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Home My WebLink About23800-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25361 Date: 11/12/97 THIS CERTIFIES that the building ACCESSORY Location of Property: 165 SELAH LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 9 Lot 4.4 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 22, 1996 pursuant to which Building Permit No. 23800-Z dated NOVEMBER 6, 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 SWIMMING POOL WITH ON GRADE DECK AROUND & FENCE ENCLOSURE AS APPLIED FOR. The certificate is issued to MICHAEL & LISA FANDREY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-419909 05/14/97 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 I~OR,H NO. ! TOWN OF SO~THOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23800 Z Permission is hereby granted to: ..................................... ,o ....~~/......~......~~~ .......... ~ .......... ~ ....... ~~.......~. ~ ...... ~× ....... ~~.~. .................................................................................................... at premises I~ated at ........ /~ ....... ~~...~ ................................................... ~ursuc~,t 'o application dated .............. ./..'~.~... ...................... , 19/~, and opproved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTME~NT TOWN HALL 765-1802 APPLICATION 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 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 c~mpleted 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 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. 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 $25.00. Businesses $50.00. 2. Certificats of Occupancy on Pre-e-xistin~ Buildinm - $100.00 3. Copy of Certificate of Occupancy - : .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 , /?. ....... New Construction ........... 01d Or Pre-existing Building ................. Location of Property ....................... ~ ............ -~ v.~. ........................... House No. Street Hamlet Onwer or Owners of Property. : .. .~R.~..~ ........................................... Section.../..0..~ ? Subdivision ........................... ... . .. ... Filed Map.. .......... Lot... ................... .Permit No..~. ?..~ ??. ....... Date Of Permit. ~'/~'l ~'~' .... Applicant.~..~.~.~...~.~ ~C~O.~ ......... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Carticate ........... c. 5 LIc THE NEW YORK BOARD OF FIRE UNDERWRITERS ~(~1~(~ BUREAU OF ELECTRICITY ~' 85 JOHN STREET, NEW YORK, NY 10038 Oa~ t~Y i4,1997 ~ppli~on 1~o. ~f~e 1~3297/97 ~1 4199~9 THIS CE~IFIE~ THAT o~y the el~trical ~uipment ~ ~scri~ be~w ~ int~uc~ by t~ appl~ant ~med on t~e a~ve application n~mber in the prem~es of MIC~L F~RY, 165 SEL~I, ~ATTITUCK, N.Y, in the following location; ~ B~sement ~ Ist Fl. ~ 2nd FL OUT Secth,n al~k Lot u~s examlned on }~xY 09,1997 and found to be in compliance with the NaHonal Electdcal Code. RXTURE OUT.TS SWITCHES DRYERS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E PER ,~' OTHER AP~R~US: SWIMMING POOL-I T!~ CLOCK'-AHP.40-'I G.P.C.I-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual ~nvirot~ents it Is a¢lvis~le to have frequent test/and or repairs made by a qualified person. <<~ Continued on Page 2 >>> NO OF NEUTRALS GENERAL MANAGER This cerfi~f~cate l~ust 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 FiANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1¢3~129~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NY 10038 Oat. }{AY 14,1997 Apptieatio. Mo.o.f;le 13883297/97 N 419909 THIS CERTIFIES THAT ordy the electrical eqalpmettt as described below and introduced by the applica~tt ttam~d on the above applicatio~t nurnber in the premises of HICFIAEL FANDRY, 165 SELAH, HATTITUCK, i. the fotlowia~ location; [] tt~em.nt [] I.t It. [] ~.d Ft. OUT .%,'tlo. ttlo~k Lot ~s examined on HAY OQ,, 1997 and found to be in compliance with the National Electrical Code. DRYERS I FURNACE MOTORS I FUTURE APPLIANCE FEEDERS ,PPCIAL REC'P1 TIME CLOCKS I gELL I UNIT HEATERS MULTI-OUTLET DIMMERS TED CHESHIRE ,TR. CO. P.O. BOX 255A 9280 SOUND AVE. HATTITUCK, NY, 11951-3138 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. Z Z Z (:3 Z ~.l'., .~,. .... I ........... · , ~ ~. /~ ......., .... · ..... ~ . ~ ._-I .......... . ~i?~"~'''~ .... · -1 '- ',' .... ~ , ' ., - ~' , .., ~,t'l ' :' .-?::-:" ~1...,~ ~ .....