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29630-Z
FOR24 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector To~n Hall Southold, N_Y. CERTIFICATE OF OCCUP.~NCY No: Z-30451 Date: 09/20/04 T~IS CERTIFIES that the building ACCESSORY Locatio~ of Property: 1320 KING ST (HOUSE NO.) County Tax Map No. 473889 Section 26 Subdivision FiledMap No. __ ORIENT (STREET) (HD34LET) Block 2 Lot 48 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 2003 pursuant to which Building Permit No. 29630-Z dated AHGUST 7, 2003 was issued, and conforms to all of the requirements of the applicable provisions of The law. Tke occupancy for which this cersificate is issued is ACCESSORY INGR0~ SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED RE~ YARD AS APPLIED FOR. The certificate is issued to ROBERT P ALLER of the aforesaid building. (0%'~ER) S~/Ft~DLK COLr~fYDEP/kRT~qTOF~APPRO~-~-~ N/A ELECTRICAL CERTIFICAteS NO. 80802C 10/06/03 pLUMBERS CERTIFICATION D~I'ED N/A Rev. 1/81 FORM NO. 3 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) PERMIT NO. 29630 Z Date AUGUST 7, 2003 Permission is hereby granted to: ROBERT P ALLER 131 ADAM RD HASSAiDEQUA,NIY~ 11758 for : CONSTRUCTION OF AI~ ACCESSORY IN-GROUND SWIMMING POOL AS APPLIED FPR at premises located at 1320 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 048 pursuant to application dated JULY 31, 2003 and approYed by the Building Inspector to e~ire on FEBRUARY 7, 2005. Fee S 15o.oo ~/ 7 / / (//// ORIGINAL Rev. 5/8/02 Form No. 6 TO~7~ OF SOUTHOLD BUILDING DEPARTMENT TO~VN 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 x~Sth accurate location of all btfildiugs, properW lines, streets, and tmnsual natural or topograph/c features. 2. Final ApprovaI from Health Dept_ o f water supply and sewerage-disposal (S-9 form), 3. Approval of electrical installation fi:om Board of Fire Underwriters_ 4 Sw~mstat~m~ntc~mp~mnbercertif~52gthatthes~d~ernsedinsystemc~ntajns~essthan2/~f~%~ead. 5. Commercial buddi2g, fndtmrial building, multiple residences and similar buildings and mstallations, a certificate of Code Compliance from architect or emg/neer responsible for the bu/lding. 6. Sulintrt P~armmg Board Approval oI'compl~tea stte ptan reqmrement~. B. }'or existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate survey of property showing all property lines, streets, building aud unusual natural or topographic features. 2. A properly completed application a~d consent to inspect signed by the applicant. If a Certificate of Occupancy is den/ed, the Building Inspector shall state the reasons therefor m writing to tlie applicant. t C. Fees ' i. Certifi~g*~e of Occupancy - New dwelhng $25.00, Additions to dwelling $25.00, Alterations to dwell/rig $25.00, Swimming pool $25.00, Accessory building $25.00, Additaons 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. [. . O k/~ Old or Pre-existing Building: (check one) New Construction: Location of Property: 1,~ ~ 0 House No. Owner or Owners of Property: ~o ~e,-r Suffolk Couuty Tax Map No 1000, Section )(I,'dd. S: ~ ~ leFzdT Street Hamlet Block '~ Lot ~ ¢ Subdivision Permit No. 2 q ¢ ~ © Heakh Dept. Approval: Plmming Board Approval: Request for: Date of Petmh. Temporary Certificate Filed Map. Lot: Undem~riters Approval: Fh~al Certificate: (~heck one) Apphcant Si=o-nature Issue Date 10i6/03 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application 375 Dunton Avenue 80802C East Patchogue, New York 11772 (631) 286-6642 Issued To: Robert After Street: 1320 Kings Street Village: Orient Point Sect~n: 26 Block: 2 Contractor: Hank*s Electric Inc. (L) Zip: 11957 Lot: 48 Town: Southold Lic.# 2675-E Was examined add found to be in cemp[iance with the National Electrical Code. [] Commercial I~, NVDefects [~ Pool [] lstFioor [] Indoor ~ Basement L~HotTub [] Residential ~ Det. Garage [-- Attic [] 2nd Floor ~ Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell .Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment 12uamp s~ ~c~a, ,echo. ia .... 2u-...p time clock / 30amp pool panel Surdi President Rough Inspection: 09/30/2003 Inspedcor: Sean P. Hightower Final Inspecbion: 10/06/2003 Inspector: Sean P. High[ower This certificate must not be altered in any manner. Inspectors may be identified by [heir credentials. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROU/,GFi PLBG. [ ]FOUNDATION 2ND [, ]~ULATION [ ]FRAMING [ ~/~ FINAL [ ] FIREPLACE ~CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:/'"~"~/,,-~_~/ ,~~.~__~--- 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUG~L.~G. FOUNDATION 2ND [ ].~,~:II~ATION FRAMING [,~']~ FINAL FIREPLACE & CHIMNE~ [ ] FIRE SAFETY INSPECTION DATE /~/~~/~.//~/~ INSPECTOR .