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Home My WebLink About22722-zFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26821 Date: 12/10/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 5130 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAFfLET) County Tax Map No. 473889 Section 78 Block 4 Lot 32.5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 1995 pursuant to which Building Permit No. 22722-Z dated MAY 3, 1995 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 ABOVE GROUND SWIMMING POOL WITH ATTACHED DECK AS APPLIED FOR. The certificate is issued to BRETT KEBL & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. B 066130 11/01/99 PLUMBERS CERTIFICATION DATED N/A / Bflding/Inspector Rev. 1/81 FORM NO.~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N9 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............................................... 19..~...~. 22722 Z ~ CounlyTax Map No. 1000 Section ........ .~...~.. ........ Block ........ pursuant to application dated~...~...~ ........, ............................. 19...~.....f'.....'""~-, and approved bythe Building Inspector, Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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/I0 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildip and installations, a certificate of Code Compliance from architect or engineer responsible for the building. ~6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an Vpre-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 $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $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 Date ~l .~../~. · · New Construction .... .~. ..... Old Or Pre-existing Building ................. Location of Property ...................... House No. Street Hamlet Onwer Owners of Property ..--~...~..V. ~, .~.~.~. · · .o..% County Tax Map No 1000, Section...Q.O.? Subdivision .................................... Filed Map ............ Lot ................... Permit No.. ?~. ~.~.~?..~....Date Of Permit ................ Applicant .......................... Health Dept Approval Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate........... Final Certicate...~....~..... Fee Submitted: $ ....................... ... ... ~..~. ~~j~ 1st) FOUNDATION (2nd) ROUGH FRAME & ~FLUMBING 3. INSULATION FERN. STATE ENERGY CODE Ye FINAL The New York Board of Fire Underwriters is in the process of issuing a certificate of compliance for the electrical installation as covered in an application noted below. The certificate will provide, detail of the tems inspected on /'~/Z~ __ and certified to be in com~lian~ce with the National Electri~l Code as of that date. (Application Number) IBD (Rev. 01/~96),, ADDITIOM~L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. [ [ ] IN..SULATION [ [ ~FINAL [ ] FIREPLACE & CHIMNEY ] FOUNDATION 1ST ] FOUNDATION 2ND FRAMING DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. ] I~I~AI~iON [/,~INAL [ ] REMARKS: FIREPLACE & CHIMNEY ! t DATE /~/~/~/~? INSPECTOR//~~"~ / THE NEW YORK BOARD OF FIRE UNDERWRITERS PAyt. 1 e77eoe .U.E^U OF ELECT..C, Y ' ~- 40 FULTON STREET, NEW YORK, NY 1'0038 / ~ · ':Date NOVE?~ER 01,1999 Application No. on file 19255299/99 H 066130 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named ~n~ the above application number is in the premises of BRETT & JANET KEHL, 5130 MAIN BAYVI~W RO~D, $OUTHOLD, NY in the following location; [] Basement [] ;st FL [] 2nd FI.. GAR/OUT Section Block Lot was examined on OCTOBER 25,1999 and found to be in compliance with the National Electrical Code.. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES SWITCHES OUTLETS FLUORESCENT OTHER 2 2 DRYERS SYSTEMS NO. OF FEET E R V I C NO OFCC COND A W.G PER ffi OF CC COND OTHER APPARATUS: SWIMMING POOL-1 G.F.C.I~-i *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to ~ave frequent test/and or repairs g~'~~Per <<< Continued on Pa~e 2 GENERAL MANAGER This certificate must not be altered In any manner; return ~ the office of the Board if incorrect, inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FiRE UNDERWRITERS ~-- 40 FULTON STREET, NEW YORK,, NY 10038 Date NOVEMBER 01,1999 Application No. onfile 19255299/99 H O6613(D THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on~ the above ~tpplicatio~t number is in the premises of BRETT & JANET KEHL, 5130 MAIN BAYVIEW ROAD, SOUTHOLD, NY in the following location; [] Basement [] 1st FI. [] 2nd FI. GJ~/O[JT Section Block Lot was examined on OCTOBER 25 ,1999 and found to be in compliance with the National Electrical Code.. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS: E R V C NO OF CC COND. PER · NO. OF N~UTRALS OF NEUTRAL BRETT D. KEHL 5130 MAIN BAYVIEW ROAD SOUTHOLD, NY, 11971 This certificate must not be altered In any manner; return t9 the office of the Board If incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THI~ COPY OF CERTIFICATE ~MU~.~T NOT BE ALTERED IN ANY MANNER. ! .... ,:~:';~::-~ F ,:" SOUTHOLD, N.Y. 11971 Approved .......... t No ............ Disapproved' a/c ................. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM ENT~ TOWN HALL ~0,tRo'o? Hr^Lru :~ SURVEY ................. ............. SEPTIC ' CALL APPLICATION' FOR BUILDING'PERMIT Date .... ; .......... , 19 INSTRUCTIONS a. This application must be completely filled in by typewriter orln ink and subinitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of l~uildlngs on premises, relationship to adjoining premises or public st?eet or areas, and giving a detaJled descriptioh of layout of property mu~t be drawn on the diagram which is part of this app[ cation. . c. ' The work covered by this application may n~t be commenced before issuance of Building Permit. . d. Upon approval of this application, the. Building Inspector will igsued a Building Permit to the applicant. Such perm/ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc' shall have been granted !,y the Building Inspector· . .. APPLICATION IS HEREBY MADE to the Building Departmer~t for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of South61d, .Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions'or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectcSrs on premises and in building for necessary ins~ ~,.. ~. , . . . _ . ............... .... :....'..... . (Signature of a~rf~licant, or name, i;~ cor~;r'a}ion)' (Mailing address of applicant) State whether applicant ~s owner, lessee, 'agent, architect, engineer, general 'contractor, electrician, plumber or builder. Nameofownerofpmmises ...... gl--.l[-... ~5, ~ ~ "'~/mG- ..~.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' ; (Name and title of corporate officer) Builder's License No .......... .A/.At .... ' ......... Plumber's License No ....... :..../~.~.... .......... Electrician's License No ........ .,~/~.. ............ Other Trade's License No... ..... .g/.~. ............ 1. Location of land on which proposed work will be done. " . House Number Street .......................... Hamlet Couhty Tax Map No. 1000 Section ...(~.Q.tZ~..... ..... Block ..... Q~. ' Lot...O..B.¢.,.~... Subdivision . ........ . ............................. '. Filed Map NO Lot (Name) .............................. Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Inten'~ed ' " Use and occupancy · ,3. Nature of work (check wh ch'a ica ). ' "~ ' ;% It Repair Removal ............ Demoiition .... : .......... Other , escription) 4, Estimated Cost ....... .... ... Fee (to be paid on filing this application) 5 If dwelling number of dwelling units'.. Nurhber o:;' dwelhng' umts' on each floor If garage, number of cars ~ " ' 6. If business, commercial or mi,~ed occupancy, specify nature and extent of,each type of use ..................... 7, D menmons et ex~st~ng structures,, ff any: Front ' Rear ' Depth Height Number of Stories ' ' ' ' Dimensions of shine structure With alterations or additions: Front ................. Rear ............ : Depth .... '. .............. ~,,. Height ....... i,.: ........ :., Number ,of Stories .......... '.; j,., .... 8, Dimensions of e,n.t~ire new construction: Front . /.~,::.O... ; Rear .... /(>'fg. n,.,~m /~_1-0 12, ? p d onstruction v~¢late any zoning law, ordinance or regulation: ..... './? ~. ........ : ......... Name of Architect l/~. ~. " Address Phone No Name of Contractor ......... !.N0.' "" ........................................ Address Phone No 15.' I.s this property within! 300 feet of a tidal 'wetland? *Yes ........ 1~ ........ *If yes,'Southold;Town Trustees Permit may be required. ' : ' PLOT DIAGRAM : Locate clearly and distinctly all buildings, ~heth~r existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate Whether interior or corner lot. ~_ ~[2 .~Op.d¢-_¥.~ STAVE OF NEW..YQglq, (Name of individual sign!ng contract) above named. FOLL(')W~h~G ~ ,v ~ PM FOR THE ~ ~MSPECTIONs: I, FOLJND~TJoik~ . '~,VO ' ' 2 ' fOl~ POU~ED CONCRETffEQUIRED ~', FINAL . COnSTrUCT} o ~nOCTIo~ $ ~UCTION ERROrs .,. being duly s~vorn, depose,s and says that he is the applicant ~e is the (Contractor agent corporate officer ete ) ...................... >f said owner or owners, and is duly authorized to perform or have performed the said work and to m~e and file this tpplication; that all statements conta'ined N this'application are t'rue to the best of his ~owledge and belief; and that the ,york wll' be perfo~ed in the m~ne? set forth in the application filed therewith. ' ;worn to before me thi* ~ota. Public, %~.~..~ Count7 , N~.~uW Fuolic, StateefNew%rk ' . ~.& //~/~ Oualff}ed in Suffolk ~ounty ~ ............. · ....................... Cemmiasion Expires May 22, 19 ~ (Signature of applicant) Georgia. Pacific DATE: PHONE NO: FAX NO: BY: Lit, Ilem #122195 W! Series GP! Series G-P LAM' LV, GLULAM gaoo GL'IOOd ~ ,,A'I~IJ.VlOalAiP#,, "^ME:'-F,.~E~- ~_~_ . r ia. Pa ific Oo..^.? . GLo g c LOCATION: ~/3o }~l~ ' Engineered Lumber I FAXNO: ,~*~ ~ , ~ ............. ~L~- ~0 ...... ~' ~x~x,~ --'i ~"~-~ ~111 I ! Ill Ill I ................ ] ....................... ' .................. s~'"'"-~ i_,, __ ~ , i , i ~1,1~-~~-~ · WI Series ~PI Series ~.~ ~ LVL ~LULAM Lit. Item #122195 ~o~ I [td¥