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HomeMy WebLinkAbout17243-z FORM NO. 4 fn TOWN OF SOUTHOLA BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17428 Date OCTOBER 19, 1988 THIS CERTIFIES that the building ACCESSORY POOL Location of Property 4405 DEPOT LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 096 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 1988 pursuant to which Building Permit No. 17243-Z dated JULY 20, 1988 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 SWIMMING POOL & FENCE AS APPLIED FOR The certificate is issued to VIRGINIA McCAFFERY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N038892-OCTOBER 12 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 no8ae< xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ('THIS PERMIT MU57 BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N4 172113 Z Date ...........~.~-4.1:~.f....2..~..........., 19.~~ Permission is hereby grante~ o: ( 'Q',.• ~ ~..u n.... A to ..ht~kAlYfN~s~/.!........~i~.!Sl ..~'!Z.. ~.i~.t+.:1.4'ri......~~...~.t~ 1C.... at premises located ot .7.I..~.`5:.......4~.... .............~tX:.~!-t•R,............. .1...~,~~-tea..... e Via...... I ...............11......................................... ~ [.1.11.... County Tox Map No. 1000 Section ©.~.~r....... Block ......~.w~.~....`~.7. VLot No. ,...Q.~r............ pursuant to application dated 19.?I.a., and approved by the Building Inspector. / Fee iC,GY Building Inspector Rev. 6/30/80 I FORM NO. 6 J( ~ TOWN OF SOUTHOLD / X Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ e...~ to the Building Inspec- torwith 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 or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 0~. 0~0 / C} p 4 . Vacant Land C . p, $ 20 , 00 y~~'7_"" :..9'~.. l..l.Q.~. 5.Updated C.O. $ 50.00 Date. New~onstruction,,,,,,OldorPre-existing Building Vacant Land C`~/ C l/ 1 / Location of Property •T N, , , , .sl?, ,.~,(')0;/.. , h-Lr/1 , ~.~:-(-.°l ~S~ . House No. /Sheet (Ham/et Owner or Owners of Property ....~L~.QJ17/a...l.~...C,ra~'],~~/,,;, County Tax Map No. 1000 Section ~.~.~U....... Block Lot...... Subdivision , . . . . . . ...Filed Map Non. ....Lot No. Permit No.~7.~~. 7.~!.. , pate of PermitQuL~ij.~+?~/p~~gpplicant , f7v, , ,7~, ~ f LI,c.,{. i_JQ j,?,~...-;~;j,~ ~ O ~.l ~ Health Dept. Approval ........................Labor Dept. Approval , Underwriters Approval ........................Planning Board Approval , Request for Temporary Certificate .....................Final Certificate Fee Submitted $ . Construction on above described building and permit meets all applicable codes and regulations. Applicant ../nom. J...(/?C.tCQj 6~ ~ Rw. ioao•~s / ('~~.e, 354• ~l THE NEW YORK BOARD OF FIRE UNDERWRITERS "~l~w~ i 001.3$!. BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 CX"PC>H},H 77;1~i88 5?3gF58k/fid }t ntiR89:t Date Application No. on file THIS CERTIFIE3 THAT only the elererical equipment a. described 6ebEO and introduced 6y the applicant nomad on the obore application number in the premises of 'RAN('IS MC cAFkF,N.Y, ilF:PO`i" LBNR, iFgI,NJ #35, C'IJTCHOt;iJE, N.Y. in the olloLCin hrootion• I~-~ e e !)IiI f R ~~'~~~k,ff ~;~Baq to ry~~~? let Pl. ? tnd FI. .Section Block Lot Luna examined un Lb . 