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HomeMy WebLinkAbout17079-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFTCATE OF OCCUPANCY No Z-17204 Date AUGUST 18, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 3500 EUGENE`S ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 097 Block 08 Lot 92 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1988 pursuant to which Building Permit No. 17079-Z dated JUNE 8, 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 MICHAEL & MARY McKENNA (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-022094 - JULY 15, 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 xosai xo. s TQWN 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) 1~, N fl ~ 17 ~ 7 9 Z Date ~.~!~w':......~ 19.~ 7) Permission is hereby granted . ~.r:.. a.~.~ . ....R..,~.R.........~i~......a s.~ ta ..~!~rW(1.~:!.:CR..-....Q'Y.?.....~i..r! .~,4rrMr~ct:•c~... ~?~?-:~:i. ~...~.~.....~.....~...4%~C.,~K~d at premises located at .............................~I.............~.:...............~~.tM}: 1......................... Caunty Tox Map No. 1000 Section ......Q.9.~....... Block ........5~.`,$....v..\\~~Lot No.......L.:.~--:....... pursuant to application dated ............................a3.................., 19.A..4.., and approved by the Building Inspector. Fee e.~~, a..c d' Building Inspector Rev. 6/30/80 _ ~~lc~ii~ r~t-~ c~ FORM NO. 6 i V ti:, ~L1~!~~ 1 TOWN OF SOUTHOLD ~ i Building Department j ~ 1988 Town Ha11 Southold, N.Y. 11971 765 - 1802 sLDG. DE('T. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~ 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 equall. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate 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 $25.00 ALTERATION $25.00 - 1.Certificateofoccupancy New Dwelling,$25.00, Accessory-$10.00 Business $50.00 2. Certificate of occupancy onpre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 . 4. Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date NewConstruction,,,,,,OldorPre-existin Buildin Vacant Land 9 9 Location of Property 3SGU, : ,~L, v~~-E ~E S T~,O/~;~ . , ~ C/-fOG ( 3.S House No. ~ ~ ~ ~ ~ Streei ~ ~ ~ ~ ~ l ~ Namlet Owner or Owners of Property m~~ , , ,/Jjj ~,~fJ~L . ~I c-/~.G~t! h! , County Tax Map No. 1000 Section .jo~,7,,,,,, Block Lot....~.~:.,,,,,, Subdivision ...Filed Map No. Lot N ' / }/~y~ iCEI~1~~- ~'1~7Z~ivtJj9'... Permit No.U ~7r>„ Date of Permit , ,Applicant .:`~1b.'. ~.6::.... . `~?St'L'„n , , • " 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 Rav. 70-10-78 mac,. 3s ySg' Co-~ 11~0~ THE NEW YORK BOARD OF FIRE UNDERWRITERS P~<:~. 'l?, 1.501)3 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 70038 ,trit,Y 15,1998 55995398/99 N 027.094 Date Application No. on file THIS GERi1FIES THAT only the slectrlcol equipment at dsscrihed below and 7neroduced hY the applicant rrarrred on the ohooe application number 7n [hepremises of NR. & MB.S. NrKSNNA, 3500 l;GIJGF,NN;S RQAU. CU9'C.fH)GUE, N.Y in the ollowin lorotion• ~ Boertrsent f)11'f f q J 9titl ? /"t Fl. ? Ynd Fl. .Sertian Bloek Let wee examined on ,T11N~. ~ and found to fse in rnmplianre with the reyuiremenu of this Board. AXTUN gXTUEK RANOES COOItINti DLCKS OVRIS DISN WASNlRS EXHAUST FANS OUTUITf A~ S1t11TC11E5 INCANDESCENT PIUORESCENT AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMi. N. P. .I 1 T DRYERS FURNAC! MOTORS FUTURE AMUAtKE FHOERS SN[OML RELIT 71ME CIOCRS Rdl UNIT HEATERS tMItT1.0UT1ET DIA1MlRS AMT. N. W. Oll N. P. GAS N. P. AMT. NO. A. W.O. AMi. AAN. AMT. AMPS. TRANS. AMT. N. P. SYSTSMS AMT. WATTS NO.OF R7T l 20 1 40 SERVKE DISCONNECT NO.OF 5 E R V I C E AMT. AAV. TYPE plgl. 1 / tW t F SW S / ]w 3 / ~W O~RC. COND. ~ CC I:OND. NO. Of N4LFG Of ~ ND. OP NFUnAlS OG pAl OTHER AMARATUf: PANEL%Opl2llS_1-?. C1R. ~0 c.r~.c.r:-1 At"W[M?tLNG PtX)L) 'C2iiis cext.fc:~re r.nvers campli.ance at the dine ~f in,zpection only. Because o€ unusTlal env~irxanmentw it is advisable fa have frequent. test./and or repair:a made by a qualified x,er4on. _1 l IipDEktGROUND &P61C. TN<:. is ?f10-/,k 2ND gT. p~E HINT. S'I'A1'„ NY, 11.'i46 pn ! 1 This certificoro must not be altered in any manner; return to tM1a~~ia~~FtIIN~Darj~l~}lb~ract. Inspectors may. be identified. 