HomeMy WebLinkAbout19746-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20232 Date SEPTEMBER 20, 1991
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property 195 TOWN CREEK LANE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 64 Block 1 Lot 11.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 18, 1991 pursuant to which
Building Permit No. 19746-Z dated MARCH 28, 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, DECK SHED & FENCE AS APPLIED FOR.
The certificate is issued to RITA CURRY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-196404 - JULY 16, 1991
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
/ON![ N0. e
TOWN OF SOUTHOLD
lUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ ~97
N_ 46 Z o~te 199/
Permission is helms/Cprc~tpd /
~ ~ ~Q
i~[~~ ..sue...... Ki ......~G~~~;,c~r...L~~.f..a~:L.......
at premises located of ..........1 ~,1.~.........,
County Tax Mop No. 1000 Section .......~°..~d..... Block Lot No....~i.'.l.........
pursuant to application dated ..........,,~//.~P 19.~~, and approved by the
Building Inspector.
Fee S.l.~~
B n0 Inspector
Rev. 6/30/80
.s
'N^ Form No. 6
TOWN OF SOUTHOLD ~ I f
Y ,~~.tl ~ f~~' BUILDING DEPARTh1ENT
. - 7~~ J 'l G,! /v 765N1802L .S~ { 9 {99{ ~ ~ ~
} ~ ~ BI rr,. E_.
t,! APPLICATION FOR CERTIFICATE OF OCC[IPANCI T04'.~"':"._ ~ '-~_•,y~.4f
This application must be filled in by typewriter OF, 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. oY 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 Che 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.
:i. 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 comple[ed 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 Euilding - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
v. Updated Certificate of Occupancy - $SO.UO
5. Temporary Certificate of Occupancy - Residential~y}$ 55/.,0Q0, Commercial $15.00
Date ....1~'••/.~
:yew Cunstruction....~4 ld Or Pr'~ej-~existing Building.
Location of Property.../1..~......../,CSZC:!t~...~~_~~... L!~/~~
House No. Street Hamlet
t)nwur or Owners of Property.......~~/".'jj1~~. ...~G ~f„[. /
Coun[y Tax Map No 1000, Section... L51.:(......Block../..(...........Lot..../J.~.
tiubdivision. ;`~f~ Fil9ed Map............Lot..
Permit No..I/~~~..Date Of Permit...~!.°~./......Applicant...~!...~~~~~~~j".~..V.:.../r'
lleal[h Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Cert~fic~........... Final Certicate.....~.....
;S^~1 S V Cf ~C~~
Fee Submitted: $ ~
Q..~, yaG y
co ~ aoa3 ~ APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS Pat.k.
17.957.12 BUREAU OF ELECTRICITY
BS JOHN STREET, NEW YORK, NEW YORK 10038
JII1rY 16,1991 Application No. onjile 7176769:1(9:1 N 79ti40d
THIS CERTIFIES THAT
only the a4etrlctl etpsipmewt ae dreri6ed hekno end introduced by the applicant nerved on the ehooe application nun:hsr in the promLes of
NFii Af3k~ BUII~DFRS, TOWN fRFF1R LANK; u0U1'HCN~U, N.Y.
CAH.
in thefdbteinR ktcetion~ ? Bee`pment ? lAt Fl. ? Ynd F'1. .Section Bfa:k Lot ~
teas examined on JUL OK , )1 and found to be in compliance trick the reyuirementR of thin Board. r
IIXTWR ACIK fWIK11lS RXTURlS RANORS COOKRNi DICKS OVRNS gSNW BXNAUST FANS
OtRIRfS INGNOFSCFNT FIVORFS[!NT OTNER AMT. K.W. AMT. K.W. AMT. K.W. AMT. R.W. AMT. N.I.
4 4 3 7 F
E
DRYNIS RMBt1ACF MOTORS RliIIM A/RIANCe INDMS S/SCIAL IItC'/T iYAE CIOCKi Yll UNIT IISAitRS DIkIMlRS
AMT. K. W. pl N. I. GAt H. I. AMT. NO. A. W. G. AMT. AAV. AMT. AMK. TRANS. AMT. N. I. di (RT NAT. WATiS
SMVIQ DBCON/BCT NO.O/ S E R V 1 C F
AMT. AAV. T11E p~j
W, ~ 1 tv/ t a aW a w aW air rM No. ~~edcoNO. cc
CSi+o. or w-tFC o~~H
't
a No. 01 NEUrRAts pj 'NeOniAt
OTIMR AMARATUS:
PANRLBOARDS:7.-7 c'7R. 1.00
G.F.f..I:-]
SAC,F ~ LAI7F;MANN IIYC. LI,C.M.1635-M
P.O.BOX 3768
SOUTHOI~it, NY, 1.'1.977. OBYEtAI~ iAOB
17
Per -
This cerfificafe must not be a 'a a mamFer; nfurn to the oNiu of Mte Board if incorreN. Inspectors may he itlenfifisd their credentials.
