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Home My WebLink About24196-zFOBM NO. 4 TOW~N OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25808 Date: 07/01/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 870 VILLAGE LA MATTITUCK (HOUSE NO.) (STREET} (HAMLET) County Tax Map No. 473889 Section 114 Block 6 Lot 16 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27~ 1997 pursuant to which Building Permit No. 24196-Z dated JUNE 19, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DANIEL KLECK of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 456594 06/18/98 PLUMBERS CERTIFICATION DATED N/A BuCkling Inspec~r Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 24196 Z Permission is hereby granted to~, , · . ..... /~./~.~ ....... ~z...4..~. .......................... ...~.v......~z/4~...Z~ ........................ ,o .............. z.-~../.......~.....~ ........... .~.~OL....~..~..4;. ......................... ... .............. ....... ~ ........ ~~....~ ......... ~~ ........ . .~....f..~...../.~..~.?..~ ..... ..... ~..~ ....... ~4g~. ......... ~..~.., ............................................................................................ ot premises located at ;F ' County Tax Mop No. '000 Section ....g./..~... ......... Block ....... ...~....~.. ..... Lot No ...... Z.~.. ........... pursuant to application dated ......... ~...~....~..Z...4~.. .......... , 19...~Z and approved by ~. Building Inspector. Fee $ ........................ / ~illdi~lJ ,rkq:~ector Rev, 6/30/80 Form Nol~, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN lt3J.~L 765-1802 /~PLICA?ION FOR CERTIFICATE 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: 1. Final survey of property with accurate location of ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval fro~Heaith 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) non-conforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing ail 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, Swimming 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date · New Construction ........ ~, Old Or Pre-exis,ting Building ........ Location of Property..[[..~:?. ................ ' .~.-....-~. ........ House No. Street Hamlet Onwer or Owners of Property ............................................................ · .... · County Tax Map No 1000, Section....~..~..~- ..... Block ....... .-~- ..... Lot ...................... Subdivision Filed Map Lot .... ...... Date .............................. Health Dept. Approval............. ............ . Underwriters Approval ......................... Planning Board Approval ........................ Final Certicate ....... Request for: Temporary Certificate .......... . ..... Fee Submitted: $ ................ o4k ................. Town Hall, 53095 Main Road P. O. Box 1179 $outhold, New York 11971 Fax (516) 765-1823 Telephone (516} 765-1802 April 29, 1998 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD Daniel Kleck 870 Village Lane Mattituck, New York 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy ~/Qbecause of the following reasons: XX An application for Certificate Occupancy of is '~..~.//d -- not on file. (Enclosed) XX No Unde ' ..~/~X The check is (not on file.)