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HomeMy WebLinkAbout18283-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22270 Date APRIL 20, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 195 LESLIE ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 4 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1989 pursuant to which Building Permit No. 18283-Z dated JULY 7, 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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to JAMES & MARIA RAPPEL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-034288 - APRIL 12, 1993 PLUMBERS CERTIFICATION DATED N/A ~V V Building Inspector Rev. 1/81 n~osai 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) N 18 2 8 3 Z Date ...........~....7 19. 9 Permission is hereby granted t . I .........x....1.9. s' ra ..~'Q~..a:C6r....~!'!....~1.~'~'~:..~'!}'~!'!'hOf-:...1..~..~:.. ...~~-21.:,x..-:;.... . . II a u...u. uu... r . ct premises located of 5.... : ~R~S~,~ f.~F.~-,T........................... County Tox Map No. 1000 Section .......Q.~`]..... Block Lot No....~..~~ pursuant to application dated .........~....7 19.~~., and approved by the Building Inspector. 1 /S~ Fee ~.-.5..". J. ..::n"l...f:K.r~ Building Inspector Rev. 6/30/80 4 ~ Form No. 6 • ~ ~ \ TOWN OF SOUTHOLD ~ j lc~ ~I\~t/~ ~I~y" BIIILDING DEPARTMENT ~ _ ~ ~ ~ TOWN HALL ` ~ ~ 7bs-lsoz ~j i1~ ~ MAR ~ 6 X91 ~ ~ ~•s ~ ~.~d r~~~.: ~ 4i, f. wCa. L~i~.Y APPLICATION FOR CERTIFICATE OF OCCUPANCY ~~7:3Vd'iy~"~F; rs;~t~i(St?y! zu a A. This applic tion 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 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 building. 6. Submit Planning Board 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. C. 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. 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 ......m°~rC:it... ~"ev~...~~y~........... New Construction....... Old Or Pre-existing Building...... Location of Property....C9~....~;L"5,1..1,~..~~1...........~r.UTG~~U~ House No. Street Hamlet Onwer or Owners of Pro ert ,1 County Tax Map No 1000, Section..©~.7~, d ,Block... ~~........Lot.... Subdivision .Filed Map............Lot..................... Permit No...~4.~T..V.3 .Date Of Permit.. ,7~`~/~~, , , , ,Applicant:~L~?S-°.~.:F ~G n~}, .J; ;r!~~L- Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval - Request for: Temporary Certificate........... Final Certicate........... /Fn~ee OS~ubmitted: ~ ~ ' CO; ~~oCo1~~Q.~ .APPLICANT ~k~N~,. F<,~>=,,., .z ass-zsoz BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ DATE ~.2- ~ INSPECTOR ~I~hJ . c~~~F~(.~(C' r TEL. ?GS-1801 ~~~:~t~~/~~ o` t Toy rr or sour~or,~ I:r.27~6:,:a,`~i~ Y•+ ~c~- O1~1'1CL' OC: GUILDINC INSPECTOR u " 44 1179 TOWNOI ALL SO(J'I'fIOLD, N.Y. 11971 '~,y~l. ~s . Y March 15, 1991 James 6 Marie Raffel Box 195 Cutchogue, N.Y. 11935 To 4Jhom This, May Concern, 4Je are unable r.o complete your Certificatr_ of,O~ccunancy because of the follo~oing reasons. An appl.ic.ation for Certificate of Occupancy its not on fi].c. (ENCLOSED) / / Flo (Jnderarritcrs Certificate on file. 'Phc cLccF: .i:: (ci[~4Fi~i~iR/nut on file.) $25.00 D!o Ilea].th Dept. Approval on file. No final insl~~ection has~beeu made.. Please contact our office on thi.^, matter. - Thank you for your cooperation. Ikc.ilc7ing Pcrmi.t p 1 8 2 8 3 Z (POOL) DuildincJ Dept. tlo Plumber :;older Certificate on file. ( al.l pr:nnil•s involving plumbing being i~sucd aft.cr :1pri.:l 1,19(34 ) 1cLD I;:S:Z .iv;. ~IUn.c j~ ~i;tKMEN7S =~•A=_i - I 1 H ~ 20UJJDATIO"J ~ W (1st) ?OUNDATIOtJ ( 2nd ) s~ - _ ~ o` ROUGH FRAME & ~ r~ PLUMBI,yG 3. y a m IIJSULATIOPI PER N. Y, y STATE EPJERCY CODE 4, _~y~ \ f FZ;JAL I ~`KJ'l ~ So ADDITIOPIAL COMMEPJTS: . ' ~ x •a . H 9 A ' .J H H -0 O ~ m a ' r ~ ~ H m ^o H _ f __.______.__.a..,:_ ' e,~yL~~ t . 0 ~~sy~``-~~o ~ ti w- ~ . ~ r N iG r+ ~ Ghc r'n ~ ~~/J('~ ~ `x`'25 ~ ~vm QvL'~ e~~~~v`'-~fE~ '~-`;'e. ~.:_..-v .Cllr..--r-_ ~ p ~ "'_'X""' ~~.7. ~ ~ .'y, r• , BBB . T1A7 G, FEIVivF,t*,+ - ~'f• / ~ ~ - ~?Ati. >=F_ J L,. i. ~T~ Sc'.(F= ~ ' OCCUPANCY AN ~ ~4->v~~ rn ; Ual~ IS UNLAIN~UI,; ~ ~`~~~r'ooit~ ? „ ~°dl ~ {~Qr 1yaTH00T i3~RI'1~4~A~'E _ 4 n, ~r_locQ c .~r } c'. ) ` OF OCCUPANCY LSro2v ryA f,.L3 - ~ ..FIb~.NQ ~ U' ~ ~z7x ~I ~ - ~ i ~ ` t i1}~ ! J; ~ ~~s17~" APPRdVED A5 NOTEb .~z'~ i a; ; HATE ~l-.z~~~.~ ~----p_!__=~~L~_~_ i . FEEt~.~~e-'. BY',^-!7'9.75.t"Jt3A~:/ ~.57~GOX~O`,n~" NOTIFY 8lJlLDINiti OF:PARTIVIENT AT _ 7fi5 1802 AM 'CO 4 PM FOR THE _ .4~~}.