1. and found to be in cornplianre with the rryuiremenfa of this Board. pXTW! RXTURES RANOlS COOKING DECKS OVENS qSM WASNRRS EXHAUST FANS OUTltfi TAClES SWITCHES INGNDESCENT PLl10KF5[ENT y AMi. K. W. AMT. K. W. AMT. R.W. NAT, K. W. NAT. N. P. 1 9, 1 pRYRRS RIRNACE h10TOR5 HITURE AFFl1ANC! REDEEf SF[dAl RECIT TIME CLOCKS RlIL UIHT HEATERS MaTt.ouneT DIMMERS AMT.: K. W. ql N. P. fiAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. ~ 0! ~T AMT. WA1T5 1 2,Ci 'I ,0 SERVIQ dSCONNKT NO.OF 5 E R V 1 C E AMT. AMY. TYPE 1 p t`I/ 1 J 3W S J 3W 3 / AW N~' KR ~CgJn. OP CC CpID. NO. OF NI.IEG a' H '~G NO. OP NEUTKAlS OF NEVTPAL ort~R AFFAUrus: G.l.C'.I[-l. . *(gA7:MMING YCx7Li '('hi4 eFr4~:iFicfl T1> cL~vers c~otnp7 i.aneP at the date of inspc?ct.ion cTnlq. Recausa~ of unu~tlal envi.rartments it is advi.eahie ro hnvp fregnL~nY t.eti.land or rF~nAiTv made by a qualified }Larson. :}C)DY PIJ}'11t,T,0 FR7` l~ANF, ~~l 0117^PTTU4K- NY, 1:1.'352 11 Per This certificaN must not be altered in any manner; return to 1M office of the Board if incorrect. Inspectors may bs idstttdisd by their Credentials. COPY FOR WILDNIC DEPARTMplT. THIS COPY OF CEItTIPIGTE AQST NOT !E ALTERlD IN ANY MAtR1ER. ~r."..tm-r.-% TEi. 7C5-1 E07. /,yi\~ r.f '~"C.~~~C,a A•~~1tN (~I'' .Jlf iJ 1T.11~Ai~ ~ ~ t' ~,y~4~,aTt .},1 t. Off'iCl: (il' 13UILD[NG IidSPF.CTOR •r ~.Y 1~ +~'S~~~t~d~ai `~"f Y.O. l10X 7~8 4~ rO~c'~'.,~'"~;+,~'1 "I'014PJ IIr1LL SOUII[OI.U,N.Y.11971 • J U,ttcq,~.o.~ tXX%~~ )hC ~~n~ 5$mc ~F~If r/ ~-~~y-~, y• I~Y3s To 47}~om This f4ay Concern, t~;e arc urrublr_ co complete your Certificate of Occupancy ber.au.-,e ,of the following reasons. An application for Certificate of Occupancy is not nn file. /w/ Flo !Jnrlr_r,~riters Certificate on file. The chec}; .is(outclateci/not en file.) t:o (Iealth Dept. Approval on file. ,:o final in_;pecCion hay been made. Pleae,c ccntar_t: our office on this matter. Thank yor.c for your cooperation: 3uildinr; Permit If ~ ~ ~ ~ ~ Z I3uilclir.<f Dept. ~Yhk/_/ po P.i~:mber Solder Certificate on file. all pcrrnits involvinc7 plumbing being ia:nied afL-cr April 1,19II9 ) lELD SI:~i E~:'u;. ~~JAi':: j UUa`tMENT° ~ -o ~ m~ H _ _ y W FOUNDATION ~ (1st) = ~1 c FOUNDATIOtd (2nd) _ m~ C 2. 0 DOUGH FRAP9E & V'` PLUMBING ti y 3 I1dSULATIOC! PER N. Y. y STATE ENERGY CODE ~p J m 4 . G y y FIidAL n z ADDITIOPIAL COMMENTS: C rn ' X H roa a\ H H ~ O Q . ~ M '0 v H 1} . e ,>,,.:x.:-..w..d,..~....,..,.-»_.»-1.:,.~.~..r.,.:.r.....W.,d-m ,.....,a..aw.. ~ ~ ~ ~ ~ 2~ g ~ ~t ~5' ~ rw-w..-.~...w..,....,......i n , j r '°-~^°C"'.. r... ~....~..~+.a-.h+,...:.~~3, '},~`'4~ 3Y ~ ~ ~h3 y .r..Y t d~ t i 1/44 ~!Y h d. ~ ~ a. y-r ~ t / ~ e ~ t~ s. ~r`t r j 1 ~ ~ S +1f' ~ 5~1: i...9{t ~ ~y 5~ ry3Sf~ 4 Y L f I' - . die 31{~1~,'~,~ AC 4' i ~cF ~ t ~S ? ~'k 43 ~ F~~r:3~ ~~'b a--_~M - w. 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' ~ xe i iow ~+vaa...a ~ ,~--,...M.+ ~ ~ z r y~~ z ~ ~ 3 t ~ ,~iri e , r , ? a...,.~...~§.. ui rt.4&~~e.u~.k~a.d,.};~-~ _ n.~a.- ,~uarz ~-h~a+i.~a#rr.,§.e'¥9'w~i~~~,-.u~~bZ,~~J<s~~54~~TM .~'E i.a Y~. ~r.~ ~~a~~~ xss-isox BUILDING DEPT. INSPECTION [)FOUNDATION 1ST ~ )ROUGH PLBG. ' [ ]FOUNDATION 2ND [ ] INSULAT~IONQ [ ]FRAMING [ FINAL ~!J(I`~ REMARKS: ~ E DATE ~ INSPECTOR BOARD OF HEALTH !_~Ia~a~~ 3 SETS OF PLANS M+a ~p~ FORMN0.1 SURVEY ~N~ ~~pp TOWN OF SOUTHOLD CHECK •'~~•%~9~• ~ 1va~~ g BUILDING DEPARTMENT SEPTIC FORM • ,d al. TOWN HALL -A"","°""'"""°'°.,...