MlS RPNiACE MOTORS 111TURE AlRIANG IEEOERf fIROAI tlCei i1/AE CIOCKf EN[ IReT NEATElf lA~n~ DIMMERS
AMT. W. dl H. P. GAt N. I. AML NO. A. W.O. AMi. AAIP. NAT. AMPf. TRANf. AMT. N. P. ND. « lyr AMT. WATTS
~ - 7 2U t 40 -
r-
fNVI@ DIlCONf1ECT NO. t)r S E R V 1 C E
AMT. AAO. TMPE EOIM?. 1 w [W 1 / aw ] / ]W 3 w AW Ki;COND. Of C COND. a NI-lEG a're:l o NO. Or NEUMAlS ~ 'P
fUTGRAI ~
ee
OTHER MMEATU51
SifIMNING POOL-1.
SPFC.IAL REC$PT. ?t)AMP.1 /C.. F. C...i . -1 -7.
"(SffIM?IING POOT~) This cprtif.i.cat.a
covers compli.ancF at the date of
inspection only. Flecause of unutrnal.
• environments it is advisable tla
Rave frequent test xnd/ar. repxi.rs
made by a qualified person.
HANK'Sr;i,Fx^rRiC i,[c:.~2675-h;
7?.1 SRF,F]P PASTlIN7; !+D o~NE1tAl MANAWR -
SF,TAUKF'1', NY, 1.1.733 t;7-,
Ptr11
Thit nrtifitah lnlnt not be altered in arty manner; nturn to tM offiee of fM Eoard if incorrect. Inspectors identiked by ttleir credentials.
CQM Pi~,pMIG DEPART. TN13 COPY OF CERTIlgCATL MKT N®T iE ALTdt~ IN /7NY k1A1M~R.
INSPECTORS
Principal Building Inspector ~O~QSUffO(~COG
Curtis Horton ~ y~ SCOTT L. HARRIS, Supervisor
Senior Building Inspector y x Southold Town Hall
Thomas Fisher P.O. Box 1179, 53095 Main Road
Building Inspector ~y ~ Southold, New Yotk 11971
Building Fspector ~0'~ ~ 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
August 14, 1991
K & L Enterprises
17525 County Road #48
Cutchogue, N.Y. 11935
Re: R. DOUGLAS BLIVEN & WIFE
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (outdated/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 # 19945-Z (POOL)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
V ~~li
L ~ l ~ ~ TG~~iBOz
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ) ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] iNSU ION
[ ]FRAMING ( FINAL
REMARKS:
DATE 0 INSPECTOR
L',
T65-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ]INSULATION
[ FRAMING [ ]FINAL
REMARKS:
P
DATE INSPECTOR
"!LLD i~.~: L~..lUW I ii e~iG ~ i%E~L4(fLNT°~(~
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rOUNDATION._.. (1st)
rOUNDATIOW (2nd) °
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2.
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ROUGH FRAME & 0 01
PLUMBING
H
3. x
m
IIJSULATIOPf PER N. Y. ~ • • y
STATE ENERGY y,,
CODE v'~
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FIiJAL
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"IMMEDIATELY" -
EAICI.OSE POOlTO CODE N
UPON COMPLETION
BEFORE "WATER" o
u
N O ~7
ITT C it
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~ "lIVIMEDt~ATE Y"
rn I ENCLOSE POOL TO C pE
~.R UPON COMPLETION
BEFORE "WATER"
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FOR POURED CONCRETE
2. ROUGFI - FRAMING ~ PLUMBING
3. INSULATIf3N
' FIN6-0l. - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
I66I ~ I Nnr THE REOUIREMEN7S OF THE N.Y. It
STATE CONSTRUCTION & ENERGY
COOES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
~11HED
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4'.,,-.,.y`;a~fJj L~~t ~_~,~`',~I.`'',j'~11i FORM NO. 7. BOAFO OF HEALTH
~ r 3 SETS OF PLA;1S
El~ ~.~.,,,..v..,...,... f~ TOWN OF SOUT~-IOLD • • . . . . .
SURVEY
t ~ ~ , f BUILDING DEPARTMENT CIICCh . . . . . . . . . • ,
s TOWN HALL SEPTIC ro¢:I
t I' l~ ' SOUTHOLD, N. Y. 11971
r ..~.d,~-,' I
BLDG. Der C• g TEL.: 7G5-t302 ::o: I F'f : 7~ry - 7d~J/
F SOOit96e,t'""'"' 7 Miller
-~amin~ ~ 19`.x.1 CALL K€~.. _ .
.
NAIL TO:
proved . , , , , , , , 19~,/Pcrntit No.. /~~J'~ S ~ 17525 County Road 11 48
' Cutchogue, NY 11935•'
sapprovcd a/c _ .
(Bu' ing I cctor)
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
of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing Location of ]ot and of buildings on premises, relationship to adjoining premises or public streets
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app(i-
on.
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
I ba kept on the premises available for inspection throughout the work.
e. A`o building shall be occupied or used in whole or in'part for any purpose whatever until a Certificate of Occupancy
I have been granted by the Building Inspector.
4PPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
~lations, for the construction of bindings, additions or alterations, or for removal or demolition, as herein described.
applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
it authorized inspdctors on premises and in building for necessary Inspections.
(Signature of applicant, or name, if a corporation)
17525 County Road ll 48, Cutchogue, NY 11935
(i1'failing address of applicant)
whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Agent
c of owner of remises R. Douglas Bliven and Susan L. Bliven
P
(as on the tqf roll or latest deed)
lican[ is a corporation, signature of duly authorized officer. ~t~
(Name and title of corporate officer) •e gpSEC~~ 1C9P1
P4~
EN
up0 ®RE .,~pT~R
3uilder's S,iccnsc No . . $EF
'lumber's License No . .
?lectrician's License No . . . .
)tltcr Trade's License No. 15033HI--Suffolk County Contractors
nation of land on which proposed work will be done. Paradise Point Road, Southold
250,,.• Paradise Point Road
use Number ..................................S4uthold.......
$trCCt Hat11IL`f • • • • • • •
:Iltty Tax ,,\tap No. 1000 Section , . 93........... Block , 1 ,
Lot..~~?........... .
.
~dtvision . Piled t`tap No.
(Name) Lot...............
to existing use and occupancy of premises and intended use and occupancy of proposed construction:
:xistino use and occupancy , , ,Residential,
atended use and occu Residential, , >w~5f!~ ~,+sa',,;;>,tg~,<. t(~jy '
panty ,~>.a4a
.r~tGii~i :,,gip' -;Js; , ,
_ «...,.86' atArt:.xs i (r.. ~ ~-.tsetszts;:`3
i
3. Nature of work (check which a
Re ~ PPlicahlc): Ncw [3urlding , Addition ,1ltcrario .
p . 'val
Remo Demolition Other tyork ..J.`~Q.~...... .
4. Estimated Cost 5S0 .cSrJ ~ (Description)
.
5. If dwelling, number of dwelling U (to be paid on filing this application)
. If garage, number of cars , . snits Number of dwelling units on rrch floor , , , , , , , , , .
1
G, If business; commercial or mixed,occupancy, specify nature and extent of each type of use .
7, Dmmensions of existin stru Ni"!, if any: Front ~ ~ ~ ~ ~ ~ ~ ~ ' ' ' ' ' • • • ' •
g [tear
Hcieht ?cr of Stories . ~ ' Depth .
Dimcnsrons of same stnrctur with alterations or additions: Front • ~ ~ ~ ~ • • ~ ~ ~ ' ' ' ' ' ' ' ' ' ' '
tear.....
t
3, Din't`srons of entire new constru ~ Hcil;ht . . ' ' ' ' ' ' ' ' ' '
''ction: Front Number of Stories .
Hci~ Number of Stories ' ,Rear Depth
9. Size of lot: Front ~ .
0. Date of Purchase Rear Depth
1. Zone or use district in which prcnjises arc situated , , Name pf Former Owner• • : , , . , , , , , , _ ~ ~ • ~ ~ ~ ' ' ' ' '
Does proposed construction vioL•r~e any zoning law, ordinance or regulation: ~ ~ ~ ~ ~ ~ ~ ~ ~ '
\Vill lot be rem aded . •
' ' ' ' ' ' ' • • • • • • Nill excess fill be rcmovec( from premises: es No
/.tlE~, , , , Address ...Spc{TN. per./?..... Phone No. , .
Namc of Owner of remrscs , ,Address , ' ' ' ' ' ' '
Name of Architect P r
~EIC? . ,ht I .
Name of Contractor e~ •••••••••••••••PhoneNo..
. F . .........Address ..C~.~f;?-L,~uv 4~ .
Is this property within 30p feet of a tidal wetland? ~ ' • • Phone No 7~,`,~~'>oa
•
tIf yes, Southold Town Trustees Permit may be required.••• " No,.1?,•,
PLOT DIAGRAM
Locate clearly and distinctly all b{tildings, whether existing or proposed, and, indicate all set-back dimensions from!
roperty lines, Give street and block number or description according to deed, and show street names and indicate whether ,
rtcrior or corner lot.
~ ,
~dl.(SF
i
s.G~
o
I a
TE or- Nsly-xoa ,
.s
IuTY or '
(Namc of individual si ning ptract ~ • ' ' ' ' ' being duly sworn, deposes and says that Ire is the applicant
c named. )
the ,
(Contract agent, orporate offrec,r etc.)
id owner or owners, and is duly autljorizcd to pcrforrn or have pcrfornred the said work and to
.anon; that all statements contained in this application arc true ro the best of his knowledge and belief; and that the
will be performed in the manncrsct fbrth in the application filed therewith, make and file this
a to before me thi~ I
..day of . .i. 19
y !'ublic,
' \ County
C4AIRE L QLEW '
Notrry Ptdtllo, State of Nw~rllNdt ? e .,cam C
Ntr.437®BpS
QualHled In SuNdk 11~ ~t~j- (Signature of applicant)
' r•0111tatSatOfl E%pNea6001 8, ~Ow