HomeMy WebLinkAbout19132-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19279 Date
AUGUST 7~ 1990
THIS CERTIFIES that the building. ACCESSORY
Location of Property 1455 CEDAR BEACH ROAD EAST
House No. Street
County Tax Map No. 1000 Section 92 Block 1
Subdivision Filed Map No.
SOUTHOLD~ NEW YORK
Hamlet
Lot 4
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 14~ 1990 pursuant to which
Building Permit No. 19132-Z dated JUNE 14, 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 ATTACHED DECK
WITH FENCE ENCLOSURE.
The certificate is issued to
of the aforesaid building.
OLGA LEE
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-610855 - JULY 26, 1983
N/A
uilding Inspector
Rev. 1/81
~o~ NO. ~
TO~N OP $OUTHOL~
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLk-TION OF THE WORK AUTHORIZED)
No_ ~1~2/ Z
Permission is hereby granted to:
, --...~..-~-.~.~....4~.~....~ ...... ~.~.~- ~
,o
........................................................ ~~~ ....................................................................
County Tax Map No. 1000 Section .......... ~......~...... Block .......... ./.. ........ Lot No ............... ...~,.....
pursuant to application dated .......... ~./.~..~.. ................................ , 19..~....~., and approved by the
Building Inspector.
Fee $....,/.. ~Z~
Rev. 6/30/80
.I
~o~m No. 6 ~
TOW~N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
i ' ~PPLICATION FOR CERTIFICATE OF 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 buildinga, property Lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept.· of water supply and sewerage-disposal(S-9 furm).
3. Approval of electrical installation from Board of Fire Underwrite~a.
4. Sworn statement from plumber certifying that the solder used in system contains
~ less than 2/10 of 1% lead.
5. Commercial building, indus~trial 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.
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. UpdaL~d Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... . .~... ~...~. ,/. ~..~.~ ..............
· ,ew Construction ............ Old Or Pre-existing Building ........ '~--' .......
~ treet Hamlet
Onwer or Owners of Proper .. . ......... · ............................. ..... ...... ..
County Tax Ma'p No 1000, Section .... ~ -, · /. .~.
bdi~i i '
............. Filed Map ............ Lot ......................
~ermit ~o../.f../~.~. ...... Date Of Per. it... ...... .£...Appiicant.
II lth pt App 1 ,
ea De . rove .......................... Underwriters Approval ..............
App 1 . ""
anning Board rova .................... '
Request for: Temporary Certificate ........... Final C~erticate..,..~. .....
'
toa3/ . . ..... ///.. .
/ ~ ' .: .....................
PLICANT .
FIELD INSPECTION COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
INSULATION PER N.
STATE ENERGY
C,ODE
FINAL
ADDITIONAL
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000378 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
~g J~O.y 26, 1~8~
THIS CERTIFIES THAT
only the electrical equipment as ~scribed belo~ and introduced by the applicant named on the able application number in the premises of
Olga I~o~ ~ ~a~x 1~.~ ~u~hold~ N~Y~
i,, ~ae foUo~n~ ~o~t~on; ~ ~m~,,t ~ ~st rt. ~ ~nd r~. ~t~ide s~ction ~o& rot
w~ examined on ~.y ~ ~ [~ and found to be in compllance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
~YSTEMS
SERVICE DISCONNECT
].-G.F.G.i.
S E R V I C E
~v~_.~_$,.L' 'l~nis certificate covers ccmpliance at the date of ln~ction only.
Becau~ of unt~ual environments it is ~dvisable to h~ve frequent %est ~md/or repairs
nm~te by ~ qualified persc~.
Cb~uffu,~ M. t~all Electric~ Inc~
760 Lol'~' C~ceet~. Drivo
~outl~ld, N.Y~ 11971
L~c#657
This certificate must not be altered in any mann~r; return to the office of the Board if incorrect. Inspectors may be
by their
COPY FOR BUILDI?G DEPARTMENT. JOT BE ALTERED IN ANY MANNER.
INSPECTION
765-1802
BUILDING DEPT.
[ ] FOUNDATION 1ST [~ ] ROUGH PLBG.
FOUNDATION 2ND [ ] IN/SULATION
FRAMING ~r ~FINAL
TOWN OF $OUTItOLD
OFFICE OF BUILDING IN~'PECTOR
P.O. BOX 728
TOWN HALL
SOUTItOL~), N.Y. 11971
July 31, 1990
TEL. 765-1802
Ms. Olga Lee
17 Homewood Lane
Weston, Ct. 06883
TO Whom This':May Co¢cern,
We are unable ko complete your Certificate
of Occupancy because.of the following reasons.
/--//An_ application for Certificate of Occupancy
is not on file. (ENCLOSED)
/~//~o Underwriters Certificate on file.
/~ Tile check is~~not on file.) $25.00
/5/ No llealth Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation'.
Building Permit It I 9 I 3 2 Z
Building Dept.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
looued after April 1,1984 )
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 7654802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 2, 1990
Olga Lee
1455 Cedar Beach Road East
Southold, N.Y. 11971
RE: Inground pool B.P. ~11951Z
Dear Ms. Lee:
I am writing to you regarding the above building permit.