`°° ~ NOTIFY ~ Fsf-cG. t?t=;'~• ~ SOUTHOLD, N.Y. 11971 r(unrr,~ t}G ,rof)t~Tl-'r"if f3 CALL r + TEL.: 765-1802 . MAIL T0: P~•`{3Y Examined .010. 19V.9 n ( pp b Approved ~ d 19 4. ~ Permit No. ~.7. 7, ~ ~ V -~2.. Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERPAIT Date 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary 'nsp~ect„io.ns. rn,~lLL/... t.. ~,5.4/.L1.3, ....Z,~.......... . (Signature of applicant, or name, if a corporation) ~o:.. ~~x , y3.Yt ...rn~rr.~.~r-cl~ ~y . (Mailing address of applicant) l~~J Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises V.t.l!l;rr.L/.fJ,/19.....C~t.~G':g~.~,~~y (as on the tax roll or latest deed) I app t is a corp ti si ture f duly authorized officer. (Name and title of rp rate officer) ALL CONTRACTOR'S MUST BE SUFFsLK COUNTY LICENSED Builder's License No. ~ 2.:. /.4!..L......... . Plumber's License No . . Electrician's License No. .~QM~I.Z~?....~~~~z~ Other Trade's License No . . 1. Location of land on which proposed work will be done. ~.~C9T....~..~1?~~ C~~ (l.E..... . ~1.5`~ ................~k-Y!o-7-.. ~f~N.k,........ G{.t7-c~td w!~~' ../.If.y............. . House Number Stgreet Hamlet County Tax Map No. 1000 Section Q. /.G....... Block Lot ~ . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~.~r. ~.~~'r1!i~.~/~C' b. Intended use and occupancy ........nE3.~~~~~!fZ... W 1,/'~!, , ~(17J L . . . . ' 3. Nature of work (check which applicable): New Building F~~'~ Addition Alteration . e p . Demolition ..............Other Work . ILe air i description) 4, E3st~mated Cost Fee . (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. Dimensions of existing structurers, if any: Front ......:........Rear Depth . 't . Height ...............NumberofStories....................................,................... Dimensions of same structure with alterations or additions: Front Rear , . Depth ..Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear ...............Depth . Height Number of Stories . 9, Size of lot: Front , . Rear Depth . 10. Date of Purchase P ..................Name of Former Owner . 1 I. Pone or use district in which remises are situated n~31 l~~Yv,7(/~t- , , , , , , , , , , , , , , , , , , , , , , , , , , 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Will lot be re raded .........Q(/'? Will excess f,]'ll be removed from premises: Y s No 14. Name of Owner of premises ~'d4r~, Address ....(i!Lf~,~l G-lf.6y .Phone No . Name of Architect ~ ~H .:::Address .....Phone No.. P P Y /~L, ,~~ii . . Name of Contractor '~44y .,'1~!?~S Address ..~~J1J ~4tC .Phone No. ~r'tA..~ .7.Q~ 15. ]a this ro ert located 'within 300 feet of a tigidal wetland2 *Yes No *]:f yes, Southold Town Trustees PermitPLO~ DIAGKAMed. Locate clearly and distinctly all buildings, 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. ~J,Z' ~~~c~>G~ ,~J/1/2dL~ STATE OF NEW YORK, IS.S COUNTY OF being duly sworn; deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe ..................:.:9................................................................... (Contractor, 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 this application; that all statements contpined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...............(.3 .'.day of~~.~........., 19 Notary Public, 1'!F~rKl...... 1 County HELEN K DE VOE'~ NOTARY PUBLIC, State of hew Yak . Ne.470787A, SuNa1kC ua n ure of applicant) Tam EMpirea March 30,1