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Home My WebLink About22877-zFORM NO. 4 TOWN OF BOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25612 Date: 03/27/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 3925 8OUNDVIEW AVE (HOUSE NO.) (STREET) County Tax Map NO. 473889 Section 94 Block 3 MATTITUCK (HAMLET) Lot 1.5 subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed Ln this office dated JUNE 22, 1995 pursuant to which Building Permit No. 22877-Z dated JULY ll, 1995 was issued, and conforms to all of the requirements of the applioable provisions of the law. The occupancy for which this certificate is issued is REPLACE AN EXISTING INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR AS BUILT. The certificate is issued to DIANE SMITH of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N421193 05/29/97 E/A Rev. 1/81 FORM NG.~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N_~ 228?7 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .................... 19 ........... CounlyTax Map No. 1000 Section ...~...,~..... .......... Block ...... ~..~.. ......... i', Lot No ....... .../..'......~... ........ pursuant'~o application dated ............... ~../~.....,~.... ....................... 19......~and approved bythe Building Inspector. F~ ~../~.'...~.. // ../ BLlildlng Inspector Rev. 6/30/80 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 buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property iine~ 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 buildp 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 Ppre-existing" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applidan 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-existinR Buildin~ - $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 New Construction ........... Old Or~Pre-existing Building... ' House No. Street Hamlet Onwer or Owners of Property....~-.~ .............................................. c0u y .o iooo, sect on...W.%. ...... Bloc .... ....... Lot.. Subdivision · . Filed Map Lot . . . .. Per.it No ........... Date Of . . .Applicant ......................... Health Dept Approval .. Underwriters Approval Planning Board Approval ........................ Request for: Temporary Certificate ........ . . . Final Certicate ....... . .. . ~c~ A~Ace_~s.' " ' . ................. CY~o~-r'r, ~-u_ck_. A3,Y. Rec-~- 8~J ~2c{- THE NEW ~ORK BOARD OF FIRE UNDERWRITERS 1185(~77 - EUREAfJ OF ELECTRICITY [-- 85 JOHN STREET, NEW YORK, NY 10038 O. te HAY 29,1997 Appllc.tionMo. onfife 13974297/97 N 421193 THIS CERTIFIES THAT Dt~ S~TH, 3925 SOUNDVIEW A~N~, }~TTITUCK, N.Y. in t~ following location; ~ B~ement ~ Ist Ft. ~ 2~d FL OUT Section Bilk Lot ~1 2 SWII~4ING POOL- 1 TI~ CLOCKS 4~ ~'~-1 G.F.C.I-1 ROSI2~K ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GEN~J~AL MANAGEE 11 This certificate must not be altered in any manner; return to the office of the a-- J -, · ~ . . Per ~/'~. -- ~-~,,ru i, ~ncorrec~ inspectors may ~ ide~ifled b their ' 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 May 5, 1997 Gene Chituk Pool Service P.O. Box 9 Cutchogue, N.Y. 11935 To Whom This May Concern: We are unable to complete your Certi£icate 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 # 22877-Z DIANE SMIT~ Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ['~FI NJC~/~:~ [ IFIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ~Ni SULATION REMARKS: DATE INSPECTOR I FORM NO. 1 TOWN OF SOUTIIOI_D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;~ Approved ............... J9 . , . mit No ........... Disapproved a/c ................................ ; .... · (Buil,tfint~lspector) APPLICATION FOR BUILDING PERMIT BOARD OF liEAI. TII ] SETS OF PLANS SURV£Y SEPTIC INSTRUCTIONS .