This permit was for an inground pool. This permit requires an
inspection and a Certificate of Occupancy.
You have never called for an inspection of the pool. Your
permit has expired. You are in violation of the Code of the Town
of Southold.
Please contact our office immediately to remedy this situ-
ation. Thank you.
Yours truly,
Secretary
FORM NO. 1
TOWN OF SOUT',-iOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
(Buil'ding Inspector)
APPLICATION FOR BUILDING PERMIT
Date ' ' .... , i9
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi
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 stre~
or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part ~this apl
cation.
c. The work covered by this application may not be commenced before issuance of Building Pe~it.
d. Upon apprc.'al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such peru
shall be kept on the premises available for inspection throughont the work.
e. No building sball be occupied or used in whole or in pa~ for any purpose whatever unffi a Certificate of Occupan
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Bnilding Department for th~ issuance of a Building Pe~it pursuant to t
Building Zone Ordinance of the Town %f Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, fos, the constructiou of buildings, additions or alterations, or ~moval or demolition, as herein describe
The applicant a~rees to comply with all applicable laws, ordinances, bui~ng c~de, housin~code~d regulations, ~d
...... (Mailing address of
State whether applicant is owner, lcsse~architect, engineer, general contractor, elect~cian, plumber or build
N,'une of ownegofprcmiscs . . .k.~..t.,..~. 12 ..... ~...."t~...'~__~. .......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License Ns .........................
Elaetr,cian's ,ee se- .......
Other Trade's License No .... . .~....~.. ...........
· Location of land on which proposed work2,viIt be done ...............................................
House Number . Hamlet
County Tax M~..~X/o. lOOOSection ~..~.¢~ .... ;.. Block ..... ~.(,..:,. Lot,.O::.~ ........
Subdivision.; .~ ~':~:~.:~?,~ f'~ ~(.~:~ .~:~ilea Ma; ..... ~.~:' ..... Lot ....
2. State existing use and occupancy o~remisCs and intended usf and occupancy of proposed construction:
a. Existing use and occupancy ...~.~...~ ................................................
3. Nature of work (check whlcl, applicable): New Buieding .......... Addition .......... Alter~ion ..... ' ....
Repair .............. Rqmoval .............. D,~mo ition ............. Other Work/~./. ~..~.~.
Estimated ost ....................... ee ....
,...... (to be paid on filing this application)
If dwelling number of dwellii~g units Number of dwelling units on each floor
If garage, number of cars .............................................................
L If business, commercial or milked occupancy, specify haturc and extent of e~h._50 type of use ....... .)~. .......
~. Dimensionsofexistingstruct~res, ifa,dy Front i .~.q .... Rear .... { ......... Depth ..........
Height " Nhmbe'r o! Storms
Dimensions of same structure[ with alterations or additions: Front Rear
Depth ' Height Number of Stories
Height ............... Npmber of Stories ................................... - "-
~. Siva oflot: front-..- - -.--: i~16~i ¢''' ~";' ....../.q ?~ar ...................... Depth .................
). Date 6fPurchase .~./~ ............... Name of Fom~er Owner ........................
I.: Zone or use district in which premises are situated ...... ' ........................... :-. .............
2.":"~)oes propos"d construction violate any zonin* law, ordimnce or re ulation' . . ~
t. g, lll lot be regraded . ~ .~..I...' .................. Will excess fill be removed from premises: Yes N~
*. Name of Owner of premises .C~l.~..~ ..... Addrcss~L-./~.&~.]( -3.?.~./.~. PhoneSo ~7~.-.5~,2..J."7
NameN~e of Architect . ~.//;...I .... ~','2 ' 7.O'_' ~..U ' ' Address ...... ; .....~. ....... Phone No ........ w..,. :. ·
of ContractorOtlt~'~'~, ga','~-t' *-.o.?at,~'' ".. AddressO3~'//5/J/J,~..l.~.../2/~fi/'.. Phone No~,,~/~,',~'.
PLOT DIAGRAM
Locate clearly and distinctly ¢1I buildings, whether existing or proposed, and, indicate all set-back dimensions fron
roperty lines, Give street and bloqk number or description according to deed, and show street names and indicate whethe
.terior or corner lot.
TATE OF NEW YJ~RK,nt~ II.,
OUN~Y OF ~2~ 0 ~..'J~.l 1<.. ,a.~ .
(Nanie of imlMdual si~ning contract)
>ove named.
e is the
~ (Contractor orporate officer, etc.)
f said bwner or owne~, and is &fly authorized to perf~or have performed the said work and to m~e and file fl~is
>plication; flint all statements con, rained in this application are true to the best of his knowledge and belief; and that the
'ork will be performed in the ma mcr set forth h~ the application filed therewith.
worn to before me this ~ ~
....... ~. ............ ~ ~... .,
~y,b%.~.~.~9~C ..... ~.,... ~.. co,,nty /