HomeMy WebLinkAbout17089-z FORM N0. 4
TOWN OF SOUTHOLD
RUIhDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18478 Date OCTOBER 18, 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 1350 VANSTON ROAD CUTCHOGUE N.Y. _
House No. Street Hamlet
County Tax Map No. 1000 Section 111 Block 04 Lot 08
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 25 1988 pursuant to which
Building Permit No. 17089-Z dated JUNE 10, 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 WITH FENCE ENCLOSURE AS APPLIED FOR.
The certificate is issued to PETER SCHEIPMAN & PATRICIA DeMURIA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-038646 - OCTOBER 11 1988
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
Foaat 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)
Nfl 017089 Z Date ......~.~.~fo 19.C~~~.
Permission ins h/%reb/y~granted to• ~
~"1
~~=d'l ~-(~~6GL~e' ~''ryr.c~~~`~.......~~'.'....... ~,~j ~I.G~Ctr^o
O I~
/ ~ ~ ,
at premises located ot ../..,~,~~f~........C..G-d~.'Z•...~~....~0........4'. ....>:l~~.r,.~
............................................~`."'7' r~l1~..................................................................................
Caunty Tax Map No. 1000 Section Block ........x:.......... Lot No..........~..........
pursuant to application dated ......~~~:.5.~ 19...~~; and opproved by the
Building Inspector.
uo
Fee $..~~r..-.G;rtyiV:. /
r==:'.gyp. %!~f~t~
Buildip$ Inspector
Rev. 6/30/80
4 ~ I
I FORM NO. 6 ~I•
~ ~ TOWN OF SOUTUOLD
c
# BDILDING DEPARTTIENT
t
`.r ~ s 1': i~l TOWN IIALG
~n 765 - 1802
~ ~
APPLICATION FdR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must bel,filed in typewriter OR ink and submitted to the Building
Inspector with the following; for new buildings or new use:
0. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual patural or topographic features.
Final approval of Ifea~th Dept, of eater supply and sewerage-disposal(S-9 form).
Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from Lumber certifying that solder used in system contains less
than 2/10 of lZ lead.;
Commercial buildings,~Iindustrial buildings, aquleiple 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 to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land uses:
1. Accurate survey of prgperty 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 Che entire lot prior to April 9, 1957.
If a Certificate of Oocupancy is denied, the Building Inspector shall state the
reasons therefor in viiting to the applicant.
3. Date of any housing code or safety inspection of buildings or premises, or other
pertinent informationirequired to prepare a certificate.
C. For paean[ Land Certificate of Occupancy:
I. M application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership oflthe entire lot prior to April 9, 1957 shall also accompany
Che 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 Dwelling $25.00, Additions to Dwelling $25.OD,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition Co Accessory buildings, $25.00 -Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 -over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
S. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
i, $50.00 Commercial
-ev,, 10/!4/$8
TORN OF SOUTHOLD ~ D t9 jn'
BUILDING DEPART2IGNT t{
TORN HALL ~ 1,~ ~ UUU
r SOUTIIOLD, NCB YORK I?g71 BIDC
765 - 1802 TOWN OF
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE ..September. 25 : 1989
NEB CONSTRUCTION . %XXX,.OLD OR PRE-E%ISTING BUTLDING......VACANT LAND.,,,____
Location of Pro ert 1350 Vanston Rd. Nassau Point, Cutchogue
P y
HOUSE NO. "
STREET HAMLET
Owner or Owners of Pro ert Peter Schleipman & Patricia DeMuria
P y
County Taa Map No. 1000 Section „ _111, Block ...04 08
. Lot.........
Subdivision.., Nassau Point-..-.-_._, Filed Map A.,.LoC..303...-•
Permit No. 01]089 _ „Date of Permit ..5/,LO?$&..A
PPlicant
Health Dept. Approval ....~~21~89 10/11/88
Underwriters Approval.......
Planning Board Approval
Request for Temporary Certificate Final Certificate XXXXX
Fee Submitted: $,,,,,,_25:00.•...-••.
APPLICANT. Ln~......
~ > /
<ly_,%r~ ~~~/X/15 ~~9`~'.'te~'s /a1C'.
<L 7~ ;
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o/
to/14/ss
4~-P.~-.3s Nsy
C o ~ if~Y78'
THE NEW YORK BOARD OF FIRE UNDERWRITERS ''A`''~ l
100011.0
BUREAU OR ELECTRICITY
SE JOHN STREET. NEW YORK. NEW YCR~c 10038
O(P!'OHFk 17.,1988 57983888/88 N 838646
Date Application No. on Jile
TNIS CERTIFIES THAT
only the electrical equipment ee deterihed below and introduced 6y the applicant noosed on the ehooe application numher Jts the prensLae of
ETFB SCFIIIE;('.'1'1'IAN, VANSTQN RnAp, CUTf:HOt;l11f;, N.X.
in the ollowin kIC +~l,~I
J R fet Fl. ? Ynd Fl. Section Blork Lot
teas examined on - and found to he in rnmpliance with the requirements of thie Board.
