HomeMy WebLinkAbout23799-zFORM NO. 4
TOWN OF SOUTROLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF O~CUPAN~Y
No Z-2S128 Date JULY 9, 1997
THIS CERTIFIES that the building. ACCESSORY
Location of Propert~ 1320 HILLCREST DRI%~E
House No. Street
County Tax Map No. 1000 Section 13 Block 2
Subdivision Filed Map No.
ORIENT, N.Y.
Hamlet
Lot 8.25
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 21, 1996 ~ursuant to which
Building Permit No. 23799-E dated ' NOVE~BER 1, 1996
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 SWIPING POOL FENCED TO CODE WITH DECK
AROUND AS ~PLIED FOR
The certificate is issued to CAT-,.~EN M. CASEY
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N-419744 -- MAY 13, 1997
Rev. 1/81
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)
Permission is hereby grante~l to: , -- .¢) . , -~
.... ./.~, ~ ~.~. ~..-
~.~~..~~~~:.~..,_ , . ~~,~-'~ .
........................................................... ~,Z~....~:~.~~ ..............
........................................................................................ ~~ ..............................................
Building Inspector.
,e.
Rev. 6/30/80
Form No. 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).
v/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 ~f completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. 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 ~-f5.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy - , .2~¢
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residentkal $15.00, Commercial $15.00
Date. ~.. 5..~.~ .~. f ~.~
New Construction .... ~...... Old Or Pre-existi~g Building .................
Location of Property..~~.~ ~J~ ~~ .~-~[ ~. · ·
Onwer or O~ers of Property .... % .........................
County Tax ~ap ~o 1000, SecrSon ..... ~ ...... Block ............ Lot .................
Subd~v~sSon ................................. F~lad Hap ............ Lot ................. 1 ....
Permit No.~.~..[.Date Of Pe~it..~¢.~ ..... Applicant ............................
Health Dept. Approval .......................... Underwriters Approval.. ~----Z~z .~%~ ....
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final ~ticate ...........
%
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
1(~1~71 BUBEAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NY 10038
~ ~ ~ 9 N 419744
Date ~5%Y 13,1997 Appticatio, No. o.f~e 1,~143,~97/ 7
PE~IT NO, 237992
THIS CERTIFIES THAT
o~ the el~trJcal equipment ~ ~scrib~ be~w a~ Jnt~uced by t~ ap~tcant ~m~ on the a~ application nu tuber in t~ p~m~es of
~n the fo~low~ng ]ocat~on; ~ B~sem~nt ~ Ist ~, ~ 2nd Fl. ~T ,~ectlon Bilk Lot
~ examlned on ~'~Y ~ ~ ~ ~ and found to be in compliance wit~ the Nafional Elect~cal Code.
FIXTURE
OUTLETS
DRYERS
FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
tI[UORGSCEN'~ OTHER
SYSTEMS
NO. OF FEET
E R V I C
OTHER APPARATUS:
SWII~ING POOL~ 1
TI~ CI~CK~AMP. 40-,~1
pANELBOARDS: 1-3 CIR, 125
~(SWIHMING POOl,) This certifi¢~ate
covers compliance at the date of
~nspection only. Because of unusual
environments it is advisable to
have frequent test/and or repairs
<<< Continued on Page 2
GENERAL MANAGER
This certificate must not be altered in any manner; return to 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- :
1~J].071 BUREAU OF ELECTRICITY
~- 85 JOHN STREET, NEW YORK, NY 10038
D. Ee H~Y 13,1997 ~'' · N 419744
Application Mo. on file 13~ 4o597/97
THIS CERTIFIES THAT ~]~IT NO, 237992
o~y the eJ~ tr~ ~ulpment ~ ~scri~ be~w a~ intr~uc~ by t~ applicant ~m~ on the a~e applicat~n number in the presses of
CAT~H~EEN CA~3EY, 1370 HILL CREST DRIVE., ORIENT, N.Yo
in the fotlowlng location; [] B~sement [] 1st FI. [] 2nd FL O[~T Section Block
t~s examlned o, }'{AY 08,1997 and found to be in ¢ompliance with the National El¢¢tricaI Cod~.
Lot
FIXTURE
OUTLETS
Ii INCANDEECENT FIXTURES
ECEPTACLES SWITCHES FLUORESCENT
OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS
OTHER APPARATUS:
RANGES
PECIAL REC'PT
R
COOKING DECKS OVENS DISH WASHERS
TIME CLOCKSmT. A~P$. 'RANsBELL . ~UNIT HEATERS MULTI-OUTLETNo.SYSTEMSoF FEET
V I C E
EXHAUST FANS
i DIMMERS
, AMT. WATTS
NO, OF CC, COND A,W,G, NO, OF HI4EG
PER ~ OF CC. COND
A,W, G, NO OF NEUTRALS A.W. G
OF Hi-LEG OF NEUTRAL
made by a qualified person.
G & S CONTRACTOR LIC,#578 E
BOX 215 ANN
SOUTHOLD, NY, 11971 ~ IGENERAL MANAGER
Pet
This certificate must not be altered in any manner; return to 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 ~HANNER.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
FIREPLACE & CHIMNEY
ROUGH PLBG.
INSULATION
[ ~FINAL~~/~
REMARKS:
INSPECTOR
!;OU'I'IIOI.I), 11.¥. 11911
TEl.;
UIWF, Y
II
1'2.
I~.
'IMMF_.D!ATELy,,
ENCLos~POOLTocoD~
UPON
BEFORE'WATER
765-1802 9 AM ~ 4 PM FOR TNE
FOLLOWING JNSPE~JONS=
~. FOUNDATION , ~0 REQLflRE~
FOE POURED CONCR~E
~ ~,~.~ ROUGH, FRAMING & PLU~iBIN~
,:~,,~,,~, 3, INSULATION
BE COMPL~E ~R C.O,
ALL CONSTRUc~oN SHALL MEET
~- ~ul ~ESPONSIBLE FOR
DESIGN OR. CON~u~oN ERRORs
y ............
,~ i,, ,,, ...~.o~ .........
(~ m ,,.:1., , ,~l~m" , J~'~ ..................................................................
NO. 4879505 J ("HJJ .lu~l~ (~{' Apt,I i(:..I )
Qaalified in Suffolk Codnty
~ommission Expires December 8, 19~
HILL
CREST
DRIVE