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HomeMy WebLinkAbout18729-z FORM N0. 4 M TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20370 Date NOVEMBER 21, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 7645 BRIDGE LANE CUTCHOGUE, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 1 Lot 6.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated JANUARY 8, 1990 pursuant to which Building Permit No. 18729-Z dated JANUARY 12, 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 WITH FENCE ENCLOSURE The certificate is issued to RAYMOND & DIANE KRUK (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - NOVEMBER 21, 1991 PLUMBERS CERTIFICATION DATED N/A ( ui~Inspector Rev. 1/81 II rosai xo. s 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) 18729 N° Z Date ..../~.12- 19.~~ Permission is hereby granted to: .....7..~..~-f...,r~.......,~izG~~....~r....z.~e.,..... J ~.3.h to .L~d.~l'r.Q~,. ......1,~~~i'c4.~1`...~.. .../t~fw>5`.T7.•••.~.... y . ..........e~.... . t premises located at r?...~J~.J, ..~........~/.1~~ County Tax Map No. 1000 Section Block Lot No......~O.a...~..c....... pursuant to application dated .........~fq 19. 'r~..~, and approved by the Building Inspector. Fee $..~~0 l f.~:~J,:~- ~Bui ng Inspector Rev. 6/30/80 1... ~t~ Form No. 6 ,I,.a, ,'27 1/938' ~ TOWN OF SOOTIIOLD 1 A'M~ q I~n~ BUILDING DGPARTMCNT a ~ r PIW L ~ ,7 f TOWN HALL =~1~ , ~ ~ _ ~ 765-1802 APPLICATION FOR CGRTIFICATi; OP OCCUPANCY This application must be filled in by typewriter OP, 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-O form). 3. Approval of electrical installation from L'oard of fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. S. Commercial building, industrial building, mulCiple 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. .i. 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 c unusual natural or topographic features. 2. A properly completed application and a consenC 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 dwe~~ $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ~~,imming pool $2~~? Accessory building $25.00, Additions to accessory building $2. 0 Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 7. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $185.00, Commercial $15.00 Date?~at41 ~ L3.~.~~ ':ew Construction........... Old Or Pre-existing Building................ f.ucation of Property..... .j ~:U~....~r: ~C~Y.2.......... C,,t;~?~`C.~~ tn~ House No. Street ~amlet h L/ %nucr or Owners of Property...~.n:''~:^.':~'.~Ki..`~':.~b,Q,Y~~'..:...C?~!'~:~ ~:uunty Tax Map No 1000, Section.....~.~ ......Block..~ .............Lot...~.°..`.Z ;ul~division.Q......qq .............................Filed M:ip...........n.Lot...................... i'c rmtt ::o..~Y. a.(......DaCe Of Perm it....~~~~'./~U..Applicant..f~.~"'~tv?';-~~,~.~.~ic;`;e; .~'G,t'l,v~C, ".c:~llh DepC. Approval ..............'............Underwriters Approval......................... ':.inning Board Approval 'c~ucst for: Temporary Certificate........... Final Certicate... ..ee Submitted: ~ APPLICANT Gam! ~a UND~RWRIT6RS CERiifICAI i rIi,EQUtRED z ~ - ~ ~ I ~ o .y i nf~ ~ Ya ~ ~ , y , ~ , ~ ~ "~M1MEbtA7ELY" I,a, ~ ~~~~i~r1 ENCL08~POOLT000D~ ~ UPON COMf'lE'!'10~5 t ~ k ~ ;r- a g ~~'a 5' BEFORE "WA7ffR" ([Ft i ~ tt~ ~ i y"°x Y4 'J yp~ f rzurtu~.wou>.~w..m...nm.~+.exar rv..m.wv~'~ ~ I i za.~,_.~w,~r~ .a. t°~ _ ~v.~_~ ,.n ...z. ~ ~~.a~s~~~_ ~ W~ r ~ r t ~ ~ a i, N 4F 7. ~-'v. r INSPECTORS . , ,~,.G`/.' l7 Victor Lessard ~ `+~~~fl)I.;f Principal Building Inspector i~~~;a r Curtis Horton ti"s' SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ ~ >,4y~y'~ a Southold Town Hall Thomas Fisher ~ p.0. Box 1179, 53095 Main Road Building Inspector ~L'~ ~,.?c ~'r"-~ ^~'D ± Southold, New York 11971 Gary Fish ~ ,,+3~ ~a~{~ Fax (516) 765-1823 Building Inspector ~~t~ Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVE2ffiER 8, 1991 RAYMOND RRUR 7645 BRIDGE LANE CUTCHOGUE, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: %Rx An application for Certificate of Occupancy is not on file. (Enclosed) RxR No Underwriters Certificate on file. xxx The check is (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 # 18729-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ~~UATE I COMMENTS 1 . "i - - FOUNDATION (~st) N _ m~ ~ FOUNDATIONS (2nd) - z 2. o ROUGY, FRAME & PLUMBING ~S y~ C~J H 3. ~ I13SULATIOP3 PER N. Y. ~ STATE ENERGY i CODE m C~`ff ~ G. s FIi3AL ADDITIONAL COMMENTS: a _ ~ • x ro t H O Z ~ A ' ~ \ b [+9 • '9 H BOAFD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY - TOWN OF SOUTHOLD GHECF u'.