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HomeMy WebLinkAbout22334-z 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24705 Date OCTOBER 28, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 1560 BRIDGE LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 85 Block 2 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1994 pursuant to which Building Permit No. 22334-Z dated SEPTEMBER 15, 1994 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 SWIMMING POOL WITH FENCE ENCLOSURE IN REAR YARD AS APPLIED FOR. The certificate is issued to KEVIN J. & CHERYL A. LYNCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-330233 - OCTOBER 17, 1994 PLUMBERS CERTIFICATION DATED N/A Buildi g In for 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) Q Date ......... ......... .........I:..........................., 19.�. ..... N2 22334 Z Permission Is hereby granted to; // .......-ZV.... ..... r_ e..... �.... .......... ..............l tz .......................... . r to .... ys.. ��.......x&.....� .alvncuua ..%��.��'.S,v�.. ................. Poo. Z4:)./7�..... .......�%f��1.� r��G .....% -.... .1��. ....../ ...... '.rC...�... .,��. ' ........... .A ......................................................................................... .................................................................................................................................................................. at premises located at......... .... ................... , �j' (.. ........................ , Q '. /........./.�f�..Y'.................................... County Tax Map No. 1000 Section .......IF5...... Block.......�............ Lot No. ..�.................... pursuant to application dated ......... ......��- pp y..... .... ..4P............... 19.. .., and approved b the Building Inspector. C� r � Fee$....... ................. .......... . ....................R................ . ...... Buildin?Ins�pect o Rev. 6/30/80 Form No. 6 by I N TOWN OF SOUTHOLD. BUILDING DEPARTMENT I' TOWN HALL 765-1802 Gi.EiT_� - {j APPLICATION FOR.CERTIFICATE OF OCCUPANCY 'OL 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 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 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 - -251�: 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00`` Date . . ! . . . . .�� . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . ✓ . . . . . . . . . Location of Property. . . . . . . . . . �TCO(56(l S. . . . . . . . . . . . . . . . . . House No. ��//��,, Street Hamlet Onwer or Owners of Property. . ./.�J:!�'� .:`��. ?�. . .�. . ? 4v!yC'W: . . . . . . . . . . . . . . . � �d County Tax Map No - 1000, Section. . . . . . 5 . . . . . .Block. . . . .�. . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . �SNAI?. . . � . . . . . . . . . . . .Filed Map. . . . . . . .Lot. . . .I. . . . . . . . . . . . . . . Permit No. �a.J3.�l. . .Z:-. .Date Of Permit. . . � .l L .Applicant. . . '. :`3� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . �. . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . �s�• 5�� 75 LIC T IV d " THE NEW PORK BOARD OF FIRE UNDERWRITERSAc�f, 1 1185077 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date OCTOBER 1.7,1994 Application No.on file 06527694/94 N 330233 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of KEVIN LYNCH, 1.560 BRIEC3E lniE, CUTCHOGUE, N.Y. in the following location; El Basement El 1st Fl. ❑ 2nd Fl. GAR/OUT Section Block Lot was examined on OCTt?D3L;R 13,19�a� and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. I K.W. AMT. I K.W. I AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTJ TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. I A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. M.P. NO.OF FEET AMT. WATTS i 20 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER NO.0 2W I a 3W 3 0 3W 3,9'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER A' OF CC.COND OF NEUTRAL OTHER APPARATUS: SW114ffNG POOL-1 TIP°iE CLOCKS 40 AMP--I '(SWT*1ING PO'n_1,) This certificate covers comr)limce at the date of inspection only. Because of unusual --nvironments it is advisable to Have frequent test/and or repairs rnade by a clualif-ied person. .t?