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Home My WebLink About23534-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-24770 Date DECEMBER 2, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property. 17525 COUNTY RD. #48 House No. Street County Tax Map No. 1000 Section 95 Block 4 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5, 1996 pursuant to which Building Permit No. 23534-Z dated JUNE 25, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE IN REAR YARD AS APPLIED FOR. The certificate is issued to of the aforesaid building. LOP2~AINE MIT.T.RR SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-391111 - JULY 12, 1996 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ' //Budding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/v~IT ~HIS PE~IT MUST BE KEPT ON THE PREMISES UNTIL FULL C~PL~ION OF THE WORK AUTHORIZED) N? 2353~ Z Permission is hereby granted to: / . ..... .,~- ~. ~.../..~ ..... ~~...~ ..................................... .... ......... ~.o .,., ....................... ~ ............................................................................. ~.....~. ..... · / ~,.,.. ,~ . ,,, ,,rem,,. ,,,,,,,,,, o, .......... Z ....... ~.......~......~.....~ ....................................... 1 ~n~ T. Mo~ ~o. iooo S.¢,,on ...... ~.:..... ........ ,,~ ....... a~ .... ~o, ,o ...... ./...9. ......... 8uildin~ Inspector. Rev. 6/30/80 TOI~ O? SOUTHOLD BUILD ING DEPARTM-ENT 765-1802 .~=~ICAiION FOR oER_IzIcATE OF OCCUP.~gCY BLDO. DEPY, TOWN OF SOUTHOL..D. 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: Final survey of propert7 pith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from geal~h Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of elec:ricai in,reliction from Board of Fire Underwriters. 4. S~orn statement from plumber certifying thac 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 b~ilding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to 'April 9, 1957) non-conforming uses, or buiidiugs and "pre-existing" land uses: 1. Accurate survey of property showing al! 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 re'sods therefor in ~griting to the applicant. C. Fees 1, Certificate of'Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Ai=eranions to dwelling ~25.00, S~imming pool S25.00, Accessory building $25.00, Additions to accessory building 825.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existia~ Buildin~ - 3. Copy of Certificate of Occupancy - . .25~ &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $t5.00, Commercial 315.00 ...................... · ~New Construction .......... 01~ Or Pre-existing Building ................. ILocation of Property../.?..~..~ .~. .... ~.~..~..~.y .... ~..~....~.~. ..... , .~../~.T..~ ...~.~..~,,~. ...... ~ ~ouse No. Street ~amlet ~nwer or Owners of ~roperty .... ,,~.~Z.'U..~. ...... 'e/..Z,'<..~..--,'~.. .......................... ounty 00o, section .... ...... Bloc .... ......... ot...ZY. ............... ubdivision .................................... ~_led Map. .Lot ...................... Permit No, ..~..~, .~.,'.~-,.Date Of Permit ..... Applicant ................. :~al:.~ ,:eAt. A:prova: .......................... :nde-~r:.'.ers :.pproval...--AY. -S ~I//Z ?!arming Board Approval ........................ [e~uese i~r: Temporary Certificate ........... ~in~2. Cer:±caee ........... 'ee Submitted: .................. .L~PLiC3~IT C~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1145059 BUREAU OF ELECTRICITY ~'-- 85 JOHN STREET, NEW YORK, NY 10038 Date ~U-~Y 12,.1996 ~pplleetJon Mo. onfite 12~22996/96 N 391111 THIS CE~IFIES THAT o~ t~ e~tr~ ~ipment ~ ~CH~ ~ a~ in~uc~ ~ t~ appoint ~m~ o~ the =~e ~pl~tlo~ MTr.T.P.R, 17525 COUN~ ROAD 48, CUTCHOGUE, N.Y. ~ examln~ on ~Y O9,1996 ~d fou~ to be in compl~nce with the N~on~ El~ct~c~ Code. Lot HXTUIE OUTLKfS SWITCHES 1 1 fiXTURES RANGES OVENS DISH WASHERS EXHAUST FANS $ERVIC~ DISCONNECT S E OTHER APPARATUS, R V I C SWIMMING POOL-1 TIME CLOCKS-AMP. 40-1 G.F.C.I-1 PANE~BOARDS:i-3 CIR. 125 * (SWIHMING POOL) This certificate covers compliance at the date o~ ~lnspection only. Because of unusual environments it is advisable to -, ~,~.~~ <<< Continued on Page 2 >>> ~P,r~--AGIR This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors may be identified by their credentials. THE NEW YORK BOARD OF FIRE UNDERWRITERS [:~,~ 2 ].14~)~9 BUREAU OF ELECTRICITY ~" 85 JOHN STREET, NEW YORK, NY 10038 Date JULY 12,1996 ~pplicationNo. onfile 12022996/96 N 391111 THIS CERTIFIES THAT only C~ e~tr~ ~uipmen~ ~ ~d~ ~ ~ int~uc~ by t~ ap~icant ~med on the a~ ~ppl~at~n nu tuber in the prem~s of ~ ~xamin~ on ~ 09 ~ ~99~ and found to be in compliance with t~e N~on~ Electd~ Cod~. _ made by a qualified person. 30 J~RICHO TPK~.SUITE 282 COHMACK, NY, 11725 {~ ~i~ c~itkate ~1 ~o1 be olt~r~ in oq manner; r~n to the office of the ~ard if, incorre~: In~p~or~ may be identified by ~eir ~redentmls. ~; I'(JUHI)i% I I()11 ( ~ t)l\ I I' .................................... . ..... J I'.1 ~ '~ P6~2-8~6-9~S ]Bi BLDG. DEPT. TOWN OF SOUTHOLD__~.~J FORH NO. I TONN OF SOUTHOLU BUILDING DEPARTHENT TOWN SOUTHOLD, N.Y. 11971 TEL: 765-]802 A.~, ....... ~/d~.~._.. ~--k ' - ........ ./-' "" Disapproved a/c .................................. BOARD OF IIEALTI1 ............... 3 SETS OF PLANS ............... SURVEY ........................ CBECK .......................... SEPTIC FORH ................... HOTIFY: C^l~ 'Y3'/.-.?o~.l ...... HAIl, TO: .................... APPLICATION FOR BUILDING PERNIT INSTRUCTIONS a. lids application mint be conpletely filled in by typewriter or in ink aed m~tanitted to the ~dldirg Ins~ctor witl 3 ~ts of plus, ~ate plot plm to ~ale. F~ according to b. Plot plan M~i~ l~atlm of lot ~ of ~ildi~s m ~mi~8, relation~ip to ~joining pr~i~s or ~blic struts or are~, ~ givi~ a &tail~ &scripti~ of last of ~rty mint ~ dr~ ~ the di~ ~idl is ~rt of this a~licarim. c. 'tim ~rk c~ 1~ this a~licarim ~ ~t be c~ ~fore isle of ~Hldi~ Pemit. d. ll~m a~al of O~is a~licatia~, tie ~ildi~ Ins~ctor will is~ a ~ildi~ Pemit to the a~licmt. ~d~ ~mit ~mll h kept m tim ~i~s available for in--tim thra~mt the e. ~ beildi~ ~mll ~ ¢m~i~ or u~ in ~mle or in ~rt for a~ ~ ~mt~er mtil a ~rtlficate of ~ ~alt h~e ~n ~t~ ~ ~ ~ildim In--tot. ~'l~ IS l~ ~ to t~ ~ildi~ ~r~nt for ~e isle of a ~ildi~ Pemit ~mmnt to the ~ildi~ ~ O~i~ of ~m 1~ of ~tt~ld, ~fffolk ~, ~ York, ~ other a~llc~le ~s, ~i~es or ~lati~s, for t~ ~mt~tim of ~ildi~s, amities or alteratims, or for ~al or ~lition, as berein ~}~ri~. ~ ~limt aF~s to ~ly with all a~licable I~s, ordi~es, ~ildi~ c~, Imi~ c~e, ~lati~s, ~ to ~it ~fl~ri~ in~tors on ~i~s ~ in)~r mca~ in~ti~s. ' ' A ~. [ ....... ';~ ~ , , (Si~re of a~lic~t, or ~, if a co~ratim) (~aili~ ~ress of ~lic~t) State ~r a~hc~t is ~r, les~, ~nt, a~it~t, e~i~r, gemral ca, tractor, el~trlclan, plu~r or ~ilder. .