-/ - · ,- ~, ~ ~ , - ..... . ~-~... '~;- ~.1:,¢,~ ,-~/.' ..... ~ . . , .-.. · ~/,'.'.2~' "1 ~ ~. '..' ..:IL. ... '".' .. ' . . ~ ', . 3~,~ 5~~ " ~S.~:'~'t ., . : - .... -- ~~~ '"' ~K '._.? . . ...... t~.~ 4~.w. UNDERWRITERS 0ERTIFIOATE REQUIRED "IMMEDIATELY" ~-~ ,~. ENCLO~ P~LTO CODE , . =~ ~E ~ UPON COMPLETI~ BEFORE '~ATER" " ~ ..'" ..... .', PR~C~ : THIS CER~FICATE IS ISSUED AS A MA~ER OF INFOR~ON ONLY AND : CONFERS NO RIGHTS UPON THE CER~FICATE HOLDER. THIS CER~FICATE DOES NOT AMEND, ~ND OR ALTER THE COVERAGE AFFORDED BY THE Pro/os Insurance Agency InD. POLICIES BELOW. ~8 Roosevelt Avenue :: COMPANIES AFFORDING COVERAGE Poff Jefferson $~. NY ff776.3337 ....... ~ COMP~Y ~ Volley Forge lfllureflee ~o ~hur ~. Edwards Mason Contracting Inn. :~L~C0~P~Y C XXXXXXXXXXXXXXXXXXXXXXXXX Miller Place NY ~t764 B :' GEN~ L~ B507860845 0110t/96 0110~197 [ "'~'"'"'~ c~;~ ~E ~ X''; occur.. PE~SO~ &.~v, ~NUURY ~$ 1000000 ........ [ ......................... [ MED, ~ ~y ~e ~r~nE$ ...... 5000 ~ '~,~ ~'~.~ ~,) ::~ soooo ,,,., i UMBRELLA FORM i OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND 838155,0 LISTED FOR INFORHATION PURPOSES 04124195 04124187 DISEASE- POL'6~"UM'~ ~$ ................ = ............................................ < ........... < ' '< ...... ii,i:i~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ii?,!'i EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO !i~; MAIL ?__~__0 DAY8 WRIT£EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE TOWN OF SOUTHOLD BLDG DEPT v.~:': LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR P.O. BOX 728 m. MABILI]Y OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, $OUTHOLD NV 18971 :. .... iAUTHORIZEO REPRESENTATIVE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ~-RAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL 76S-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE &/G~'IIMNEY REMARKS: ~~ 765.180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~LATION [ ] FRAMING [ yJ FINAL []FIREPLACE&CHIMNEY REMARKS: DATE . INSPECTOR , FORH NO. I TI)~i~I OF BOU'FllOI,I) BH1 1,D [ ~1(~ DF, PAP, THF, NT TO~N [IAI, I. SOUTIIOI,I), ~.~. J 1971 TEL: 765-1802 3 ,~ETS OF PLAN.g ............... .gTIRVF.¥ ........................ CII~CK ......................... SEPTIC FORH ................... ~OTIPY: CALl ................... HAIl. TO: .................... APPI,ICAT10~I FOR BUII.DIB~,I PF.I~HIT 1 tl.q'l'RlJCI' l oR,q AI~,TC~FI(~ TS IE~ ~E to the lhdldh~g l~l~arO~nt for Ihe {nmlawe of n ~,[ldlng Pe~it I~r~mnt to the Itdldi.g ?~u (}.lir~we of tl~e T(~ of ~thold, ~fffolk Cx~mty, ~ York, m~l oU~er ol~l~cable I~s, (kdi~tes or '. (~tmt;ur%~ ,~lJcnnt, or nam, ir a ('orlx~rnt. i(~l) (~[~i I i~g mklres~ o[ n~l {cant) l r ~l~Ll~x~'ntd: in ,'1 cotlx}ratJr~, nlgnatur~ OI duly m~Ll~)rlzed officer. USE IS UNLAWFUL ;,,,,,,.~. ,.,~..~ ~ .... .~.~.~.~UT CERTIFICATE ,,,,.~.. ,.,~,,.~ .o .............. ZOF-OCCUPANCY 765-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUM~ING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE CON1PLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR N;~tme tff t0mk (d~eck ~idt nl~plic:thle)= ~* Ih~ihling .......... ~litio~ .......... Aherntion .......... l~l~ir ............ I~,~nl ............ l~,~,litioa ............ OHmr llnk ~ ~L ~G~g.~.~.~.~ ...... (l~:ript. (1o lm i~lid on filing lhiu applienti~O I)in~n~icxm ot 8~ ~t[~:ture ~ith ~lterati~xm or ~klil:ionsg Flont ~ l~ar., .~ ........... I}i,~msi~ms of entire ~ ~mstrtu:t¥~: I,'r~ml ............. 5.. l~nr ....~ ......... [~pllt ..= .......... I~0~ ....................... ~lmr ~ . ~ m e~ ............ s,~.~ e~ ~et. ~'... ....... :. .. ~.~ ... t .: ...... ~pth .. ............. ~ ~ I~ll'e of l~rdm~ .................. [... ~ of leor,~r {~mr ........................................ o[ AtchHee~ ................. , ................... ~klres~ ............................. I~m ~. . Ia Ibis p~mrl:~ uit.hin ~ feet o 5 n titNI ~mt3a~l'l * ~lkq .......... ~ .~. ..... lq,OT I)IAGRAH Ix×:ste clearly taxi disl:inetly fill I~il(lit~gs, ~mther existing m' pro(~d, msl i:~lieate all set-I~:k din~aaion~ :tm: t~rogm~t~ li~u. gi~ at~t a*~ blo:k ~timr or ~eripti~ according I:o ~1, at~ ~t~ street ~m8 a~l i~lieate Nm~ of h~lividtml 81gIlil~g eontrnet) ,, ,,, .............. ............................................................. LORRIE A, SCHO~NEWERK N~a~ Public, State of New York No; 4809~84 Term ~pires .