HomeMy WebLinkAbout18258-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18628 Date DECEMBER 8, 1989
THIS CERTIFIES that the building INGROUND POOL & FENCE
Location of Property 155 ANTLER LA & 890 BEEBE DR. CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. ].000 Section 097 Block 07 Lot 08
Subdivision Filed Map No. Lat No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 26, 1989 pursuant to which
Building Permit No. 18258-Z dated JULY 5, 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, ATTACHED DECK, RETAINING WALL & FENCE
The certificate is issued to CHARLES & ALICE LEVIEN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-093886 - SEPTEMBER 27, 1989
PLUMBERS CERTIFICATION DATED N/A
U ,c C.~O u-~. C.~7~
Building Inspector
Rev. 1/81
gosaa 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)
~ g ~ IJ $ Z Dare ~/u'`.'.`.~....l~ 19.~.J.
Permission is hereby granted to:
....l.:l.:. ~ a~ . i.......
..a.:.~:... ~?.:~......1!.9.s
D
at premises locoted of .........................~~A.......~.(......1~':4:~~.:......~~;~ 1.'t:~_
County Tox Map No. 1000 Section ......~'2g.~........f Block ......~....(.....gLot No....~.°
pursuant to application doted ...~..~cb^..:~R..a.W 19~.J..., and approved by the
Building Inspector.
Fee S..!'
Building Inspector
Rev. 6/30/80
• TOWN OF SOUTIIOLD ~ ~ ~ ~ ~ ~ ~4
~ U
BUILDING DEPART?LENT wn{ 3 a
' TOWN IIALL W~
• SOUTIIOLD, NEW YORK 1197 gLDG.DEP'C.
gpVJN Of SOUTHOID
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE---
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING._....VACANT LAND.....,..
Location of Property.../~5.....:...~~/Z~.__~ZO~_-____-.~1~~`~~~~-~
DOUSE NO. STREET HAMLET
Owner or Owners of Property... ~.~~'~-jij+'~.-.L.E1.,1~/t/
County Taa Map No. 1000 Section .~j,~ Block Q-~
. Lot
Subdivision Filed Map ........Lot.......,,,
Permit No. '~z „Date of Permit ........,.Applicant
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
APPLICANT .
~?~~Cy. U
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,ref ~3~
reV• 10/14/88
R•ec• 3~7aD
1~..D 1,. . c ..i;,. ~~'Jn::. I~ ~OtYMENT°
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rOUNDATI0f1 (1st) o ~
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?OUNDATZON (2nd) _ _ m~~
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..°,OUGH FRAME & 1
-PLUMBING
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IIJSULATIOf1 PER N. Y. y o
STATE ENERGY
CODE I _
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FINAL
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DDITIOfJAL COMMEPJTS: ~
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Z.~~(f _ 765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL c~.~.
REMARKS: ~(J
-
DATE ~ l INSPECTOR r
THE NEW YORK BOARD OF FIRE~\UNDERWRITERS PALS 1
100138.1 BUREAU OF ELECTRICITY ,
. ~ 85 JOHN STREET. NEW YORK, NEW YORK. 10098
baa"' ' " 3)I;P?SNBSTC 27,"1989 Application No. on file 64314089/89. N 093886
THIS CERTIFIEEi THAT
only the elactticd squipment a descrdASd helom and introduced by the epp/lcent Homed on the ohoro epplieetion numher in tke premise of
CHARLES LEVIEN, BEEHE DR. & AUT?ER R)it., POLS-7, CU?CNOGUE, N.Y.
in tke fdbuinE location; ? Beuement ,
SBP?EMBER 11 1989? !Rt FI. ? Ynd Fl. OU? Section Block Lot
uMU a:omined un ~ and found to he in rnmp4dnre uith the reyuiremenu of this Boord.
RXnIB XTWES RANOB COOKING DICKS OVINE DISH WASHERS EXHAUST PANE
OUTLETS AQis SWITCIIB INCANDFSCEm ~ NUOIIlSCENf DTNEn AMT. K. W. AMT. K. W. AMi. K.W. AMT. K. W. AMT. N. P.
1 3 3 1
DRYlRS RMNAGR MOTORS NTURE Aee11ANCE tmlRS fetpAL RECT+T TIME CLOCKS BEII Wai HEATERS RItMn-OUTLET DIAAMIRS
AMT. K. W. Oll M. P. OAS N. P. AMT. NO. A. W. G. MIT. AAH. MIT. AMPS. TGNS. AMT. N. P. STSTEMS MIT. WAITS
ta. a tan
2 20 1 40
EMVEL! DISCOlNiECT NO.Or E E R V 1 C E
AMT. AMP. T11E ~ 1 J tW I J tW 3 J T4 JJ AW NO.OP CC. COND. A W.O. NO. OF NFIFG W. G. NO. OP NEUTRALS A. W. G.
NR / OF CC. CDND. DP X41EG OE NEUTRAL
OnRIR ANARATU6
No? ?uH-1
c.F.c.I:-2 ~
tl1(3ifINNINC POOL) ?his certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent teat andlor repairs
made by a qualified person.
JODY PUNILLO LIC.#2300-E -
PA? LANH <IENBtu MANAtSQ
NAT?ITUCK, NY, 11952
Per
Thit nrtificate must rat be ahered in airy manner; return to the offip of tM ioord if irlDOrrect. Inapacto moy be itlRntified by their credsntalt.
COPY FOR BUILDING DEPARTMENT. THIS COPT OF"E~iRTIFICATE MUST {E ALTERED IN ANY MANNER.
i
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BOnRD OF HEnLTH
FORM NO. 1 3 SETS OF PLn~ .
SURVEY
TOWN OFSOUTHOLD CHECF
BUILDING DEPARTMENT SEPTIC POa"I .
