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Home My WebLink About25753-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26605 Date: 07/30/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 795 LOVE LA (HOUSE NO.} County Tax Map No. 473889 Section 141 Subdivision Filed Map NO. MATTITUCK (STREET) Block 3 Lot 27 (HAMLET) Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1999 pursuant to which Building Permit No. 25753-Z dated MAY 27, 1999 was issued, and conforms to all of the requirements of the applicable provisions of ths law. The occupancy for which this certificate is issued is INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MARGARET A ASHTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 492032 06/21/99 PLUMBERS CERTIFICATION DATED N/A Bulld~t;~ Inspector 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) PERMIT NO. 25753 Z Date MAY 27~ 1999 Permission is hereby granted to: MARGARET A ASHTON 795 LOVE LA MATTITUCK~NY 11952 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at 795 County Tax Map No. 473889 Section 141 pursuant to application dated APRIL Building Inspector. LOVE LA MATTITUCK Block 0003 Lot No. 027 20 1999 and approved by the Fee $ 150.00 Authorize~gnature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENTTowN HALL ~x~ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 i% 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" 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 dwell%ng $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,~imming pool $25.0~, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - ~ .25~, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $i5.00 Date ...................................... New Construction ........... Old Or Pre-~isting Building ................. Location of Property ..................................................... House No. Street H~et ..... gSRTOU ................................. 3 ~o~ ~ ~p ~o ZO00~ ~eet~o~ .............. ~Zo~ .............. ~o~ .................. I Health Depe. Approval .......................... Unde~r~ears Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate Fee Submitted: $..~. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.85(~77 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date JU}~ 21,1999 Applicaaon No. on fie 1E4~8399/99 ~i A92032 THIS CERTIFIES THAT only the electrical equipment ~ desc~bed below and lnt~duced by the applicant named on the above application number is in the premises of JOHN STRAUB, 795 I~3VE I3aX~E, ~[ATTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block was examined on JU~T~ lA, 19~c'9 and found to be in compliance with the Notional Electrical Code. Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS r 1 ! DRYERS DIMMERS E R V I C OTHER APPARATUS: POOL-1 "(S~4INQ POOL) This certificate covers compliance at tbs date o~ inspection only. Because of unusual environments it is advisable to have frequent test/and Dr repairs made by a qualiiied person. <<< Continued on Page 2 >>> GENERAL MANAGER Per lhis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be Idenlifled by their credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS SAG ,: 1185077 BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date Jbr~J~ 21,1999 Application No. on file 1E4OS399/99 N 492032 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ~ JOHN STRAUB, 795 LOVE L~, I~ATTITUCK, in the following loca~on; [] Basement [] 1st FL [] 2nd Fl. OUT Section Block was examined on JU~ 14 ~ 19~!9 and found to be in compliance with the .