HomeMy WebLinkAbout16974-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18510
Date OCTOBER 31, 1989
THIS CERTIFIES that the buildin~ INGROUND POOL
Location of Property4170 INDIAN NECK I~LNE
House No. Street
County Tax Map No. 1000 Section 98 Block 01
Subdivision Filed Map No.
PECONIC
Hamlet
Lot 5.3
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25~ 1988 pursuant to which
Building Permit No. 16974Z dated MAY 12, 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 POOL AND FENCE.
The certificate is issued to PATRICIA & PHILIP MARCO
(owner, X~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF2~LTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N089635 AUGUST 31, 1989
N/A
/BuildingInspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Yo
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°-169Z4 '7.
Permission is. hereby granted.to: , ~ ~ ~
~/~ ~....~......~;..~,/...../....¥~ ......
..~,...~.......~...,~.......,,...:,¢.,...~. .................................
..~...~.~~ ........................ ~ ...... > ....................... ~ ...............................................
~,,rem,,,,,~,,ed,, ..... .~ ........................ ~....~ ......... ~ ..................................
...... ~~ .......
County Tax Map No. 1000 Section ......... . .~'...~... .... Block .............. ./.. .... Lot No .....,, ~.I...~.... .......
pursuant to application dated ................ .~..~....~.... .................... , 19..~..~¢~and approved by the
Building Inspector,
Fee $..~/..~...~
Rev. 6/30/80
TOWN OP SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING..~...VACANT LAND ........
o~ o~ o~, o~ ~op~....~..~.~. ~...~,~....~. ~ ~
~o~ ~. ~ ~o. ,00~ ~o~ .~ ~o~ ..... ). ~..~.(~..
Subdivision ....................... Filed Map ....... t ..........
Pe~c ~o. . ~.Date of Permit -~- ~Applic ... ....
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval .........
Request for Temporary Certificate ....... Final Certificate ........
Fee Submitted:
rev. 10/ 14/88
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, ,NEW YORK, NEW YORK 10038
~ppllcatlo. No, on file
THI5~ CERTIFIES THAT
o~y the e~ctrlcal ~uipment ~ ~scdbed be~w and intr~uced by t~ appl~ant ~med on the a~e applicat~n nomber in the premises of
PFIIJ, P M~RCO, 4170 ~,/,~ ~i~})]AN N~:CK RD~ W/O, P~CO~IE~ N~Y~
examined on and found to be in compliance with lhe reqalrentenCs of this Board.
FIXTURE
OUTLETS SWITCHES
3 3
DRYERS FURNACE
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
APPLIANCE FEEDERS TIME CLOCKS
MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE DISCONNECT
OTHER APPARATUS:
*, (SWI~WfNG PC~)I,) ThJ s ~erkJ, fica
covers eomv:l, iance at the date of
environs, eats it is advisable to
~ve ~requent test aaa/or repairs
TOWLI;, & SONS ~,bLC~ CONTR
33 bl~I~$CObN AVE
MAS'f,{'C B~iACff, NY, 'J1951
S E R V I C E
· 5
GENERAL MANAGER
Pe~t I ;//>q
This certificate must not be altered in any manner; return to th~ office of the Board if incorrect. Inspectors may be identified by their/credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
~ " THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe. 1
~ ~oo8,4 eUREAU Or E-ECTmlCITY
~ J 85 JOHN STREET, NEW YORK, NEW YORK 10038
~ Date AUGUST 31,1989 ~pplicetionNo. onfile 64176589/89 N 089635
THIS CERTIFIES THAT
~y t~ e~t~ ~u~ment ~ ~d~ be~w ~ intr~ by t~ ~p~ic~nt ~med ~n the ~e ~p~k~t~n nu~ber in the ~re~bes ~f
PHIliP ~RCO, 4170 5/5 ~DI~ RECK RD. ~/0, PECO~IE,
in the following loca~ion; ~ B~sement ~ Ist FI. ~ 2nd ~]. O~T S~tlon Bilk Lot
~sexaminedon ~ ~4~989
and found to be in co.~pllance with the req~tlre.~ent~ of this Board.
DRYE~ ~RNACE MOTORS FUTURE APPLIANCE FEEDERS
SPECIALREC'PT. TIMECLOCKS BELL UNIT HEATERS MULTI-OUTL~ DIMMERS
.
P~ELBOARDS: 1-8 Cig; 100 ~
G.F.C;I:-i
*(S~IMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
~ve frequent test and/or re~airs
TO~E & SONS ELEC. CONTR. 5IC.~550-E
33 LINCOLN AVE GEN~t ~AGE~
This ce~{fic~te ~st ~t ~ ~[t~ed in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their ~redentials.
'OUNDATION '~ (lst)
~OUNDATION
IOUGH FRAME &
.PLUMBING
NSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS
765-1802
BUILDING DEl)T,
INSPECTION
[ ] F.~UNDATION 1ST [ ] ROUGH PLBG.