TOWN HALL
SOUTHOLD, N.Y. 11971 NOT FY
TEL.: 7651802 cnL ..~J. ~~-J1," ,ro, , , , ,
Examined... 5,,,,194G~, MAIL T0:
APProved 198.1. Permit No. ~.~a S$,"'t.~,~ .,:,~'...w~
t~ ~ ~
Disapproved a/c ~ . ;
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ig~9
JUN 2 ,6
BLDG. DEPT.
(Building Inspector) ` TU~It~ UP uOUi'HULD
APPLICATION FOR BUILDING PERMIT
Date b, ,2G,,,.,,.,,15.~,/
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets ot'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 permit
shall be kept an 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 Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buildin, 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
admrt authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporatron)
. ~ J X34?? ~21~i~?.~4 [ -l
- /~~f~,~
• (Mailing address of applicant) 9r,(Z
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Iv`ame of owner of premises .....~~L S ,(rI,G lCg=....Ci. • . G ~-Zl/G aJ
(as on the tax roll or latest deed)
If a lie is a corporatio 'gnature of my authorized officer.
. . .
(Name and title of co a officer)
Builder's License No.
Plumber's License No . .
Electrician's License No . .
Other Trade's License No .
1. Location of land on which proposed work will be done../.~/.t!TF~2, _ .G/~i'-
/~-Z~G: ~/Z/try."
House Number Street. ~ ~ ~ ~ ~ ~ ~ • " " " " " " '
Hamlet
County Taxi4fapNa. IOOOScction Brock .....1,,,,,,,,,,, Lo[.~,,,,,,,,,,,,,,,
Subdivision Filed flap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ ~r~ ~'.~,~~17!~
l/~ L-, , , , , .
b. Intended use and occupancy !~J.~! Cr1z„-, , , , W.i, ~ ~ •
~ ~ ~c ~a-~ ~
~ C~
3• Ret azr of wort. (check whi~hmpplicable): New Building Addition Alteration .
p oval Demolition Other 1Vork .
~ (Description)
4. Estimated Cost .......(~CJw. •..c4 Fee .
g, (to be paid on filing this application)
If dwellm number of dwellin
da ~ units . . . Number of dwelling units on each floor .
6. if business, commerciatror mix' .
n •n ~d occupancy, specify nature and extent of each type of use .
_ S
es, if any: Front.........
H~mf ~sions of cx~sttn structu~ber of Stories , , , , , ,
Nu Rear Depth..............
' Dimensions of same structure ~yith alterations or additions: Front Rcar . ~ •
Depth ' . Ilcight . .Number of S[orics . .
8. Dimensions of:gnt_ire.rtew const
,a ' • . • • ..Iruction: Front . Rear . .Depth .
Height Nwltber of Stories .
9. Size of lot: Front Rcar . ' .....Depth .
l0. Date of Purchase ...................Name of Former Owner .
11. Zone or use district in Whichpriemisesaresituated,,,,,,,,,,,,,,,,,,•..,
1 Z. Does proposed construction violate any zoning law, ordinance or regulation: • ~ • • • ' '
- WAllotbere~*raded ~
~ ' ' ' ' ' ' ' • • • • • • • • • • ..Will excess Gll be removed from premises: Yes
14: Name of Owner of premises . , , ~U /,G,J. • ~ •
Name of Architect • • • • • Address ,~k~!/-,q~t:... Phone No .
~~,+,GL• •~~X.. ,Address .Phone No. ~yd
Name of Contractor .Address ~~~J,T't~P,r~, ,phone No...~!(/~T,r6o b
IS.Is this property located withinS?00 feet of a tidal wetland? *YES....NO.r::
*If yes, Southold Towt} Trustees Permit may be required.
PLOT DIAGRAM
' Locate clearly and distinctly alll 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. I
t_
I
II
\ .
STATE OF NE1V OR1', _ '
COUN/T~Y O,~F/.~.~~Gt/.'ltir' ~ /S~',S --•~-y~
' ' " ~I'~~ ' ' ' ~ 's0 '"'G~'~ • • • •u~
t•^• . being duly sworn, deposes and says that he is the applicant
(Name of individual si nittg contract)
above named. ~
lie is the , , ..........~J.x!~
(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
aPPlieation; that all statements contained in this application arc 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 t//his
Votary Public, 7t • , , , , , , , County
HEIEHICDEVOE Ili
nngtYo.,tk~ .
NOTRRY PUDIII;, State of Nevjy • • . • • . • .
TeunExpieslMirch301'~B.r~J• (Signatureo a plicant)
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9^
ON~60•£~ Ai~VR0VE0RSNOTED
~ QD~ DATE S B.F N ~ Y~ ~Lc
is gyp' ~ ,`./-/-'S~~
FEE /S"D t~Y Y• G.L. _ 0'~'
OCCUPANCY OR NOTIFY BUI(DINL, ?)F:put371t1ENT AT ~a~
USE IS UNLAWFUL Fo~~cn~,~zvc: ,n;r ~'FCT,c;;> ~ FaR rHE z ~ z
WITHOUT CERTIFICATE FoulvoarlON rwo aEnulaED ~
°
t
OF OCCUPANCY fOR POURED CONCRETE ~
2. ROUGH -FRAMING $ PLUMBING ~~t~;,
3. INSULATION r
ba.
4. FINA: - CONSTRUCTION MUST ~ ~ v~
BE COMPLETE FOR C.C. M ~ v °
i ALL COHi'?RUCT1pH SHALL MEET 2 ~ ~ ~
'7MM - ~ ' t TI+E ~ of THE N.r. , .
~ a : Y $TA7E OO~MTMICTION ~ ENEiH3V Z ~ M ~
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