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Home My WebLink About19278-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20730 Date MAY 14~ 1992 THIS CERTIFIES that the building. ACCESSORY Location of Property 295 GAGENS LANDING ROAD SOUTt{OLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 10 Lot 35 Subdivision Filed Map No. Lot No.' conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1990 pursuant to which Building Permit No. i9278-Z dated JULY 30~ 1990 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 INGROIR~D SWIMMING POOL WITH DECK & FENCING AS APPLIED FOR. The certificete is issued to of the aforesaid building. ALFREDA M. TAPLIN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-190570 - JUNE 7~ 1991 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WOP,.K AUTHOP,.IZED) N"_ ~ ~27~ Z Permission is hereby grantecl/~: ~ ~ ~ , ....... ,o ...~~....~...~~...~,,..~.~.,...~ .~.~ .................. ~~.~ ...................... ~. .............................................................. at premises I~ated at ...~.~.~....~.~.~.....~ ...... County Tax Map No. I000 Section ...... .~.."]...O.. ....... Block ...... ~. .............. Lot No. pursuant to application dated ........... ..~....~ ................... , 19~..~...., and approved by the Building Inspector. Building In.q:mc roCOr Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [. ]/~$ULATION FRAMING [//] FINAL DATE I NSPECTOR~~/~ THE NEW YORK BOARD OF FIRE UNDERWRITERS '[0/{~'~' BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT o~y t~ e~ectric~l equipment ~ &~cribed ~e~w u~ i~ttrod~ced by the appJlcant ~med on the ~ve application ~umber i~ the premises of in thefollowing location; ~ Basement ~ Ist FI. ~ 2nd FI. O(P~ Section Block Lot ~sexatninedott ~[~1({ ~ 0~, ~.9~] ar~dfoundtobein~coopliatcewiththereqtirements~fthlsBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS OTHER APPARATUS: E R V I C NO OF CC, COND PER ~' NO OF HI-LEG NO OF NEUTRALS AW, G OF NEUTRAL g ~- ,fi CONTRACTO!R BOX 215 SOUTI~IOI,r), I~¥, 'tI, 97~ GENERAL MANAGER 11 / Per_ This certificate must mat be ottered 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 100318 r" ~- JU~E 07,P~91 7323899~.191 ~l Lgo, Dat~ Application No, on file ~HI~ CERTIFIES THAT only the electrical equipment ~ ~serib~ below a~ introduced by the applicant ~med on rhe a~ve appHvation number in ~he premises of itt the following IocatimH. ~ Basement [] 1st FI. FIXTURE OUTLETS {ECEPTACLE$ SWITCHES ~ 2nd FI, OU'? Section Block attd found to be in contpliance ~'ith the require nents of tt is Board. FIXTURES I~ANGES ~.OOKING DECKS OVENS DISH WASHERS FANS Lot DRYERS S E R C J~ RCC~· ~' W~ O. NO. OF ~J~-~E~ Ar W. O NO OF NEUTRALS NO O E COND OF CC COND OF HI-L~O OTHER APPARATUS: ~ (S~HHt'IrN¢ POOh) This certJf:icate ~viromr~ents :it Js advisable to have freq~lont teal- and/or r~:~pa:Lrs ~<< <;~mt, ilnl~d un Page E OF NEUTRAt GENERAL MANAGER This certW~cote must notbe aJtered in an)' manner; return to the office of the Eoard if incorrect. Inspectors may be identified by their credentials. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MU~T NOT BE ALTERED IN ANY MANNER. Form No. 6 TOWN OF SOUTIIOLD ~Tf .... BUI DINC DEPAHTMENT TOWN ALL I 4' 765-1802 ........ APPLICATION FOR CERTIFICATE OF OOCUPA ~'J~(:i? :;'~ 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: 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. 5. CO~ercial 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 ¢, 1~57) 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. 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 51 lew Construction ~ Old Or Pre ........ existing Building ............. mua~ o~ Ouna~s o~ ~o~a~ .... . ........................................... ubd~v~s~on ................................... ~Zad ~p ............ ~o~ .................... ermit No ....... Date Of Permit ....... Applicant... ~ ealth Dept. Approval ......................... Underwriters Approval ......................... [arming Board Approval ....... -~quest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: $ .............. (kar.s3 ............................... ?OUNDATION (1st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & ?LUMBING INSULATION PER N. STATE ENERGY CODE FINAL IIDATE COMM£NT~ ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHoLD, N.Y. 11971 TEL.~ 765.1802 Disapproved a/c ......... ..": (Building Inspector) BOARD OF HEALTH ............ 