HomeMy WebLinkAbout17856-z FORM N0.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 2.1.8289.......... Date .,AUGUST 16, 1989
THIS CERTIFIES that the building , INGROUND .POOL AND FENCE
Location of Property ..1400 MEADOW BEACH LANE MATTITUCK
House No. ~ ~ ~ ~ ~ ~ Street ~ ~ ~ ~ Hamlet
County Tax Map No. 1000 Section > > S......Block ~ ............Lot . ~ ~ , .
Subdivision HARBOR VIEW , , , , , .Filed D4ap No. 837~...Lot No. 1.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
,FHB, , 16,,, .1989. , pursuant to which Building Permit No. ..IZ$56Z , , , , , , , , , , , ,
dated ..k 17.,..1.9$9........... was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .
INGROUND POOL AND FENCE AS APPLIED FOR.
Tlie certificate is issued to , ,JOUN STRODE S WENDY RAMMER
(owner, ~,~~5~%~g~$!
of the aforesaid building.
Suffolk County Department of Healtlt Approval ..........NIA .
UNDERWRITERS CERTIFICATE NO.... N085077 , , AUG ; , 4., 1989
PLUMBERS CERTIFICATION DATED: N/A
ilding Inspector
flov. 1/81
roans xo. a
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)
~ 017 8 5 6 Z Date ....~~:!:4~~{......~..~ 19..4..
Permission is hereby granted to: 1
.K.Yr!~Lrs(:~~......~.:.~ .
......~.~9~.~.
..........j..
ct premises located at 1.T.1~...~.~:2S~V~.c:(.ZQ:q:Q.J~S....~,,,,,,,~,~~~r~GN~:~K.,,,,,,,,,
Caunty Tox Map No. 1000 Section ......~~5......... Block ...,.~..7........... Lot No... t..~:.A.~.......
pursuant to application doted 19.~Q.,, and approved by the
Building Inspector.
Fee $.~+~~..:..~J..
Building Inspector
Rev. 6/30/80
a~a~- o ~ ~ ~ ~ ~ ~
TOWN OP 50UTUOLO
BUILDING DRPART?{ENT ~
TONN IIALL
BLDG. DEPT.
SOUTIIOLD, NEN YORK 119 1OWNOFS0
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE..~.~ J.. .
NEN CONSTRUCTION ..~..'yf,.OLD ~~XO,~(R PRE--E%ISTINC, 1BUILDINGf,./A'. _ . _ .VACANT LAND... _
Locatio? of Property. ~.1.~'.~.1.'.~A~4~t3W~f~"'A~''~f't. ~-~:.t.5/t'~"Z`C~:.~....._._....
ILOUSE NO. ~n ,q~Sj~T~JRL•'~E~-~,T ,~)y{~~j~HjA,/M~~LET v~
Ovncr or Owners of Property.~!`~.~~"_ ~1,.--"y•IV•=• ~-~'''D.~•-•_._.
~'~Z py~
County Taa Hap No. 11000 Section Block ~..1... Lot ...J/._
Subdivision..{~QQ!Y.°d:~..~ti~.....,. Fileld-~Map ~~~~.LoC.~~~(.....~_.,,~(J
Permit lfo.~.~,i~S.~,.Date of Permit ~?.d~.~..ApPlicnnt~~`:~.~J::
Llcalth Dept. Approval Underwriters Approval.._~.......•
PLanninE IIoard Approval
Request for Temporary Cer~-C'~i-~f,/'i~(Ac,~~ayt~~e Final Certificate
..°cc Submitted: $_~~..{4 U:Y.....