~2~ ........... . ..... ~ ....................................................................................... ~ o~ ~ o~ ~,. ~&g.~... 2:..~ ~A.4.~....~. / e~z.~e....~. :~zdg~& ............ (as ~ tbe t~ roll or latest d~) I~ a~li~nt is a cor~rati~, si~ of ~ly a~t~ri~ officer. (Nam and title of corporate officer) Builders Licensa ~ .......................... Plnsdmrs License bio .......................... Electricians Licansa No ...................... Otber Trade's Licensa No ..................... I. Docation of land oa~t,id, proFosed ~ork will be ~ /~,~oQ-~' C~t~aA)~-~ ~3/.~. g0/D ............................................................................... ~..~...~...~..~..~ ................. llouse limberStreet ltamlet ..... ..... ..... ........ .Z./. ......... ~ivlsi~ ..................................... . Fil~ ~p ~ ................ l~t ............... (~) 2. State ~isti~ u~ ~ ~I~ o[~i~s a~ inte~ u~ a~l ~CUl~y of ~o1~ c~stmction: ~. ~ .~ ~ ~,~ .... ~ :~ ~.e ~. ...... /:~a: ~c,~:~ :,',?',~-,-,~ ..................... spplj~cable): Nc~ IMihling .......... /~khtmn ....... ,,'1, ^lLeral:mn .......... 1~ j~nraSe~ I~t~r o[ ears ...... l ................................ I)i,enai~m o[ existing atnmLtn~a, i~ any: FnmL ................ I~ar .............. ; I~pLl~ ................. IhJ~tt ......................... ] ~dmr o[ SI:eries ...................... I)i,ensicsm o[ s~m stricture w/th alte~a~i(ms or ~Mitions: Front ............... ~ar ............... I~plh .................... I~i/~ .................... ~Jdmr oP Stories ............... I · ~es of ~mr of pr~ni~a .... ; ...................... &klreaa .............................. H~ ~ ............... ~e o~ Ar~dtect ............. , ....................... ~klress ............. ll~m ~. I FI.OT DTAGRAH [TOll prol~rty li~¢a, gi~ 8t~et alii bl~k a~i~r or ¢~scriptitsl acco~ling t:o i~l, a~l M~ sLreeC ~ms at~l i~lieate I0. II. 13. 16. ~mtl~r inLerior or cen~r lot. "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION SEFORE "WATER" UNDERWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE, OF OCCUPANCY APPROYED AS NOTED DATE: ~/~flJ~-/~ B.P.# 76B~802 9 A~ TO 4 P~ FOR THE L FOUNDATION ~ T~O FOR ~URED CONCRETE 2. RO~H - FRAMING & PLUMBING 3. INSU~TION 4. F~NAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS · .'~..~--. ~ ............ being duly m.~)ru, delx,ses a,M ~ay, that he ia the al,id leant ((k~)t. ractor, agem', corlx)rate cf ricer, cie.) alq)lt(:aklou; that. all stat~ielll. 8 con~ah~d m I.hls Olq)l mat.~(m are tn~ to the Imst: off his k~x~l~lt~e m~l I~l ti ~ k ti e ~ rk w It I~ ~rfot ~l 1~ t{ e ~tn~r net Ior(h ~t~ the ap)[~es :~( ~, f~lecl tfmr~ttl , ,~,roLol~rot-e,,~ Iltn~--~ J ................... .... N~ARYPUeUC.lSOteof N.Y. (s ii,imf:ute of Al)pi No. 4725089, Su~lk ~u~ ,/ U~ ~: r ~ KENNETH S. MILLER TOWN :0~' ~OUTHOLD '..S.,~,FFOI~'i~ )UNTY, NEW YORK. NEW.~ORK SLATE, L~W, ' ~ COPIE~~. '~: ~,SEA~ OR EMeOS'~EI EAL BE A'VA~ID CATED~ HER TO 'THI LE, NDING DATE SCALE NO. AUGUST 84 r821 PURPOS NOT.TO .BE USED:TO