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HomeMy WebLinkAbout18849-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220103 Date JULY 23, 1991 THIS CERTIFIES that the building INGROUND POOL Location of Property 265 RYDER FARM LANE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 08 Lot 02 SEC. 2 Subdivision ORIENT BY THE 5EA Filed Map No. 3444 Lot No. 65 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1990 pursuant to which Building Permit No. 188492 dated MARCH 8, 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 INGROUND POOL WITH FENCE AMENDID TO INCLUDE DECK. The certificate is issued to MARY ELLEN CONNOLLY (GEORGE LONG} (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N129125 MAY 17 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1J81 mast xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 5OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18$49 N ° Z Date ....:3~~ 19..9 Permission is hereby flrgnted to:~ ~ n f,~J~%/~~., at premises located at ...~!'i......... ~ .rl k...`•~...... ~Q County Tax Map No. 1000 Section ...........f Biock ........5~...........gLot No............~...... pursuant to application dated .......3y~'~ 19.fj~., and approved by the Building/Inspector. ~p Fee $...1~.?:"Q.. O/ r J ' Bu ng Inspector Rev. 6/30/80 Form No. ti (yWiv~'I`~V'%~~~~ w D ~ TORN OP SOUTIIOLD BUILDING DEPARTMENT TOLlN HALL F! 765-1802 BLDG. UE?T. C TION FOR CERTIFICATE- OF OCCUPY\NCY TOWN OF SOU7HOLD 1. 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 Board of Pire 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 bu.'.Iding. 6. Submit Planning Hoard 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. 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 build ino $25.00. Busir,e sses $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 ...tQ~C10~~ ~ ew Construction...Y..... ff Old Or e-ex ist'n Buildins. ,f~ , ocation of Property...e~'Smti..... C~. . L?./'.l.(.4.nn~ . IIouse No. r Str t / Hamlet ewer or Owners of Property aunty Tax Map No 1000, S ction ..............B ock..... ot...................... ibdivision ....................................Filed Map......... Lot....... GG}} ,1~ (~~c/~~,,~ :rmit No..~~~./„~„Date Of Permit. ~.}~r~~~.....Applican . ~~.yt`'°' T 1 . ~ ~ ~alth Dept, Approval ..........................Underwriters A roval, anning Board Approval nuest for: Temporary Certificate........... Final crticate........... Submitted; $,~j,,,~,,,,,,,,,,,,,,,,,,, ~ yaa3 y ~ ~/a3/q/ - ~ac~C~q .......~A• LICANT... ~s~,p SCJ$#'~LT`IQC~ ~I~YkT>~ Co_~t:~t~uT-S S Y n 1. H- y I FOUNDATIO:I (1st) ° c m FOU!IDATIOII (2nd) 2. 1 z I o DOUGH FRki~IE & c .PLUMBING w 3. ~ ~ IIISUL:.TI0;1 PER N. Y. STnTE Ei1ERGY ~ CODE 7 i ' ~ r~ _ c*h a 4. FI:1 AL . ~~3 t4. ADDITIOTIAL COi'!ME1dT5 x , ' tce~ ,add 39 '1x3/91 M . x -o. H a a H H O m • H . - x o • m ^o H Rev. 1/81 .1 0 7 N ~ ~ ~,C' o ~ ~ ~ d' `.rte ~ o ~ a 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. ] FOUNDATION 2ND [ ] i SULATlON [ ]FRAMING [ FINAL REMARKS: DATE iNSPECTO ,.a 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDAT{ON 1ST [ } ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~N ULATION [ )FRAMING [ FINAL REMARKS: t DATE ~ /3 INSPECTOR _ . _ THE NEW Y©RK ®OARU OF f1R;E UN'L~ERWRfTERS PArt 1 10251123 ~YREAU OF ELlC'MICITV 83 JOHN STREET. NEW YORK, NEW YORK 10038 MAY 17, 199p ./pplkotion No. on file tsR38k190/40 N 1291;5 TENS CERTIFIES THAT only the electrdcel equipntant as dstcri6sd 6sMtD ewel initoAhKeed br the npplicrtt nerved on the e6oos wuet6er in the prosJre ~ - 1.ONf, WIS RY17FR FARM I_ANB, 4RIFNT PbINi", M.Y. ? Ixt Fl. ? Ynd Fl. Section Block Lot in tkefollolcinq location; ? Beeement Otl T mpexetnined on APR I I.. 19 , 1990 and found to 6e In eonlpiiener with ehe rcquirclwantx of th4r'Ro~tvl. - IM[RWR RX ORpif T NINE e7ti14RT5 AC1K NnITC11K 0lSCEM FIUDetttlln OTNER AMT. K. W. .AMT K. W. AMT. K.W K. W. NAT. N. P. 1 1 E! ! RN!!MC! 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O Z W ` ~ `o 2 ENCIOSF P Fq,Y.• ~ ~ `g" ~ ~ a~ ' ~ ~ ` BEF~' COM_~R~,~~j~AE n ` R ~ / h Z d a ? , r ` X ~ J ~j" ~ a I- "iMMEDIA~ELY" ''f W ENClOSE POO! TO COAE °Zff S' ~ o ` ~ UPON COMPLETfON ~'`'t ~ = pp U BEFORE "WATER" ^ y q • Y~>'lMMEDlAT • a , ENCLOSE POO! 70 <w o UPON COMPLE770 Z~ - U 4 BEFORE "WATER. z - " S ;n .t Y II ~v 1 a _ N_ SNGWV71$_1 1 d4 ~NY~ ! ~ ~l C - f"~aC1(%(~ ~~P~Q E9L,.~~ BOARD OF HEALTH • LS V f5 ~Q _ 3 SETS OF PLANS ~ FORMN0.1 SURVEY - d~ F WN OFSOUTHOLD CHECK LDING DEPARTMENT SEPTIC FORM BLDG. DEPT. TOWN HALL NOTIFY 'TOWN OF SOUTHOID ~ UTHOLD, N.Y. 11971 CALL TEL.: 765.1802 MAIL T0: Examined .