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Home My WebLink About23417-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPAN~Y No Z-24599 Date SEPTEMBER 6, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 925 GAGENB LANDING ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 70 Block 10 Lot 30 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1996 pursuant to which Building Permit No. 23417-Z dated MAY 8, 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 ABOVE GROUND SWIPING POOL FENCED TO CODE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 LOUIS & MARY ANNE MESSINA N/A N-390406 - JULY 3, 1996 N/a Building Inspec~ FORM NO,3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] 23417 Z Permission Is hereby granted to: . ._ . /' _ _. ~ ..~.~......~,~/..~ ........................ ~ , .~.~~~..~.../~E~..~... , , ,o....~~..~.....~..~~.. .~...~~.~ ..... ~~ ....... ............................................................................................ df premises [ocQt~ Q .......................... .................. , .............................. ~..~.~ ........................................... oo..~T~,,o. ~000 s.o~o. ......... ~ ...... ~,oo~ .......... :~ ...... ~o~.~...~¢ ................ Building Inspector. Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT 765-1802 ~PLICATION 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 f~om Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Ilnderwriters. 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 complet~ site p'tan'requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and i"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 lnspect 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. Certificate of Occupancy on Pre-existing Butldinm - $100.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $J5.09, Commercial $15.00 Date .... ~/.')'~. ~/. ~ ~ New Construction ........... Old Or Pre-existing Building .................. ~q~ation of Pr°perty''~!~'~.~'~'~'~'~'~''''~· . Street ..... ~'~''~'?''~':~Hamlet ....... Onwer or Owners of Property .................................... County Tax Map No 1000, Section .............. Block ........... Lot .................. Subdivision .................................... Filed Map ............ Lot ...................... ....... Permit No.4~f. ~..Date Of Permit..~.. ~ y.~ ..... ApPlicant.~.~...~.q ............... ,$~,~, Health Dept Approval ................. Underwriters Approval ~ ........ Planning Board Approval ........................ Request for: Temporary Cert~icate ........... Final Certicate.....~/... .... Fee Submitted: $ . . . .~..~. , .~..~.. ............. ................... i THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1~25~}~ BUREAU OF ELECTRICITY :~ ~'- 85 JOHN STREET, NEW YORK, NY 10038 0.~ JULY 03,1996 Appti¢.tia. lWo, *.yi~ 1197~596/96 N 39~4~6 THIS CE~IFIES THAT o~y t~ el~trica~ equipment ~ ~sc~b~ 6e~m ~ iRtr~uc~ by t~ ap~icant Mmed on the a~ee application fl~mber iff the praises of MESSINA, 925 GARG~,NS LANDING, SOUTEOLD, N, ¥, in the.following tocatlon; [] Bo~sement [] Ist FI. ~ 2nd Fl, OUT Secdon Block u~s exatnined on O~t~E 26,1996 and found to be in compliance with the NaHonal Electrical Code. Lo! FIXTURE r I I FIXTURES [ RANGES ICOOKtNG DECKS ) ~NS )DISH WASHERS EXHAUST FANS DRYERS [ FURNACE MOTORS t FUIUflE AP~Lt~CE ~EDERS PECIALREC'PT TIMECLOCKS I BELt ~TER$ MULTI-OUghT DIMMERS .;. ~,~ ~PE ~L'~. 1~2W t~3W 3~3W 3~ NO'~E~COND~ O~C~D . ~ ~ ~t~ ~ OTHER APPARATUS: TIME., CLOC[~S 40 * (SWI~fING POOL) This eertificate covers compliance at the date inspection only. Because of unusual have ~requent test/and or repairs made by a quail[led person, <<< Contin~led on Page 2 >~> This c~if~me must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified ~y their credenfia(s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS SURE^U OF E-EC'r,lc,'r', 85 ~OHN STREET, NEW YORK, NY 10038 J~,~ ~3. 199~ ~pplicetion ~o, ..fi;~ 1197~596/96 N ~9~4~6 THIS CE~IFIES THAT o~y the electrical ~uipment ~ ~crib~ be~w ~ int~uc~ by t~ op~ica~t ~d on the a~e application numar in ~he prem~s of ~SSINA, 925 in th*fotlowlnglocation; ~ B..ement ~ Ist FI. ~ 2nd ~]. OUT Section Bilk Lot ~s examined on JU~ 26,1996 and found to be in compliance with the Na~onal ElectNcal Co~. FIXTURE OUTLETS SWITCHES DRYERS FURNACE MOTORS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. O~: FEET SERVICE DISCONNECT S $ R C NO. OF NO, OF NEUTRALS OTHER APPARATUS: BETHEL EI~CT. RIC 188 HILL ROAD HANORVILLE~ tPf~ 11949 LIC. $2880E Per I/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. I'l.lll III I -: 'hLOG. O~P'~ .... , . T,O,~WN OF SOUTHO~D.~ ..... LOT 9 I \ MAP OF 5UFE CO.N1AP ~JO. 214t (') n~ ,.{ · 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH [ ] I~.,kATION [ ~**'FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE~//~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLA~IS .......... SURVEY ................... ClIECK ............... CALL . . ........ .... a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ts 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 dr public streets · ar~as, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. 