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HomeMy WebLinkAbout20066-z „y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21008 Date SEPTEMBER 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 150 PARK AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 7 Lot H.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1991 pursuant to which Building Permit No. 20066-Z dated AUGUST 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 INGROUND SWIMMING POOL WITH ATTACHED DECK & FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to THOMAS CAREY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-204644 - SEPTEMBER 23 1991 PLUMBERS CERTIFICATION DATED N/A T B lding Inspector Rev. 1/81 F013M NO. A 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~ 2 ~ ~ 0 6 Z Date .......~....f~ i9~f Permission is hereby granted ''7 Qom/ . ..g~ (s G ~,G....~.r..y~..........~..ll... O ! of premises located of ....li.l~~.....~ .t~i.~~ .q' f County Tax Map No. 1000 Section l~n...:~..... Block Lot No.........~...:...-?~ pursuant to application doted .............~.r~~~.............................., 19.d~, and approved by the Building Inspector. Fee S../.~~.: c--"~~~~~. r ..fRL Buildin tar ~ Rev, 6/30/80 i~ Form No. 6 rz G~a r ' TOWN 0 F SOUTHOLD 1 ~ " " BUILDING DEPARTMENT i`~'~~ ryry ~y 9 TOWN HALL ~'I ~y ~~U d ! 765-1802 ~$y `V' ~ ~ ~ ~ a~t~ APPLICATION FOR CERTII'ICAT):. 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,eand 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 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. r 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 $1~5~0j0, Commercial $15.00 Date .......G,!!/f~.,~ `7ew Construction........... Old Or Pre-epxisting/Building., / L ` . Location of Property:.... ,f,~'P~ f:: l:.~.......... ~~/.~~/fi?' .~,/~/j House No. Street Hamlet )nwer or Owners of Property . ;ounty Tax Map No 1000, Section..!. ~~.....Block......~.......Lot...~~,,,,,,,,,,,,,,, subdivision....... .Filed Map............Lot.... 'ermit No..~d~,~',~,,, .Date Of Permit...~,jr~r....Applicant....~fi';!%/, „ lealth Dept, Approval ..........................Underwriters Approval......................... 'lanning Board Approval :e quest for: Temporary Certificate........... Final Certicate.. ' 'ee Submitted: ~ U . ~,~~IOO7J APPLICANT _ e - . E Nf W YOI~C ®Q/4RD ~F t1~ERW"'~ nNt<p: , ;nni ai e ~ Sk:P7'k:NHt~;R 3, ~97 N 'j71~ET'. IOW Y0111I~ -'T45 FR:i9l /9.1. 8® it ~t)c:r~94 ll~te .V/dicatien No. onfue Wile trsfeTtRtea mwr only t1N d~ctticof rRrilttwowt ~ ~cnl6od 6dwr otd IntreittKO~ ky eks Mp11anL Mwtld M tM e4ow oppNeottow Mwtkw M tkrpvrnian ~ . THOMA;: CAREYr 10 7ARK AVFNi1F„ MA'i"1't'i'lJCK, N.l'. (>!1'I' in tkefofbtektf fora fAt fl. ? Snd FI. Sertien Week Lot '~~lh~s+~°Ta~ P ~ wat exstnined un ~ttJ feuwd to kefn coinplience~rvtk tk~ regoinmewN of tkfs Baord. W; NX71M! t?I~ ~ OU71dt7f RIIOM7Ctr1T OT7Nn AMT. K. w. AMt. K. w: AMT. R.W. AMT. K. w. AMf. M. t. _ 3 9 ~ tE oltrus INI~u?d! Mt)!s!i ntrtrfe 7uwtiwa tlllMff' !ll;ta 7tMlCt001lf ~ U7tF ++w fltfkMRf AMT. t. W. Olt M 1..... OAd M.I. MIT. ND. A W. 6. AMT. MM. AMT. AAVA 7MIKl AMT: N.I. AMT. WAT7t E flRVIRt f ! R V I { t ` AMT. AIN. - T1R I x tW 7 x tw » aw t x Aw wo. .corn. ra: o wiato a w. no, a 7eunus ~ w. 0710! A!