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Home My WebLink About19842-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20575 Date MBJRCH 9~ 1992 THIS CERTIFIES that the buildin~ Location of Property 60435 MAIN ROAD House No. County Tax Map No. 1000 Section 56 Subdivision ACCESSORY SOUTHOLD, N.Y. Street Hamlet Block 3 ........ Lot 12 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1991 pursuant to which Building Permit No. 19842-Z dated MAY 6, 1991 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 SWIPING POOL WITH FENCE ENCLOSURE The certificate is issued to MICHAEL T. FRDRNKE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-026927 - FEBRUARY 10~ 1992 f '/~ B{~ilding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST I~E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_ 1 c2842 Z County Tox Map No, 1000 Section ....... [.~.. ........ Block ...... .~ ........ Lot No... ,/..~. ........... ................................................ , 19.. and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 0F OCCUPANCY Thi~application must be filled in by typewriter OR ink an~ submitted to the building ~p~ctor with the following: for new building or new use. Final survey of property with accurate location of all buildings, property lines, reets, and unusual natural or topographic features. hal Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). proval of electrical installation from Board of Fire Underwriters. urn statement from plumber certif in that the solder used n 'Y g i system contains less than 2/10 of 1% lead. Commercial building, multiple residences and similar buildings building, industrial and installations, a certificat~ of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certzfz?ate of Occupancy - New dwe~l-&ng $25~0~ions to dwelling $25.00, Alteratmons to dwelling $25.00, ~,_mming pool $25.00,~X~ccessory building $25.00, Additions to accessory building $~Y~usin~50.O0. · 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $5~0.00 5. Temporary Certificate of Occupanc~ - Residential $15.00, Commercial $15.00 Date ~ .~..~..~..' · ,ew Construction ........ Old Or Pre-existing Building ............ Location of Property...~ ............. House No~ Street Hamlet :oun~y Tax Map No 1000, Section ........ - .....Block ................ Lot .......... ;ubdivision ................................ · --- Filed Map ............ Lot ...................... ~ermit No .... · · .. ..Date Of Permit. Applicant. / !ealth Dept. Approval ............. · ............. Underwriters Approval ......................... '~ Board Approval -,ns~ng ................. .. .... . equest for: Temporary Certificate ........... Final Ccrticate,.~ .... ~0 ~ ~ ~ ~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,¥~)~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date ~'~]~l{[/~' 1~1~9~ Application No. onfile 7~(~2~,9~/9~ ~ 02~t~ THIS CERTIFIES THAT in the fotlowlng locatlon ~ Basement ~ Ist FI. ~ 2nd FI. 0~?~ Section }i6 Bilk ~ ~sexatninedot~ ~ ~] ~J ~1[~ 04~992 and found to be in co, platceu'iththereq.irementsqfthisBoard. 1 DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET R V I C NO OF CC, COND, A W G ~ NO OF HI-LEG ~ A W G, NO OF NEUTRAJS A.W. G, OF NEUTRAL OTHER APPARAIU$: eavJ,~:otmeats it. 1~ advisable to hape frequeat t.c~b amd/or r(,patr8 GENERAL MANAGER Per . (,.~ 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 ALTERED IN ANY MANNER° TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLIp, N.Y. 11971 September 16, 1991 TEL. 265-1802 Michael Franke 60435 Main Road, RR#2 Southold, NY 11971 To Whom This May Concern, Wc are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is not on file. (ENCLOSED) /_~/ No Underwriters Certificate on file. 0~. /~ The check is kex~h~kR~/not on file. ) $25.00 /_--/ No llealth Dept. Approval on file. /--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt I 9 8'4 2 Z Building Dept. ***/-/ bio Plumber Selder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]~iSULATION / FRAMING [~'] FINAL FOUNDATION (1st) FOUNDATION [2nd) ROUGH FRAME & ,?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: "~MMEDIATELY' EN.C. LO~E POOL TO .COL'~E uPON COMPLETIO~,~ BEFORE "WATER" I I I I 16~78- 4¥N UflBEI~RITERS CERTIfiCATE REQUIREO "~MMEBIATELY" ENCLOSE POOL TO CODE "IMMEDIATELY" ENCLOSE POOL'TO CODE UPON COMPLETION BEFORE "WATER" UNDERWRITERS CERTIFICATE REQUIRED "IMMEDIATELY" ENCLOSE POOL TO cODE UPON COMPLETION BEFORE "WATER" g FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examim Disapproved a/c ..................................... . ~guild~fnspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTII ......... 