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Home My WebLink About24199-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-29389 Date: 04/24/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 3590 OLD NORTH RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 2 Lot 25.4 Su~ivision Filed ~ap NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 24199-Z dated 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MICPL~EL J & JOY DOMINO (OWNER) of the aforesaid building. SLrFFOLK COUNX~Y DEPARTMENT OF HEALTH APPROVAL E~ECII~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~U3 Rev. 1/81 N/A 64562 07/02/02 N/A /~ Auth'ori~ed ~nature I~OK~ NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERA41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? ~419g Z Do,e ....... ...~....../~ ................. ~.~.Z. Permission is hereby granted to: ~ Zi~~i~3'~'"Ciiiiiiii ........... ......... ~...~...~..~~~ ~~ ..... ............ ..... o, p,-em,,/, ~o,ed o,....~.,~.~..~.~....,~.....~..~..~ .......... Co,,n,,,, To,, Mo,~ No. ,000 S.c,,on ...... ...~...~ ...... B'~'~ ....... pursuant ,o opplicotion doted .............. ~....~.~...~.. ........... , 19 .~...~., and opproved by the Building Insp~/ Fee $.~...,,,~..... - Building Insf~ctor / 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 Department with the following: A. 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. B. 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 consent to inspect signed by the applicant. Ifa 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- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. (oh New Construed°n: . Old or Pre-existing Building:, ~ - House No. Strut Haml~ · Suffolk COunty Tax Map No 1000, Section !000 ----~ I Block~ Subdivision Filed Map, o Permit No. ~0 ~-/99 ~_ ~ Dale of Pm~rfit. Applicant:~_ Health Dept. Approval: Underwriters Approval: Plammxg Board Approval: Fee Submitted: $ Request for: Temporary Certificate Final Certificate: ~ (check one) El c t' c l Z p cHon Cet'H£ c 'e Date 07/03/2002 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, NewYork '11772 (631) 286-6642 Application # 64562 Issued to: Mr and Mrs Domino Street: 3590 Old North Road Village: $outhold Section: 55 Block: 2 Introduced by: Double-Pole Electric Inc. Zip:l197f Lot: 25.4 Town: Southold Lic.# 3913-E was exnmined and found ~o b~ in comp/lance with fhe Naris,mi Elecf~icnl ~od~ NFPA 70 [] Commercial []NV Defects [] Pool [] lst FIoor [~lndoor []Basement ~ Hot Tub [] Residential [] Det. Garage [~Attic []2nd FIoor []Outdoor [] Addition []Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 1 Dishwasher Washer/Amp D~yer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase Other Equipment'. ~-20A 110V Circui~ I-GFI Circuit Protector UG/OH Telephone Television Carbon Monoxide Hugo S. Surdi President Rough Inspection: Inspector: Ed Scavelli Final Inspection: 07/02/2002 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectom may be identified by their credentials 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH P~BG. [ ]FOUNDATION2ND [ ] I~ON ]FRAMING [/.~=INAL [ [ ] FI REPLAC/K) &.~CH I MNEY REFARKS: ~ ~~,'~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] ~,N~*ULATION [/~/FINAL [ REMARKS: ] FIREPLACE & CHIMNEY DATE INSPEcTO~ B()AI(I) ()lt Ill',AI/lll ............... ] ~H~.'I'S OF PI.AIIii ............... Si11{¥1':¥ ........................ ~;1£1"1'1 C FOIItl ................... ~'"' '"' '"" '"" '"" '""'"'"": "'""') CA'.:: ~ ,, ,,,.,, ,,:,,,,, ., ,, .~,.,,.,..,,,o,,..,,,..,,,,,,,,.~ ,,,: ,,,,,. ,,,,,,,,,,,.~,,, ,,..:,,,-. ~:: ~ ~ NO'I'IF~ BUI~ING DE~ AT (~,..~ .,~1 ~i~l~ 0~= c.H~.,~ o[Hc~O ?~5-1802 9 AM ~ 4 PM FOR THE ~~ :~LL('.)WINGINSPE~IONS: ~,i~,~,,, ,.f,:,,,,,~ ,~, ....................... OCCUPAgCY OR ~o. ~',.,~,,. ~.~.,,,,~ .,, ..................... USE IS UNt. AWFUL :~ .,:~.,:,,i,:i,,,,,, [.i,:.,... r~,..: ........... .WITHOUT CERTIFICATE .~ ~i~,~,) 0 E F ~08 C.O, ............ OF OCCUPANCY - '~ ('¢.~.a"r ~' Olhe, 'l'H~le~u I,icen~e ltl .... ...... .~ ~ .~ ..................................... ~1~. O~',I:;'~S. tJOT RESPONSIBLE ,,,,,.,,.,,,,,,, ...~c.~ ......................... ,,,,,,,,,,,,,,, ................ ,,,,..;~ ~: ~/'.. ,. E~i~ilJHli Im~ m.I (x:CUlm~,:y ..... ~.~.~ .............................................................. / / ¢/ /