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Home My WebLink About13057-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Yo CERTIFICATE OF OCCUPANCY No Z--23154 Date AUCUST 9, 1994 THIS CERTIFIES that the building ACCESSORIES Location of Property PRI~FATE ROAD (OFF EAST END ROAD) FISHERS ISLAND, NY House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 6 Lot 14.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21, 1984 pursuant to which Building Permit No. 13057-Z dated APRIL 20, 1984 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 INGROUND SWII~iING POOL WITH DECK, SPA AND POOLHOUSE AS ~%PPLIED. The certificate is issued to of the aforesaid building. ALEXANDER GASTON SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N717177 PLUMBERS CERTIFICATION DATED N/A NOVEMBER 13, 1985 N/A Rev. 1/81 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) N? 13057 Z Permission is hereby granted to: .~ .................. ~ ............. ~ ........... ~ ...... , ........ ..~..~~....~......~..,. ........... ~....~.~.~ ...... ~..~,....~:...!..~ · ,o.~~.~.~.~.~......~..~L....~......~ ....... ~ .................. _r~ ~, ~ / -- .~...~ ............................................. .~ ......................... .; ................. ; .............. .~ .............. at prUemUises located at ..~,~..~ .~........~...~.....,~.,~...,~.,.-~ ......... County Tax Map No. 1000 Section ..... ?...J...?. ....... Block ~ [~ Lot No. l,.~..' / pursuant to application dated .....~...(~....~.........~...[ ...................... , 19.~..~1.., and approved by the Building Inspector. ~e~ ,..1.~.:..~.. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR i~ 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 Rtatement 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, For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" ~and uses: I. Accurate survey of property showing all ~ro~erty lines, streets, building and unusual natural or topographic features. ~ 2. A properly completed application and a conseht 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, Swincaing pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $I00.00 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 $15.0D, Commercial $15.00 Da- ~/J-~ '/ New Construction ........... Old Or Pre-existing Building .... ' ............. Location of Property ......................... . . .: .¢. {. . . House No. Street Hamlet Onw Owner of perty A [~ ~.r. .~ ~to~ ... er or s Pro ................................ · ..... , ........ County Tax Map No 1000 Section . . . Block Lot Subdivision ......................... . ..... .. ... Filed Map ............ Lot ...................... Permit No..~.~. ~2 ~ .... Date Of Permit ............... Applicant... ~/~.~,~T.z% , ~¢~'f ~ ~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ..... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. ~.5~ ~.~. ........... .... ...... ~_~ ,~ }._,~ APPLICANT } THE NEW YORK BOARD OF Fl:RE UNDERWRITERS ~.(,}t~ BUREAU OF ELECTRICITY ~F~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~ THIS CERTIFIES THAT only the e~c trical equipment ~ described belo~ and introduced by the applicant named on the abo~e application number in the premises of ~l~i~~ ~t~n~ Isab~lla ~%a~ T~ad~ Fis~ Isl~d~ ~ut~ld~ N~,~ in the following location; ~ Basement ~ 1st FI. ~ 2nd Fl. f~tside S~tion Block Lot was exami~d on ~0~:~' ~ ~ ~9~j and found to be in compliance with the requirements of this Board. OUTLETSFIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APRUANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: WG. NO ECRC~CON D. OF ~C. COND. t/0 I C E NO OF HI LEG A.W.G, NO OFNEUTRAL$ A.W G. OF HI-LEG OF NEUTRAL lt0 Z ~ 8 Con.ruction thc:. Box 202 FJ,ahers Island, N.T. 08390 Lic. 9~E GENEI~AL MANAGER Th~s certificate most no~ be ol~ered in any m~nner~ re,om ~o ~he offke o( the ~oord FIELD I NS ?~T ION E OUtlDAT ION ( 1 s t ) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING COi~h~ENTS INSULATION PER N. STATE ENERGY C,ODE EINAL ADDITIONAL COMMENTS: