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Home My WebLink About15141-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23412 Date DECEMBER 19, 1994 THIS CERTIFIES that the building ADDITION Location of Property 2465 CROWN LAND LANE CUTCHOGUE NY House NO. Street Hamlet County Tax Map No. 1000 Section 102 Block 8 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1986 pursuant to which Building Permit No. 15141-Z dated JULY 28, 1986 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 AN ABOVE GROUND SWIPING pOOL WITH DECK AND FENCE ENCLOSURE TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HARRY & LILLIAN EAGLIVI of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N333352 PLUMBERS CERTIFICATION DATED N/A NOVEMBER 14, 1994 Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Call Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23413 Date DECEMBER 19, 1994 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 2465 CROWN L4~ND I2~NE CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Sectio~ 102 Block 8 Lot 11 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1986 pursuant to which Building Permit No. 15141-Z dated JLrLY 28, 1986 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 AN ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to HARRY & LILLIAN BAGLIVI (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Building Inspector Rev. 1/81 · 0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 151~1 Z Dote II Permission is hereby granted to: ..O~~LL..~......~~.~,..., ,o ..~~......~...~.~~....?..~.~.~.L..~.~....~ .......... ~ .... ~~.~ .......... ~.~...~....~.~..~... County Tax Map No. 1000 Section .... L..~.....'~.. ........ Block ...... ..~....~.. ....... Lot No.....L.L ................. pursuant ,o application doted ......'~..'.~,...~...~. ......................... , 19..~....~., and opproYed by the Building Inspector. Fee ~...~....'~...~ ~..~~ ....... ..~. .......... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted ~ 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 fo~m). 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. Co~ercial 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" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~. 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 Buildin~ - $i00.00 ~ 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 ~ 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building ........... Location of Property. ~ O ~- House No. Street Hamlet Onwar Owners of p y ...~ ...... ~ ......... co,~,x ~a. ~ap ~o ~000, S,,,~o,]C~,.O.~..~Zo ' & // . ~0 . ~..0~..40..~0, ........... ~,,,,v,,,o,..:.~.f.. ~ ~.-~ ~ ~ ~ v ~ ~ ~. ::T ~ ~'~,.~ ~-. ~ ~: .......... No...~/.~...~ate/ ................. ~~ ~.~ ~// , / ~A:'k~'~xze~ map .... ~ZW(Mz~'.Lot.~$Y/.[/.~ .......... ~. , ~ .- _ /_- ~ ~ ~ ~ ,,, Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Fi2al Certicate..7 ........ ~,,,.,.,,,e,: , ..... &5.: ................ ,' ~ ~ ' ~ . ,. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 765-1802 2. 3. 4. 5. APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted t~ the building inspector with the following: for new building or new use: Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topographic features. ' Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo%m). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 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" 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-existin~ Buildin~ - $100.00 5 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 ~% 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / :fi,H: Date '-/ New Construction ...... Old Or Pre-existing Buildin .... ~-~' Location of Property ......... House No. Street Hamlet : :? ..... .......... · · -- ......... ~ .r ~:~ed Map .... ~:'.Y~ .Lot .~J. (~.~ .......... Health Dept. Approval ....................... · · · Underwriters Approval ..................... . Planning Board Approval ...................... .. Request for: Temporary Certificate ........... Final Curticate..l~ ...... Fee Submi~ ~ed; $. · THE NEW YORK BOARD OF FIRE UNDERWRITERS 1,01 ~)88 BUREAU OF ELECTRICITY ~-~ 35 JOHN STREET. NEW YORK. NEW YO~K 10038 O,*e ~K)VEHBER 14 , ~.9~4 ~ppllcatlon ~o. o, ft~ e661139~;9~ N 33~352 THIS CERTIFIES THAT o~y the electric~ ~uipment ~ ~scribed be~w a~ int~eed by t~ ~pplicant ~d on ~he a~ve appl~cation ~ber i~ t~ prem~s of ~RY B~{GL~VI~ 2~65 CRO~ ~D in the foHowin~ locatio,' ~ ~ B,*,ment 9~ a,d fou~ ~ be in comptiance ~ith the Na~onat Ele~c,l Code. ~ examined on ~]~E~ O~ t ~ 9~ '1 Ist FI. ~ 2nd FI. 0~' Section BI~k Lot FIXTURE ~ FIXTURES RANGES C~KING DECKS OVENS DISH WASHERS EXHAUST FAN~ ~T K, W OIL fl. P GAS H, P. ~T. NO, A. W O AMT ~. ~T. ~es. TRANS. ~T H' P NO. OF ~E~ AML WATIS $ERVI~ DI~ONNECT ~. OF S E R V I C E SWI~tlNG POOL~rl SPECI~, R~CEPT.AMP. 2~-1 DEFECTS REMO~D LETTER OF G.F~C.I:-i 81 A SO[~ AVE~ RIV~RH~]~, , ~, 119~1 GENIAL ~AGER 11 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~UILDING DEPARTMENT, THIS COPY OF CERTIFICATE MU~T NOT BE A~LTERED N ANY MANNER r "M3,.EV,,gO, THE NEW YORK BOARD OF FIRE UNDERWRITERS ELECTRICAL DEPARTMENT A.J. REED, GENERAL MANAGER RESPOND TO: EZ] 85 John Street I I I 41State Street I I 570 Delaware Avenue I [j 217 Lake Avenue [ I I 202 ArteriaI Road NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 14608 SYRACUSE, NY 13206 (212) 227-3700 (518) 463-2122 (716) 884-1155 (716) 254-0141 (315) 463-8552 THIS IS A REPORT OF (SEE BOX CHECKED HEREUNDER) A, [] NON-INSPECTION JOB LOCATION: ~/---/~ ~.