1
POR lWLDN10 DERAItIN~IT. tlNS C01.7f OF CERSIFIGTE MlSt NOT 1E ALTdt~ MI i11A1! MAlNlR.
_
3 '
THE NEW YORK BOARD OF FIRE UNDERWRITERS vai;r. 1
1.1.951.12' eutaEwu of E~ECrrtICITY
c ~ 83 JOHN STREET, NEW YORK, NEW YORK 10038
SRPTFMAER 17,.799:1 %.1114097/97 N 20401!
- Date Application No. on flle..
THIS CERTIFIES THAT
only the eleetrkd equipment as descrihed 6sbur orsd Introduced by eM applicant Homed on the ahooe application numher ire the premises of
NEif A<;F BU7:LDERS,. 195 TOMN C`RE~1R ORlVS, 50[1'CHOLO, N. Y.
in the dbmin Incotion• g~K meat i)II1
f R MAY' 2 1.99 ~ ? t"t Fl. ? Pnd FI. Seatwn Block Lot
uns eramiwed on and found to he in compliance with the reyuiremenfs of this Board.
RXTtME RXTWlS RANGES COOKING DECKS OVENS DKM WASMNS EXHAUST FANS
OUTUki2 AGFS SWtTCNK INUNDESCENT FlUO11ESCFNT OTXEn NAT. K. W. AMT. K. W. AMT. K.W. AMT:. K. W. AMT. M. r.
2 1 ; 2
DRYERS RJRNACE MOTORS NJTIIN AMUANC! IREDNS SelCIAL lK'?T Tt41! ClOCK4 pLL IRRi INATMf Mu1140UTtET DIMMNS -
- AMT. K. W. pl X. ! GAS X. r. AMT. NO. A. W. G. AMT. AMr. AMT. N.1r5. iGNS. AMT. M. r. ~
a~l'!i MIT. WATn
1 40
SMVICE DISCONNECT ND.Oe 4 E R p~ V 1 C E
MIT. AAV. IYPf ~ 1 / St/ 1 R eW S 1 TV 7 / AW BCONa. Of CC
COND. ~ X41EG OF~N NO.OF NFUTRAIS Or NEUIeAI
OTMla AAARATUS:
SWT.MM(NCr POOirl
SYFC'SA)~ RFCFP'T.20A.1/G.F',f.1.-7--2
e(SW`[MMLNG POOL) This remit{bate
coverR compliance at the date of
- inapectinn only. Nacauae of unus,la?.
envirnnments it ir; advisable to
have frequent teat. anti./or repairs
madN by a quaJafed person.
- ~
SAGP' k LAOFIMAN'N 1.NC, i,.iC.$3ri-95r;
P.O.BOR 1768 OMEIRALMANABNt,r -
SODTHOI,D, NX, t.79/1 7
Psrl .l /
- This artificaM must rwt be ahsred in any manner; Murn to 1M olfiu of the bard if incorrsct.,.lnspactort may M identified by their credentials.
COFIf FOIE BUILDNIG ®EPARTMBNT. TNES ctIPY OF CERTIFK'ATE Mt1ST NOT EiE-AltdtlD hl ANY MIIMIER.
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OUtJDATION (1st) °~A~
FOUNDATIOtJ (2nd) -
ROUGH FRAME ~
PLUMBING
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3. ~
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I1ISULATIOPJ PER t1. Y.
STATE ENERGY A~
CODE
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ADDITIOPIAL COMhfE11TS: x
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~J~~~~~ TEL, 7G5-i 802
o~p , D~ 'i'O~N OI' SOUTIIOLD ,
:3~ '{;a, '~c OPPICE OP BUILDING INSPECTOR
~ ~`^3 P.O. BOX 728
~ .Sk'~1~ . .
~ ~ ~ TOWN HALL
O~Ol ~a~~ SOUTIfOLp, N.Y. 11971
August 12, 1991
A. REILLY & SONS, INC.
BOR 98
MATTITUCK, N.Y. 11952
RE: RITA CURRY
To Whom This May Concern,
We arc unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
is not on file. C"ENCLOSED)
C7o Underwriters Certificate on file.
The check is (cJk%FtXr$~/not on file. ) $25.00
No flcalth Dept. rpproval on file.
