HomeMy WebLinkAbout32340-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32492
Date: 07/30/07
THIS CERTIFIES that the building ADDITIONS
Location of Property: 1480
(HOUSE NO.)
County Tax Map No. 473889 Section 66
ARSHAMOMAQUE AVE
(STREET)
Block 2
SOUTHOLD
(HAMLET)
Lot 30
subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 1, 2006 pursuant to which
Building Permit No. 32340-Z
dated SEPTEMBER 6, 2006
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 WITH INGROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR.
The certificate is issued to J JEFFREY & CAROL T HAFER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N 475356
12/23/98
PLUMBERS CERTIFICATION DATED
N/A
,~ Mp,-
Authorized Signature
Rev. 1/81
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 I()llowing:
A. For new building or new IIse:
1. Pinal survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval Irom Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swam statement Irom plumber certifying that the solder used in system contains less than 2/ I 0 of 1 % lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance Irom 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 IIses, 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 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
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.
New Construction: Old or Pre-existing Building: .........-- check one)
Location of Property: I ~ S1)~Q.~ lLfDfI\~ Aile I c;,OT'IOLb
Housc No. Strect Hamlet
Owner or Owners of Property: .J.1:...... ~~~ + ~L -r: ~
Suffolk County Tax Map No 1000, SectionLf73BB'f bb Block 2- Lot 3 ()
Subdivision
Permit No. ~ Date of Permit.
Health Dept. Approval:
Filed Map. Lot:
Applicant: .J ~ J.t...r~
Underwriters Approval:
Planning Board Approval:
Request lor:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $ '2.-~. ro
C,{) ~ ~'4~').
~c.. I ~ cg 8 ~
AMT. K.W.
OIL
H.P. GAS
H.P.
AMT.
NO.
A. W. G. AMT. AMP. AMI. AMPS.
BELL
TRANS.
UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMT. H.P. NO. OF FEET
DIMMERS
A.W.G.
OfNEurRAL
Date
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Al!P./ication No. onf./e 17408798/98
J:'ERlIIT N':'. ..5132
P}\GE 1
11.85077
I
DE,:'EIlBER 23, 1~9S
~! 475356
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JEFF HP.FER, 1480 hRSHAlIOllOGUE AVE _, POI..E #NYT
in the following location; I!I Basement D 1st Fl. D 2nd Fl.
DECEllBER 09,1992
12, SOUTHOLD, NY
GUT
Section
Block
Lot
was examined on
and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
3
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT FLUORESCENT
OTHER
RANGES
AMr. K.W.
COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
AMr. K.W. AMT. K.W. AMT. K.W. AMr. H.P.
3
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
AMT.
1 20
AMY.
AMP.
TYPE
NO. OF S E
METER
EQUIP. Ie 2W 1 e 3W 3' 3W 3' 4W NO.OfpfRC.COND,
R
A.W.G.
Of CC. CONDo
v
SERVICE DISCONNECT
NO. OF HI-LEG
C
A.W.G.
OFHI.LEG
E
NO. OF NEUTRALS
OTHER APPARATUS:
3HIllllING ?C.JL..l
3.F.C .I--1
TIl IE ,CLOCK.. FJ[p. 40-1
A, (s\'rnn'IING FOOL) This certificate
co'/ers compliance at the date of
inE.:pection Clnl y. Because of unusual
~nvironments it is advisable to
113.VE f:r-eq'Jent test/a.nd Cl- repairs L 2
m3df.: by a qualified person.
I . L ~
<:<:< Continued on Page 2 :"">>
GENERAL MANAGER
Per C_--- ~
This certifieate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their ere'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
AJ!J!!ication No. on file 17408798/98
PERllIT NO. 25132
11S~077
I
DEC'El IEEE
23,1998
Date
THIS CERTIFIES THAT
P!',GE ^
N 475356
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
JEFF HElFER, 1480 hP.SHA/10HOGUE AVE., POLE JlNYT 12, SOUTHOLD, NY
in the following location; [] Basement D 1st Fl. D 2nd Fl. OUT
DEC'EllBER 09,1998
Section
Block
Lot
was examined on
and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT FLUORESCENT
OTHER
RANGES
AMY. K.W.