/klAlYf, SWiMMLNG POOT,-]. R «;('~:P~1~AC1:ES-1 /G. F. C . T . -:f -7 NAPi~:~:FiOAROS:1.-7. t;'LR. 7.00 A(SN?HMl'NG POUL) 7'h.is certilicate^ I^nvers compliance at the date ni inepec~tion only. Hecause ox I7nosua] F;yv+;nnments ir, i.s advisahte to h;l~? rrequent test. andJor ^epair~ ~ t maT~.- iay a qua7.i.tied pee son. tic t7antinued an aagr?7. s>; ~MMl?1MNMr Pnr LY Thk arK(iPe1n .tot. io o 7 n M- 1 ¦ _ ~ . _._~._4 a_ ~ ;ooi3si THE NEW Yt?~!f li©ARD OF ttFl'ERIAiRtTERS "ar:r; % . ~z ~ ga ,q Bna~iEnv ors El.a m SEPTEIfHF:R ).3,799] MN STRt/T. NEW rtllMf~YI J$jOBB ry '),04(i4fi B~u ApplMetlon No. on Jtle TN18 CERTIFIES THAT _ only Hw sMeerlwl egmiputant w dMCrl6sd 6slots mttd iwetedetosd 6y tM yglkmwt erwsd tut tM m6uw op'liatiow Imtmtb/r Jn Yts Ft+enbn 4l 'PFigMAS CARF;Y, 7.(1 PARK, AYF;Ni1F; NIA'+'"r`r'1'tiCN, N. V. n ou'r in the fmlloKelnR hxa~tl'F,FRV:~S,°7Ef 9 ~ !st FI. ? !wd FI. Section Block Lot teas eswniwed un and found to 6e M eoMislionn Teleh eke regmireMenfs of this Board. T O{lilltt mLAWefClNT HUCS1it'wIT 0T11N AMT: K. W. AMT. K. W. AMT. R.W. AMT. K. W. ~ AMT. N.I. OR4M6 ! MO<aK ItIitIR AIt11MIC! t~k MC Tr•NtiOga ~ IIIMT tahiAt BYkMMt AMT. K. W. Ott N. I. OAS X. I. AMT. MO. A W.O. AMT. AAtI. AMT. AMK AM7, n 1. AMT. WATIt F sieitvice BYIF+OIB1s1C1' a s s ie v 1 C e M. p, EiL AMT. AAV. 1tIE ~ 1/tw 1/Ar ]/tW ]/AV NO. cONG. A. NO. bNMlO ~ F' MO.O'llYIU18 a WUTMI - oTewit AMJIMATLf: s. b .ee JODY PUMT.i.[fir t~T.i'.{~2 0Q-Y: PAT LANE NAT'fIT[lCK, NY, 7.7.95'). Per G .That i, M of B Ilwit ~Ma ~ 'r. ~ ~ ur.u1~ ~ ~ • ~k MELD I~:SPEC:iU:I ~~UnTE ~ ~UaKMEN2° ^o O m .1 . y ~ H H FOUtJDAT20N (1st) ~ AI FOUNDATIOtJ (2nd) _ _ 2. ~ o ~ ROUGH FRAME & PLUMBING ~V" y 3. m • y ra • H IIISULATIOII PER N. Y. STATE ENERGY CODE x a r ~ FIiJAL ADDITIOIIAL COMMEIITS: ~ ~i m -o ' x H H H 2 r~,. t/' • ~ [*J Y r H [S]CR '9 N H ~{.f~~(, ~J ~Y7 911"Vl 9" .,:...:..-~._:....._+.e «..L.-.,-._ _ o- 8 ptw ~ t..l44,iClr'I'lli'j y~ .~j; I,IS'v~iki'~~y r ~ C! Vii. lr 'iAy ~ ~,i ~ I I r ` ~ ,In'1., ` `li ' ~iq0 -k+~ !.1i . 1 ('Y ~ y, , ~ ~ O ~ . 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Era TEL.: 7G5-1802 MAIL T0: mined ~ 19 Approved ...C2~~........., 19~l~ Permit No. ~.~~.6 Disapproved a//c A~' - 5~ glpti. EPT. ,h may, TOWN OF SOUTFIOLD~`"'~ c..- (Bu' mg nspector) 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 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 ar 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 or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY IvfADE 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) (hfailing address of applicant) State whether applicant~is+owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises t!Y?~?~..... C.~~~'. Y . (as on the tax roll or latest deed) 1f app can • ~ a corporation, si to f d ly authorized officer. ~ .1:++, , ptq~t~~t C (Name and tmUe;q~ corpgrat fficcr) ~~IIYtIVIG®~~ 1 ~L~~~ • ALL CONTRAC~QR,:'+~S,:I~U"ST ~IIE SU~OLK COUNTY LICENSED ENCLOSEPOOLTOCOLIE Builder's Iticense:Na: >~:.:~.9.Z; , j{~ , , , , , , , , , , , UPON COMPLETION - BEFORE "WATER" Plumber's Liccnsc No . Electrician's License No . . Otltcr Trade's License No . . 1. Location of land on which proposed work willybe done. 7~~,1,1~.+~~%h~/, - , House tv'umbcr Street Hamlet County Tax (`fap No. 1000 Section ....1, oZ.l, , , , , , , , , - Block Lot +~t.