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Home My WebLink About22784-zFO~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z23865 CERTIFICATE OF OCCUPANCY Date SEPTEMBER 12, 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property. PRIVATE RD. OFF EAST END RD. FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 5 Block 1 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 1995 ~ursuant to which Building Permit No. 22784-Z dated MAY 29, 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 NON-HABITABLE pOOL HOUSE AS APPLIED FOR. The certificate is issued to WILLIAM C. SCOTT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-358100 - JULY 17, 1995 JULY 21, 1995 - FISHERS ISLAND PLUMBING. v ~ ~/~uiiding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPA~TH~NT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 9-5-95 DATE ................. NEW CONSTRUCTION......X .OLD OK PRE-EXISTXNG HUILDING .... .. VACANT LAND .... Property. Private Road off East End Road Fishers Island, NY Location HOUSE NO. STREET HAMLET or O ners of Prope ty.K U .9??}k .................................. Count~ Tax Hap No. lO00 Section ..5.... Block ...~... Lot' ..2 ...... Subdivision ....................... Filed Hap ........ Lot .......... Poo lhouse Permf't' 'No; 22.1.84 Z · Heal~h Dept~ Approval ..i"~'i..J. ......... Underwrzters Approval .............. Plann!na Hoard Approval ................ .'Request for Temporary Certificate ....... Final Certifica£e ................ Fee Submitted: H.P. Broon~ l~sewri ht inc. APPLICANT ..................... Contractor for William S~ott FOUNDATION (]ST) Jl FOUNDATION (2ND) INSULATION PER N. ¥. STATE ENERGY CODE FI~NAL 'il,, ADDITIONAL COMMENTS THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 163630913 BUREAU OF ELECTRICITY ~-~ 85 JOHN STREET, NEW YORK, NEW YORK '10038 ~TJLy 17,1995 86692~94/94 N 3581~ 3 Date ~pplica~ion Mo. on file THIS')CE~IFIES THAT o~y the electrical equipment ~ ~scrlbed be~w a~ in~r~uc~ by t~ ap~icant ~d on t~ a~ applicatlo~ n~ ~ber in t~ prem~es of ~I~ SCOTT, BAST E~ DRI~ ~ FIS~RS IS~, N.Y. ~s examined on and found to be in compliance with the NaMonal Electrical Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS FtUO~ESCENT 3 DRYERS SYSTEMS NO. OF FEET E R V I C NO OF CC COND* A W O NO.O~ HI-LEG A.TM G NO OF NEUTRALS A.W.G. PER ,~ OF CC, COND. OF Hi-LEG OF NEUTRAL OTHER AP~RATUS: SWIf94INGPOOL-]. G.F.C,I-1 MOTORS:3-2.O H.P. *(SWI~{ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual anvironments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> GENERAL MANAGEE This certificate must not be altered in any manner; return to the office of the Board if incorrect, fnspectors may be identified by their credentials, COPY FOR J~UILDING DEPARTMENT. THiS COPY OF CERTIFICATE ~{~ST NOT E~E ALTERED IN, ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ 2 J.~9'I 3 BUREAU OF ELECTRiCITy ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 JULY 17,1995 /Ipplication No. o. fite 86692594/94 N 358100 THI~CERTIFIES THAT o~ly t~ electrical ~uipme~t ~ ~scri~ be~w ~ int~uc~ ~y t~ applicant ~med on t~e a~e ap~icotion n~m~er in the p~m~es of WI~I~ SCOTT, EAST E~ DRIP, FISHE~ IE~D, N.Y. · ~,~ ~ n~ ~ t,~Ft. ~ ~d FL OUT ~s examined on ' and found to be in compl~nce with the N~onal Electdcal Code. WALL ROBgRT E. ALPIN~ V FISHERS ISLAND, NY, 06390 LIC.#2455-~ GENERAL MANAGER, This certificate must not be altered in any manner; return Jo the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR ;~UILDING DEPA~Tt~ENT. TH~$ COPY OF C~RTJF~CATE tv'lUST blOT BE ALTEfiED ~N ANY' MANNER 5/2 ;{'lg'.95 , , I'.,:~" 'r'.' tN.~TKUCTIOH~ ,.~ '~ ';.'~,,"," ~. Tids appli~tion must b~ cotnplctcly ~l[¢d in by ~pewntor Or l.n ~ ~6 ~ml~ s~ts of pt=ns. ~cc~to ptot plan to scale. F~o ~ccotdin= to schodul0. b. Eiot pt~ ~owin= toca[ion of lot and o~ bui[d~s on prcmbCs, rolatton~iP to adjoinin~ prc~ or areas. ~nd =iv~ = dot,lcd d¢script[on of layout of property m~t bo draw~ on tho dia~ w~ ~. ~h~ wo~k cave,cd b7 t~s application m~Y no~ b= commenced ba~o~ issuance o~ Bu~ d. Upon approval o[ ibis application. [he Building [nipector ~vgl i~uc~ a B~d~; p~it tO ~a[[ be kept o~ th~ premises =w~bi~ for inspection throu~out tho work. ' o. No burda; shall be occupi=d or used in whole or m part for a~Y purpo~ wha[~ver ~ ~ ~t .... ~.