1Mir cnde'RNak. r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALTERED IN ANY MMMER. ~ COMMENTS 1 FIELD INSPECTION DATE -~a~ rn 1. ~ O H J e_----- ...D FOUNDATION (1st) C FOUNDATION (2nd) _ ~ - _ 4 2. z 0 1W . ROUGH FRAME & acs{ PLUMBING ~4y - cn H ~ 3. - ~ P- H INSULATION PER N. Y. STATE ENERGY Ct0 D E a ~~"ff to r; 4. y FINAL r 0 ~'E z', m ADDITIONAL COMMENTS: ~ ' T ~ i. X ro N H 7] J ~ b4 H..-- H ~ z .A x r H x~ rn ro H _ .J1 (((~~~J ~ ~ A ~ ~ RCS!' ' 1 ~ •14_ ~ F~ Y y ~L'~y,~Q Syr ,F0000~...Y +sy~~`'~Si~~ `aR~. .J C°' .fit i ~ O7Q ~FTp CC., ~ ~ ~ ~ s -.3 ~ - ~a It t ~ ti rd w ~ ~ ~'1 F4•ii. ~`y , ~ ' ~ .Q ~ 0 a ' - ~ ~ U ~ ~ " ~ : ~ V',N ~ ~„sv~.#~~ to yt a~b t~m~~N~ <ur ~ - ~ W ~ r~, ,y~ IH` 1 1 U) CI Cpl ~V,[I ~ ~ 1 ~ ~ s~ n~ c. ~ ~ f-- tp ~ ~ Q1 1 ~ z ~ ~a s~ ~~LL as~ ~z N=: T-.: ~ ~ ooar , x: "e~?~~.., ~ ~ 0 r~ zP~ ti ea atg b - 6 > Y y ~ ~ ` ~ o i .V.3 y, u Lii W i~ 8?^Z UO ~`~h0 Q7q~U. ~ ~ s~y~ ~0~ p~ ~ oOO 3' 0 N ' ~ ~ ~ , ~ . ;F. Q .....E.w 1 _ _ . . ~ . ,.,,~~c~~~~~' - ~ ~ ~ ~ ~ v Q) ~ v r. X ~ r, 4L ~ r ~ q `.h ~ 7 Z. ~D ~ ~ s , ~ ~o ~ ~ ~ v~ • - 1 u CT 60 1 rm Q y .y, b-B~b~C~! ~j Y sue.. ~aF'!' 1':q-,e-°iIJ-T 1.~~ 3~ FORM NO. 1 BUtOLD NG DEPARTMENT 1R~~ 3qa~ TOWN HALL £rOUTHOLD, N.Y. 11971 ~ TEL.: 765-1802 Examined .~MM4. 19 Received........... , 19 • . • I~. p Approved ..d. ~ , 19~~. Permit No..~. ~.Q.7. 4 ~ ~ ~ U p ~iJ( Disapproved a/c ~Y z (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...>5 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, bull, 'ng code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ec ons. (Signature of ap 1' ant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~~~!#eti..~.'~~:~esadv~r (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . U, k! CCU. Wig-v-~S ~ ~CsJ;~o%.~. f;-.. . (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No. ..x'1..2`/.4? • • • ,~`u~Gollc ¢frr~e~~~s' Other Trade's License No. ~Q3. ~ % . Sv~sLOirGc~scwnFr ~4`~3JoffZ ,~a~~J 1. Location of land on whrc p~r?oposed work will be done . ............./J................................. . ~ G. U.'~%4°i7. °~.-...~G~F3.4'L LI.L~~ ofc, U~ , House Number Street Hamlet Q County Tax Map No. 1000 Section ....x.9.7......... 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 U/~.? .:?~~?".'~.'~..,/:~S'tr~ehG.C . b. Intended use and occupancy ..~h.N . ~ft~??!~..~!~S, (q~,rNC~ • ~~•~-j.~, , r~e,.~.C , ~t~r,~z"au~?a! .~ccitr~4~rcvss. ~c a I 3. Nature of work (check which applicable): New Building , Addition Alteration . ~ Repair ..9Removal Demolition ..............Other Work . /x,+!36 ~.h roand 5'c.Jivr~vr,i Qaoe, (Description) 4. Estimated Cost ...0'25. oo: tl~ . Fee . I (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 ....i . 6. If busi , 'er•~ial or mixed occupancy, specify nature and extent of each type of use . . 7, Dimensio ;151,1>,7g'structu;es if an Front ...............Rear De th . Y~ p Height ~ ~ Number of Stories . ur; p en'sit}ns~>~e~tl~ure 'with alterations or additions: Front Rear . 8. Di nsic~nsro. ~&w co-tis ~ 'Height . Number of Stories . ~ trnCtion: Front Rear ...............Depth . ti. t inb~r of Stories . 9. Size o ot: ron ~.:i........... Rear Depth . 10. Date of Purchase ...................Name of Former Owner . ' 11. Zone or use district in which premises are situated . . . . . . . . . 13. Will lot be re raded plate any zoning law, ordinance or regulation: . ,n p . p p g p . • .....~4r' ................Will excess fill be removed from premises: Yes ~ No 14. Name of Owner of s remises vit/~.~fa.~v-r1../Yte~Pn~~vAddress :~~yt%~J <p~ :.~t~~Bhone No. ~.7.~: ~4ao • • . . Pda~na of Architect ,f.ac; /s .b ..................Address ...................Phone No............... . Name of Contractor ;y, vr..~~y-?y~cAddress ./Itr~~:.1.~'i.~/!Y~ /,mar. Phone No. ~ ~.Y.:7.~~~ . ~Y il>~ y PLOT DIAGRAM Locate clearly and distinctly a~l 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. 1 COUNT OFES'uf~v ~ S.S /Q7;~F ur, ; , co!,a~r~s, , , , , , , , , , , , being duly sworn, deposes and says that he is the applicant (Name of individual sig~ring contract) above named. I He is the ~%On'f! :4 . (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 contained 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 ~ .....day of . 19 l'~ Notary Public, ~~;:,ri~~,:-~:-, (::S?~...... County ER GINGER CGTT NOTARY ~'q,> > FTnTC.,OF NEW YORK . 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