$25.00 No Heal~! cn No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). Please contact our office on this matter. Thank you f cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ]/~iSULATION [ ~/J FINAL [ ] FIREPLACE & CHIMNEY DATE '~,~~/~,, INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS PA .2 - 1175003 BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 'Date JU~E 18,1998 Application No, on file 16231498/98 N 456596 rillS CERTIFIES THAT Only the electrical equipment as described below and introduced by the applicant named on the above application number is' in the premises of DAN KLECK, 870 VILLAGE LANE, PL%TTITUCK, NY in the following location; [] Basement [] 1st Fl. [] 2nd FI, OUT Section Block was examined on ~TU~ 1~, t 1998 and found to be in compliance with the National Electrical Code. I (~uXTTLUE~r~ RECEPTACLES SWITCHES INCANDESCENT F~oX~c~NST OTHEF4D IAMDT~YERSK.w. OIL FURH[~p'~CE MGA%TORSH,p. F~TMUT~E APPLINAo~CE FEA~wE. RG'. SERVICE DISCONNECT AMT. AMP. TYPE ITHER APPARATUS: RANGES iPECIAL REC'PT. R COOKING DECKS I OVENS I DISH WASHERS TIME CLOCKS BELL ~UNIT NEATERS MULTI-OUTLETsYsTEMS AMT. AMPS, TRANS. . NO. Or I:EET V I C Lot EXHAUSTFANS AMT. H.P. DIMMERS Q.C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948-0~18 LIC. #3823 GENERAL MANAGER Per- 'his certificate must not be altered la an'/manner; return to the office of the 8oard i! incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT~F{CATE MUST NOT BE ALTERED iN ANY MANNER. YORK THE NEW BOARD OF FIRE UNDERWRITERS EU.E^U oF ELECT.,C,TY ~-- 40 FULTON STREET, NEW YORK, NY 10038 D~e J[~ 18,1998 J Application No. on file 16231498/98 N 456594 THIS CERTIFIES THAT I o~ly the electrical eq.lpment as descrtbed~below and t.troduced by th~ a~pllca.t ~amed om ~ above appHcatio, number ts i~ the premises of D~ KB~CK, 870 VIL~G~ ~g, ~TTITUCK, tn th~ follow~ng Io~ation; ~ Ba,,m~nJ ~ l~t ~1. ~ 2nd Fl, OH~ S~*t~on ~toc~ Lot wa~ ~xam~n,d on ~ 11 ~ ~8 i and ~ound to b* tn compltan~* w~th the NaHonal El,~eal Code. FIXTURE I FIXTURES RANGES COOK,NO ~ECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLE~ SWITCHES FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET S E R V I C NO, OF CC COND* PER ~ OF CC, COND. NO. OF HI*LEG OF NEUTRAL OTfiER APPARATUS: SWIP~INGPOOL-1 SP~CIALRECEPT, ~LHP. 20-1 G~~.C.I-1 *(SWIMMING POOL) This covers compliance at the inspection only, Because ~vironments it is advise have frequent test/and o~ repairs made by a qualified pets)n. tificate date of of unusual bls to <<< Contin ~ This certificate must not be altered In an~,,~r~..~r,~,~.,.~,.n~,.~r~.~~ COPY FOR BUILDING DEPA led on Page 2 >>> GENERAL UANAQ-' 61 lo q ,~¢ Disapproved a/c .................................. ~ .'-,, c{ ...... ' ;' TO~N HALL SOU~OLD, N.Y. 1197 I ~L: 765-1802 BOARD OF lJ~x~ ..... 3 SETS OF PLANS ............... SURVEY ........................ CttEGR SEPTIC FORM ................... NOTIFY: HAIL TO: .................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This appllcatirm must De c~letely filled in by tnJl~riter or in i~ ~ s~itt~ to the ~dlding Ins~ctor with 3 ~ts of plus, ~ate plot pl~ to ~ale. F~ aceo~i~ to ~ule. b. Plot plan s~i~ l~ati~ of lot aM of ~ildi~s ~ ~mi~s, mlatlonship to Mjoining ~i~s or st~ts or areas, ~ glvirg a &tailM ~scriptim of l~t of pr~y mst ~ dr~ ~ Om di~ ~id~ is ~rt ~is a~llcatlm. e. ~ ~k ~r~ ~ ~is a~licati~ ~ mt ~ c~ ~fore isme of ~ildi~ Pemit. d. ~ ~al of ~is ~li~tlm, t~ ~ildi~ In~ctor will is~ a ~ildi~ Pemit to the ~llc~t. ~mit &all ~ ~t m t~ ~.