� <<< C'on t.inued on Page 2 >>> 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 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 z a1B�O77 BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date CCTC)BER 17,1994 Application No.on file 06527694/94 N 330?33 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of KF.VIN L TCH, 1560 BRIDGE LANE, CUTC ROGUE, N.Y. in the following location; GAR/OU�L' f q El ❑ Is F'l. ❑ 2nd F1. Section Block Lot was examined on OCTOBER 13,J 994 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACLES SW FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ITCHES INCANDESCENT1 FLUORESCENT OTHER MAT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER �,2W I.0 3W 3,0'3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER AY OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: RO TAK ELECTRIC L1C. 93677—E P.O.SOX 164 CUTCHOGUE, NY, 11935 GENERA_L MANAGER 11 Per This certificate must not be altered in any manner; return to the 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. O��S�FFO(,�coG c a Town Hall,53095 Main Road p • Fax (516)765,1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 22, 1995 A. Reilly & Sons, Inc. P.O. Box 98 Shore Acres Mattituck, NY 11952 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. $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 # 22334-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. cc: Lynch a �2; 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH BG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 F1IMNEY REMARKS• " '- ,G2 DATE �� INSPECTOR VJ IIIDATION ( 1 s t) ------------------ ►IIDATIOII ~• cci,� (2nd ) 'CH FRAME I y .. '1} UL.;TI021 PER N. • Y. m II . • y STATE ENERGY II CODE le •FINAL I -- ADDITIONAL COMMENTS : m \ • Cy m �j •6 � .i '• �` --- - BOARD OF HEALTH \. \.. ... . . D FORM NO. 1 3 SETS OF PLAZIS �J SURVEY . . . . . . . . . . � 1�—�� 1 TOWN OF SOUTHOLD • . . . . . . . • • •AUG BUILDING DEPARTMENT CHECK . . . . . . _ . _ . . . . . . . . . . . TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD ` TEL.: 765-1802 NOTIFY J�. . . . . . . 9! Y� CALL . . : . . - - - - . . . . . . . . . . Examined . . / 1 9 22 MAIL TO Approved . . . . .3 . . . . .,.19! Permit No. .J J . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . `,.. (Building Insp or) P, LICATION FOR BUILDING PERMIT pp Date . . . . . .elQ . . . . . .,.19 % r 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 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. f 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 premises and in building for necessary inspections. W. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . .. . . . . . . . '?'f� . . �. t .. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . . . . . . . . .I���r . . . Nd. . . . � 1'�y4 , . . . L �/Alp` . . . . . . . . . . : . . . . . . . (as on the tax roll or latest deed) If appli nt i orporation4siure of dulyauthorized officer. . . . . . (Name and title ra icer) Builder's License No. . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. .��SC�1lC, z 6- C� Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . � �� , , . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . 6�! . . . . . . . Block , . C2 . . . . . Lot . . . . 1!. . . . . . . . . . . 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 . : . . . . b. Intended use and occupancy . . . . . . . . . . , . . . . . 3. Nature of work(check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alter-atioh Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition .. . . . . . . . . . . . . . Other Work . . . . .. . . . . . . . . (Description) zoo 4. Estimated Cost . . . . . . . . . . . . . .. . �. . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . (to be paid on filing this.application) S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling.units on each flood'•. . . . . . . . . . . ... . . . If garage,number of cars 6. If business, commercial or mixed 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 same structure with alterations or additions: Front Rear . Depth . . . . . . . Height . . . . . . . . . . . . . . . . . . . .',. . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front Rear . Depth . . . . . . Height . . . : . . . . . . . . . . . Number of Stories: ...,.. :`�.�`.. . . . . . . . . . . . . . 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' .A... . . 