HomeMy WebLinkAbout18289-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23985 Date OCTOBER 24, 1995
THIS CERTIFIES that the building ACCESSORY
Location of Property 1165 PINE TREE RD.& 100 BILLARD RD. COTCHOGOS, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 98 Block 1 Lot 7.12
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 30, 1989 pursuant to which
Building Permit No. 18289-Z dated JULY 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 ABOVE GROUND SWIMMING POOL WITH DECR & FENCE ENCLOSURE TO
CODE A3 APPLIED FOR.
The certificate is issued to GEORGE & FRANCES TOTH
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-047260 - OCTOBER 4, 1995
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
rosa~ xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMCNT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 18 ~ 8 9 Z Date 19 .~i..
Permission is hereby granted to:
/../.9s.3
to ~~~~?.`..a,~,...... , ......~~z,~ ..~r/
~.~..~..°..~!~j..c,~.
...e........~,~.~
at premises located at ..1.~~?..~..~vit.~2...../.~-~...... ~a/.r, .
...~c+~
..................................................................p.
Gpp~y...~~.r.~.../..................................................
Caunty Tax Map No. 1000 Section ........9..f1.......... Blcek ............1...... Lot Na
pursuant to application dated 19~., and approved by the
Building Inspector. ~/~/4 /
Fee $?.~.~J..-0...~
e-%%~~~~~ . ..Gf.<
Buil ng nspector
Rev. 6/30/80
,,t.~E-:-_..... Form No. G
ACT 2 ~ 1995 'i'o(aN of sour}TOLD t~"~'`"'
I3U1C.DiNG DGPAR'fMLNT
-,.~,_.a3.f7a. %r=.....,_,. ? TOWN }iFlLL 1 ~ , NQ.,1~,.~JLY(~ "v' r`'O}~'
frtlNf,~r)r~.~.~ 765-1807 V
k~`~~s>n tr,.e j,.~-~ t t ~o
APPLICATION FOR CLRTIFICA'f1i OP OCCUPANCY
A. This application must be filled in by typewriter OP. inlc and submitted to khe building
inspector with the following: for new bui.ld?ng or new use:
1., Final survey of property with accurate location of all bui..ldings, property lines,
streets, and unusual natural or topographic features.
2. Fina.i Approval from Health Dept. of water. supply and sewerage-disposal (S-9 form).
3. npproval of electrical. installation from Board of Pire Underwriter. s.
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 installakions, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing bui.l.dings (prior to April 9, 1957) non-conformi.np, uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of proper Cy showing all property 1i.nes, streets, building and ~
unusual, naCUral or topographic features.
2. A properly completed applicativn and a consent to inspect signed by the applicant.
If a Certificate n[ Occupancy is denied, the Building Inspector shall state the
reasons therefor in wriCing to the appl.icanC.
C. Fees
I. Certificate oC Occupancy -New choel.].ing $25.00, ndditions to dwelling 525.00,
nlterations fo dwelling $25.00, Swi.nuning pool $25.00, Accessory building $75.00,
Additions Co accessory building 525.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-exi.stinp P,uildi_na - $100.00
3. Copy of Certificate oC Occupancy - $70.00
4. UpdaCed Certificate of Occupancy - $50.00
5. Temporary Cert.i.ficate of Occupancy - Residential $15.00, ComGmercial $15.00
Date f®/~.~~J .
New Construction........... Old jjO}r Pre-exi-sci.n wilding ,J
Location of Property..~~ yi..7~....`(.~e., fee, ~ ~ C~ ~ G~s
..u G ~ / t
(louse No. Street
//fi~n~},,,,,, Hamlet
Onwer or Owners of Property. ~F~?~r~..~, .~~,.~~G...
qq pp
CounCy 'l'ax Map No 1000, Sectivn..~!•4.°,~d , .l;.loclc..~,~?.Q®, , , ..LoC..4~~.~t a~~-
Subdivision.....~~
..............................Piled Pinp........../.L,ot..............y~./.....
Permit No./~.?;Q,~;~,,.DaCe Of PenniC ................npplicant.C~C°0,„~.~...~.~~~GJ'.....
