The URL can be used to link to this page

Home My WebLink About29285-ZFORM NO. 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29962 Date: 01/14/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 1275 GOLD SPUR ST (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 95 Block 4 Subdivision Filed Map No. Lot No. CUTCHOGUE ( ~LAMLET ) Lot 18.10 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 8, 2003 pursuant to which Building Pem~hit No. 29285 Z dated APRIL 11, 2003 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 ACCESSORY ABOVE GROUATD SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to THOMAS A & DOI~NA A HENNESSEY (OWNER) of the aforesaid building. SUFFOLK COU1TrY DEPD/~TMENT OF HEALTH A/~PROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 1178025 11/07/03 Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29285 Z Date APRIL 11, 2003 Permission is hereby granted to: THOMAS A HENNESSEY PO BOX 450 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF Ai~ ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 095 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 150.00 1275 GOLD SPUR ST CUTCHOGUE Block 0004 Lot No. 018.010 8, 2003 and approved by the 11, 2004. ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tins application must be filled in by typewriter or ink and submitted to the Building Department with the following: For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electricaI installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arcintect or engineer responsible for the building. 6. Submit Planding Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unnsual natural or topograpinc features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Feesl/ 1. Certi~cate ~f ~ccupancy - New dwe~ing $25.~ Additi~ns t~ dwe~ing $25.~ A~temti~ns t~ dwe~ing $~5.~ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: ~/&' & a Old or Pre-existing Building: LocationofProperty: ~'~75- &}J~5! ~?IA{- 5~ House No. ;~ Street Owner or Owners of Property: ~ )q~//l~0(; ~ ~ Suffo~ Co~ty T~ Map No 1000, Section q 7 ~ ~ ~ Subdivision Permit No. ~Cib~.5' -~2.~ Health Dept. Approval: Date. / ~ ' '~' c~ (check one) Blo& -~ Lot Filed Map. Lot: Applic~t: i D~ Date of Permit. Underwriters Approval: Hamlet Plarming Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) b..47?a~ Apphcant Signature BY THiS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICitY 40 FULTON STREET - NEW YORK~ NY 10038 CERTIFIES THAT Upon the application of upon premises owned by Located at THOMAS HENNESSEY 190 OLD SADDLE LANE CUTCHOGUE NY 11935 190 OLD SADDLE LANE CUTCHOGUE, NY 11935 THOMAS HENNESSEY 190 OLD SADDLE LANE PO BOX 450 CUTCHOGUE, NY 11935 App;ication Number: 1178025 Certificate Number: 1178025 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set fo~h below, was found to be in compliance therewith on the 7th Day of November, 2003. Name Q]W Rate Rating Ctrcuit Type Appliances and Accessories Pool/Spa Bonding 1 0 Wiring and Devices Receptacle 1 0 GFCI Circuit Breaker 1 0 20 amp General Purpose Pool/Spa (Swimming Pool): Th/_ 's certificate covers complia-nbe at the date of ~spection only Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. INSPECTION 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS~ION [ ] FRAMING [ ~]/FINAL [ ] & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ].~SULATION [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR ~n~O ~S~CT~0~ ~.ORT I OATE FOUNDATION (1ST) Fo~ATIoN (2ND) ROUGH F~G & PL~B~G ~S~ATION PER N, STATE ENERGY CODE ~D~ION~ COmN~ ~ , TO . F SOI.~i/HOLD BUI~ ~tING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: t631] 765-9502 BUILDiNG PERMIT APPLICAk IO~.CHECKLIST Do you have or need the followktg, before applying? Board of Healfl~ 3 sets of Building Plans Planning Board approval Survey_ Check Septic Form N.¥.S.D.E.C. Trustees Contact: Mall to: Phone: www. northfork.net/Southoldd PERMIT NO. × 'nine4 ,20 Approved , ~r//(._ ,20~_ ~ Disapproved a/c~//__ Expkafion ~w~ ,20~_ APPLICATION FOR BUILDING PERMIT ~ Date ; 20 i 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 waterways. c. The work covered by this application may not be commenced before issuance of Building Perm/t. d. Upon approval of this applieatiorh the Building Inspector wilI issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Evew building permit shah expire if the work authorized has not commenced wittfin 12 months after the date of issuance or has not been completed wkhin 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a ne~v perm/t shall be required. APPLICATION IS HEREBY MADE to the BuildingDepartment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cotmty, New York, and other applicable Laws, Ordinances or Regulations, fox-the construction of buildings, add/tions, or alterations or for removal or demolition as herein describe& The applicam agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to a&~it authorized inspectors on premises and in building for necessary inspections. (Si~natare of app125a~[J;~n~me,~oorporation) (Mail~g ad~essof applicant) State whether applicant is owner, lessee, agent, architect, e~gineer, general contractor, electrician, plumber or builder Name of owner of premises ~ ~ ~ t~..% i 9 ~V (As on the tax roll or latest deedf If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No._ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which l~roposed, w. ork will be done: House Number Street Countty Tax Map No. 1000 Section_ Subdivision C ame) Block ~[ Filed Map No. I q Lot State exi-sting ~ase and occupancy ofprcnnises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intcmded use and occupancy_ Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If brininess, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Real Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of eutire new construction: Front Height Number of Stories 9. Size of lot: Front Real Rear _Depth .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use d/strict in which premises ale situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ¢/ 13. Will lot be re-graded? YES /NO Will excess fill be }emoved from premises? YES NO k~ 14. Names of Owner ofpremisesTh~a~ ~e_~,~e-~*.e_¥ Address tetO ¢~ ~,~o looP_ hone No. q_~q ~ q~."l I Name of Architect Address Phone No Name of ContraCtol'g.s[q,~t[ Rec. re~ql, qota a~ Address~zjj~x.~.J~Phone No. ~~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE PyEQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ~/ * IF YES, D.E.C. PERMITS MAY BE REQUI!RED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) j~mn°e~¢i~divl~.d~ce~¥tract, abovenamed,beingdulysWom. . . _ . . deposes and says ttmt (s,he is the applicant (S)He is ~e tO ~o ~,~ (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 Seller; and that the work will be performed in the manner set forth in the application filed therewith. Sw0m to before me this ~ ~ _ f' _0 yof 20 /7/~ Notary Pt~blfc ' JOYCE M, WILl(INS Notary Public, St=ts (ff New Yo~k No. 4952:246, Suff~k County Term ExpiresJu~e t2, ~.;~7_.~ Sig =e-ofApp t