3 SETS OF PLANS .......... SURVEY .... SEPTIC FORH .............. ' a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ets 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 Ir areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall he 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 hall 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 7he applicant agrees to comply with all app. licable laws, ordinances, building code, housing e~ode, and regulations, and to dmit authorized inspectors on premises an,d m building for necessary infi~j, ctidns.ff ,J ..-//- l __. :"., ,.... f/.. . . . . ................ " ~ '" ' (Signature of applicant, or name, if a corporation) ltate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ................................... ............ .......... ............................ ~ame of owner of remises /'~/~.Z~ 7'~0~0~3 (as on the t ,a~"roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) / XBuilder's License No. ~(~tl~'~'~ .~.~...~.~v~.~ Plumber's License No ......... ./ ............ Electrician's License No ...... ~ ............. Other Trade's License No .... ~. ................. Location of land on which pruposed work will be done...~...~..35.. ENcLOS uPON cOMPLETION BEFORE "WATER" House Number Street Hamlet County Tax Map No. 1000 Section .... .~-.~ ........... Block ..... .'~ ........ o ./.~... . Subdivision Flied-Map-No (Name) State existing use and occupancy of premises and intended use and ,occupancy of proposed construction: " ,: a. Existing use and occupancy .... .~..~.~.~...P.Q!~.~ b. Intended us tt . e and occupancy ....................... ","t .... ,~'~ '~,; ............. :..,.,~..-.,,. ~¢~ property lines. Give street and block nt interior or comer lot. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remoyal .............. Demolition ............. ! ' . . 4. Estimated Cost ............ ~,. .................... Fee · : (to be paid on filing this application) 5. If dwelling, number of dwelling ulnits.... · ..........~'-' Number of dwelling units on each floor .... "'772 · If garage, number of cars . · .'~.. 7 ......... ~.busin i ..................... 6. .ess, co.mmerclal or mixed occupancy, specify natu. re arid extent of each type of use .... 7. ~lmensmns et, ex, isting stmctures~ if any: Front .... ~. ~". · · . Rear ... ~ ~/ De,,*h .~' 'Z~- ........ YoC .................. Height .... (7.-. ........ Number of Stories ...... Dimensions of same structure with alterations or additions: Front ...... '$ .5/ ......... Rear ~.~ ....... Depth ..... ~.2~. ..... I iV '~ ....... · · · Height ...................... Number of Stories ..... ./7-, ............... 8. Dimensions of entire new constrtlntlnn. I~r~n~ 7 t4 ,~ Height ..../..z:......Numb 77,';i; Z ...... '" 't~.~ · · · ~ear .... /.~. ........ Depth ... 9.fi; ........ 9, &zeoflot Front [oO I ,~__ "'~ ..................... :4;;'~/~, ......... I ................ De th ........... I0, Date of Purchase ~.':~ ...... ,,~ ...... 'r · .' ..... ...... ' ' ' 'I ................. l~arn~e DC,refiner uwner .. 1 1. zone or use alsmct in whtch premises are situated ....... (Q,-. ?..0. ' t .............. 12. Does proposed construction viola[e ang, zoning law, ordinance or regulation' ~-f~) .--' . 13. Will lot be regraded .~.Q L:~5~ '.p~va4~,a5 ....... ' .......................... ....... :-' :~. /_ ~ .;,.. · .. ...... wm excess rill be removed from premises: ~ No 14. Name of Owner of premises W3~Ot.~.u: ~- ~vt~t~}._ Address {.leO~'Fff/'~vh~u~ .... ................................ Phone No..9. ..... ~(~ ..... Name of Architect ~ . l ..... ~,' ............... ~uaress .. ~~_.rlf~e ~o.~-.~-~ ..... . .~_... N~ame.or Contractor .... '~u' ~ ..~d~ ................ Phone-'h~o.... is this property within 30,0 feet of a tidal wetland? *Yes ........ · If yes, Southold... Town TrusteeSpLoTPermitDiAGRAMmay be required. Locate clearly and distinctly all bluildings, whether existing or proposed, and. indicate all set-back dimensions from tuber or descriptioh according to deed, and show street names and indicate whether APPROVED AS NOTED _ __ NOTIFY BOIL~NG DEPARTtI~i~T'A~ 765-t802 9 AM TO 4 PM 'fi'OR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONS~'RUCTION 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 ERRORS ;TATE OF NEW YORK, , .OUNTY OF .......... S.S: · · , ' ' . ........ ~f///(/'~' ?'" '~' · · ' '/' '": :': * '-:' '~', ........... being duly sworn, deposes and says that he is the applicant' (Name of individual signing ~ontract) bore named. [e is the ' j (Contractor, agent .................................. , co~l;<;~a't~ ~'f)ic~, etc.i'' t' 'said ow.ncr or owners, and is duly aUth. orized to perform or have performed the said work and to make and file this )plication, that all statements containe~l m this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. ;yom to before me this ........ ,4..: ........... day of.f~ ............ , 19~.. . · ,'. _ Quaflf ed n Suffo k Cou-,,-: