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Home My WebLink About22941-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25844 Date: 07/23/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 415 GRANGE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 26, 1995 pursuant to which Building Permit No. 22941-Z dated AUGUST 11, 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 INGROUND SWIMMING POOL IN REAR YARD AS APPLIED FOR. The certificate is issued to NANCY DECONCILIIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N363290 09/12/95 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 22941 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: , . .~.~....~.Z.. ...................................................... _ ~'.~ ....... ~/..,...../z~ .................. to . . , , ~~ , ~ ........ ~ ~ ....... i~ . .~. . . . .</. . , , , ~ ~ ,,~~~ ......... .... ~...£ ............ .x..~ .......... :..w...~ ......... ~4 ......... ~ ............. ~ ........ ~ .... /z...~-.x..~.~ .............. ~...~ ........... ~~.~......~.,,z..~. ................................. ~.~..,...Lu~.~J/.z/.~ .......................................... ~',i~,'i~',' ~',~'Z'.'.'.'.'.'.'.'.'.'.'.'~.'.'.'.'.'..'~~ ....... ,..~.. ............................................... Counh/Tax Map No. 1000 Sectlon..,~ ............. Block ....... ~../.. .......... LotNo ...... ..~....~.., ............. pursuant to application doted ..........~..~.l~...,...~.,,~.. ..................... 19...,9 .~.... and approved bythe Building Inspector, Fee $ ........................ 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 building inspector with the following: for new building or new use: 1. FSnal 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 uses, or buildings and · 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. ~f a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming 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 - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ............ ~ ............................ lew Construction .... \f/.'.~... Old Or Pre-existing Building ..... ~ ..... Froperty .... ........... ..... ...... Rouse ~o. ,n.r or o ers of Froperty. :ounty Tax Map No I000, Section .............. Block ..... ff .......... Lot ............... ;ubdiviston .................................... Filed Map ............ Lot ...................... No ~.~..~.~1 --'Z Date Applicant ....... ermit Of Permit. .......... {ealth Dept. Approval ................. .. ... .... Underwriters Approval ......................... 'lanntng Board Approval ...................... .. (equest 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 January 28, 1998 Nancy Deconciliis C/O George F. McAdams 415 Grange Road Southold, New York 11971 To Whom This May Concern: We are unable to complete your Certificate of because of Occupancy 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 # 22941-Z SECOND NOTICE Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 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 October 9, 1996 Nancy deConciliis 415 Grange Road Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate 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.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22941-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING ROUGH PLBG. [/] INFLATION FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~.ATION [ ] FRAMING [~INAL [ ] FIREPLACE & CHIMNEY NSPECT '- THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY --- BB JOHN STREET. NEW YORK, NEW YORK 10038 Dete SEPTEHBER 1.2,1995 THIS CERTIFIES THAT o~y the electri~ ~uipment ~ ~scdbed ~w a~ int~uc~ by t~ applicant ~med on the a~e application number in the prem~s of N~NCY D~ CONCILIUS, 4~5 C~NG~ RO~, SOUTHO~, in the follo~i.~ Ioc.~io.; ~ B.semenr ~ :st Fl. ~ 2nd Ft. GAR/O~ Sear;on Bilk Lo~ ~s examlned on 8~T~R O6,1995 and fou~d to be in compliance ~ith th~ Na~on~ Electdc~ Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS COOKING DECKS OVENS DISH WASHERS TIMECLOCKS BELL IUNITHEATERSUNITHEATERS MULTI-OUTLET V I C EXHAUST FANS DIMMERS ROSLAK ELECTRIC P. O. BOX 164 CUTCHOGUE, NY, 11935 LIC.#3677~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ;dentified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUS~NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 1185077 BUREAU OF ELECTRICITY -- SE JOHN STREET, NEW YORK, NEW YORK 10038 D. tp SF, PT~HBER 12,1995 /Jpplication Mo. on fils ~.~(~195/95 N 363290 THIB CERTIPlES THAT only the electrical equipment as described bslow and introduced by the applicant named on the above application .umber in the premises of NANCY DS CONCILIUS, 415 CRANGE ROAD, SOUTHOLD, N.Y, in the fotfowinfl location; [] B~$ement [] Ist FI. [] 2nd F& GAR/OUT Section Block Lot K~s examined on SEPTEI'~ER 06,1995 and found to be in compliance with the National Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES i 1 DRYERS SYSTEMS OTHER APPARATUS: SWIMMING POOL- 1 TIME CLACKS 40 AHP-1 * (SWIMMING POOL) This certificate covers compliance at the date of inspection only, Because of um~sual ~nvironments it is advisable to have freq~tent test/and or repairs made by a qualified person, <<< Cont±nued on Page 2 >>> R C V I NO. OF HI-fEB A W G, NO OF N~UTRALS A.W. G OF HI-LEG OF NEUTRAL GENEI~AL MANAGER This, certificate must not be altered in any 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 A!~,TERED N~ANy MANNER REPORT DATE (JOHMENI$ FOUf',fBAT foN ( Ig'f' ) FOUNDAIIOH (2NI)) [NSIH.ATION PER N. STATE ENER(;~ _%., GRANGE · '-' ~"" ' : "IMMEDIATELY ,-' C,¢~,-' ,~ ENCLOSE ?