~ APPL[CA~ON IS HEREBY MADE to the auild~ Dep~ment for the i,~cc o~ a BuiJdin~ Zoac O~d~nce of thc Town of Southol~. Su[[olk County. Hew Yor~. ~d other app~b~ ~. Rcgul=U~s. for ~c const~ction of burial,Ss, additions or alterations, or for removal or ~cmoti~on. Thc applicant a~rccs to comply with ~1[ apptic=~l~ laws. ordinance, bud~g co~¢. ho~a~ ~. ~ x~~ t admzt authorized ~pccto~ on prcmz~s ~nd ~ bui[d~ lot ~cc~ i~S~OCTIO~ , , room_Bousew~ioh~ lnc ' "' . .~ .~ .~ ....... ~ .........~ ........ ~, ,. (Signature of ~pp2c~t. or ~, P O Box 176~ ~adl~e CW 06439 '.;:~ ..~ .Z ~ .... (~ on ~0 t~% roll or l~tcst docd) ~me ~d titlc of ~o~or~c of~) ~ 256]P ...... . , ' . "F. ~T,t' ,. ~lumb~'~ ~ No ................... , ... OlJl~r Tf~g's ~so No .................... ., , ,', %~, , l~ ~ whJc~ pJoposCd wo[k will ~ ~; . '"" ' I. Locatlon of Eishe~a lal~d, B~ '"i~'~' ,'~ t private ~oa~ ...... . ..... ..',.,,,,,' .'" ' , r . ~/. ................. ~, . . . . _. , ,,,,} ..... ..., COunty Tax Map No'. 1000 ~-~, ........ . ' , , F'I,'' N/A . ..''''~''''" ,- ,h ' ~ ,. ;.' . Su~diviiion ....................... (Nm,c) ' . $1atc ~illin~ u~ ~d occupancy o~ prcmiic~ and i~lcnd~d ~ and occupancy o~ plopped . . ..,, ....... .., ,..,.,.,,,,.,,,,,,,.,*"*~ T~.' t ~ · . ~iilin~ uic 3~ Occupancy ........ ACCESSORY BUILDING, ~ b, Jntcn4cdusca~ocCup3ncy ......... , :' . . ' ' ~;I~ ' NameofContractor.HP.BXQO~H0 5Bis ~h£a p~oper~y located *If yes, aouCho~d Town Tru Locate clearly' and distinctly ali buildi operty lines. Give street and block numbc terser or corner lot. Nature of work (check which applicahiei: Hew Ouildin~ ......... .. Additi,--n .......... ~%ltcratmn ......... j[ .. Repair .............. R~movai .. 'i ........... Demolition . ... ........... Swiuuuin,~ poet ............ Tenala Court ......... Accesspry Buildlng... ~ ..... Fence ....... Ocher Wor~ ~ll 500 0o ~ F f25 00 ~ (to bc paid on fihng th'sapp icat~on) If dwelling, number of dwelling units . .i ........ ; .... Number of dwuliing units on each floor ......... I~garacc numbcrofcars i ' If business, commercial or mixcd occupancy, ~pccify nature and extent or cach type of u~a ............ Dimensions of existing structures, if an~: Front.., ............ Rear ............... D~pth .... ,. Hciaht. . ........... . . . NumbcrofStodcs ....................................................... . Dimensions of same structure with alter tionsoraddition~: Front ................. Rear ..... ,.,....,.,,. D. pth .. .................... }Ic~t ................. Number of Stories ..................... Height .../J ......... ~UmbcrofStories../ ......... · -; ........................................ Size of lot: Front ~ Rear Depth Date of Purchase ................ ~ ............ Name of Fo~cr Owner ............................ Zone or us, district in which premises .ire situatcd .... ; ............... ................... ocs proposed construction violate anyI zen ng law, ord nonce or regulation: ................ Will lot bc regraded .: ............ ~ ............. Will excess fill be removed from pre~is~s: . Yes .... P~<gb.~ .... Address .B~l~ .CT ...... Phone No. 2~6,9~ ~[ees Per~ic may be ~aqui~ed. PLOT DIAG~M ags. whether existing or proposed, ~d. indicato ~l set-back d~nsions from or description accord~g to deed, ~d show str~eg a~as and ~dicata ;TATE OF NEW YORK, :OUNTY OF ,l~lt!i~I. ~Q~D.QH.... $.S HARRY P. BROOM, JR. .................................................. being du{¥ sworn, deposes and says that ho (Name of iudividual signinll cc ntract) ........... -- hove named. , is th~ .G.~l~lg~SI,, .C.O~I'Y{v4~CTOR ' ' ' ; (Contractor. alienS, corporate officer, etc.) said o~vncr or owners, and is duly ;tut {orizcd to pc,rform or have performed the said work and to mukc end file this =pphcation; that all staicmcnts contained in this application are trna to the best of his kno~vledge and belief; anti that thc york will be peri'ore, ed in thc m~n~r scs ~ oril~ in thc application qlcd thcruwith. [wom to before mu tills .f,'. ........... ~.) ....... day ~f~9 v ,9 ............... . 19 ... iy Co~ission g~ '~irea 3/31/98 '' ~ (Signa~teofappli~O