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HomeMy WebLinkAbout19041-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19762 Date MARCH 1~ 1991 THIS CERTIFIES that the buildin~ Location of Property 385 SHIPS DRIVE House No. Street County Tax Map No. 1000 Section 79 Block 03 Subdivision BAYVIEW WOODS ESTS Filed Map No. 5520 ACCESSORY POOL SOUTHOLD Lot Lot No. Hamlet 08 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 1990 pursuant to which Building Permit No. 19041Z dated MAY 23, 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 POOL AND FENCE ENCLOSURE. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPAR~4ENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N141182 JULY 19, 1990 PLUMBERS CERTIFICATION DATED N/A TIMOTHY & NANCY MULLEN Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING D£PARTMENT TO~,/~ N HALL $OUTHOLD, Ho Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- ~ 9041 Z Permission is hereby.~ra~nt~d//to: . .~ /'~ ~ __ , ,/// . .~ ~ . ~ ~ .......... ~~...~~=~ / / ~...~~_.~..=.~: ........... ~ ......... ~ ............................................................ ........ :: .................................. ................. ~:~~ ......................................................... co~ *~ uop so. ~000 s,~t~o~ .......... ~ ...... ~k ...... ~ ........ Co~ Uo....~ ............. pumuont to opplic~tion d~t~ ...... ~ ..................................... , 19..~ ~nd ~pprov~ b~ Building Inspector. ....... 6/30/80 Form No. 6 TOWN C? SOUTHOLD BUILD::G EEFARTMENT 7~T~ ~LL -$5-18C: APPLICATION 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 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 i% 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. ~ 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 - $i00.00 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 . ........................... . . New Construction ........... Old Or Pre-existing Building ....... Location of Pro ert~ %~- ~'~ ~ iiii iii i[ .~e~.'.~· House No. Street nwer or Owners of P rop er ty ~ .~.~.~.~ ~l'' ~'' ~' '~' ~ Q'~ .... ~'~ '~''~ ~' '~' ........................ 0 County Tax Map No 1000, Section....~..~.~.~ ..... Block ..... .~ ......... Lot ..... ~. ................ Subdivision~.~.~.--.t~...~.q+.~ .~..~..~.. ~ ..... Filed Map.~'%~.. .... Lot... J.O ................ Permit No.]~0~1-5~- ..Date Permit ................ cant, ............ Of Appli Health Dept. Approval ......................... ..... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate..~. ....... Fee Submitted: $....Z.~.. ~ f ... , i ..........., .... · =OUUD~ ='TIOU, (1st} FOU!;DATI0:; (2nd) ROUGH FRAME & .PLUHBING INSULATION FER N. STATE EZ;ERGY CODE Fi::AL ADDITIO}~A'L COMMEI;TS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK THiS C~RTI~IE$ THAT on~y the electrical equipment ~ ~scrlbed belo~ a~ introduced by the applicant ~ed on the above application number i~ the premises of in the following location? ~ Basement ~ Ist FI. ~ 2nd ~1. ()[J~ Section Bilk Lot JUI,Y 09.1990 FIXTURE RXTURE$ RANGES COOKING DECKS OVENS EXHAUST FANS 1. I DRYERS SYSTEMS OTHER APPARATUS: covers <'or~:p]iam"e at the have ~¢<juent test ~md/or E R V I C NO, OF CC CONO NO O~ HII[EO A W, G NO OF NEUTRALS A, W G, OF HIILEC- OF N~UTRA[ GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors may be idenfifled~by their credentials. COPY FOuR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~T~OT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]/~ISULATION / FRAMING [-VI FINAL REMARKS: DATE TOWN OF SOUTHOLD OI:FICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTttOLD, N.Y. 11971 TEL. 765-I 802 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. 3 ~ /~/ No Underwriters Certificate on file. /~ The check '- ...... ~ _ is( ...... ~ .... d/not on file.) ~ ?~ /5/ No Health Dept. Approval on file. /_/ N~ final inspection has been made. Please con~act our office on Thank you for your cooperation. I3uiJdJ. ng Permit tt / ~_ /.. d___V., z /~ BU ~lding Dept. this matter. ***/-/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervi5or Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 February 27, 1991 Timothy & Nancy Mullen 385 Ships Dr. Southold, N.Y. 11971 Re: BP19103Z Accessory deck and deck addition to house 2 C.O.'s required BP19041Z Accessory inground pool and fence 1 C.O. required Dear Mr. & Mrs. Mullen: On Sept. 4, 1990 we sent you a letter and applications for C.O.'s for the above Building Permits. I am enclosing applications again. Please fill them out and return them along with your check for $75.00. You are in violation of the Code of the Town of Southold. Please attend to this immediately. Thank you. Yours truly, Secretary , FORM NO. 1 TOW~J OF SOUTHOLD BU I L'D, ING DEPARTMENT TOWN HALL e..OUTHOLD, N.Y. 11971 TEL.: 765-1802 ....... .:. ...... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FOR~! ............. : CALL .... ~ ........... MAIL TO: a. This application must be completely filled in by typewriter erin 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 fids 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 p~rt 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 Ordinance of the Town of Southold, Suffolk County, New York. and other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary j,nspectic~s. .......... ~ ~,1~1 ............. ::. :.~ J (Signature of applicant, or name, if a corporation) ....... · ........... qT.f. ~: -~-~-~-'~ : ' 'C:~%"; .~ ,.~ , ~ .......... ~I, !~ ~h,,. ~ lC} ..... IL~h ..... (~Iailing address of applicant) State whether a~vhcant is, owner, lesse~,, agent, archttect, engineer, general contractor, electr/cian, plumber or builder. ............ ~d~' ..................................................... ,, r~,f . ., o .~.. Name of o~ ne ;p. re~?ls~s ......... , ..................................... ~,. ,,, : -~ ..- .. (as on the tax roll or latest deed) Ir app~a~ is a,c~o'fl~or~tibff, si~l~u~'}Jfd, ul~ authorized officer. ....· ~- ('~N~,~~~er)' · .'*" .~ .'2 ,.'. ......... ALL CO}!TR/~CT:~I~wS"M'O;S'T"'Bg~ SUFFOI~K COUNTY LICENSED Builder s License No..../~..ZL.-~. ?~..Z75. ........ Plumber's License No ......................... Electrician's License No ....................... Other Tradc's License No ...................... Location orland on which proposed work will be done ....... ,Sfl./f.(.,('~. .... ~.,~'[.e.gS....~..t5.74~../? ...... ....... ................. .... m.,¢.: ........ ltouse Num bet Street County Tax Map No. lO00 Section ....... Subdivision .... ~,~.(df Z4p..... £.,~.' ~'7~.~'~-'~.. ..... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... & .~...(.~..6.~..??.-/.~... ........................................ b. lntended use and occupancy ................ - c . . ....t Hamlet · . Lot 53:20 Filed Map No ........ et ............... 3. Nature of work (check which applicable): New Bt lding ..... ' ..... Addition .......... Alteration ... Repair .........." --Removai .......... . .. Demolition .............. Other Work ..... ~ i ' , (D scripli n) 4 Esti d C mate ost .......... , · · '... F ; ' (to be paid on filing this application) 5. If dwelling, number of dwelling un!ts ............... Number of dwelling units on each floor ................ If garage, number of cars ......................................... · , , specify nature and extent of each type of use ............... 7. Dimensions of existing structures, ff. any: Front Rear Depth Height Number of Stories DepthDimensi°ns of same st ~c.1;urei,~l. !. 7.....'wi'th glterationSHeight or additions:..Fr°nt ................. Rear ............ .................... Number of Stories ............. ''''"'. 8. Dimensions of entire new construe,ion: Front · Rear Depth Height ' Numbet of Stories Size of lot: Front ' Rear ............................................ Depth ...................... Date of Purchase ............. ~ ............. e .of F . ... Nam ormer Owner ........................... Zone or use district in which premises are situated ........ /'(...6~././~..OY. ~'d./.'.~..cc. ' ' Will lot be regraded ...., ....... . ................ ',rill excess fill be removed from premises: Yes Name of Owner of. premises ../?t.t./,.C..t.~. ....... Address .. ~.~t~. ...... Phone No ................ Name Of Architect ......... .. -.'- ....... ~ .... Address ................... Phone No.. 5. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .zD~-:a · If yes, Southold Town Trustees Permit may be reouired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from or description according to deed, and show street names and indicate whether, ,roperty lines. Give street and block number :lterior or comer lot. TAT£ OF NEW YORK, S.S' OUNTY OF ................. . ,_., ..... ...... (Name of indMdual signingicontract) ~OVC named~ 768 1802 S AM 10 4 PM FI~ 't~HE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST SE COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF !HE N,Y STATE CONSTRUCTION & 'ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant ' is the -- . ! (Contractor, agent, corporate officer, etc.) · said owner or owners, and is duly a~thorized to perform or have performed the said work and to make and file this plica~tion: that all statements contained in this application are true to the best of his knowledge and belief; and that the vrk will be performed in the manner selt forth in the application filed therewith. ','om to before ]ne this / , ~tary Public ................... ~ . . Count~ LINDA J. COOPER No. 4822563, Suffolk County ,~ Term Expires December 31, 19L.d..