/ .
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
FINAL
DATE
· FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
.~,, ,~,~,/, TEL.: 765-1803
Examined. .~. ....... , 19~.e
Approved. 3.~.~..'~. · ...... 19 .~..~Permit No../.~.q~. ....
Disapproved a/c .....................................
' '~ J (~Buildin~ Inspector)
APPLICATION FOR BUILDING PERMIT
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ..........
CHECK ..........
SEPTIC FORM ............. :
NOTIFY
CALL ................
MAIL TO:
INSTRUCTIONS
~ a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
sets of plan~, accurate plot plan to scale. Fee according to schedule.
bi Plot plkn showing locatinn of.lot.and of buildings on premises, relationship to adjoining premises or public streets
6r 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 paxt for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION 1S 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 hispeetors on premises and in building for necessary inspections.
...~....T~.... 5. ~..o~.. ~,.. ~>.~.,.
(Signature of applicant, or name, if a corporation)
?,..o,....~m~.....57. ,3..~...~! .~..~..Uy.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nmne of owner of premises ~...~.., .{ . .~..1~..~.: . .~..~. !.L.~ ~....~....~...O. .....................................
(ks on the tax roll or latest deed
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S i~UST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
· .4.L70. ..... . .-T-~...~. ~..~4....~.~....~z~...~ ...... . .7:~...~ .~. !.c,...,...m..T. ........... . .......
House Number Street Hamlet
County Tax Map No. 1000 Section ... ~.~. .......... 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 .... .~..~..--~. !. ,l~.¥t .3~...T~..~.! ....... ,..,-~{~(t~.~! .b.'*f ~..~...1:~4...10.~ ....
· ~t ~ ~ ~,~tg,~,,~!~, ..... -' ~ __
b. Intended use and occupancy ...~! .1~...1~.. F.[ ~.I. ~''~' '('q' %~ ."~4 .~.. {q.O..~i.~ ~
3. Natureofwork(checkwhichapplicable): New Building ..... ' ..... Addition .......... Alteration ......
Repair ............. ' Remoyal ............. Demolition .............. Otker Work,..~..O..~3. · .L~. ~l. ri
4. Estimated Cost. ~..Ay, ..... , ...................... Fee .. . :~ .........................
(to be paid on filing this application)
5. If dwelling, number of dwelhng u.mts ............... 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 structuresi if any; Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
D~menmons of same structur~wlt.h alterations or addmons. Front ................. Rear ..................
-- 8. Dimensions of entire new construction: Front ...~q... . Rear ....~[.~ ......... Depth . ~-~.C? ..........
Height Number of Stories
9 Size of lot: Front ' Rear Depth
10. Date of Purchase .............................. Name of Former Owner .............................
1 1. Zone or use district in which premises are situated .....................................................
12. Does proposed construction viol!te any zoning law, ordinance or regulation: ....~ .........................
13. ~'W!ll lot be regraded .... .KI.gz...! ~_: ...... : ........ Will excD~ill_be removed from premises: ~ Yes No
14. N,une of Owner of premises ~.1~ ?.[qlt..~..l~.~ Address~. ?. ~O~ ~, ~.~e, Phone No g!g 9Z..~,
15, Is this property located within 300 feet of a tidal wetland? ~Yes .~.... No ..... !
· If yes, Southold Town TruStees Permit maybe required. ~J~-I~f {~
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block ;lumber or description according to deed, and show street names and indicate whether
interior or corner lot.
Sworn to before me this
...... f~..'~: ..........
STATE OF NEW YORK, . .~
CO N 'V ....
.......... .':?.,'2,...~.:~...i....~[..~...'Ifl~... ..................being duly sworn, deposes and says that he is the applicant
(Name of irrdividual signing contract)
above named. '
He is the .... d~.~....~. ~ ~ ..... ! ..................................................................
i (Contractor, agent, cprporate officer, etc.)
of said owner or owners~, and is dulyi au'thorized to perform et have perform'ed thd 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 mannerlset forth in the application filed therewith.
L
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE '~NATER" ,
'1
"IMMEDIATELYI :
ENCLOSE POOLTO CODE i ;
UPON COMPLETION
BEFORE.,,,W,~TER,, ::
~ 1. FOUNDATION "" TWOSEOUIREO
",' ' FOR ~OUREDCONCRETE J
'~ ~l ~ r ~ . : 2. ROUGH - FRAMING'& PLUMBING ' !
' ', 4, FNAL '-' coN MUST ' :;,
'~" ' ~ ~ THE REQUIR~E~ ~'T~ N.Y, ~ ,, '
UEFORE ~AT~R? ' r l r ] , . ~ ; * r
,%¸
Revision Description
Date
Architects (516)726- 6833
DeedieldGreen Box539 WaterMilL NY. I~g76