HomeMy WebLinkAbout17969-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19877 Date APRIL 26, 1991
THIS CERTIFIES that the building ACCESSORY
Location of Property 510 MATTHEWS LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block 1 Lot 20
Subdivision NORTHWOODS Filed Map No. 546911Lot No. 7
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 1989 pursuant to which
Building Permit No. 17969-Z dated MARCH 30, 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 SWIMMING POOL WITH FENCE ENCLOSURE
The certificate is issued to SCOTT & LINDA KAYEL
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-074132 - MAY 30, 1989
PLUMBERS CERTIFICATION DATED N/A
~i~
B ld> g Inspector
Rev. 1/81
sows xo. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
ffHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Nq 017969 Z Date 19.x.1
Perm~ssian is hereby granted to:
~9
to ~
..ter-~.....~.....~
~i~j .
ct premises located ot .............~p/..~~L..~k..r..............................................
Caunty Tox Map No 1000 Section ~.,T...... Block .............l..... Lot No
pursuant to application doted .......,~~i'Z...~. 19.~ and approved by the
Building/Inspector.
Fee 3.•?.~~
~ r~pec .
Bu n r
Rev 6/30/80
~ Form No. 6
TOWN OF SOUTFIOLD
BUILDING DEPARTMENT ~/,oR2~/9n'
TOWN HALL r t~, ,7
765-1502
-
°`a,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1. 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
responsible for 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-exist~.ng" 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,
Additions to accessory bui.ldang $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, Cooommcercial $15.00
Date ~i../.~
yew Construction...: Old Or~,~Pre,-~~e~xpisting ~Bpuilding. ~
.ocation of Property... ~.~a...../.C4?~c~`::~.. cC-~:z......~~iti~:': i-:..~!~..f/`~`3'S....
House No. nStreet ~Q`--~ Hamlet
)nwer or Owners of Property... d
'ounty Tax Map No 1000, Section.....!.!......Block........ ~......Lot....::~
~ubdivision...pp
.................................Filed Map............Lot......................
'ermit No. ~ 7l,~,q ....Date Of Permit ................Applicant...~~L!-fd.2~...............
:ealth Dept. Approval ..........................Underwriters Approval... ~PiQJ..............
'lanning Board Approval....~,RJ l v -
equest for: Temporary CertUUificate........... Final Certicate...?./.....
~ee Submnnit__t--edit ~ . L~ f
tip- 7 ~ ~
C, ~ ~ ~ y ~ ~ ~ APPLICANT y w J
.~-.r~•s~r~
G ~ 7~-18U2
BUILDING DEPT.
INSPECTION
[ )FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
( 7 FRAMING ~ FINAL
REMARKS: ~
r
DATE 1 1 INSPECTOR ~''W~.i
765-1802
1 ? ~ BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ~ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ~ ]INSULATION
[ ]FRAMING [~INAL
REMARKS:
DATE J INSPECTOR \
THE NEW YORK BOARD Of FIRE UNDERWRITERS PAGE 1
ioz5o23
•UREAU OF ELECTRICITYO l
NAY 30,1989 r5 JOHN STREET.,New ro}IIC• 62431189784 ae N 074132
Des Applice No. on J*e
TN13 CERTIFIEa THAT
only the eMctaieel egripment v drert6ed 6ebte rand tntKOtpteed 6y tM atppacent atemed on the show eppBgtbn number Jn the prornlwe 4<
RAYSL, 510 5/3 NATTHSit LAMS, CUTC80GUS, N.Y.
iw tkefolbaeint; bcettont 2,~y Beeement ? IAt FI. ? tnd F1. OUT Section Black Int
uw examined on nl7w1:S. a9'6o`J, and found to 6e in rnmpliance reith the requirements of th4Boud.
e-
tuinae L_... I l Rxnllrs I taNOas_ Icooaatoofeesl ov~s IowNwAttNNn_1_ezfwusT ?+u~If.-
OUitRli AqK nuGRSCa+r OTNlR AMT. K. W. AMT. K. W. NAT. R.W ~ NAT. ~ R W. J AMT. T H r.
1 2 1 _ _
DRYlRS RMNAq MGTOK tYtae MlaAMCe iNOelli fNdAI IrCK TIAIt GIOCRf erL t11aTlrAleet tMaTFOYT4e[
AMT. K. W. ql n e. OAi N. r. AMT. NO. A. W.O. AMT. AW. AMT. AMr6. TeAra. AMT. M. r. «fk lan 'vram
1 20 1 ao
SrIVICe get:ONN/CT NO. o! s e e v 1 C E W~p~
AMT. AAV. IYR ~ 1 / tW I / ]\M ] R TV ] / /1V NO. qty COND. A. W. NO. Oi NFDiG ~;~y ND.OF NlUTIIAI] d ~NlDAM
OTllee AMAeATUk
G.F.C.I:-1
•{gpINNING POOL) This certificate
covers corpliance at the date of
inspection only. Because of unusual
enviroarsata it is advisable to
have freQuent test sad/or repairs
rade by a qualified person.
