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HomeMy WebLinkAbout17988-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218810 Date FEBRUARY 16, 1990 THIS CERTIFIES that the building INGROUND SPA Location of Property PRIVATE DRIVE OFF EAST END AVE. FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 004 Block 003 Lot 010 Subdivision Filed Map No. Lot Nc. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1989 pursuant to which Building Permit No. 179882 dated APRIL 4, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is INGROUND SPA AS PER PLANS WITH FENCE. The certificate is issued to THOMAS H. KEAN (owner] of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N085905 PAGE 1 & 2 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 aosai 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) nJ o 017 9 8 8 Z Date LZ.....~',1 19~C' Permission is hereby granted to: ~ ~~"5//"l~`• /'~J'l~jyyt~,~ . to f~~ ct premises located of ............................................~i~~~ r •~.~C!1.lyd /..-~1..... County Tax Map No. 1000 Section Blockk Lot No...1..~............ pursuant to application dated .........~.1.~...rll3r+L.~........a~.~........., 19..~j..~ond approved by the Building I,n{s-pector. Fee 5...~.:1 ~..~1. ..!~!~...'.f.'.1..........~'.. Building Inspector Rev. 6/30/80 .,I?, TOWN OP SOUTUOS.ll IIUILUING DEPART4IEN'C - ~ _ ' L _ p`i, TOWN BALL SOUTIIULll, NP,tJ YORK 1 197 t U`u~ FEB - ~ )ggQ ~ t__.. 765 - 1802 BLDG p T'°^~-..-Y~, TOW( OF S00THGr. ti ' APPLICATION FOF2 C15R'fLt+1CA'fE OF OCCUPANCY DnT..:~1 1.9,9.0_,,, NEW CONSTRUCTION !,.~vn.OLD OR PRE-IIRIS'T~IlN/C~~II.~U[LDIN/G.....y.VA~CANTgL,~AND..~..._._ Location o f P r o p e r t q. aT/lr/~'!2) .0~ :4~l~sc : ~GZ~~ ~1.~1~22c~~?-C~Lt~2GC . UUUSE N0. l~l/_ STRE~E/T UA2SLLT Owner or Owners of PsoperCq... ~ County Tax Map No. 1000 Section p0~. IIlock ©U'.3 Lot .~~Q. Subclivisioo Pil''//e//1``,,Map _....Lot.......... Permit No. I.rJP.4....Date of Ycrmit .7,lT~~~_.Applicant ' health Dept. Approval Underwriters Approval.............. . Plana ix~B Board Approval Request for Temporary'Certificate Final Certificate „ FeC SU1)III1CCCdC ~Y :DO nrrr.lcnNT~„~~.~o?'~e'~~ac.-.Z.-x,~`.G, ~'~6~96 rev. 10/ 1/i/88 _ 1ELD If:S: Ec. iua ~~u„TE cc~K~cur~ ~ ~ - m r. T H H FOU[1DATION (1st) o i c FOUIIDATION (2nd) ~ 2. z 0 P,OUGH FRAME & PLUMBING y 3. ~ m I2ISULATIOPJ PER N. Y. . • STATE ENERGY CODE x a 4. ~ H FI;JAL O ADDITIOPIAL COMMENTS: m x nr x •o H q H H O Z r C7 A _ H . ~ ~y m -a H ~ shorelinepoolsinc. ~c~~~a ~aa~~~°~4p~ 288 VALLEY ROAD COS COB, CONNECTICUT 06807 - Dare ^7 Q q roe No TELEPHONE 203/869.1203 '3 " [mil-(/ / ATTENTION TO ~Uli-t~l?JC-~-.`~E~l~(ZTMEtrvT Gul~'T1S OR't~/~ COfL+~1E2 of RE (od~oR ~'I-lOtY1145 {~sA~J -tZa W N I~qu.- I'rl Ai ~.7 ~ ~ 2~4o~x.~ SourNo~n ~ ~ 1 1~i7 ~ 'GLSN-~2'S ~5~-14t~D N,''t , J WE ARE SENDING YOU Attached ? Under separate cover via- the following items: ? Shop drawings Prints lans ? Samples ? Specifications ? Copy of letter ? Change order ? _ _ COPIES DATE NO~ DESCRIPTION 3 5~2v~y Sffa rt11 rvG SQA l.