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HomeMy WebLinkAbout18463-z ~ ~ ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20714 Date MAY 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 985 SILVERCOLT ROAD CUTCFIOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 95 Block 4 Lot 18.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1989 pursuant to which Building Permit No. 18463-Z dated SEPTEMBER 11, 1989 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 SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to CHARLES & MARY JO PETERSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-106199 - DECEMBER 7, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM N0. f 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) N~ 1$'-F ~ 3 Z Date ....~:~7~9.:!:?.~-X5........1.!!..........., 19...1 Permission is hereby granted to: tl cr premises located at ..../...gS....!:`.:~-6.:~1.!....."'::~ .............5.~~!.K..~r!!.`.1.(!SA,.....,....,..... County Tax Map No. 1000 Sectio ....Q~.iS~......... Block lot No....~..~.t..W,....... aursuant to application dated ...r.!~:v~....Z.r~ 19.~'.~.., and approved by the Building Inspector. Fee 3••L~:••... ~ . . . . . . . . . a -t:. . Building Inspector Rev. 6/30/80 . furm- ;;o. 6 . . ~ ~~l TOWN or• souTUOLD q~"°'' BUILDING DEPAKTMGNT MAY TOWN HALL v 8 ~~%~:f 765-1802 ~ _ TON,th° r:- APPLICATION FOR CGRTIFICATIi OP OCCUPANC this application must be filled in by typewriter OF, inl: 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 Imes, 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 Erom L'oard of fire Undercuriters. 4. Sworn statement from plumber certifying that the solder used in system contains Less than 2/IO of 1~ lead. S. Commercial building, industrial building, multiple residences and similar building= 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 unusual natural or topographic features. 2. A properly completed application and a consent to inspect sinned 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, Cerrif ica[e 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~ _ `~'L d Sev Construction.... K Old Or Pre-existing Building,. :.ocation of Property..... ~+~.^~~...~'-{"./.IU~/L ~D.LT ,'7:~ _ C4'rC~. ~ t~~~d 1 :s.. , . _ . Hbuse N/o~. Street Hamlet .;nvur oc Owners of Propeity.5-,`~S. ~~.:~/~~,~~.y~...~~:~!~~~ ::uuocy Ta:c Map ~~N,,oII 1000,~/Section......d.r.s...Block... ~//........Lot. ~''.d'?7,~ l ~ubd[visiun.p~dN4 ~~,An;J„ .....Fliled hi;ip...b.~.~~,.Lot.....~G.'.......... omit ;;o. ~V.y ~1..~-Date Of Permit..~~ ~,f?~.~...Applicant :ic:~lth Dept. Approval ..........................Underwriters Approval......................... .':.innin;; hoard Approval ' •~equcst for: Temporary Certificate........... Final Curticate........... -cc Submitted: e`7~ ~ 37 g~ APPLIC,INT _ c~ n 2 9 A't !U INSPECTORS Victor Lessard ,.~~t~ L~I,YI> Principal Building Inspector ; `,.~~:a ~ - Curtis Horton 1ti'r~~ F",;~ : ?a'~~'y SCOT`T L. HARRIS, Supervisor Senior Building Inspector o ~ - Thomas Fisher 4 " ~ t a Southold Town Hall ` P.O. Box 1179, 53095 Main Road Building Inspector ~'i d • , : hJ Gar Fish ~''%S~ ~°''%~"'-`"or if'~ Southold, New York 11971 Y =~~1 r Fax (516)765-1823 Building Inspector ~ , ,y;`~ 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 JANQARY 8, 199? CAARLES 5 MARY JO PETERSEN 985 SICKER CO11.T ROAD CUTCHOGUE, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XR An application for Certificate of Occupancy is not on file. (Enclosed) ~ No Underwriters Certificate on file. RR 