The URL can be used to link to this page

Home My WebLink About9757-Z FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ill 9 9757 Z Date ...Xay........30.................................. 19.Via.. Permission is hereby granted to: .......Edith..&..Jobn..NvQ.Q m1(;k................... ................................................................................ ................................................................................ to ..BI11,1.d..a..swIDaI ing... 0.0.1...md..;FerlCe............................................................................... ................................................................................................................................................................ ..................565..Barle Lane .................................................................... at premises. located at ..... ... ..y'.... ..... .......................................................Sauthold,...H ely......................................................... .............. Greenfield, Map # 6313, Lot # 16 ................................................................................................................................................................. pursuant to application dated .......May........3�.0.............................. 19.18., and approved by the Building Inspector. Vo 1500 Fee $......................... d .......................... :. ......................... Building Inspector 1000-59-4-5.10 `7-30 -a5 Poo l -f- -i2�i ce__ pF SOGTyolo 6 # # TOWN OF SOUTHOLD BUILDING DEPT. F°`0ou�m� 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ . ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: �s�S �i tt4 L)IIJ, e&j k�s he etn- , DATE �I'30�� INSPECTOR TOWN OF SOUTHOLD FEB 2-,-1989 BUILDING DEPARTMENT TOWN HALL C;P[_ F. G��'T• _ TCl"J'JN SOUTHOLDG �r�a SOUTHOLD, NEW YORK 11971 765 -- 802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. . NEW CONSTRUCTION . . . . .ss.OLD OR PRE-E%ISTING •BUILDING. . . . . .VACANT LAND. . . . . . . . Location of Property. .Q! � . ./. . . _ � . . . . . ... HOUSE NO. STREET . . HAMLET Owner or Owners of Property. . . . . . . . .0 .�_ . _ _ _ _ . . _ . . .� . . . . . . . . . . . . . . a County Tag Map No. 1000 Section . . . . . . Block . . . . . . . Lot . . : .. . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . Filed Map . . . . . . . .Lot . . . . . . . . . Permit No. ./. /.' . . _ . .Date of Permit -0 . . . .Applicant-4. . . . . . . . . . . . . . . . . . Health Dept . Approval . . . . . . . . . . . . . . . . . . Underwriters Approval. . . . . . . . . . . . . . Planning Board Approval . . . . . . . . . . . . . . . . Request for Temporary Certificate . . . . . . . Final Certificate . . . . . . . . . . . . . . . . Fee Submitted : $ . . . . . . . A. l .l. APPLICA �C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rev. 10/ 14/88 C[0 rJ�t=P[P[.I�C.�G n[1�[J�[!�[1�[1'[1�[J�r�[1[1rJ�rJN 11r[J�[J�rJ�[J�rJ [P[1�[1�[1�[J[J2Ir�[1�[![1[1[J'[P[.f[J'[J��[J�[J�r lrJ�[n�r3rJLcP�P C� 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 SBUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 c5 5 CERTIFIES THAT , Z® � • 5 5 5 5 Upon the application of upon premises owned by 5 5 5 EDITH 0RMICK EDITH McCORMICK BOX 73 5 5 565 BARLEY LN. SOU HO DY n NY11971 5 5 SOUTHOLD, NY 11971 5 � �� 5 rj Located at 565 BARLEY LANE SOUTHOLD, NY 11971 5 5 5 5 Application Number: 3010092 Certificate Number: 3010092 c5 5 Section: Block: Lot: Building Permit: BDC: ns11 S 5 5 5 Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: 5 5 Basement,Outside,Pool/Spa, 5 5 c5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the 10th Day of October,2006. rcj Name QTY Rate Rating Circuit Type S 5 5 Miscellaneous 5 above ground pool-no light 5 5 as built-1996 5 Appliances and Accessories 5 5 G F I Equipment Protection Device 1 0 5 Pool/Spa Bonding 1 0 5 SWiring and Devices 5 5 Receptacle 1 0 20 amp Pool/Spa (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is,advisable to have C] frequent test and/or repairs made by a qualified person. C,Sj 5 5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to 5 be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 S 5 5 5 5 55 5 seal 5 1 of 1 5 5 5 5 . 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the-location indicated. 5 5 o ��L l'N��MfflPr ��E��0�-MP��L�L3rL3 �� o 1 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMEN TOWN CLERK'S OFFIC SOUTHOLD, N. Y. Examined .......M7......30.............. 1928. Application No. .........9757............. Approved ........MMY.......M............. 19.29. Permit No. .........9.M7.z............... Disapproveda/c ......................:..:...... ......................:..................................... �^ ................................................................................ ......................... ..... Of ............ ...... .:.. ........ �......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .........MAY...............30.......... 19....78. . INSTRUCTIONS a. This application must be completely filled in by typewriter ow in ink and submitted in triplicate 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 application. 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 issue 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, building code, housing code, and regulations, and to admit authorized inspectors on- remises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ... ...... .. . .......................... (Adtress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general. contractor, electrician, plumber or builder. ............... `J............ ....... ............. .... ......................................................................................... Name of owner of premise ... If applicant is a corporate, signature of duly authorized officer. ........................................................................................ (Name and title of corporate officer) Builder's License No. .................................................... Plumber's License No. ....................:........................... Electrician's License No. ............................................ OtherTrade's License No. .............................................. 1. Location of land on which proposed work will be glone. Map No.: ........./ ......... Lot No. I ... ................. ........................ Street and Number ... �.,� . .......... ...............��.� ............/.� ....................................... ........... ......... . Municipality 2. State existing use and occupancy of premises and intended use and-occupancy of proposed construction: a. Exisiting use and occupancy .................................................................................•................................................ b. Intended use and occupancy ................................................................................................................................. � ` ` 3. Nature of work (check which applicable): New 8ui|di��. .................. Addition .................. Alteration ---'-- / Repair -----.' Ronnovo| ------ Demolition�------.' Other Work ---------------.- '- ^ ` ' '~~ (Description) /^l `~ ziEstimated Cost ........................................................... .--,._---_---_--_-�---.--__------___-. ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ---------.Nun`ber of dwelling units on each floor ............................ Ifgarage, number of cars -----.--_----..---'-.-.-.-_-_---_-~'--_..-_--~--.-----.--' ` 6. If business, commercial or mixed occupancy, spec ifnature of each type of use ---------' �2 6 .11 7. Din�enoionsofex�ting structures, if any: Front -_.��/------ Rear ................................ Depth .=0.—u"'5....... ` � Height ........................ Number of Stories ........ ----''.--------_--_---__--------------. [}irnansiunn of some structure with alterations or additions: Front .................................... Rear ............................ Depth ----------- Haight ---------..Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ' . . . Depth -------- Heigbt .................... Number of Stories�--.--------.--_-'--.--- ` -. . . --._ �~�, . ��-�' 9 Size of lot: Front x�� ................... Raor ----.----.. Depth - ^ - . .. . � ' ' '' ----''�r--'' '� �� lO. Dote of .�..------..Nome of Former Owna ' .��.. 11. Zone or use dist i6f in which premises are situated ---.-----------_-----.----------._--- l2. Does proposed construction violate any zoning |ovv ordinance or regulation: ......................................................... 13. Will lot be regraded -. ( � No lelyt 14. Nonne ofD�nerofpnanoi ��..��.�..�.7-.~�.^s~��.' �w�drans -��'69S *'-� ��'�Phone��m ��-'.'�'�... Nomeof Architect .............................................................. Address ................................. .Phone No ...................... Nonne of Contractor ............................................................ Address ................................. Phone No. _--._-.--' PLOT DIAGRAM Locate c|mony and distinctly all 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 orcorner |c*. __ /-f 'd�w� , - ' ` N_ �� 1 ' r% ' STATE OF NEW YOR-.K' ! COUN F --.- - ---{�'S . . ~ ___.____ ___ /_,��yv1 /�� '-_.. .'/---.-f>--.y9.��..-'^----/~''-,---�� -�being duly sworn, deposes and says that he b the opp|icon/ . (Name of individual signing contract) above named. ��} �� Heis the -----'��--'�-�-'��^-------------------'--------------''^''--'-'---------. (Contractor, agent, corporate officer, etc.) ' of said ` 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 H`e.bast of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before this Cou"^x '-- --------------------------------- (Signature of applicant) - '�~°�"=w""M"�^.�_��w ',` JV_y 1-C U r r v rV POEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........MAY.......30............. 19..7a Application No. ..........9757.......... 'c Approved ......... ay..... ...j. ............. 19..!�4 Permit No. .........:975j7z.............. 6--� � 7 Disapproveda/c .................... .......... ........................................................... aUwte OAi ................................................................................ ...................................... (BuildingInspector) APPLICATION FOR BUILDING PERMIT n O� Date .........140y:...............3G............ 19....78 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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(i areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.e• c. The work covered by this application may not be commenced before issuance of Building Permit. U d. Upon approval of this application, the Building Inspector will issue 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. ti r APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to theme Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ors 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 for admit authorized inspectors on premises and in buildings for necessary inspections. .�«..... ...................... ..............................r (Signature of applicant, or name, if a corporation) V... ................ lb`° � ............................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 1 ...........5�:�W:� �'`� .�. . .....`.W ... .... .......................................................................................... Nameof owner of premises... ......