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HomeMy WebLinkAbout17920-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218607 Date DECEMBER 1, 1989 THIS CERTIFIES that the building POOL Location of Properly 710 COUNTRY CLUB DRIVE CUTCHOGUE House LIo. Street Hamlet County Tax Map No. 1000 Section 109 Block 03 Lot 2.10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1989 pursuant to which Building Permit No. 179202 dated MARCH 15, 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 POOL WITH FENCE ENCLOSURE. The certificate is issued to SOANNE ROBERTS (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N071732 MAY 15, 1989 PLUMBERS CERTIFICATION DATED N/A Bui long Inspector Rev. 1/81 rosai 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~ ~~792~ Z Date .`.~~5 19U...1.. Permission ~s hereby gr~ted to: . . 5~~/......... , to .Gr.r'~eG.(~.~....... Nw,.. .y/.~~~.~.~....a~1~~~-G~......,~r.+-Qrtr.~.... :~~.~~..r~ ~ ct premises located at ..r...T..Q...... /~.~..~<4GCl:...xl.~~e!!~tf.~, . Counfij Tax Map No 1000 Section .~Q~ Block Lot No pursuont to application doted 19~., and opproved by the Building Inspector. o ~ Fee $...tS.l. ~Buil g J for Rev 6/30/80 ~~tt TOF1N OF SOUTIIOLD tJFL " ~ ~ BUILDING DCPART:IC i1T ALDG. DEPT. TONN IIALL TOWN OF SOU'SHOLD SOUTIIOLD, NES1 YORK t f 97 I + 765 - [802 APPLICATION FOR CERTIFICATE OF OCCIIPALiCY DATE NEH CONSTRUCTION .......OLD OR PRE-E%ISTZIiG BUILDING. 11.._.VACAN(T~LAND........ Location of Property.~~~.....~~?~: ~?~_T'~ ~\15."?~ ~~_.:+.~U~C-~R~~ HOUSE NO_ STP.C T EIAHLCT Ovaer or Ovners of Property..._~Q~:nl'1.~_~R~~`~~~ County Taz Map No. I000 Section Block Lot Subdivision Filed Map ........Lot__.._...__ Permit No. .......__.Date of Permit .._..._...Applicaat IIealth Depe. Approval Undcrvriters Approval._._.___....._ Planning IIoard Approval Request for Temporary Certificate Final Certificate Fce Submitted: $ APPLICANT.. ~~~~1:4.~~ \ yly/~y e o z / ~Ga J rov• IO/I4 /88 " ~ FORM NO. 6 TOWN OF SOUTFIOLD BDILDING DEPARTMENT TOWN HALL 76S - ]802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to [he Building Inspector with the following; for new buildings 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 of Health Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from IIoard of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6_ Submit Planning Board Approval of completed site plan requirements. B. For eaisting buildings (Prior Co April 9, 1957 non-conforming uses„ or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Dale of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company shoving single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Duelling $25.00, Alteration to IJvelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $SO.00. 