HomeMy WebLinkAbout18084-Z FOP.M ISO. 4
TOWDI OF SOUTHOLD
BUILDING DEPPI2TMEIST
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30479 Date: 10/01/04
THIS CERTIFIES that the building ADDITION
Location of Property= 3715 HORTOIS LANE SOUTHOLD
(HOUSE NO-) (STREET) (HAMLET)
County Tax Map No. 473889 Section 54 Block 7 Lot 23.6
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AFRIL 27, 1969 pursuant to which
Building Permit No. 18084-Z dated APRIL 28, 1989
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupanc_r for which this certificate is issued
is DECK PDDITION TO AN ExIST ISSG ONE FAMILY DWELLIDSG AS APPLIED FOR.
The certificate is issued to MICHAEL & SFSSDRTa DP.ti IDS
(OSPSSER)
of the aforesaid building.
it SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED SS/A
tho ized Signature
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Rev. 1/81
FORM NO. 4
T04TIS OF SOUTHOLD
BUILDING DEP~`.RTMENT
Office of the Building Inspector
" To,am Ha11
Southold, N_Y.
CERTIFICATE OP OCCUPPNCY
No: Z-30480 Date: 10/01/04
THIS CERTIFIES that the building ACCESSORY
Location of Property= 3715 HORTON LAD1E SOUTHOLD
(HOUSE NO") (STREET) (HPMLET)
County Tax Map No. 473889 Section 54 Block 7 Lot 23.6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit rieretofore
filed in this office dated APRIL 27, 1989 pursuant to which
Building Permit No_ 18064-Z dated APRIL 28, 1969
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 IISGROUND SWIMMING POOL WITH FEIQCE TO CODE AND DECK AS APPLIED FOR_
The certificate is issued to MICHAEL & SADIDRA DAVIDS
(OWI7ER)
of the aforesaid building.
SIIFFOLIL COIINTY DSPARTMEN'P OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ N 082108 06/30/89
PLUMBERS CERTIFICATION DATED N/A
r t~ho~
wed gnaturz
Re•r . 1 / 81
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TOWN OF SOUTHOLD
Bli1LDING DEPARTMENT
' TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THI$ PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 0 ~ ~ O ~ Z Date 19..8...1
Permission is hereby granted to:
.............-s~....nz:.. 1 ~ 95
J • .....Q-K-~
.
ct premises located at ..~7/5......I~°~-'~":''°...~!'~'u!r ...................p.........-..............
a G~~s ~:c1.as,c
County Tax Map No. 1000 Section ......59.~..p7...... BI«k ....a~....._.....gqLot No...a:.~.:..~......
pursuant to application doted V ....a-7 19..4.., and approved by the
Building Inspector. v
' Fee $..c~~.:.~....
' Building Inspector
Rev. 6130fBO
BUIT_G11J~~ DEPAkTNENT ~1\ ~~!1\
_ TOWN HALL lW I `[I
x 705-1802
~ APPLICATION FOR. CERTIFICATL OF' OCCUPA[JCY
A. Phis application must be Filled in by typewriter OP, ink and submitted to thz buildinl~
inspector with the following: far new building or new use:
1. Final survzy of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic Features.
2. Final Approval Erom Health Dept. of watzr supply and sewerage-disposal(S-~ form)_
Approval o[ electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in s7s[em contains ~
less than 2/10 of L_ lead.
7. Commercial building, industrial building, multiple residences and similar build ii
and installations, a certificate of Code CompLianez from arr_hitzct or engineer
responsible for the building.
0. Submit Planning Board Approval of completed site plan requirements.
- B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings ar
'.'pre-existing" land uses:
streets, buildin and
1-.--- Accurafesurvey of property showing all property lines, - g
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant
If a Certificate of Occupancy is denied, the Building Inspector shall state the
_~-•--~,ze._asons therefor in writing to the applicant.
C :Fees
11.p Cer1tificateio~-0ccupancy - New dwelling $25.00, Additions to dwelling $25.00,
Ems'=~ .7E~1[~ats!t,q~$welling $25.00, Swimming pool $25.00, Accessory building $25.00,
c.~~_,._A_d_ditions tp=-accessory building $25.00. Businesses $50.00.
