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Home My WebLink About31535-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31245 Date: 10/28/05 THIS CERTIFIES that the building ACCESSORY Location of Property: (HOUSE NO.) County Tax Map No. 473889 Section 9 MIDLOTHIAN AVE (STREET) Block 7 FISHERS ISLAND (HAMLET) Lot 8.1 Subdivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 2005 pursuant to which Building Permit No. 31535-Z dated OCTOBER 18, 2005 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 SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ALBERT H GORDON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2069175 09/15/05 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 05 02:58p Jonathan P. Butler 860-739-9180 p.2 F_N.., TOWN 01' SOUTBOLD BUILDING DEPARTMENT TOWN BALL 765-1llln F~- i - APPUCADON FOR CERTmCATE OF OCCUPAN I,----I',J uG; '"' 2 2 mi ll~) : L____ I f'" :"':,;. ~~PT TQY'I~.2~~D: J7:'~_I_ f'"\ This applil:ation must be filled in by 1ypCWri1er or ink and SlJbm- 10 the Buililillg DepanmeDt with the following: A. Foroew building or DeW ~ I. Fmal survey of property with lICClIIlIle looation of an buildings, I"ope.ty 1ines, _, and 1IIIIISU8i natura1 or lIIpOgnlplIic: ~. 2. Final Approval from Hea1th Dept. of water supply and seweragc-dispos (8-9 form). 3. Approval of e1eclrica1 insIa1la1ion from BoanI of Fire u..L.. ",ib~ 4. Swmn s13leIDeotftcm plumberce:rtifYing 1batthe so1derused in system c.nnhoin.\ess tbIIo 1/10 of 1% 1ead. 5. Commeroia1 ",.iIiI;"g, induslrial bui\ding, multiple resid_ and simi1ar buiMinll" and in,htl....inn' a certificate of Code Compliance from architeet or engineer respODsib1e for the baiJding. 6. Submit Planning BoanI Approval of compJeIed site plan Raj";'elAenlS. B. For esistinc buildiDgs (prior to April 9, 1957) IIOD-COIIformiD -. or buDdiDp and "p1"H"'-....1md uses: J. Accurate survey ofproperty sbowing an ...uperty 1ines, sIreeIS, bui1ding and UIIIlSl1&I natural or ~..,hic .. fea1UleS. 2. A properly comp1eled applil:ation and a consent to inspect signed by the app1icaot. If a CertiIi.csle of Occupancy is denied, !he Building ~.... shaIJ slate the reasODS 1bezefor in writing to the appIiC8Dl C. Fees 1. S' Ofela -New dwelling $25.00, .Atlilitinno to dwelling $25.00, AI1matioDs to dwelling $2S.oo, 11 B 1 .. pool $25. Accessory building $25.00, AddiliOllS to ac:ceSSOlj' building $25.00, ,&,o;"e5."... $SO.oo. 2. of on ~ Building. $100.00 3. Copy ofCatificate_ofOccupmey - $25.00 4. UpcIated CertiIi.csle ofOl:capeacy - $50.00 5. T..ul'u"u.f Catificate of();copancy. ResicIentiaI $15.00, ('.....n~ $15.00 !:>ale. kCl~ 17, '2/JDS New Construction: Old or J>re.existing Building: v' (check one) LocatiooofProperty:_rsox: 433 OC"E:ibJlG AvE. ~1aJA-vE:... }Y//()L.&-pnAtJ ~ ~~ House No. Sbeel Hanliet {)t, 3'l0 Owner or Owuers of Property: ~ .JJ c.~ Suffolk County Tax Map No 1000, Section 001 Block 1 Lot l;. I Flied Map. Applicant: Underwriters Approwl: Lot Subdivision Permit No. 31 c; 3 c:; Dale of Permit. Health Dept. Approval: Planning Board Approval: Request for: Tempormy CettificaIe Fee Submitted: $ t,5 Co -z= ?Jt~'-IS; rLt~ ~q /1t Final Certifkale: " V' (cheek ODe) Ct~ App\icant Signature 10/12/2005 14:37 FAX 631 .788 7798 FlTELEPilONE 1li002 _:'!....lJ .......::... :.~~ ....\J.. I''''^~:' Ii ...............;&.0....._ I' .... :?-" -- '" . ::;J - I ::;:: ... - 0 .... OU!lD;'TIO~ ~1 S.!l.. 0 ... - -- - ~f: o' ~~ OU1-lDA TrO:l (2nd) ",f"" p . . '" 0 . OUGH FRANE & - , PLUl1BING I f'. 0 ,., . . ~ .... '" .. ;:~ , :::SULATION '" PER N. Y. '-i STATE ENERGY , COD;:; " :c: , .. -... -: .. .-?'b~ k-. pe/llA./ htJ.#/rlfdL //JtM.JLI/ :?; tJ/. r.t I~ ' ,~ ... . . ./ / ~ /)~.,&;../2 tf.~,., gle#-A~ e..~' '-' ~. '-i . ~ ",vl",,'~ '1#*;~31jlrUL ./ -. I . - FI;IAL , l;I I ~ " ., .' .0 S .;C z: v ADDITIi!NAL COMMENTS: 't<J .. '" . .. n (" ~ ~ ...<.. . :~ ,. .-.... , - - '" "< ...... . ... ~ :xl ---- ,.. !- '-i ~ ... 