. /
APPLICA
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rev. 10/14/88
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! 00'05$ - 6aucdnaa0 3o a]rai3i]aa0 pa]rpdn 'S
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'00'US$ sassanrsng _ 00'SZ$ `s3u?pT?nq baossaaay o] uo?a?ppV
00'SZ$ $a?pTtnq baossa~aV '.OQ~£-'G~~`ZA~?d,'_1~`I~S `00•SZ$ 3u?ITanO o7 uo?]eaa]YV
`00'SZS ~a?[Tana o] s~!ao?]?PPV `00'SZ5 ~n?Tuna anaN - bONVan000 :IO 3ZVOI:IIZZI80
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ao]aadsnl 2a?pT?ng ay'] 'pa?nap s? bauednaao 3o a]ra?3?]aa0 a 3I •uo?]na?Tdde ay]
burdmoaae osle TieysIL561 `6 i?adV o] ao?ad ]o? as?]na ay] 3o d?ysaauno a]Eardas
pne aTSn?s $v?noys~!,6urdmoa aT]?] a bq panss? aT]?] ;o ]ara]sgr pa?;?]aaa r pur '
•pa»?mgns aq T~Eys bauednaap 3o a]ea?;?~aa~ pneT ]uraen ao; vot]ra?Tdde vet
:bauednaap ;o agra'c3raaa0 part auracb aog •O
, •a]ea?3?aaaa a aaedaad o] paa?nbaa ao?]rmao3u? ]aan?]aad
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•]nea?Tdde ay] o] $a?]?an n? ao3aaay~ suosraa
ay] a]E]s TTeys ao]~adsal 9u?pT?ng aya 'pa?nap s? bauednaap ;o a]ra?;t]aa0 a 3I
'L56i `6 IFadV o~ ao?ad ]oT ax?]va ay] ;o d?ysaauno a]eaedas pue aTSu?s noys
Tieys y~tya~buedmoa aT]?] a bq panss? alai] 30 ]ara]sge pa?3?]aaa E puE
]nea?Tdde ay] bq p$n52?s ]aadsn? o] ]nasvoa a 'no?]Ea?Tddr pa]ajdmaa bjaadoad V •Z
•saan]ra3 a?ydeaJodo] So Tean]rn Tensnnn
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:sasn pneT ~~Sazas?xa_aad„ pne
sin?pT?nq so `sasn',I3n?mao3noa_vov ~L561 `6 i?adV o] ao?aa) s3u?pT?nq 3u?]s?sa aog •g
•s]nama~tnbaa nejd a]?s pa]aldmoa 3o TEeoaddV paeog Sa?vurjg ]?mgng •g
~ •3n?pT?nq aq] ao; ajq?suodsaa aaau?bag ao
]aa;?gaaV aya moa3 a~ue?Tdmoa apoa 3o a]Ea?3?]aaa E •sno?]eTTe]su? pue sSn?pT?nq
arT?m?s pnr saaAap?saa ald?]Tnm `s8v?pT?nq Tr?a]snpu? •s8u?pT?nq Te?aaammo0 •S
~ 'PraT YI 3o Oi/Z net']
ssaT sa?e]noa ma]sbslln? pasn aapjos ]et'] Sa?b3?]aaa aagmnjd moa3 ]nama]e]s naong •7
' •saa]?aniapan as?g 3o paeog moa; ao?]eTTr]sa? Tra?s]aaja 3o TrnoaddV
•(mao; 5-g)Tesods?p-!,ayEaanas pne 6Tddns Sa~EM 30 -adao yaTrag ;o TEnoadde Trvi3 •Z
j •saan]ea; a?ydrasodo] ao Tran]eu Tensnvn pae 's]aaa]s
'san?I blaadoad `s3acp'I?nq TTe 3o no?]eaoT a]ranaae y]?n baaadoid 30 6anans Ten?3 '1
:asn nan ao sSa?pT?nq man ao3 :3urnoTTo3 aye y]tn ao]~adsul
8v?pT?ng aya o] pa]~i]?mgns pur xu? ?lp aa]?anadb] u? paT?3 aq ]snm uo?]raiTdde s?yy. •y
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FOUNDATIOtJ (2nd) _ - m~ ~
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P,OUGH FRAME & L~
PLUMBING
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IIJSULATIOf] PER N. Y. • • 'j q~
STATE ENERGY w
CODE
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cTOHN D. STRODE
ATTORNEY AT LAW
611 EAST MAIN STREET
P. O. BOX 149
RIVERHEAD. NEW YORK 11901
618 727-222
February 14, 1989
Mr. Victor Lessard
Town Hall
Southold, New York 11971
Dear Mr. Lessard:
Enclosed is application and fee to be annexed to site plan I
dropped off two weeks ago.
Thank you.
Very trul~°y~yours,
JO D ~ 5T DE
JDS:js
HAND DELIVERED
n 765-1802
Ul BUILDING DEPT.
INSPECTI~JN
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
REMARKS:
F
DATE INSPECTOR.
1 4
1~8 0.