[ f~ G, ;;~he~ri:€-i-cat.e! of Occupancy on Pre-existing Buildine - $100.00
L--- T3°t'=_
~=~_~y~~wo-£4-Cl~rtif~cate of Occupancy - .25tC.
4. Upd'aC~-rt-~f~cate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction.........~.7. 01d Or Pre-existingg Building `
Location of Property...T.I~...~`V.'~:~7".1...Y~~Y?8,,...................4L~J]R~IA•.
House No. ~ Street Hamlet
Onwer or Owners of Property.!-k~.~.~~~-1..~:. ~:.dGa... ~ ~ • -~~1, l {~~Y - -
County Tax Map No 1000, Section..-~~........Block_._../......_...Lot...~~.~-'~~-C `'e--•-•-••~
Subdivision......c~"y.~
............................Filed Map.........---Lot.............---..
permit No...~~ Y_I.....Date Of Permit ................Applicant_.__._..__...............
Health Dept_ Approval ..........................Underwriters Approval._........__..._.....
Planning Board Approval
r Request for: Temporary Certificate.._.____... Final Certicate... x
I~ Fee Submitted: $ /
~3~y°1 ~i fie. cY~ r . p .
~-1.... _ ..1
~ ~~l IC ~ ~ APPLICANT
l~~ .
` aye
To~bn Hall, 53095 Main Road q t Fax (516) 765-1823
P.O. Box 1179 syv Telephone (516) 765-1602
Southold, New York 11971-0959 Oy ~ tS
~o! ~ ~ao~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MARCH 20, 2000
FINAL NOTIFICATION
_
MR.- MRS. ioiICriAaL DAVIDS
3715 HORTONS LANE
SOUTHOLD, N.Y. 11971
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)
No Underwriters Certificate on file.
XX The check is not on file. 2 CO'S REQUIRED $50.00
FOR POOL & DECK
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 # 18084-Z*
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*THE ABOVE BUILDING PERMIT HAS EXPIRED.IT IS.UNLAWFUL TO OCCUPY
j OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN
~ ISSUED. TO AVOID A VIOLATION BEING ISSUED, PLEASE APPLY FOR THE
C.O. SO THAT WE MAY CLEAR UP THIS MATTER.
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THE NEW YORK BOARD OF FIRE IJNDERWRiTERS =~`=r ' I~~
-I et~~.-~r~
BUREAU OF F.LECTRIGITY ICI
a BS JOHN STREET'. NEW YORK. NEW YORK 10038 ~c~,
Date '~'"r~ r°-""~~~ .a plication :l'o. on de ~~'~~¢~i'E9~i"~i? ~
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the abode application number fa the premises of '
- ?~.~C~~e~L x;;~~, 3"15 ~~k~~®~`~.:~~~', '~~,;rPs~,-w4, ~~L?~"~C1~~, T~o~~ i
m [he foilawmglocntion- V
Bnsernent L~ 1st FL L~ 3nd FL Sertipn Block Lot
t~v~~ ,~~ra~u
uns a:arnined art and found to be in complionre u-ith the requirements of this Berard. I
FI%TURE FI%iURES I RANGES COOKING DECI(5 OVENS DISH WASNER D4FIAJBQTT ~A 5
yOUFlETS ECEPTACLES SWITCNES INCANDESCENT. RUOPESCENi OTNER AMT. P. W. AMT. IL W. AMT. F.W. AMT. N. W AMf. H'. P.
A •Sr
L
DRYERS RIRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME'CLOC%5 gpt( UNIT NEATE0.5 MULTIAUTLEF DIMMERS
AMT. P. W OIF k P. GAS H. P. AlAT. NO. A. W. G. AMT. I AMP. AMT. AMPS. TRANS, wMi. H. P NO.OF FEET AMT. WATTS Dx.v
-TI' n~e, ,~yy L:
L L~-
SERVICE DISCONNECT ~ NO. OF S E R ~ V 1 C E
METER NO. OF COND A. W. G. A. W G. A. W. G. pgP
AMT. AMP. TYPE EQUIP I $ 2W I $ 3W ]-H 3~$ AW pER 8 OF CO. COND IJO. OF HI-LEG OF HbLEG NO. OF NEUTPALS OF NEUTRAL
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OTNER APPARATUS:
fi_s.~n~."'~.
