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HomeMy WebLinkAbout19208-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219479 Date OCT. 30, 1990 THIS CERTIFIES that the building ACCESSORY POOL Location of Property 3620 NASSAU POINT RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section I11 Block 04 Lot 34 MAP A Subdivision NASS. PT CLUB PROP Filed Map No. 156 Lot No. 166 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 1990 pursuant to which Building Permit No. 192082 dated JULY 18, 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 (DETACHED) INGROUND POOL. The certificate is issued to GEORGE ORISTANO & WF. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N147998 SEPT. 10, 1990 PLUMBERS CERTIFICATION DATED N/A -~I~ Bui ding Inspector Rev. 1/B1 lOtil[ 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) NO % Z U ~ Z Date /~!.!...8 19..~.~..d Permission is hereby granted to: ~ ~-7..A~..........d~ ; of premises located of ' . County Tax Map No. 1000 Section ......1~~......... Block .......1,1.L........... Lot No. ~,T". q pursuant to application doted .........7./.~ 19../..:~ and approved by the Building Inspector. oa Fee t. / ilding I or l Rev. 6/30/80 ~ 0 Form No. 6 Q,{r ~ TOWN OF SOUTHOLD D O. 5~ \~y~ BUILDING DEPARTMENT P ~ TOWN HALL ~ z . 765-1802 i ~ r< APPLICATION FOR CERTIFICATE OF OCCUPANL~Y' a. 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 17 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. 3. 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. 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. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date lL:,l:-~ . 'few Construction........... Old Or Pre-existing Building.............. 3C~:lU iPSN.,Pc„•.%, .~.:iL~p,'i:~•tu;~..~!`t3.a. Location of Property.. .........fY. House No. Street Hamlet,,,/~7 )nwer or Owners of Property.~:~::~'~-. f' R (((!!l~~~/// ;ounty Tax Map No 1000, Section ..............Block................Lot...! ~ ;ubdivision.yy ...................................Filed Map............Lot...................... 'ermit No.~?.~ ~:~........Date Of Permit ..............••Applicant............................. lealth Dept. Approval ..........................Underwriters Approval.. Tanning Board Approval tequest for: Temporary Certificate........... Final Certicate........... ee Submitted: $....s~'.7.:::~ Ram ~07~/ ~ ..,~~~c.~n~.~~~:~l~,~m~.,~~......... . ~~3olyo GoZ,yy~~ APPLICANT 4 . u _ _ a _ _ r__ _ THE NEW YORK ®AARD ~R F UNt}fRiNRITER~~ wPACE 1 . t2oaso23 su~~u of EI,.BCTRICITY - ~ ~ Rib JOHN STREET, NEW YOMC, NIW YORK 100!8 SEPTEMBER 10,1990 Applie.tion No. on file 70243790!90 N 147998 TH18 CERTBx1E$ TH#T aYy the alectrktd equipn[ent o deecrihed he1[to pod introduced by the ypRen[t mined on the phone eppliep[ion number itA thepromtiaes of RISANTO, 3620 NASSAU POINT ROAD, CUTCBOGUE, N.Y. in the follotcinRkrcption; ? Bpsen[ent ? IAt FI. ? Ynd Fl. DU? Section Block Lot [eaa examen_edr+[ - AUGUSR 20,199D pndfound to be in romplianre Leith thereyuirementx of Chia Board. lucTU~p tlau swlTClus I _ RRTURes 1__-RI~?~s L4ooRRaoaxsl oveNS. IDKMYELiXXAUST iANS~ ou - - nxw~oescerir~T_orNtn J r. l- t.w l AMT I K.w. I ,wu I _K.w ~ AHr. J_K w. ~ ~wr.- ~ N I. c= 1 _2 1 c - DRYNIS J RMNACE MOTORS IUAIY At/IIAIICE IMMi ARQALMCn i11AE Cl@Oif 111aT IIEATEIK NNCYRElT D4AAAERS AMi. t. W. dl N. I. GAS N. I. AMT. NO. A. W. G. MAT. AMI. AMF. AAArt. TRMiS. AMT. H. I. ~ ~T NAT. WATTS 1 20 1 0 ~ SRRVKI Og00tR~lECT tq.Of S E RAAC~ V 1 C pp~~ E ' i NAT. MII. tY1E E~ 1 / tW 1 R TS' J / 7W ] X MN KR%~~~ Cc C011D. NO.OF N41[G I ~ p KA[O IAIR OF NtUftAlSl OF 11wtUTIIAL OTIp M[MIATUS: G.F.C.I:-1 •(SYIMMING POOL1 This certiticate covers coapliance at the date of inspection only. Because of unusual environesnts it is advisable to have frequent test and/or repairs lade by a qualified person. ~ - NANK'S ELECTRIC LIC.~2675-E ~~:~~a~%~%~ _ 1.21 SNEEP PASTURE RD SE?AURE1', NY, 11733 aMastMa1/11~~11 11 : e Per ~ Thu cert#icole masl not M oharad in Goy mamar; rptvrp im Ha office of IM bard ff Itlcw MiBeclwf 4s[ . ''r~ aMAGb. ~ ice. c1c:L:7 I;:~:-G:1J:i jjU„:~ it ~UMi9E.NT.S -a ~ m 1. ~ r, H FOU1]DATION (1st) °`yj~ FOUNDATION (2nd) - 2 . I z C1u 0 P,OUGH FRAME Zi PLUMBING y H b 3. ~ Z17SULATIOPf PER N. Y. ~ y STATE EPIERGY 1 CODE m 4 . .3 r FI;lAL Q . ~ ( ~ ~1 ADDITIONAL COMMEAlTS: lxj ro ~ x\ -o H \ a O., y ~i ~ 1 i = m a . r~ H • S d ~ m -v - - - H a a Il~~ l ` 765.1802 i BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [)INSULATION [ ]FRAMING [ INAL REMARKS: I DATE ~ ~ ~ ~IN8PECTOR ~ !i lq~ o~ 76S-is02 BUILDING DEPT. INSPECTION UNDATION iST ROUGH PLBG. F'O [ ] [ ]FOUNDATION 2ND [ ]INSULATION [ l FRAMING [ INAL R s: /k.8te ~ DATE l ~ ~ IN8PECTOR I BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK •~~~-~7dw BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 ~i MAIL T0: ~ ( Examined .~0.........., 199 "~1~~ Approved 19~~ Permit No. ,~?.d~.. ZJ..~ C/ ~ Disapproved a/c ~ C ~ ~ ~ ~ ~ ~ J (I 19~ g~ AA AA (Bui "ng Inspector) E ~~In/eaw1E®I1~T~~~" APPLICATION FOR BUILDING PERVVI{T ®!.p EDT, ENCLOSE POOL TO COOS _ TOW u7wat-O UPON COMPLETION ' ' ' • • ' ' ' ' 19 ~'0 9EPORE "WATER.. INSTRUCTIONS 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 layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application 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 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 for the issuance of a Building Permit pursuant to the Building Zone Ordir}~t~e; of;.the Towtlr of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the coristriictioA of ;buildings, additions or alterations, or for removal or demolition, as herein described. The applicant•agrees~.to~~corrtgly,with'~11 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized iris ector~s on re s/, •s,.p mises and in building for necessary i ¢pections. p: . .4k'i s`~.asa ' (Signat of applicant, or name, if a corporation) FICATE u~DERw~ITERS c~en REQUIRED ~ N~' ~c~~:~?.N.assa~. P..P.~.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................:........1.'......f.~.~.......................................... erofkpremises .......~~l~ [~~/.,,r7T/!!~.~ Name of own (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ~ ~ ALL CONTRACTOR'S MUST BE SUFFO~TK COUNTY LICENS Builder's License No. ~l~qr. 1i~.-~-...... Plumber's License No. a.1 ~t$k' r~~ Electrician's License No. ..~~f/.~ ~"`~~LL.G....... v,p Other Trade's License No. ......4`fJJI.......... H 1. Location of land on which proposed work wile done . . 3~z®............~a.:. o>ref.:...~ :............~~f~h~U~:............. House Number Street Hamlet County Tax Map No. 1000 Section ~ , Block Lot . Subdivision Filed Map No. Lot ..