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Home My WebLink About19300-zFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19975 Date JUNE 13, 1991 THIS CERTIFIES that the buildin~ Location of Property 655 MATTHEWS LANE House No. County Tax Map No. 1000 Section 84 Subdivision ACCESSORY CUTCHOGUE, N.Y. Street Hamlet Block 1 Lot 18 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1990 pursuant to which Building Permit No. 19300-Z dated AUGUST 6, 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 FENCE ENCLOSURE. 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 DANIEL & EILEEN McCANN N-188957 - MAY 29, 1991 N/A lro~ NO. ~ TO~ O~ SOfT'OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, F. MISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N*_ ';9:500 Z pursuant to application dated ........ ./..//~.~.~. / Building Inspector. 19..~..~,, and approved by the Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIF%CATE OF OCCUPANC 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-? 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unssual 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. 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 :ew Construction ..... ..~.... Old Or Pre-existing Building ................. ,ocation of Property...~'.'~'!-~ .......... .~...~..'~..~.~d~...~}.~ House No. Street Hamlet ty )nwer or Owners of Proper ............................................... :ounty Tax Map No I000. Section .... .~.C ..Block ...... / ..... · ... .. . .Lot...................... 'ubdivision Filed Map Lot 'ermit No l'~' ~''~'P' ~a'te Of Permit ...... · ............... Applicant ............................ . Iealth Dept. Approval .......................... Underwriters Approval..., ...................... 'lanning Board Approval ............. . equest for: Temporary Certificate .......... Final Certicate.../ Submitted: TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECrOR P.O. BOX 728 TOWN tlALL SOUTIIOLD, N.Y. 11971 March 27, 1991 TEL. 765-1802 Daniel & Eilean MeCann 655 Matthew Lane Cutchogue, N.Y. 11935 To Whom This May Cogcern, We are unable ko complete your Certificate of O?upancy because.of the following reasons. -/~ AnA application for Certificate of Occupancy _/~S// not on file. ' (ENCLOSED) /_~/No Underwriters Certificate on file. The check is(d~X~d~X~dg~/not on file.) $25.00 No llealth Dept. Approval on file. No final ins.pection has ~een made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I~ I 9 3 0 0 Z Buildj. ntI Dept. ***/5/ No Plumber Solder Certificate on file. all permits involving plumbing being issucd after April 1,1984 FIELD · ......... FOUNDATION (1st) FOUNDATION [ 2nd ) ROUGH FRAME & .PLUMBING e INSULATION FERN. STATE ENERGY CODE FI;;AL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ F~INAL REMARKS: ...i ,,~luMEDIATELY" · I~v-'*'"SE!NGLU poOLfO co. oE EN pLETION N cOM ,, IJ~EO~oRE OCCUPANCY OR' USE; J$ UNLAWFUL WffHOUT CERTiFiCATE OF OCCUPANCY SURVEY FOR D~NI£L V, McCAN~I 8 ~IL~EN McCANN lOT ~ "MAP OF NORTHWOOD$' ~ CUTCHOGUE TOWN OF SOUFHOLD SUFFOLK COUNTY, NEW YORK DATE : MAY 17, 1978 SCALE: 1"=40' NO. : 7'8-277 N UNAUTHORIZED ALTERATION OR AD01TION TO THIS GUARANTEED TO: SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YOR~< STATE EDUCATION LAW SOUTHOLD SAVINGS BANK ~COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR*S INKED SEAL OR EMBOSSED SEAL SHALL SECURITY TIT'L£ 8 GUARANTY CO. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCYAND LENDING ~NSTITUTION L~STED TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT · N-DISTANCES SHOWN HEREON FROM PROPERTY LINES ~, DEPT. SOU'mOLD FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMFNT TOWN HALL ~OUTHOLD, PJ.Y. 11971 TEL.: 765-1802 Examine ................ , 19 Approved .... ~...:.., l~?~. Permit No/~. ~.~ .~/ Disapproved ale .............................. ~q ~ ~ ~4 ~ ..... ~'. . "IMMEDIATELY,~ BOARD OF HEALTH 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC FORM ............. NOTIFY CALL ~(~i~ i?~.1~ MAIL TO: 1 ~..~_- INSTRUCTIONS Date ................ ,19 .. 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 lhyout of property must be drawn on the diagram which is part of th. is appli- cation. ¢. The work covered by this applination 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 throu~mut the work. e. No building shaft be occupied or used in whole or in part fpr 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, a,d, ditions or alterations, or for/'emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin~ code, and regulctions, and to admit authorized inspectom on premises and in building for necessary inspections. (S,gnature ot apphcal~ f~l~l&A~r351~t%ranon) ~,~ ~ ..... ~ ,~.'" , - . State whether appll~h~t i les~e, agent, ~chit~ct, endneer, general co t~ic~.,~pJu~ or budder ....................................................................... ~4W[~h."