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HomeMy WebLinkAbout25682-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-2663% Date: 08/18/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 225 BURGUNDY CT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 51 Block 3 SOUTHOLD (H/~VILET) Lot 3.12 subdivision Filed Map No. __Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1999 pursuant to which Building Permit No. 25682-Z dated APRIL 20, 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to PAUL M & MAUREEN CLANCY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 28271 06/02/99 N/A Building Insp~or 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. 25682 Z Date APRIL 20~ 1999 Permission is hereby granted to: PAUL M & MAUREEN CLANCY PO BOX 540 SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 225 BURGUNDY CT County Tax Map No. 473889 Section 051 Block pursuant to application dated MARCH 22 1999 SOUTHOLD 0003 Lot No. 003.012 and approved by the Building Inspector. Fee $ 150.00 Rev. 2/19/98 ORIGINAL mo TOW~N HALL ~i~ a~'Iiea'~ffamns~j~ friZZed in by t~e~ite~ O~ ink and sub~izzed to the bulZdir ts~eZo~ ~%~h t~oZ[ o~ing: ffo~ ne~ building o~ new use: 1., i ~~ 0 ~ .pr,,perty with accurate location of all buildings, property lines ~0~ 1 natural or topographic features. 2. Final A~roval from' Health Dept. of water supply and sewerage-disposal(S-9 fo~) 3. Approval of electrical ~stallation from Board of Fire Unde~iters. 4. Sworn statement from plumber certify~g that the solder used in syst~ contains less than 2/10 of 1% lead. 5. Co~ercial building, ~dustrlal building, multiple residences and s~ilar build~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Plann~g Board Approv~ of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings '~pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and ~ unusual natura~ or topographic features. "' 2. A properly completed application and a consent to insBect signed by the applicat , If a Certificate ~f 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~ming pool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - , .~5~ 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 ................. ~ ' ~-.X~ r~/~,~/ ..~..~.¥.A..~.. ....... Location of rroperty ........................ / ......................... House No. Street Hamlet ......... . ........... County Tax Map No 1000, Section-.--~.-~7-~- .Block. OOO--~ . . ~O~, Subdivision .................................... Filed Map ............ Lot Permit No~,~.~.~.~...Pate Of Permit ............... ?~...2~../%.~. Applicant.~f ................... Health Dept. Approval........ ...... . . ---------- Underwriters Approva ...... Planning Board Approval Request for: Temporary Certificate ........... Fieal Certicate Fee S~bmitted: $-.,!.~,-*-.-~-- ......... --" ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK l1772 : (516) 286-6642 DATE.. 6/2/99 28271 APPLICA 270N No. ON FILE VILLAOE: Southold TOwI~: Southbld 225 Burgandv Court ISSUED TO: Paul Clancy mTaODUC-EO'B~--Detnne~Etectric~Ine~ ~ ~ ~- L--- 2z__, LaZ:qo.: .. _4354.E z ~_'~ _~ 5.. : LOCATION: Base.· XXX ~ ~ Der. Garage 6/2/99 and found to be tn comphance wah the NaaonaI Electrical Code ist 2nd 3rd '. Attfa SWITCHES2 RECEPTACLES2 FIXTURES. I HEATERS ·F/Jvs' 1 ] G.~L A JR, COND. DISHWASHER DRYER CLOTHESWAEH. GAR. DISP. ' RANGE OVEN EMOKEDETECTOR FURNACE OIL GAS - CIR. MOTORS BELL TRYuV. SERVICE DISCONNECT OTHER EQUIPMENT Pool, Outside Residential 1 - 20Amp Time Clock 1 - 20Amp. Special PO0' . BUILDING PERMIT No. BLUE ORIO1NAL YELLOW COPY PINK COPY OFFICE ELD INSPECTION R~PORT DATE C(~t~ENTS 'UNDATION (IST) ,DNDATION (2ND) )UGB FP, A14E & PLUI~IN6 ]1 ,SULATION PER N.Y. ~ ~ ' STATE ENERGY i !i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R~GH PLBG. [[ i ~ORAUMNIDNA~ION 2ND [ ]~FiNSAU~.ATION [ ] FI REPLAC~--~CH I MNEY /.. PIPING ARRANGEMENT' SECTION.,. A-A , OPTIONAL STEP TYPE I. P LAN TYPICAL WALL P.