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Home My WebLink About14281-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z1777t Date FEB. 17r 1989 THIS CERTIFIES that the building. Location of Propert~ 45125 MAIN ROAD House No. County Tax Map No. 1000 Section 75 Subdivision INGROUND POOL AND FENCE SOUTHOLD Street Hamlet Block 02 Lot 3.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 29~ 1985 pursuant to which Building Permit No. 14281Z dated SEPT. 16~ 1985 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 POOL AND FENCE. The certificate is issued to DANIEL AND LISA JEROME (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N772851 OCT. PLUMBERS CERTIFICATION DATED N/A 3r 1986 Building Inspector Rev. 1/81 lrOl~~s~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby grante~: ~ . ....~ ................... ..a.........%.. ~...~ ........... ~..~'E.!.~..:.. ...... .~.....~.......~..d..;. ...................... .~.....~.~.....~.:~.:....u...~..~...,....~... , ,o .~........~....~.¥~~...F.~..~...~.~.....~......~~ ot premises located at ............................................................................................................................ County Tax Map No, 1000 Se~ .................. Block ....... .(~ ........... Lot No .................... pursuant to oppllcation ck3ted~..LLcg...~......*~.....~.' ' ............... , 19..~.~..' ,-~' end approved by the Building inspector. ....... Building Inspector Rev. 6/30/80 - . DEPT. TOWN QF SOUTHOL_ TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197l APPLICATION FOR CERTIFICATE OF OCCUPANCY NEH CONSTRUCTION . . LD OR PRE-EXISTING BUILDING ...... VACANT Location of Property..~S.~.~.~ ...................... .~..~.:~.~..~' ~ ............. HOUSE NO. STREET BAHLET Owner or Owners of Property. Subdivision ....................... Piled Hap ........ Lot .......... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: rev. 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY E5 JOHN STREET, NEW YORK, NEW YORK 10038 ~ O~tober 3, 1986 426844/86 ..,~ .,,.,~.,,o.N..o.s,,e N 772851 THIS CERTIFIES THAT Daniel C. Jerome, 45125 ~in ~ 2nd Ft. C~At~J~e Secgi¢,n Block Lot and found to be in compl ante with the reqt~ire~tertts ~( this/}oord. RANGES DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS RE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R , V I C E A W, G ~, OF NEUTRALS OF HI-LEG I OTHE A~P~ TU: % ~.¥.~.:~. NO, CT CC COND A, WG. J NO, OF HI,LEG OF CC, COND, This certificate covers compliance at ~he date of inspection only. ~e~ause of unusual environments it is advisable to have freq~en~ test and/or repairs mede by a qualified persoB. Daniel C. Jerome 45125 Main Road Southold, N.~11971 //~ENERAL MANAGER This certificate must notbe oltered in any monnerl return to the office of the Boar~i( J~correct, Inspectors may be identified by their credentJoJs. .~ ~ FOR B ILDING DEPARTMENT. THIS ~OPY OF CERT F ~A~E MUS~ NO~ BE ALTERED N ANY ~NNER TOWN OF SOUTHOLD OFF'ICI.; OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOU I'IIOLi), N.Y. 11971 q TEL. 765.1807. To Whom This May Concern, We are unable to complete your Certificate of Occ~,pzncy because .of the following reasons. / /~ An application, for Ce-~.tif~cate= "of Occupancy is not on file. ~'~ '/~/~,;o Underwriters Certificate on file. '/_t~-Z'l'he check is (~not on file. ),~, /~/ No Health Dept. Approval on file. /~/ Ho final inspection has been made. P]anse contact: our office on this matter. Thank you for your cooperation~" Buildinq Permit t~__[ ~ ,~, 'q .~. --L_ Z Dui ldin~[ [)opt. '}**/~/ Ho Plumber Solder Certificate on file. ( all permits invo!vinq plumbing bein~ issued after April 1,19~4 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION DATE, ~'iELD INSI?CTION :'OUNDATION (1st) COMMENTS ~'OUNDATION (2nd) OUGH FRAME & PLUMBING .NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1803 ixamined .%~. !.~.., 19~.~.( kpprovea..~. ~..~... !.~., 197f. Permit No..[.~.~..~. !..~. )isapproved a/c ..................................... (Building Inspector) APPLICATIQ,N~=OR BUILDING PERMIT · / ,g~f)~ Date .(,~4~...f~.~ ........ 19 .F..~-- a. T~s application must be comple~ll~ ~~ ink and submitted to the Building Inspector, with3 ~ts of plans, accurate plot plan to scale. Fee~pf~ s~p. b. Plot plan showing location of lot an~~~?