~, , , , • , , - , Subdivision Filed \1ap No. Lot . ..(Name) State cxistin~ use and occupancy of premises and intended use and occupancy of pgsed construction: ~;°31it „1 ~AtA~J a. Existing use and occupancy ~-G'i/, ~ f`I,'~:. , , , , - , ~t~waN}'' n*e,S.slt~9~r+lMnsteyl b. Intended use and occupancy ~~~!,~6?t;T,~~?-... (~1~R, , ..'.>'.:-~~zs C~+• .I .;^a~mcn"! • • , . • • • Nuure of work (check which ap'~plicable): New Building Addition Alteration Repair Remgval Demolition , .Other 1ti'ork . ~ ~ • ~ ~ ~ ~ • ~wr ~ nr6 ~ hart. la- L'at: S•4' ~ (J6C/ C • tF yL~tiG11 ~.S' csc B~n~),,. 4. Estimated Cost , , ,)I~ ~Q, cJA, , , , . • • . • • . • • • Fee ` (to be paid on filing this application) 5. If dwelling, number of dwcllin ,knits Number of dwelling units on each floor , If garace, number of cars . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structure, if any: Front .Rear Depth . Height .:t.-~;'„~„ ,,,,,NunberofStories. Dintcnsiont!of same structure with alterations or additions: Front ~ • Rear . ~ ~ ~ • Depth . Height ~ . Number of Stories . 8. Dimcnsitj~i¢'of t thew const ction: Front ~ • • De th.... • ~ ~ • Height tt.`+ r}~ Rear p aima.ewr w: .,,-...Number of Stories . 9. Size of I;ot: Fp41lt,'.r-+:;t''.1?,?::.. Rear. Depth 0. Date of PO`rc"hase ` Name of Former Owner _ 1. Zone or use district in which premises are situated , ~ • ~ ~ ~ ~ - ~ • ~ ' ~ • ' ' ' ' ' ' ' 2 Does proposed construction vipl~te any zoning law, ordinance or regulation: 3. 11'ill lot be regraded , .Will excess fill be removed from premises: es • No 4, Name of Owner of,premises j ~/3f,2,1~'~, , , , , , , , ,Address .../t'2 , , , .Phone No.. v2s~ c(~dS,~ Name of Architect ! .Address . .Phone No. ~y~ A'ame of Contractor . /,~~Yl~~y. t. ;~on.S , ~~~~lC... Phone No.. ~Y,~-,~~ 6~ ~ • ~ ...Address , , , 5. Is this property located tJithin 300 feet of a tidal wetland2 *Yes No / \ *If yes, Southold Town Tru~tees Permit may be re99uired. PLOT DIAG1tAM Locate clearly and distinctly all puildings, whether existing or proposed, and indicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether tterior or corner lat. II ~ s~' i~7~>.~Cl~j .fGlndG~ ~ AP Rp D AS NOTED • ~ ~aAT~: B.R a Fll<: ev: i Nl7TIFY 8U~ DEPARTM AT ?ti5-7802 4 F1M TO a PM FOR THE 1 NS: WIN 1 INSPECT O FrJI.Lt) C I 1. FOUNDATION,. - TWO REQUIRED FOR POURED CONCRETE 1 2. ROUGH -FRAMING t9 PLUMBING 3. INSULATION +b, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. - ' ALL CONSTRUCTION SHALL ,MEET . THE REGUfREMENTS OF THE N,Y. STATE CONSTRUCTION fk ENERGY ' CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS r`~ ( c of individual si,nnqin3 (G L y ~ ' ' ' ' being duly sworn, deposes and says that he is the applicant contract)' ovc named. n ~isthc .....1-.~~ (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authoriied to pcrfonn or have performed the said work and to ma};e and fi]e this alication: that all statements contain d in this application are true to the best of }tis knowledge and belief; and that the nk will be performed in the manner s9t forth in the application filed therewith. •orn to before r c this i ..T...da of .`i(..5„~.~19 tart' Publi , , , County . gJ41Rtt 4 Qti+IN ~yfhAdb.f3arteofNwrNtMk No.4878806 QuaUfledln$uffolk~autrttt • (Signatu pplicant) fbmrolglon Expires Decstnber ,19....