~ND¥ T- ~ODEC~ER, FORH NO. ! TOI4N OF SODTROLD BUILDING DKPARTHENT TO~INALL SOUTItOLD, N.Y. 11971 TEL: 765-1802 Di m~oved alt c~c~ att: 10~5.~ · SKPTIC FORN .NOTIFY: HAIL TO: .................. ...~.~.~...~.~..w~A ...... Date ............. ~ 19 .... INSTRUCTIONS a. 'Ibis application must be eaupletely filled in by typewriter or in ink and stOamitted to the I~ilding Inspector ~i 3,scts of plums, accurate plot plm~ to scale. Fee according to schedule. b. Plot -plm~ ~l~rin~ location of lot and of buildings ee pranisee, relatiormhip to adjoining pr~misee or public streets or areas, and giving a detailed description of layout of property u~t be drmm on the diagrm vhich is part of "this application. c. The ~ork covet~l by this application my nor be ccmmnced before issuance of Building Pemit. d. ~ approval of this al~lication, the Building Inspector ~ill issue a Building Permit to the applicant. Such pemit shall be kept on the premises available for inapectio~ throughont the ~ork. e. No building almll be occupied or tused in dmle or in part for any purpose daatever tmtil a Certificate of Occupaacy ~lmll have been granted by the Bttilding Inspector. APPLICATICel IS ~¥ ~ to the 1}eliding llepartmeut for the issuance of a l~ildlug Permit l~trmmnt to the lluilding Zone Ordinance of the To~ of Sonthold, Suffolk County, Ne~ York, and other applicable La~s, Ordinances or Regulations, for the co~stnmtion of buildinga, additions or alterations, or for removal or demolition, a~ herein described. ~ applicant agrees to cc~ly ~rlth all applicable la~s, ordimes, building code, housing code, an~ regulatiorm ' and t° admlt anth°rizecl ir~ect°rs ~ lYr~mi~$ aed in bui for eeces~sar~ i ti=. (ltailing ~ess of ~{icanO ] 1~'7 g State v~aether applicant is mr, les~, agent, architect, eugiueer,' geeeral ~t~tor, el~trici~, pl~r or ~il&~ 0 ~ .......... (~ ~ ~ t~ mi1 ~ latest ~/ , If ~li~t is a ~rat~, siam of ~ly ~t~ri~ officer. (Nam and title of corporate officer) ~l~trici~ Ei~ ~r ~'s M~ ~ ............. I. ~tim of 1~ ~ ~i~ ~ ~ ~11 ~ ~ .............................................................. .... ........ .................................. ~ ~r J / S~t ~et ~,=~. ,= ~i~ ...... .~1 ..... ~ .... ~ ......... ~ .:e,.(.~ ..... ~iviui~ ...................................... ~il~ ~ ~ ................ lot (~) ,. _ ... . ...... 3. lt~t,re of ~ork (check ~t~iciJ appllcable)~ Ne~ . ~klition ....... Alteratio~ ........ ~rtp~i~) 6. If ~i~ss, ~rcial or ~ .... :.f ~. ~p }~i~ ......................... ~r of S~ories ..................... ~i ' oi~i~ ~[ ~ s~e ~th erati~s or :l~s: ~t ............... ~ar ............... ~pth .................... ~i~ ~ .................... ~r of Stories ............... I0. ~te of ~dm~ ................. ~ .... ~ of ~o~r ~r ........................................ ' ' .... _ / ~ PLOT DIAG~ l~ate clearly ~ disti~tly all ]~ildi~s, ~t~r ~isti~ or ~, ~ i~iate ail ~t~ d~nsims ~ ~r~ li~s. ~i~ st~t ~ b!~ ~r or ~sc~ipti~ ~co~i~ to ~, ~ ~ strut ~s ~ i~icate ~r interior or m~r lot. a~ ~, I~ is the ....................................................... ... ..... . . .. . . ............ . .. . (~trsctor, a~nt, er ~rate o~[ieer, et :.) ~m to ~op~ ~is "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE 'q/VATER" OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPA~CY UI~DER~RITERS C, ERTIFfCRTE REQUIRED APP~ROV[D AS NOTED OA~: ,,f/~? ..~., ~~ FEE= ,,,,/,~, ~ BY: ~ N~ ~D~G DE~NT[~T 1~-I~ f ~ ~ 4 ~OR THE 1 ~OAT~N - ~0 REGUmED · R~ - i & ~MBING ~. 4. FINAL - CONSTRUCTION MUST BE~ F~C.O. ALL CONSTRUCTION SHALL MEET ~E REQUIREMENTS OF THE NY. 8TA~ ~NS~U~ION & ENERGY CODE~. NOT RESPONSIBLE FOR ~ OR C~R~ ERRORS