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Home My WebLink About24108-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25744 Date: 05/28/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 235 HOLDEN AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 2 Lot 3 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1997 pursuant to which Building Permit No. 24108-Z dated MAY 28, 1998 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. The certificate is issued to WILLIAM P SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 17825 09/03/97 PLUMBERS CERTIFICATION DATED N/A ~1 di/g Inspector Rev. 1/81 FORM NO. s T(~VN 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) No. 2~108 Z .......... .... .............................. ~......~ .Z~..Z..~....C ...................... ~ .................................. at premises located at ............ .~.....~.~..~?~~.~..~ .... County Tox Map No. 1000 Section ......... ././...~....... Block ....... ~ ....... Lot No...,'.~.... ............. pursuant to application doted ..... ~~...~.. ............... , 19.?.Z, and approved by the Building Inspector. Fee $./~...~.....~.'....~ Rev. 6/30/80 · Form No. 6 · ,, TOWN OF SOUTHOLD . ~ ~' ~" BUILDING DEPARTMENT ¢~/ ~ b ' 't'*~t TOWN HALL '" "~ i 765-1802 ( IOP~/N 0: SOrt' ,m .~ .......... ';" ............... ~-'~?¢,~-:: ........ /~IPPLTCATZON FOR 6ERTIFICATF. OF 0CCgFANC¥ 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. FCnal 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 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) ~on-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property ~ines, 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. 2. 3. 4. Fees 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 $25.00. Businesses $50.00. Certificate of Occupancy on Pre-existing Buildins - $100.00 Copy of Certificate of Occupancy - , .25g. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property .... House No. Street Ha~et O~wer O~ers of Property ~/~/~ ~ ~ /~ ...... County T~ ~p No 1000, Section .............. Block ............... Lot ...................... Subdivision~/~~ Filed Map Lot ................. Pe~it No ~ ~.~f ~D Applica . · Of Pe~it .... .. ate ................ nt ....................... Health Dept. Approval .......................... Unde~riters Approval ......... ~.--- ......... Planning Board Approval ............. ~'~'~''Final Certtcate. Request for: Temporary Certificate. . · .. · ...... Fee Submitted: $ .......................... -- .- · ELECTRICAL INSPECTION SERVICE INC. , ,375 DUNTONAFENUE ' EAST PATCHOGUE, NEW YORK 11772 (516) 286-6642 . <" 17825 DATE: 9/3/9 7 ' APPLICATION No. ON FILE VILLAGE: ' Cutchogue rO~: ~ Southold .- ADDRESS: 2 INTRODUCED BY: Above was exomined on. 9/3/97 a~id fou~d to be it~ 6or~plianoe with thc Natio~al Elee[rical Code LOCATION: Base., xx 1st 2nd 3~d Atii¢ Dat. Garage, ' Hot T~b , , Pool xx SWITCHES RECEPTACLES, FIXTURES HEATEP~ FANS , G~L -' ~R. COND. 3 2 1 ,. 2 DISHW~H~ DR~ C~ES W~H. O~ DI~. ~GE 0~, ~O~ D~EC~R ~ACE Og 'GA8 ~ C~ MO~ B~ T~., . S~CE DiS~O~ECT EQUIPMENT Outside,Res. : BL~ 0~0~ ~L~W COPY P~ COPY O~E 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUG~G. [ ] INS,~LJL/ATION []/3'~INAL DATE ~/~//~/~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [~]~INAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR, I 0 > $ \ iI I \ r- I , / / ? .................... ~ BUILDING DEPARTNgNT APR 2 3 199T ,~,,.~ TO~N N~t SOU~OLD, N.Y. I 197 [ ~~~ i: ~L: 765-1802' BLDG DE? ~ ~IC~TIO~ FOR B~ILDI~ Pg~IT INSTRUCTIONS .SURVEY CHECK .......... ~ _-e.