3 ETS su v.Y ...... , ...... ................. SEPTIC NOTIFY: CALL ;; ................... MAIL APPLICATION FOR BUILDING PERM IT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter erin ink and submitted to the Building Ihspector, with gets 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 l~yout of property must be drawn on the diagram which is part of this appli- cation. e. The work covered by thi~~application may not be commenced before issuance o u' ' ,, d. Upon approvalofthis apnlication t~,~ n,,;,~:_., ..... , ~ , . f B il.d~n~. Permit. shall be kept on the premises available for inspection throughout the work. ........ u.,o respecter wm lSSuea a lJuddmg Permit to the applicant. Such permit e. No building shall be occupied or used in whole or in part for al~y purpose whatever until a Certificate of O¢oupancy 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 3uilding Zone Ordinance of the Town of S6uthold, Suffolk County, New York, and other applicable Laws, Ordinances or {egulations, for the Construction of buildings, additions or alterations, or for ~:emoval or demolition, as herein described. i'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to 'dmit auth°rized inspectom on premises and in building for necessaw in;~. ~(~'~ · -,'~ (Signafl~gre et applicant, or na-~/e', if'a'c'o~l~o'rltlcjn')' ' -- ?? ....... .. (Mailing address of applicant) ;tate whgther~ applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. as on the tax roll or latest deed) ' applicant is a corporation, signature of duly authorized officer. Electrician's License No. . . Other Trade's License No .................... Location of land on which proposed work will be donel oust um reef Hamlet County Tax Map No. 1000 Section ~O ' ............... Lot. Subdivision. .................................. Eiled Map No (Name) ............... Lot ........... State existing tab and occupancy of premises and intended use and occupancy of proposed constrnction: i. Existing use and occupancy .... .~.Y~. ~ ~-..k\xy~ ,, ....c, B. Intended use and occupancy ..... ~..Y~.%. ~\\~¢n ' ature'of work (check which appli?ble): New Building .......... Addition .......... ~AJteratlon Repair ............. R~moval, . ............. Demolition .............. Swlmra~.n,, pool.. ~.~ ....... Tennzs Court ......... Accessory Bu~d~n~ .......... Fen~e~./ ...O~her ~ork ~timated Cost ~ ~ ~ Fee ~ (to be paid on filing this application) Ifa . · j · we ling, number of d~ve mg um~s .............. Number of dwelling units on each floor ................ If garage number of [ cars ~ If busine" ss ....... ' .......................................... ................... Commercial or mixed o~cupancy specify nature and extent aC eac~ type of uae Dimension~ of existing structures ~any: ' ' ..................... Front Rear Depth ~ ' Height ............... Num ber~ o f Stories ........................... Depth ............... Hai~t ................... Number of Stories ..... Zone or use district in which premises are situated., ge...~..~ ........ ~ ' ' ' Does propo~ed construction violate any zoning law, ordinance or regulation: ~0 ...... W~I lot be regraded ....... ~ .l ....... Will excess fill be removed mi N~a of Architect ............. ] .............. Address ................... Phone No ................. N~e of Contractor ~ . Address Phone No ,.Is ch~s p~oper~y loa~ce~ ~ithin 300 feet of a tidal ~eCland? *YES .... ~0 .... · I~ yes, 5ouChold To~n T~ua~ees Parm~ may be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly,~l bu~d~gs, whether existing or proposed, ~d. indicate ~I set-back d~ension~ from ~p~y ~nes. Give street ~d block number or descnptton according to deed, ~d show street n~es and ~dicat~ whether crier or comer lot. ' ] - 'I-- ~,,~ ~ ~ BUILDING DEPARTMENT AT ' ~5-1802 9 A~ TO 4 PM FOR THE, INSPE-CTIO~S. ~t ~ FOUNDATION T~/O REQUIRED FOR POURED CONCRETE ROUGH - FRAMING & PLUMBING INSHLATION ~d ~ FINAL CONSTRUCTION MUST _ BE COMPLETE FOR C.O : ~ CONSTRUCTION SHALL ~ME~ REQUIREMENTS OF THE N.Y. .... .T~k~~ ........ 1 ................ being drily s~vom, deposes ~d says that hc is the applicant (N~~al signing contract) (Contractor, agent, corporate officer, crc.) ;~id owner or owners, ~d is duly aut mrizcd to perform or have performed the said work and to m~e and ffie this lication: that all statements contained jn this application are truc to thc best of his knowledge and belief; and th'at t~ k will be perforated in the m~ner set ~orth in the application ~led therewith. ~m to before me dfi~ · . ~O , ~ ~~ : Ni~ASy PUBLI[ ~mle of NOW mmI .... .~ .......... No. 4707878, Suffolk Cemfly~ / i appllc=n t) Tegn Exphes Milch 30.19---f.J;