.P~
HANK'S 6LSCTRIC LIC./2675E
121 SHEEP PASTURE RD
SETAUKS'l', NY, 11733
Oep1eA ell
11
Per
Thit cerfifieaN mat not M alMred in any •manner; rNUm to. the office of tM Board it illcorrect. Impscton m 6e i b ,their b.
SPY F01t WILDING DEPAMMENT. THIS OF CERTIfiCA~~1gT E~ERED
IN ANY M4i~.
fib-. TEL. 7C5-12~?
`~O c% T0~5'[V Ur SOUTIIOLD
rw:~ y OI"I'ICIi O~ ESUILDING INSPECTOR
u' ~ r';°t~1d'~ TONN HALL
'~~,y ~ SOUL f IOLD, N.Y. 1 1971
~'~~l r~a 7~~''
March 27, 1991
MR. SCOTT KAYEL
510 MATTHEW LANE
CUTCHOGUE, N.Y. 11935
To S~ihcm This May Concern,
Yle are unaole t~o complete your Certificate
of Occupancy becauso of the follocnng reasons.
e application for Certificate of Occupancy
i not nn file. CENCLOSED)
IO r)ndenar~tcrs C~.rtificate on file.
/ Chc chr_c}: i:, (ra7(di-A'IlC~14~[iil~hhc.tt ot1 fi1C.) $25.00
P7o Flcalth Dept. Approval on file.
ho final ~n;;I~ection has been made.
Plc:a:;n contact: our office on this, matter. -
Tliank you for your cooperation.
1Su i 1t1 u,c1 Pcrnu t (t 1 7 9 6 9 Z
IIuilQinq Dupl.
Uo Plun~bur :older Certificate on file.
( all I>r,rrtit:; involving plumbing being
iasuccl after ,1prs1 1,1994 )
,
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IIISULATIOC! PER N. Y. 'j
STATE ENERGY
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BOARD OF HEALTH
' 3 SETS OF PLANS?......
FORM NO. 1 SURVEY ?
TOWN OF SOUTHOLD CHECK =~y$-
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 CALL
TEL.. 765-1802
MAIL T0:
Examined 19 ~ / q ~ f~ ~ R n
Approved .~~~p. , l9 ~Permrt No 9f~ ! . ~ L5 L5 Il ~ n
Disapproved a/c . / ~ '2 7 ~9 ~ 4UI
. ,_~.,,.j
w,~_.e.
BLOC DcPT.
• • ' • • • " ' " " ' " " " " ' • • N OF SOUTHOLD
(Btiild~ Spector)
APPLICATION FOR BUILDING PERMIT
Date ..(Ylcs ~C.r> , 19
INSTRUCTIONS
a. This application must be completely filled in by typewnter or m ink and submitted to the Building Inspector, wi
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 adloinmg premises or public str
or areas, and giving a detuled descnption of layout of property must be drawn on the diagram which is part of this a;
canon.
c The work covered by this application may not be commenced before issuance of Budding Permit
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such peg
shall be kept on the premises available for inspection throughout the work
e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupy
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
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc=
Regulations, forgsmst}1zf;~Rbuildings, additions or alterations, or for removal or demolition, as herein descnl
The applicant agrees to comply with a ~ hcable laws, ordinances, building code, housing code, and regularions, an~
admit authorazs~i insp~c~~ozrprernises~nB"m building for necessary m ections.
YA I1" !r. ~~4CC.c~.c~C`T~
*b
iM~1A"fiA~~3 isYxA'~ii('~Y7itt .
3MT iiL7~ A ~ P ~"r1Ai ,~~r ( gnature o applicant, or name, ~f a corporation)
,~t.; :;~:1.~,:•,, ~l7/ 15-1 ~a~,~~y/~f //71~.
73F111!£?9AOW7 MGttA.?N~.!7a
~ ~~9qi'9N~N~ ~t7~+ItM q0' (Mailing address of applicant)
State wh'ethle~atpplici~an`t~is~ owl H1`w~y ~
.4F.II~Ies~~1i ent, architect, engineer, general contractor, electrician, plumber or buil~
TRIM iiit'u1" ` "
tY nee ~ ~ ~ td},S ti
. .