2. Certificate of Occupancy oa pre-existing duelling - $100.OD. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ev. 10/14/S8 ~_T~ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS pAfa>:; 1 1025023 BUREAU OP ELECTRICITY B!3 JOHN STREET, NEW YORK, NEW YORK 10038 pRN, NAY 15,1989 ApplicotionNo.onjile 61970089/89 N fi7173L THIS C[fiT'1ilEfi THAT only the eiet?ied equipment ~ dneri&ed hetow and introduced 6Y the opplicant mimed on the shoos application num6ar 4s thepromises of 1 OBFRTS,'' NJ3 C(?UIITRY CLUB DRTVB, CUTt:NQGUIs, N.Y. in thejolloteinR kreation; ? Basement ? let Fl. ? Ynd Fl. OUT' Sertiun flock Lot rose examined on NAY Q2, 1989 ondfound to he in compliance with the requirements of thu Board. AXTUY RXT RANTIlS COOKING tllCIIS 0VB'If DISH WAfMRRf lIINAUST FANS OYItlTf ACIK SWITCNK INtANDtsteNr nuaexeNT OTNEn AMi. K. W. AMT K: W. AMT. k.W. AM7. K. W. AMT. N. 1. 1 2 1 ORY@f FlMtMC! MOTORS IDTIRIR AFNIANCF 1lRORK fNC1At RRC'Fi 71tM ClOEKS ~ IRai NlATlRS tttlti1-011TtlT DUIRSlRf AMT K. W. Oll N. GA] N.I. - AMT. No. A. W.O. AMT. AMI. AMT, AMN .TRANS. AMT. N.I. NOf 4t18i AMT. WATB 1 20 ] 0 r lRRVICI OMOO/iSBCf NO.OI S ! R V I C ! AMT. AW. TTIt ~ 1 / rM I 1 TV ] / SW ] X AW NO.O~f`COND. W CC. COND. NO. Or MI-IEG NO. p NED111AIE ~ i'KIlfGIIM OTrR AMARATt1f1 G,B.C.Yz-1 *{S1tINN1NG POOL) Th#a certif#cate aovera corpliance at the date of. - inspect#on only. Because of unusual enaironrenta it is advisable to have frequent teat/and ar repairs trade by a qualified person. l ' -~C HANK°S ISLF.CTRIC L:[C./2ti%56 ~~~LL~ - 121 SHS>}P PASTURt: RD 5laTAUR1iT, NY, 117x3 OMIB1yLL 1RM111•!11 11 Ptr This ctati&aM TIM not be,ekaed in any maraler; return b Nte offin of the Noord if incorrad. ba ' tARi~ COPT FOR dtRllkNG DEPARTMENT. THIS COPY OF CERTIFIt:AtE MOST WEPT RE ALTERtEO iN MANI#R. 1 i ,.__,,,c. - IELD I„s: ec: ~~N E q corrc~curs •o n ~ H _ _ H FOU1dDATION (1st) ~ ti~ FOUNDATIOIJ ( 2nd ) _ m ~ 2. z 0 ROUGH FRAME & PLUMBING C H 3. ~ m I1ISULATIOPI PER N. Y. STATE ENERGY CODE S x 5t F 4 , ~~C ti:~' FI1dAL E ADDITIO1fAL COMMENTS: m c _ t ra x . ^o H~ • a H H O R7 r H~ S . v m H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: DATE ~ O INSPECTOR o m- m ~ w IrJ3 0 ••yr' W m _ _ ~ „ ~ m ri m^ v F n ~E 1 y1 D NN _ O O1. N. ~ \I m31 ANN ~m ~ i ~ O A N ° O1 w y a ~ ~ .G ° ° ° W O yy ;m ~m ~ OV ° 1 O1 N ~ m Z m 0 8 v m o v ar~i _ N~ ° _ ~ ~D N N m N -°i n 7~.5°O. .iN r0; r ~ ~ I 1 o m m ~ a ° ~ 8 D sr ~ I •w N N N N y 1+1 ' G1 r m Z ~ ws O a) A mr z ~ y. Oi-A ~ ~ ~ C; x ~ '"n N A A to N O ~ D m ° ~ < ~ x i ip mn S v ~ m zoi m Z r. ~ m yo O N r 1~ N N ~ a C1 Z r Z m 1 s o m f ~ ~,r=-y z v m .p C N m 8 ~ d~ ~y~ ° O a v t~~~ m A• :d ~f", I m A A ~ r~i ° ~ ~ O m ~ o ~ ~ F t7D I 2 mom- O N ~ ~ ~ p D N Ifn A 3~ 411 xmm ~ID m < ~mA 5 COURSES Ba 8R 16• ~ o ~ a~Or CONCRETE BLOCK 2 i Ir m n~ r_ nmO =a ~ ~I~ z ~ Zo Am ~ =z; o° 4'6• 3.4• n ~ -IF r ~ 00 ~ O 'r N p f 1. ~ Z ~ • + ~ `mi v 0 0 0 ~ ~ m 14~ 7n5 H ~C s n f'f $~m o~ rC [si ~ n v 74 .i m g° om ~ ~m O VN'l F nm zm oom ~mso` o~ H ',D G~ f--1 O G1° i~_ Acr.1y 9 r-~ ~-r ° m° F s ~ p ~ ~ I' m m m i o 0 O N c~ Z ° ~ i °S N z hC C' or m ~ ~ _--j~R-' ~mn A p] !n ~ ( o m o ~ ~ ~ _ a~ m z ~ xn m a O t+HG 43` N ~ O r I rs Q ~ ~n Q ''~-III-_. _L p .n ~ W ~ ----m ~ V • D ° r ~O Im D a SO D Orl ~ ~ ~ ~ ; rnv ro C a r ° cn ~ a z N ; A Z _ cn rn ' I rn W ffr tZI, ~_,a ,rn n m i N ax i~ ?I i Ht ~ ~ - BUARD OF HEALTH 3 SETS OF PLANS FORM NO 1 SURVEY TOWN OF SOUTHOLD CHECK ~~'t~~'J- BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SOUTHOLD, N Y 11971 TEL.. 765-1802 CALL ~t MAIL T0: Examined `3 ~S , 19°/ Approved `a , I9~Permtt No/ j ~ Disapproved a/c / # + _.'--'-a e ~ ~ ~ (Boding I ect x) EJ~t MAR ~ 3 ~ APPLICATION FOR UILDING PERMIT Date .J~/~.~ II TOWN OF SOIf HOLD INSTRUCTIONS a This apphcatton must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of lot and of buildings on premtses, relationship to ad~ommg premtses or public s~ or areas, and giving a detuled description of layout of property must be drawn on the diagram which is part of this cation. c. The work covered by this apphcatton may not be commenced before issuance of Building Permit d. Upon approval of this apphcatton, the Building Inspector will issued a Building Permrt to the applicant Such p shall be kept on the premtses available for inspection throughout the work e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occuf shall have been granted by the Butldtng Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permtt pursuant t Butldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and outer applicable Laws, Ordtnan~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desc~ The apphcart agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, a adnut authorized inspectors on premtses and ui butldtrig fat necessary inspections (Si/g~nature apphca , or name, tf a corporation (Matting address of app cant/ ~ 7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bu . . . Name of owner of premtses ~ dQr11'~-~ ~d >6~Pf-' fs (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer - (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE~U~~~LK COUNTY LICENSED Builder's License No ~O Q j~~ Plumber's License No. N~,% Electrician's License No ..os~~ E Other Trade's License No 1 Location of land on which proposed work will be done ~A.11r~~"~ C ~uk ~C:~ v:-p- . (louse Ntunber Street anilet County Tae hlap No 1000 Section 9 Block 0. ~ Lot . '.