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 permit all be kept on the premi,s,e,s available,.!~p.[~inspection throughout the w6rk a .e; No, build~,ing~l~l~j;[2~3~lt~d~l~Ur!~{~sed in whole or in part for any ~urpose whatever until a Certificate of Occupancy u nave oeen ,~ranted by fft~B~fltling Inspector. A PLICATION IS HEREBY MADE to the Building Depart 0.. _ ~:e~g~¢~i~.~, ~,fa Bu, ld,n~ Perm,t ursuantto th lildino /~one Ordinance of the Town : , , ,.~.. a~ ~ ' P e of Southold, Suffolk Cou~¥'~,~-~,,o '-u ' · - "~ ..... t:~'~'ik:}: '~il other applicable Laws, Ordinances or o latmns for the construction of buildings, additions or alteratlons,,/oFf0~,removal or demolmon, as herem described. ~e applicant agrees to comply with all applicable laws, ordinances, bu£ ~,..,g cgde, housing cod,~, and regulations, and to mit authorizedirlspectoi~ 6n premises and in building for r~-~rv/~s~/~ , ~ture ~J'ap~plicant, or name, j,f~a corporation). (Mailing address of applicant) //c./.~/ ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) ,~pphcant ~s a'c~{poratmn, ,ignature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No. /. ¢./ ........ Plumber's License No ......................... Electrician's License ND ....................... Other Trade's License No ...................... ich proposed work wi,Il be'done .......................... Location of land on w~ ....................... .... ?.7../ ........ llousc Number / ...... . ........... "~;r;;; ....................... ' .............. Hamlet County Tax Map No. 1000 Section .... .7..4).t~.. ....... Block . .?O..-- g!~. ot...'.~..Q~ ........... Subdivision ' ................ (~ame) ................ Filed Map No ............... Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' ....':;';;'5 .... ............. :: :.::::::: .......... b. Intended use and ' ~' 3. Nature of work (check which a plicable): New Building .......... Addition ......... ;,~ Repmr .............. Removal .............. Demolition '" '' i ~.~._,~..~./, ....... , ......................... Fee ........ 5 If dwelling ' · ' . · . number of dwelhng 9mrs Number of dwelling units on each flah'/~!!C?-~? If garage number of cars i ~' ..,~, .... ,*'.': .......... If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ 7. Dimensions of existing structure~, if any. Front · · · ~. Rear ........... Height ............... Number of Stories .......... ' ..... Depth .... Dimensions of same structure wiith alterations or additions: Front ..... Depth Height ................ , · Rear ................. 8 ............................................ NumberofStories ............. j ..... · Dimensions of entire new construction: Front Rear Height Numloer of Stories .............................. Depth .............. 9 Size ............... I ....................................................... 10' Date°fl°t: Front ........... i ........... Rear ...................... Depth ..................... · of Pnrchase .......... I .- ·, .................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .............. 12. Does proposed construction violnte ~nv zoning, law ~--~.'--- ' ' .' :: ................................ 13. ~ilm~l leo to ~; ~; ?rd, r; ~n.i~ e,s ~ ~)~. ~.~,~. ,~,~ ....... ~. · Will excess fill be removed from premise~: 14. , .... p ... ...... //~.tl/.4/'/.~.$5./ 2J~ddress .~.2c~.-.6.,.,~.c'.,.,.,~. (,zd..~./.~:t PmneNo .~anle olArcnkect ..... i . --,~ ' ' ' 'f ..... ,,. · '-M, ~, ~,~ ',~, ...... ~ ...... '°muress · · ·; ............... Phone No ....... Name of Contractor,,(-fe(-....O,.. 4 q .~?.Z.s-... ~-j.~.~ .... Address .//.~'. ' .~.?~..z~.~.id. .A./f. Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes. No.3~. · If yes, Southold Tpwn Trustees Permit may be required· '''' PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nhmber or description accord/rig to deed, and show street names and indicate whether interior or comer lot. UNDERWRITERS CERTIFICATE REQUIRED 'IMMEDIATELY" UPON COMPLETION BEFORE "WATER" APPROVED $,NOTED OTIFY ~UIEDINO 'D~PA~ 765-180~ 9 AM ~.4 PM ~OR FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRUCTION MUST ~E COMPLETE FOR C.G. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE STATE CONSTRUCTION & CODES, N~ RESPONSI~ ~ DESIGN, QR, GO~IR~I~ ~ ~TATE OF NEW YORK, 'S.S' - U_~YOF...~......,.; ....... ~ j .... .x.~ ~. ~. ~/~7~...4~..~. f ' being duly sworn, deposes and says that he is the applicant (Name of mdw dual s~gnmg contract) :bore named. fe is the ....... .. . , ..................... agent, corporate officer, etc.) f said owner or owners, and is duly authorized to ncrform o, ' pplication; that all statements containe~l in this application ar~ have performed the said work hnd to make and file this trne to the best of his knowledge and belief; and that the 'ark will be performed in the manner se! forth in the application filed therewith· worn to before me this ........ . ...... . ... 'gRANC. E$ FRISZOLOWSKI (.~ ~ ..... Cou t4OTARY PUBLIC, State of Now Y~J~ · * · ' No, 4709862 . .,,: .... ' ....... ~i~,~ ~'~'*'c~ -c>~-- ?") ,. (Signature of applicant)