The URL can be used to link to this page

Home My WebLink About19827-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19886 Date MAY 3, 1991 THIS CERTIFIES that the building. ACCESSORY Location of Property 5370 NASSAU POINT ROAD CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 1991 pursuant to which Building Permit No. 19827-Z dated APRIL 30, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this c~rtific~te is issued is EXISTING ACCESSORY INGROUND POOL WITH DECK & FENCING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ROBERT FEGER & TERESA TAYLOR N-490573 - AUG. 21, 1980 I~OB~ NO. ~ 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~ 19827 Z Permission is hereby granted to: ~_..£~.~.~.....~.~..~....~..~ .~....~ ......................................... ~., .............. ...~~~,....~.:..~.,.....!..:..t~..~. ..... . , ,o ...~.~....~....~~...~.>...0.....~.-~..~~ .......... ~.~.... ........ ~..~~.~ ...................................................... .......................... County Tox ~op No. 1000 Section ...... I..t.l ............ Block .....C~....~. .......... Lot No .....l....~ ............. pursuant to application dated .............. ~ ............... , 19..~.(..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6' TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 ICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ...A.ugu. s..t..2.8.,..]..9.8.0. ...... N'ew Building pp.o.],. ~..~.e.~..C~)ld or Pre-existing Building ............ Vacant Land ............. Location of Property . 53.7.0. Nmssau..Eoio.t..goa.d..&. ;~2.5.,5..g.i.t.~..1.e. ?.e.c..o.n.i.c...B.a~ .R..d...,.C.u. tchogue House No. Street Hamlet Owner or Owners of Property ~....]~Cg.e.~:...~ ..................................... County Tax Map No. 1000 Section . ll.1. .......... Block ..... 8 ......... Lot .... 1.9 .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.. 108.06. Z. Date of Permit .7. ,/~)~./.80.Applicant . . . .~.k.~.q~. y..D,~.p. ?.o.o.~.s ............ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .X .................... Fee Submitted = ~ J~"~ ~ Construction on above described building and permit meets all applicable codes and regulations. Apphcant ................ Teresa Taylor Rev, lO-10-7a THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described belo~ and ~nt~duced by the applicant named on the above applicatlo~ number in the premises of ~ ~e~ ~ T~e~a Taylor, ~ Po~ ~, ~, in the/ollowing location; ~ Basement ~ 1st FI. ~ 2nd FI. 0~ Section Block Lot was examined on ~ ~, ~9~0 and /ound to be in compliance with ta~ requirements of tai~ hoard. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS DRYERS SYSTEMS NO. OF FEET E S E R V I C NO. O~j~C~,COND, A, W.G. NO.OF HI-LEO OF CC. COND OF HI-LEG OTHER APPARATUS: 1 GTI Recaptacle (A~,~tmtL'o,g Pool.) ~ certificate covers compliano~ ag tba da~e of J~spection only. Bacatme of t~OS~LI envirora~nts it is adv'~able go have frequent teach and/or repairs nmde by a q~alif~ad peraon, NO, OFNEUTRAL AW, G, OF NEUTRAL Glea~ ~o Bradley R~D 169 ~brcon Avenue ~i~uck, N.Y~ 11952 Lic: #1227 GENERAL MANAGER 11 , [ This certificate must not be altered in any manneo return to the office of the Board if incorrect. Inspectors may be identified by their credentials] COPY FOR BUILDING DEPARTMENT(, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ I~'~NAL REMARKS: DATE INSPECTOR.,~-~~ FOUNDATION ( ls t) FOUNDATION 2. (2nd) ROUGH FRAME & -?LUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 0 ,X .... ' c'"- Z ,N I I / I TOWN CLERK S OFFICE ~'] ,,J c~ I SOUTHOLD, N. Y. .. I~LOG. DEPT~ * / TOWN OF S~~ ~ ~' ~o ................................. Examined--~ ~~J Application Approved ~~,~..~.- Permit No ......... DisapproVed a/c .................. ~ ................... , ...... ~. .............. ................ . ...... .................................................. : ......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT / INSTRUCTIONS a. This application must b~ completely filled in by typewriter o~ in ink and submitted in triplicate tc~ 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 ar, eas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 'c.' "-The ~ork covered by this application may not be commenced before issuance of Building Permit. 'd. Upon approval of this application, the Building Inspector will issue 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 sl~ail have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the.Building Department f~r the issuance of a Building Permit pursuant to the Bu Iding Zone Ordinance of the Town of Southold, Suffolk County, New York,~rrd~ther applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for~mova~ or demolition, a,c,~erein described. The applicant agrees to comply with all applicable laws, ordinances, buildi,l~ code, ~ousing cpd,~, an,~',~gulations, and to admit authorized inspectors on premises and in buildings for necessary~spec~/~n.