~U. . Subdivision Filed ;flap No Lot (Name) 2. State eeisting use and occupancy of premtses and intended/~use and occupanc/y of proposed construction a Existing use and occupancy V ~ ~ - T.d,r'YJ~ . 4(41 /P./,~i b. Intended use and occupancy~© </.C) ,lrJ ~/~d.(//!o~ ~~GU//y~lyl!//9. 7~7~ ~-f C•P / O GD`clo / 3. Nature of work (check which applicable) New Building Addrhon Alteration'':. . Repazr Removal Demolition .Other \1'ork . /~.`-'d 9L y~dr/u ,mss-jC!~d0~cr~rr- (DcscnpSion) 4 Estimated Cost a o. o ~ Fee . ' (to be pafd on filing thfs 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 type of use . 7. Dimensions of existing structures, if any Front . Rear Depth . Height Number of Stones . . Dunensions of same structure with alterations or additions Front .Rear . Depth ..Height Number of Stones . . 8. Dimensions of entire new construction Front Rear Depth Hewht ..Number of Stonec . . . . 9 Size of lot Front Rear Depth . . . 10. Date of Purchase .Name of i ~rlmer Owner . 1 1. Zone or use district m which premises are situated . 12 Does proposed construction violate any zoning law, ordinance or regulatron• . 13 Will lot be regraded Will excess fill be removed from premises Yes 14 Name of Owner of premises Address ....Phone No . Name of Architect ...Address ...Phone No . Name of Contractor Address ....Phone No . 15. Is this property located within 300 feetyy_of a tgqidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLOT DIAGKAMed. Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fn property fines Gfve street and block number or description according to deed, and show street names and indicate when interior or corner lot STATE OF NE1N YO,I2K S S COUNTYOF.. J~d/K+• ~ -P/,1/71~~Y . .tl.~' Gt=C7 /'t~ being duly sworn, deposes and says that he is the apphc. (Name of mdrndual signing contract) above named He is the ~ (Co tractor, 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 t application, that all statements contained in this application are true to the best of his knowledge and belief; and that work will be performed m the manner set forth in the application filed therewith Sworn to before mepthfs p O.~h.. day of ,/.nl~~.~. 19 Notary Public, iSd~a~/~ .County 1 Y~'-~--~ ry6Paibfoc~ Sin+n cef New York ~ . „f+p~4~ . No 52 4026••33 'L•v^t-c . Quas+f+ed +n nu:.uik Go~ ootZyB (Signature of applies t.OmmPSaiOn Exgiras CODE , ENCtOS~~A ESN 3 ~ UPONC ~pf pr M~tinlc ~ ~ npµ+ `+i05~p M prirl ~ _ p1ATELYFf apt 30 .,~MM Poop~O o D~ ~ 225 0l, f„ U8E GRE~.WpTEFY O O ,,~I f ~ ,Qo3o134r1E Lpt 25 ~ ~ w~ ~ o 9~ _ ~o~ 2 0 ~ N~~~YI! 4a r5 YI ~r11r ~ 1 A;'-` 0 oA O coDE Arep ' ~ ~°„r i"~ 3 4" CL ~N C p A SON ~.Int" ~ ~ ~ Q lSP ORE ~ ~ ~k I \ 51' m -p Z $E'~ 2 ~ 1\t ~ /OpµE ii.' "ai0 ~.pN 