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HomeMy WebLinkAbout18502-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219351 Date SEPT. 12, 1990 THIS CERTIFIES that the building POOL Location of Property 1690 ELIJAHS LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 03 Lot 5.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 5, 1989 pursuant to which Building Permit No. 185022 dated SEPT. 15, 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 POOL AND FENCE. The certificate is issued to DANIEL E. & KAREN A. LETTERZE7.rn (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N142742 JULY 27, 1990 PLUMBERS CERTIFICATION DATED N/A .~/~ti ilding Inspector Rev. 1/81 snras xa s TOWN OF SOUTHOLD lUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N a 8 5 0 2 2 Date ~~Y..~~...........:~ 19.:~ Permission is hereby granted ro: .........l..q.....~..... ~,,~lR,*~ of premises located at ..1.~.J.~......~~....1.1.R:":!?~........•••:.••:...y..':4~!!.^.:.`::".:~ County Tax Map No. 1000 SectionQ.....~..°.~......... Block ......Q.,3........ GLot No....~~.:.8..~.......... pursuant to application dated .....r.,3F.1.R~~P.'.k:~°Aiar....~ 19.~~...Y., and approved by the Building Inspector. lI Pee S.f~.~.:.../ ~ 1 Building lnspedor Rev. 6/30/80 {lnjj Form No. 6 ~n U V TOWN OF SOUTHOLD /f~//Lar~/Il 2~~ BUILDING DEPARTMENT ~ TOWN HALL 7b5-1802 BLDG.DE?T. i 70NJtd U~ ~R!Jrt+O..n APPLICATION FOR CERTIFICATE OF OCCUPANCY :1. 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 2110 of IZ 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 Plannin Board A g pproval of completed site plan requirements, aB. 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 togographic features. ' 2._, A properly completed application and a consent to inspect signed by the applicant. Zf 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 $?.S,OC, P_editicns to dwelling $25.00, Flterations 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. L'puated Cerfiricate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.06 Date New Construction........... Old Or Pre-existing Building..,.... Location of Property.. E pia: L~..... ~.h:! J1~,~J`~....4~~....... ~ ~~~T.UNL . House N~~o.S~~t//reet Hamlet Onwer or Owners of Property.SJ{~~~.1.4'...AiZ~~..?a~~4 ~.J:L:..~S.~rLl~!(,.~-L~,-_, //yy n l-I County Tax Map No 1000, Section...~:1.~....,.Block......,~.......,Lot........7Y1.~........ Subdivision ....................................Filed Map............Lot.............:........ Permit No ................Date Of Permit........ .......Applicant... Health Dept. Approval ..........................Underwriters Approval...................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... , F 6f Fee Submitted: 1 . , ry 73 APPLI - ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 11025045 BUREAU OF ELECTRICITY E 85 JOHN STREET. NEW YORK, NEW YORK 70038 note JULY 27,1990 ApplicotionNo.onfile 65652189/89 N 142742 THIS CERTIFIES THAT only the alectrlcd equipment as dsscrihed helolo and introduced 6y eke applicant named on the afroee application number is tha premises of LETT$RIELLQ, 1690 ELIJAH LANfi, NATTT.TUCR., M.Y. in thefollouing location• ? Bgegrtunt ? 