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Home My WebLink About25683-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAi~CY No: Z-27736 Date: 06/07/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 2975 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 12 Lot 11 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1999 pursuant to which Building Permit No. 25683-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 EUGENE & SHELLY D CHITUK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF=n_LTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 489727 05/26/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall $outhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25683 Z Date APRIL 20~ 1999 Permission is hereby granted to: EUGENE & SHELLY D CHITUK PEQUASH AVE CUTCHOGUE~NY 11935 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 2975 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0012 Lot No. 011 pursuant to application dated MARCH 31 1999 and approved by the Building Inspector. Fee $ 150.00 Auth~zfzed Sig~ture Rev. 2/19/98 ORIGINAL Form NJ. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 1% lead. 5. Con~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. B. CFor existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-existing" land uses: .I, 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.S25.00. Businesses $50.00. 2. Certificate of Occupancy 9~ Pre-existing Buildin~ - $100.00 3. Copy of Certificate of OcCUpancy - ~ .~ 4. Updated Certificate of Ocdupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......... ~/.<~./XP Z ..................... New Construction ........... Old Or Pre-existing Building ................. ~oo/~ ~c~L Location of Property ..... ~,,fZ,,~. ............ ,~,,~-~?,,~,/? ......................... House No, Street Hamlet Onwer or Owners of Property...~.~:;.~.~..~'....~.~..0..~ ........................................ County Tax Map No 1000, Section.../~.~ ..... Blo~ /~ /~ Subdivision Filed Map . Lot .................... Permit No.~.~. ~ .. ~, .Date Of Permit...Y/~.~ ~.f..Applicant. ~.~7~y%3~....~/~.~ ~J~ .... Health Dept. Approval .......................... Underwriters Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate,,~, ...... Submitted: $ ~.f3~..~ W ....................... . ......................... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1185077 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 Date HAY 26,1999 Application No. on file 18272299/99 N 489727 THIS CERTIFIES THAT otHy the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of GENE CHITUK, 2975 PEQUASH AVE., CUTCHOGUE, NY in the following location; [] Basement [] 1st Fl. [] 2nd FL OUT Section Block was examined on I~IAY 2.1 t 1999 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE F~ECEPTACLEE OUTLETS FLUORESCENT OTHER 1 DRYERS SYSTEMS NO. OF FEET S E R V I C NO. OF CC COND. A, W, G, NO. OF HI-LEG A, W, G. NO OF NEUTRALS A W G. PER ffi OF CC. COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: SWI}~ING POOL-1 GFCI-1 *(SWI~{ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to ~rave frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner; return fo the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAc ,2 1 1.P~5{}77 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY 10038 Date ['~Y 26,1999 Application No. on file 18272299/99 3] 489727 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is itt the premises of GENE CHITUK, 2975 PEQUASH AVE., CUTCHOGUE, in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section was examined on 14.AY 21,1.999 and found to be in compliance with the National Electrical Code. Lot FIXTURE RECEPTACLEE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUOReSCeNT OTHER DRYERS FU FEEDERS SPECIALRED'PT, TiME CLOCKS JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: ag CC. COND, NO, OF HI-LEG NO. OF NEUIRALS OF NEUTRAL GENERAL MANAGER PerJ'1 ~t~, This cerllficate must not be altered in any manner; return to the office of the Boctrd if Incoffect, Inspectors may be identified by their credentials. ROSLAK ELECTRIC P.O.BOX CUTCHOGW~, NY, 11935-2453 COPY FOR E~UILDING DEPARTMENT. THiS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION, 2ND [ ] FRAMING ].