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Home My WebLink About23541-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuuFANCY No Z-25104 Date JUNE 20, 1997 THIS CERTIFIES that the building. Location of Property 295 BIGHT ROAD County Tax Map No. 1000 Bection 14 Subdivision ACCESSORY ORIENT~ N.Y. Street Block 2 Lot Filed Map No. Lot No. Hamlet 17.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1996 ~ursuant to which Building Permit No. 23541--Z dated JUNE 27, 1996 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 DECK & FENCE TO CODE AS APPLIED FOR. The certificate is issued to JA~S & Um~IETINE FRAKKE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-393514 - AUGUST 8~ 1996 N/A Rev. 1/81 !~0~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.O 2s~x z Dote ....... ..~..Z.~ ................... , ,,.~ Permission is hereby grante~l~'o: ~... __ ~ ~_ __ .... ~ _ ~, ~ ..................... ~..~;.~.......~ .Z£~.~.....~... ................................. ....... ;: .......... T"~ ............................... ~. , . County Tax Map No. 1000 Section ......... ./..~_/;,~j Block ........ ..~...__ ..Z.~../..'....~ ........ Lot No .......... pursuant to application doted ................. ...~;?Z--f.,-~..,~....~., .......... , Jg...?..~, and approved by the Building Inspector. Budding Inspector/' Rev. 6/30/80 Form No. 6 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. 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. 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 "pre-existing" land uses: I. 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 1o 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~ - $i00.00 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 Date New Construction. ~ ..... Old Or Pr~-existingiBuilding ................. Location of Property ........ ~ .................... · ..................... House No. Street Hamlet County Tax Map No 1000, Section ........ Block ....... Lo ..... Subdivision .................................... Filed Map ............ ~Lot ......... ./ ........... ermit of Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... ~ ~'~ [~~~ FIEI.b INSPEGTION REPORT DATE FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS AnD I T I'ONAI[- COMI~IENT S: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE. ' TOWN OF $OUTItOLO 19,% : BUILDING DEPARTMENT TOWN ttALL ; ] SOUTIIOLD, N,Y. 11971 'r , HOLD · ........... ' .......................... ,tt~IL TOm INSTRUCrlONS a. This ap¢icRtiou must be completely filled i. by t~pewriter or I. ink and submitted to the Butidi.g lnspeclor, wi sets of pla.s, accurale plol plau to scale. Fee.according 1o sci~edule. b. Pict plan showing locatlou of lot and of bulldi.gs on preMseh relationship {o adjoining p~emlses or public or areas, and giving a detailed description of layo. t of properly must bo drawu on the diagram which cation. c. The work cove~ed by th{~ appiicnt[on m~y ~et be terumo.ced befme {ssuanc~ of Buiidh~g Fem~It. d. Upon appruva{ of t{t}s applicattou, the Building h~spector w}l{ Issued a Building P~rml[ to the applica.t. Such pe sitail be kepi on the premises avail,bio for l.speelion throughout file wolk, e, No build{ns k{ta{} be occupied or used in whole or h{ p~rt for auy purpose whalever unit{ a CertlHcate sh,}l h~ve been Fanted by t}~e Bo{k{{ng Inspector. APPLICATION IS IIEREBY MADE Io the Buildb~g Depadmen( for the Issuance of a Buildl.g Permit purs.a.t B.ildi.g Zone ordinance of the Tow. of 8oulhold, Suffolk County, New York, m~d other .pplic~blu Laws, Ordi.~nc- Itegulolious, for Ihe construction of butldt.gs, .dditio.s or alteratto.s, or for temov. I or demolitlou, as herein The npplica.t ngreus to comply with nit .ppllcnble Inws, o,cllnn,tces, building code. housi.g code, ami .... ~.~ .... d~ ~,.,~. . .