~ cA-T7o 3 3-13-u~ 8`r-a2 -M SP~9 ~Er~-1~5 3=LI-~9 o~S~i ipSt7 cf~~Q P~,.nt T" SEE ?j-Z1 gf 1 ~n`tT t lPPytcA-r7oN THESL ARE TRANSMITTED as checked below: or approval ? Approved as submitted ? Resubmit copies for approval For your use ? Approved as noted ? Submit copies for distribution ~?~Ars requested ? Returned for corrections ? Return corrected prints DCFor review and comment ? ~?~FOR BIDS DUE 19_ ? PRINTS RETURNED AFTER LOAN TO US REMARKS r COPY TO ~ i SIGNED: II enclosures are not as nofetl, kintllV notify vs of once. shoreli~o oofsi~ 'D ~~a~~~Q~~a~ ~ ~ 288 VALLEY ROAD COS COB, CONNECTICUT 06807 _ _ JOB NO. TELEPHONE 203/869. 1203 .~N QF ~~~FT}.{ ^ ""'O~ TE TION/~ ' J TO RTCy`f/~/ic///JJC./~JF' /S~fO~~C.~ryQ,w/,^jJ C~ L/,G,T/JS h`O(',B/T~t?/J M1~/~~C. ~V LA J ! /'"l ~/fI RE /L /Q/V ~~J ~K/~/tL~~ Lxx~ri~o<p~ it/'.y! //97/ ,~~/~s.yJ~,@.r /S'GAn/D, WE ARE SENDING YOU tYd'A tached ? Under separate cover via the following items: ? Shop drawings ? Prints ? Plans ? Samples ? Specifications ? Copy of letter ? Change order ~ ~/~~L~ COPIES DATE NO OESC RIPTION ` 4_,~ gg 254/ 1 /50' ~u~~k'm iT' " - THESE ARE TRANSMITTED as checked below: ? For approval ? Approved as submitted ? Resubmit copies for approval ? For you use ? Approved as noted ? Submit copies for distribution s requested ? Returned for corrections ? Return corrected prints ? For review and comment C ? FOR BIDS DUE 19- ? PRINTS RETURNED AFTER LOAN TO US REMARKS / /a /70e2TU rl~ AS ~o.~.~ Ouk? CO.~vv.~~°S.QT/O`~ ~.+~C'eoS'.~O /s' A /y~v,2,1= .~~'G'~'T-,f i~A'T~.fl `°'>ti'~'ck= SY1/~ Cov~p ~OC.,~~s~- eeGTU/r...~ c/4gC.~~~~ZS ,GViT'~ ~"f/Lr r n ` ?Hf~RI ~ yUU i// COPY TO SIGNED: _ _ f/ enclosures are not es noted, kindly nofily us at once. _ _ ~ _ _ _ .T. __mm T . - ! THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ' X107`5012 BUREAU OF ELECTRIC~~IVi1TYRR pp AUGUS? 09, 19895 JOHN STREET. NEW YORK, N6a066$9~8938 N 085905 Date Appluwtion No. on file THIS CERTIFIES THAT ~ E only the dectaieal pttipment w dncrt6ed 6elmo and tatredeteed 6y the epplicaxt naaTATd on the ahooe appNcatlon nuwtMr iw the premiere of ?HONAS B.%EAN, PRIVATE DRIVE, FISHERS ISLAND, N.Y. SHED,OUTSIDE in thsfoUowinll kTCa nt ? Irt Fl. ? Ynd Fl. Sertion B/oek Lot mar examined on and found to 6e in compliance with the reyuirementr of thir foard. At1K fYWTtlttf X RANOK 000RIIla OfCXf O T FANS WTLER NaCANOfaCEM nV01RIC71M OTXSa MAT. K. W. AMT. K. W. NAT. K.W. AMT. R. W. AMT. N. P. s a 9 ~ pRYERf RJRNACE MOTORS ll1TURf AMl1ANq IpOMi fNCIALMC~T TIW EIOCRf. Ny UtaT NfATERt IAYI aIAAMERf NA7. K. W. Oil K I. OAS N. AMT. NO. A W.O. AMT. AAV. AMT. AAVa. TRANS. AMT. N.I. ~ NAT. WATTS 1 F a ao 1 ao 1 !/R111C1 RIfOO1MNCT NO. tM f E R V I C E p~ AMC AAr. 7'IR 01~, i / aw T / aw a.r aw a /,w No.O~~caca+o. ~ A~,cw. N0. a N4lto A~~; ~ NO. ar NtY1tAl5 p 'NWlIITSAI p 01T1fR AIIAMIUk AIR sxlrceas-a aao crI BRALERS-a PANELBOARDS:1-8 CIR. 100 G.F.C.I:-1 +{SHINNING POOL) This certificate covers compliance at the date of iaapection only. Because of unusual environments it is advisable to have lrequent test and/or repairs ,e.