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Home My WebLink About19995-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC~JPANCY No Z-21043 Date SEPTEMBER 24, 1992 THIS CERTIFIES that the building. Location of Property 3210 MOORES LANE House No. County Tax Map No. 1000 Section 116 Subdivision ACCESSORY CUTCHOGUE, N.Y. Street Block 1 Lot Filed Map No. Lot No. H~let 8.5 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 1991 pursuant to which Building Permit No. i9995-Z dated JULY 2~ 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 ELIZABETH DONOVAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL uNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-200361 - AUGUST 16, 1991 Rev. 1/81 x~oz~ ~TO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 19995 Z Permission is hereby granted to: .......~..~..~....~..~ ..................................................... ....~...~& ....... ~.:...$.....t.a.~.~.~... ,o ...~~t...........o~.....,~~.t...~,~..~....~.~.......~ ................. ~,~-.....~.~..;.... ............... :: ................ ~--__~'"'""~" ....................... ~.~...: ........................... at promises located at ...~..,.~...~. ...... ~.V~.~...~.~ ............. ~~~ ..... County Tax Map No. I000 Section ........ ~.~/..~. ....... Block ......... /. ........... Lot No. pursuant to application dated ........ ~~ ........ 1...~. ........ , 19.~.~..., and approved by the Building Inspectar. Fee $ ....................... Re~ 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 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 qses: 1. .Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatio~ and ~ 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 ~lew Construction.. ~.O.o..~.... Old Or Pre-existing Building ................. % - .... House No. Street Hamlet ;oanty Tax No 1000, Section,,, / ....... Bloc ..... l .......... .... ............ ~ubdivi-sion , · .................................... Piled Map ............ Lot ...................... 'ermit No ....... Date Of Permit ................ Applicant ...... :ealth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approval ........................ eq~est for: Temporary Certificate ........... Final Certicate. ~e Submitted: $ ..... · ............... FOUNDATION ( ls t ) FOUNDATION (2nd) 2. ROUGH FRAME & ·PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL DDITIONA'L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK I0038 Date ~~l'!i~(f,~;'j' · ~;r '! g') { /lpplicetion No. on file 74 ~ ~;~g~ /~¥; ~ ~ ' THIS CERTIFIES THAT FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET E OTHER APPARATUS: S E R NO O1~ RCC, e.C ON 0 AWG OF CC. COHD~ I C NO OF HI-LEG GENE~'AL MANAGER This certificate must not be oltered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlab. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE, MUST NOT-BE ALTEREO IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN ~TREET, NEW YORK, NEW YORK 10038 Date Application No, on file THIS CBRTIPlEES THAT n the foE o~eln~ I ce~ on ~ Bese*~nt ~ I~t FI, ~ 2nd FI. f~J')' Section Bilk FIXTURE OUTLETS FIXTURES SWITCHES DRYERS MOTORS RANGES OVENS DISH WASHERS EXHAUST FANS R V I C OTHER APPARATUS: Per COPY FOR BUILDI~ DEPARTMENT. THIS COPY OF CERTIFI~TE MUST NOT BE ALTERED IN ~Y ~NNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~; 1 [000~93 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW yORK 10038 Date [~lla~~ ~7,199~'! ~pplicationNo. onfil~ ~7~/~ ~] ~3~ THIS CERTIFIES THAT o~ly the electrical equipment ~ ~scrlbed be~w and introduced by t~ applicant ~med on the above application number in the premises of Lot FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET DIMMERS OTHER APPARATUS: E R V I C E NO O~ CC. COND OF CC. COND. NO OF HI-LEG NO OF NEUTRALS AWG. OF NEUTRAL GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentia{s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] FRAMING [ ] I~I~LATION [~NAL DATE 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL DATE INSPECTOR ' I"gR 8 Iggl FL, b ~ OF gOUTHOLD Approved ...~. ..... Disapproved a/c .......... BOARD OF ttEALTH 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .... TOWN OF SOUTHOLD CHECK c~-.,~.~.9.~."]-;:3do BUILDING DEPARTMENT SEPTIC FORM .~'... ......... .. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL ., 199.1 ., 19fl !. Permit No. TO: ..... (BuildTng Inspector) APPLICATION FOR BUILDING PERMIT Date.