COOKING DECKS OVENS DISH WASHERS EXHAUSl FANS
AMY. K.W. AMY. K.W. AMY. K.W. AMY. H,P.
Per
This certificate must not be altered in any manner; return to the offlce 0' the Board If Incorrect. Inspectors may be Identified by their credentials.
DRYERS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
BELL
TRANS.
FURNACE MOTORS
AMY. K.W.
OIL
H.P. GAS
H.P.
AMY.
NO.
A. W. G. AMY. AMP. AMY. AMPS.
SERVICE DISCONNECT
NO. OF S E
METER
EQUIP. 1 e 2W 1 e 3W 3 e 3W 3 e 4W NO. O~fRC.COND.
NO. OF HI-LEG
R
A.W.G.
OF CC. CONDo
V
AMY.
AMP.
TYPE
OTHER APPARATUS:
ROSLl'J: ELECTRIC
P,C.BOX 164
CUTCHOGL'E, NY, 11935.-2453
LIC.#3677-
UNIT HEATERS MUL1I-OUTLET
SYSTEMS
AMY. H.P. NO. OF FEET
DIMMERS
AMY. WATTS
C
E
A.W.G.
OF HI-LEG
NO. OF NEUTRALS
A.W.G.
OF NEUTRAL
LlL
GENERAL MANAGER
11
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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.
32340 Z
Date SEPTEMBER 6, 2006
Permission is hereby granted to:
J JEFFREY & CAROL T HAFER
31 HARBOR RD
PORT WASHINGTON,NY 11050
for :
CONSTRUCTION OF A DECK ADDITION IN THE SIDE YARD WITH INGROUND
SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. (REPLACES BP#25132-Z)
at premises located at
1480 ARSHAMOMAQUE AVE
SOUTHOLD
County Tax Map No. 473889 Section 066
Block 0002
Lot No. 030
pursuant to application dated SEPTEMBER 1, 2006 and approved by the
Building Inspector to expire on MARCH 6, 2008.
Fee $
225.00
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southo1d, N.Y.
BUILDING PERMIT
PERMIT NO.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~d.3tfo-c-
'1231"..: Z
Date AUGUST
25, 1998
Permission is hereby granted to:
J JEFFREY & CAROL T HAFER
31 HARBOR RD
PORT WASHINGTON,NY 11050
for :
CONSTRUCTION OF A DECK ADDITION, IN THE SIDE YARD, WITH INGROUND
SWIMMING POOL AND FENCE TO CODE AS APPLIED FOR.
at premises located at
1480 ARSHAMOMAQUE AVE
SOUTHOLD
County Tax Map No. 473889 Section 066
Block 0002
Lot No. 030
pursuant to application dated AUGUST
Building Inspector.
13 1998 and approved by the
Fee $
150.00
Application Fee + 75.00
225.00
~~
ORIGINAL
Rev. 2119/98
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTIO
I~
[ ] ROUGH PLBG.
[ ] INSULATION
[)<i FINAL A."
[ ] FIRE SAFETY INSPECTION
[ ] FIRE ISTANT PENETRATION
c~ ~~d,)
DATE
7-s-07
INSPECTOR *~
. ,,-----.---
-
P;-3IfO Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION ~
[ ] FRAMING I STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENmAnON
REMARKS: ~ 7. .' ~\
~ " ~~
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~~~. ~~d-~_
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~ -i:.t, <I-'~ ~.J;iiJL. a-'LA A:
DATE I-f ~ r; - 0 IV ~ I'NSPECTOR / ~ .
3:2-3 ~
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
o
REMARKS: S~/26-
] ROUGH PlBG.
] I UlAJIO' \ _
FINAL ~ ~~
] FIRE SAFETY INSPECTION
,
DATE
INSPECTOR
.,
:lELD. Ii;S~;2C7Iu~~
IIU;'::: ~
COMMEI/TS
""
I.
~OUNDATION (1st)
-------
,OUNDATION (2nd)
~\tf
cq:;-<'
~ 3'r
r
2.
:z:
o
ROUGH FRAME &
..t-
oil
o
PLUMBING'
CIl
'""
3.
INSULATION PER N. Y.
STATE ENERGY
CODE
4.
'1-,'
=+::
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FINAL
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SUB.
OWNER
VL.
IMP.
TOTAL
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AGE
NEW
FARM
, / _#
STREET [.'/) VILLAGE
c/.
// r:)' v.JNJ'f"vIC,1,.e e
N v E
I
LOT,(,+80 C'>~ 1.0+8
An' .... r;;: I. ~/. . 't "
W-t ~/4-> i..--tLY. f/~/i:.;.6
DIST.
S
W
./
.j;
ACR.
, (,33
TYPE OF BUIL91NG
I ).. /Q.~
FARM
COMM. CB. MISe. Mkt. Value
DATE
REMARKS
R!Jo,
NORMAL
BELOW
BUILDING CONDITION
ABOVE
Acre
Value Per
Acre
fillable 1
nllable 2
rillable 3
"Ioodland
;wamplond
lrushland
-louse Plot
.,.;' -
'otal
Value
Sf'
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
,
~,':'-O
,7 I"
g I",
"
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../,.
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.F. COLOR ,
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......":<(' '}~, -
- '<~. . .... .,.
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'; I
-I;; - - -
I -- . '../...
I t.<rt~LL C , ~.,.
.'t \ 11-
I ~ 'l.
_~ _0-._'- .
M. Bldg. ; ~/\, 2:.-0, ~/,,"" , Foundation B Bath I{ Dinette
. , 7 j ;:;2 ~/ \~! t!.
:Po
Extension Basement j::,,{'./ . Floors I K.
I :z. 'I z..'f :: ..:2 ? ~ .1 " () (t.J./ {/Of;
Extension Ext. Walls //-\' Interior Finish If 1 / LR.
(..J /-., d/!. (1 ,',
f........ ! "-.t. -.', I~
Extension Fire Place 0(.) Heat /-I I.A/. DR.
Type Roof q I . ,- Rooms 1 st Floor BR.
(( i _( (
Porch Recreation Room ! Rooms 2nd Floor FIN. B.
/. ,.
Porch 1/ If' 1. '-I - .2(,'1 / () <:) .:2<.;~ Dormer
Breezeway Driveway
Go rage
--
Patio ", ,.:)'-/'1,).,1/: S7(" I" j) S7~
o. B.
Total 4fy,!, V I
,
.7
\
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Jeffrey J. Hafer
31 Harbor Road
Port Washington, N.Y. 11050
RE: 1480 Arshamomaque Ave.
SCTM# 066 0002 030
Dear Mr. Hafer
Please be advised that your Building Permit #25132 issued August 25'\ 1998 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of$225.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
.I.'ORM NO. I
TOWN OP' SOUTIIOI.D
UU1LD1NG DE~ARTHENT
TOWN IIALL
SPUTIIOLD. N.Y. 1197 i
TEI.1 765-'8#
_i...t?3f,k.. ..,7fj ~?{). 'Isr.
^1',,)rCN''<l~ : ~: : r 191 fJ. Pennl t lb. ....... ~. .. .. .. -Z-
nisapvroved ole.......... ...............;.. ....................
~\\
- ,"-.
~,\ ~
'j' \.."':
I' ~~ \3,
l\ ',J
BOARD Oi UKALTll. r.....;.....
:5 SETS 2'" Y1.AN8 10.............
SURVEY .. r~l(.' .... ..... U' ... .. .. .
Cl1RCI4l.... ~4........ ~ .:..... ."~ .. .. ~.... .. .. .. ..
SItl.'T1C iOllH ...................
?luG . 3 ~
NOTli'h .
CALL ...k~:.~.Q~.
KAll. TOa.......... .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
....................................
....................................
'. .
...................................................,..