IIXIYRE AC7K SINITOIlS WXTUMS RANOK tXtgtRl6 DRpt5 OVENS DISN WAfMNf NAIKT TANS
- OUTYTS INGNDESCEM .lIUGtESQNT yA AMt. K. W. NAT. N. W. AMT. K.W. AMT. K. W. AMT. M. 1.
3 2
DRYERS RlRNACE MOTORS PJTIIRF ANMIA1lC! RRDERS SrlpAi RRC'?T TIAtR O.OCKS RRL WRTNMIiiAt ANA/40Y11/i DIARAIliRS
' AMC. K. W. ql N. GAS N. P. AMT. NO. A W. G. AMT. AAV. AMT. AAa$. TRACKS. AMT. N. P. ~
~T AMi. WATiS
2 211
SlRV1CE MSCONENCT NO.Of S E R V 1 C E
AMT. AIN. ir1E ~ 1 w tw 1 w aw ] w 7M' t w AW NO. o~!`GOND. Of ,~WCG. NO. q N4lEG ~ No. a NEYnAIt a 'NWEIIIGMAI
oTt1El1 AroARATUS:
G.T.r.T:-1.
*(SW3AfM.TNG P<>n1,} This certificate
roYers r..omptiance at the date of
inspection only. Hecauee of unusual
w_nvirouments it is advisahle to
have frequent: seat/and or repairs
1R2uiP by a qual,if.i.ed q+er.son.
A.C.R. F.[,ECTRI:C CORD,
117 CORNF:1.1, AR~IVR
# CONNACIC, NX, 11.725 OElRAL
11
i,ICY,NSP; NO. 1',1 f; Psr
This artificata mutt not ba aharod in any manner; Morn to the oNia of 1M Board if intorrad. Inspectors may ba idMtifiad by IMir eraeMMak.
_ _ . T. TNIS GCPY OF CERTIFIGTE AN1ST NOT ij AL, ,Jl4. MANNER.:.,. ,:,„tr
P~__._
~n`'r~ TEL. ?C,5-180
gyp`' CC~~ TOWN OI' SOL3TIIOLD
r? ~ ,
~ ~,y Y.4 0[~I'ICG OIr BUILDING INSI'I;CTOR
o' t`9"i""~ ~ TOWN IIALL l~
Q' ~ SOUTIIOLD, N.Y. 1 1971
'¢,y~~ ~i ~~O
< September 21, 1989
' SCNEL BUILDING CONTRACTORS INC.
1186 EAST MAIN STREET
RIVERHEAD, NEW YORK 11901
Re: PETER SCHLEIPMANNN 6 PATRICIA DEMURIA
To 47hom This, May Concern,
4.e are unable r.o complete your Certificate
of Occupancy because of the following reasons.
An application for Certificate of Occupancy
is not on file. (ENCLOSED)
Plo Underc~rriters Certificate on file.
/ / 'Che checF: .i:: nut on file.) $25.00
D;o llca].th Dept. Approval on file.
No final inshect:ion has been made.
Please contact: our office on this matter. -
Thank you for your. cooperation.
liu.ilclinrJ Pcrm.it-. U 1 7 0 8 9 Z
Builclinq DupL-.
"h'`/_/ Uo I'lumbcr ;;older Cert.ificatc on file.
( a7.1 permit:; involving plcnnbing being
issued after Apri.1 1,1984 )
` ~ ~ T65-1802
BUILDING DEPT.
tNSPECTlON
[ ]FOUNDATION i5T ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN ULATION
FRAMING [ FINAL
[7
REMARKS:
r.
~v X.,
DATE ~ INSPECTOR
r ~ f' / 765_182
BUILDING DEPT.
f NSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] fNSULATION
[ ]FRAMING ( INAL
REMARKS: r GCe~:~"`--~.~
DATE ~ 5 INSPECTOR
r'1cLD I;:SP~~:iU;i ~~UkiE ~ ~OMMEN7° \
.
1 . ?`~7
H
FOUNDATION (1st)
co
FOUNDATION (2nd) _
2.