~.. -- . ', ' ........ (Address of applicant) Name of owner't~ ii;ises ....i~ ......... h.~:..~.."~cz":Y:Z..~.......~..~ .~.:.~.q~.~.. ...... ~/.~ .~..X..(.(~...?. ............................... If applicant is~ ~~ co~e;~of duly authorized off'cer. ~ , , (Name~ nd title o~por~fficer) Builder's License No ..................................................... Plumber's License No .................... ther Trode's License No ~ ~ .......... ' ' ~mm~: ~ ~I~G , ,,, , 0 ................................... ~' ..... H__ ~ ~' -~ ' / ~1~ 1. Location of land on which proposed work will be done. Map~o.; ........... I.~L~{.~.....~ ............ Lot No ........... '..J ......... Street and Number .~..~.~..~.~ ........ ~..~.-.~- ....... ~.~9 ~ ~//_/~-.G~ , ~.~ ~)~.~ Municipali~ 2.State existing use and occupancy of premises and in~ended use and occupancy af prop6sed construction: a. Exisiting use and occupancy ........... ~.~ ................... ~ ......................................................................... ,., nded occ., .c ................. ................................. ....... ' .. aa (~ Renair . . 12emoval .i ................ Demo t or ......... .~ ....... Other Work ~...( ....... [.......bi ......... ~.....,., ..... 4. Estimated Cast ....... ~.~ ........... ~. ..................... ~ee ...... ~..~ ................. · ............... ' ............................................. I (to be pai~ on filing this application) ~. ~f d~,~, n,mb~ of dw,,~b ?~ ............... ~. .......... ~mb~ of dw~,~n~ ~, on ~?ch fbo~ ........ .:.: ....... If garage, number of cors ....... k..~... ......................................................................................................................... 6. If business, commercial or ~ixed occupancy, specify nature and ext~nt o~ each type of use .......................... ~. ~,m~on~ of ~,,,,n~ ~,,~,u~. ,~ ~,~: ~o,~ ....... Z.~ .............. ~a~ ................................ ~e~,b ...~..,...- ..... i f H~igh~ ....... : ............ ,... N,~w o S~o~i~, ............ ( .............................. 7~' ....................................... : ............. .... ~i~,~o,~ of ~ ~,r,~,r~ ~h a~,~o,~ or ~dd~on,'. F~o,~ ..... ~.....Z:.~.& ......... ~ ............................ D~h ~ . H~iaht ~ ., Number of Stories ....... ~ ................... 8.Dim~io~,s of e,ti~ .~w co,~tru~tio.: :~o,t ..~.~.:~..~.(.... ~.~:~.~ ....... Depth ........................ Nmght .................... Number of Stones ..................................................................................................................... s,,~ ~f ,o~. ~o., . ~: .. . ~e~ ../.~..: ...................... ~,h ..... ~.~.~ ......... ....~...~..'z.~.z..m....~¢.r..~. ...... ~ of Fo~mer Ow,~ ........................ : ............................. Date Purchase Zo~ o~ ,~ di~tr~ i, which :~mi~ ~ ~it,~t~d .......... /~..~ ..................................................................~ . .......... Does proposed construction w~late any zoning law, ordinance or regulation: ......... ~....~. ............................... w,~ ~ot be r~g~ad~d ...~.g,~~ ~ ~ ~W~H ~j~s f"~ b~ ~o~d f~om p~m~e,: ~ Ye, ( ) No Phone No Name of Architect ................f .......... Z ................................. Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed and indica}e all set-back dimensions from prope~y lines. Give street and blo:k number or' descr priori according to deed, and show street names and indicate ¸'9, 10. 11. 12. 13. whether interior or corner lot. STATE OF NEW '~JRI~..,~'.,.~ iT_ ~ ~ S -, ~,,~ &'"" ' COUNTY _0~ ...x.~)r..~,-.O3t'[.~.J'~.....f~, ,L/"",., ~ ..~.~..J~....~'~..(..~..~.i'.~..... ..C~..Z ~..f~.~7~..~.~.~.-..i .being duly sworn, deposes and says that he is the opplicom ................ (Name of individual sighing contract9 above named. ' He is the ...............................................................................................i (C~'r~froctor, agent, corporate off:cer,: ........................ etc ) of said owner or owners, and is duty authorized to perform or hove performed the said work and to make and fife th s opp cot on that o statements contained in this oppl cation ore true to the best of his ~nowledge and belief; and that the work will be performed in the manner set forth in the application flied therewith. Sworn to before me this j ~ ~ · Not_.~ary Public,. ...... ;"~.h ........... ~k~_~/~. County ................... ~'7'" ......... £LITABETI~ ANN NEVILL~ '" NOTARY PUBLiC,State of New York / No. 52-8~25850, Suffolk Term Expires March 30, I.