4LI , ATe /1 I L t ~ g'SORY , OpRpOE a aT U HOUS£ eN o'1~ • yz]~ v' c' `la, .r. wo ~ sr w + m. ~ 4 ~ w. ~ w o o , J (2 - tt. 1 A1T. y fi P ,t2 9 _ 32' =-o Nw O O',.,~ TJ 12 q~ `L~_=OCP ~r a. FL t 2T a pi'4~a4-~1 g1 m o ,r• N ,N fd 00A cP 24 5m. ~ t ` ~o ~ gym. ~w A p AS NOr(ED ~ /K ~ 1~ r~-( ~ ' ~ ~ ~ - / 6 °O 2' DATE~~ B.P. M ~7~/ l g~ • ~0 D 5D 22 o • 3o yn FEE. BY: V ~ ~ 3 NOTIFY iN OE E AT ~ ~i~,1 5' 785-t~2 8 AM TO 4 PM FOR THE i 1 FOLLOWING INSPECTIONS: ~ '4 , i. FOUNDATION TWO REQUIRED hj V FOR POURED CONCAETE y) ~ G~' 2 ROUGH -FRAMING al PWMBiN~i, 1 3 INSULATION 4 BE COMPLETE FSTRUCTION MUST ~_~~CU~~NCY ALL CONSTRUCTION SHALL MEET 'L17 THE REQUIREMENTS OF THE N.Y. ~.E ~S UN~.A~FUL STATE CONSTRUCTION 8 ENERGY GODES NOT RESPONSIBLE FOR J ~ [DESIGN OR CONSTRUCTION ERRORS ~O ~ i~`~#OU~' CERTiFfCATE ~~'UPA~CY • SURVEY FOR JOANNE ROBERTS FE9 19, Isas LOT NO. 25, "COUNTRY CLUB ESTATES~~ AuG 5, 1985 AT CUTI:H000E DATE SEP7 13; 1994 TOWN OF SOUTHOLD scaLE• I " = 50' SUFFOLK COUNTY, NEW YORK No ea-soz - NINMUTHORIlED ALT[MTIONORAODITI011 ro THIf GUARANTEED TO' lVRVCY D A VIOLATION OF Sf CTION 7E Of Of THE N!w YORK STATE EDUCATION LAw T}iE TITLE GUARANTEE CO. N COFIC! aF TNI! SUf1YLY NOi fEARWD TH[ LAND lUR VC YDII! IRKED SEA4 OR EYlOSfCO fGL SHALL NOT fL CONSIOI REO TO 1E A VALID TRUE fOPY ' KGUAn ANIEfS INDICATED H[RlOM ]11A1.L RIIN ONLY 10 ' HEALTH OEPARi MENi-DATA FOR APPROVAL TO CONSTRUCT THE f[RfON fOR wHON THE SURV[T Is ?RL?AnfD + :T AND OI NIS fCNALF TO THE flTtf COYFYIY, 60VUIN- N NLAREST w,{T(R ¦AIN_ML! M70URCf Of WATER' MIMTC ~?UfLIC~ N[NTAL AGENCY AND L[NO'N6 INS TIfUT1011 U37fD 1 K flw? C0. TAK NAI DIfi 19514-fLCitON ~1Il$-KDCK ~.3.. LOT > 10 HEREON, AND TO THE ASS gNEES OF TN! LF NOINO I :r" • NiN[R[ ARE MO Dw[LLIN{! WITHIN 100 fL[T OF TMIt hR0?LRTY INS TIiuTION 6UARAN Tf[f AnE NOT TRAM Sf[RAlLE OTH[R tNAN TNOf[ fNOYIN N[REON TO ADDITIONAL INS TITVTIONf OR SUAlEOUENi ) } i , N TH[wATLR fU?FLY MID f[wAlL DIffOlAL !Y!T[M FOR THIf RCS IDLNC[ OWNERS i J ~ / M 017T4MCLf SHOWN HEREON FROY MOFFRTT UNff i HILL CpIfORN TO TNL fiANOARDf Of iML fUFIOLK COUNTY DE?MTNfNT ~ Of NGLTN fIJ11lIC[f. i0 CKIl TING lTRUC NR[f 4RE fOR A SFCCIFlC ~ ~ ; AIFLICANT• ?URFO![ AMO 4RE NOT TO fE VSED TO fS TAf LIfH ; ?RO?LRTY LINES OR FOR THE [REGION OF fENC[f / ~ YOUNG a YOUNG RIOYERHEAD,NEWYORKE NOT[ r ¦ • YONUTA[NT Q ~ STAVE • ALDEN W YOUNG, PROFESSIONAL ENGINEER fUf 01Y1l ION YA? FIL[D IN THE OFFICL OF THE CLE RN of ANO LAND SURVEYOR N Y.S LICENSE N0.12945 fUIfOLK COUNTY ON OCT. 17, If Tf Ai }IL[ NO. fT 7.. HOWARD W YOUNG, LAND SURVEYOR NM LOdTAIN OF waL(wl,f[?TIC TANN(fTIOCPfFODtf(QIfIN7wN HCRLON NYS LICENSE N045893 M[ TROY FIELD OftLRMT10N! AND OR DATA OfTMN[D ?RON DTH[R f fRAN01f l SONE INC. lOA6