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ROUGH FRAME & d~
.PLUMBING C p
3. ~ ~
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ItJSULATION PER N. Y. y
C
STATE ENERGY
CODE
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FI;JAL ~I
ADDITIONAL COMMENTS:
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FFICE OF THE TOWN CLERK ~VFF~~C ~ ~ ~P ~ ~
~ Town of Southold ~ ~ 0~~ OG
i Judith T. Terry, Town Clerk Z
Town Hall, 53095 Main Road
P. O. Box 1179 ~ ~ ~ ~ ~ ~ i~
Southold, New York 11971 O ~ O~
Telephone ~t ~ ~ ~ ~ '
(516) 765-1801
TOWN OF $OUTHOLD ~ ~ ~ ~
SOUTHOLD WASTEWATER DISPOSAL RI$TRICT
CONSTRUCTION OR ALTERATION RERMIT
SEPTIC TANK or CESSPOQL .
Permit No. iQ1 ~ ~ Residential ~ ~ ~
Fee S 10.00 Non-Residential
?Septic Cesspool X 4
PERMIT ISSUED TO:
NAME: Schel Building Contractors Inc ~ ~
e
ADDRESS: 40 West Main"_S~eet ~ ~f.`.
Riverhead, New York 11~OZ
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION-
Sinale family residence wit de a ~ ~~q~,~9~. ~ ~ ~ t
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:, ,i
OWNER OF PROPERTY: Peter F. Schleipman and Pat icia.jyl, (~gMuria
OWNER MAILING ARDRESS: 66 Oranae Street ~ ~ ~
Brooklvn. New Yor~,11201
OWNER PROPERTY ADDRESS: Old Cove Road
_ Cutchoaue, New- York ~ ~ ~ ~
TAX MAP NO.: Section 111 Block µ Lot ; g
CROSS STREET: _ _ Wunnewelza
Ro~~ ~ ~ -
BUIL:DINC PERMIT NUMBER'-CR()SS'{2EPEItEN~CE'Y .t~LiKnown
~ ~ ,
• y-"
• ~ ~.r
Judith T. e'er
r,
"t.~~'+~, Southold Tpwn C1Q~-k
~ ~
„DA,TE: January: 2~ ~ 1987 ~ ~ ~ ~ I
_(TOWN SEAL)
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NASSAU PO/NT ~R~~ 1 ~
F/LE N° /56; F/LED AUGUST /6, /922 ,
S/TUA~ED AT
NASSAU PO/NT r i - srta
TOWN OF SOUTHOL D
SUFFOLK CO., N. Y.
CERT/F/EO TOE Idnd surveying co.
THE MORTGAGE CENTER, /NC.
CN/CAGO T/TLE /NS CO. 1719 north ocean avenue
FORS
PETER SCHLE/PMAN SU I to C
' PAIR/C/A M. DEMUR/A medford, neW york 11763
(516) 758 - 5952
EL'S ARE /NASSUMMEO UATUM ,
AREA: 29,277 Sq. F7. (0.672/AC~ns) Nov. 6, 1987 Job NQ 86-1577
1000-III-04-08 Scale: I°= 40'
NASSAU SUFFOLK BLUEPRINTING - I~
t I899J
"IMMEDIATELY" _
ENCLOSE POOL TO CODE
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p~~ ~ ~r ~ UPON COMPLETION
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' ON AMENDED MAP A OF ~ y 1
NASSAU PO/NT
~ F/LE NQ /56/ F/LED AUGUST /6, /92. I
siruarED Ar i
NASSAU PO/lI r~~-~.e .
TOWN OF SDUTHOL
SUFFOLK CO., N. Y.
- CERTI ~ To: land surveying co.
rHE RrcaGE CE"TER''"a 1719 north ocean avenue
CNIL D TITLE lNS. CO
FOR:
PET '~SC"LE/PMAN SUIte C
PAT. ~ ~A M. DEMUR/A medford, neW york 11763
(516) 758 - 5952
EL ~S ARE INASSUMMFD UATUM •t
A,4EA; 29,277 S0. FT (0.672/Acres) ' NOV. 6, 1987 JOb N4 86-1577
1000-III-04-08 Scale: I°= 40'
~i NASSAU SUFFOLK RLUEPRINi1NG '
f
BOARU OF HEALTH
~ 3 SETS OF PLANS
FORM N0.1 SURVEY
TOWN OF SOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
TbWNOF3 UTFIOLD ~OUTHOLD, N.Y. 11971 CALL
TEL.: 765-1802 -
MAIL TO: ' „4.s~
Examined 19~~ 7~ } J}
Approved ~.Q......, 19 Permit No. L-1~'KJ1 ~ NYC N}(~ L_t~
Disapproved a/c D ` d
...p ~i~~
/(Buil Ins ector) gLDSi. DEPT.
