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Home My WebLink About23013-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umAN~Y No Z24545 Date August 5~ 1996 THIS CERTIFIES that the building accessor~ Location of Property 40 Beachwood Lane~ Southold House NO. Street Hamlet County Tax Map No. 1000 Section 70 Block 10 Lot 62.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 11~ 1995 pursuant to which Building Permit No. 23013Z dated September 14~ 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 in,round swi~ain~ ~ool w/fence enclosure to code as a~lied for The certificate is issued to of the aforesaid building. Kevin & Dorothy Gallaher (owner~ lessee or tenant) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N 373298 dated UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 December 19, 1995 Bullding I~sp/tor FORM NO.3 TOWN OF $OUTHOLD ~Ui~DtNG D~EPARI'MENt' TOWN HALL SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZEDI ~te .............. ~/.../..~. ................................ 23013 Z Permission Is hereby granted to: ,¢. ,~,~.1¢...~....~....~.,..~,.....~1~........~. ....~.......~ /1~,~ /z.~. I ...... ~,,.,...,.~...~Z ................................................. /~ -- '"'~'~"~'"~'~'~'"'~'~ ' to .~:...,.~./../.. ....... ~ ....... ~.~ ........ ..~,.~.~.,.~..~ ........ ........ . .~. . . .,. . .~. '. . . . . . , . ~.~. . . .~ ........ ~ ~./. ~ ~ ~ ........ . ~ ......... ~ ~ ........... ~. ?. . . ....... . . .~. . . .~2. . . . . . . ~ ~ . a,~re~,o~,~ot ........... ~.....,~.~..~..~......~ ............................................... CountyTax Map No, 1000 Section....~..~.. ............. Block ....... ../....~... .......... Lot No ..... ~.....:../. ......... pursuant to application dated ............. '~ ~ ~. ./. . ./. /. ................................ ] 9....~:..,.,~...... and approved by fne Building Inspector. F~e ~..~:...~ ..... Rev, 6/30/80 i; TOWN OF SOUTHOLD !i BUIT-D ING DEPART~N~r ., JUN 2 6 1~6 iL,', r0~ ~ ~ 765-1802 8LDG DEPI TOWN OF SOUTHOLD ~ This application musm be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final sum~ey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of wa=er supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Unde~riters. &. Sworn statement from plumber certifying ~hat the solder used in system contains "less than 2/10 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and ~ustallations, a ceruificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For ~-isuing bui!dinEs (prior to April 9, !957) non-conforming uses, 'or build%nas and '!pre-existing" land uses: i. Accurate su~gey of property showing all property Lines, s~reeus, building and unusual natural or ~opogr~phic features. 2. A properly completed application and a consent to inspec~ si=~/ed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in w~i~ing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Addiaions to dwe!!~--~g $25.00, Altera~ions to dwelling $25.00, Sw~ming pool $25.00~ Accessory buildiag $25.00, Additions ~o accesso~f building $25.00. Businesses $50.00. !. Certificate of Occupancy on Pre-~ist%~ Buitd~lz - $100.00 3. Copy of Certificate of Occupancy - % .25~ 4. Updated Certificate of Occupancy $50.00 /' Res_dens,al $i5.00, Commercial 5. Temporary Certificate of Occupancy - ~ ' ~ / V Date ................................... New Consbruca!on ........... Old Or Pre-existing Building ................. ~ocation o~ ~roperty ....... ./4.¢ ............ ~.4¢.y..~.~o...~...~h~.f ........... .J".c..%r~.~;~ ...... ~ouse No. Street Esm]et On.er or Ow:ers of ~roperty ...... /~L.-Y.'.d.. Z....OCZZTF.. ..... ¢...¢~....'~.#¢¢/'Z oou=y T= 0oo. Bection ..... Z.o. ..... :loc ...... '<P. ....... ....... ......... Permit of Eeal~h Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ .Request for: Temporary Certificate ........... Final Ceruicaua Fee Submitted: $ ............................. THE NE V YORK BOARD OF FIRE UNDERWRITERS J [P'I~u'%7 ~ BUREAU OF ELECTRICITY --- B3 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~.