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HomeMy WebLinkAbout16907-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPkRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17867 Date MARCH 22~ 1989 THIS CERTIFIES that the building. INGROUND SWIMMING POOL Location of Property245 LONG CREEK DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 3 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 5, 1988 pursuant to which Building Permit No. 16907-Z dated APRIL 21, 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 AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUN~ DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DAVID W. & MARY M. HEWITT N-016770 - JUNE 14, 1988 N/A Building Inspector Rev. 1/81 ~OEM NO. II 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) No- 16'? 0/ Z County Tax Map No. 1000 Section .......... . ,~.,.~.. Block -~ Lot No. pursuant to application dated ..... ~~ ...................... , 1 .9~......~., and approved by the Building Inspector. Rev. 6/30/80 TO~N OF SOUTUOLD ~UILDI~C DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 76~ - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION -~-..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO STREET HAMLET Owner or Owners of Property. : ..... · ....... ....;... County Tax ~ap No. ,000 Seetio. ~.. Hlock ..~. .... Lot ..~..~. .... Subdivision ....................... Filed Map ........ Lot .......... Permit No. ~.?~..~.~Date of Permit .......... Applicant ...... ~.~.~./.~..... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fi.al Certificate ................ Fee Sub.itted: $ ~'~- -,.0.0. .......... rev. ~0/14/88 OUNDA'TION { OUNDATION (2nd) OUGH FRAME & .PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: OUT ' B Lot ~ms IC~tNG~Ksl o~Ns I m~WA~ ~ FANS OTHER APPARATUS: eove~a eoaplkanc~ at the date of ir~;pect'~on only. Because of eav~t'onments i.t is advisable ha~,e frequent test/and or repairs ~de by a qualified person. JODY PlJ{'i~I/,LO PAT l.,a~E FIA'{'TTTUCK. NY~ 110,52 This certificate must not be altered in any manner; return to the office of the Board ~if incorrect, Inspectors may be identified by their credentials. ............................... -~ .............. '- .......... 1 COPY FOR BUILDIHG DEPARTMENT. THIS CO~Y OF C;ERTIFICATE MUST NOT BE ALTERED I# ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001381 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 D,,~ JUNE 14,1988 ~ppllc,,io, No.o, fle 55150688/88 N 016770 THIS CERTIFIES THAT only the electrical equiptnent es described below and i~trodt~ced by the applicant named on the above application nurnber in the premises of DAVID HEWLITT, 245 LONG CREEK DR., POLE 2, SOUTHOLD, N.Y. in the following h,catJon: [] Basement [] 1st FL [] 2nd /7. OUT .Section Block Lot n~tsexaminedon MAY 16,:L988 '~, andfoundtobeinco.tpliancewiththereq.lreo~entsqfthlsBoard. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUO~ESCENT i 2 DRYERS SYSTEMS NO. OF FEET NO OF CC, COND. A W G. PER ~' OF CC. COND G.F.C.I:-I *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs m~e by a qualified person. JODY PUMILLO PAT LANE MATTITUCK, NY, 11952 AWG OF HI-LEO NO, OF NEUTRALSJ GENEEAI. 'MANAGER This certificate must not be altered in any manner; return to the office Of the Boord if incorrect. Inspectors may be identified by their credentials. 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION ]FRAMING [,/~ FINAL REMARKS: ~_.~/~~~~ DATE IINSPE~roR ~~ ~'''' 6 · ' 7(; 'FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~,,OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY . SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: "IMMEDLATELY,, ENCLOSE POOL TO CODE UPON COMPLE¥1ON BEFORE "WATER" APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis 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 properW 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~gfl! issued a ~3;u~ding,.Pem).it to the applicant. Such permit shah be kept on the premmes av~0&h[e for inspection throughout the e. No bui~l,qljIt~l~.~d or used ~n whole or ~n part f~)~¢ny ~rg~t~a~c,eye~tuntd a Cerhficate of Occupancy shall have be~]l~g~/~,~fi~ Building Inspector. APPLICA, T~ION ~ [~I~..~E.B,.¥' ~'A-DE to the Building Department for the isstiance of a Building Permit pursuant to the Building Zo}~e-.,O~dlri~n~'of ~tl~jT~vn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ReAulat~onsvfox' (t1~ :coA~{rU~tion of buildings, additions or alterations, or for removal or demohtxon as hereto described. The apphcant agrees to comply w~th aH applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized in~tp~e~9,rggr~lllIe~s~and in building for necessary inspections. "~ '~'~ ~"' ~:~ ~"~ ....~.:./?-f. Zt.t. .~. r..~.o.?..j,. ~.r .............. ........... ~ .~.I1 ............ :y~r,,w~ (Signature of applicant, or name, if a corporation) Nameofownerofpremi~I~'' ~0t~,O./ ' ~'1~0 e If ap~is a corporat~n) si~gl~dO~ ~ulM ,authorized officer. Builder's License No... ~ r..a~ ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...................... /.q.~..,, .....~...~...~..~. .... .... .o2..q.3'. ................. .t.o. re-.- ..................................... House Number Street Hamlet County Tax Map No. 1000 Section ....... ~.5 ....... Block ~ Lot...O~3 Subdivision...y..~..rlf~.~.O.~.(~.a~e~ .............. Filed Map No....~./.g.? ..... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ ~,:J'/~.?.7?.~.& ..... b. Intended use and occupancy ...... ~.~f~.K~TA~...~ ~ ~....~. .............................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .......... :... Other Work.. ~...Q ~ (Descriplion) 4. Estimated Cost ........ : ................... Fee ................... '~ ;:..~,, ............ ! ~' (to be paid on filing this application) i . 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. D~menmons of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth. ,.~.,. . . '.. Height ........... Number of Stories ...................... - 8. Dfmenmons ofe~fite'ne'w construction: Front .......... . ..... Rear ............... Depth ............... Height ' ... i[?[':'~ . Number of Stories . Size of lot From , ........ , Rear De th .... 10. Date of Purchase ........... i ................. Name,of Former Owner ............................. 1 1. Zone or use district in which premises are situated ........ tt~(¥4~./..~. '../f~f~7?]~ ............................... 1 2. ocs proposed constructmn violate any zoning law, ordinance or regulation: ...... ~. ............. .~. ........ 13. Will lot be regraded .... /~O. [ .................. Will excess fill be removed from premises ~ No 14. Name of Owner of premises ... i~.~='~.t ~ ...... Address ................... Phone No ................ Name of Architect ...... .,,, ....................... Address ................... Phone No ...... , ...... Name of Contractor .~. ~../..d~../.~ ..t~...~...c~.~..~. ...... Address ...~./)t~...~..~ .... Phone No. ~.". 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No . *If yes, Southold Town TruStees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block gumber or description according to deed, and show street names and indicate whether interior or corner lot. *ir ENCLOSE POOL TO CODE uPo. "IMMEDIATELY" "IMMEDIATELY" ENCLOSE POOL TO CODE UPON CO~PI~'TION BEFORE ¥/ATER" A PItOV D AS NOTED 786-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL. - -CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCIION SHALL MEET THE REQIJffi~MI~ OF THE N.Y, STATE OO[~TI~N & ENERGY CODES. ~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, COUNTY OF S..S .............................. ~ ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named,i He is the ....................... i .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contai¢ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this ........... .Or-.. ....... ,. · .day of.i. ;...~ ......... 19 f .O. Notary Public ....... ~-r'~<....~.. ~.~...~..t~-~... County /// ..... ........ Term*Expire~ MBmh 30.19~ (Sigq~tui~of applicant)