0 "" 2: -< - ., ! - . - '" .. ~. r- .... ::I: ",. '" .... .... .. . ... "- cr, -..J 06 -:J ~ -:) ... " '" 'f:' 4::- 6 r 7) ~ -= w <p ........... ~ 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. 31535 Z Date OCTOBER 18, 2005 permission is hereby granted to: ALBERT H GORDON 10 GRACIE SQUARE NEW YORK,NY 10028 for : CONSTRUCT INGROUND POOL, FENCE AND ATTACHED WALK TO ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP15789 at premises located at MIDLOTHIAN AVE FISHERS ISLAND County Tax Map No. 473889 Section 009 Block 0007 Lot No. 008.001 pursuant to application dated OCTOBER 18, 2005 and approved by the Fee $ 150.00 18, 2007_ Building Inspector to expire on APRIL , COpy Rev. 5/8/02 I'OBIII NO. J TOWN OF SOUTHOLD BUILDING DEPA.RTMENT TOWN HA.LL SOUTHOLD, N. Y. BUILDING PERMIT <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~^-L~J 36 j) N~ 15789 Z Dote ......J.4.~.....?:;L.............., 19.~J. Permission is hereby g~n~~r.;,.~~:..~......~.......... .}..).~.~....H.~.....~c/............. c4~..!::....~~?~.'i..~!:!.'!::!.\A..~..I.~..g,b."j.( it, to ~5.f.:..~~.&...S?.~.:>..~g,.J....~...~.~.J:~~. =rD...~.~~~~....9.a...~~.~.......................................... at premises locoted at ......H...~.~~.......a~..:.........~~~.....~... ...........O.~........~....n.:...................................................................................................... .:%.... .. ....t:\.......~.......~............................................................................................ County Tax Map No. 1000 Section ......~..?\........ Block ......~.J........ Lot No. .....~~........... pursuant to application dated ...~~...l..:~................, 19~.]., and approved by the Building Inspector. ND\..0 g. ) @I~.@1 ~ ~ ~ ~ ~ = = = = = = = I Located at = Application Number: i Section: 009 = = = = ~ ~ ~ ~ ~ = ~ ~ = ~ ~ ~ ~ = = ~ = ~ ~ ; @I~ ~ = = = ~ ~ = = = = ~ = = ~ ~ ~ ~ ~ ~ = = = ~ ~ = ~ ~ ~ = ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~@1 BY THIS CERTIFICATE OF COMPLIANCE THE 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 CHERYL NEWTON JONATHAN P BUTLER AlA LLC 14 WEST LANE NIANTIC, CT, 06357 OCEANIC AVENUE FISHERS ISLAND, NY 06390 ALBERT H GORDON OCEANIC AVENUE FISHERS ISLAND, NY 06390 2069175 Certificate Number: 2069175 Block: Lot: Building Permit: BDC: n511 7 8.1 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Outside, Pool/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 andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 15th Day of September, 2005. Name OTY Rate Ratio" Circuit ~ Appliances and Accessories Paoli Spa Bonding Wiring and Devices Fixture o o o o o Pool/ Spa Pool/ Spa GFCI Receptacle Receptacle Switch 20 amp General Purpose An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. seal of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL eOUTHOLD, N.Y. 11971 TEL.: 765-1802 rOLf f ~J5MJj) Examined;..'n1 ~ .~)..., 19~.1 Approved h).r:n-.cJ:t. :~.I..., 19~7. Permit No..I. ~7 ."8.'t.~ Disapproved alc ............. . . . . . . . . . . . . . . . . . . . . . . . . .................................\(j........... ....~ ... .. .. ..~ (Building nspector) Received. . . . . . . . . . . ,19.. . .~. ~,-cl"~ '. "~ ~ --.j'!::: ,.. ,r.::,.., _ ,~~ imr"c<.:(?i";3_~~7~,:i;". J' .'/ ! :. f\\. WtR ",1987 ; .~. Ii ; "~ .". L ' ~~k~~8,1 I APPLICATION FOR BUILDING PERMIT d-.- '=t ~7 Date. . . . . . . . . . . . . , . . . ., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 layout of property must be drawn on the diagram which is part of this appli- cation. c. The 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 permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or m:prl in whole or jn p~u.+ for any purpose v.'h:ltever until a Certificate of aCCUpal~cy 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 Building 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... .TQ. P /..,J.N~.. .1?Q.Q?-,~.. .