~tionship to adjoining premises or pubh~ stree~ r ~eas, and given a detMled description of l~~~rawn on the diagram which is pa~ of th~s apph- ation, c. The work covered by t~s application may ng~~~ issuance of Bulldog Permit. . d. ~pon approval of this appliCation, the B~ildia~t'~ a B~ild~g Pe~it to the applicant. Such pe~it ~ be kept on the premises available for ~spectioa thr6~t e. ~o bulldog shall be occupied or usea in whole or · p~t ~urpose whatever until ~ Ce~ificate of Occup~cy aall have been granted by the Building Inspector.. APPLICATIO~ IS HEREBY MADE to the Bwlding Dep~tment for the issuance of a B~lding Pe~it pursuant to the ;~lding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d ~tker applicable Laws, Ord~ces or ~egulations, for the const~ction of bulldogs, additions or alterations, or for removal o~ aemoli~on as here~ ~esc~bed. ?he applicant agrees to compl~ with aH appliCable laws, o;~inanCes, bn~a~g ¢o~, homi~ code, an~ ~egnhtio~, and to dmit antho~zed inspectors on premises and ~ b~ld~g for necessa~ i~ection~ ~ e&X ~ ~~ ...~~...~ ...... ~.' ..... : ........ ~ ~ _ _ ~ ~ ~ ,r~.(Signature of a~nt, or na~, if a corporation) · ~ -~6~' ~ -~~x .]. ~w~ ~..~ .~... ~¢~.~ .... ~~ (Mailing address of applicant) (Name and title of corporate officer) Builder's License No ....... ~./.. ~ Plumber's ~icense No ........ . * ..... Electrician s,License No... ~x~ ............ Other Trade s License No... ~'.2 ................ grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Same of owner of premises ..... .-?6?. I.~..LT...~..¢~.. · .°~T~. · · ...................~'D~t~T~iD 'P~' [~OT[1D ....... · (as on the tax roll or latest ~ ~fapplicant is acorporation, signature of duly authorized officer. D,TE: ~.. ............................................. '- c ~:,',t~ m',~' ~' "~kRTMENT AT ~.3TL Y ........ 2 ROUGH y:,;~AM~NG' a PLUM~}~,~G 3. INS~LAT~O~ 4. FINAL CO;q~TRUCT~ON ~'~ COMPLETE FO~ C.O. ALL COF~STRUCTiON GHALL MEET THE REQU~:~?'~T~ O~; TH~ N,Y . Location of land on which proposed work will be done ................. ST~ZF.E C~.N~, (';~L~f:::'$~N.~.~N~B~ ..... House Number Street Hamlet cou.t~ T~ n~v No. ~000 s~io...~ ........... ~o~k ... ~ ............ ~ot.. ~.t.( :.' ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) S~ate existing use and occupancy o~ premises and intended use and occupancy of proposed construction: ,. ~i~ n~ ~.a o~on~o~ .... O.~.gf. ~'...~.~,...; ................................... b. Intended use and occupancy ..... ~ ........ ,~,;,.-.~ga,~ ~aa;;.~.,~ :~ :.. .................................. Locate clearly and distinctly all buildings, 3. Nature of work (check which applicable): New Building .......... 'Addition .......... Alterati~r~... -~ ....... Repair ,. .. Removal . Demolition ...... Otl~e, Work .. ~,l' L' ~, ,Il~,i , , ' ' tX,L' u~ ~. ~ ~'/~_,~ i (Description) 4. Estimated Cost .~..-,,/-~.¥ .... i .......................... Fee ...................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... i. · .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmctures, ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... !... Height ...................... Number of Stories ......... : ......... .... "8. Dimehsions of entire new cons[ruction: Front ............... Rear ............... Depth ............... ......... ...... of Storie- ....... ........................ :f.. ............. 9. Size of lot: Front4.{h~/.~... ............ Rear ...... ' ............... Deptl~ at ~ ................. 10. Datd of Purchase .... .~....2.~ .... t%.~...L~.... Name of Former Owner ...~ ]-f-J[~¢.~. ................ 11. Zone' or use district in which premises are situated ..................................................... 12. Does propos, e.d constructioI~ violate any zoning law, ordinance or regulation: .................................. ,~_ 13. W~ll lot be regraded ...'~....,,. ......... ., ..... ,,,:~e~gffi-excess fill be removed from premises: ^. 6 Yes 14. Name of Owner of premises . ~..~. 6'.'~.. [ ..a', C.,~r......~..~,~d~res~. . ................ . .. Phone No. 'J.'~... !~..'~.'.I. ~ .~. Name of Architect ......... · · t.~ .............. AddressL.; ................ Phone No ................ Name of Contractor .. ~:x.,-(/~.~. [.~. ....... : .... Address .... ' ....... Phone No. ,: property interior or comer lot. and, indicate all set-back dimensions from and show street names and indicate'whether STATE OF NEW,YORg, cou ¥ OF S.S ~./~ ~ 1 (=~ ~. (' '--~--~--f,O fi) ~-' being duly sworn, deposes,and says that he is the applicant (Name of individual signing contract) above named. He is the .................................................. . ......................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is doly authorized to perform or have performed the said iwork 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