-_~ .................. . NOTIFY: CmL. a. ~his applicatian mst be c~pletely filled in by type~iter or in idi a~d sut~itted to the lhildi~ l~sl~ctor ~ith 3 sets of plans, accurate plot plan to scale. Fee accordi~ to schedule. ~ b. Plot pl~ ~vi~ location of lot and of b~ildin~s an praises, relatianship to adjolninE praises or public streets or areas, and givi~ a detailed descriptio~ of layont of pro~rty ~mst be dca~n o~ th~ di~ram ~hich is part of this application. c. Th~ ~ork co. red by this applicatian may not be com~ncad before isan~ca of lhildi~r~ l~mit. d. Upon approval of this applicatiou, the lhildin~ InSl~Ctor ~ill iss~ a lhildin~ Permit to the applicant. Such l~mit shall be k~t oD the Im~ises available for inspection throt~hont the ~ork. e. ltd buildiD~ aba11 be occupied or used in ~hole or in part for any purpose ~atever tmtil a Certificate of OccupaDcy shall have been ~ranted by th~ lhilding Inspector. AI~LICATK~I IS l~I ~ to the lhildiD~ Departmsat for the is~ance of a Buildir~ Pemit porst~t to the lhildiD~ Zane Ordim~ce of the lh~ of Suuthold, Suffolk Connty, It~ York, add other applicable La~s, Ordinances,or P~ulatians, for the canstmctian of buildiD~s, addltians or alterations, or for ~val or demolition, as berlin described. ~be applicant a~rees to comply ~ith all applicable la~s, ordi~nces, hiilding code, h~siD~ code, and re~ulatians, and to adalt authorized inspectors on pre~iscs add in beildin§ for necessary inspections. (Si~uature of applicant, or nam, if a corporation) ............ ............ ........ (MailiD~ address of applicant) State ~hetber applicant is o~er, lessee, a~ent, architect, en~ir~r, ~anral c~tractor, el~trici~, pl~r ~ ~il&r. ~ o~ ~r of ~,.~s .:'~.~.~ ..... , ........... aEq~REO .......................................... (am ~ t= roll or latest d~) ................................. (~ ~ title of ~rate oificar) ~~" occuPA tc ~u~ u~ ~ ......................... USE ~S ~]~ ~ ~ ...................... OF O~CUPANCY ~r ~'s ~i~ ~ ..................... ..................... , ............................................... ~ ~r St~t (~) 2. $tate ~st~ ~ ~ ~ oi ~s ~ int~ I a ~i o[ ~ at~ti~: . a. ~sti~ u~ ~ ~i ............ ~ ........ ~ ....................................... b. ~ ~ ~ ~ .......................................................... APP~'ED AS NOTED ~ ,., ~5-1e0~ 9 a~ 'tO 4 % FOU~DATION . ~0 FOR POURED COD~ST~UCT~ON MUST BE CO~PL~E FOR ]. Pz]l'ore of ~ork (d~ck slddt apphcal}le). ~ lkdhling .......... ~ddition .......... Altera~%n ......... 4. Esti,~t~l C~sr ~ 0 ~0, If ~rage~ mmimr of cars .... I 6. If Ixminess, ~mrcial or mi~ ~, s~ci~ ~ttlre a~ ~tent of each ty~ of u~ ...................... 7, Di~nai~m of ~isting srnmtu~ea, if any: ~[ ............... ~ar ......... ~[)tl~ ....... I~i~;t ....................... ]. ~r of Stories ...................... Dil~nsi~s of sam atn~lre ~tlt alterati~s or m~i~ions: Front ............... ~ar ............... I~ptb .................. ~. Ibl~t. .................... K~dmr of Stories ............... 8. Di.~nsi~m of entire ~ ~st~tl<: l~t ................ ~ar ............... ~pth .............. . . . /~ ]bll~lt ........................ K~imr of Stories ..................... 9. Stzm of lot. ~t .......... ~ ......... ~ar .................... ~pth ............... . ..... II. ~: or u~ district tn Mdd~ Or~i~n a~ PI.OT DIAGRAH l~cate clearly and distinctly all buddings, x&mtlmr exla~ing or proposed, and indicate all ~t-back dimensions fram proporty lines. Give street a~ block ra~lmr or description according to deed, and ~ha~ street name and indicate Mmtlmr interior or corner lot. "' 'i ' DI S'I~'IE (Xr N~ ~,// ~/ , ,I ~ ~/ ~ SSi ........ .... ~ .............. (.: ....... y ................... Im inl~ duly ~re~ del~}~n and rmya that hs ia the appl (~.lt} of Jndtvidtml sig. in8 c{mt:ract)[ I~ ia the'. ............................................ (C~tractor, agent, ~or~rate officer, etc.) of said i~r or ~rs, mKl ia duty ~thor,ir~l Lo ~rfonu or h~e [~rfo~ the ~id ~rk m~l to nu~ and file ajqfllcati~u Lhat alt stato~nts cmtgi~l in this nH)llcatio, are tn~ to tim Imst of hia bx~l~ and Imllefj that the ~rk, witt I~ i~rfon~l in Ih~ n~lsJer ~t forth in die al~l. lcati(m fil~ ~m to I~[ore nn tlds ..... ......... ..... HELENE D. HORNE J Notary Public, State of NeW York No, 49513~4 Qualified in Suffolk C,o, uOty Commission Expifas May 22,/9_/ (SJ[~¢ml:ure of Appl leant)