~ t<t Continued on Page 2 ~ Thit oMiticaM not ba aRend in airy manner; TWUm ro fhr oHiu o4 fllr Board if intorrM. t M «edantialt. _ L.DIIaG DEPARTMlNT. THIS COPY OF CERTI iRli1?., . _ . ~ _ _ y AL ~ ~ ' ~r THE NEW YORK BOARD OF FIRE U'~DERWRITERS PACE z e101~O1a 8 EUREAU OF ELECTRICITY AUGUS? 09,19895 JOHN STREET. NEW YORK. NEWOiURS14t048e p 085405 Derr Applicotfon No. on fife 6286.9 89 THIS CERTIFIES THAT owly the eLet?leef equfpmsnt w described 6elote end tntrodreed 6Y the eppNeent neA~on the dMTee epp(btiol7 I7temMr G7 the prorl7itee q( ?RORAS H.REAN, PRIVATE DRIVE, FIBBERS ISLAND, R.Y. in th.jdfetrirtR tore p~ nt 3NED, OUTSIDE t3m~ 1'la~e ? Ist FI. ? Ynd FI. SerNon 8loek Lot ises bremined un JO044 and found to 6e in cornplianre frith the reyuiremenfe of thu Byrd. RRnts naRf srtlrcMRa w ex rANs OYrIRTf MICAIWtiCEM NUOIIliQNT OTMEn AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. M. 1. oRrnf Ra.fua h10TORf wruu furunwn tafffRf siRauRfo+t rllraaalf t>.1? ININIIUiRY wnwn oaRwRs AMT, K. W. OR M. t. OAa M. r. AMT. !q. A. W.O. AMT. AIM. AMT. AMrb. iRANt ` AMi. M. r. ~ Itn AMT. WATR RMtlItINIRCT NO. b f R R Y 1 C R p, AMT. AIN. lTl! 1 / 7V/ 1 / 7W i R 7W 7 / M'r NO.01 COND. . W. NO. OI N41t0 NQ O/ NtYIRA{! w' TKAI 011 ANMAIIM, wade by a qualified person. ~ DADA CONTRAC?OR _ DRAitER - B FIBBERS ISLAND, RY, 06390 Pir l?tit arNlitote mwt net 6t aMered in natrrrT return t d tM.Bootd H iaeorrM. 4e irletadied thinaudeMiak. COFY FOR BUILDING DLPA CER IN ANY -,tea _ , BOARD OF HEALTH 1 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORDS ' TOWN HALL SOUTHOLD, N. Y. 11971 NOTIFY TEL.:7G5.1802 CALL MAIL T0: Examined .................19... Approved G~ . 19~r~ermit No..1..'~.9. ll~z tli')~' DisapProveda~c ' q~,~ ~f MAR 2 ~2198s f rcrR'_ ~ ~'~`arl'tttxo (Building Inspector) APPLICATION FOR BUILDING PERMIT • Date ...~.-..Z t....., 15~ 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 Iayout 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 perm shall be kept on the premises available for inspection throughout the work. e. I~'o 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 ti Building Tone 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 describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and i admit authorized inspectors on premises and in building for necessary inspections. /~OR~~^~j/E ~3~U j (Signature of applicant, or name, if a corporation) • . Z.88.. U~~~y..2a, - cr~s.r-~.8,: fir.... . • - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buiIde; Name of owner of premises ~~VENO(C ..j~f p/r~~• • r:F~N • • • , • • . (as on the tax roll or latest deed) If applicant is/a~corpo~ration, signature of duly authorized officer. (Name and titl ofof cC~fficer) .r Builder's License No. J532D -j~(• • „ • , • , , , • • Plumber's License No. - Electrician's License No. f~,~/{.~QS. • • • • • Other Trade's License No . . I. Location of Land, o~niwhich propos •d work will be done. ..