~.c;..""'" (Signature of applicant, or name, if a corporation) N ODSENE.Ck.. H'ILL 1<0, ............................................. WEe; T e:-R E.E ~w (dl Q..r. o.).i, {, ................................ .l........... (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. .C9.~}:'~~.~~~................................................................ ...... ... Name of owner of premises ..... f\ !-"~.~~'T.... H .-.. .~9.\~.~~............................. (as on the tax roll or latest deed) :s. ~ ~~~~r.ati.:.~~~~h;;;;~~~~ (Name and title of corporate officer) Builder's License No. . .I.~ I.~ .'-1-.1. ~ . t:f. ~ . . . . . . . . Plumber's License No. ........................ Electrician's License No. ...................... Other Trade's License No. ...................... I. Location of land on which proposed work will be done. " F'\ $ tt E .~. $. . . ':+;'7 .l!.\~ . . .~. ~ '1! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H ttJ..~y. OIJ. . . . AIJ.b rY\.l.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section ......~.c:\....... Block ......~."'J........ Lot... ~ ~ . . .. . .. .. . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. . . . ?~.\~A:tE. . . .~j;.lL.IN~ . .. . . . . . . . . '" . .. .. . .. . .. . . .. . .. . . . . . b. Intended use and occupancy.. .1.N.$:l1tU.... .'?W. !~.tr\JJN.~. .po??(. .I."!. .~~. .1.JAM..... . . 3. Nature of work (check which applicable): New Building. . . .~. . . . Addition. . . . . . . . .. Alteration .......... Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . ~ .,. (Description) 4. Estimated Cost. . . . . . . ~q .0CtJ..~. . . . . . . . . . . . . . . . . Fee. . . . . ~~I. ~. . . . . . . . . . . . . . .. .. . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars .............:.......................................................... 6. If business, commercial or mixed occupancy, specify- nature and extent of each~J?e of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . .'e.~.'. . . . . . . . Rear .. .1['. . . . . . . . .. Depth.. ~<:l. ~ . . . . . . . . Height ............... Number of Stories. . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . .5~.E. . . . . .. Rear.................. Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . . !/. .s. .'. . . .. Rear..... ,/S.I. . . . . . Depth ....>l-t:>. ~ . . . . . . Height .(J.A?~I{~umberofStories.... .~.............................................. 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: .. N.Q. . . . . . . .. . . .. . . . . . . . . . .. . . 13. Will lot be regraded ...... .':Ie.>. . . . . i' . . . . . . . . . . Will exc~s..IDll>s. r~8'iM from premises: Yes No 14. Name ofOwn:r of premises f4,~~T.. ~..fP.~ddress .1. Ni:f.~..y. ;L~. Phone No. ~.t~~.Q~.~~ Name of Architect .... .'"' . . . . . . . . . . . . . . . . . . . . . Address ..,.. . . . . . . . . . . . . . . . . Phone No. .... . . . . . . . . . . . Name of Contractor ::rO.p~.l~~. .~. .I.~~. Address .I.N,fm~!l1I~*-.~.Phone No. .t.{Of:~'i7.,.'?t.~~;;;... 15. Is this property located within I{)O feet of a tidal wetland? * yes..... No.V':"7. * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. SJ'A TE OF NnW ';81~(, Rhode Is l!~d C?UNTY OF .Ken.t. . . . . . . . . . . . . .: . . . . . . . .~:j.s::hqJ;'c;J. J...... . J;l\lP.r:~. . . . . . . . . . . . . . . . . . " being duly sworn, deposes and says that he is the applicant \ (Name of individual signing contract) above named. He is the... ...... . ~?!1.~r:~~.t.o.r:.... .. .. . . . .. ... ..... ... .. .. ... ......... .. .... .. . ...,.ld9:\...... (Contractor, agent, corporate officer, etc.) . of said owner Or owners, and is duly authorized to perform or have performed the said work and to make and me this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application med therewith. Sworn to before me this . . . . .. . . . . ?~::~. . . . . . . . . .day of.. . .F.":~J?~.a.r:~. . . . . . . ., 19..? 7 Notary Publl'c, ~ r'. . . . . . . . . CSllRty . '';-4~.r(=' . :,:; d ~~:..; '~:j=' . . . . l~lj' ~uJl.);Ji~sion Expires Ju~ 3.0~ _1~_~{