~r. Ilns apphcat~on must be complelely filled in by typewriter or in ink and submitted t~o_ lhe Bt ihling Inspector, with 3 setgof plans, accnrate plot plan to scale. Fee according to schedule ..... · b. Pict phm showing 19cation of lot aod of buiklings on premises, relationship t~ adjoining premises or pnblic sl~eets bt' areas, anti giving a detailed description of layout of property mint be (hawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced be[ore issnance o[ Building Permit. d. Upon approval of Ibis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on lhe premises available for inspeclion throughout the work. e. No buihling shall be occupied or nsed in whole or in part for any put'pose whatever until a Certificate of Occupancy shall have been granted by the Buikling Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pnrsuant to lhe Bnilding Zone Ordinance of Ibc Town of Soutb61d, Suf[olk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of bnildings additions or a terat oas or for ~emoval ~r de~ o o i, as bereio describer. The applicant agrees to comply with all ap)lical)le laws, ordinances, bt ring code housing code an0 regt a o ~s, and to (Signatum of applicant, or name, if a corporation) (Mailing address of applicant) Stale whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or buikler. Name of ow~ler of j lelnlSeS ~ ~ (as on Ibc lax roll or latest deed) If applicant is a corporatioq, signahu'e of dnly aulhorized o[[icer.' (Name and lille of corporale Phnnber's License No ......................... Ele¢lrician's License No ....................... Olller Trade's License No ...................... Location of land oo which proposed work ',viii be done ................. , ................................. Ilouse Number Street llamlet' ' ........... Co,'ntyTaxMal, No. 1000Section ..~. .......... Block :..~. ' Lot..~..~ ........... S bdivision~t¢~ ~z~ ....... '. Filed Map No ............... Lat (Name) Slale exisling use and occupnncy of premises and inlended use and occupancy o[ proposed'cmlstmction: Repair .............. Re,norM ............ De,oolition .:.... ....... -~ (Dcscrlpti 4. Estinmled Cost · , · :[ Fee ~ff~q~ .................... ((o be paid on filing fids appJicaCion) 5. If dwelling, number of dwelling tn}its ............... Nul{iber 0f dwelling units o[I each floor ................ ~rg r~ : i' .............. ' al'age~ IiHlllber O ars ..... 6. If business, comm~rcml or m~.xed Occupancy, specify nature and extent of.each type of t~se .................... 7. Di,nensions Gl ex,st,ng structures,pr any: Front .~?~ .C~u:e~... Rear ..... ~ ......... .Dclqh ............... Ileight ............... NumberofStorles.. '..;.'.: ......... ' .... D mens[ohs of same stroctu e wflh lterahons or nddg~ons: Front ................. Rear .................. Depth ' ~ Height ' Number of Stories 8. ) ells OIls of eolll'e llew coIISll/9hoiu Front .............. : Rear . .............. Depth ............... Height ...~ ........... Nomb~rofStories... .......... c~d ~ ~ i~ /~ ' ' ~ .......... 9, Sizeof ot Fro t . .~ . "'. ,'Rear,,ffd~" ~.,....,..,~'.. Depth .~ ........... 10 fP ' ; "' ' N fF . Date o urchaso ............ ~ ........ . ....', , .. , al}l~ O 'orlller Owller ..................... : ....... I1. Zone or use dist ctinw ctpre ~sesarostuated~ , ..... . ........ ......................... 12. Doesp'o~osedeo stnctm vlolaDa yzonmglaw, ordinaneeorregulaton: ......................... 13. Will 16t be regraded · '~' '; ' 'l ................. Wdl excess fill be removed fro,~ ~rem scs: Yc~ 14. Name of Owner of premise~ . ~,.,(~,... ' " '~ Name of A'c~ t~ct .... ' ....Ad~ tess ..... Phone No ........ . NameofContractor~.~.&~;,~..~wal~ ........ Addres~.~m,~,~ l'bo~eNo.~:~.ff~ 15. i.s this property within 31)0 feet of a tidal, wetland? *Yes~. · No , If yes, Soutbold [ mn [rustees Permit may. be requi~. ~o.g PLOT DIAGRAM' . Locate clearly and distinctly aH mildings, whether existing or proposed, and, iodicate all set-back dimensions from properly lines. Give street and block ~ .m~ber or descrip[im{ according to deod, aod show street names and h]dica(e whelber interior or comer lot. ' STATE OF NEW YOP, K, COUNTY OF ................. S.S ......... ' .~.O..(~..~..M..,~......~,'J'/i.~. ~g ............. being duly sworn, de ,oses and says thnt he is the nl, plicnnt (Name ofindividoal sign}rig contract) above named. ,~ ~ ,,~....... ...... g. ~.~.~e.~ gz p. ~... ......................................... . .............. ~Contraclor agent, eor'~orate officer, etc.) o1' said owner or owners, and is dulk authorized to perform or have performed Ihe said work alld to make attd file this application; that all statements cont0ined in lids'application are true to Ibc best of Iris knowledge and belief; and that tim work will be performed in tim manne~r set forth io the application filed therewith. Sworn to before me fids ~ ~ta~ Publlo. Star, of NewYo~ {SJg,ature of applJcanl) No. 495224~. Surfak Counm Term Exp rea Jun~ 1~ 1~