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Home My WebLink About25838-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umANCY No Z-27169 Date JUNE 30, 2000 THIS CERTIFIES that the building Location of Propert~ 930 JASMINE LANE House No. County Tax Map No. 1000 Section 69 Subdivision ACCESSORY SOu'ruOLD, N.Y. Street Hamlet Block 3 Lot 24.15 Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15~ 1999 pursuant to which Building Permit No. 25838-Z dated JUNE 30, 1999 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIKD FOE. The certificate is issued to {owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JO~N J. & GRACE E.M. SW~ENEY N/A PENDING - JUNE 26, 2000 N/A Bu~l lding 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. 25838 Z Date JUNE 30 99 Permission is hereby granted to: JOHN J SWEENEY 930 JASMINE LANE SOUTHOLD~NY 11971 for : CONSTRUCT AN ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. ~ at premises located at 930 County Tax Map No. 473889 Section 069 pursuant to application dated JUNE Building Inspector. JASMINE LA SOUTHOLD Block 0003 Lot No. 024.015 15 99 and approved by the Fee $ 50.00 Authori e~ Signature ORIGINAL Rev. 2/19/98 JUN ~ $ ~LD~. DEPT. ,..__..TOW~',~ OF SCUTHOLD TOWN OF SOUTHOLD BUILDING D EPARTM~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICA?E 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: i. 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 building: 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 (pr~or to April 9, 1957) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buiiding 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, Sw~r~ming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $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 $15.00 Date ...~....%~...'~r%~.. ........................~o:~ .J C.)~ New Construction ........ ..~. Old Or ~existing BuildingP~)O Cx*~ ~ ~C~-~-~ ...... """ ......... 1~ Looation of Property ..... ..... ................. House No. Street Hamlet County Tax Map No iOOO, Section .............. Block ................ Lot ..................... · Subdivision ............................... Filed Map ........... Lot ................... ,e it .o. .... ,ate of Permit ................ ...... .... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate Fee Submitted: $ .......................... APPLICANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~]~AL [ ] FIREPLACE & CHIMNEY REM~ ~ DATE INSPECTOR "~$ULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORIt Ii0. 1 TORSI OF SOIITHOLI). BUILDING DEPART~EI~T TOI~I SOUTItOLD, N.Y. 11971 TEl.: 765-1802 BOAI~ OF m~A~.TH ........... ;. 3 S~TS OF lq2~lS ......... ' ..... SEPTIC FOI~I ................ ~OTIFY: CALL ........ t4AIL TO: ............... . I. Locatiou of land c~ shich proposed ~ork m,-ill ~ ~ ......................................................... ............. .~.&~. ........ ~.~.~....~ ......... ~~.~e.~ ................ ~ ~r S~t ~et ~s~ ...................................... ~1~ ~ ~ ............... ~t .... a. ~at~ ~ ~ ~ ............................................................................. b. ~r~ ~ ~ ~ ........... ~ ..... ~ .................................. ~pair ............ Removal.. ......... o~ ............ Other Work ....................... c~ . (I)escriptiun) Esti~ed C~st ..... } ...... fee .............................................. (to be paid o~ filtng this appltcatioo) If d~elling, roat~r of d~lllng umlts ............ Ntm~ber of d~elltng units un each floor ................ If ga~,e, ~r of ~ ...................................... If ~sir~a, · ...... alal or mi~e~] ¢~:c~lpm~cy, ~l~tfy ~ ~ extent of ea ~ of ~ ...................... Dimensioos of existing structures, if any: ~t ................ Rear ............... Depth ................. Beight ......................... Ntm{)er of Stories ...................... Dtmenstoos of ~ structtme with alteratioos or additior~: Froot ............... l~ar ............... Depth .................... Beight .................... ~ of Stories ............... Dimensions of entire new c0ostrtmttom Fro~t ................ Rest ............... Depth .............. Height ......................... I~,-he.r of Stories ..................... Size of lot; Fret ......... · ......... Rear .................... Depth .................... ,,, ,- ...... ..................... ,.. Zone or use d~strict m ~aich p~,tses are situated ...................................... ~?. Does la'oposed coostructioo violate any z~ing lin*, ordinance or regulation: ....... Will lot be ~ ..... ..~.~.. ......... wiu ~ tm ~ ~ t,~. ~-,~ ~, ~s ~ " Rme of Architect ..................................... Nidress .............................. Phone Wo .............. ~ of Contractor ............................... ..... Address ............................... Bxme Ro .............. Is ~his ~,-opert-y ~rlthin 300 feet of a ~tdal ~etlend? * ~I~ .......... 1~0 .......... PLOT DIAGEAH I~cate clearl~ and distinctly all b~ildln~s, ~bether exis~i~ or p~'~ed, ~xl indicate all se~=beck di~nsio~s crn p,~er~ lines. Gi~e at-ree~ and block ~,,~-r or descrtptioa nccot~tn~ to deed~ and sho~ s~-et t~res and indicate ether interior or corner lot. OCCUPANCY OR APP~OV, EDAS NOTED · -USE IS UNLAWFUL ITHOUT CERTIFICATE '" N~IFY BUILDING D~A~NT AT FOLLOWING INSPECTIONS; I FOUNDATION - ~0 REOU~ED ~R ~UREO CON~ ~, INSU~ON 4. FINAL - CONB~U~ON MU~ BE COMP~E F~ ~0. ALL CONSTRUCTION ~ ME~ ame of individual signing cootract) -- ~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION F.J~.ORS duly sworn, deposes and says that ~e is the apphcant is o,~ ........... .0...'~....~..~..t'2'. ....................................................................... (Contractor, agent, corporate officer, etc.) ' said mr or owners, and is duly authorized to perform or have performed tlm said ~rk and to i end file this {}licati0~; that all stat~rents contained in this applicetiea are tree to the best of his knowledge and bdliefl end at the wrk will be performed in tlm manner set fx~rth in the application filed therewith. ~rn to before m~ this ..... . ELIZABETH A STATHI$ z ture of Izc~t) NOTARY PU BUC, Sta~e of New Yo~, ~; ~ ,-, '~'" Term Expires Juna B, 20_~L~- ..._~_..~r--,.C~r. L. ' ~ ~-- ~ I-q o. O0 ' %°0. The locations of wells end cesspools shown hereon ore from field observol/ons ond or fron? dat= obloined Iron? others. AREA = 32,055 sq. ft. SURf LO · A T TOWN OF SUFFOLK.( 1000 - 70 Scale: Mar. Aug, 17, Nov. SUFFOLK CO[Jl'tTY DEPARTMEHTC.~j SINGLE X,D. Eof. No,~ The sewage ~isposa~ and W~8~ in ~mpii~nce.~ the~ DArE