(
.Dat..~!l?... .....19?a
APPLICATION FOR UU1LD1NG PilUSlT
lNSTRUCT10NS
a. 'O,Is awlicatloo lIU8t be CXJ,\>l.tely filled In by l:)'llC!Wrlter or in h~ and w\JIIltted to tlllllUildh>g Inape<:tor wi
3 sets of p18llS. acCUrllte plot plan to llClIJe. lee accordlll3 to ac:IleW1e.
b. Plot plan shCllll1l3 locatloo of lot and of buildlll38 00 prEll1iM8. relatloD8hlp to ..ijola1ll3 pnmlses or vJ>1ic:
atreets or ore88. nnd (lIving 8 detolled deac:dptlon o~ layoot of property lIUIIt be dr_ 011 tl.. dlsanaa .;Md. t. pnrt "f
th,s lIPllllc:otlon.. .
c:. 'I1,e 'WOrk covered by thl8 awUcatlorl .....y not be CXJlIll3nc:ed beCOQl 18llU11DCl1 of ilUildla; v.nalt. .
d. Upon aWro<181 of tllls awlic:atlol1. the Ilulldll18 1l\8pec:tor wilt laeue a llulldlr>g hl8llt to tllllllPPUc:ant. 51.:11
permit shall be .kept oa the premises &valleb1e for inspectloo thRlUllllCUt the work.
e. lb building shull be oc:c:upled or used In RlOle or In part for sny PuqlO88 '\ihatever \llltill! Certlf1c:ate of
Occupancy sh811 have been granted by th8 llulldlll3 lnspector. '
Al'l'LlC~nCJ'llS IEllIlRY tlllW to the lluildlll3 DeJlllrtlllent for dill 18llUU1lCl1 of a 1kI11dlr>g 1'eI1Dlt punuant to the
IIuUdlng Zc>ne Ordinance of the ~ of Southold. Suffolle CountY. New York. and otllllr appllc;abl. 'L8wa. OriIblllllCll8 Or
Rell"latIOll8. for the COCI8ttUc:doo C)f buildings. eddltlona or 81terstions. or for NlOI/81 or dlJooUtion. 88 herein
deac:ribed. 'I11e 8ppl1cant egre<l8 to <:or91y with 811 8ppUC:8bl. 1ilW8. ordlnance8. buildlr>g Clllde. 1lllWI1Il3 c:ode. and
regulations , land to ..nit wthorized lnspec:tor8 ClI:\'p:sdlIe8 8nd In building' for nec:esauy iaspectloos.
_ arm: ~ GlYlIIN -... . ./!;-.~?f-.O.. ..r?~c;.l.;~...J.~.":"''''''''''''
.. .._<Slgnatur. of 8PPUC8tlt. or 1III'llt. If 8 corporatIon)
,;;..;;;,~~ ',MIOJlUe ~ R..C?.. R~..?~......t){.mz.7?<<?f{.. !!!J...
",l M'I to Ol MA' .t.aet (MalUns eddren of applicant>
i'!;'If");T':)'l'Il!MI~ .
State "-Iletl~a~~~T~s\ee. 8&ent. arc:hltect. englllf!8r.' genersl c:ontractot, .lec:triclen. plumer or build.
mYfi~(), O~f
.......i:"iU.JI,..~..J~M ..~.,~....~~~..".;..#..,..........,..........,.............
Naro of ~'OPI~~~~::t:".. .;r.:... V1F.~.... ..<'~ ..:...;.::....;:...fl...................
. j ..... l _,BnMO:3 ~ 00 tlle tax rall or IDte8t deod) ,=,-"'" ". - . ..,
I ' .~ 'I' ,ll')Ur"'! ~"'f).) J lA ...'..5~;~",,"1 ,- . .j
If ~t a'.c .>1 e of duly authorhed officer. ':1:'~'-/
..................
\),)Uders l.ic:ellSe a:.. ... .2:"'E. f.~90.. Jhx:.
Plumbe~8 License No. .....~................. .
.. L./91t.l: /..(SC
Elect't'iclana l..lcen.se lb. ...................~
....
Other Trade'. Ltc::enae lb. ....................
I. ICClltlon of land on ylld. p~1 ""rle wUI be dooe...:...,5:'~~.....t.<!.!1.....................,....
...'.1. ~~.::?.......... .il fh~/:f.I1.t??R.~.~9. ~... ..~?:... ..:.w..~~~~' ..r:::?....... .:..
IlouaB lUlber Street ~ UrAlIt .
