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Home My WebLink About24348-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26289 Date: 02/18/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 4263 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 2 Lot 2.5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31~ 1997 pursuant to which Building Permit No. 24348-Z dated SEPTEMBER 12~ 1997 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 NORA CONANT of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 18469 10/18/97 N/A F0182~ NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER3~IT (THIS PERMITMUST BE KEPTON THE PREMISES UNTIL FULL .......~..e~...../..~....~..~....zz..zz.~ ..... _ ct premises located at .....; ......... , ........ County Tax Map No. 1000 Section ........ ~....~.... Block ....... ~ ........ Lot No.....,.~.~..,~... pursuant to application doted ............... ~....~...../. ........ , i9.~...~.~ and approved by the Building Inspector. / // ................. :.,. ......... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter O& 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) nou-conform~ng uses, or buildings and '3pre-existing" land uses: I. Accurate survey of property show~ng 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. · 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~v,~ug pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $t00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy -.$50.00 5. T~por~ry Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ....................... .. . Construction ........... Old Or Pre-existing Building ................. op ty ................................ House No. Street Hnmlet Owue of Property ~ ~N~.~ ....... ~nty Tax Map No 1000, Section.~ ..... Block.....e~... .Lot.. ~bdivision ............................... .. .. . Filed Map ............ Lot ..................... ~rmft No .......... Date Of Permit ....... Applicant .... ~ ............... · ~ith Dept. Approval .......................... Underwriters Approval ......................... annlng Board Approval .... ~quest for: Temporary Certificate ........... Final Certlca~e ........... DATE: ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PA TCHOG UE, NEW YORK 11772 (516) 286-6642 ' 18469 · ' ~ · APPLICATION No. ON ITILE ADDREF~: I~RUED TO: INTRODUCED BD LOCATION: Orgent Nora Conant SouthoM Hank's Electric Ina LIC No: 2675E was ~mln~d on 10[I8/97 and found to h* in compllan~ wtth th* National El~trlcal Code Garage Hot ~ub pool OTHER Outside, Res. : 2-500w pool lights 1-11/2 hp motor 40Amp timed s~itch POOL' NO VISUAL DEFECTS BUILDING PIHi3~T No. omGINAL YELLOW COPY PINK COPY OFFICE HUGO ~. b~JRDI PRF~IDt~r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ /]/~.~JLATION [ ] FRAMING [~ FINAL [ ] FIREP~A~IMNE~/~..~/~ .,- INSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION2ND [ ] INS/ULATION ./' [ ] FRAMING [ ~,],,,FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~.~ .~--*~' v 07-29-1997 O!:l~PM ~ROM DEBAR SiLSER ATTORNEY TO ?448292 P, O1 FO~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPART~T Office o~ the Building Inspector Town Hall ~out~old, N.Y. No ~'--22460 D~t~ 3L~Y 21r 1993 THIS CERTIFIB$ that the bu/lding N~WDW~.nING Lo~ati~n ~ Pro~rt~ 4263 ~ S~T ~ N.Y, ~e ~. Strut F~m!et Co~tF T~ ~p ~. 1000 Section Z7~l~ 2 ~t 2.5 ~ivision ..... fiiea ~ this offic~ dated BulldOg ~ No. 21134-g ~m%~a DE~ lO, ~2 ,.. provisions of th~ law. The l~Olh%. ~ ..... URDE~W~ITE~S CERTIFICATE NO. P~NDING - JULY 19~ 1993 PL~F~ ~CA~ION DATED J~L¥ 13, ~993 = ~ PL~n~ATING~ I~C. Rev. 1/81 TOTPL. ~ ,. TOWN HALL ; ...... "~ '-~,.F7}~.~, F;,:, ~, ..... $OUTHOLD, N.Y. 11971 ~ T~.~ ;~L.~-.-.,-~ TEL.: 765-1802 E,amined.~/.: ..... ~9 ~,~o~~~ . ., '~,~ ~o .......... D~a~p~oved a/c .................... .~~ .............. '~~uildin~ P~I~TIO~ FOB B~IL~I~G BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pen shall be kept on the premises av.a~able for inspection throughout the work. e. No,)a¢it~ sl{~I1Ye~6~'clJpied or used in whole or in part for any purpose whatever until a Certificate of Occupm: shall have been gra~ted~b~t the Building Inspector. APPLICATION IS HEREBY lvlADE to the Building D'epar~m.,~fit :'{o'r;it~i~uance of a Building Permit pursuant to Buildi~ng Zone Ordinance of the Town of Southold, Suffolk Co~f.2;~'.e~,l~N'ork, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or'altgi:~iti6fis ~5~ltfor removal or demolition, as herein describ, The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessaT~.