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Home My WebLink About22861-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24482 Date JULY 8, 1996 THIS CERTIFIES that the building Location of Property 33000 MAIN ROAD House No. County Tax Map No. 1000 Section 19 Subdivision ACCESSORY ORIENT NY Street Hamlet Block 1 Lot 14.5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1995 pursuant to which Building Permit No. 22861-Z dated JUNE 28, 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 AN ACCESSORY INGRO~ND SWITCHING POOL IN Tn REAR YARD AS APPLIED FOR. The certificate is issued to CHARLES & LAURA BAKER of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION SERV. 8886 PLUMBERS CERTIFICATION DATED N/A JULY 31, 1995 N/A Rev. 1/81 Inspector FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N_o 22861 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ......................................................... ~'~J~ 19.2.~'... Permission is hereby granted to: ..... ~.. .?/... ...... ~....~ .................................... ...... ~..~......~z~,.....~.,... ././..z?' " ' . to.....~~.~...~../...~..c~~ ........ ~~......~ ~....,~....~~:~ ............ ,./.,~......./.,~...,.. ~.~.....~ ........ .~ ......... .-~../...~-~....... ~ :. .............................................................. ..'. ........................... ............................................................................ ~~ ......................................................... Coun'h/Tax Map No. 1000 Seotlon...Z2. .............. Block ...... ,..~.,../,,. ......... Lot No. ..../. ..~...'T.~ ....... pursuant to application dated ...................... ..~../..../.~.. ................... 19...~...~, and approved bythe Building Inspector. Fee $../..~...~.. Rev. 6/80/80 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 2/10 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 building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming usesf or buildings and Vpre-existing" land uses: i. 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. 1. Certificate of Occupancy - New dw~g $~Additions to dwelling $25.00, Alterations to dwelling $25.00 S~mming po?~5.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ...... .~/! ?./.~. ~ ........................... New Construction ........... Old Or Pre-existing Building ................. Location of Property ............................................................... ... .. ..... House No. Street Hamlet Onwer or Owners of Pr - ~.zbll~-~ ~. operry .......... , .-. ..................................................... County Tax Map No i000, Section ..... /.~. ....... Block .... ! ........... Lot .... ......74°~ ..... . . .... . Subdivision.........................~: .. .... . . Filed Map ............ Lot ...................... Permit No...~. ~..~1 .Z .Date Of Permit ....... Applicant. Health Dept. Approval .......................... Underwriters Approval...~ ........... .~ ......... Planning Board Approval ......................... Request for: Temporary Certificate ........... Final Certicate .... ~'. ...... Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 5, 1996 Randy T. Rodecker Inc. DBA Swim King Pools 471 Rt. 25A Rocky Point, NY 11778 Re: Prem: Charles Baker - SCTM#1000-19-1-14.5 33000 Main Road, Orient NY To Whom This May Concern: We are unable to complete your Certificate of because of the following reasons: xx xx Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. 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 # 22861-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD [NSPEC'['[ON REPORT -DATI{ ~. COMMENTS FOUNDAT ION ( IS'r) FOUNDAT fON ( 2ND ) Eouc, u r~^MF. & ......... ~,/l. PLUHBtNG ......... STATE ENERGY ~DITIONAL CO~ENTS ti zl 0 ( ~1661 9 t NnP Z 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 Disapproved a/c ..................................... . (~mg/Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORH ............. NOTIFY CALL ................ MAIL TO: JUN 1 6 1995 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted 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 buildings on premises, relationship to adjoining premises or public stree or areas, and giving, a detailed description of layout of property must be drawn on the diagram which is part of this appi cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe The applicant agrees' to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary insp_.~tio~s. ,~. .~ /1 UPONBEFoRECO~PLETI~,N'wATER ......... (Mailing address of a~plicant) State whether applicant is owner, lessee, agent, architect, engineer, gene[al contractor, electrician, plumCer or builds Name of owner of premises..~.F./.I./LI.F.{--~.. ~..~. . . ................ ~,~.~0~..~,_ ~0 ~.~ .......... (as on the tax roll or ~,,d~.p.# .~ If applicant is a cj>r.~rat~on, signa, ture of d/_u,l~authorized officer. FEE?Z'5.~' ~'' BY:. / A. NOT FY SU LD,NG OEPARTMENT'AT ........ XN'a'n~'~ ~.~e' ;~ c;~;r~e officer) · FOIl. OWING INSPECTIONS: ALL C/ONTRACT(~R/~$ MIJST, B~. S..[J~}O1LK COUNTY LICENSED 1. FOUNDATION- TWO REQUIRED , Builder's License/No... ~.l..lrl:!rSg.. '~T..I. ....... FOR POURED CONCRETE 2. ROUGN - FRAMING & PLUMBING Plumber's License No .... /.(~' ............... ~. INSULATION El ctrician' License No .... .-7. ....... COM,L FO, C,O. Otlier Trade's License No ............... , . STATE CONBt'RUCTI(IN &' ENERGY 1. Location.?f land on which proposed work will be done ............... '. ;1~{I~1- !O~tC~J~lO~ :,ERROB~ House Number Street Hamlet County Tax Map No. 1000 Section ............... Block ............... Lot...'. .I ........ Subdivision ..................................... Filed Map No ............... Lot 'i. '. ~ :.'.i ........ (Name) "2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use a~d occupancy .~.~ .~...~.2Z~.~.~... ~.'.~(~-~'/.~..'~.J .~L~.'~'~.· b. Intended use and occupancy~ X..~.. [ ~~~./ - ~ 3. Nature of work (check which lapplicable): New g . · .' .. Addition .......... Alteration .......... Repair ........ j. ..... Retrieval .............. Demolition .............. Other Work ............... 4;7 .O. LT.D. ('. (Deserip ion) 4. Estimated Cost ., ................. Fee~ (to be paid on filing this application) 5. If dwelling, number, of dwelh~g units ............... Number of dwelling units on each floor ................ If garage, number of cars ...i ..................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structqres, if any: Front ............... Rear .............. Depth Height ............... Number' of Stories ........................................................ Dimensions'of same structureiwith alterations or additions: Front ................. Rear .................. Depth .................... Height ...................... Number of Stories ...................... '-8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... He, loht Number of Stories ................................................. 9. Sizeoflot: Front ...... I ............. Rear ................ Depth .................. ~ . Name of Former Owner J0. Date of Purchase ......... i ................................................ 1 I. Zone or use district in which ~remises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... /r~[hTt.~//~h. r;h.,~ .iv,,.,. · · Will excess fill be removed-from premises: _ _ Yes 3qo 14. Name of Owner of premisesk.,d'./P_JJ .tS~[. ~'~u(~/.. Address~;,,~ O7~-0. ~-/J~/) .~ Phone No¢~::~.':'. · .'=~'-~.. Name of Architect ..... ! ..... d .' ... ' ....... Phone No .............. Name of Contracto~.~. ~.~[ D./.~ac~r~ssssl~r~7?~'l~.~.~_'~,~f~. .Phone No.~ .~.5/~.. 15. Is this property locate&within 300 feet of a tida~.~t~-~s ..... No ..~. · If yes, Southold Town Trustees Permit maybe required. : PLOT DIAGRA~ Locate clearly and distinctly ~11 buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bleak number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK~ COUNTY OF...%OC~2~.1 ~ ... S.S ............. .(J~:l f,,4 5~ . .t.;~,.rt .~..~.cJ.~5.?..~.-e ..w7. ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........ DG ~ ~olD ~ .......................................................... (Contractor, agent, corporate officer, etc.) of said owner.or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... day 6f · · · tg<P~- .......... 19 Oualitle~llln Suffolk Commission / / ~<o .< '0 . < r' S