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Home My WebLink About20720-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF ~P~NCY No Z-23548 Date MARCH 14, 1995 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 1530 CHAMPLAIN PL.&75 ROBINSON RD. GRMENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 5 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated O-ONE 11, 1992 pursuant to which Building Permit No. 20720-Z dated ~ 12, 1992 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 AS APPLIED FOR. The certificate is issued to CAROL HALPIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTIONS CERT. PLUMBERS CERTIFICATION DATED ~1485 - J~/LY 14, 1992 N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~.° 20720Z 19.~ Date /,Z~ Permission is hereby granted to: .... ~zz...~...~.. ........................ .. ..... ,o ................... · "~'"'~'"~'"~~/"-~ ........... r .......................... otprem* s~aedot ........... ~...~... .......... ~ ...... ~../....~ .............. ~. 2~ ~.~-~ -. /~-~--~ ~, ........................................... ,.~.....;..~.....~._.~=f~.~...~ ........ ~.. Caun~ To× Nap No. ~000 Section .... .~.$:~... ....... B~o~k ..~ ...~..~... ...... Lot No ..... .~..~ ......... pumuant to application dat~l .............. ..~....~../. ............... , 19.~..~.., and opproYed by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUT.OLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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: I. Final survey of property with accurate location o~ ail buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of Water supply ~nd 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 f 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. B. For existing buildings (prior to April 9, 1957) nonvc6nforming uses, or buildings and Vpre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building a~d 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. Fees 1. Certificate of Occupancy - New dweiii~ozg_12~.00, Additions to dweiling $25.00, Alterations to dwelling $25-00,~-~mm~oo~-~5.---~Accessory building $25.00, Additions to accessory building ~.Busines~es$50.O0. 2. Certificate of Occupancy on Pre-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO New Construction ......... Old Or Pre-existing Buildin ................. HOuse No. Street Hamlet Onwer or Owners of Property ....... .O..2.. ...... l .................. ; ........ County Tax Map No 1000, Section ......... Block .......... t ..... . .... Subdivision ....................... Filed Map ............ Lot ...................... Permit No~.'~. 7 .~..~.. Date Of Permit ' {ealth Dept Approval · · ............. Underwriters Approval 'lanning Board Approval .......... ~equest for: Temporary JJrJi~iJatJiii.ill .... 'Final Certicate.. ... ELECTRICAL INSPECTION SERVICE, INC. ~ 1322 MONTAUK HIGHWAY ~ EAST PATCHOGUE' NY ~ 177~ ~.~ ' Date July 14,1992 Appllcatzon No. on File 1485 THIS CERTIFIES THAT Hank's Electric Inc. Lic.~: 2675-E only the electrical equipment as described below and introduced by the ' applicant namd on the above application number in the Dremlses of Halpin 27 Robinson. Road Gkeenport, New York 11944 in the following location: was examined on 7/14/92 National Electrical Code~ Basement 1st Fi. ... 