13. Will lot be regraded . . . . . . . . . Will excess fill be removed from premises: • . • Yes . No 14. Name of Owner of premises . . . .4ylo. .' 5-Ai. . . . . . . . Address . . .�r�K?� (.q6—, . . Phone No. .EGG. Name of Architect . . . . .Address Phone No. d Name of Contractor . . .r 1. {. (I.i5dr;S . Address . . .Phone No. . /. -.,/�ia 4.�. 15. Is this property within 300 feet of a tidal wetland? *YeS. . . . . . . . No. . *If*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. -aufflNeCYr UR AP ED-AS NOTED 61 ?h' " "" L �L 3Zx LAa P FEE:.1 �B l ., , m �+ ' NOTIFY BUILDING CEP T AT a �U €� 1�: u, � �65-I Spy S AM TO 4 P FOR THE _ FOLLOWING INSPECTIONS: q + ` �CY- y 'I., FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAE1 NG & PLUMBING UNDERWRITERS CERTIFICATE : 'INSULATION' REQUIRED FE€0"'€ COPJSTF?�),.TlC3IV MUST1111M DIATEU( SE COMPLETE FOzi C.O. ENCLOSE POOL TO CODE Al_I- CONSTFjUCT€ON SHALL :MEET. UPON COMPLETION THE RtOUIREI`,fIENTS O1 T!-lE -N.Y. BEFORE "WATER" : .:,` TAr,E CONSTRUCTION & ENERGY BE—FORE "il AI'ER CODES. NOT. RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK COUNTY OF S.S �l�on�� . .i� . . . /� ��zy . . . .�r .�. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. �, Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . c6a,�Z' . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . (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 t s . . . . . . . . . . . I . . . .day of. S --__.19 . Notary Publi 7 . . . County Q-= CLAIRE L GLEW Notary Public,State of New Yoh . . . . . . . . . . . . . . . . . . . . . . . . . . No.4879505 (Signa a of applicant) Queued in Suffolk County �} l:ommission Expires December 0,19E '.c.'.-,.�I.;.�..1..Ip..;IPI i, �G T` �•a J�, ?�' : . tiFOLK�� -rE ?W DFF"TI. . PP�O\/ ii. : �J�6=f: t:C1.�" f"' ti}rtF� . 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IG X 3Z IG , 32 8_ 4 8 14 5 G 4 6 4 G 7 4 8 " 18` X 36 181. 36' 8.' i ;3'4" 12-' 14° 5'c3'' 4'6" 4"6"' g' 4'g„ 0 86a0 4.20X 0 , I56 7'' 4' 6' 8' (5,2„ SET 2_0" G3H o SET 4°f•ONf.RETE DECK REINFORCED WITH 6 X.G 10/10 W.W.F. - -�•`. (� . . ALUMINUM Cori,- •c.'�t.'e°gin'° °�"•e?.'•u�'� •°o �\�\\\��!/ 7 Q 2',3 4,6 G:FA C'. QBANK RUN,CRAVEL OR 9 9 0 _ FILL SAND � UNDISTURBED EARTH ° h 3/0'X 2 3/4 BULTS ' USE NO EXPANSIVE MATERIALS FOR BACKFILL C-1':� .�!I� I �/' .VINYL LINEfi-•- 3/0'REBAR OPTIONAL ONLY ry•p L! �+ / '! E}' REQUIRED IN CERTAIN STATES i f f S A I G f 1 T 'SET �• ® ADJUSTMENT PIN STANDARD GRACE 2'VERMICULITE OR p -`,-T 9 'Cf $AND�BOTTOM' r-,_' /. CONCRETE FOOTER • %�� � /�; 4'DEPTH MINIMUM :',TAKE EXCAVATION NOTES: - � 'OiA LINER 1. SOIL TO HAVE MINIMUM BEARING CAPACITYOF 2000 P,S.F. . 2.LOCATE TOP OF POOL Al'LEAST 6• A60V£' \3/e REBAR SUVROUNDING LAND ELEVATION. - ,. USE IN CONTINUOUS PnOGn[SSION 3: EXCAVATION SHALL eE 2' LARGER THAN POOL • - 'AROUND PERIMETER.IN.BOND BEAM ALL ANOUNO. FILL•VOIDS UNDER'OASE OF. - - PANELS AND TAMP WELL, - - _ 4. BACKFILL SHOULD NOT EXCEED WATER HEIGHT _ BY 9101E THAN 12: WATER LEVEL SHOULD NOT EXCEED MIGHT OF TAMPED BACKFILL BY MORE (-IC L-E THAN It! •' "' 51UUNlPTER DRIVE FORT �'VAYHE, IlgUih#A, 5. UACKFILL TO OE'SANO, GRAVEL OR OTHER - '' r 51U 1,U.S.A. 2E, IND.ANA •�••w'� NON-EXPANSIVE MATERIAL (NO CLAY CONTENT(, - YPE ' DRi,,, ING NNUMBER SCALE Dfi-hYV�J"BY, I_J Pi:E00 -I 3I J2"- I, APPROVED BV 'jE 1 DATE TITLE oiG ,STRAIGHT SET _ RECTANGLE THIS BROCHURE IS FOR ILLUSTRATIVE PURPOSES ONLY The manufacturer makes only those representations which are stated in j/ its vr,.ten Warranty.Any other representations,statements,or contracts I ER5 " ARE , 6 RADIUS. EVERY mane the dealer and or the contractor to the customer regarding any S A BRACE, AL.L CORNER 'mai,rlals produced by the manufsCPirer are attributable to the dealer and/ or°nv contractor only,The dealer or contractor who sells or installs our ARE• .I •, � 1 Y' Y pool Is an Independent contractor and not an agent or employee of the manufacturer.The construction methods illustrated are suggestions and apuly only to normal ground conditions.There may be additional precau- Ilol.s and/or methods of construction,The responsibility is the contractors. minimum standards for residential pools. If diving boards or slides are to be used Spa & Pool Institute's rpininRml standards prior to installing diving boards or slides Spa&Pool Institute,2 h i ..:,x.t17jiver Avenue,Alexandria,VA 22314•703/830-0003