~1/~ :~ (Signature of applica.t, or name, ff a co ~ . ' ~ (M~tling .ddress of ~ppliennt) Sinie whether .pl)licmd is owuer, le~., .genl, ~tcl~,iec~.:eng}q~6b~general contractor, electrician, phm, ber or ' ...................... ;' ';,APPROVED 'A~ NOTED .... (as ou the t.x ~oll or lares[ aeeo}/./,? ,/~ CATE: ~B.P. Ir npplicnnt is n cmpo~ation, slgna~ue of duly aulh¢ized o[ficer. * ~ / / -~ / ~ k UNDE~RITERS CERTIFI~TE (Name and title or coq,orale officer) "IMMEDIATELY" Plumber's License No ...................... EN.CI~OSE POOLTO CODE I~ION COMPLETION Elechiclan's License No. ~r. FORE Olhel 'hade's License Ho ...................... NOTIFY BUILt)lilaC OEP ~/~l~]~d~T-- 765:{802 9 AM TO 4. CFM FOR T FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQtJIRI FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBIt 3. INSULATION 4, FINAL CONSTRUCTION MU BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL ME THE REQUIREMENTS OF THE N STATE CONSTRUCTION & ENER~ Locat}o. of la~d o{{ which proposed work vdl be dm~e ................... ~:ODE6: · 'N~ ' 'REgPONSIB~ ' ~ I lOUSe Number SI reel ] lanllet Lot :,, Subdiv{si ~,. c;~ ~.. ~ .,, Filed Map No ............... Lot ............ Slate cxJslJng use filial occtll)~llcy of plelllJge5 ~li(J Jlltell(Je(J Use filial occul)flncy o[ proposed COllSJrtlctiolt: 3. Nature of work (check which applicable): Ne',~ Building .......... Addition ........... .............. .............. ............. 4. Estimated Cost , , Fee . (to b~ paid on filing rids application) 5. If dwelling, number of dwellin~ traits ............... Humber of dwellinR units on each ~oo~ ................ . If gaeag% ];ttmbe~ of cars ,, ................................. , ..................... , .............. If business, commercial or mixed occupancy, specff~ nattuc and extent of each type of us~ ..................... Depil~ . .~ ......... 7. Dm~ensmns o~existingatmctures, ifan?: front.. ~.~ ......... Rear . .~ ........ Ileigbt .~ ........... Numbero~Stories...~ ................................................... Dimensimls of same slructure wltl~ allerafions or addilions; l~roni ................. Rear .................. Depth ...................... Ileight ...................... Number of Sloflea ...................... 9. Sizeo~lot: ~mnt . .~ .......... Re;r, .~.~ ........... Depfl, .~ ............... ~0. Date o~Pttrchas~ .................... . ......... Name o~ Pormer Owner ............................. ; 1. Zone or use dlslrlct In which premises are situated .~.4/~. ~ ........................................ ~. Does proposed construclion violate any zoning )aw, ordhtanc¢ or ~egtdalion: ~ ............................ ~. Wilt tot b~ r~g~aded .. ~ ..................... Wilt excess all be ~emoved from premises: ~ No '1. Name of Owner o~ premises ~Pg4a ,'~f~Q~ ..... '. Address~q~t.'~, Name of Archllect ,., ....... , ...... . .......... Address ~ .................. Phone Ho ..... : , ......... Name of Contractor ~1~ ~¢~ .~; ........ Ad&eas~f,~ S.d~'~,.. Phqn~ No.~.~-~.d~... 5. la ~h/a proper~y wik/lln 300 leek of a ~ldal wetland~ '*~es ..... :.. No.~ ...... ail yea, Southold To~n Trustees Parml. C may be req~lred. PLOT DIAGRAM 1.ocate clearly add dtstiactt~ all buildings, whether e~isting or proposed, an&indicate alt act-back dimensions from )roperty lines. ~iw street and block number or d~scrlplion according to deed, and sbow sit, et names and indicate whether i~le~ior or coIJlCf ]o1. says that itc is the applicant /]'~ (Cmdra ent, corlmratc officer, etc,) pplicallon; that all statemmtta coatahted ht this application at'e trite lo the best of his knowledg~ and belief; ami that the v(nk will be performed In lira manner set forlb in iho application filed therewith. ;worn to before me this -- Qualified in Suik~tk County ~ ~ ~ ~' (gig~ ~t~ e <~f app ' ~ ~mmissioa Expire~ Decombur 8, 19 F Ch 't Z ~ 0 I~ :~