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Home My WebLink About19550-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Insp'ector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20384 Date NOVEMBER 29, 1991 THIS CERTIFIES that the buildin~ Location of Property 195 MATHEWS LANE House No. County Tax Map No. 1000 Section 84 Subdivision ACCESSORY CUTCHOGUE~ N.Y. Street Hamlet Block I Lot 15 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 26, 1990 pursuant to which Building Permit No. I9550-Z dated NOVEMBER 29, 1990 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 ACCESSORY INGROUND SWIMMING POOL WITH DECK AND FENCE AS APPLIED FOR. The certificate is issued to MICHAEL FINNICAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-184981 - APRIL 26, 1991 N/A · /~ldin~ Inspector Rev. 1/81 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y* BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 1~550 Z Permission is hereby granted to: , ~, ..... t....~..~': ........ ~...~...~. ...... ....... ~~~...~..~ ........... ~.~.~... ~.o ..~.:.:~,....-~.,,,-., ...... ~.~.,..~_~.~..~.~.~ .......................... ~.~, ........................... ~.~..~ at pr~m~ I~t*d ~t .J. ............ Coun~ To~ Mo, No. ,0oo Sec,on .~...~.~.~. ...... Block ...... .C~..I .......... Lot No ..... ./.. ~. ............. pursuant to opplJcotion doted ..... ~...~.,...~L..,,~,..~. ...... , 19..~...b.., and approved by the Building Inspector. ~ee ,..~..~.'. ~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OP OCCUPANCY .\. 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/I0 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. 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 i. 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 - $iO.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certifisate of Occupancy - Residential $~5.0~, Commercial $15.00 / Date ... ::aw Construction .......... Old Or Pre-ex.i~ting Building ............ ' Location of Property. i .~.~ ,.~.. ~'7"t~.~&/_.~ /.~L House No. Street Hamlet Onwer or Owners of Property..~..,..~......~.....~?-~..~. /. County Tax Map No 1000, Section ......... Block .............. Lot .................. Subdivision .................................... Filed Map ............ Lot ...................... /f~" '~' '~ ' '/-//.P%../':~-- .~.Appli ~.'~ .~.~ · Permit No ..... Date Of Permit. . cant .................. !{ealth Dept. Approval ....... i.~..e ............ Underwriters Approval ........... ~/.~.~.. ~..~.f Planning Board Approval ..... .~/..../~. ............. Request for: Temporary Certificate ........... Final Certicate ...........~. Fee Submitted: $ .... ~..4 .~., ................ ~,.c, ~o~q .... . .............. :.. c o e o~o3~e-/ FOUNDATION ( ls t) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMEN~S: .,,.- z- THE NEW YORK BOARD OF FIRE UNDERWRITERS P~: ),~ ] 000 :}F~ BUREAU OF ELECTRICITY ~ ES JOHN STREET, NEW YORK, NEW YORK 10038 Date ]k?~f~, ~(~:~qJ AppllcatlonNo. onfile ~]~/"~' ~'~ ]~9[~ THIS CERTIFIES THAT in thefollowlng location~ ~ Base~e~t ~ Ist Ft, ~ 2~ F~. )[P~' Section Bt~k Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS FANS FLUORESCENT OTHER ORY£RS SYSTEMS NO, OF FEET OTHER APPARATUS~ E R V I C NO, OF CC COND PER ,E A, WG OF CC. COND NO OF HI-LEG A. W. G NO OF NEUTRALS A. W G OF HI.LEG OF NEUTRAL GENERAL MANAGER Per i ! This certificate must not be altered in any manner; 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 blOT ,~E ALTERED IH AMY MANNER. INSPECTORS Victor Lessard Principal Building Itupector Curtis Herren Senior Building Ittspector Thomas Fisher Building l~pector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD NOVEI~gR 15, 1991 lfICI~'L FII~ICAN 195 I~'I'~IS LANE C[ITCBO~3uE, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ 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 Pluduber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19550-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ]' FOUNDATION 1ST [ ] ROUGH PLBG. [ J ~ FOUNDATION [ ] FRAMING ZND [ ] INSULATION [ ~FINAL ' REMARK~~ DATE INSPEG?TOR ~ Poi~nt ~ pob~t- the fi, nest ~l avai~ble standards only Soil ~anng conditions, water tables and I~al bulldlnCj codes SUFF. CO. H£ALTI.'I DEPT. APPROVAL I ?,AF DF LOT Z SUFFOLK COuN=Y ,',,I^P N0.~=~469_- SUFFOLK COUNTY HEALTH Tho ~ ';'".' ~ · '.:'J ~". ,-',~'r Bu~pl~ / LANE 5UFFOLJ< CC). TAX M.~,D' DESIGNATION; DlSJ',tCCD, SECT:0~J., BL.!,LOT 15 FOR APPROVAL OF CON. I'.U~ON ONLY RODwR¢CK VAN TUYL P. C. ~- ~ooL I FORM NO. 1 TOWN OF sOUTHOLD BUILDING OEPARTMENT TOWN HALL ,.,cO U TH Q. LD., N-¥o TEL.: 7G5-1802 ~a,,,ined .~l...~,~....L~.. ~.,,., BOA,RD OF HEALTH ........ URgE .......... SEPTIC FORH .............. t;OTIPY $ CALL ................... HAIL TO: 4..4~....-~..