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 # 18453-7. Please contact our office on this matter. Thank you for cooperation. SDUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1025023 BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 - Bute DECEMBER 07,1989 .66370789/89 N 106199 - Application No. on fife TH18 CERTIFIES THAT" only the electrical equipment as described below and introduced 6y the applicant Homed on the ahoee app/icotion numher in the promises of _ CHARLES PETERSEN, W/S SILVER COLT ROAD, CUTCHOGUE, N. Y. in thefolfowing Lrcotion; ? Bmement ? let FL ? Ynd F'1. POOL LIGHTS Section Block Lot 6 Eana examined on NOVEMBER 27,1989 andfound to 6e in contpllanre with the reyuiremena of this Board. NXTURE ECBTACLES SWITCNES FIXTURES RANGES COOXING DKXS OVENS DISH WASNERS EXNAUST FANS ~ WILETS INCAHDFSCENT FlUp1E5CENi OTHER AMT. R.W. AMT. K. w. AMT. K.W. ,VAT. R.W. AMT. N.I. 1 1 3 1 -.;,DRYERS 'FURNACE MOTORS NfTURE AMl1ANCE FEEDERS SFEUAL REC'IT TIME CItxKS RELL UNIT NEATERS MUlil-OUTIEi DIMMERS ~AMif... r'F, W, Oll N.I. GAS X.I. AMT. NO. A. W.G AMi. AMT. .VAT. AMTS. TRANS. AMT. NJ. SYSTEMS AMT. WATTt = 19_,ll=E .i._.. NO.OF IFFY 'h .u Iq 2,. 2Q 1 b0 - ' _ S SIRVICE DISCONNECT NO.OF - ~ S E~ R V 1 ~ G E AMi. AMT. TYR MRTER l,e 3V/ t ,I TV D D ]W 3 P Aw NO. Of CC CONE A W. G. A. W G. A. W G. _ ~11ro' PfR / Of CC. COND. ~ HbLFG NO. Of NEUTRALS - Of NIiEG Of NEUTKAL OTTER AP?ARAT1tS: ^ G. F.C.I:-1 r~ x(SWIMMING POOL) This certificate i„ qi , , ' : covers compliance at the date of ~ 'igl~1! 1,'i„ lip; ihspection only. Because. of unusual ~ ~y, 1~; ~ ;t_<', i 'environments it is advisable to R-,' ~ 2 i have frequent test end/or repairs IRade by a qualified person. _ HANK'S ELECTRIC LIC.#2675-E = 121 SHEEP PASTURE RD - SETAUKET, NY; 11733 OlNRAI~~ 11 - Per - This certificate must not be altered in any manner; roturn to the office of the Board if incorrect. Inspectors may be identified by their credentials. ' LcLD I::.°,:~ ~IJn:,, I~ ::ii:'iMEN'fC r " . I 7. m H - -e r'OUtJDATIOa ~ (~~t) I ~ I ?OU;JDATIO;J ( 2nd ) _ ~m(_ Z . - .1" o .'.OUGH FRAME & PLUMBING y 3. a m n IIdSULATI0P1 PER N. Y. STATE EPIERGY CODE 1 H FINAL o ADDITIOtIAL COMMENTS; s~ m • x ro• H 3] 9 ' a H 0 rf • r / d m ^a H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION (]FRAMING [ NAL REMARKS: - ~-~C~ DATE ~ INSPECTOR INSPECTORS Victor Lessard o~gQFFO(,~C Principal Building Inspector pG Curtis Horton yj~ SCOTT L. HARRIS, Supervisor Senior Building Inspector y = Southold Town Hall Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspector ~ • `F y p! Southold, New York 11971 Building Inspector ~ ~a Fax (516) 765-1823 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 October 8, 1991 Charles & Mary Jo. Petersen 985 Silvercolt Road Cutchogue, N.Y. 11935 Re: Premises: 985 Silvercolt Road, Cutchogue, N.Y. Suffolk Co. Tax Map #1000-95-4-18.6 Dear Mr. & Mrs. Petersen During a review of our files, it was noted that the above building permit has expired and a final inspection and issuance of the Certificate of Occupancy has not been done. According to the Code of the Town of Southold, (Sections 100-281 and 100-284}, a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings. We would like to bring to your attention that it is unlawful to occupy or use said structure until the Certificate of Occupancy has been issued for that building permit. Please contact this office as soon as possible so that we may clear up this matter. Thank you in advance for your anticipated cooperation in this matter. Very truly yours, SOUTHOLD TOWi3 BUILDING DEPT. 