~ISN~~~~...I~.~L, !~O, , • • • • • . , • • . • • • • • • ....~..~!!t/1r~ House Number AA Street Hamlr-t County Tax Map No. 1000 Section ....!'t'............ Block Lot . ;~.h/.. , • . Subdivision Filed 1\lap No. Lot • . (Name) . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~~t~NCE : b. Intended use and occupancy . • ~ f'•~~NA~'• • ~N~2ov,ND •~W~MM,/11~G • •7~0~~.• • , , • , , • , . f 3. Nature of work (check which applicable): New Building .Addition Alteration Repair - , Removal , Demotifion . • " Other Work . ,,fi~nn ~ ~ (Dcscripci~ 4. Estimated Casi.....~ QO Fce (to be paid on fi]ing this application) 5. If dtvellin„ number of dwelling units Number of dwelling units on each floor . r....... , , If garage,numbcrafcars - 6. if business, commercial or mixed occupancy, specify natur and extent of each t p~ of use , , , . 7. Dimensions of existing stnictures, if any: Front r.2....... Rear ~:G Depth . ~2~ . Heigltt ...............Number of Stories , . . Dimensions of same structure with alterations or additions: Front Rear . Depth Ilcigltt Num~cr of Stories . 8. Dimensions of entire new construction: Front ...LQ`.° Cj Rear . ~ ..~j.°........ Depth `-Q':.. . Height `<N4?(ZR.t.l?r~. Number of Stories . 9. Size of lot: Front 23 , , , , , , , Rcar ~ U.~.7 Depth . 10. Date of Purchase .Name of Former Owner 11. Zone or use district in wfticlr premises are situated . I2. Does proposed construct~io ~v olat ny zoning law, ordinance or regulation: ~Q . . 13. Will lot be regraded pp~7 . ~(3(?rl,f~;l~, , , . , , , . ~Vi11 excess fill be removed from premises: Yes 14. Name of Owner of premises .Lt}41h .~}~.I~N , .Address .Ft~S../.~~N:~. Phone No.~/6 : ~8~+.:~1~ Name of Architect ,Address ..............~,~lc~hone No............. Name of Contractor 12~4''QE. LING. pUO~--tom. ~ I`N~:~+ ...Address 2$S. v'1i-t-E~.~A.. G.T. Phone Nol^,O.~'~/p.`/,': (Qr IS.Is this property located within 300 feet of a tidal wetland? *YES.,,.NO... *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 i property lines. Give street and block number or description according to deed, and show street names and indicate whe interior or corner lot. STATE OF NEW YORK, COUNTY OF S.S . R. ~~y,~Ro.. QQN'TE, , , , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the appli~ (Name of individual signing contract) above named. [ieistlte.......~~T (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 application; [hat all statements contained in this application are true to the best of his knowledge and belief; an3 that work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ y' . ~ 1~!~Zc!!LCn~ 19 U.9 a/.~~~.... .day of _ Notary Public, ~ . County ltilyrCommiaalo~Fxp1~ ~ . ~t;%~....... . March 31, t993 (Signature of applic ~ o#f J` r~yr 3 per ~ o o~ :~U• T z ~ ~ ~ owo s ~ ^N 6„ 2r,3,~ ~,9„ ~ ~p~ SNP ~ m L~~~ m 8 ~ R~> N g ~ ~ N col ~ 1t ~ m 4~-0~ ~ ~gd z ~ m~P K ~ N ^t1"~ Z i; _ i ~ r 7-'a" N Q ~ ~ n x `D i~~ - Z ~ m c ~o N ~ ~3 ! D ~ of g p a ~r o t ~ P <°a ~ ~ . 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