PAGE 1
~o~~3el THE NEW YORK BOARD OF FIRE UNDERWRITERS
- WREAU OF ELECTRICITY
AUGUST 04,1989E JOHN STREET. NEW YORK. NENL YORK 10Qae N 085077
Date Appltratton No. on file
THIS CERTIFIES THAT
only tM elactticol equipment a deecri6ed 6elole and introduced 6Y tke oppltosrst woasad on the a6ooe eppBcstian number In tM protntwe of
JOHN STRODE, NEADOii BEACB LANE, NATTITUCK, N.Y.
OUT
to cite folbteinE laeot~,y gent ? Ixt Fl. ? Pnd F1. Section Block Lot
Tuae examined on and found to 6e in mmptiance rrith the rryuirementx of thu Board.
g1eTUtl TUNE RAWOEE COOIIIIIO tNCKf VfiNf WSNW T ANE
OUTLET{ A~ E~CNE>i NCANpltClNT P1U011EtClNi OTXER AMi. K. W. AMT. K. W. AMT. K. W. AMT. K. W. AMT. X. P.
1 1 2 1
olYERS RtaNAn karoN gITUtl •r?luga RoEEE SREpAL EEC?T ntw uocRS ~ ulxT NuTEES E~vEnw o1MMel1f
AMr. K. w. at R. P, oAS w. r. AMr. no. A. w. o. AMr. AMr. AMT. AAVS. TERNS. .AMT. R. P, No.Oi qaa AMr. wATrs
t ao 1 40
ElR111CS DIEOOEINECT NO.O! 5 E R V 1 C E '
AMr. AMr. TIP! 01~, i r xw ~ r tw s R Kw s r ew w. ~K
+ca+o. oP cc
c°aw. ra. a Xi.;lc of ~ M va. oP rnunAU; of efn°ut
onE1E McM11TIK:
SPINNING POOL-I
G.F.C.I:-1
*(SAINNING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environ~enta it is advisable to
have frequent teat and/or repairs
¦ade by a qualified person.
JODY PUNILLO LIC.#a300-E
PAT LANE ~ E~
MATTITUCR, NY, 1195a
Par 11
ihlt urfificote must not M altered in any manner; return ro the office of 11a Fkwrd if incorrad.. Inspectors, mo be i fAeir eradeMials.
OR BUILDING DE A NiENT. TNIS COPY OF ERT IGTE NOT ALTERED IN ANY MANIER.
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APF}TO1fED AS PiiiTED f
ATE: ~ B.p LZ ( ~
'NOTIFY BUILDING DfF~ARTME~iT AT
7 x-~soz s'AM TL> n n;vt soli TliE ( ®CGUPANCY}~eQRi ~
. " f0 1.OWINCi INSpECTlt7'U& ~ ~ ~S~ ~~~,A®~IF~i.
y>"", 1. OUNDA710N - TWO RE UIRED
F R POUREDCONCRETE ! ! ~ WITHOUT CERTIFICATE
2. R UGH • FRAMING & PLl)MB1NG
_ ~ OF OCCUPANCY -
4. FtNAI - CANSTR
8E COMPLETE FOR C.O.
- , x'ALl CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE - M.Y. If Co er bin iLa od
STATE CONSTRUCTION & ENERGY 1 ibu 'n
'"CODES. NOT RESPONSIBLE FOR t
.DESIGN OR CONSTRUCTION ERRORS
= UNDERWRITERS CERTIFICATE
wcr",
° REQUIRED
BOARD OF HEALTH
• 3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OF SOUTHOLD CHECK .
BUILDING DEPARTMENT SL•PTIC FORtI
• TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
TEL.:7~5-1802 CALL
E~antincdy~~-~.v-t~+MSMM,.I.~(y"„ 19~~. MAIL T0:
Approved CI :+-~:+I.M~-t .I •Y., 199 . Permit No. ~ 7.8 ~ ~ ~ ~
Disapproved a/c .
~~J/~ ~.Q,,...'.. FEB 16189
. 1 hfi?.ni+. BLDG. DEPT.
(Building Inspector) TOWN OF SOUTHDLD
APPLICATION FOR BUILDING PERMIT
~OOi..~ Date ~.Y 15(x/
INSTRUCTIONS '
a. This application must be completely filled in by tgpewriter 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 adjoinin; premises or public stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
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. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant
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 th
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 demolition, as herein described
The applicant aerees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc
admit authorized inspectors on premises and in building for necessary inspectio
( Ana r,.ef of a plicant, or a corporation).. .