~~~-~ 'OWN OF SOUTHOED ;I_IILDING DEPARTMENT 'OWN I:tALL OUTItOLD, NY 11971 -'EL: (631) 765-1802 'AX:. (631) 765-9502 : )isapproved. a/o :.~p~aaon c-lq' ,20 ~'~ BUILD~ pBlliVliT APPLiCA~IOi~ CHBCKLIST Do' you have, or need the follow/ng~ before applying? NO. c~ fi& ac~ Board of Health 3 sets of Building Plans pl~r,n~ng Board approvaI Savoy. Cheek 8optic Form Trustees Contact: Mail to: ~i ~! :-~-~,:~._' L. [< :. APPLICATION FOR BIZII,DING PERlVlIT ~. I . ~ ': ~'; i ! /'-. ' L:L;-i,-,L',L3 12083 ¢¢:'~i . ' Date 'u~h' ,200,5 i i ' i'-¢ i INSTRUCTIONS ~8-a~.'~_g~T be~ompletely filled in by typewriter or in ink and submitted to the Bu/lSing Inspector with =~rs ofplsms, accurate plot pl~e. Fee according to schedule. b. Plot plan showing location of lot and of buildings on'premises, relationship to adjo~nqn§ premises or public streets or teas, and waterways. c. The work covered by ths application may not be commenced befm:e issuance Of Bui/ding Permit. d` Upon approval ofttds application, the Building Inspeeter will issue a Build/rig Perm/t t9 the applicant. Such a perrr,~t ~all be kept on the prom:rises a-w~.lable for inspection throughout the Work. e. No building shall be ocanp/ed or used in whole or in part for any purpose what so ever until the Building Inspector sues a Certificate of Occupancy, f. Every building permit stall expire if the work authorized Iz~ not commenced w/thin 12 mo=tbs after the date of snanco or has not been completed within 18 months fi-om suda date. If no zoning amendments or other regulations affecting · operty have beem enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an tdition six months. Thereafter,. a mew pe~=dt shall be required. APPLICATION IS I-IEREBYMADE to the Building Department for the issuauee of a Building Penrdt pursuant to the zild/ng Zone Qrdinance of the Town of 8outhotd, Suffolk County, New Yerlq and.other applicable Laws, Ordinances or -~guiations, for the construction of buildings, additions, or a/teratians or for removal or demolitio= as herein described. The ,plicant a~rees to comply with al/applinable l~ws, ordinances, building code,: )'~sing code, and regulations, and to adm/t · thorized insp ectors on premise, amd in building fer necessary inspections. iSignamre of appi/canr or marne, ifa corporation) (lVlafl/ng address of applicant) ~te whether applicant is ovmer, lessee, agent, architect, eng/necr, general corttractor, electr/cian, plumber or builder ~e of owner ofpr~is~s C-oboe* (As on the tax roi?or latest deed) applicant is a corporation, signature of duly authorized officer [Name and title of.corporate officer) dlders LicenseNo. ~l i{iO._ ¢fft. mxb~s Licease No. :ctricians License No. ~ (¢~/~' i~ ' her Trade's License No. Location of land on whi_ohj;koposed work will be done: House Number Stree¢ Commy Tax Map No. 1000 Section Subdivision Blook A Filed Map No. Lot 3. Nature of work (check which applicable): New Pmild'~g~'oOO [ Repak RetrieVal Demolition \ 4. Estimated Cost I~,C~OO :~-~ ' Fee 5.If dwelling, number of dwelling un/ts If garage, number of cars (To be paid on fi]~ng tiffs application) Number of dwelling units on each floor 6_ IfbUSirmss, commercial or mixed occupancy, specify nature and extant of each type of use. 7. Dimensions of existing slructures, if any: Front Height_ Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height_ Number of Stories Rear 8. D/mensions of entire new cons~zction: Front Height Number of Stories Rear Depda 9. Size of lot: Front Rear .Depth 10. Date of Purchase Nme of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zo~.ng law, ordkta~ce or regulation? YES I NO / I3. Wili lot be re-graded? YES v" NO Will excess S/l be removed ffom pr~zises? YES f NO__ 14. Names of Owner of premises. Name of Archkect 15 a. Is ~s prope~, within 100 feet of a dd~ wefl~4 or a ~hwat~ w~d? *~S NO ~ ~ 5~S, SOUTHOLD TO~ ~USTEES & D.E.C. PE~S ~Y BE ~Q~D. b. Is ~s prope~ wi~ 300 feet ora * ~ ~S, D.E.C. PE~'~S N~Y BE ~Q~D. Address Phon~ No. Address00 ~nhia~.d /~ocer~PhoneNo 3g |- Address ' ~e~.. ~ PhoneNo. -lq~- ~?io O 16. Provide survey, to scale, with accurate foundation plan and distances to properey lktes. 17. ff elevation at any point on property is at 10 feet or belosv, mnst provide topographical data on sm'vey. STATE OF b/EW YOKK) COUNTY OF ~ ,,qC'~l~ }?:~: ~e of~nd{4'{d~l sJ~ing con, act) above n~ed, (S)He is the ~Q ~ ~ (0on~ctor, Agent, Co,orate Officer, etc.) of said owner or ox~mers, and is duly authorized to perform or have performed the said work *nd to make one file th/s applicati¢ that al/statements contained in this application are Uae to the best of his knowledge and, belief; ~md that the work will be performed hz the mariner set fordz hz the appl/eation filed therewilSk Sworn to before me thi%~ , 0U3J. IFIliD IN SUFFOLK COUNTf