~ .. (Building Inspector) ...... iI [\L~i ~-~,-~'~ ~l APPLICATION FOR BUILDING PERMI{T .1-~ ~ouTHOL~ J ,¢ INSTRUCTIONS a. This application most be completely filled in by typewriter or in ink and submitted to the Building I~p~tor, wit2 sets of pinna, :~'~',,rat~ plot plan to scale. [:ce a'ccording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sire or areas, and giving a detailed description o£ layout of property must be drawn on the diagram which is patz of tkis apt: cation. c. The work covered by th/s application may not be commenced before issuance of Dui/ding Permit. d. Upon approval of this application, the Building Inspector wiJl issued a Building Permit to the applicant. Such perrr shall be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose ~vhatever until a Certificate of Occupant 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 tl- Building Zone Ordinance of tile Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of buildings, additions or alterations, or fol' removal or demolition, as herein describer The applicant a-,zrces to comply with all applicable laws, ordinancc_.,~-l~ldi~.g code, ho~sm~ code, and regulations, and admit authorizec~ inspectors on premises and in building for necess~Cry insp~t~on.~ · . (Si&pJ~.~e ot atpt~14~nt, or name, if a corporatmn) State whether' applicant is owner, lessee, agent, architect, cng/acer, genera]F'~iectrician, plumber or builder (as on the latest deed) ' If applicant is a corporation, signature of duly authorized officer. (Name and title of corpora e er Builder's License No ........................... Plumber's License No ......................... ~lcctr~cian's Lice.~e ~o. ~'7 7. Other Trade's Liccnze No ...................... I. Location of land on which proposed work will be done; ,,o.~= .............................. ~.,~,. s,;~;,__. '"'"'"' ' ............................... " .=,.~~__' ' .. ~ ...... Block ........ Lo~ ...... ~ Subdlv~on ..................................... ~B~d M~p No. Lot A. Existing use and occupancy ................................... ~I~-..J,.~ffi~J~. _...~.~ .......... B. Intended use and occupancy.' .............................. ~.~,~l.o-:ij.*,-.~,4~tlm"~'__'"~ ........ 3. Nature ofxvork (check which applicable): New Build/n; .......... AdditiGn .......... Alteration .. :/ ...... Repot' . ............. R~moval .............. Demolition .............. Swimiaing pool...~. ..... Tennis Court ......... Accessory Building .......... Fence ....... Other Work; .......... 4. Estimated Cost ........... '~,.~..~..'.q'.-~. ................. Fee ..................................... · (La bc paid on filing this application} $. Il' dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ I£ garage, nun bet of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type or use ..................... 7. Dimensions o/existing structures, ir any: Front ............... Rear ............... Depth ............... Hclght ............... Number of Stories ........................................................ Dimensions o£sam¢ structure with alterations or additions: Front ................. Rear .................. Depth ...................... tlcight ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Heieht Number of Stories ' 9. Siz; of Iot~a~i .......... Rear .......................... .................... Depth lO. Date of Purchase .............................Name of Former Owner ............................ 1 I. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate any zoning law. ordinance or regulation: ............................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Ye: .... .',,. 14. Name of Owner of premises ............... .~ .... Address ................... Pltone No ............... Name of Architect ........................... Address ................... Phone No ............... Name of Contractor ................. i ........ Address ................... Phone No .... ; .......... IS.Tm ~b. im property Located within 100 feet of a tidal wetland? *YES .... NO .... mil yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly MI buEdings, whether existing or proposed, and. indicate all set-back dkner.:ior.~ property lines. Give street and block number or description according to deed, and show street names and indicate interior or comer lot. APPROVED AS NOTED FOr t OWING INS~EC I ii 2. ROtJGN - F~A[',~N~ a ?'_', 'M-~I'';~ 3. INSULATION 4 FINAL CO~i~IRUCTk~, ~v:'~7 BE COMPLETE FOb C O ALL CONSTRUCTION SH~LL MEET THE ~E~UI~EMENT~ OF TNE N Y. ~TATE CONSTRUCTION · ENERGY CODES. NOT RESPONSIBLE OESIGN OR CONSTRUCTION ERRORS STATE OF NE',}A~t'ORJ~ I f ~ ....--' "-- ' '~ /~./.~///~ ~-~ -.,~---./../~..A/./C~ ,~ being duly s,vom, deposes and says that he is the appliz:: (Name of individual stgnmg contract) above named. He is tile ...................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfo~ed the said work and to m~e and file th application; that all statctnents contained in this application are true to thc best of his knowledge and belief;and that t:: work will be perforated in tile m~ncr set forth in thc application filed therewith. S~vom to before mc this / , ' ' ., ............. ..... ·