HomeMy WebLinkAbout19173-zFORH NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20953
Date AUGUST 19, 1992
THIS CERTIFIES that the building.
Location of Property 645 WAVECREST LANE
House No.
County Tax Map No. 1000 Section
Subdivision
ACCESSORY
Street
Block I
Filed Map No.
MATTITUCK~ N.Y.
Hamlet
Lot 41
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JIrNE 29~ 1990 pursuant to which
Building Permit No. 19173-Z dated JULY 2, 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 ABOVE GROUND SWIMMING POOL & DECK WITH FENCING
AS APPLIED FOR.
The certificate is issued to
of the aforesaid building.
RICHARD & CAROLYN MENARD
(owners)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H~030378 - AUGUST 7~ 1992 .
PLUMBERS CERTIFICATION DATED
Rev. 1/81
TOWbl OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUffLDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Ne 191 73 Z
Permission is hereby granted to:
..~.:/..~....~ ~.~...~..~ .........
~'.'1' II~_C~
,o ...~~.....~.....~.~...~.=...~....~.~...~
................................ ....................
~, ~,~,,,, ,~ ~, ....~.~.~....." ~ ~..~~' ~ ........ ~.~ ......
County TaX Mop No. 1000 Section ..... J..~ ........ Block ..... .~....]. .......... Lot No .......C~...~..I ........
pursuant to application doted ...... ..~. ~.......~....~ .................... , 19.~..~.., and approved by the
Building Inspector.
/
Fee $ J ..'.'~.I~.'... -..~:......
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTIiOLD
BUILDING' DEPARTMENT
TOWN IIALL
765-1802
APPLICATION FOIl 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:
I. 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 2/10 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-exlstzng" land uses:
1. Accurate survey of property showing all property lines, streats, 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, Accemsory 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 - $I0.00
4.Updated Certificate of Occupancy - $50.00
5.Temporary Certificate of Occupancy - Residential $15.00, Co.~arcial $15.00
f .4 '
~;ew Construction ...... Old Or Pre-existing Building .................
Location of Property..~.~..~. ..~.aV~C ~ ~v~ ......... ~,/~.7/"/ U
........ z-~. ~.. ~ ......... ~. :.c_~ .....
House No. Street Hamlet
or O n rs of ........... ,.
0ounty Tax Map No 1000, Section.../a.~. ...... Block...~./ ..........Lot...O.~.L .............
"ubdivisxon
· ' ............................... Filed Map ............ Lot ...............
Health Dept. Approval ..... t/ ~.O~q.~.2~'
..................... Underwriters Approval ............ .,
?fanning Board Approw~l ....................
7, equest for: Temporary Certificate ......
'ce Sobmitted: !.° .............
..... Final Ccrticate. ~
...... THE NEW YORK BOARD OF FIRE UNDERWRITERS
~}~[~ BUREAU OF ELECTRICITY
I-- 85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CERTIFIES THAT ~R~' NO, 191732
only the electricgJ equipment ~ ~scribed below and intr~uced by t~ appl~ant ~med on the a~ve application number in the prorates of
and found to be in compliance u' th the requirements Qf this Board.
Lot
FIXTURE
OUTLETS SWITCHES NCANDE$CENT F~UORESCENT
FIXTURES RANGES
OTHER
DISH WASHERS EXHAUST FANS
DRYERS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
OTHER AP~R~US:
*(SWiMminG POOL} This certificate
covers co~olia[tce at the date of
inspection <>al?. Because o~ tlasmlal
environments it ts advisable to
h-ave frequent test/and or repair~
made by a qualifiod person.
E V I C
NO, OF CC. COND
pER ~'
R
A, WG
OF CC. CONO
NO. OF HI-LEG
E
NO. OF NEUTRALS
GENERAL MANAGER
{U
Per 1 1
This certificate must not be altered in any manner; return to the office of the Boar~ if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE- ALTERED IN ANY MANNER.
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
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
15, 1992
RICItARI) & CAROLYN 1,flgNARI).
645 WAVECRES~ LANR
liAITIlllCK, 1~ 11952
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 Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD
1.
FOUNDATION ( 1 st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
"'IMME~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CEIrflIrlCATE
OF OCCUPANCY
APPROVED AS NOTED
N~ BUILDING DEPARTMENT AT
765-1~2 9 AM ~ 4 PM FOR THE
FO~O~NG INSPECTIONS.
~. 6OUNDAT~N ~O REQUIRED
~R ~UREO CONCRETE
2. ROUGH - FRAMING & PLUMBING
3.
4. FINAL CONSTRUCTION MUST
BE COM~TE FOR C.O
A~ CONS~C~ON SHALL MEET
~E R~UlR~E~S OF THE N.Y,
~A~ CON~u~ION & ENERGY
C~[ N~ ~S~NSIBLE FOR
DESIGN OR ~ST~CTION ERRORS
37
LOt
Lot
SUFFOLK COUNTY T4,~ MAP
D/St lO00 SE'CZ"/O0 ~LK.,I LOT 4~
~ ~ MONUM~N~
.,~ws~oas YOUNG & YOUNG
MAR. 21, 1'988 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
AL.D~*'N W. YouNG HOWARD W, YOUNG
SU~4EY' FOR:
R/CHARD'A/ 8 ~At?OL'YN K MENARO
LOT NO. $~, 'SAL TAIRE ESTA TE~'"~'~..