¥ational Electrical Code. Lot FIXTURE 'RECEPTACLES I SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT OTHER DRYERS DIMMERS SYSTEMS NO. OE FEET E OTHER APPARATUS: S E R V I C NO, OF NEUTRALS Per IiGENERAL MANAGER This cerlificafe must not be altered in any manner; return to fhe office of the Board if incorrecf. Inspectors may be identified by fheir credentials. R,DSLAK ELECTRIC P.O,BOX 164 CUTCHOGUE, NY, 11935-2453 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOU~IDATION 2ND [ ] FRAMING []FIREPLACE&CHIMNEY [ ] ROUGH PLBG. [ ]/~JLATION [ ~J FINAL DATE 7//~/~ / / INSPECTOR ~T~D ~SPECTION P~PORT DATE OUNDATION OIINDATION (21~D) OUG~ FP, A~E & PLUMBING .NS~ATION PER N. Y o ~ STATE EHERGY CODE I ADDITIONAL COMMENTS: FORM NO. TONg OF SOLrTEOLD BUILDING DEPARTMENT TOgN HALL SOUTHOLD, N.Y. 1197 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOP, M ................... NOTIFY: HAIL TO: .................. a. ~hls application ~atst te ca~letely filled in by type~iter or in i~ ~ ~ittM to 3 ~ts of pl~, ~a~ plot pl~ m ~le. F~ ~i~ to ~le. b. Ro~ pla ~ l~ti~ of lot ~ of ~il~ ~ ~, ~lati~ip ~o ~joi~i~ ~s or ~lic st~s or ~, ~ gi~ a &tail~ ~ri~i~ of l~t of ~ ~t ~ ~ ~ ~ di~ ~i~ is ~rt c ~is ~liati~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ mt ~ ~ ~fo~ ism o~ ~ildi~ ~. d. ~ ~ of ~is ~liati~, ~ ~ildi~ ~tor ~11 is~ a ~ildi~ Pe~t to ~t ~1 ~ ~ m ~ ~s ~il~le ~r i~ti~ ~t ~ ~. e. ~ ~ldi~ ~11 ~ ~i~ or ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtifi~te of aI~ IS ~ to ~ildi~t for ~ is~ of a~ildi~t ~t to t~ ~ldi~ ~ ~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~la~i~, for ~ ~ti~ of Mildly, ~iti~ or ~e~ci~, or for ~al or &~i~,~t~~ ~s to ~ly ~a ~ ~ti~le ~, ~s, ~ildi~ ~la~ ~i~ri~ ~~~~l~' ' ' for ~a i~ti~. = . , ~.$ .... ~ ~, ~~ ~i~. ~4 ~...~: ................. O~ ~ ~t_~t~,s~,.~ . ~.' ~ ~' ,.,,~ . . . ' ' I' ~. - ~' .................... ~~lk...~ ~lE .8&VtD..~.t ._a.., ............................................. ~a m~a~- ~.~'~' ~' ~= ~'"'""~'~'~;~k:~:': ............................................. ~'~~,. ~~... ~ ...... ;e .......... (~ ~ ti[le of ~te offi~r) 3. F~ture of ~ork (check ~ich applicable): Ne~ Building .......... Additi~_~. ttepair ............ ~1 ............. ~liti~ ............ (~ipti~) (to ~ ~id ~ fili~ this a~li~ti~) 5. If ~lli~, ~r of ~lli~ traits ............ ~r of ~lling mits ~ e~ fl~r ................ If ~r~e, ~r of ~rs ...................................... 6. If ~i~ss, ~rcial or ~ ~, ~i~ m~e ~ ~tent of e~ ~ of ~ ...................... ~ ' ...~.' ....... ~prh .~ ............. 7. Di~i~s of ~sti~ statures, if ~: ff~t...~ ......... ~ar t~i~r ...~ ................ ~r of S~riea ...~ ................ D~i~ o~ ~ st~e ~th alterati~ or ~iti~s: ~t ............... ~ar ............... ~pth .................... ~i~t .................... ~r of Stories ............... 8. Di~i~ of entire ~ mt;~ti~: ~t ................ ~ar ............... ~p~ .............. t~i~r ......................... ~r of Stories ..................... 9. Si~ of ~or: ~t ..~ .......... ~ ..~.~.~.%~ ........ ~pa, ..d~f. .......... I0. ~te of ~d~ ..................... ~ of Four ~r ........................................ I I. ~ or ~ district in ~i& k~i~s am si~tM . .~~/~ ............................................ 12. ~s ~o~ mt~ti~ violate ~ ~i~ 1~, o~i~ or ~lati~: ..~ ................ 13. ~ill lot ~ ~ ..~ ............ ~ill mss fill ~ ~ of ~dt~t .................................... ~ .............................. ~ ~ ............ 15. Is fids~~in~f~tota ti~l~tl~? *~ .......... ~ ..~ ..... PLOT DI AGRAH Locate clearly and distinctly all l~ildings, xd~eCher existing or ~, ~ i~i~ce all ~ d~nsi~s ~r~ li~s. Gi~ st~t ~d bl~ ~r or ~ripti~ ~i~ ~o ~ ~ ~ st~t ~s ~ i~i~te ~r interior or ~r lot. A~P~D ~ ~D ~W N~I~ BUILDING DE~E~ ~ INS~: USE IS UNLAWFUL a.3. ' WITHOUT CERTIFIC IE ' BE ~M~E ~R ~0. 0F OCCUPANCY co. u o. THE REQUIREMENTS OF THE N, STATE CONSTRUCTION & ENE~t ~~ CODES. NOT RESPONSIBLE ~ ~ ~~rA~E ~ ~ ~, ........... ~q ~1~ DESIGN OR CONSTRU~ION ERRO; ~,~ ..... ~~~.~ .............................................................. a~li~ti~; ~aC aH statics c~ta[~ in ~[s ~l[~ti~ a~ t~ Co ~ ~st o[ his ~l~ ~ ~[ief~ a~ ~ ~ ~iIt ~ ~r[o~ ia tim ~mmr ~ forth ia ~e a~ticati~ fil~ t~. to ~[ore ~ ~is ~ARYPUBLIC,~y~ (Si~l~ o[ A~I[~L) No. 01ST6008173, ~k ~ Te~ E~ire~ June 8, ~ ' : Lo-l- Z ,> 0 _J go~ .) Z > 0 rVJAP' '0~' /AND ..: ; ¢ ......... TOWN o1= Sou"rt-.tobO, N/N'i. , ,:, / /