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HomeMy WebLinkAbout17874-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219542 Date NOVEMBER 28, 1990 THIS CERTIFIES that the building INGROUND POOL Location of Property 350 HARBOR LIGHTS DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 02 Lot 20 SECTION TWO Subdivision HARBOR LIGHTS ESTS Filed Map No. 4681 Lot No. 42 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 21, 1989 pursuant to which Building Permit No. 178742 dated FEB. 27, 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 ACCESSORY INGROUND POOL, FENCE, AMENDED TO INCLUDE DECK. The certificate is issued to JAMES & PATRICLA CAMPBELL (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N071887 MAY 16, 1989 PLUMBERS CERTIFICATION DATED NJA ~ C/! Building Inspector Rev. 1J81 It08M NO. 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~ 017874 Z Date ...`,t.~.~-:~:..z~ 19.4. Permission is hereby granted to• r ~~.~~...~...~..~.....n . -._.Qp ct premises located at .....~~.a....T:t.C,7'i~~3. :,2?~^ Caunty Tax Map No 1000 Secti~ojn Block ......~.~-......gLot No . pursuant tc application dated .~.1 ~-a`^~..'~ 19.1 ,and approved by the Budding~~Iytns,pector. Fee $ ~t~.4.•../ wilding Inspector Rev 6/30/80 ~ ~ 2 Form No. 6 4~l a ~ \J ~ s ° TOWN OF SOUTHOLD III ` BUILDING DEPARTMENT ~ ~ 2 TOWN HALL i { 765-1802 ~ P.`-CG `i` TOWN C3N P . APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 respcnsible fcr the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. 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. 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, Adda.t ions to accessory building $25.00. Busa.nesses $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, Commegrcial $15.00 Date V .ew Construction.... x ....yyO''ld Or Pre-existing Bluilding...n -,~L .ocation of Property.....~1.~ .......~~Q~..lr.~:G~~...'..C~l(1~.....,~~44CTYG f2........ House No. Street Hamlet )nwer or Owners of Property.........`*.~m~.'f:. p~~.t~'~',...C~?!'2~i~k?~- :ounty Tax Map No 1000, Section..... ©.S I. ...Block...~.~L.........Lot.......~~.......... ,ubdivision....-.?.q.^ .......................n...9..F/ilgedry Map...........~J.Lo~t~.7..................... 'ermit No...~.~. /.O. f Y z.Date Of Perma.t..0`~a 7. J. CJ l...Applicant. !j: /~G.'~L~ .~~X~~.. iealth Dept. Approval ........................../Underwriters Approval.. Tanning Board Approval request for: Temporary Certificate........... Final Certicate..../1 'ee Submitted: -(~6°y~~ i CAD 2/ r(S ~Y APPLICANT :1~LD I:.::.'_ ~Lin.E i~ .:~:KMCNT~ ~ ~-~ra y 7. I a H _ ..j FOUi7DATI0'1 (1st) - J FOUNDATIOIJ (2nd) _ 2, 0 pOUGH FRAi•1E & PLUMBING c to s 3. ~ m m IIISULATION PER N. Y. b STATE EPdERGY = CODE ( x r a ~ 4. y f r i ~ _ FI;IAL ~ ~ f e . o . ~ c, ADDITIOtIAL COMhfEPlTS: ` x 3 a ,a - . - H 9 - H ` H - O Z i [TJ A r H b [T7 b H _ 1 ~ ~1 ~ _ 's THE NEW- YORK BOARD OF FIRE UNDERWRITERS Pnc.~ 1 1 001.381. BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Daw KAY 16,1989 AppficatlonNo.onfile 61166189/A9 N 07188'7 THIS CERTIFIES THAT only the eleetrlcal puipment v dpcrihed helow and introduced by the applicant nomad on the chose application numMr Jn the premises of .TAKES CANP81SL1,, 350 KAl1DgR LIC,N9'S 0I3:1VE, PULF. tf4, SUU'3'KQLD, K. Y, in the oUowin kwa UIiT f R ~%g3 ~ ~l ~s~ment ? /et Ff. ? Ynd Fl. .Sw~tton Block /.ot was eramined on and found to he in compliance rrilh the reyuirements aJ this Board. IIXTWI RXTURB RANGES COOKIN64RCK5 OVENS DISH WASNEB DINAUST FANS OUTERTf Af]ES fWITCNEb INCANGlSCENT PlUG11fbCENT OTNEn AMT. K. W. AMT. K. W. AMT. K.W. AMT. N. W. AMT. M. P. 1 1 2, 1 DRYRS RJRNAGE MOTORS RITIIY AlIUANC! IMOERf fMgAl11RC'/T TIMl