Uealth Dept. npproval .........lhnlerwriCers npprova]..........................
Planning Board npproval
Request tor: Temporary Certificate........... final Certicate...........
Fee Submitted:
c~.so3~ a
Cod, ~39aS
n~PLIrnNT ,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE z
~~>6613 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Date OCTOU}.R 04,19~i5 APPlicatfon No. un file 1Gt30'76!3~/9r, H 0tk'72Gg
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant Homed on the shove application number in the premises of
GEp 'L'OTH, :1.965 PTNETREE kOAf), CUTCHUGUE, N.Y.
in the following location; ®Basement ? Ist FL ? 2nd F'l. QC1+~~ .Section Block Lot
was examined on SEPTEMt3ER + 9.985 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W AMT. K.W AMT K.W M1i. K W AMT H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEl6 UNIT HEATERS MULTI.OUTLET DIMMERS
PMT. K.W. Oll H. P GAS H. P AMT. NO. A W. G. AMi AMP AMT. AMPS TRANS. AMT. H. P SYSTEMS qMT. WAiiS
NO.OF FEET
SERVICE DISCONNECT NO.OF $ E R V I C E
AMT. AMP TYPE METER 1.94W I,6'~W 3,9'~W 3,9'4W NO OF CC COND A W G A W G A.W G.
EQUIP, PER % OF CC COND. NO.OF HLLEG OF MbIEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
"NO VIStiAL DEE'EG'PSt "An e7.ectri.reL1
esurvey ha;x been made of the exposed
el.ectri.cal equipment in the
premises indicaT,ed." "No obvious
unr-+ati.si`actorY condition wae> :Ltsund.
y~~~
GEO FRANCES G/~~'"
1:1.1 1•[AVERFORp ROAD
IIIY.'K:iVTLLE, NY, 7.11301 6ENERAI MANAGER
11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by Their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
~~gUFFO(,~c
0~0 OGy~
y Z
Town Hall, 53095 Main Road p • ~ Fax (516) 765-1823
P. O. Box 1179 y~ O~ Telephone (516) 765-1802
Southold, New York 11971 0,( ~
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 9, 1995
Mr. & Mrs. George Toth
1165 Pinetree Road
Cutchogue, NY 11935
SECOND NOTICE
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
xx No Underwriters Certificate on file.
xx 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 # 18289-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
- ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS
UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A
CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED.
,,fA"
S~~FOLy~~, TEL. 7G5-180?
~O, y;/, OG~. TOWN OI' SOUTIIOLD
L1:~a,,. = c UPPiCE OP I3UfLDING CNSPECTOR
° J'~'> `~~~^3; ~ P.O. DO\ 728
c9s Vlxy'> ~ T01VN fIALL
~i°f/Ol ~~`J~ SOUTIIOLD, N.Y. 11971
April 16, 1991
Mr. & Mrs. G. Toth
1165 Pine tree Road & Billard Rd.
Cutchogue, N. Y. 11935 -
To L4hom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
is not on Lilc.
/XX No Underwriters Certificate on file.
/X7( Tlie check is (o~txlxxis~~l/not on file.$25.00
No IIca1L-h Dept. Approval on file.
Nu final icis,pection has been made.
Please contact our office on this matter.
T'liank you for your cooperation.
Ilui]di.n~I Permit 1f 1 8 2 8 9_ Z
Uu.ilding Dcpt.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
_ .issued after April 1,1984 )
l
765.1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ] ROUGH PLBG.
[)FOUNDATION 2ND [ ] IN TION
[ ]FRAMING //FINAL
REMARKS: W
DATE 1/ INSPECTOR `vet,
n.
=1cLD I;:SI~C:iU;i ~~UniG j~ ~~cYMENT~ ~
-o
7 . : m ~n
a ~:l
H
_ _ _ y
rOUtJDATION , (1st)
sOUNDATI0IJ (2nd) _ m ~
z
ROUGH FRAME ~ o e ~
.PLUMBING
•
~~y
3. ~
' H
ca
IIJSULATIOPI PER N. Y. y
STATE ENERGY •D\'
COpE
a
4. ~
H
~r~
c
FIIJAL
. • ~
ADDITIOtIAL COMMENTS:
x
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• a
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O
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• Cy .