~ ......... (~aiii~g ad~ress or' applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or buildt Name of owner of prx''-'/ emises .....' [.~.Q .~.~....~Q~..~. · ............................................ (as on the tax roll or latest deed) _. ~ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'Sc:~.~.~]LU. FFOLK COUNTY Builder's License No ................ Plumber's License No ...... .~. l .~.. ............ Other Trade's License No .... .~../.~. ........... I. Location of land on which proposed work will be done2 ............................................... ...dg.o.5 O(...c~...~..& .~r~e~.. ................ Or~.~ .... ~ ........... House Number Street Hamlet ....... :... I Subdivision ................... ~ ................. Filed Map No ...............Lot ..~. ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ........................... b. Intended use and occupancy,~4ff..X...~.~. .... /~... t~. t~.. L<-.... l ,~/~ ~& ............ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ..... '1' ' ' Repair .............. Removal .............. Demolition .............. Other Work..~KZP~ZD. [Description) 4. Estimated Cost ...... .'~..~. · . .-. ~) ................. Fee ..................................... " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cars ....................................... : ............. ,, ................. 6. If business, commercial or mixed occupancy, spefiify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ...... ~.', ' ......Rear .. :~.:.. ......... Depth .............. Height ............... Number of Stories .... ~ ................................................... Dimensionsof same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... Din~ensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............. ,,. ;~.~,.dqumber of Stories . · ........ 10. Date of Purchase ........................... :. Name of Former Owner ............................ 11. Zone or use district in which premises are situated ..................... t' 1 ............................ 12. Does proposed construcfiop violate any zoning law, ordinance or regulation: ~.x,/cS) .......................... 13. Will lot be regraded ...~_~_ .......... ,,.../..-~.... Will excess fill be :emovcd_from premises: .-,~,~Y~e~, . .I9 14. Name of Owner ofuremises ;-~,/~.r(:..(~ff.[f~..~.... Addres~¢q~.~..C~.,...~'~.. Phone No, n~.~,.~,J~?.. Name of Architect[~ .~,~.~ .......... ~. Address,,~....'~.,J~9~. ...... Phone N~.~/_.~"'.~. ~.: ~/ .... Name of Contractor'- .~J~q ~']~ (Jd~Yff_,ff- · Address [~;J.I...~..'~.[~([d~.~Phone Nc~:~Lt~..':-.~..~.; 15. Is this property located 'within 300 feet of a tidal wetland? *Yes ..... No ~... · If yes, Southold Town %rustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fro~ property lines. Give street and block number or description according to deed, and show street names and indicate wheth, interior or corner lot. "iMM EDi %EcLoYo;' ENCLOSE POOL UPON COMPLETION BEFORE "WATER" UNDERWRITERS C£RIIFICATE REQUIRED APPROVED AS NOTED . DATE:'~'/~'~/ B.R # ~ FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING F u ~d"'~' ~'~ C~ffrR~c~ioN ERRORS STATE OF NEW_YO~,_K, COUNTY OF.. ,-~,.l.'~-~ 1 ~ .... S.S being duly sworn, deposes and says that he is the applicai [ (Name of individual signing contract) above named. ne is the ......... .~,,.~.~, .C¢,.c-.'~.¥~f ............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ti' application; that all statements contained in this application are true to the best of his knowledge and belief; and that tl work will be performed in the manner set forth in the application filed therewith· Sworn to before me this .......... .......... ............. Notary Public, · ........ '"J ' - k) ~ RCg~'N ~'~z ' ' "'~' ' ld~,!cg~C°unty " ~"~4fi~' .......... . ,CTF'..: . . . , . (Dualifledtn,-~rgc ,, -~ , (Signature of applicar <o Z