~. / FOItM lqO. 1 TOWN OF $OUTHOLD BUILDING D£PARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined Approved ........................ ~I ...... ;.~.../.., lg~..~.~?Permit No.../~'.......i ............... ; ......... Disapproved o/c ........................................... ~. ....................... (Building Inspector) ~ ~.. APPLICATION FOR BUILDING pERMIT INSTRUCTIONS a. This application must b~ completely filled in by typewriter o¢ in ink and submitted in triplicate to the Building Inspector, with' 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shewing location of lot and of buildings on premises, relationship to adjoining premises or public streets or ar, eas ,and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 'c.' -The ~vork covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 MADE to the.Building Department f~)r the issuance of a Building Permit pursuant to the Bud ng Zone Ord nonce of the Town of Southold, Suffolk County, New York,~m'~ther applicable Lows, Ordinances or Regular ohs for the construct on of buildings additions or alterations, or fo~mova~ or demotion, ~erein described. The applicant agrees to comply with all applicable laws, ordinances, buildi~ code, ~ousing c~, an~gulations, and to (Address of ~pplicont) Store whether oppl~is ownor, less~mhitect, en~ineeh Oenerol contractor, electricion, plumbor or buildor. Nome of owner'~';;~lises ....~ ......... ~.~.~.:~...~....~*~:~.~.~:..*.:*.~..(~.~. .............................. If applicant is ~ co ~0oture of duly authorized officer. , , (Name~ nd title o~ff~er) Builder's License No ..................................................... Plumber's License No .................... ~ ............................ ,' ......... ........ Other Trade s License No ...................... 1. Location of land on which proposed work will be ~one, Map~o,; ........................................ Lot No ............. ~. ....... S-reet and Number ~.~..~.~.~ ........ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........... b. Intended use and occupancy ............ ~.~ .......... ~ ................. ~..~ ................................... 3. Nature of wark (check whmh apphcable): New Building'. ................. Addition ....,~ ....... .~... Alterahon ............... · ~)///- j ~ ~ (Description) (to be paid on filing this application) 5. If dwelling, number of dweJJi~g~its ....... :,,,,.,....~. .......... Numbe~ of dwelling units on each floor ......... ~.: ............ If garage/number of cars ................... [ ~ ~ ...... ~ ............................................................................................................. 6. If business, commercial or ~ixed occupancy, specify nature and extent o~ ~ch type of use ......................... , Height ....... ': ....... ~....;... Number of Stories ............ ( ............................................................................ ~ ................. Dimensions of same structure jwith alterations or ~dditions: Front ..... ~.~'.~.~ ......... Rear ............................ Depth ......................... Height ..... z.; ............. , ...... Number of ~to ms ................................ 8. D mens ohs of entire new construction: Fron ..~ .... ~ ............................... P I Height .................... Number ,of Stones .......................................................................................... ~.~..~ .......... Zone or use district .... In wh.ch'~rem ses are s tuated ......... .~ .......~..~ ........................................................ . ~ ........ i2. Does proposed construction vidlateq any zoning law, ordinance or regulation: ......... ~,...~. ............................... 13. Will lot be regraded ...~¥. .......... Will e~cess fill be r~oved from premises: ~ Yes ( ) No Name of Architect ................ ~ ............................................. Address ................................Phone No ....................... ~ ' J PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed~ and indicate ali set-back dimensions from property lines. Give street and bloCk number or description according to deed, and show street names and indicate whether interior or corner Jot, J~ (Name of individual signing contract) [ above named. He is the .......................................... , ............................................................................................................ (C~tractor, agent, corporate officer, etc.) of said owner or owners, and is dui authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application ore true to the best of his ~nowledge and belief; and [Tzr~h~o;:~,; :i}~:~rrformeO in th~ manner sot fo,h in the application filed therewith. [LIZAB~H ANN N~ILLE / NOTARY PUBLiC,State of New York J No. 52-8t25850, SulfoJ~ Co~ Term ~xpmtes March 30,