_O. OL TO CODE L o, , ', ', uPo. co~,~.erLo**N NOTE, SURVEY FOR ALFRED C. 8, HELEN ROW SOUTHOLD " TOWN OF SOUTHOLD .. SCALE, 1"=40' ... ..." ?' -¢,~.. JAN 8, TOTRL P.01 Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 17971 TEL,: 765-1802 APPLICATION FOR BUILDING' PERM IT BOARD OF HEALTH sETs SURVEY ..~- ............ SEPTIC FOR~I ......... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or sets of plans, accurate plot plan to scale· Fee according to schedule. b. Plot plan showb]g location of lot and of buildings on premises, relationship to adjoining premises or public sfi'eet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this'appH cat~on. · c. The work covered by this application may not be commence~l before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will igsued a Building Permit to the applicant. Such permi shkll 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 the Building Zone Ordinance of the Town of Southold, .Suffolk County, New York, and other applicable Laws,Ordinances o~ Regulations, for the constructiop of buildings, additions or alterations, or for removal or demolition, as herein describbd. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessaryohnspections. . - - "~ ......................... z" .-Z~..~. ......... . , ,., . (Signature of applicant, or name, if a corporation) (Mailiang address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. ....................... ............. . ........................... Name of owner of premises . . . :...' .... ; j~..4./g..C J( ...... D..~.~.~..0../~..~. l I.~' ........ : ..................... ~ · ' (as on the tax roil or latest deed) If ap~ cos,)porft~ ~/tqr~f duly authorized officer· , - .//- UNDERWRITERS CERTIFICATE // (~ame and title ct' corl~ffra~te officer) . REQUIRED Builder's License No .... ~.[., ~..g.~..r't~,~... Plumber s L'cense No ......................... · · , /'Z .s:. .c Electrc an s hcense No ........... Other Trade's License No ...................... "iMMED ATELY" · ~c~os~ Pool to coo~ 1. Location of land on which proposed work will be done. : House Nmu her Street Hamlet County Tax Nlap No. 1000 Section .... '... '. '.~..~ ......Block ........ - ' Lot ................. Subdivision .................................... '. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises aod intended use and occupancy of proposed construction: ' a. Existing use and occupancy b. Intended use and occupancy ...... . fi'~ .......... , ................ · 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteratio .... '.. Repair .............. RemOval .............. . Demolition .... Other, V,c rk · . (Description) 4. Estimated Cost ...... .~ ................. Fee i (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor Ifg ............. · arage, number of cars ..... ~ ...... . · .... 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ................ 7. Dimensions of existing structure ,if any: Front Rear · .. De ight , ' ' ' ' ~ ..................... pth .... He ............... Num~ber o f Stories ....... ' ........... Dimensions of s~me structure wilth alterations or additions: Front Depth ' ~ Height .................. Rear ................... 8 Dimensions of entire new constr~tion: ........... ' ........ .... Number of Stories Front .................... ....... ; ...... : Rear ............... Depth ................. 9 ,Height ............... Num!er of Stories ........................ , ................................ · Size of lot: Front ......... , [ ..... '. Rear .............. ...... Depth 10 Date of Purchase I ..................... ' ' Name of Former Owner ..... 11 Zone or use district in ' ~ ' situated ............................. · which premises are 12. Does proposed construction violate any zoning law ordinance or r,,,,~,;,,,,. 13. Will lot be regraded ..... ~..O ' ..... -"~'2;?~,' ......................... ;,--x~ · · · · · · · · --, · ............... wm excess I111 oe removed from premises: (Ye'.q.] No 14. Name of Owner of premises . .~.. O~'7.(~.~} ¢,..~./~.~ Address ..; ................ Phone No..?.6'~.-~.~.,1__... Name of Architect ..... ,,~ ..... ! ............ ' ....Address ............... . '- -, ...... ~ ............... tmuress .. ~;.;.t:lt/.lA~..~(.. Phone No.. 15. I.s this property within 3~0 feet of a tidal 'wetland? *v ....... · If yes,'Southold T~wn Trustees p rmit may be required. ' .... PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and. indicate all set-back dimensions fr~m property lines. Give street and block number or description according to deed, and show street names and indicate whetl,~er interior or corner lot. rATE OF NEW Y_D.R.I~ (Name of individual signing ~ontract) )eve named. APPROVED AS NOTED DAm NOTIFY BUILDING DEPARTMENT AT 765-1802 S AM TO 4 PM FOIl THE FOLLOWING INSPECTIONS: 1,. FOUNDATION . TWO REQUIRED FOR POURE~ CONCRETE · 2. ROUGNi'- t=RAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION. SHALL MEET THE REQUIREMENTS , OF' THE' N.Y~~ STATE *CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROR8 ·.. being duly sworn, depose~ and says that he is the applicant ~ (Contractor agent ' ' ' Corporate officer etc ) ....... ' said owner or owners, and is duly aulthorized to perform or have performed the said work and to make and file this plication; that all statements containec~ hn this'application are true to the best of his knowledge and belief; and that the )rk will be performed in the manner setiforth in the application filed therewith· ' ~orn to before me this I ...... ...... :'...day of. .... ' ...... Qualified in Suffolk County ~'~ ' (~"JIg~e-of applicant) , ' Commission Expires May ~2, 19 / fi' ' ,