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HomeMy WebLinkAbout23010-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23868 Date SEPTEMBER 13, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 900 YENNECOTT DR.& 80 TUTHILL .RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 6 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 1995 pursuant to which Building Permit No. 23010-Z dated SEPTEMBER 13, 1995 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 POOL SHED IN REAR YARD "AS BUILT" AS APPLIED FOR. The certificate is issued to ARTHUR H. STEWART (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-355678 - SEPT. 13, 1977 PLUMBERS CERTIFICATION DATED N/A Building Inspec or Rev. 1/81 FORM NO.3 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) Date........September 13............................. 19... ............ . NP 23010 Z Permission is hereby granted to: Deborah Doty, Esq. A/C Arthur H. Stewart ................................................................................ P.O. Box 1181 ...............................................................I.......................... Cutchogue, N.Y. 11935 ...............................................................................I......... . to ......Accessory Pool Shed rear yard.."as.,built" as applied for. .................................in...... ................... ...... ........................................................................... .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. ...........................................................................................................................................I...................... at premises located pt.,,,,,,, 900 Yennecot Dr. & 80 Tuthill Rd. Southold, N.Y. ....................................................................................................... ................................................................................................................................................................ County Tax Map No. 1000 Section ..........55........... Block.........6.............. Lot No. ........ ................. pursuant to application dated .......AuFust. 30?.............................. 19...95.....;.., and approved by the Building Inspector. Fee$.........35.00..... f� .................... . ........................................ ............ Building Inspe r Rev. 6/30/80 V y Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL AUG 3 01995 765-1802 APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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 electrical 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 architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For- exist ing 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 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 reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 "As built" 4x6' detached shed Date August .29,. .1995 . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. .900.Yennecott.Drive, .Southold, NY . . . . . . . . . . House No. . . . . . . . . . .Street . . . . . . . . . . . . . . . . . . . . Hamlet Onwer or Owners of Property. . . .Arthu.H; ,Stewart. . . . . . . . . . . . . . County Tax Map No 1000, Section. ,055;00. . . . . .Block. ,06:00 . . . . . . . . .Lot 007.00 Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .X. . . . . . Fee Submitted: $.'. 25.00. . . . . . . . . . . . . . . . . . . . . . �G�'... . .9 . . . . . . . . .= : CIO Z� G 0 APPLICANT THE ,. NEVII:;.:YORK BOARD OF FI I, I + RE UNDERWRITERS ak �E3UREAU.OF ELECTRICITY --` 85 JOHN STREET NEW YORK NEW PORK 10038 I °ate_ September . , 1.977 !lPPlicatioriNo onfcle 9221Z1 N35 6f THIS.CERTIFIES THAT :: „ only the electrical equipment as described below and introduced by the applicant named on the above applocati'n number sn Lhe premises of M.' TICKernani -.900 Yennecott.:.Drive Southold, 1 I ❑ :1st F1 ;'❑ 2nd Fl a Section Block Lot illthefollowinglocation; Basement OLitS1d tcrss examined on September $' `1.9.77 and found Lo be rn compliance with the requirements of this.Board.._ FIXTURE ECEPTACLES SWITCHES. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS .:.-OUTLETS_ INCANDESCENT FLUORESCENT M APURr : AMT. '. _K.W. AMT. '- 'K.W. 'AMT. K.W. AMT. K.W. ' 'AMT. H.P. VAPOR 1 - DRYERS FURNACE MOTORS,;`_` .FUTURE APPLIANCE FEEDERS. SPECIAL REC'PT -.TIME CLOCKS „-,'BELL;. UNIT HEATERS MULTI-OUTLET DIMMERS •AMT. K.W. OIL I H.P. ..GAS H P AMT NO. A W.G AM .AMP. AMT. ' AMPS TRANS: AMT H.P. 'AMT..- ..WATTS SYSTEMS NO..OF FEET SERVICE:DISCONNECT NO.Op :;;S .i E R V I _ -METER' NO.OF.CC COND :A:W.G. --A..W.G. Ls A.W.G. AMT: 'AM :TYPE - EQUIP. 1,�2W 1,8•3W 3,0'3W 3,B•aW NO OF HI LEG NO.OF NEUTRALS PER 0 .- OF,CC COND..' � .. � OF.HI-LEG � OF NEUTRALViT ' - OTHER APPARATUS. - -. 1 _ I 1 imming PoOI) This ;certificate covers compliance ;at tYie."'date Of inspection only. Because of. unusual-:environments :it is :.a8visable o have frequent test and/or -repairs .made_-'by a ,;qualified- person. . , F.T. E1.e6tric ' '160 1?orthern B1 vd i�; " I , I ST..' James, L I•:= 11780 LIC. I102E_' GENER N G R , Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by t 'r re e Ualss.. 130ARD ' OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OFSOUTHOLD SURVEY . . . . . - - A19� 3 I996 BUILDING DEPARTMENT CHECK . . . . . . - - _ - - - , - . . TOWN HALL SEPTIC FORK . - . . SOUTHOLD, N.Y. 11971 ��JJo�•�C - . . , TEL.. 765-1802 t:o<<FY ` . ._7�? CALL Examined r. .� . . . 19 ./. MAIL TO : Approved , . .�J� . . 19 Permit No.a�.�010.� . . . . . . . . . . . . . . . . . . . . . . . . . - - - . . . . . . . . . . Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . August .29 . . . . . . .. 1995• INSTRUCTIONS J 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 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 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 regu tions, and to admit authorized inspectors on premises and in building for necessary inspe •ons- /� .: . . . . . . . . . . . (Signature of applicant,.or name, if a corporation) Drive 900 Yennecott Xvgmg,• Southold, NY.11971 _ . . . (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer; general,' contractor,, electrician, plumber or builder. owner Name of owner of premises Arthur: H-.. S.tewaxt. . . . . . . . . . . . . . . . . . . . . as on the tax roll'or latest deed) If-applicant is corporation, signature of duly:authorized officer: • ..',`,,, (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . . . . : . . . . Electrician's License No. .. . . . . . . . . . . . . Other Trade's License No. . . . . . l. Location of land on which proposed work will be done. . . . . . ... . . . . . . . . . . . . . . . . . ... . . . . . . . 900 Yennecott Drive, Southold, NY 11971 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . .... . . . . . . . . . . . . . .. House Number Street Hamlet County Tax Map No. 1000 Section • 055.00 Block . • 06:00 Lot . . 007.00 . . . . . . . . . . . . . . . . . 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 . . . ..ore-�wrLJi ,y.•..ceaidence. . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancyone—family residence . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building . . . . . . . . : Addition . Alteration Repair . . . . . .: . . . . . . . Removal Demolition . . . . . . . . . . . . Other Work . . . . . . • • . (Description) 4. Estimated Cost . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . Fee . . 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. 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. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . ' Height . . . . . . . . . . . . Depth . . . . . . . . . . . . . g • • • • • • . . . . . . . Number of Stories . . . Dimensions of same structure with alterations or additions: Front * • ' . . . . . * . ' ' Depth . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . • . Height . Number of Stories . 