Cronty Tax Map No. I(xx) Sec:tloo ..........~.... U1.ocIc ......r:J.it-.....l41t .....ZQ......
Suhdivislon ..(Jl:{1;J}l~l?llN....~~.... 1711ed Mop No.' ........~,..... tot ...............
(lime)
2. State exlatlng use and oc:c:upancy, of prenlse8 and lntendod use and oc:c:upancy of }Inlposed COCI8tnlc:tlool
a. Exilltlng-use and oc:cupancy ..... ........~,j).MJT.7.~v",''/.~:r.;?J;r:;..,'li~A....... .......... .......
.' . 11 *"" ( Y'lM, i"'{,' ':~1i:'~;':: ,,',J ~,~i f.<>It
\). Intended use aIX1 occ:upancy ............(.~..,~y;~/. .;1.,-;.. .~.~i.l1:~() ... ~..................
. ' .Il; ye.M 4<':11"3 ml~T .
I.
----- S'~f/>\....(-tIl;f?OO'-
. . ~K-~~
H:llura of work (dledttAildlllpptleabl.eh tIN ~l1dlng .......... Mdltlon ........., AI~eratlon (~,C;f(, .
ltepo'r ............ Panova1 ............. Denolttlon ............... Other York .... ....../..... ..... .~.........
:::) .' ~lles4rlptlon) '. .'
Ilatl""'ted Coat .....a.~~..... fee ..(~~.b;.;,;i~ii~~.~I~i~.;~ii:.ii~r.:.c:
If (~'Illt 1l1ll, ,..,her ot 1Ne111l1ll units ............ I~Jlber ot 1t.'Illllon u"lta on eech ~'n."........ _;
it guraae. IMber of eare .........................................
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I. If I.,allle.a, cantl!rclal at' mbed"oco'll8OC:Y, specify natura and tent of each tytl8 of uee......................
1I1""",81on. ot exlatlng at1:ul:tu~a. It anyl 1!'ront....... ........ near ............... Depth .................
1Ju1sht ......,. ................. tlat)ef or Storl .......................
Illnenalona of 8Mll atn.ctura with altaratlone 'Ilddltlonal I!'ront............... neer .,...,..,...,..
~ ()cpth .................... thtght ......~. ........... tinber of Stories ...............
t ........... '.. . .".. neQr ............... Orepth ........ '. . . . . .
I. OIl,,,,,,oIo,,a of entire ..... conatruc:tlOlll
1Je:IUht ......................... II )l!!:r of Stories .....................
Rl_ of lot.! rrmt ............ ....... neat' ..... '... .... ,'...... f)eptlt ...,........... .'....
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11.
12.
13,
14.
Ilrlt'e of Purd,sfM!I: ..................... lttrro of Vonner ()..n\ier ......................... a. . ..... . . . . .. .
Zorl8 or Ull<l dlatrlct In ""Id. pt'l!IIIlll<la sre situated ......... .f?:<#.I.t;!{!0!J. !.f/:?-;.........,....,............ ...
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noes pl'llpO!IeIl conatructlon vlolata any toning law. ordlMnCll or r8g\l18tIOlll ...................,...,
1/111 lot 118 ~. ,.......1'::2....... 11111 exceae till be l'EIllClVed from prEmlseal @ ro
Nall!8 of IMner ot premleas .r~....~.. Addresa ..S:0.-x~.Q.... ......... nlOlle tb. ..,.........
. .
Nane: or Ardtltect ..... .......... .... ... ~.. ........... hklreS8 a.....'......... a.'........... I'hone: l:b.
llurtl of r.ontl'llCtor ..fb:l.~.C;~.. ..'f.~.~::.'?...... ..... Addresa . ..l?'!-ll:m.lY;:;-/.<.......... .11lOOe tb.
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la lhls property within 300 feet" of a tidal !.'Ilttsnd? 1< l!!S ..........
*liI' 'tI!S. fn1Itl1D 'l'lHf mJSI'I!Il8 ~rr I:IAY Illl IU!QJlllllO.
PI.OT DIAGRAM.
locate clearly and dlstlnctty a11 bultdlnae. \Alltber existing at' proposed. and 11X11cate all set-bel:k dimensions
I'rmt I'roperty Unaa. glVII street and block IUlbar or description according to deed. and a1lO1f atreet 118ree and Indicate
IAlelller Interior or comer tot. .