aO°: E.a: C:^rl"t~3'a.t~~.".? ai, 4vc A`c.`~r. C;
t ~.L~S?.T~Cb sue. w-F!?y i~=w E`.~wz`a u)f °!1'-$ faF
i 'wr a3.'Y'.^.a3:u2T?f•a °s.C 3. 3"d'~:>>'n1-1i<'-'
§'$sTV° `Bar'n'>lN w^5'; ~C_'c9`x,"s~-'-."~` n-,. r=.:.?.-S
_ :'Gets s`'°~.-~': S:''ais'vs :-T'?a'.... ~li'v-` - ! 1
I ~-~L~ <.~C•:+. - GENERAL`MANAGER
- - - Per -
This certificate must noT be altered in any manner; reTurn to The office of the Board if incorrect. Inspectors may be identified 6y their crede•~ i"
' of C®PY FO@ m9JILf~Si~G 9EPF~.I2TkAENT. TFIIS C®PY OF CERTIF!GATE h!U5T Ps~T.BE ALTERED IN ANY MANNE /
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765.1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ FINAL
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i [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
I
REMARKS:
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DATE ~ d INSPECTOR
- ~.F_
_
- VEG. -i ~~T
BOAF.D OF HEIrLTH.-
- 3 SETS OF PL.\r: 5, - . - .
- ~ - ~ FORh1 NO.1 -.SURVEY
TOWN OFSOUTHOLD CHECK
.BUILDING DEPARTMENT SEPTIC Foarl
TOWN HALL
- ,r,OUTHOLD• N.Y. 11971 r:OTiFY
- TEL.: 765-1802 Ce\LL . . . .
- ~ MAIL T0:
E\1lli]n~d , 199 _ 0 `~](y 3
~~,'~n 'r i f!~ ~ ~ ~~1~L~~
` ~ppro~~d 19~~. -Permit No.~.~ ° p ~L.'ZL, -r F~ ~~1
U I9
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DisapprovedYa/c E ~'k I
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- ~ BLGC;. OEPF.
TC1lr`iY•J OF fi4t1Tl-(OL.D,
(Building Inspector) ~ ~
• APPLICATION FOR BUILDING PERMIT
- Date --•--~~~-/----..,15.F~.1-
INSTRUCTIONS
a- Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~szts-of plans,accuratz 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 par[ 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 bz kept an the premises available Ior inspection throuettout the work.
e. No building shall bz occupied or used in whole or in part Ior any purpose whatever until a Certificate of Occupancy
shall have been granted by the Buildin; Inspector.
APPLICATION IS HEREBY MADE to the Buildin= Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Tawn of Southold, Suffolk County, Nevi York, and other applicable Laws, Ordinances or
Re_ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as heres describzd-
The applicant agrees to comply with all applicable laws, ordinances, buddin, code, housing code, and regu!arons, and to
admit authorized inspectors on premises and in building for necessary inspecti~~o//ns.
J4~/L L- C .
(Si=nature of applicant, or name, if a comor_non)
..~.J-.d:.%Sc~ it?y /Z,~. "-i..
~ - (Mailing address of applicant)
State vvhethzr applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.-
~ Name of owner of premises
(as on the tax roll or latest died)
I`appli t is a corporation, st~na r of duly authorized ofFcer.
G~1~~
.............•---r
(Name and title of torpor e ~ficer)
Builder's Liccnsc No. -Z./.L . .
Plumber's License No .
Electrician's License No . . . . . . .
0[fter Trade's License No . .
1- Location of land on which proposed work will be done. _ _ _ _
House Number /S,~trce[ Hamlet •
Coun[yTax\IapNo-IQOOScction .....~"1.-......... Block..-..~-,--.•---„ Lot--...~~;•~••,._•
Subdivision..-----• Filcd~lapNo. Lo[---•-•---......
(Name]
Slate existing use and occupancy of premises and intended use and occupancy oC proposed constnuction:
a- Existing use and occupancy . ~ ~ ~
.....-...J.~?..~
b. Intended use and occuoanry ~~~-~L~i~/7z` c.? 1 %lf ~/~)z L ~ ~[~Cl~• _ • -
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