No final i.ns,pcction has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Buildi.nq Permit 1 9 7~ 4 6 Z
Build i.nc7 Dept.
No Plumber ~o.i.cler Certificate on file.
( all permits involving plumbing being
.icsucd after April 1,198 )
cc to: RITA CURRY
195 TOWN CREEK LANE
SOUTHOLD, N.Y. 11971
r
765-1802
BUILDING DEPT.
iNSPECTiON
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
_
DATE ~ INSPECTOR
T65-1802
BUILDING DEPT.
INSPECTION
' [ ]FOUNDATION i5T [ ] ROUGH PLBG,
[ ]FOUNDATION 2Np [ ]INSULATION
[ ]FRAMING / [ ]FINAL
REMARKS: cY ct~~
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~,r1 BOARD OF HEALTH
11 ~ 3 SETS OF PLANS
4`r ~ FORM N0.1 SURVEY .V:
~~~19y~ ~ TOWN OF SOUTHOLD CHECK ~ :3.a%~ I.....S.~F'.~.Z •
BUILDING DEPARTMENT SEPTIC FORD[ ?
,s TOWN HALL
_ ` NNO S EP`. - SOUTHOLD, N.Y. 11971 NOTIFY
- TEL.: 765-7802 CALL
~y MAIL T0:
Exatttined r l9!/ -7
Approved ../.~~~~`f~~....., 19~~ Permit No.~/
Disapproved 5/c r
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oR~........
/(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date K'!g/~~!f.--~~...., 159./.
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
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, [he 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 occuppy or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted b.y. tl~•Suilg Inspector.
APPLICATION IS,HERE~Y 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.
(Signature of applicant, or name, if a corporation)
• (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................G'~:'a.~ ~ ...c~/~.-.z~.;.arc.................................................. .
Name of owner of premises f .7.~ .....C.'4J?.V.~ `.1 .
(as on the tax roll or latest deed)
If app ' nt is a corpora[io ig lure of duly authorized officer.
(Name and ti le of c (o'rate officer)
Builder's License No. ....2./ .z !41.-{~....... .
Plumber's License No . .
Electrician's License No. . ~~.r?.6?LSi1. ~ ~.4-C n2/.~
Otfter Trades License No . .
I. Location of land on which proposed work will be done. ..7.~~?1.ti.1, , • •~,~JT/~"/• , ~Q?c ~e
Y~.
House Numbcr /St/rcet Hamlet
Count ~ Tax Ala No. 1000 Section Block Lo[ . :.}t. ,
Subdivision Filed Atap No. Lot .
(Name)
State existing use and occupancy of premise~sfa~nd intended use and occupancy of proposed construction:
a. Existing use and occupancy .........l~ ~
b. Intended use and occupancy . • • • • • • • • • Get ~ ~ ~
SGJirNro,.r wG /~ODz-
3. Nature of work (check whic~;h applicable): New Building ' ` ~
Re air Addition Al~~rai~
o .
P RemGoval . . . . . . . . . Demolition Other o k .
stimatcd Cost .
Fee
5, If dwelling, number of dwel ~ Qo be a' on filing this application)
{ing units , , , , , , , , , , Number of dwelling units on each floor .
If gara;e, num bcr of cars . . .
6. If business, commercial or it~ixed occupancy, specify nature and extent of each t
7. Dimensions of existing structures, if any: Front . . Rear ype of use ...P , , , , , , , , , , • .
De th
Height
........NumberofStorics
Dimensions of same structure with alterations or additions: Front .
Depth Rear.................
8. Dimensions of entire new c N • ' ' Ileight Number of Stories , , , , , • , , , •
~tstntction: Front , Rear . .Depth
Height umber of Stories .
9. Size of lot: Front Rear . ........:.............Depth . .
10. Date of Purchase , , Name of Former Owner • •
1 1. Zone or use district in which] premises are situated , , , Yl
E-S!!~d?';'~7~-r- . • ~ • ~ • • • ~ • • • • ' • ' ' ' ' ' ' ' ' ' ' ' '
P P
12. Does ro osed construction
Violate any zoning law, ordinance or regulation: , .
i
13. Will lot be regraded ' /1N Will excess fill be removed from premises: N,
14. Name of Owner of premises . ,Address
Name of Architect .....,j,,,,,,,,, """'••••••••••••PhoneNo
• • • ,Address ...................Phone No.
Name of Contractor . ,Address . ~ • ' • ~ ~ ~ ' • • ' ' '
IS.Is this property located with in~00 feet of a tidal wetland?n*YES....NO~.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate cleazly and distinctly ll'a11 buildings, whether existing or proposed, and indicate all set-back dimensions iron
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
~I
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FFE: BY: '•''ZE~ISPN~ ~.O"P' ~__.r__ ~,~.a...a.,.,w,.,,...
