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Home My WebLink About23280-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24462 Date JUNE 25, 1996 THIS CERTIFIES that the building Location of Property 2715 KENNY'S ROAD House No. Street County Tax Map No. 1000 Section 59 Block 7 Subdivision Filed Map No. ACCESSORY SOu'£uOLD NY Lot Lot No. Hamlet 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 1996 ~ursuant to which Building Permit No. 23280-Z dated MARCH 5, 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 AN ABOVE GROUND POOL AND FENCE TO CODE IN THE REAR YARD AS APPLIED FOR. The certificate is issued to ROBERT & ANNETTE NITSCHKE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N386992 PLUMBERS CERTIFICATION DATED N/A MAY 24, 1996 N/A Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL $OUTHOLD, BUILDING PERMIT ITH~S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........... ~ ..................................... 19....~..~., 23280 Z Permission Is hereby granted to: . . . .?/. . . . //. . . . . . ./. . . . ................ ...~,~.~/.~.~,.....~......//..~ ~ to....~=..~ ............. ~ ........... ~ ........ ~~. ......... ../...~..~. ........ ~ ........ ....~. ~ .. .~..../), .......... ~.... ../....~......~.. ..~ ........ .... ~.~.......,2.././........ ~..... ~...... ~.... ...................................................... ............................................................. ........ ~ '..'.~ ~ /J- , at premises located at ........... ...~..'......~/~. · ./~..~., ............. ~ ................................... CountyTax Map No. 1000 Section ...... .',.,~., .~,. .......... Block ...... ~., ,.~.,. ........... Lot No ........ ~....."~.., .......... ,~_~,~ ,,z/ ... pursuant to application dated .......... .,~...~.: ......................... 19... ,,.~, .~,...., and approved by the Building Inspector. Fee $....?.,.~,. Building Inspector Rev. 6/30/80 Fo~ No. 6 TO%,i~ OF SOUTHOLD BUILDING TOW~ ~LL 765-!802 Thcs applicanion musz be filled in by =}~ewri=ar 0E ink and submi=:ad :o zhe building L--speczor wi=h zhe fo!iodine: for new building or new use: !. Final survey of property wizh accurate loca~ion of ail buildings, property !ines~ s~reets, and unusual natural or %opographic features. 2. Final Approval from ~ea!=h Deps. of ~~ater supply and sewerage-disposa!<S-9 form). 3- Approval of e!ac=rica! inszalla~ion from Board of Firs Unde~rizers~ 4. Sworn szatemen= from plumber carcifying :has ~he solder used ~ syszem conzains lass ~han 2/!0 of !% lead. 5. Commercial building~ induszria! bu-LAding, mu!=ipie residences and s%mi!&r buildings and insza!iacions', a cer%ifica:e of Code CompliAnce from ~rcki~ec= or engineer responsible for =he building. 6. Subml: Planning Board Approval of comp!scad si~e plan requlr=-men:s. T For axis=ina buiid£ngs (prior =o April 9, !957) non-confoFaing uses, or buiidangs and ['pre-exlszlng" !and uses: i~ AccuraBe survey of proper~y sho~_ng al! proper~y !ines~ saree:s, building and unusual natural or :opograpkiz features. 2. A properly comp!sued app!ica:ion and a consent ~o inspaci s!Faad by =he app!icans. Z£ a Certificate of Occupancy is denied, ~he Building lnspecuor shall s~a~a aha reasons zherefor in ~izim~ ~o she applicant. Fees !. Car=ifiaaza of Occupancy - New d~el!ing £23.00, Addizions :o dwelling £23.00, .....~-o~-'=-zons zo owe~' ~o= $25.00,. Sw~ming oooi. 525.00, Accessory building $25.00, Addi:ions =o accessory building $25.00. Businesses 550.00. 2. Carclfioane of Occupancy on Pre-~xis=inz Buiidinm - 5100.00 ~ .. Ce ...... =~ of Occupancy. .25C /=. Updated Car~ificac~ of Occupancy - 550.00 5=~.00, Commercia_ 5. lemporary Carnifica~s of Occupancy - Residential ;": .............. ...... ............... ............ ...... <7 7"773/"'7 ' ~_~ ~ ...... ~ ...... ~',.~_ ~ _~ .......... ~ .... ~,~-- - ....................... :.ealzh Dept. Approval .......................... Under~-rlcers &pprovaly.~. ..................... far. ulna_ Board Approval ........................ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 21, 1996 Mr. Robert H. Nitschke 71-04 Edgehill Place Douglaston, NY 11362 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23280-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for Ill)lllill I~llAIIl~ & I'l,llllll Ii, Iii IIt}iIII.A'I'II)[I 1'1[11 tt. ~. ,?I'A'I'I[ Alii) it'l' I (Ilia I, (]l.)l-II-II~.lt'['[: "1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]/~NSULATION [~/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~/'~ ~ ~/~ DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS l(~e~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NY 10038 O~ ~Y 24, ~996 ~p"~*,~o. ~o. o.~ ~1737~96/96 ~ 386992 THIS CE~IFIES THAT o~y the electrlcol ~uipment ~ ~scri~ be~w a~ intr~uc~ by t~ applicant ~ on the a~ appl~ation number in the p~mhes of RITSC~ ~ 2715 KE~ ROAD, SO~'~OLD~ ~. ~h~ fotm¢i.~ I,,c.¢io.~ ~ ~.~..~ ~ ~ . ~. ~ ~ ~. OUT ~ exa,.ined on ~Y 2~, 1996 a.d fo.nd to be i~ ¢o~pl~.~e with the NaMo.al Elec~al Code. F X[URE I I [ FIXTURES J RANGES [C~KING DECKS ~ OVENS ~DISH WASHERS I EXHAUST FANS ~T~TS ~ECEPTACLES SWITCHES iNCANDESCENT FLU~E~ENT OTHER ~T. K,~ ~T, ~Vl~ DI~ONNECT ~. O~ I $ E n V I C OTHER APPARATUS: BETHEL ELECTRIC LIC. #288OE lB8 ~IILL ROAD MAEORVILL~, NY, 11949 Pe 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 8UILOING DEPARTMENT. THIS COPY OF CERTIFICATE MU.ST NOT I~E~ ALTERED IN ANY MANNER. O'SL/ '~x.CO, ~tejlj,~J ROARD OF IIE^L,T. II ,. I~i?Oga;~Ti~oll~Conl~ OaMNO. 1 3 SETS OF PL,X,lS ..... ' ~ ' TOWNIIALL SEPTIC FORH ............ ~ ...... ~ ' SOUT~IOLD, N Y 71971 ' BLOG. DEP~ · , ~ TOWN OFSOUTHO ~ ~ TEl_.: 765-1803 'OTI FY; ..... .. ' ' . ','.' ,,"* '* .., 19 l'emdt No ' ' I)iSapl~mved a/c ................................ ~ . ~ui{di% hlsp~ctor) APPLICATION FCa BUILDING PEHMIT a. This apl~licahon must be complelely filled in by lypewriler or i, i,k aml submilted lo lhe Btdldjng lnspeclor, with s~ts of plans, acotlt'ale plol plan lo scale. Fee according to schedule. b. Plot plan showing localion of lot and or buildi,gs on p'en'zses, x'~lafionship to adJoinin~ premises oy pubUcsDeo or a~e~s, and givi,g a dotailed descrjpljon of Iayoul of property must be ( awn on the diagram which js part of this nppl c. The work covered ' · ' ' ,, by this apl) cl boll jllay ct be collllile Ice{ befo'e sst alice o} ( 1~ )~r ~ t d. Upon approval o~ " Btl l_ -o ........ , tills ,I )pi ca Io l, t e J3t IJdjzlg Ills )ectoz' w; J~s~ed a }JU d ng Perm/{ 1o {he app/ica{~t. Such shall bo kepi on lllo premises available for inspecfion ihmughotll the work., , m . No building shall b~ occupied or used in whole or in parl for any purpose Whal~ver until a Certificate of Occul~anc shall havo been granted by tho Btfiltling lnspeclor. . APPLICATION IS IIEREBY MADE to l ~ Building Deparhi~ent for lhe isstance of'n Btildin, P~rn' . .,~eBmatJons, ~ol ~ ~l~ff~! ~F ottil'(~f~, a( dilio ~s or allerations or for rem;OVa * .. lJle applJcanl agrees~o~$'fi~Jll,~LT,~ol~A~ ~,.