~s ~ailabla for in~tlm th~mt t~ turk. e. ~ ~ildi~ ~fll ~ ~i~ ~ ~ in ~le m in ~rt for ~ ~ ~ataer ~til a ~rtifi~te of gI~ IS ~ g to t~ hildi~ ~rmnt for ~e ism~e of a ~ildi~ Pe~t ~t to the ~ildi~ ~ ~i~e of ~ T~m of ~ld, ~ffolk ~n~, ~ York, aM ot~r a~llc~le ~s, ~i~es ~lati~s, ~r t~ cmst~tim of ~ildi~s, ~itlms or aIterati~s, or for r~al or ~litim, as ~rein ~scri~. lhe ~pllmt ~s to rely with ali ~llc~le 1~, ordimces, ~ildi~ ~le, ~si~ c~e, r~latims, ~ to ~it m~ri~ in--tots ~ ~ims a~ in ~ildi~ for ~es~ ins~ctims. (S~mre of a~llc~t, ~ m, ii a to.ratio) ........ 2'~ .......... -'~C~ S~te ~t~r a~li~t is ~r, les~, a~,t, arO,it~t, engi~r, ~mral c~tractor, e~ ~ ~ilder. ......... p.w.~-e.~ ............................................................. ~.. (~ ~ the t~ roll ~ latest d~) 76~-J~2 e W ~ 4 PM OCCUPANCY OR ",o.'°~""*"°" .~.., ~.~° ..............<~ ~'~';';~ ....... g~g';~'~; .................. U~E IS UNLA~L '~'~..o~..,.~.~o.~.,.~ ~ ~ QO~P[~ FO8 ~.0, ~rs Li~ ~o .......................... ~T~T~ CONSTRUCTION ~ ~QUI~ DESIGN Oa ~NSTRUCTION .............. ~e ~ ~ .................................. ..&.. ~ ..... .,.................~t I .~. ~ .......... ~ ~r St~t ~y~. ~ ~i~ .... /~ ....... ~ .... ¢. ......... ~ ..Z~ .......... ~Miv~slm ......... ~ ........................... Fil~ mp ~. 7q-,3~ ..... ~ ........ (~) 2. State ~isti~ ~ a~ mm~ of ~i~s a~ int~ ~ ~ ~y o[ ~ ~stmetlm: ~le. ~,t~ ~11,~ . a. ~sci~ u~ ~ ~ ...................... ~ ............ ~ ................................. __ ~ .... ~. ~ ~ ~ ~ ................... ~.l ............ : ....................... ~.-, ...... L I°~ll~re of ~ork (el~ck ~iehlal~licable): Nc~ Ikiildintt .......... &klition I~1 icion ............ Or.her l~)tk .~ .. ~.~ j..~. ~.q , ~ '~ O~r. t pt i~) 4, Esti.~t~l ~st ~ ~ O0 6. I~ {~si~SS, ~rcial or mi~{ ~o{l~ sl~ci~ natur~ a~ extenE of e~c{~ I~i~t .................. ~,. M~l~r of Stories .. . ~pth ............... ' ..... l~i~lt .................... K~I~' of Stories 12, l~s prol~l c~str~ti~ violate any ;~Jng l~, ordJ~ or re~ut~tion: ,..~ ................. g~m of grd[itect ....... ~ .................... ~ss ............................... ~ ~ .............. .~. 15. ls this pml~rt~ within ~1 f~t d~ a ti(~l m~tla~l? * ~.q ~ . ..~'... ~PI,OT la:ate clearly ~ disti~tly all ~ihli~s, ~mtlar ~isting or propel, a~ ialicate all ~t-I~k din~nsions f~ pro~rty li~s. Gi~ start ssi bilk ami~r or ikscriptit~ ~cco~infi to ~1, ~ ~{~ street ~a~s a~l ir~lieate ~etlar interior or corer lot. ~,~ TUOHTIW Ik~ is the .......... (C~Erac~or, ~el~. cat.rate 6fficer, etc.) appl icat[l~; that all sLal'o~nt8 c(~tai~l in th~s al~)} ieation are t:n~ to the I~nt: of his kzx~].~{~ ar~ Ix~llefi {,l~l IhaL the ~>rk ~ill 1~ ~rron~l in th~ ~mml~r ~( fo~'lh in tt~ application fi{~l ~rn Lo {~fore .~ ~ifl HELENE D, HORNE (SHU~I~.e of AINU1 ]csnt) Notary Public, Stele of NewYork Commission Expiros May 22, 1.9 _Z~ [ NOTE' · ."MONUMENT SUODIVI~ON MA P FI£ED IN )"HE OFFICE --. O~ THE CLERK OFSU~.F~J~_~ C~I_NTYON · )~LY 18, 1974 AUG. I$, YOUNG & YOUNG 400 f'~STRANDF. R AVE IUF.. P V£R IEA[),;~lFW YORK SURVEY FOR: ~, )' ~ PATRICK GELS8 SOflYA GELS;' LOT NO /9,'VILLAGE MAWR~' ~.~ ~ ~ .