NOrI B e1G DEpAR
Jtif3- e80l .1 E AT tttl€~ViIJ~`: %:~1NFaff29;!a€ION a.®.,~-*,.
AM TO A PM FOR THE , a a'"ON~fRUCTIOG~
~ FOLLOWING INSPECTI~N$; C;ES~~ f$fi;"v. - .
9. FOttNOATION 'fW0 REQUIRED C;ELL+Aff u;t1NST CTir9 .x.-e.-, 4
FOFd POURED CONCRETE ~T&'rE"
2. ROUGH -FRAMING Fe PLUMBING ~
3. INSULATPON
4. FINAL - CONSTRt~CTION MUST
BE COMPLETE FOR C!,O.
ALL CONSTRUCTION ~ ALL MEET ~al~
THE REOUIREMEIVTS ~ F THE N.Y. @~'
COD S.C NOT RRESPONSIBLEN FOR q
DESIGN OR CONSTRUCTION ERRORS ~ a ~ 4J
T ~ r°L
COUNTOYF FE1~~!':~~ a r~ ~i, S.S ~t3 ,g~~ ig~~ ~tl1 ~y~
. ? • • • Nam individual si~?G~~~ ~ ~r• • id~t~+w°'
' ' ' being duly sworn®, depd'ses and says that he is the applicant
ing contract) -
above named. ~-I
He is the ...................Li,R~Th!~"~y~
(Contractor, agent, corporate officer, etc.) ~ ~ ~ • • • ' ' ' ' ' ' '
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; [hat all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
/.b.', ...day of,• • ~'~'!R'C-~~,
/ 19 5~.
Notary Public, , .~~rF ~,cr... ~ County
ELEN IG DE VO
NOTARY PUBLIC, State ofE
Term Ex fires Match 80, New York ' ' ' ' ' '
No. 4707878,Suffelki~ uq (Signature hcant)
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SURVEY FOR
RITA CURRY
r.
y: ~ AT SOU~THO,L.D - ~ . _ DATE ocT.12 al9so.
TOWN OF SOUTHOLD SCALE I°= 30'
SUFFOLK COUNTY, NEW YORK No. so- oT~3
NOTES!
~'a ~ I. ~*MONUMENT NuIwuTNaearo AvERAnoN OR ADO1nDN TD TNIS GUARANTEED TO!
lURVfY q A VIOLATION Of SLCTION Tzoa OP TN[ RITA CURRY
2. SUFFOLK CO. TAX MAP NEW YORK STATE EWCA110N LAM FIRST AM (7qT URANCE COMPANY
" OI$T.1000 SECT. 84 BL.1 L0T9 ILI ~ IL2 r con[E aP rNIE wRV[Y NoT RMNO THE LANO N K,
SURVEYOR'S INKED SEAL OR EM[OSlED SEAL SNALL OF NEW
NOT CONSIOER[D t0 [E A VALIO TRUE COPY (TIT NO 158ay Lp
y. KOUMANTE[S INDICATCD NER[ON !MALL RUN DNLY 10 GRE PO VING' A1`
; ~ THE P[RSON fOR WNOM THE SURVEY IE-PREPAR [O
4- ANO ON NlE [ENAL!' TO tNC TITLt COMPANY, OOYEAN- ~ G
NENTAI A[ENCY AND LENDNIB INS1iTU TION LIFTED Z
NEREd1, ANO TO 1NE ASSI6NE[S Of THgRE~AN1LENDIN[ O
~ ' ~ t0 TADDITIONALUINSTITU710N[ ORNSUESEOU[NTA[Lf
[ ~3,b _ OWNCRE
k ~ ~ ROISTAMCCS SNOWN NCR[DN FROM ?RD?ERTV LINE!
F;.7 ~ ~ tOCKI[TNIi fTRUCTVREt M[ fOR A 7PEiIFIC ryO. 4589'
_ ?U11MQ3C AMO ARE NOT TO SE U![D TO EETUUSN ,y
F ?ROPERtY LINES OR fOR THE [RECTION OF FENCES !AND SU[S~'y~0.
YOUNG a YOUNG o"~w
roR E
K.
ALOEN W.YOUNG,PROFESSIONAI ENGINEER 7a~ - ~3r-
' ANO LAND SURVEYOR N.Y.S. LICENSE N0~ 12845
NOWARO W. YOUNG LANG SURVEYOR
~ ~ N.Y.S. LICENSE N0.45893
4'
/ [R ~i Eoas INC. z.a.
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