TOWN OF SOUTHOLD
APPLICATION FOR BU{LDINCi PERMIT
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.
e 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
sl?all 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 inspectio s.
(Signature of applic~anyt~, or~n
me, if /a corporation)
(Mailing address of applicant) J/~f~
State whether applicant is• o/wner~ilessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name ner of premises~~~.``~, h. I~,Y. r~ X? lt3 ~k!I.eZC.(14... r'1.•. U.~i1 !y .
t ~ (as on the tax roll or latest deed)
If app a is a corp r io ig ture of dul razed officer.
Name and title of corporate officer)
M c
Builder's License No. .!(.e ~'.`~0-".... ~ t3.
Plumber's License No . .
Electrician's License ivo . .
Other Trade's License No . .
1. Location of land on which proposed work will be done: .
a
House Number Street Hamlet
' County Tax Map No. 1000 Section , J.1 ~ Block . ~f! Lot ,
~y ~ ~ ylr G7Da
Subdivision ..,11z.~.~-~. ~.P'~. r.. • • • • • Filed Map No. • Lot?`: .'1~~~~~
(Name) -
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~c-!--e .
~ ,p
b. Intended use and occupancy .........~w4-?...w:4-.~.c~...~'.~'%.{•~-~-2 .
3. Nature of work (check which applicable): ~Ieia••Btti}dirrg ~lifien 'l , . , , , , , , • gatera{•ien , . , .
lZe~ir- 12er~evnl , . , Dett~e}itien ter Work ~ .
~ _ ~ ca,1 t'Y~ I^~~ ~X' (Description)
4. Estimated Cost..~~ S dQ Fee ........1.............................
` t`to lie paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
If garage, number ofcazs
6. If business, commercial or mixed occupancy, specify n• at re and extent of each~~,,ype of use .
7. Dimensionsi~of~xist~g structures, if any: Front 6... , .Rear . uii•.Ap.... , Depth .
Height ...7/.•,D.:...... Number of Stories . ~ .
Dimensions of same structure with alterations or additions: +F~rontl~ I, , , , , , , Rear .
Depth . .....Height ~ T~?L)~ Z ~ 14 ~of,~tories .........y.. yy
um er
Dimensions of entire new construction: Front~wttuY,Gl I~.(a Depth,y r?; 7:• ~ , . ,
.I:IesBk•4- on s .
9. Size of lot. Front ro!~3..'" Rear ../-45~.. •x, , , , , De th ;r~.7 , , . .
10. Date of Purchase ~ . .
~',RJ.F3..../ t,. ~y.~S.. ..Name of Former Ownerl~~~l~.~..~.~N~?g~f..... .
1 1 _ '7or!e e_r vse distri^r in vrhinl, premses »re S]tU»ted .
12. Does proposed construct~~igqn violate any zoning law, ordinance or regulation: '
13. Will lot be regraded ..,7.V.~ ....y , . , , ,Will excess fipl~l
h.e remolrad from premises: X_es o
14. Name of Owner of premises . ~ C. h :I.~l.~? N1N~.. Address ~~d~ y~'J~C4 06~' phone NoQ~ "~t~v.'~1 ;
Name of Architect . Addres~ ' ,7 • zO/ Phone No.
Name of Contractor~K.b~c~..~.~~I.
!S..~~'. Address ,r,~~;.N,~y ~17~~hone NolGt~2~ .
15. Ss this property located within 300 feet of a t_gidal wetland? dies No .1~...
*If yes, Southold Town Trustees PermitPLO~ DIAGRAM ed.
Locate clearly and distinctly al] buildings, whether existing or proposed, and, jndicate 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. '
•
~r _
STATE OF NEW YORK, S.S I
COUNTY OF ~ _
•••••••••••••••••••••••••••g••~•••••• ) g y $o es an ysthaiheistheappl5cant
above named. • • • • • • • ' ' ' • • bein dul sworn de ~ ~ ' i;~ .t
(Name of individual si nin contract ~ ~ f `"rc~ sa !
l ~ , • r.f.. .
~:i}s
He is the ! EIS
(Contractor, agent, corporate officer, etCJ ~ • • ~ ; •((~~f~~j(~ • yi~/~ ~ •j~~ ~ I
of said owner or owners, and is duly authorized to perform or have performed the sa98"W~P)~~C'd"~'o•make"9n8 fill 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 f71ed therewith.
Sworn to before me this
i
.day of ~~?!~4 19~~
N. ~ .
Not Ph`61Yc
. D•~ County ~~C
11 ~ ~i
Y NOTARY PE I Sete
off New York • . .
4 suffelNCouMyr,~ (Signature of applicant)
sk 30,18-•11./
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