~,}.. FOLLOWING iNSPEfTIC)NS. C:E"`-ak::j_ir: . 1. FOIJNDATfON 'fWO REQUIRED' _ FOR P6URF-Qfi{}t~CRETE____-_ 2. ROUGH .FRAMING $ PLUMBING . 3. INSULATION - " ' _ . 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.V. STATE-„ C NSTRUCTION $ ENERGY DES GN ~~rNS'TR~C'~fONERRf ~ORS_":'~-~"" ~t`;r~~ ~X~`~ F-__._~..! S; ~ - BOARD OF HEALTH 3 SETS OF PLANS i,/....:...... FORM NO. 1 SURVEY /J~i TOWN OF SOUTHOLD CHECK J~~B ~ . BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.:765~1802 CALL Examined 19 g. AIL To: ~~d~2~ss arJ C,G,ec~ Approved I..., 19~~ Permit No.'. 0 °~~~.2Z. ~ ~ Disapproved a/c . per. BLDG. DEPT. ~S..i<' .4s:.. ......:°.u ~ TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT ' Date , ~',`:t1.L~.. > 19 INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to'scale. Fee according to schedule. b. Plot plan shbwing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving. a detaileda 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 Buildng Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept ort 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 Building Zone Ordinance of the Town of Southold, Suffoik County, New York, and other applicable Laws, Ordinances or Regulations, 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 regulatioris, and to admit authorized inspectors on premises and in building for necessary inspections. ignature ot" applicant, o~f a corporation).. . (Mailing address of applicaTtt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..........C?.wNe~ . Name of owner of premises Jq,VY1~S...~:...Qn.~...1.!!QY'14.....~\,R~~,~,t°L (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. ~ N~ Plumber's License No. N~.p Electrician's License No. ~./A . Other Trade's License No. N./~ 1. Location of land on which proposed work will be done. sQ,~e , , , ~ S. , , . ~JO/Jt l ~l5 /eS ~lN .............4:!~TG.~Orj U~ House Number Street Hamle l County Tax Map No. 1000 Section Block Lot C . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of pre~mi~ses and intended use amend occu/panty of proposed construction: a. Existing use and occupancy .....l. (l .~ml~Rr......'!.4°S (U~`,'hG~ b. Intended use and occupancy z~ zj 3. Nature of work (check which applicable): New Building Addition Alteration . . Repair Removal Demolition i...?. Other Work .~!1.STH,LL; • ,1~pOL, a m ' ~ (Description) 4. Estimated Cost ~oZ B O ~ Fee ~ ~ . (to lie 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 kype of use . 7. Dimensions of existing structures, if any: Front Rear Depth . Height Number of Stories . ~I, . Dimensions of same structure with alterations or additions: Front Rear . . Depth ......................Height Number',of Stories " . 8. Dimensions of entire new construction: Front Kear ......I, pth De Height Number of Stories . h .7......L........ 9. Size of lot: Front s Rear ...L• • , 375... , • • , Depth QCU........ . 10. Date of Purchase ......a..a~~'~~ ,,,~1 }~n i?om,•~,~ •~:~c{w.i•tl~(';f,-• e9r DenrlA~- • • • • 11. Zone or use district in which premrses are situated g . 1'R.r Does proposed construction v'olate any zoning law, ordinance or re ulationWnerl• • ~p. • • • • • • • . 13• Namle of Architect ~ .........Address , , ; : e ~e ved from premises: Yes N 14. Name of Owner of remises . af•F.~L• AddressXC.) R f1 ~ SFe~~', • • • Phone No . 1? ~ . ~ ~ I . ~YTPhone No.?.3. z/.: 7~ 7 . Name of Contractor ...........N.//•9, , , , , , , • • , ,Address I'I...... Phone No............~ 15.Is this property located within 100 feet of a tidal ~retland? *YES....NO.I/.: *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly 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_pr corner lot. ~ V~ . ~ ~ ~ ~ . ~ III Cc.p ~ ~ ~ A \ ~ ~ ` ~ - - STATE OF NEW YOR~C, ) S S COUNTY OF . . g y ~osesandsaysthatheistheapplicant bein dul sworn, de (Name of individual signing contract)` • above named. He is the ...Rxf.M.~l............... (Contractor, agent, corporate officer, etC•) of said owner brx, pwners,.and is duly authorized to pe~rfor~n,or have performed the, said work and to make and file this application; that all statements cont9ined in this applicatioh 5re true to the best of his knowledge and belief; and that the work will be pexfp~neQ imthe manner.set forth in the application filed therewith. Sworn to befo'ra me this ~ ~ ` ~ .day of . 1~./. . Notary Public, !":"~?'~.1.~.., , County f NOfIIRYP Bt C,Stxte ~wYak (r nature of applio ~ No:470187QSu1folkCou~ 1 ant) j . 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