~ /'~ C~ C,~,.; ~.~ APPLICATION NO.: ::-~ :'L ;,~ "-- [~':/ El. [] INSPECTION C. [] ELECTRICAL SURVEY PERMIT NO.: OWNER/ TENANT ADDRESS A.NON-INSPECTION: We have received your application for an inspection of the electrical installation made by you at the premises named herein but we have been unable to make the inspection for the following reason: [] Floor location and name of tenant not furnished ,I Premises locked, no entry possible. [] Floor iccation of building not furnished [] Other Inspector's Signature Date Please provide the necessary information or suggest arrangements for our access t'o the aremises on the green form attached and return it to this office. .Ap_~plicant's Signature , Date C. INSPECTION OR ELECTRICAL SURVEY: We have attended at the premises named herein to inspect the electrical installation and regret that we can not fssue a certificate of compliance for the reason(s) listed hereunder; [],Concealed work not exposed sufficiently for inspection. [] Installation not completed sufficiently for inspection. [] Additional 'electrical work found for which no appHcauon .f~gr,. inspection has been received. [~,',E ectrical inctallatioh does not comply with Nafiona Electrical Code for reasons listed hereunden (see reverse side for explanatio.n of coding) , KEY~TO ~'ORM: Code number 'pr nted Under BLACK column, listed below CoWrbl~ed with ~eUe number p¢lnted under,RE~O coldmn IIs'~:l below n~Jlq.;~te~ cpnd ~t on, EXAMPLE:~C~',RE'D ~ Service Conductor ffot of proper capacity. ', ' ' ' '~' ~ , , ,, , , 76, ,?kS , ,,, , , ,., , ~ , , , , BLACK RED FLOOR BLACK RED FLOOR BLACK RED FLOOR BLACK , RED~ FLOOR ' ' r : : Date l ~ [- ' I.nsPecto? ~ S!gn~tu · .u ~ NOTICE :TO ~,PPLICANT; ~)lease sig~, date and return g~een copy of this . form to request re-inspection when modifications have been made. APPLICANT'S SIGNATURE DATE NOTE: IF THIS IS A REPORT OF ELECTRICAL SURVEY, A NEW APPLICATION MUST BE MADE FOR RE-INSPECTION. BUILDING DEPT. FIELD INSIIECTION FOUNDA~TION (~st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL AD] AL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 7, 1994 Mr. Harry Baglivi Box 153 Crown Land Lane Cutchogue, NY 11935 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) No Underwriters Certificate on file. xx The check is hot 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 # 15141-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 7, 1994 Mr. Harry Baglivi Box 153 Crown Land Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is xx not on file. (Enclosed) No Underwriters Certificate on file. 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 # 15141-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765.1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~INAL DATE INSPECTOR~7~/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~]'I~L INSPECTOR r i"', AONVan000 JO 31VDI311B30 1ROHIIM lflJMVlNn $1 BO AONV~RODO I, i~. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved ...~[/..~ i i., 19~..~. Permit No../.~./.~./...~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 ~ 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 O~dinance 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, bF;dding code, housing code, aj~f~ulations,~nd to admit authorized inspectors on premises and in building for necessa~/i~p_gctions. /7 ~ (Signature of a~/fiame, if a. forjforation) fvc r ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ele(etrician, plu~hber or b~lder. Name of owner of premises ~'~.~ (as on the tax roll or latest deed) If applicant is a 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 ...................... 1. Location of land on which proposed work will be done .................................................. House .................................. Number Street , Hamlet County Tax Map No. 1000 Section ~ 0 ') .- ................ Block .................. Lot ................... Subdivision..~...~.~. ~M~ ........ Filed Map No. .~ ~.~ .... Lot.../.¢ ........ (Name) 2. State existing use and occupancy of premiss and intended use and occupancy of proposed construction: a. 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