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a
~5 6) CTO
802 O~pS~FFO~k`O
VICTOR LESSARD, Principal G2~ SCOTT L. HARRIS, Supervisor
CURTIS HORTON, Senior y = Southold Town Hall
VINCENT R. WIECZOREK, Ordinance O P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ~ p~~ Southold, New York 11971
~4.( Fax (516) 765-1823
Building Inspectors * Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 26, 1991
George & Frances Toth
1165 Pine Tree Rd.
Cutchogue, N.Y. 11935
RE: BP18289Z above ground pool with fence enclosure
Dear Mr. & Mrs. Toth:
I am writing to you about the above Building Permit. This
permit was taken out for an above ground pool on July 11, 1989.
You have never called for any inspections and you have not filed
for a Certificate of Occupancy. The permit has ex-
pired. You are now in violation of the Code of the Town of
Southold.
Please contact our office immediately to resolve this.
Y~o~u,,rs 'truly,
Secretary
80.1RD OP HEALTH
3 SETS OF PL.1NS
FoaMN0.1 SURVEY
TOWN OFSOU7HOLD CHECK
BUILDING DEPARTMENT SEPTIC t•ORtf
• TOLYN HALL
. EOUTHOLD, N.Y. 11971 N r L (®l~~
. TEL.: 7G5.1802 ~ • • ••,~•s,~•~
19CJ P1AIL T0: J 1 J `~~E~.~~~FJhI"
Examined ~ • a
.\pproved 7~.~........, 19~~Pcrmit No.f ~ ~S' l`~~ ~
Disapproved a/c .....................................a
M~
,l,~y~.•••.
n
1~~VV~~CCVV
7 I , . - - BLDG
DATE' / !l.PN 70WNUFSOU7HOLD
uild' ^ nspector)
So
FN
EOTIFY BUILDING DEP ATgppLICATION OR BUILDING PERMIT
785-1602 9 AM 70 4 PM fOq THE n/G` _ 3 p
FOLLOWING INSPECTIONS: Date . • • • • • 15
1. FOUNDATION - TWO REQUIRED
FOR POURED.CONCRETE INSTRUCTIONS '
•2. ROUGH -FRAMING & PLUMBING
a3• '~}u4l~~~tion must be co--m--ppletely filled in by typetv'riter or in ink and submitted to the Building Inspector, with 3
sets o$ pFl~~s; accu ~'tg~~1R ~ilQ~s'L'd1e5TFee according to schedule.
b ~ ~sJi~ ~tion of of and of buildings on premises, relationship to adjoining premises or public streets
or ark t a ~ ai ~~sc~t~n of layout of property must be drawn on the diagram which is part of this appli-
~ati ~~~11 TENT F THE N.Y
P c ~r.
c, 1`i~q woit~b~~~ , ~tion may not be commenced before issuance of Building Permit.
d.. Updn,.~p row hd~ ~ ~ p, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept onet~g ~~te r inspection throughout the work.
e. No boil utg s 3 0 !~!!!$¢$$$d or used in wholo or in part for any purpose whatever until a Certificate of Occupancy
shall haiM$Een-g>•aated-bat B1felBuildin^ Inspector.
pp~~ $.Y-A4d,IIE-tn. the Building Department for the issuance of a Building Permit pursuant to the
3uiiding~ ~ r ~~TO¢'Southold, Suffolk County, New Yor able Laws, Ordinances or
Regulate, tPir~t ~~ttT'ilEkttgs, additions or aiteratio r boon, as herein described.
Tire a t ^ 'with all applicable last's. ordinances. b e. and regulations, and to
ldmit 1~t ~ 1~Ft{~~~21 in building for necessary inspe /~G
2. ROUGH =FRAMING & PLUMBING • ~ (Si • ature oi' ap • leant, or name,~i~,a corperatton)~ •
3. INSULATION
Q. FINAL ~ i,ON51'Rt1CTIONMl1ST ~~xE'~• . . • (/~/9~G~°/V'~//9.
E F~
BE COMPLETE FOR C.O. • • • . .
ALL CONSTRUCTION SHALL MEET ,I;Afailing address of applicant)
THE REQUIREMENTS OF THE N Y '
State :+~T@dl~erG4~'EBHt;I'E(M>asvgArEt~gpY agent, architect, engin~~•m,";ganer~i-contractor, electrician, plumber or builder.
CODES. NOT RESPONSIBI:E F ~
DESIt?N OR C~I~.TW-tGT141D14NWNlRS.........,r"r,~
* _
\'ameofowncrofpremises ~ „~~/}s?G~S
~l oe (as on the tax roll or latest deed
lCapplicant is a corpoG~~b~~"s~iA y authorized officer. '
,~~~-~.1~~ ~~1~ OCC~IPACY
(Name and title of corporate officer)
Builder's Liccnsc No..•. ~ ~ • • • • • • f ULA~C~L
Plumber's License No . YiO~ 1 ~Q~T CERTIF'iCpTE
Etectricicn's Liccnsc No . ®1,J'6J0.it L~'~Y
- ,
Outer Trade's License No . .
~
Location of land on which proposed vo k sviil be done. ..J~... L°, lh°.~: , , • , , , , , , ,
Etouse Number F ,Street liantlet . - y
County Tax dlap No. 1000 Section Ior , . .
Subdivision . • • F.il¢d M1lap No. Lod , . s .
..........(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed constn~ction:
c~/l~C •.F~j r;l l h~C...~~3CLL t•~fJ~
a. Existing use and occupancy • : -
b. Intended use and occupancy r: , s r....,....:.. .
_,,,pTt/i5x ~RD~'PO~ 1~
3. A'ature of work (check which applicable): New [iuilding . , Addition . /Vtcration .
Repair Removal . Demolition '
t cr LS or Sc ;o, .
gip.. ri t• n)
4. Estimated Cost . a ~ /,SO.O~ ~ p
1 Fee
(to be paid on filing this application)
5. IC d~vclling, number oC ~iwclling units Number oCdwelling units on each (loot............. , .
IC garage, number of cars .
6. IC busincas, commercial or mired occupancy, specify nature and extent of cach•type'of use....`:', , , , , , , , , , , , , ,
7. Dimcrisions'df existing structures, iC any: Front , , , , , , , , , , , , , , Rcar
epth
Hei:lrt Number of Stories .
Dimensueturc with alterations or additions: Front • ~ . • , • ~ • • ~ ~ ~ , .Rear • . • ~ . ~ ~ ~ ~ ~ ~ • ~ •
Dapth JIeight . • Number of S~I~SA O3~Q~R4l...... • . .
8. Dimensions of entire new construction: Front J~'X' ~t~F'xfE~ .RbYRcu . pth . ~ • • • • •
Height .,NumberoCStories...(t,RD ~oect,, ~~.~--±-~•~-~;T~.'.'~"~'"•
9. Size of lot:•Front its 9:F, , , , Rcar , , ~i F . , ~->Jc ~ ~ • ~ •
•
10. Date of Purchase .,5:~~:7,1~Y....;,,,,,,,
.Name of Former Owge;~ i Q°,;(^ t, ;tl„t.
11. Zone or use district in which premises arc situated ~ ~ •
13. Does proposed construction viglatc any zoning law, ordinance or rc ulation: .~0~`~'•••~~• ~f ~ ~ ~ ~ •
13. ~Vi11 lac be regraded n/ g
.
t t
~ , Nill excess fill be rcmov ~cf
fro;ri ~prcmiscs: Iv'~
14. Name of Owner of premises P.r;?Q'C,la¢rr~,s ,7D , Addreu //hrP/fKT~f S........ Phone No.7. ,
60 .
Name of Architect NC,, , , , , , , , , , , ,Addreu , ........Phone No......... ,
Name of Contractor N.4 H?