CIOCKS. pLL UNITIYATRRS S~TFnO1NnStET DIMMlRS AMT. K. W. dl N. P. GAS X. I. AMT. NO. A. W, G. NAT. AMI. AMT AMR. TRANS. AMT. N. I. a tbT AMT. WATTE I a0 1 40` SNtVfQ 01lCONNECT NO. Qf S ! R V 1 C E AMT. AMP. TYPE ~ I / ]V/ 1 / ]W ] / TV ] / A\V R~ eCOND. Of CC. C ~ NO. OF NIdEG Of' H NO.OP NFUIRMS d FuRAI OTNEII AAARATUS: c:.F.c.z: -I AZSgIKK1KG PUUL) This certificate covers compl.ian<;e at: the date of inspection only. Hacause of unusual <anvi.ronroents it, is advisalllc to have frequent test/and ar repairs made by a qual.iCi.ed person. ~i+~~ JODY PUKILI,O Li:C.~2.3001's PAT LANF; KATTITUC&., NY, 1195'). fItl1T1AOM 11 ~ Per Thk artifkata taunt not be alHred in any manner; rNurn to tha office of fFls Board ifimorrecl: Inspectors may be idalMiFled y f air credeatjals. COPT FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE'MUST 1107 {B ALT R! ANY MANNER. ~ ~ cL , Toy rr o~ sou~oi,o °'l:±~j~;`~~ Y,w ~c~ Ol~f'I(:L ()I' PsUILDiNG INSI'£•.CTOR c=-, ''hi. ~a'I~+;s z O. QO}C 1 1 7 9 1";~+``~'~ ~ TO~Viv (TALL :V~ C2f~ SOLJIli01.D, N.Y, 1197I ~yo~ November 21, 1990 A. Reilly fi Sons, Inc. Box 434 Mattituck, H.Y. If952 RE: JAMES S PATRICIA CAMPBELL 'Po 49hom Thin f4ay Concern, Pte arc unaole ro complete your Certificate of Occupancy because of the fellottiny reasons. eln zpplication Por Certificate of Occupancy is not nn fi]c, (ENCLOSED) / / ::o Under,rrtters CcrtiEicnte on file. 'i'he chcc:F; tt. (a51gRX1i5~2EX}$7~ut on file.) $25.00 C:o flcalt_h Dept. Approval on t>_le. No _°inal ~n::F,nc:tion ham hcett mark. Plc;ns~ r_ontact our office on this, matter. Thank you for your cooperation. Ihttl~}v,<J Pcruut R 1 7 8 7 4 Z I3utlQtnq Dept. ''t"/~/ tlo I'lumbcr solQcr Ccrtt£icate on it1c. ( a71 pr~rrtits involvtt:g plum}tinc; briny i~sucd aftr_r .1pr~1 1,198A ) 5C3r f-iAlLfi~Ji:~ LfGNI ~ t)I~IVL: 5 Eric}°Or Y,~ E:~ ~ , I fKJ.c) • " , w~~t.( ~ t~ o i . 59! r ui ~ , o• ( _ i 7iMyt> \ t' _ u,aut~ u ~ a~ I ~ ! l! QNV~.e TKfaY I r { ~5 - _ lUli! ~ `'1 I %z 5T012~ t,~ '1 _ 4 & .110 I~t~l~/~ .Ltiy o~ ~ 1+'J ? y~ - n-. J,, 8w v,.,lw ~vN-~*t-ct° M~ p/~""~""~'~ Il. 3 ~ SHEU ' , ? ' u' .ti; , N x as ~ ~s~ o r~ ~ ~ ~s7 ~ OENCwES i i 1 , ~ , . -SL4tU i~'C, ~il. z dLtICK i J r-,: ~ 1~. ~ J . Ir~;" r I~OVE~.`~,,- a~ ~ '--GAf717EM duo Ulsu JR(~L uul.e • f•164'051G W, --IGt~,O t ~ f • Y ,I Itl R71,iCk~ cUl?l3 ,1 ~ r r i ,,r 1 ILONIt~Ui t :•~,.lat of wn,Y - --I•f'iG~f~llaLS_AIdL- F~Af•'1 1Sr C~i',~2,°.;)tr.l'"v IV <.11.! • "M!V? C)F~ E~Itl11I3'J!t l.lvl l l-3 E5P`:i•^r,C;G ClUIJ i's~Ur 4 iLk~~ tN T1i}v ~C1t~N• CC~,~L}=t~K"i lJi 1-IC-E- fly NIAf~ i 1 1 , c•;:urt~ cry -rnu rrin,N-ui~rn_~ Icxx;- ri•2 20-. • . T'~ MUUtLtI•!(3 Lo-r i -IOCXJ 't t - 11.1 . /h'~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ,INSULATION [ ]FRAMING [ FINAL REMAR S: ~ r DATE INSPECTOR BOARD OF HEALTH 3 SETS OF PLANS FORM NO.1 SURVEY TOWN OFSOUTHOLD CHCCR 6UILDING DEPARTMENT SEPTIC I'ORPf ' TOWN HALL SOUTHOLD, N Y 11D71 NOTIFY TEL..7G5-1802 CALL E~ammcd O~V~ , 19g~. MAIL T0: ~on. off' y a~ 6 2~ x9 I~a~~:~...~ h'Ie~FT7"~~u~ ~y :~pprovcd ~ 19 Permit No ' Disapproved a/c FEB 2 !19&9 FCi•. . (Buildmg Inspector) BLDG. DEPT. TOWN OF SOl1TkOL0 APPLICATION FOR BUILDING PERMIT / I Date Z./.~1._....,19~, INSTRUCTIONS a. Tlus apphcahon must be completely filled m by typewriter or m ink and submitted to the Buildmg Inspector, with acts 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 adlommg premises or public street or areas, and giving a detailed descnphon of layout of property must be drawn on the diagram which is part of this apph capon. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Buildmg Inspector will issued a Building Permit to the applicant. Such perms shall be kept on the premises available for inspection throughout [he 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 Bwlding Permit pursuant to flit Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolstion, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t~ admit authorized inspectors on premises and in building for necessary[[i~ specll~ryons (Signature of applicant, or name, ii a corporation) (bfailing address of applicant) State whether applicant zs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ..~~~?/~"72~•~Y.1..~~N.~~tI??~ Name of owner of premises ......'J/7m~-5..... J .~t.....~~.~nlC/fJ. ~'f~JyJ.~".Q~~L..... (as on the ta:c roll or latest deed) If app! t is a corporation, signature of duly authorized officer. ~7~,~ (Name and tlile of core~ja officer) Builder's License No I. Z-. ~^Lr • . Plumber's License No -y~ Electrician's License No .C:Gf.Jf?r.~`:P:': ~•`"~-•`'/'~~C- Other Trade's License No . . 1. Location of land on winch proposed work will be done . . House Number Street Hamlet County Tai tap No 1000 Section ......7a!........ Black ...z-........ Lot , Subdivision Filed l,tap No Lot . (Name) State e~isUng use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy ~C~37~,~2v7.~!~ • b. Intended use and occupancy . - • - - • • • • - • ~2~ ,w? T/~. , . , PI~UL ~ ?~~~C S't.o, .a, .a. i.va U~avL ~vGt 3. Nature of work (check whtch applicable) New I3uddmg Adddton .Uterauon Repatr Removal Demolttton Other 1Vork . (Descnpuon; 4. Esttmatcd Cost ~Q~~:. ~ Fee . (to be patd on filtng flits apphcauon) 5. If dwelling, number of dwelling units Number of dwclltng units on each floor . Ifgara;c,numbcrofcars 6. If business. commercial or tutted occupancy, specify nattir~ and extent of each type of use . , , . , 7. Dimensions of existing structures, if any Front Rear Depth . Hctgltt Number of Stones . Dimensions of same structure with alterations or additions Front Rear . Depth Height . ....Number of Stones . . 8. Dtmenstons of entire new constntcuon Front Rear Depth . Hetgltt Number of Stones . 9. Size of lot: Front Rear Depth . 10. Date of Purchase . • ...................NameofFormer Owner 1 I. Zone or use district m which premtses are situated ....~-G S ~1.'.~E?t17.7~2 . 12. Does proposed construction violate any zoning ]aw, ordinance or regulation• !U~ 13. Will lot be regraded ?.ti~?...... Will excess fill be removed from premtses: Yes t~ 14. Name of Owner of premtses 3_:!7!!t/~~K?C, .....Address . . Pftone No............. . Name of Architect ...Q. ......J. .......Address Phone No.. . Name of Contractor . !T . ~ ~ ~Lt !.>`:44~.`'~.... Address ~ 7 r) . `..f~? ~ ~ .Phone No...: ,~I.~.Y >T IS.Ts this property located with in 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 extsung or proposed, and indicate all set-back dimensions fror property lines. Give street and block number or descnption according to deed, and show street names and mdtcate wheth. tntenor or comer lot. STATE OF tiE~V~XORK, S S COUNTY OF . tC f~L.~[%/.~?Z.1~. y~ .....~l~ZZL.'~ /~7!>... /~Gt.'7~G Y. being duly sworn, deposes and says that he is the apphcar (Name of individual stgnm ;contract) above named (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly author¢cd to perform or have performed the said work and to make and Gle th apphcauon, that all statements contained m this appltcaUOn are true to the best of tits knowledge and belief; and that th Lvork will be performed m the manner sci Forth m fire apphcauon Gled therewith. Swam to before me thts ..............a. ~ .......day of 19 \ota Public, ~ Count ry ~ Y ~~J~/,~ RELENK.QEVOE U::°.° • •F NOTARY PUBLIC, State of Mew York i ~ / (StgnaT applican Term Ezpaet7Ma eh 3U,Ctau_ rtiy~y )OJ~.,~'',~