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Home My WebLink About30176-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP.~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z 30273 Date: 0~/30/04 T~IS CERTIFIES thnt the build/nE ADDITION Location of Property: 2920 ALBERTSON kb (HOUSE NO.) (STREET) (}LAMLET) County Tax Map NO. 473889 Section 52 Block 4 Lot 1.4 Subdivision Filed Map No. __ Lot No. __ GREENPORT conforms substantially to the Application for Building Permit heretofore filed in this office dated ~ARCH 18, 2004 pursuant to which Bulling Fern~t No. 30176 Z dated ~ARCH 18, 2004 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 DECK ADDITION WIT~ INGROUND SWIMMING POOL ATTACHED TO EXISTING SINGLE FAMILY DWELLI~ WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to GEORGE D COSTELLO,SR. (OWNER) of the aforesaid building. ELECTRICAL CERTIFICATE NO. Rev. 1/81 1179842 05/06/04 N/A or/ed Signature FOF~I NO_ 3 TOWN OF SOUTHOLD BUILDING DNPARTMENT Town IIall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES I/NTiL FULL COMPLETION OF THE WORK ~JTHORIZED) PERMIT NO. 30176 . Z Date MAP~CH 18, 2004 Permission is hereby granted ~o: GEORGE D COSTELL0 2920 ALBERTSON I~NE GREENPORT,NY 11944 CONSTRUCT A DECK ADDITION WITH AN INGROUND SWIMMING POOL ATTACHED TO A SINGLE P}~ILY DWELILNG AS APPLIED POR~ THIS PERMIT REPLACES BP~23234. at premises located at 2920 _ALBERTSON LA GREENPORT CoUnty Tax Map No. 473889 Eection 052 Block 0004 Lot No. 001.004 pursuant to application dated MARCH 18, 2004 and approved by the Building Inspector to expire on SEPTEMBER 18, 2005. Fee $ 300.00 ~ ~ kAVho~, ~nat ure ORIGINAL Rev. 5/8/02 FOQM NO.3 TOWN OF SOUTHOLD BUILDING D£PA.~TMENT TOWN HALL SOUTHOLD, N.Y. N£ BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23234 Z Permission Is hereby granted to: GEORGE D. COS't'~LLO 2920 ALBF~TSON ~ CounNloxMoD ~o. 1000 Soc~on ......... ~ ............gloc~ .......Q. ................. lot ~o ..........Ix[ .............. Building Inspector. Fee 8....~.:.~.~ ........ Building Inspector Rev. 6/30/80 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLEtiON OF THE WORK AUTHORIZED) 4 21676 Z Date ...................... .?/..'~'".~.. ........................... 19....~...~.... Permission Is hereby granted to: ....... ~,.E_.2,....L;~_¢~......7.5... .......................... : ................ ...... ...m.. ....... to......¢'.:a~..=...,..-~..z:.. ........ ~. ......... ~.~..,:./.~......~'/--.~4~..~. ........ ~ /. z :ff/: ........ ~_": ............ ~~ ...................... ~.....~ ....... ~ .... at premises located at......."~....?.~ .......... ..~...E4~./..~...~.~.... ,,//~.~ .~.. ........................................ (~.~..~..~/:,'¢~z',,..z': ........ ~,¢: .......... Z'~ CountyTax Map No. 1000 Section.,.....'~....'~.. ............ Block ........ ...¢~.~.',/.~ ........ Lot No ....... Zr...~..,. ........ pursuant 1o application dated ............ ~.' ........ ~ ...............19... ,.~_J.... ..... and approved bythe Building Inspector. ~ s...~.~...¢..:.~... Rev. 6/30180 Form No. 6 ,TOWN OF SOUTHOLD BUILDING DEPARTMENT TO$~ HALL 765-1802 .aPPLICATION FOR CERTII~ICA'rE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with thc following: For new building or new use: 1. Final survey of property wtth accurate location of ali buildings, property lines, streets, and unusual natural or topogxaphic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form),. 3. Approval of electrical installation from Board of Fke Underwriters- 4_ Sworn statemcm from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, indnstnal building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit pl.nnirig Board Approval of completed site plan requircmcuts. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" Land uses: 1. Accurate survey of property showing ali pruperty lines, streets, building and unnsua[ natural or topo~apkic feaW.res. 2. A properly completed application and consent to inspect ~igaed by the applicaut_ If a Certificate of Occupancy is denied, the Build/rig Inspector shall state the reasons therefor in writing to the applicant. New Construction: Location of Property: ~).