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t IIOURDAnON . TWO REQUIRED
Pall POUIlED cor..-.I:
I. ._ . ....rn. . PLUMBING
.. III "ADI
4. FINAL . CONSTRUCTION MUST
IE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N Y
ITATE CONSTRUCTION & ENERGY
SIi\'11! U' 1I!\1 YlXU<, "" CODES. NOT RESPONSI8LE Ofl
~~ \t. "" DESIGN OR CONSTRUCTION ERRJRS
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......~~~~~......f.\~..'S~.\\\.1...::s.'f...........bl!lnll duly lMlm. delXllll!s and 8IIYs U,at be In Lhe 8(l1lU"Illt:
(llnllll lIf Indlvld\lol slanlng contract) I .
nbove ntlteJ.
OCCUPANC"j OR
USE IS UNLAWFUL
WITHOUT CERTIF~AlE
OF OCCUPANCY
UNDERWRITERS CERTIfICATE
REQUIRED
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"IMMEDIATELV-'
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
Ik! ilS lhe ..... ...............,.........~~g~~~.....a..........a.................a.............
(r.Olltl'llCtll . onent..corpomte officer. etc.)
IIY Mid '''''lQr lIr owners, nnd III duly authorlzed to perfonn or hllVe .",rfllrnl(!<l the Mid >IOrk lIt.1 tll rmke ond flte Lhin
Ilwllcat(ou; Lhat 1I11 atat~ts contalneclln thIs oppllcatlon ore true to the best of hla kl1uwtedlle and lxillef; ",.1
lhat Lhe wrk will be perlh~ In the nWlller aet lhrth In Ule appl\co.lltl... flled therewIth.
~)"' lo before Il1! this "~
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Notary Public .
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!t(Jtt.oy< S-oo 4:; D&-IL
ftf77'}<-Ikr:; TO t:-7\. 15 T I/IJ r:.. & w L;~ '- I j{) ,
(L&;7L~Y po...q .pu~.
"IMMEDIA TEL V"
ENCLose POOL TO CODe
UPON COMPLETION
BEFORE "WATER"
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510.' .SUMPTER' DRIVE .F.DRT WAYIE, IIDIAIA.
40804, U.S.A. ...... ..... 218"32-8731.
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THIS 8ROQtUREIS FOR ILLUlTllATIVE PURPOSES ONLY. .'
The manufacturer muesonty thaM ~_ntationt Wh.ch are stated In'
~t.' written warranty. AnY_,other, rep,...ntltiQn., : atat,ment., j)r conuactl
,:..madf! by_ th.. d....' -nP.Or _the~b'I~9-"~,,.th.-l:1.iato.m.qeg..'lilijg.ny
materlal,_produCldbythe mlnufaCtuferi~_.ttrtbtifable to the~ler andJ
or the contracto~ on1y.:,Th.._~~.:i?" c6"-i~~r ~\oI(~-~"ortnitlt_..;~r
paoli. a~ioo.pOM"~"~_"9'~~t~"'1"'P,.~9~"
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. appl~onlyl. norm.lilIO!IMcOna"~:a;'Tf1Me.m .'baldd~j;iic.I1- ,.
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 6, 2007
Jeffrey Hafer
31 Harbor Rd
Port Washington, NY 11050
RE: 1480 Arshamomaque Ave, Southold
TO WHOM IT MAY CONCERN:
We are unable to complete your Certificate of Occupancy because of the following reasons:
~ An application for Certificate of Occupancy is not one file. (Enclosed)
No Electrical Underwriters Certificate on file.
~ The check is (not on file) $25.00
Final Health Department approval not on file.
No final inspection has been completed.
No Plumber Solder Certificate on file. (All permits involving plumbing issued after
4/1/84)
Certificate of Compliance from the Trustees.
Planning Board approval for the subdivision of this lot is required.
Final Fire Inspection from Fire Marshal.
BUILDING PERMIT: 32340-Z deck and swimming pool
SOUTHOLD TOWN BUILDING DEPT.