2nd Fi. X Pooi _ Hot Tub and found to be in compliance with the { ~E I L I NG FIXTURE I RECEPTACLES SWITCHES G.F.I, / FAN DUTL~'£S 2 1 DRYERS ' DISHWASHERS iEXHAUST FANS FURNACE MOT( ~MT,{J~L~J~. K.W, {AMT~ . H.P. OILIH.P. IGAS SPECIAL REC'T TTME cLOcK~ ,SELL ,ONIT.H~ATERS ,,MULTI-OUTLET SYSTEMS SERVICE DISCO~ECT.I O~ OF METE~ AMP. ITYP~ OTHER APPA~TUS: Presiden~ ~ ':' 1% H~P~ Motor UnOe~ater Light ~O ~ This Certificate must not be altered I~ any manner;. Inspecter'~ m~y be {den[ified by their (:redentials, :~51 .., hR' 91995 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 7654802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 7, 1995 Ms. Carol Halpin 75 Robinson Road Greenport, NY 11944 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) xx 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 # 20720-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-~[802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION []FRAMING 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION :)ND [ ] ~.J. ATION [ ] FRAMING [~"FINAL ~/~.~./~ ~ FOUNDA'TION FOUNDATION 2. ROUGH FRAME & .PLUMBING (1st) (2nd) INSULATION PER N. STATE ENERGY CODE FI~AL / ,~ ADDITIONAL COMMENTS: / / ~,' - ,.- - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTM ,EN¥ Office of the Bulldinll Inspector Town Hall ~ $outhold, N.Y. Certificate Of Occupancy THIS CERTIFI~I that the bulld~g~9~.~. P~,~$Plt ............................. ~ Robinson ~osd G~een~o~ County T~ Map No. I000 Section , ~}.~ ....... Block., ~ .......... Lot ,. ~ ........... S~bdivlslon X Fried Map No ~. Lot No · confo~s substantt~ly to ~e Application for Buildi~ Pe~it heretofore Fge~ in t~$ office dated ,. ~8~P~ ,~ ~ ......... ,1~, pursuant to wMch B~ld~ Pe~lt No, , ,~.~79~, .~ ..... , ....,, dated ............. ~9~..~,, ,,, 19.~, was issued, and conforms to a~ of the requirements of the applicable provisions of the law, ~e occupancy for w~ch t~s certificate is issued is ...... '. · · - of the aforesaid buildini. , 8uffolh COuaty Depa~ment of Health Approval .................. , ,.,..,,, '"" .... ' JtJN I' ' fl~l t~/etr Bulldinl Inspector ~oVr~ oF $OUTHOLD. BUILDING D~PAItTMENT To~ Clerk', 0~ $outhohl, N, Y, '\ Certificate Of Occupancy THIS CERTIFIES that the bu~ldir~g located at .~."~.., ~ _., .... Map No... ~ ..... , ~lock No, .~ ...... Lot No, f~...= ........ ~ ......... ' .... ' substantl~ly to ~e A~pl~e~t~on ~ot B~ld~ Fermtt heretofore ~ ~ ~ office [~3 .. [ (,, 19. f.4 pursuan~ tu w. .... dated ........ , ..... m' '- , was issued, ~d d~ted ....... . .............' merits ~ the applicable pro~sions of the law. T~e oceu2~ for ~. ~.~ ~ ¢~ .~.l .................. ,..,a~, .... ~,.~ ..,~%'~ ..... ~"~'~;/~%~ ' , ........... of the a~oresatd building. . ,~,~,, t..? . ,.,0~, ,~ /¢72..~,. ,¢.'.~, ~ Suffolk ¢ounty Department o! Health Approval .w.~..g'., .......... r' "'~ ,e ,on.r. ~ .~,.:..;-;.-, ..... ','.,. ,,,,~.('"'.. "~"- ,~ " 7~- ......... ; ........ .., ....... 'IMME 'VAN T~JYt~ P, ~, O V)OOD ' ':: *' **D TO CONCRETE ,CONCRETE SECTION 24'" MAX FO BM~TI,E. ~ · -- ' BARS PLAN 'PICA L WALL E SMOOTH- NON SKID TYPE, SLOPED POOL )SAL SHALL BE LIMITED TO OWNER'S SUIT LOCAL REGULATIONS BARS TIES ~'S.,MMERS ' · ~TO FILTER '~M 'SKIMMERS (.~ FILTERond PUMP ~'~ ~ TO RETURNS ~'TO WASTE FROM FI LT~R PIPING ARRANGEMENT C ONC RETE / FIBERGLASS MOULDED I.ECE ! 0 :NA L ST E P TYPE I. ~.,.~."-~'~--~..~ / S STEPS I 4L'O" ~ 12" ~OPT~IONAL STEP ROU~E 25A ROC~ POI:~ N~ YORK PRE CAST COPING PLAN HDE OR END ;TEPS OPTIONAL *1" t?, 8' TREAT PLJ~T £ ANCHO! .'. ~ SEE TYPICAL ' '..~..,~WALL $ECTION GRADE S E C TI O N A- A NOTES .... WALKS TO · . AWAY FRO WATER ' DI PROPERTY 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;3 Approved ...... ~./../.~...., 19~.2~. Permit NO...~- .~- .'~..~. · . Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 · 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 Occupancy 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 or Regulations, for the construction of buildings, additions or aiterations~ or for removal or d~2molition, as herein described· The applicant agrees to comply with all applicable laws, ordinances./~ilding co(~9 hous~g coder)and reglllations, and to admit authorized inspectors on premises and in building for necessa~ idsl2ections~// ~ ~., / ,/ ~ · ....... (_Si_~a~ure,of. applicant, or nan,, if a corporation) ........ ~.+..e~.~ p..~t).~ ........................ (Mailifig address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ................... 9..uq.. !>.-" ................................... :' ..... ;... Name °f °wner °f premises'''' '~-~' '~?'~'~' '~''' ']'~'' '~'' ~'('}} ~ it~e'iax roi1 o} If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No ....... ~. ~ .~.... t~.~ USE ~$ Plumber's License No .... ,.',./:a ......... I~ITHOt~T CERTIFICATE Electrician's License No....~...(--°..?.b.~. ........ Other Trade's License No, .. ~ [~; ............. RI:I~UJRED 765-1802 9 ANt TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3: INSULATION 4. FINAL CONSTRUCTION MUST ALL CONS'TRucrloN SHALL THE REQUIREMENTS OF THE N.Y~ [~TATE CONSTR[JCT~ON g~ ENERGY co~s, ~o}~ ~:S~O~S~aL~ Location of land on which proposed ~vork will be done: .. i~ i5' '~' ~&,' ~ ' '1[~' '~i,~ ' ~','4 ~' ....... ....... '..--/..Df. ........ ./}-9...6.{ ..S~a..~O .......... .~a-~.O .~. p .~ ~:¢ ................. House Number Street Hamlet County Tax Map No. I000 Section . ...O.~.~. ........ Block "'~' Lot .~. 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 ; o .............. b. Intended use and occupancy .. · .~ ~'~} ~.~1~ ~/~o~m~.,~' 3. Nature of work (check which applicable): New Building ..... · ..... Addition .......... Altera i~,n .......... Repair .............. Remloval .............. Demohho, n .............. Other Work ~ ............ 4. Estimated Cost ............ [ ......... .~.c~..~i~.."::~.. .... Fee ..... ?. ............................... I ~' (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 mixgd occupancy, specify nature and extent of each type of use ...'~Q./t~k... ~,, ......... 7. Dimensions of existing structures, if any: Front...~. ~. ......... Rear .............. Depth ...~.~. .......... Height ............... Number of Stories ........................ ~, ............................... Dimensions'of same structure with alterations or additions: Front . .~ jq..m~.~'. ........ Rear .................. Depth ' Height Number of Stories '--8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ............. ~ .......................................... 9. Size of lot: Front ..... ..~.~.i ............ Rear .... 1.~'.~. ............. Depth . .~-) ................ 10. Date of Purchase ....5~.l !.~tl[..~/.? .............. Name of Former Owner ... J~. ~.~ ..................... 11. Zone or use district in which premises are situated ............................... ~, .................... 12. Does proposed construction vi~late any zoning law, ordinance or regulation: ....gd. oro.~ .......... ;~V-~. ....... 13. Will lot be regraded ... A~.O ............. ,, ........ Will excess fill be removed from premises: ~¥es ) No 14. Name of Owner of remises Name of Contractor,-~..co. t'~. ,~.. ~ ....... ~ .... Address .... : .............. Phone No ................ 15. Is th±s property locatedlwith~-n 300 feet of a t±dal wetland? Yes ..... No ..... *If yes, Southold Town Trgstees Permit maybe required. ' I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl number or description according to deed, and show street names and indicate whether interior or corner lot. / STATE, flErI~ NEW YO~, C.?.U.~~..~... ~..., .,.,. ,~,.(Name of individual sig, ' . b_eingduly sworn, deposesand saysthat he is the applicant above named. He is the ..................... . ................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du y authorized to perform or have performed the said work and to make and file this application; that all statements conl ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manta r set forth in the application filed therewith. Sworn to before me this Notary Public, .x~/f~. ~~~ ............................................. (Signature of applicanti I ~r