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HomeMy WebLinkAbout19965-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21060 Date SEPTEMBER 29~ 1992 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 292 WATERVIEW DRIVE SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 7 Lot 32.8 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, I9965-Z dated JUNE 20~ 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 & FENCE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO, PLUMBERS CERTIFICATION DATED PAUL & SARA GLANTZMAN N-206513 - OCTOBER 3, 1991 ~uilding Inspector Rev. 1/81 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) 9965 Z Date ........... ~ ....................... , Permission is hereby granted to: ....... ....... ..... ' /I ~ at premises located at ..~.~..~. ....... ~...c~..~..~D...-...~.~., ....... .~.~~ ........... County Tax Map No. 1000 Section .... ..C~..~..~. ....... Block ......C)...-]. ........ Lot No...~..~..,~ ....... to application dated ........ ...~...../...~.. ................., 19..~./..., and approved by the pursuant Building Inspector. Building Inspector 6/30/80 Form No. 6 TOW~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . APPLICATION FOtl 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. 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 amd similar buildings and installations, a certificate of Code Compliance from architect or engineer' responsible for the building. 6.Subm%t 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 Date ' New Construction ........... Old Or Pre-existing Building ...... , ....... ., House No. Street Hamlet Onwer or 0wners of Property.~[.~. ~.~...~..~..~. ~..~.~.~.~..~.~.. County Tax Map No i000. Section...~. ...... Block .... ..~.. ........ Lot..~..~..'.~.. ....... Subdivision ' ...................... ' .............. Filed Map ............ Lot ...................... · .??.~..~. ..... Date Of Permit ................ Permit No / . . Applicant ................... ltealth Dept Approval Underwriters Approval Planning Board Approval ' Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... 2F ..dp....: THE NEW YORK BOARD OF FIRE UNDERWRITERS '[00 I ?,90 BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date 0(~ T()~ 03~ J 9~'I ~4ppticatio. No. onfile 7.~t3~/~J ~ in thefollowlng location: ~ Basement ~ Ist FI. ~ 2nd FI. 01~'{' Section Bilk Lot 't DRYERS FURNACE MOTORS TIMECLOCKS DIMMERS SYETEMS NO. OF FEET S E R V I C OTHER APPARATUS: eov~q's dompl,iaBce at the date env,iromlier~ts :it J~ adv:Jaab:le l~ve freqttent l:e~t a~d/or MATTITIIC~, NV, :12952 PER ~ NO OF HI.LEG A, W. O NO OF NEUTRALS A, W G OF HI-LEO OF NEUTRAL This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identifi~ by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Scmior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFHCE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 SEPTEMBER 23, 1992 ISLANDIA POOLS, LTD 108 FISItEL AVENIIE RIVERltEAD, ~ 11901 PAUL & SARA GLANTZMANN To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x~x 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 19965-z Please contact our office cooperation. on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: PAUL & SARA GLANTZMANN IIDATE FOUNDATION (1st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE .4. FINAL ADDIT!ONA'L COMMENTS: WA T~ VI~v 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION XST r ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~FINAL REMARKS'* FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 BOARD OF HEALTH s vEY .......... :: CtlECK . .ga-. .................. SEPTIC FORH ............. -... TEL.; 765-1802 · Examined .. ~ .... 19 .ck}. Approved...~..-.,~.~..., 19'~.1. Permit No. ] .~.~ .~.C .~. Disapproved a/c ..... ,..~,.. :~...~.. ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS NOTIFY: ?.: ....... MAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or p bric streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which ispan of this appli- cation. ¢. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~_hout the work. ¢. No building shall be occupied or used in whole or i-n part for a.ny purpose whatever 0ntil a CertifiCate of Occupancy shall have been granted by the Building Inspector· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, and other applicable La~, Ordinances or R~ulatio,n$, for the construction of buildings, additions or alteratio_ns, or for removal or demolition, a~ herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin~ code, and regulations, and to ad[nit authorized inspectors on premises and in building for necessary inspections. · (S,gnature oC applicant,{); name. ir a cor o'r;fidn')' (Mailing address of applicant) State whether applicant it owner, lessee, agent, architect, engxneer, general contractor, electrician, plumber or builder. (as on the tax roil Or latest deed) r CO~or~tio~l, signature of duly aut?rized officer. I , ~n~a it e ofOor~rate"o,fficer) " · ?!mnber's License No ......................... F]ectrJcJan's L~ccnse No ....................... Other Trade's License No ................ ~ ..... 1. Location of land on which proposed work ~vill bc~ done: llOuse Number ..................................... Stree[ ........ .. Hamlet ......... Onn Tax Map No ~ction ............ BR)ck ..... ,-- S bdi ............................ ~i]ed Map No. · (Name) .............. Lo~ 3. Nature of~vork (check which app,licable): New Building .......... Addition . ......... Alteration ...... .~.~ · · 4. Est mated Cost ... · · i .......... Fee ......................... i (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number o f dwelling units on each floor .......... If garage, hum bet of cars ...... i ..................................................... 't ....... 6. If business, commercial or mixed ioccupancy, specify nature and extent of each type of use ................ 7 Dimensions of existing structuresiif any: Front Rear Depth Heieht Nun ~er o f Stones Dimensions of same structure wit~l alterations or additions: Front ................. Rear .......... ... Depth ~ Height Number of Stories 8. Dimensions of entire new constrffction: Front .............. . Rear ..... ....... ... Depth ......... Hcieht Nu nber of Stories 9. Size of lot: Front ............[ .......... Rear ...................... Depth ............. 10. Date of Purchase ....... : Name of Former Owner I 1. Zone or use district in which premises are situated ........................................ t2. Does proposed Construction violate any zoning law, ordinance or regulation: .... .~.~. ........ 13. Will lot be regraded .; ........ i .................. Wi l excess fill be removed from premises: {'e; ~...N t4. Name of Owner of premises .... I ............ ' ..... Address ................. , . Phone No ................ . Namc of Architect ; Address Phon~ No Name of Contractor .......... i, ............. ' Address ................... Phon~No ..... ,~'.... ~.: .~,~,. IS.Is this property' located within lOO feet of a tidal wetland? ~YES .... ~lf yes, Southold TowniTrustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from mroperty lines. Give street and block number or description according to deed, and show s~reet names and indicate whether- interior or corner lot. STATE OF NEW YORK, S.S COUNTY.,~f- ,.--. , OF ................. ...... '.~.q~..~....Tff'f.. [/~.~,.g.q~..~..~...l~.[~..'.,........... being dnly sworn, deposes and says that he is the applicant . (Name of individual signi~!g contract) above named. ' V~ is lite ' I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiauthorized to pegform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knmvledge and belief; and that the work will be performed in tim manner set forth in the application filed therexvith. cant)