; , , , , , , , , , , , ,:address ...................Phone No....... ~ ~ • ~ •
IS.Is this property located with in 300 feet of a tidal wetlaed3 *YES....t70.'~A•
*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 dimcrsions from
property lines. Give street and block number or description according to decd, and show street names and indicate whether
interior or corner lot.
2LGL ~
/~8' P.o/ SlwwtpioNS ~
SC'~FT
//16N PPO~OfFO ACA./STrN6-
oFCa~ DECK /S•Y Z Y'Y V v
b'X6' NBpvF bin Fboc
pt?!Y / FENCE'
Sao. s i/ .B
TO Pf J
4O/S FO fl
~'~X/ST/N(r- Lowss `o
4' CLfA/N u"'/~' vSFp
` L / N~ ,CENf ~ `O
M
ARK
~ ~ qO~' / /ES fO~N~ (~A*f' ~
GD.E'/~/E',e ~ PoOq~M'f )b~~Y ftayE Novs~
F r ,
LOT ~q~
~
p' 1l~11 ~1bE~pp~ 'l
. ~ e, S ~POM~1'IOM
u
T,\TL• OF \E1V YORK,., /r,rg ~ ~ ~ " C=dr
AUNTY OF , ,
. ' ' ' ' ' ' ' ' ,(y,~, eD !~..°t.- • r
p)"F>< being duly sworn, deposes and says that he is the applicant
(\amc oCindividual si;ning contract)
oYC named.
=15 t11C .O. w/VC2. .
.
(Contractor, agent, corporate oCficcr, etc.)
said ownc: ur owr.~rs. and is duly autltorizcd to perform or have performed cite sail work and to make and file this
~lication; that al! stata,n!.rts contained in this application arc true to the best of his knowledge and belief; and that the
rk will be pc: iortncd in the manner set forth in the application filed thcrewjth.
om to before me :!s
~ Ss:
• ...day of q
1
ar; Pu~~~LAG County r
Nci.::YFlou .r, ~e+v Yod: , ~•s_.~Ci~`,
ICJ ~ J ~ • • • ,
CA'Li: 11 (l IO Jf l C( rOUI ~Y
comm~rc~o~, 6xc~!.y se~:r.-~, ~~~;~J i , (Signature of applicant)
~3/ ,
o ~n~s~~~s~n~~~~ns~~~s~~~~n~n~~~~nr.ns~~~n~n~n~~~~n~n~~n~ ~~~.n~n~.ns~n~~
~~~s~.r~~.r~~s~ o
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY C5
rj 40 FULTON STREET - NEW YORK, NY 10038 5
55 5
S CERTIFIES THAT 5
L5U. Upon the application of upon premises owned by
5 5
5 GOODALE ELECTRIC CONT INC FRAN TOTH S
5 P. O. BOX 1190 1{~PINE TREE RD. ~c7
5 MATTITUCK, NY 11952, CUTCHOGUE, NY 11935
5 Located at 1165 PIPJE TREE RD. CUTCHOGUE, NY 1135 5
5 Application Number: 2103311 5
c Certificate Number: 2103311 c5
Section: Block: Lot: Building Permit: BDC: ns11 5
Described as a Residential 0-599 square fr. occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: 5
Outside, PooUSpa,
5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
5 herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the 2gth Day of June, 2006.
5 Name ~Y Rate Ratine Circuit Tv e L'
e Miscellaneous 5
supply power to trr5
5 above ground pool
5 Appliances and Accessories S
5 Pool/ Spa Bonding I 0 5
1+,7 Wiring and Devices
C5~ Swi[ch 1 0 PooV Spa C
5 Receptacle I 0 GFCI 5
5 (Swimming Pool): This certificate covers compliance a[ [he date of inspection only. Because of unusual environments it is advisable to have
5 frequent test and/or repairs made by a qualified person. 5
5 5
5 5
S 5
5 5
5 5
5 Sea/ 5
5 5
5 1 of 1 55
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
o ~~~~~~s ~.nusr~~n~n~nrs~~rrr~~n~r~~n~.nr~~~~~.n~n~n~.nr~~~n~rn~n~Jts~~n~n~~r~rrrr~~n~n~r~~n~nrscrrr~rrrs o