~•~Z9o••i-:.~:':.4~5-~. `.-~4~c":*~ BUILDING DEPARTMENT SEPTIC FOar1 ;v;~:~ TOWN HALL $OUTIiOLD, N.Y. 11971 NOTIFY 'a Q~ TEL.:7G5.1802 CALL ~~.G.. .,19!.~~. MAIL TO.~~~IS,.~-;s;e?c~.9,•?.°-, Examined • • • • • • !J' _ Approved 1~~.~:......., 19Q~ Permit No. IO, ~a9~ . Disapproved a/c er~ce.os ~~o ~o® uaol~ t:©M~L~Tltara D ~ 1J ~Bu ing Inspector) APPLICAT"1Cli\i FOR BUILDING PERMIT ~ Date ...1. 15 Hl"oc. oe~ •r..,.,... TOWN OF SOt1 i o-,r~: INSTRUCTIONS h a. Tlils application must be completely filled in by typewriter or jn 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 petmit 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 Buildin; 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 Rc¢ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ,3. admit authorized inspectors on premises and in building far necessary inspec ions. ENCLOSE POOL TQ CODE (Sig re of applicant, or name, if a corporation) UPON COMPLETION • ~ S • ~ L , ~i~ ,s • c-. ~ t" 9EFDRE "WATER.. ~ ....fir..'.. ~ !.o (Mailing address of applicant} State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. /~~~?Crl.'.............~............../.............................. . Name of owner of premises ...f/ ~.`~~F.Wfa/~'.~....~ r/!l.%: f:`..... ~ . / (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. r,° ~ ~ ~ 4 s (Name and title of corporate officer) ~ Builder's License No. /1~/.T:~l°.(.. ~;`~~°'j~ ~ g ~ ~ Plumber's License No. • t §rt Electrician's License No . ~,ria~~ ~ Other Trade's License No . . I. Location of land on which propos/e~d work will be done; " house Number ~ Street, Hamlet County Tax \fap No. 1000 Section • • i • • • • • Block 1 Lot ~ s.e~ , • Subdivision Filed Liap No. Lot . •(Nmnej • State existing use and occupancy of premises and intended use and occupancy of proposed construction: e a. Existing use and occupancy • .r~~•'•/ /l t • • . ~i, ~S •ir~ii~i. 6. Intended ?'!o ; • j/~''.':°"`~l . ~c, . use and occupancy 3. Nature of work c c • wh'c a lilcabl ( he 1. i h PP c). New 13uilding Addition . Alteration , . Repair RRmoval Demolition ..............Swimming pool.. Tennis Court Accessory Building..........Fehce .......Other Work:........... 4. Estimated Cost h- .G?C1 Fce , (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each Cloor . If garage. number of cars 6. If business, commercial or mixed occupancy, speci'f`y nature and extent of each type oC use ~ , , 7. Dimensions of existing structures,'if any: Front , , l.a, 3. , , Rcar ,,.~....~.f.... Depth . , , ; ~ Hcigltt ....1.~....... Number of Stories f . . Dimensions of same structure with alterations or additions: Front . Rear . . Depth . ! Hcigttt ......................Number of Stories 8. Dimensions of entire new constnuction: Front Rcar Depth , Height ...............Number of Stories . , , ,T~., , , 9. Size of lot: Front .......J. $.~.lJ Rcar 1. o Depth jr' 10: Date of Purchase , ~ • ..Name of'Formcr Owner t.. . , l 1: ;gone or use district in which prcniises arc situated 12. Does proposed construction vi~ge any zoning law, ordinance or regulation: ~ ~ . 13. Hill lot be regraded , , , , , , , , Nill excess fill be removed from premises: Yes ~N . Yr+. Name of Owner of premises .r!!.',. ~~i,?~~ , , , , ...Address ~!/:'rr. ~ y":. Phone No.. ~'.`f So ~ Name of Architect , . , I . .Address ...................Phone No..........:,, . Name of Contractor . ! ,Address ..Phone No.. , . IS.Ts this property located within 100 feet of a tidal wetland?'*YBS...~~NO.... ~Tf yes, Southold Town''iTtustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all 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 acid indicate whether interior or corner tot. ; • i I " - I STATE OP NE1V YORE, CIS S COUNTY • s (Aam~~dividual sin ' ' ' • • • being duly sworn, deposes and says that he is ttte applicant . • . • , ing contract) about named. He is tltc " . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle this application; that alI statements cont~ined in this application arc true to ttic best of his knowledge and belief; and that the work will be performed in the manner set forth in [he application filed therewith. Sworn to before me this ~ -:.........day of ..~r~-:/,r 19 ~,O Notary Public, V " rGG: County G~ 7` ...AJ. OOPER . Notary Public,5tgqteoiNewYork \ (Signature of applicant) No. 4822663, &Uffolk County Term Expires OeaeMber 39,1