~ ~ House No. Ox~mer or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. '~ i'-/~ Health Dept. Approval: pI~nning Board Approval: Request for: Tempotmy Cellificate Fee Submitted: $ Certificate of Occupancy - New dwelling $25.00~ .Additions to dwelling $~.000 Alterations to dwelling $25.00, Swhnn~zg pool $23.00, Accessory building $25.00, Additions to acc~sory buildin~ $25.00, Businesses $$0.00. Certificate o£Occupancy on Pre-existing BuiMing - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $~0.00 Temporary Certificate of Occupancy - Residential $ l$.00, Commercial $15.00 Date. r, I '2-L/ Dc( Old or Pre-existing Building: (check one) SLreet Hamlet s P-. Filed Map. Lot: DateofPermit. ~} !~Joq Applicant: C~'~e '~ ~ Underwriters Approval: [/~/q ~ Final Certificate: ~ (check one) Appheant Signature BY THIS CERTIFICATE OF COMPLIANCE THI~ NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by JIM SAGE ELEC. INC. GEORGE COSTELLO P.O. BOX 38 2920 ALBERTSON LA. GREENPORT, NY Located at 2920 ALBERTSON LA. GREENPORT, NY 11944 Application Number: 1179842 Certificate Number: 1179842 Section: Block: Lot: Building Permit: BBC: NS11 Described as a R~sidential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pooh Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, authority having jurisdiction, and found to be in compliance therewith on the 6~ Day of May, 2004 Name QTY _Rathe Rating Circuit T,9)e Appliances and Accessories Pool~Spa Circulator Pump/Motor 1 0 2 H.P. Pump/Motor ~ FmTraCe I 0 Oil Time Clock'S~tch 2 °° Spa Vqiring and Dexqees Fixture 2 0 PooYSpa Receptacle I 0 GFCI Switch I 0 G¢~teial Propose ( S~¢xm:ang Pool): This certificate covers compliance at ~he date o£inspection ertl). Because of ttttusual envkau~ent5 it is advizablc to ha.ye frequent test and:or repairs made by a qualitied person. seal I of' 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. l cair~ ra~rai ar~ ra~vaifal ral a~rm rairai ra i falr~ 4iE41~ r~ e41e41~ ~irairalralraira Iralraim~Fra ~ ~ ~ ~ B ~ B ~ ~ ~ B ~ B ~ ~ R ~ Diagonals given to 90° point of corners. ;; OF 2) ,.(SET OF 2) i~PING ORNER SET LE TYPE ~JL :JERS (SF'T OF Z} !IUS COPING lNG CORNER SET SUMPTER DRIVE FORT WAYNE, IP. DIA~A, 48R04, U.S.A. PF~EO0- 5 21R.432-8731 RECTANGLE 0 [,.r ii~, 765-~.802 BUILDING DEPT. I-NSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION DATE INSPECTOR 765-'f 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG/~LBG. [ ] FOUNDATION 2ND [ ] IN/SULATION 4 [ ] FRAMING [ /...J/FINAL [ ] FIREPLACE~TCHIMNEY REMARKS: ~--6 ///~ .~ /_/// .~_5__ ~ ~ - ?- --. //~- . /-- DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] IN~J~ATION [ ~'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS_LILATJON []FRAMING [~FINAL~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: /~/~-'~" c7 ~ DATE ~OU~D A'TT ON ~OUNDflTTO:! -PLUMBI;IG _~( 1st)' ~.~SULATIO:I PER N. Y. STATE E~iE~.G Y CODE FI;IAL ADDITIO~I~ L TS: *OWN 0 ~Z?J~~ T~L.: 765 1803 _ ~/~ Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 B0~RD OF REALTH ......... 3 SETS OF PLANS .......... SURV£Y ................... CllECK .................... SEPTIC FORH .............. CALL .. MAIL TO: ,,'} .- DE,~GM OR CONSTRUCTION ERRQRS 1. Location of land on which proposed work will be'done_ · .....' ....... House Number. Street I Hamlet . .... ..... .............. Subdivision (Name) Filed. Map No ..... ...' ........ Lot ...... '}~ . ' ...... 2. State existing use and occupancy of premises ~- . . * : ~..~.. .. i · · . z. : ': :..~ · ~. ~,~t[t~,~, ana o~c~pan,y ..~;. ~.. ~}.~~ ................ ,?:~,.~¢;:~_~,:~?..-: :~' ~: :' :.- ~;:.~([~nd~d use and occupant' "Builder's License No. : .c~. ~, .~.~. ~../.~'~7~..' "'~MEDiATELY' Plumber's License No. ENCI.O~E POOI. TO CODE Other Trade's License No. -- . ....... 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIO N~: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTiqUCTION MUST · BE COMPLETEFOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF 'THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR APPLICATION FOR BUILDING PERMIT ~: . .', - . .', Date ...... ' '; :~; ~ ~ a '~! INSTRUCTIONS .... ? a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, With 3 se~ 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 street~ 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. Thc 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 p~rmit shall be kept on the premises available for inspection throughout thc w~rk. ~ :. ¢. 