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I "ar :L~wa F'AO ~ • 7~~ ~o m O ~ 1 i:me ay. ~z ~y ih~`~4 i'~~6g°F Q~. ~ a`°l o`2 I~° m 5.~. ^Coe D~~°~ n° NZAiS m Fa°4~'~a LIo~ IrL von R m~= >"en^ n ~ ..L~On ~{2 ~ Nr hN~°+, i l_l` N p1 ~ 2 0 x,~3i~ L h~ cn ~ ''A^- A yDOA n(~ ~inF4's o~A i~~e H ~y7 b" ~FeR;~a ~ SUFFOLK CO. HEALTH DEPT. APPROVAL H. S NO. - fJ -!'pJ ' (~1CAnl7~ w g . \ _ _ _ ~OP `-afa : 50 f" STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL lV ~ S11_VEIc' DOLT ~ Bream 44,834 . ,t;'1-'~ SYSTEMS FOR THIS RESIDENCE WILL 1 ~ ZT 5.47°53~~5"E. Pad.°2-T x'22 - D ° tnonumPrr+ CONFORM TO THE STANDARDS OF THE J ~j~e}-- ar` - T' 46 Rol SUFFOLK CO. DEPT. OF HEALTH SERVICES. ~o 85.0 151 - APPLICANT T P d. IA k '~q ,4.u~r C, SUFFOLK COUNTY DEPT. OF HEALTH C ~ R .y \ SERVICES -FOR APPROVAL OF Q W 0 _LcFQ N CONSTRUCTION ONLY •k ~ (pl93{.' C !-s{rv-r~ ~1 \ DATE: H. S. REF. NO., I?- -~-=-~-'rU Q T^ fr. house 4 + APPROVED: ~7 N ' , 30 1 ~r ~ ' _ ',S . .r I _y',a : ~ SUFFOLK CO. TAX MAP DESIGNATION: <^S ~ ~ DIST. SECT. BLOCK PCL. ~y~. N I dvxy:o I ~S .O io00 095 9 /8.006 4 p I~pq I OWNERS ADDRE95: `v,~ J p r ~ \ P. O. Box 4 .9 N I O_ ~ ~ N Cox Lane ';,p P ~ ~ ~ ~ \ Cu+clroquo, N.`C 11?3F ~~~i ~ ~ ~ iTaf-739-6447) t 1. ~ 25' ~ D TEST HOLA STAMP _ - " b _ s _ _ No{v: Lot numbers Ahow 9~~ io oou~m.wue .ur..~rNN SfM(•f!G A.ZI N47°59'2S~•W. 241.'70 v 0~ k,l F-STATE MO1~ °f D~t Visw E °n. ew n.re _ - - - filed rrf +he slffp(k G'aiYt(~ C(er-L-s tyros w rxo survrr rur rqr ~vawo - office as Ma~ E RC A.V NO. ~e241. we swo survnw~s we sus w 7% Issasim sty sxus rvx r <wls~® _ ror.vuw mn mn. GVAUHIeS NMUIID Mr[W SNALL tlM ovv ro no nesov ror wxov. rNr r..• ~y-.~ ~f IS Irtl/JfD..NU ON MIS YMMr rO MI MAP O~ r14'V~r6TY (no+ r~.`w°M°~mut w~usr' orN~.K+c. SLJ2 VEYL'p f~7Q ' ro rxe uslcNOS or rw lmo°lc '4rWr. WNNR~ Ilt rrolMtMrC/[^ O MOlrpxu ' H~l2[_~S l=-1.-__~ MQC2Y_Jo _P~T~2~Ft~l. No. ~,_,8, f;f~ ~.w~ moF:~ SEAL CUTCHOGUE 5uarrr.rlxc{ io SoUHrefd ~rvirsys BanL• { TUWN OF $Gi()-f-F.{ULD, N.Y ~ ~ Commonwevfifi Load Ti+fe inscr~nce C;om~asr<!, as survccfed Fi~ril?. 7, l9E?L'. Ar~c•edn ~ ' RODHRICK VAN TUYL. P. Mar ~n,l?4'3 ?G-- % Ma:~ 25, !98? LICENSED LAND SURV YORS :hl n. LB, I', 8:~ GREENPORT NEW YORK •t~10•Nf 1021 N'.IiX.i / 2 BOr\RD OP HE.vI.TH tU) ~5 3 SETS DF PLr1 JS K. FORR1 N0.1 SURVEY TOWN OF SOUTHOLD CHECK t ,~30 BUILD{NG DEPARTMENT SEPTIC FORM . ' TOWN HALL TOWhLOFSOU~7F•10L0 SOUT}10LD, N.Y. 11071 NOTIFY - TEL._7G5-1802 CALL E~amincd .~~o~.?^^')1~:..~t.., 19 MAIL T0: 73~ - G y ApProvcd~.Y.w:-r~.. 19 ~9. Permit No. ~ .8 ~.x~t Disapproved a/c (Building Inspector) APPLICATION FOR BllILDING pERMiT - Date 15° INSTRUCTIONS a. Tllis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit 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 str~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap 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 per, 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 Occupat 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 t Bui]ding 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 for removal or demolition, as herein describr_ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. L__- (Signature i pplicant, or name, if a corporauen) (Mailing address of applicant) //rr. State whether applicant is caner lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ......................../.l...................................