~/~g.C/t...[..Y .... ~9.?./ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Iri~spector, 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of 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 ol: 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 inspections. ~.-~-'fc~Z .'r: ,r~s . ..,..,..,..,..,..,.~...c.: ........ (Signature of applicant, or name, if a corporation) ·/-. e:./.o..~.....77. ,.. ~.z-.,.-:r~.a:..<-.z....~ .7.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ~Z.~...~..~ .... .C.o.~r:o. ~.. re .................................................... Name of owner of premises ....... . .~. ~' ......... 0..O../3J..o..w..~ ./ii. .......................................... (as on the tax roi1 or latest deed) If a~~oTuly authorized officer. (Name and 'titl[ o~ ~;~/~/;~ficer) ' ' ' ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSEB Builder's License No ..... g.~. '.g..:/-/'..Wt... ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I Location of land on which proposed work will be done~ ' ............. Sir;e?' .am,et House Number ty Tax Map No. :000 Section ...... //~ ........ Block ..... / .... · ........ Lot .... .~..... ~.:..~... Coun 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,......~.~7'.~?'r~ .~z~...7. (..~')~..... ............................................ b. Intended use and occupancy ........ ,~ .~)"'../.~&-~....~'-.r.~.c.... ~,-O.,..~.,z( ............................... 3. Nature of work (check which applfcab e): New Building ..... ' ..... Addition .......... AJteration Repair Removal ' Demolition Other V, Z) O'O (Descriplion) 4 Estimated Cost ~ , ' (to be paid on filing this application) $. If d~veliing, number of dwelling Units ............... Number of dwclIing units on each floor ........... If garage number of cars , 6 If business commercial or mixed o~cupancy specify nature and extent of each type of use ............ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height Number of Stories Depth ................... iHeight ...................... Number of Stories .......... ' .... 8. Dimensions of entire new construction: Front .......... , ..... Rear .............. Depth ... ' ' ' ' Height ' Numbe~ of Stories 9 Size of lot: Front" Rear .............. ~ ............................... Depth ...................... I0. Date of Purchase ............. ! ................ Name of Former Owner ............................. I 1..Zone or use district in which premises are situated 12. Does proposed construction violate~ any zoning law, ordinance or regulation' . ~.~ .. ! 3. Will lot be regraded ........................ Will excess fill be removed from p (~ No D,~o p,~eq rem~ses:., !4. Name of Owner of, premmes .... . ..... Address ................... Phone No ................ ',Name of Architect .... ~, ....... ; .............. Address .... Phone No ......... ~ Name of Contractor./.~: .,~.&.7..L.¢ :~ rT. J. 6.'.,'Y.~.... Address j i,~,~.'~ ~.' i. ~Phon~ Nol :5! Is this property located within~300 feet of a tidal wetland? *Yes ..... No . mil yes, Southold Town Trust~es~Permit may be required. ... PLO'T DIAGRAM Locate clearly and distinctly all bttildings, whether existing or proposed, and. indicate ali set-back dimensions from ~roperty lines, Give street and block au: nber or description according to deed, and show street names and indicate whether nterior or comer lot. I, ,-~'u'~ INCLLIDE~ APPROV,% TO REMOVE EXCESS RLL FRO~ ABOVE PREMISEg BY ,~ ,.. ,~DIN~ LOT ~ ........... D ~V~WAY ~:OM~T~l.~Cl ION ~ CE~SPCO~ C~STRUCTION , . .... CELLA~ GONSTflUCTION ~THE~ rATE OF NEW YORK,, ~, ,~ .... ~/.L).~..t~,~.. ~....~e.~. .. ~.' ..... being duly sworn, deposes and says that he is the applicant (Name of indMdual s~gmng'contract) ~OVC Hamcd. ' the ............ -- corOorat; ;f;ice; 'e;~ ;'"' ............ ' i (Contractor agent ........... e said owner or owners, ~d is duly a,hthofized to perfo~ or have perfo~ed the said work and to m~e and file ~s ~plication: that all statements containdd ~ this application are true to the best of his knowledge and belief; and that the ork will be pcrfo~ed in the m=ner s~t forth in the application filed therewith. ,yom to before me this ~ ~ ,, / ~ day of i ~~ 197/. ' ~uu.~, ..... .. .... ~ounty ~t~ ~ DE ~E i .... ~ PUBLIC, ~ d ~w Y~ ......... . ~.3707878, Suffolk ~un~ o cant) i~m ~pi~ ~rch 30, ~e: ?~ U ) B