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 Buildin~ Inspector. :~.~ B APPLICATION IS HEREBY MADE to the Building Dep'a~tmant for the issuance of a Building Permit pursuant to tt~~:' uilding 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 alterations, or for removal or demolition, as herein described. The applicant a~.~es to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections. -~ :'" "" :f): : ~E/~- ¥ ~ : (Signature of applicant, cr n_ame, if a corporation) ___ .. (Ivlailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ...... . .'.. ............ .. ..... Name of (~wnar of premise~ .' ..... ~7~./~'.~.~. }; .'/~..' .... C.~)-~'/-~,~'.l'.C. .'~7.-..~l~_>~ll I~,~-~--/~ ~'- · . ' ' : . (as on the tax roll or latest ~.~.~)_~ BY:-~f ' If al~Plr'clant is a corporation, signature ofduly authorized officer. NOrIFf 8UILDING DEPAFI'f~ENT AT - .../~... ;:; ..... .n£.:..:_. 'zl'V ................ -' .; (Name and t~tle ot corpol-a~e officer) - 3. Nature of work (check which applicable): New Building Addition . .' ........ ~ .......... Repair .............. Removal .............. Demolition ............. Other Work ...... ~ ....... · . (Descr/ption) 4. Estimated Cost ...................................... Fee ...................................... (to be paid on Filing th/s applic.ation) ' 5. If dwelling, number of dwelling units ............... Number of dwellhag units on each floor...': ............ -. If garage, number of cars ........................................................................ 6. If business, commercial or taLKed occupancy, specify fiature and extent of each type of use ..................... ' 7. Dimensions of ex/sting structures, if any: Front ............... ' Reax .............. Depth. · .- ......... :.. · ~ Height ............... NumberofStofies .............. : ......................................... ~Dimensions of same structure with alterations or additions: Front ................. Rear .................. .Depth ...................... Height ...................... Number of Stories ............... ~ ...... 8. Dimensions of en tire new construction: Front ............... Rear ............... Depth .... ~-~ ......... Height ............... Number of Stories .................... , ........................ 2 .......... 9. Size of lot: Front .... ' .................. Rear ..................... Depth ...................... 10. Date of Purchase .................... · ......... Name of Former Owner ............................. 1 I. Zone or use district ha which prom/sea are situated ........ fld~.t.~6-rvOTl ~_c .............................. 12. ~ Does proposed construction violate.a.ny zoning law, ordinance or regulation: ...... ~ ....................... 13. -,Will lot be regraded .......... ~ .............. Will excess fill be removed from premises: Yes 14. i Name of Owner Of premises .....C~..~[ .~%..(..Q ...... Address .... ~"..~77.: .. Phone No ............... '. ,.~:: Name of Architect ........................... Address Phone No ............ ~" '~:.: Name of Contractor..~.': ~t~6i.~/~. ~-. -~-%. ...... Address i ~. _'/~ i~?.~ i Phone No...~ ~," ~. d 15. : Is ~his property within 300 feet of a tidal wetland? *Yes ........ No...~.... ~ ~ · *If yes, Southold Town Trustaes Permit may be required. ')'4}"f~'-:'-' - PLOT DIAGRAM. ::Locate clearly and cl/stinctly all buildings whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description ac¢ordhag to deed, and show street names and indicate whethe interior or comer lot.. : ;~ : ~ · ]TATE OF NEW YORK. ' ,r'~ ~r,">~ 2OU~Y OF.. : ~,:' (Name ofindividu~ si~Ng contract) :. bore named_ · ~ ,. -:: · ~ . (Contractor, agent, corporate officer, etc.) . ' ',. _3 ' ~ · said owner' 0r"ownem, ~d is duly au'tho~zfid to perfom or have peffo~ed the said work and to m~e ~d ~e this pphcation; that all statements contained ~ ~is application are true to the best of his ~owledge and be~ef; and that the ,'ork will be perfo~ed in the m~ner set for~ ~ the application filed ~erewith. worn to before me this