~.~v1........ . (Name) 2. State existing use and occupancy of premises nd intended use an'd1oclcupancy of proposed construction: a. Existing use and occupancy ~(.t',f'(~ I ~ij,.... c~,WC',1~)I(L~1~ .................L..... . b. Intended use and occupancy U • • .I.I~J~V.t!`!!`~!A • • S.G~11 mm{ ~ . V ~ . (~l~'.. i• `f • - . Repair ( pplicable): New Building Addition Alteration . 3'~ Nature of work check which a oval Damolition ..............Other Work ~ Qi Y.''r~. ~.Q~? l . . Rem (Description) 4. Estimated Cost ......~,(t ~ . ~ Fee . ! ' ' (to be paid on filing this application) 5~. f dwelling, number of dwellin units Number of dwelling units on each floor . I g I 'If garage, number of cars ! . . 6;. If business, commercial or mixed occupancy, specify nat~ure~ and extent of each typF of use i . , . T. Dimensions of existing structur$s, if any: Front ~.`It ~ ......Rear . ~~:.`-E Depth . Height ...............NumberofStories.......~................................................ I; Dimensions'of same structure with alterations or additions: Front Rear . I De t j ..Height Number of Stories . 8 Hemh~stons of entire new c NUtiuction: Front .....0. r....... Rear fJ De th , , . y ~ P g ~}n y........ ~ ber of Stories . 9~,. Size of lot: ,Fron;t . ,,l ~ .S, . 'i Rear ......./q.~: d.(4........ Depth g U; c??......... . Date of 1?`tii'chase . ]0' • ....Name of Former Owner I. Zone or use district in which premises are situated , , . 1L 12';. Does proposed construction violate any zoning law, ordinance or regulation: !Y.r? / 13'~ Will lot be regraded , / ...Will excess fill be removed from premises: es ? No 14'. Name of Owner of premises 4~ . ~/"1S7~iY1.V . Address3Fi~-o/.v4S~t ~ni/l~~d. Phone No.~ 3y. . Name of Architect . ~ . Address Phone No . ~ Name of Contractor S~lurl ~~/.~9 . N.d~~S, , , , , ,Address `f.7. (:l.Z:f Z. Sl3.R:©•. Phone No. Z`.f`~. ~ . 1~ I~ *If tess Southold TowntTd',wit'Yiin 300 feet of a tidal wetland? *Yes No y ~stees Permit ma be re uired. PLOXI' DIAGRAM I Locate clearly and distinctly al} buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether in~erior or corner lot. I . i I I DATE; A~ D B.P. N dd FEE: L~~ BY: NOTIFY BUIL'07NC~ DEPA TAT ~ 7B5.t802 >?1-AM TO 4.PM EQR THE FOLLOWING IN~P~C710NS: ~ 1. FOUNDATION REQUIRED ~I FOR POURED CONCRETE ~ 2. ROUGH -FRAMING & PLUMBING _ ~ 3. INSULATION b. FINAL - CONSTRUCTION MUST BE COMPLETE FOH C.O. Ij ! ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY I CODES. NOT RESPONSIBLE POR DESIGN O~R CONSTRUCTION ERRORS I I ~ 'I STATE OF NEW R / ~ S.S AUNTY OF k--- / { GeQ~, f1/"l.S~Y.? cJ being duly sworn, deposes and says that he is the applicant (Namg'bf individual sighing contract) ab,'ove named. I ~ g ~ H is the (Contractor, agent, corporate officer, etc.) of~ said owner or owners, and is dt{ly authorized to perform or have performed the said work and to make and file this application; that all statements con~ained in this application are true to the best of his knowledge and belief; and that the w rk will be performed in the manner set forth in the application filed therewith. S~orn to before e thts . j 1.~~ . .day of ~ ` , 14 I Ni tart' Public, ~2 f~~ .L ~ County EN L. HAGER ~c, State of New York ~~~LL.c.~.~.. . o ry QualifiaciS2.4626433 . 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