`.3 ~ 191~.d Approved a 1994. Permit No. ~Q.4z. ~7 Disapproved a/c (BuiYdin~ Spector) - APPLICATION FOR BUILDING PERMIT 2 Date ...3.~~..........., 19~! INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 pertr 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuah"ce""of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or Tor iemoval~or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, buildingrcode,~housirig code, and regulations, and admit authorized inspectors on premises and in building for necessary inspecfions C_ 1....... . (Sign ti5 tre.pY.appticant, or name, tf a corporation) (Mailing address'of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build .....................~.~~/e''n f...............J..............:~..:............................... Name of owner of premises ~!.CQrld.C....LD/'1J.. / . ~al."~ . ~~,1~lf. '..~~!7~6I~ . (as on t e 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 SUFFOLK COUNTY LICENSED Builder's License No . . Plumber's License No . . . Electrician's License No. .?24' 75 : . Other Trade's License No . . 1. Location of land on which proposed work will be done. . House Number Street Hamlet County Tax btap No. i 000 Section Block Gg........... Lot ~ Z......... . Subdivision Ftled t`1ap No. , Lot . (Name) 2. State existing use and occupancy of premises~nd in/tended use and occupancy of proposed construction: a. Existing use and occupancy ~ `!~/.»!lJi Ct~G~/c?l~/n~, , , b. Intended use and occupancy . l.G.'!~3Z..T! . l.n•9rPVnC~.~SFtivt!lml~ .,P¢o/. ,w~,y ~!~1,G~~ 3. Nature of work (check which applicable): New Building Addition Alteratjon . Repair Removal . Demolition , Other Mork ..~/-o"•^4f.~c.'G Description) 4. Estimated Cost . t OTSU Fee .../.S~ . ` (to be paid on filing this application) 5. If dwelling, number of dwelling units . Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . ~~l 7. Dimensions of existing stnrctures, if any: Front I:r .`,4..... Rear ..y`~.~R Depth . Height ...............Number of Stories ~ . Dimensions of same structure with alterations or additions: Front Rear . Depth ......................Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth , . Height 7 Number of Stories , . ~...2 p , . 9. Size of lot: Front ! ~ Rear Yi. f : J............. Depth 2. Z. ~ :..4 . 10. Date of Purchase .............................Name of Former Owner . 1 1. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .....N. ~ . 13. Will lot be regraded .......^.t.~' Will excess fill be removed from premises: Yes ~ P 14. Name of Owner of premises ~:%.3,¢~ . 14h~. ,AddressR~~C!~ . E:n•..... Phone No. `7.G 5~'3.~sy . Name of Architect ...........................Address ...................Phony, No..... , . Name of Contractor ,f",,,gt/~%trc F~<r/1 Addressy.71. !7.!„z~/}, , , , ....Phone No. 7.Y`./.-.8l o o , , 15. Is this property Located ~ithin 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit ma be required. PLOYT' DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fro property lines. Cive street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. (~.:'RyEiT 9iaC;:.~iL+$S ~t~rn+~f'rEla rn ht>i~av~~ Exc~s~ Pii.L " APR ED AS NOTED ~'t4r,:~ a,C}T R~MiSFS $'d DATE:3 ~ B.P.M ~~8~~ ;~3,°.tY~1'VA~ ~ ON:i:i~a1C,•~ --w--....._».„. Od FEE: 9Y: c~ssPQ~7f. carasTAucTia,,: ~ NOTIFY UI DE NT AT CELLAp CGr1STRUCTI ~ 765.9802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ^~Ep t. FOUNDATION - TWO REQUIRED Q``""""°~- FOR POURED CONCRETE 2. RO+JGPi • FRAMING & PLUMBING 3. INSULATION MrlN;,t CONSTRUCTION MUST Rf COa~PLETE FOR G.O. ,4Li. CONSTRUCTION SHALL MEET :N~ REQUIREMENTS OF THE N.Y. ;i;T.'r: CONSTRUCTION & ENERGY ~r' CS NOT RESPONSIBLE FOR --~~'~rS (fR CONSTRUCTION ERRORS STATE OF NEW RK,-. COUIQTY OF S.S ~.~c•-c being duly sworn, deposes and says that he is the applica: ame of individual signing contract) above named. He is the .............................r?~~,~-1................................................... (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 file it application; t]rat all statements contained in this application are true to the best of his knowledge and belief; and that tl work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ti~ ...d~ay~of .~~;,,)Q!~rc~J 19 .9aJ Notary Public, •u'~rL'!~ County NOF~EEN t.. HNGER ~ ` / Notary Pub9c, Statr, of New York (1„„ V.et~C,(~~e,~~ , , , , , tb. G2~4525433 Qua!ike:d in P,ufSulk County (Signature of applicar Commission E;cpcras