•• ...........................................................q. ... ...................... L� If applicant is a corporate, signature of duly authorized officer. 7_6 (Name and title of corporate officer) /Gf^^ ,gym U Builder's License No. .................................................... c7 .a eel . t„I Plumber's License No. ................................................ o Electrician's License No. ;u�4 OtherTrade's License No. .............................................. 1 ��! Location of land on which propo ed ork will be do M¢pNa.: ......................... ............. Lot No. .... ................ Street and Number a • �� l,5' i Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............. f� ...... .... ''��J.....� .;!..........�. ,®.. �PI' �...�..... b. Intended use and occupancy ' .........�.................�`.:....... ... .................................... a . ` ` 3. Nature of work (check which applicable): New Building. ------ Addition .................. Alteration ---'-- �eooir ------. Removal ---.�.�-� �kmmo|i6on-!.�----. Othar \A/ork ---.^------------ '— �' � ` (Description) . , / �� ~ ` Fee ( �� /i Eutnnoted Cost ---^..��'�1---_-----.—.-- , ---- -~----_------_-_---____------- � ' ' ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ----.-----NumberofdweUingundsnn each Huor ............................ If garage, number -of cos ............................... 6' If business, commercial or nixed occupancy, specify 'nature and extent of each type of use ............................ � / I� .�/ 7. Dimensions of existing structures, if any: Front ---��»"----' Rear �- .................... Depth '~��,� ........ � Height —_---.—.-' Number of Stories ..� ............................................................................................................ Dimensions of some structure with alterations or additions: Front .................................... Rear ---------� Depth ........................ Haight —.--------Hunnbar of Stories ................................ 8. Dimensions of entire new construction: Front ...................,................. Reo r Depth ........................ Height .................... Number of Stories. ................ ..................................................................................................... ~ '�� ~ 9. Size of lot: Front ^'5'�.'''''--------' Rear --..&�!�.., .................. �� |O. Dote of Punch "which.premises .��SA..��K.�--------Norna of Former ��ne ' '/�*��^~'' ll. Zone or use distr�� in are situated —_----.----,--_-_--.----_.—.-----------. 12. Does proposed construction violate any. zoning |ovv ordinance or regulation: ........................................................ 13. Will lot be rogroded — U excgs fill be removed ( ) Yes ( ) No ~/ ' 14. Nannoof��narofpren�i . ��1.�/��~~.��.�.'�' �xjdraas .��--. Phom�.No' ��'��'...-'. Nomeof Architect .............................................................. Address ................................ .Phone No. ...................... Nonneof Contractor ............................................................ Address ................................ Phone No ...................... PLOT OK\GR/\M _ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give struat and block number or description according to deed, and show street names and indicate n whether interior orco, er |o^. J� C_e— ' / ^ ^~- ' . .~~. � ~ �~ r� o , ' . . STATE OF NEW YORK, - ( S'S COUNTY OF ---.— ' ~ b _�� - _ '._..`� ._.. f�__ ongv / and says that he is the opp|icon, (None of individual signing contract') _ above named. /�L/ Heis the ---..`—^~=—^..~.}(�.------.—~--...----.----..----_,-...—.^..—,.—.-^________ (Controctor, 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 thor the work will be performed in the manner set forth in the application fi|ad tharawith. Sworn to before me this ,_X~� ` —' -'��./. ----''^,----.------. ' `~' ' ' (Signature of applicant) NOTARY PUBLIC,State ol.'Now York ` . Memorandum from . . . . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN MALL, SOUTHOLD, N. Y. 11971 765-1802 October 30, 1989 Dear Mr. Mc Cormick: On February 2, 1989 you gave us your application for a Certificate of Occupancy for your pool and check #247 . At that time you said you would bring in your Underwriters Certificate . To date we have not received it . Your check is now outdated. . This must be cleared up as you are using a pool without a C. 0. Yours truly, )� Secretary ��SQfFO(��0 Town Hall,53095 Main Road y Z Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 t OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 27, 1995 Mr, & Mrs . John Mc Cormick P.O. Box 732 Barley Lane Southold, NY 11971 **** SECOND NOTICE **** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed)** xx No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 9757-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE TOWN OF SOUTHOLD, ,IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. pF SOUryolo Town Hall,53095 Main Road Fax(631)765-9502 P.O. Box 1179 G • Telephone(631)765-1802' Southold,New York 1 1 97 1-0959 Irou BUILDING DEPARTMENT TOWN OF SOUTHOLD September 18th, 2006 V� '111�14-/"-Z.) //.,/,y //'��4j t.h McCormick Box 732 Southold,N.Y. 11971 Re: 565 Barley Rd. (swimming pool) TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not one file. (Enclosed) No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Returned outdated No Health Department approval on file. No final inspection has been completed. No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Final Town Trustee Approval BUILDING PERMIT: #9757-Z Thank you for your cooperation. SOUTHOLD TOWN BUILDING DEPT. Please note if permit is expired,a renewal fee may be required.