~- ,. . . pr delllohllon, ns herein describe( (Mailin8 a(kfiess oF applicanl) Slale whelher spplicanl js mvner, lessee, aBenl, archjlecl, enSineer, 8eneraj conl~acloh eleclNcian, plumber or builder Nameorownerofptemises , ~rr~ ~ ~ (as on Ihe tax roll or iatest deed) ' J~llJYfJJJcatlt is a,~o}'pora/io,, sig'naitue of duly auJflmi~ed off{ocr.' (Name and lille of corporate officer) ' l~ Ildel s L ctllse No. J Iqtlnlbel"S LiceliSe No ......................... Elech'iciatl'$ I iCellSe No Oiher 'l'lade's l.JceJlse No ...................... J.,~.-~ J..ocalJoll of hind o, wJiJcJi j~lopos~d Wolk will be done. '' "" Ilo,se Number Slreet ................................. llamlet Cou.ty Tax Mai, No. 1000 Section .... ~.~ ......... Block . ,' .... ~, ' Lol ...... ~ .......... SuhdJvision ~da~ ' Filed Map No. (Name) ........... 1..ol..~.~ ........ Shlle cxisli,ll Use gll)JJ occupancy of premises al}d inlcmled use a~ld occ pancy of proposed conshuclion: a. Exisling use and oCCUl)ancY ~C~/o ,0 t~ & · ell'iii nits On each Omi ~xlol tof,each ly)OlO£USO ." ';, ,,"Fr°"t,..~ .... ~,;, I~ear,,.,.: ' ~ ';'~:: f St ' ' ' ·: .... / .'; ~ ,,,; Number o~orles ....... ::, ,. ,. ........ ,, ~10 O[ Jmrlilor Owner ,~ l reg~ Juiion: , : Jill l)o [SIllOye( 'om pre o , f .... +, ~' ., . ' , . . lone . "' ' ""' ' '": ' Addre [ PI NO lin:,/,,., h n ;i,i,, ross ., ....... ' .... J, . P o e No,.,.,,.,...:., ,. ..... r~y *Yes no ~ Soutbold Town TF~ia~aas Parmit,lnay be required. ,' ", : disllnclly all bit ldings, who!linr ~xis[ing or proposed, and. jndi~dl~* all set-back,dlmdnslmis' froil [~,.~[~0¢t,and block nt.~lbez or descrtpllgll a¢cordm~ to cleed~ and show ~treet names aod mdicale wlml ~er "~: 766-1802. STATE CON~ sworn, deposesj and sayci iii (Cc) ti'lC 0¥ afle)t, co"l)or leoffcer, etc) I '; an is (ltl y aL I '~Ot*Zet to )crfo'l or ~ye )error ed t o sa'( work and lb }'ake'a~{~ ill& ~- I statcp)e~ds co ~tainq([i.,,~il}~;~ppiigal o )am true to the best ofhls kn:owledge am 'be ief 'and re'ed iJftbe~ner s¢~orl II 1 Ill~'a ~)1 cai 0 1 fi ed lherew Iii. ' ~ , , ; ~ ",) , /. / '";-" ' ' ' ' ' "' " ~,, ,r ,' : . , , , , ,~ -., .., ....... ,. ., !~Y .... ,, 19 ..., . THE NEW YORK BOARD OF FIRE UNDERWRITERS 1(~2~O8~ BUREAU OF ELECTRICITY ·' ~--- 85 JOHN STREET, NEW YORK, NY 10038 Da~t. ~Y 24,1996 ~ippllcatlo. Mo. o. fi~. I1737~96/96 N 386992 THIS CE~IFIES THAT o~y the electrical ~uipment ~ ~scdb~ be~w a~ int~uc~ by t~ applicant ~d on the o~ application number in the prorates of NITSCHKE ANNETTE, 2715 KENNY. ROAD, SOUTHOLD, N.Y. ~wts examined on ~Y 20,1996 and found to be in compliance with the National Electrical Code. Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDESCENT FLUC~ESCENT OTHER DRYERS SYSTEMS NO. OF FEET E E R V I C NO. OF CC. COND PER ~' OF CC. COND, ;NO OF NEUTRALS OTHER APPARATUS: SWIMMING POOL-! SWITCHES- 1 G.F.C.I.-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual ~nvironments it is advisable to have frequent test/and or repairs made by a qualified person, <<< Continued o~ Page 2 >>> Per GENERAl, MANAGER Th ~..~e~rt f cate must not be a tered n any manner return to the off ce of the Board f ncorrect nspectors may be dentified by their credentials. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE'MU~T NOT BE ALTERED IN ANY MANNER.