8. Dimensions of entire new.construction: Front . . . Rear .Height . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . 9. Size of lot: Front . .: . Rear. . . . . . . . . . . . . . . . . . .Depth. . . . . . . . . . . . .. . . . . . . . . . . 10. Date of Purchase . . . . Name of Former Owner . . . . . 11. Zone or use district in which premises are situated . • ' • • • ' ' ' ' ' ' ' ' ' ' .12.. Does proposed construction violate any,zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: . • . . 14. Name of Owner of premises . . . . . . . . . . . . . . . Yes . No . .. Will . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . Phone No. . . . • . . . . . . Name of Contractor . Address Phone No. . . . 15. Is this property within 300 feet of a tidal wetland?. . *Yes..•. . • • No. • � � � � � • � *If yes,- Southold Town Trustees Permit may. .be required.. - . 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 number or description according to deed, and show street names and indicate whether interior or corner lot. See survey AP PR I'D AS NOTED DATE: 3 Q.P.# c ' FEE 3_�BY: IeIOTIFY BUILDING DEPARTMENT AT OCCUPANCY OR 7Br5-i 802 9 APA TO 4 PM FOR THE USE IS UNLAWFUL FOLLdWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE WITHOUT CERTIFICATE OF OCCUPANCY . ROUGH - FRAMING .& PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. If copper tubing is used. STATE CONSTRUCTION & ENERGY for Water distributing .CODES. NOT , RESPONSIBLE FOR system; piping shall be DESIGN OR CONSTRUCTION ERRORS 'Of.types K or L only . UNDERWRITERS CERTIFICATE 'REQUIRED STATE OF NEW YORK, COUNTY OF . SUFFOLK . . . . . .. . . .S.S ARTHUR H. STEWART . ' . ' ' ' • ' ' ' ' ' . • • • • • • • • • • • • • • • • • • • • • • • • • • . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . :,. . . . . . . . . . . . . . , owner. . . . . . . . . . . . . . . . . . . . ... (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 belief;and that the work will'be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . . . . . . . . . . .day of...August• • . . . . . . ., 19 votary Public, . . Cou Notary Public,State of New Yolk • • • . . . . . . . . . . . . . . . . . . . . . . . . . No.4V9478-Suffolk County CO®m10I0 I;X01r00 rya.04, tom .y. . IjFM Cd.NLAL7t1 bti ___ ------ OWNER; e. s1' is �i, x. i;il:, • PT. PPROVAL H.S. Flo. -- OWE ItF. AUG 3 01995 AREA- DEED: nl/A . , , •, Dc� • . f l � i (4 oe,d,-H l d+fCYNttilft YeMNeCOTT . � ° �` ' T I -'-pelrll" + SCALD: 41 r. 1too1�v is drives �. J i 1 ( • � _ '' 1� AusNE\n1iEt>-./.ucn�uo>�u_,.Dnrtrox—_- 7 + •a35LYIed et4N. 10 7111S SURVEY IS A VIOLATION OF tl+ ttT ,SECTION 7209 OF THE NEVI YORK STATI T _ jDUCATIOfi LAW. �I 7 COPIES OF TIIIS EU^V;Y MAP NOT VAPINQ JIIE LAND SU-VEYOP.'S IT:I D EAL OR EMDOSSfD SEAL EHA:L t:.T L!COIISIC[P.ED 70 DE A VALID T,..UE COPY. t 6 GUARANTEES INDICATED SIIAI.1.f.UII + d }l K' ONLY TO TI@ CE;.S—!:x••• �.,• .•,Y+t!.e 110\'[Y \ O IS FREPACIO.A;Z• TITLE COM-ANY, G--,7.::'..... : r,b;t•KY ANC .1 f LIMING 1:�.7i^7il•:+ ! 'i.71•�,AP:D TITLE TO MEASS' :"�S•r:(.r, ,.' DI,I+7�I>IST,I• CERTIfi, tuttm^.cerr:,,.w......t?r IIv.A�isrEnnnlc ID n�l2rlSlu tL t12�'llllltlOt+S:cr.SueSIQIIIHI 40ewd"teLbd 'b -Hi n M P OF LOT '1 S STAMr "56o+k6ld 'rJ'dVIHtl3 F3dYtV- mocl to SEAL �f�1Ar OF YENNECCITT RA2K" .-rifle t 6aaral. cb. I'":��\ •�.Ik. Coof1hI Ma+11k5I8-I) as Survel_jed Jori.19,11379. AT RODERICK vAN TUYL P. C. SoUTH0LL LIC. LAND SURVEYORS-annn RT. N.Y. :��. (1 -•fl.: CO.Trr;c lvfa , OL!>,igrlc4;L-r1: O(D+. (000,8&--h055f 01e)4.6, ,FW-7- LE4T HOLE SUFF.CO. DEPT.OF HEALTH SERV1Ck S STATEMENT OF INTENT O' FOR APPROVAL OF CONSTRUCTION ONLY ma THE WATER SUPPLY AND SEWAGE DATE: DISPOSAL SYSTEMS FOR THIS RESI. DENCF$ WILL CONFORM TO THE �H.S. REF. NO.: STANdARDS OF SUH OLK CO. DEPT, OF' HEALTH. SERVICES. APPROVED: ($) 16 17' APPLICANT «* > � � is• ;:.t � f w TV ft 71 f. i � t �. 1�'� ,,� �a � irk ��Mr T "4 s1. � � \�>��•� �:ti` �• �� a � ..Y .,�,•,.! y,� .,. • r