~................................. Name of owner of remises ~~.4/~~55 ~ '`/U ~~'eSC.'v . p ..y (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . . Electrician's License No . . Otter Trade's License No . . ~ .e ~~a/J r ~ u-1 Tare s , 1. Location of ]and on which proposed work will be done. ~d~ 4 , , , _ , , , ~,p House Number Street. Hamlet County Tax Atap No. 1000 Section ©.9......... Block ~ , . , , , , , _ , , Lot . p / Subdivision .t~.5-~'~~.d!U . Y.iE/-J... ~~!!p:T~ ~ Filed Afap No. ~?°Z~~.... Lot (Name) State existing use and occupancy oC premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~-,'.~'e~/ ~vN~' b. Intended use and occupancy . ~C~-TiO.c~ ~~/~-7'-/~ ~r'n d-~ - ` ~ ~ ti.• 3. Nature of work (check which applicable): New E3uilding Addition teration . Repair Removal Demolition d - O t '{r-e .,y ascription Fee : 4. Estimated Cost • . • • • • • • • • ~ 5~ (to be paid on filing this application) 5. If dwelling, nurnbcr of dwelling units , l .r!;'U! ~1<Numbcr of dwelling units on each floor . If garage. number of cars l.C's/1. 4.a1-'rfJ.^.~. r`~T. T.~c~~ 1? . 6. if business, commercial or mired occupancy, specrfy nature and extent oC each type of use . 7. Dimensions of existing structures, if any: Front . . . Rear Depth . Hcigltt Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth height...................... Number of Stories • Dimensions of entire ne~v construction: Front Rear Depth . Hcigltt ...............NumberofStorics..............:...................................... 9. Size of lot: Front Rear Depth . 1D. Date of Purchase ~•~~~-r Name of Former Ovvner ~/~'~rflT, ;,!o T 11. Zane or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ . 13. \Vill lot be regraded \Vill excess fill be removed from premises: Yes 14. Name of Owner of premises ....................Address Pftone No............ . Name of Architect Address ..Phone No.... Name of Contractor .k.f- ,~F.vTE.2p/'~S ~ S , Address~a-. ~~r~~~~~tt~/~.. Phone No..'7~.3S~r.7d.z~ 15•Is this property located with in 300 feet of a tidal.Xs7'etland? *YES...~... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fr property lines. Give street and block number or description according to deed, and show street names and indicate whet interior or corner lot. v!'sE ~ v ~ ~,1,,4.U S OCCGPANCY OR APPROVED AS NOTED USE IS IJNLAWfUt ~ 11 B P # ! 8~.~ WITHOUT CERTif KATE oaTE OF OCCUPANCY FE~~S~ • i B ti' ~ 'I,.~~s' L' NOTIFY B111t.DINC+ DEPARTMENT AT ' 705 1802 q aM T(" q FU FOR 74E ~ mp~r tub9np is used FOLL-OWING iF95=='FGL~C~N:, 1. fOUNOATION - TvVO REQUIRED (Or water distributing FOR POURED CONCRETE aygtenT; piping Shalt b9 2. ROUGH • FRAMING & PLUMBING ~ types K or L only. 3. INSULATION 4. FINAL - CONSTRUCTION MUST UNDERWRITERS CERTIFECATE EsE COMPLETE FOR c.c. REQUIRED ALL CONSTRUCTION SHALL MEET' THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION >f ENERGY , CODES. NOT RESPONSIBLE FOR hMM~ DESIGN OR CONSTRUCTION ERRORS ~ >tpp,O~t?pO1.~OCaN UPON COMlttlTl4N ~•,ac ~~nraTER" STATE OF NE1V YORE, S.S C YOF........ ~..~G~CX,~.+~rre-.~ being duly sworn, deposes and says that he is the applic me of individual signing contract) above named. fie ist}rc (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 61e application; that all statements contained in this application are true to the best of ltis knowledge and belief; and ttta[ work will be performed in the manner sc[ forth in tltc application filed therewith. Swom to before me this .............°Z y .......day of 19~,Q Notary Public, !`!Q! County D~ HELEN K DE VOE NIrtARY WBLIC, SUte of New Yak (Signature o f agp lie, No. 4701878, $eHo1k Cuuetl'q~ Term Expires March 30.1°