~F~ 1~c-'~ [~ .4pplicatlon No. o,file ~q~9~t/95 THIS CE~IFIES THAT ~V:rN GAM,~GH~, 4~ BER('~I~D t~, SO~HO[~, N.Y~ in the]oJlowing Jocotion; ~ 8~.tent ~ l~t FI. ~ ~nd a, ~:i!l'[' S~tlon Bilk Lot ~ examined on ~Q~[ ~ ~ ~; ~ ~ 9~ and found to be in compliance with the Na~ona[ Elect~cal f~XTUBB I[¢EPTACtE$ SWI! ES FIXTURES ~TI~ANGKE~w, OUTL~TE CH iNCAN~ E$CENT FlUOrESCENT OTHER ! I [ OTHER APPARATUS: SWIHHIN~ TINF~ CI~3CKS~AMP, 40 1 ~ ~SWI~,~.[N(~ P~L) This certiL[cate covers compli~ce at the date of insp~ction only. Because of anusual ~llvironments it is advisable to have ireq~ent test/~d or repairs made ~v a ~ma!i~ied TIMECLOCKS BELL UNIT HEATER~ MULTI.OUTU~T DIMMERS GENERAL MANAGER Pet' This certificate musf not be altered in ant' manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN THE NEW YORK BOARD OF FIRE UNDERWRITERS t. 185077 BUREAU OF ELECTRICITY "-- 85 JOHN BTREET, NEW YORK. NEW YORK 10038 Date 13~l,{J~:~..,~ 1.~][~'~ ~tpplicaflonNo. onfile ]t~?qr~/~ ~ ~73~9~ THIB CE~IFIES THAT KEVIN GBJJ~f~H~R~ 40 BEACh~YC. DD LAh~, ~:OUTHOLD, N.V, in the foflowiag locatlon; [] St, ement ~ Ist FI. ~ 2~ FI. : ~)q S~tion Bilk ~s examln~ on FtJCE}~ER ] 2~, 1995 and found to be in compliance with the NaHonM Elect~cal Code. Lot RANGES SPECIAL REC'P1 SERVIC~ DISCONNECT F',O, BOX t64 CUTCH~U~, NY, 119.35 LIC. #3~77E G~IrdlAL MANAGER This cert;ficate must not be altered in a.y manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPAFiTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED tN ANt' MANNER. II II INSULATION FEll N. STATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN/~II.ATION [ ] FRAMING [ ,~]/FINAL [ ] FIREPI, ACE ~ CHIMN~ DATE ~~.///~ INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R~GH PLBG. [[ ]]~ORAUMNiD~AGTION 2ND [[ ]~FiNSAULLATION [ ] FIREPlACE&CHIMNEY / 0,'P6'6;P ' * UNDERWRITERS'OERTIFIC,~T£ r£$r ~o~£ REQUIRI:D SFP I 11995 "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" REVISION5 ~A~ 18,/978 ,6.? NOr/- ICA 400 OSTRANDE ALDEH W. YOUNG SURVEY FOR: AT SOUTHOLD TOWN OF' · i ' SOUTHOLD SUFFOLK CO,, N.Y SCALE': FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLO, N.Y. 11971 TEL.: 765-1802 ApprovedExamined i~./i.~. ....... .... 197..~. Permit No..~. fi..OJ~ '~. Disapproved a/c ' APPLICATION FOR BUILDING'PERMIT B~ARD OF HEALTH ...... 3 SETS OF PLANS ...... ~URVE¥ ............... CI1ECK ................ SEPTIC FORH .......... CALL ~[AIL TO: USE IS UNLAWFUL · WITHOUT CERTIFICAIE Da,e ' ,OF OCCUPANCY INSTRUCTIONS : a. TILis application must be completely filled Jn by ~pewJtet or ~n ink ~nd submitted to the BulldOg Inspector, wit ~ets of plans, accurate plot plan to scale. Fee according to ~chedu]e. b. Plot pl~n show~g Io~tio~ o~ lot ~nd of bulldogs on pr~mises, ~e]~fionsh~p to ~djoln~ng premi~e~ or areas, and gJv~g ~ d~t~Ied description of layout of p~opetW must b~ drawn on the diagram which is p~ of th~s ap eafiom ~. The work covered by t~s ~pp~c~tJon may not be commen~eR b~fore issumnc~ of Budding d. Upon approval o~ this application, the Building Inspeotor wflI issued a Bu3d~g Pe~t to th~ applicant. Such pen sh~l be kept on the prenfises ~vaH~b]e for ~spectJon throughout the work. e. No building shM1 be o~upJe~ or used ~n who]~ or in p~t for ~ny purpose whatever until a Ce~ate shah have been granted by the Building Inspector. APPLICATION IS HEREBY ~ADE to the Bufld~g Dep~tment for the issuance of a B~Iding Building Zone O~dinanc~ of the Town of Southo]d, Suffolk County, New York, ~d other applicable Regulations, for the oonst~cfion of bulldogs, additions or ~lterafions, or ~or removal or demolition, as here~ descJbl The applicant agrees to comply with all