~~ :.~ ; ~,h'?.~,t r ...... Name of owner of premises I ~, ~ ~ ~ .~ (as on the tax roll or If applicant is a corporation, signature of duly auttmrized officer. .............................................. OOCU " (Name and title of co~orate officer) ......................... qiIHOUT CERTIFICATE ' ....................... 0F OCCUPANCY Other Trade's License No ...................... ' 1. no~,o, or~,o o, ~hi~ p~o,o~ ~o~k wiil u~ ~o~. ~ .,...,,,~,~. ...... ~ ............. ~eS.~ House Number Street Ha~nlet ¢County Tax Map No. 1000 Section ~ Block / Lot, / ~,,,~o,..~..~.~... ~e~o,3.s. ....... ~,~,,~,,,o. ~C.? ....... ~o, .... ~.~ ..... (Name) State existing use and occupancy of premises and intended usc and occupancy oF proposed construction: , ............ ............. ~.. ~ ..... 3. Nature of work (check which app i~able). New n..~,:-. ' ...... - ~ ': , t escfiption) 4. Estimated Cost ............. ~ ........ Fee (to be ~aid on filing ~ts application) If dwelling, number of dwelling fl ' 5. un'ts .............. Number of dwelling units on each floor ............... If garage, number of cars ....... ~ ............................................................. 6 lfbui i I i d ~ ify at~e. ndext ' · sness, colnmerca ormxe occupancy, spec n a cntofeacht eofus 7. Dimensions ofexistin~stmctures fany Front $ ~'. ' R~r ~/ e ........ ~ ....... .............................. Depth ............. Height ............... Number of Stories .... / , . Dimensions of same structure with~ alterations or additions: Front .. ~~ .... Rear ............... Depth ..... ~ o ..... ' ......... --e~$~t .................... Number of Sto~s ......... o. ~unenmons mennre new constm4tion. Fro-* ~ . ~ ~ - %'~ ......... ~,,;o~,~ 3'L - // ,, ~ ' ' ........ ~ ....... ~ear ..~ ......... Depth ..(~. ' "~ ..... ~...* ........ aumberofStnfio~ ~ ~'" '~ '" 9. S:zeoflot: Front ... ~. [ ...... ~ ........ ~'$ &'t .................... ,~ ~ ,, ~' ~ ~ ........ ~xear ...... ~, ~,~ , Depth ~ oate orvurchase ~,~/.~., IV- , ............ ~ - ~'~ ......... . . . , ...... Name of Fo~er Own . ~ ~ Zone or use dmtnct ~n which ~rem~ke~ ~ ~;+,,~,~n ~3~l'~'v ~'1~~ ........ ~. ~oes proposes construction vi~.~a ....... : .... ~~x~~ ........... 13. urn, ,~., . _ ~X ""~t~umngAaw, oramanc~ or regulabon: . . .~t~t)~2;'~l;2~. . . ,,m :u~ ue regraaea ...~ ~ Will excess mi h ........ ~A~ 14. N~e of Owner of prom,sos ~4~...~.g.~8. Address .~6 C. ~k95..~Zne N~e of Architect S=~ of Co~=o~o~ P~GiZ W~3)~ ......... aaa=, ................. ,... pnon~ ~o ................ · ', ' .... ;:k· Address )~,~k ~S~ Phon= No. 15.Is thxs property located wit&in ~uo feet of a tzdal w~t~nd? *YES .... NO.~' · If yes, Southold Town ~Trustees Permit may be required. PLOT DIAG~ Locate cle~ly ~d distMctly ~1 ~uildMgs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block n~mber or description accordMg to deed, ~d s~ow street n~es and ~dicate whe~er interior or corner lot, ~PF~T INCLUDES A~ROV~. TO REMOVE EXCE~ FILL .' ~.~, ,:/: .?:. , ~, FROM ABOVE PREMISES ' O~AY C~U~N ~' G~a,.v.' 3 LOT FEE: ~B _. 76~-1802 9 AM TO 4 ~ FOLLOWING INSPECTIONS: I. FOUNDATION - 1WO REQUIRED FOR POURED CONCRI~'E ! 2. ROUGH - FRAMING & PLUMBII~ 3, INSULATION 4, FINAL CONSTRUCTION MU~T BE COMPLETE FOR C.O, ALL CONSTRUCTION ~HALL MEal' THE REQUIREMENTS OF STATE CONSTRUC ON & co s..or RESPONSmU: t'O" O S,oN oR coNs uewo. "IMMEDIATELY,, ENCLOSE POOL TO CODE UPON COMPLETION flEFORE "WATER" STATE OF NEW Y_ORK~ t.C,..~ i S ' COUNTY--I~ ./, ,~,, ,~'~...~ .... :. ~. ........ , .............. (Name of individual signing contract) above nam'ed. ' (Con tractor ........................................ , , agent, oorporate officer, ~f ~9id ?Xvner or owner ' ~, and ~s dul~ authorized to perform or have performed the said Xvork and to m~e and file this ppncatmn; that all statements contained in this application are true to the best of his knowledge and belief; and that ~he work will be perfo~ed in the m~nei set forth in the application filed therewith. Sworn to betbre me this · .... or;. A .q.. 9o f ~LD F.A~TE.. ~ Pu~, ~e ol New No 01AB47~g, 8ullo~ ~y (Signature of applie~t) being duly sworn, deposes and says that he is the applicant