~.c~ • 541... Y+a~acw~e!~1a•1,,;9ad~..~,'W~???tiyc~!'t~~
• (Mailing address of applicant) •
State whether app~ali'ca,,nt'islowner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..............V.Wri?~-?'........
f
Name of owner of premises . "I.v"'"' ~ ~~~:0~ ~ . Yv~''`~'~~
(as on the tax roll or latest deed)
if applicant is a corporation, signature of duly authorized officer.
.........N.:.~
(Name and title9of corporate officer)
Builder's License No. ~!M'~~7@'~t~'W.~~~ .
Plumber's License No. 9`. ,3G (p
Electricia»'s License No. .°2:304 .L'.......... o . .
Otfter Trade's License No . .
I. Location of land on which proposed work will be done. . I .Ll~v.'.t7~~DU1.~~~~~~, V~~~-`t"rt~-it[r.I(
House Nuntbcr ~reet\ ' ' Hamlet
/ l ~f l-7
County Tas fl++a No. 100 f0 Section ~ Block .p!..t, Lot . ~ . t'g/, • • , , , • , , , ,
Subdivision ..V~~ `8~. V ~ Fsilnd l,lap No. ..0. :1....... Lot : r'Y• .
(Name) t.
2. State ecisting use and occupancy of premises and intended use and occupancy ofproposed construction:
a. Exisunguscand occupancy
.Cr.
b. Intended use and occupancy .••~~p~•••••••••••••••••........
3. Nature of work (check which aPPlicable): New Building Addition Alteration .
Repair Rcmgval Demolition Other 1Vork .
(Description)
4. Estimated Cost ~I.QCJ~ 'I, Fee
p jto be paid on filing this application)
5. If dwelling, number of dwelling ((nits N.: Number of dwelling units on each (loot , , , , , , , , , , , , , , , ,
If garage.numbcrofcars .....L
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of cxistin; structures, if any: Front . , . , .Rear Depth '
Height ...............Num,,bcrofStorics........................................................
Dimensions of same structure w'i;th alterations or additions: Front Rear .
Depth ....................I.. Ilcight f Number of Stories .
' 8. Dimensions o(r~t~re new constr'~tction: Front Rear Depth . l:..R........ .
H~:Ight Number of Stories .
9. S~ze_9f lot: Front.....-..... Rear Depth
10. Dpte of PurRhase .....'.y: , .x.' . Name,,Q~ Plormer Owner , .
11. Zane or use dl§'trict in which premises are situated ..~fPyjt~'t-ta...........~.p .
12. Does proposed eonstntc i n vial~te any zoning law, ordinance or regulation: .:/S<d .
l3. 1Vill lot be regraded 1Vi11 excess f"il] c r m ved from premises: es No
14. Name of Owner of remises 'j~1
Name of Architect p~iG~!n~:. • :.Addressed Phone No.~~.
a4~n!~.. Address ~~,.Q`~dLf ~1~1 Phone No. `.~~.^.~.6~FJ.... .
Name of Contractor .
If yes, Southold Town• ' • Address ...................Phone No........
IS.Is this ro ert located within 300 -feet of a Cidal wetland? *Y);5.. .NO.
* I, Trustees Permit may be required.
PLOT DIAGRAIvl
Locate clearly and distinctly all ~'Ibuildings, 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.
S uw JZ ~I~ ~ i ~ q~~n) ~ (tij ut ~ ~P~
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STATE OF KE`V YORi:, S.S
COUNTY OF i
. ...........................I,.......... , , , bcing duly sworn, deposes and says that he is the applicant
(Name of individual si;nirig contract)
above named. ~
ileistlte..... ............~i
'i (Contractor, agent, corporate of(iccr, etc.) '
of said owner or owners, and is duly~,authorizcd to perform orhhavc performed the said work and to make and file this
application; that all statements contai~tcd in this application are true to the best of his knowledge and belief; and that the
work will be perforated in the manner ~~et forth in [hc application Bled therewith.
Sworn to bciorc me this
, .......day of . ~e~~c~~~ 19
rotary Public, ......~U.Ft-of-.lc. . • • • • • • • • • • • • County
JILL L.SIMINGTOf9
NOTARY PUBLIC, State of MawYotk 7v' (Signature of applicant}
No. 4890078 U
Qualified in Suffolk CountYu _20.~g liB 0
Comrtttasion Exptrea 7V~v