Name of e4 i~~~~ i
4~$ ~A~i Pq~ ;~M ~ a-~~ I .
y,tip~; ~ 1At3AS',%,111T112'~~<tC~ ~ 3'~ " (as on the tax roll or latest deed)
If apphca as ~ 1 ~~gn,~t(Irei of duly authorized officer
(Name and title of corporate officer)
ALL CONTRACTOR'S MUS~~~ SUF~pLK COUNTY LICENSED
Builder's License No rim.
Plumber's License No
Electrician's License No 1- ~4. 7 ~ ~ .
Other Trade's License No
1 Location of land on which proposed work will be do~ e~ /J/Q1!'S~'?V ~ Q . .
~`/O /Yla.~~i~.l~t1 ' CUfz,'l~r,~U~ .
House Number Street Hamle
County Tax Map No ,~1/000 Sectwn gC~. Block ~ Lot ~ ~%.y .
Subdivision 1i' ~~~~cJ Filed Map No ~ / Lot / .
(Name)
2 State existing use and occupancy of premises and in~t/e~~nded use an/d}~occupancy of proposed construction
a. Existing use and occupancy ~~e ~P/~~~
b Intended use and occupancy ` i`' X/n1~ c0 l~/~4G~/7/,~, .rG!+i~!J9/~J//1~ ~GD/ , , , , , , , , - ,
/ TT{~/C ~ ~ CiGZ'~ P
3. Nature of work (check which applicable) New Building Addition Alteration ~ '
Repazr Remgqval Demolition .Other 1Vork .
~DO Q~~I' t~~j~e~ r~i'IC/USP? (Descn tron)
4 Estim~ted Cost~9rG~U~~ .Fee ..............P....
' (to be 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 type of use . .
7. Dunensions of existing structures, if any Front .Rear .Depth . . .
Height Number of Stones .
Dunensions of same stfu°~'ture with alterations or additions Front Rear . .
Depth Herght . Number of Stones .
S. Dimensions of entire new construction Front Rear . Depth . .
Height ......Number of Stones
9 Srze of lot Front Rear Depth . .
10. Date of Purchase ...Name of Former Owner .
11 Zone or use distract m which premises are situated ~ . .
12 Does proposed construction violate any zon}I~g law, ordinance or regulation U.... .
13. Will lot be re raded ~J Will excess fill be removed from remises: ~es; D
14 Name of Owner of premises SCu~ ~~yP~ Addresssi~ ~lftrw'/a G!~~~:v/f/fi~Phone No..73~i-~ 7Z.~`.. .
Name of Architect /.~f1: , ...Address , . Phone No........ . .
Name of Contractor Swm kin, , , f~op(s , , . , Address ~7! ~S'f. zS!9.~~,rPa~~tPhone No. 7~X
``l..$~~'C'.
15. Is this property located within 300 feet of a tigidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLO~ DIAGKAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fro
property lines. Give street and block number or descnption according to deed, and show street names and indicate wheth
intenor or corner lot.
r
1~ ~b AS NOTED
NOTIFY 8 DEPART ~
765-1802 8 AM 40 4 PM FOR THE
FOLLOWING INSPEC'iIONS
T. FOUNDATION TVND REOWREp
FOR POURED CONCRETE
2. ROUGH • FRAMING ~ PLUMBING
_ 8 INSULATION
4 FINAL - CONSTRUCTION MUST
Bf COMPLETE FOA C.O.
ALL CONSTRUCTION SMlitl MEET
THE REniMREMENTB OF 7'HE N.Y.
STATE CONSTRUCTIOW ~ !ENERGY
CODES. NETt ~'SPONSIBL:E FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW~O$,K~k S S
COUNTY OF ~ 4
...~e~~~ YC~C~~ being duly sworn, deposes and says that he is the apphca;
(Name of mdrndual signing contract)
above named
He is the .
(Contractor, agent, corporate officer, etc )
of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file tl
application, that all statements contained in this apphcaUon are true to the best of his knowledge and belief; and that tl
work will be performed m the manner set forth m the application filed therewith
Sworn to be~~f//or~~e me this / q
.4`.-cf" .day of //!~/~~/;f`. 19
Notary Public, ~~J~~.h- County
}/1/(„ , , , ~ NOR "EN L HAGER ( ~
i `a"`^'~-- a of New York V . Y. 4~~-4'-~-~
0 62.4526433 71
Qua fled +n Suf{o+k Cougty (Signature of apphcar
Commisswn Exp+res ~I~gl9