~ATION FINAL [ ] FIREPLACE & CHIMNEY jDATE /~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ROUGH PLBG. FIN~~_~ REMARKS: ~DATE INSPECTOR ~ATION (IST) ,U~'It FP, AI~ & PLUI~ING ISULATION PER N. Y. STA'I'gENERg'I CODE # TOWN OF $OUTHOLD FORH HO. { TOWN OF $OUTliOLD TOWH HALL SOUTIIOLD, N.Y. l}9?l TEL~ 765-{802 l)l ~a[q)roved s/c .................................. (lkllldtng In,iec~r ) BOARD OF HEALTH ............... 3 SETS OF PLANS ............... CHECK ......................... SEPTIC FORH ................... NOTIFYs HALT, TO: .................... APPLICATION FOR ISUILI)ING INSTRUCTIONS a. 'Ibis applicnCioo most be conpletely filled in by ~yp~¢ri:er or in i~ ard md~itt~ ~o tim ~dlding {ns~ctor ~{ 3 ~ts sE pl~, acetate ploC plan :o ~ale. F~ acco~i~ to b. Plo: pl~ ~i~ l~ti~ si 1o~ ~ o~ ~ildi~s ~ ~mi~a, mlati~dp to ~joint~ prmi~ or F,blic ,tr~:a or areas, ~ 8ivt~ a ~tail~ ~:rlpt{o~ sE la~C sE pro~r:y U~is c. 'H~e ~ ~r~ I~ ~is s~lica~i~ ~y {~ be c~ ~fore issue o~ ~tldt~ Pe~it. d. U~ a~sl of ~is a~li~tion, tl~ I~ild[~ lns~ctor ~ili is~ s ~lldi~ ~mit to Om spplic~t. ~h ~mit Mmll k ~p~ ~ tim ~s ~aJl~]e for ins~ti~ ti~C tim ~rk. e. ~ ~i~di~ dmll ~ ~pi~l or ~ in d~le or I~ildlng ~ ~d[~ of t~ ~ of ~ltl~ld, ~ffolk ~n~, ~ Yo~, ~ otler a~tt~le I~a, ~db~es or ~lati~a, for t~ ~st~tt~ of h~ildt~, ~it~s or alterat~, or for ~al or ~litt~, as ~reln (~rtl~. ~m applier ~a to ~ly wi~ all a~licable r~tati~a,~m~ Lo ~it ~ri~ in--tots ~ ~i~s a~ in ~itdl~ Esr ~s~ inertias. .... ~. Y~.. ~>... ~ ............ (9t&~ture Sta~e ~mOer a~lic~t ts ~mr, {es~, ~ent, archlt~t, engi~r,' general c~tr~tor, el~trtcian, plier or ...................... ~..~~.. ~. ~~ ~4~ .................................................. ......... Plumbers Licer~e Rs ......................... Electricians ! icenee No.... ... OCl~r Trede'a License No ..................... location of lard on ~id{ propu~ed laork viii be do~ .............................................................. ~ ~'~<-- '~4/,~J~ .~- ~ ~~ ~ ......... . I~ ~r 9t~t i~et ~ivlsi~ ~ .~ ................. ~{]~ ~P ~ .......... ' ..... ]~t ......... (~) a. ~i~ ,~ ~ ~ --~.--~ .. ~"~'~ .................................. I0. 12. 13. 14. i5. fro. property lines. Glean etreeE end block xl~atl~ar interior or corner I'kltura (d work (ct~:k (Lo ~ imid (xl filth8 this al~ttcatl~) &~l I h~, ~x,~imr o~ ~llh~ units ............ tk,zl~r o~ (~11 lng traits ~ ea~ ~r I~mh~aa, ~m~cial or m[~l ~ qmS, a~cl~ ~t;ura a~ axten~ of ead~ ty~ of u~ ........... ~ .......... I)t.enal~m ot ~m stn~re with a,it~rstl(ms or aHltiona: ~r~t ............... ~ar ............... I~l)tlt ................. ~.. lhi~t .~ ................... ~J~tmr o~ 8cortes ............... I)i.ensiam of entire ~ ~atr~tl~: l~t ................ I~ar ...... ~pth I~lg~t ..~ ...................... a;,lar oe Stories .............. . ~m or u~ district In ~dd~ prm~a a~ ata~M ~~/~ .......................................... tide p~rt~ Witl,ln ~ ~t,o~ a th~} t~tla~? * ~ .......... ~ ~ ....... ~ Pi.OT l~a~e clearly ~ dinti~ly ~]1 ~i]di~n, ~mU~r ~in~in~ or pro~, ~ i~licnce all ~-}~ di~nsionn ~lt~r or (hncript{~ aecordin8 to t~. a~ ~ str~C ~ma a~{ {fflicnce ,tk,~)ro LO Iai'ore ,~ Lhl8 HELENE V. HORNE Nota~ Public, State of N~Y~ NO. 4951364 _ Qualified tn Suffo k[~unN ~ommi~ion E~ree May 2~ ^ppi it:nat) '~~ ..... ~/E~ .................... leis8 duly ~rn, (lelx)~e a,xl ~ys that he ia the (~l~ of i~xlivi(kmt ai~Flin8 c~ltract) ) .............................................. (~Jtractor. ~eot ~ co~ x)ra~e o car, said (~r or ~rs, o~xl i8 &lty ~t'l~rl~ to I~rfon. or h~e lerPor,,~l t.he ~hl ~ck alxl [o n~ke a,xl file this thak th~ ~rk will I~ ~r~on~l tu tim .,km~r ~t forth in the application fil~ ~E ~S U~ V~THOIJT ~ U~ON CO , J ~$