appHoab]e laws, ordinances, bu~d~g oode, housing oode, and regulations, and admit authorized ~spectom on premises and ~ bulldog for nccessaW inspections. .., g..., ...... -- (Signature of applicant, or name, if a corporation) U~E~IEES~IR~T~m, "IMMEDIATELY" ~CLOSE ~ ~ CODE ............. REQUIRi. ,~¢,~ ~,~ ~l '" ": ~ UPON COM~ION · (Mailing address of applicant) ' BE~RE '~ATER" State whether applicant is owner, lessee, 'agent, architect, engineer, generaJ contractor, electrician, plumber or build~ . ,. ;..; (as on the tax roll or latest deed) If app~a corpora : " f duly authorized officer. Builder's License No .... 2~> .~¢., .~ .... S[~ ~ I ~ Plumber's License No. ........................ 0 "B~G. DE~" Electrician's License No .... ~.(~.. ~.~ ¢ ~ Other Trade's License No. House Number Street Hamlet Subdivision ........ . ............................ '. Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... _~'~/.,/~'.. ~.."~ ..... ' ................................ b. Intended use and occupancy ........ .~/.'~../.t~.~D~,77..,/~ -..~. !~,..~.,:~'~ .~.~'.0.~. .............. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ....... ' Repair ...... ...~,~;.. Removal...5m''~ .... Other Work ,'~ t/~d /'~/3~,' '~ ' J2em°l~ti--°n ...... : ...................... · .. ITM · (Description) 4. Estimated Cost ................ ' .................... Fee .................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... . Number of dwelling units on each floor ............... · If garage, number of cars ......................................... ' .............................. 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of shme structure with alterations or additions: Front ................. Rear ................. Depth ' Height Number of Stories ' ' 8. Dimensions of entire new construction: Front .............. ; Rear ............... Depth .............. Height Number of Stories ': 9. Size of lot: Front ........ ' Rear ...................... Depth .................... 10. Date of Purct~ase .................... . ......... Name of Former Owner ................... ,.. ...... 1 1. Zone or use district in which premises are situated .......... ~ 1..F?..~..;'~.~, ~i..: ~ .: .-.: ........ '. 2 ~.., . 12. Does proposed construction violate any zoning law, ordinance or regulation' . ~ .! :: ./%.OJ' ' ' ~..' .... t 3. Will 10t be regraded ....... '.~ .-~9~ ................. Will exccs~.fill be removed from pi;6mises: 1 4. Name of Owner of premises ... ~',~9./q~'f/~ .~.... Address ...,..~.J.'?e;'k~)'; ...... Phoh~ No.. 2.614~'; .*~.(.(.r..~.. Name of Architect .... ,,. ..................... Address ...~ ............... Phone No ....... Name of Contractor . ../~..'. ~i?/~-.~. :Z~.6..n',5 .... Address .../#F/:Z27/'/~.~.(... Phone No..O~.g. 15.' Is this property within 300 feet of a tidal 'wetland? *Yes .... ~.. No . . · If yesi Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail buildings, Whether existing or proposed, and, indicate nil set-back dimensions from property ]~nes. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. (Name of individual signing contract) ~ove named· ..... ,am "gA - · .t:.-4' 765-1802 9 ~ TO 4 PM ~R ~E ~LLOWING ~NSPE~ONS: I. FOUNDATION - ~0 REQUffiEQ 2. ~O~H - ~ING · PLUMBING 3. INSU~ON 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALt MEET THE REQUIREMENTS OF ~E N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSffi~ FOR DESIGN OR ~NSYRU~ON ERRO~ deposes and says that he is tile applicant (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly autl~orized to perform or have performed the said work and to make and file this pIication; that all statements contained in this'application are true to the best of his 'knowledge and belief; and that the )rk will be performed in the manner set forth in the application filed therewith. ,'om to before me this