TEL.: 765-1802
Examined .... ~ .... 19 .~ .D
^pproved 19 .o. Permi, No..tn?.
Disapproved ale .....................................
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTItOLD. N.Y. 11971
BOARD OF HEALTIt
3 SETS OF PLa:~$ .O.~R~,.
NOT[FY ~
CALL
..................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Buildim~ ImPector, with
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 prem~ or public streets
or areas, and giving a detailed description of Dyout of property must be drawn on the diagram whichi~irm,.l: of this appli-
cation.
o. The work COvered by.th/s application may not be commenced before issuance of Buildm- Perm
d. Upon approval of this application, the Buildin- r ...... . ~ . . ' ~. il' · '
shall be -.-=, mspemor wm ~ssucu a uuilding Permit to the applfi:anL Such permit
kept on thc premises available for inspection throu2~out the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Cc~4ific~e of Occupancy
shall have been granted by the Building Inspector. '
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pelmit Imrsuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lawn, Ordinances or
Regulations. for the construction of buildings, additions or alterations, or for ~:emoval or demolition, n~ lte~irt desor/bed.
Thc applicant agrees to comply with all applicable laws. ordinances, building code, housin~ code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ijwspections. .
· --'o .......... vv ~ nt, or name, ~a ~CorporaI~on)
· (Madras address of applicant)
State whe'ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluraher or builder.
Name of owner of premises ...... .~,. ..~.{ ......... ~ ......
(as on thc tax roll or latest deed) ' ' ° '
Ir applicant is a co~poration, signature o£duly authorized officer.
Builder's License No ...........................
Plumber's License No ......... ' .................
Electrician's L/cease No .......................
Olher Trade's License No ......................
[. Location of land on wlffch proposed work will be done/; , . .
llouse Number Street Hamlet .... ' ' "
Tax Map No I000 Section ............ · BlOck .~. ~,.'
7-&J(Nat~e) Eilcd Map No. Lot .-~d~ . ..
~ t c n y of ~s cn usc and occupancy of proposed construction= ' · --
:..
........ R~moval .............. Ocmolitmn . · .Swtm *j ......
Tennis Court ......... A!cessory Building. ' ........
' ' ncc ............
4. Estimated Cost ..... qq.O..., ................. Fee ,..'~..~.. .................. ~ ..... ·
i (to be paid on filing this application}
$. Ifdwclling, numberofdwellingunits........ .' Number of dwelling units on each floor
If garage number of cars ' '
6. If business, commercial or mixed ' ify '
OcCupancy, spec nature and extent of each type of use ... :. ...............
7. Din:ensions of existing structures,lif any: Front ' ' ' ' Rear ' ' D pth
Height ............... Nu ~bcr of Stories .....................................................
Dimensions of same structure witt~ alterations or additions: Front Rear '
Depth ..................... ~. l'leight ................ Number of Stories ............
8. Dimensions of entire new construction: Front Rear Depth
Height ............... .Nu nb~r of Stories .....................................................
9. Size of lot: Front ............ ~ ......... Rear ..................... . Depth ...................
10. Date of Purchase ...........- i ............... . Name of Former Owner ...........................
I I. Zone or use district in which prer0ises are situated ...................................................
12. Does proposed constru, ctiou, violai¢ an~ zoninu law, ordinance or regulation' . ..........................
13. Will lot be regraded. ~,~$;'{'7...~.,~.e.~,~..~.ia.o.oJ ........Willexccss fillb,.ecr~ovet[ from premises: Yes .... Nc~f
14. Name orOwner ofpre~nises [4it..~4:~.~..rdly,.~,~. Address ~,y~vve~t~.~.k.~...' Phone No.
Name'of Architect ...... ,. Add
.................... ress ................... Phone No .................
Name of Contractor Phone No
· Address v. ·
Ih. Is this property located within lO0 feet of a tidal wetland? *Y~-S ....
· If yes, Southold Town iTrustees Permit may be required.
PLOT DIAGRAM
Locate clearly and d~stmctly all buildings, whether existing or prooosed, and indicate all set-back dimenxions from
.prop?rty lines. Gtve street and b!ock ngmber or descript on according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK
· . (Name of individual signi~g Contract)
above named.
(Contractor, agent , corporate . '
of said owner or owners, ~d is dulyi ut mnzed to pe,rform or have perfo~ed the said work and to m~e and file this
application: that atl statements contai(md in this application are true to the best of his knoxvlcdge and belicf; and that the
Work wfl[ be perforated in the re=ncr ~et forth in tim application qlcd therewith. ../
S~vom to before mc this