1st Fl. ? Ynd F1. U1T'f Section Block Lot uaa eaomined on JULTY 19, 1YY0 ondfoundto he in compliance rcith the requirements of thb Buord. RXriRE RX URES RANGES COOKING DECKS OVlNS DISH WASNERS EXHAUST FANS WTIETS ACtiS SWITCHES INWIelS[ENT fIUGRFSf.FNT eTHEFI NAT. K. W. AMT. K. W. AMT. K.W. MIT. K. W. AMi. H. P. 1 1 z 1 RT ' DRYlRS RJRNAGE MOTORS FUTURE APWANCE iNDERE SPECIAL REC?T TIME CLOCKS EEn UNIT IIEATNS AIULTFOUiIlT DIMMERS AMT. K. W. Oll H. P. GAS H. P. AMT. NO. A. W. G. AMi. AAa. AMT. AMPb. TRANS. AMT. H. P. ~ ~ ~T AMT. WAITt 1 7,0 SERVICE DISCONNKT NO.OF S E R V 1 C E AMT. AMP. TYPE bUbR. 1 N TV 1 / tW J B JW ],e AW OPER 4COHU. OF CC ~ OND. NO. Of H41EG Of.M NO. q NEUTRAIt ~ 'PIWl11T~M1 OTNFR AFMRATUS: S G.Y.C.T:-1. *(SAINNING FOOL) This certificate covers r_oRlpliance at the date of. _ inspection only. Because of unusual environrlents it. is advisable to have frequent test and/or repairs Made by a qualified person. [ _ BRITS STAR ELECTRIC LIC./3398-fi 206 GREELSY AYE. SAYVILLE, NY, 1178^, t7ET1EEAL IRAMAOER 11 Per This certificate must cwt be altered in any manner; return to tha offin of tha Board ff incorratt. InapeNOrs may ba idtMifled,by 1Mir crodantialt. 1cLD 1:: S: ._i;;. ~~ll,;:c Cv:`SMLNT.^. II - m a ?OUtIDATIO;I ~ ( ~ s t) i a ?OUNDATI0;1 ~ (2nd) mi I o .',OUGH FRAidE & .PLUMBING c 3. ~ m n IIISULATIOPI PER N. Y. STATE EPIERCY CODE a. ,0 .gym _ y FIi]AL~ ~ ~ i ) i O i ADDITIOfIAL COMMENTS: x ; . ~ m . x v H 3! ' 9 . H H ~ O m ~ . ~ y v m -n H I 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: DATE ! ~ INSPECTOR c TEL. 7G5-(802 5~FF0[K~,s~ ~p ~ OG ~ TO~~N OF SOUTIIOLD ~ •LI:~a~1 ~c1 UF[~iCE OE BUILDING INSPECTOR `JL• ,z P.O. BOY 728 ~~c1/`~ ~~t- SOUTI OILD,IN Y 11971 Ol ~ `7~r9~9o To 6•lhom This May Concern, ' We are unable to complete your Certificate of Occupancy because of the Following reasons. /x/ An application for Certificate of Occupancy is not on Lilc. ~^~-~'-Q-Qa~ /x/ No Underwriters Certificate on file. /x/ the check is( /not on file.) ~d ~ No Ilcalth Dept. I+pproval on file. / / No final ins.pecCion has been made. Please contact our office on this matter. Thank you for your cooperation. Ruildi.nri Permit (i ~ ~ U ~ Z roe Building Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after npril 1,19II4 ) A 1 ~ ~ -fem.. Q . iQ[ ~ t Q a (,o u Cae~so~rsce~ i~,~h tim I ~ ~ ` ~ s Quo ~ :z' K ! ~ ~-2r°-~ Z ~ , ~ fir- P'::: I ~ 74 ~ - ~ _ Q t~ i? r,ar;tz i 4 m~tP ~ ~ ~ ~ i~ ~ ~ I I ~ ~ i `.~Q+ ~pGG i 1 + i ~ o I J' u.~ ' ' ~ +'.;it' y J!!:9 DE's ~ ~i<. ,~,T ~i„ l'R ~ ; ~ 7 FUUPip1- UW T ~ ~ -l'; ..E~; Ci L-- - - FqR POURED CONC'?; TF-' ---T~ ' LYE 2. ROUGH =FRAMING & i't_UMRING '~.y~-.._d p ' 3. INSULATION ~/-5~-_ ~ 4. FINAL CONSTRUCTIONDr1U$T ' 8E COMPLETE FOR C.C If i ~ ALL CONSTRUCTION SHALL MEET , ~ THE REQUIREMENTS OF THE N.Y, STgTE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CON8TRUCTION ERRORS , .r qST R:RieH J_ ~„r~!arK,ltp~`}Wtwww+wll'+!h ;~,w•y~p+NGF, ? "n nl. 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Received........... , 19.. Approved.~`~'.++:~.I.~., 199. Permit No.~.g:~z'.~'... ykc~,SL '~o- ~s~:~, P~ ff~~ rl e I, Wn , _ Disapproved a/c . ~ L5 ~N I~; . ti~~. ~...._..1 ~ (Building Inspector) €3LUG. j TOWN OF 50t;*aiC~LO :~j APPLICATION FOR BUILDING PERMIT , Date ?°~llo4lr~~... ZQ 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 catiorb 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 peni shall toe 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 issuance of a Building Permit pursuant to f Building Zone Ordinance of the Town of Southold, Suffolk County, New Xork, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe 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 necess inspections I-o2 P ~ ~i L e~~-~r'i~ll . 6....~:...... . (Si ature applicant, or name, if a''cllorploration) j (Mailing address of applicant) ~ ~Q Sa State whether applicant i owner, I ssee a_ gent ~larchitect, engineer, general contractor, electrician, plumber or build Name of owner of premises ...~i'~l . `L . K:Vj~a'1 ....~~.~J.~~ ~ C7 . . (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. ~~J.~ . Plumber's License No . . Electrician's License No. 3 39s`7. Other Trade's License No . . 1. Location of land on which proposed work will be done.~~T."~.~.~ # f~q0 ~ Li SKt~-1 ~q N ..............................J!1!A.r`.~.... ...1040 ~:>~~,y.a-~~:...LaN,~............. rn~~~,-1~~~~.NY...~19. House Number eS~treet Hamlet County Tax M/ap No. 1000 Section ~ ~ f-?......... Block ....J Lot 5.~~ ,I 3 Subdivision . 1D~7~.1h~1Y~?Q-...~~.~?.......... , .Filed Map No. ..009....... Lot . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...n./Z-...`~..~..~J~...1......!!!~..~LJeIIi?I~,,,,,,,,,,,,,,,,,,,,,, b. Intended use and occupancy ..~t.QX.`.i~ ...~-11-(;~ t'1,~, . --hn~~ yV1w~ I ~Ult-F ~ ~PVt~L- Cow ~~5 - Sw'~ rn 1~~rb-2 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal , Demolition Other Work . d (Description) 4. Estimated Cost ..l..~~.~.~ Fee . (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 . 7. Dimensions of existing structures, if any: Front ~C ear S..:........ 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 ...............Number of Stories . 9. Size of lot: Front ~ ! 4 Rear Depth 1 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: Y` 9............ . 13. Will lot be regraded 4 . ; 1Vi11 excess fill be removed from premises: Yes No 14. Name of Owner of premises .`R€ .1~: ~€T?~.~'.~~€.~~4Address ~~P~ ~!b 19:x. )-i4.~.1M1`~!tn Phone No. ~ l.(e.. . Name of Architect .........Address Phone No............. . Name of Contractor~tl'Xn~tt:?.~. (OPa S...~~:.... Address l2z.VN1uv1-~u~ ~?A!J . Phone No. ~8.~::3.3~ ~llesl-~n.Wyv~ ~~b-in . 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 and indicate whether interior or corner lot. STATE OF NEW~1'ORK, S.S COUNTY F F~~L . . , _ ~-A-ni,~'L; , , , . , , (x-t`[ i I ~ U , , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ -t) He is the ...l.`rc~'-ri~..4.1.~t~-`•~!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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~/f ~ .......day of . !_?'U6'vsT 19c1~.~ Notary Puoiic, s ~~:b~<. County .X 1_.-/.....~ . . CDNALD F. ABBATE Notary public, State of New York (Signature of applicant) Na~ E FtresJunsu30 1997~ry 'o m a `r~ ~~,G,~~ncG ~ L • OG~Gy'~,y~` r o F 1 - .moo i~ ~ ~ .4 _ ~l;.~'"~ ~8~f~r t 4`.nt'~GC? 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