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HomeMy WebLinkAbout28261-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP;%NCY No: Z-29336 Date: 04/01/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 325 PAVILION CT SOUTHOLD (HOUSE NO.) (STREET) (~LAMLET) Co%~nty T~X Map No. 473889 Section 88 Block 6 Lot 13.19 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2002 pursuant to which Building Peri, it No. 28261-Z dated APRIL 11, 2002 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 MICHAEL J KELLY ( OWNER of the aforesaid building, SUFFOLK COUN/"fDEPARTMENT OF HEALTHAPPRO~L~J~ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 63071 05/29/02 N/A Author~ z;d~ S~-gnat ur~ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28261 Z Date APRIL 1t, 2002 Permission is hereby granted to: ZOUMAS (KELLY) WADING RIVER,NY 11792 for : CONSTRUCTION OF A/q INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Ta,x Map No. 473889 Section 088 pursuant to application dated APRIL Building Inspector. 325 PAVILION CT Block 9, 2002 SOUTHOLD 0006 Lot No. 013.019 and approved by the Fee $ 150.00 Authorized Signature COPY Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDINGTOWN 765-1802 DEPARTMENT HALL APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: ho 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. 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. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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. ~l~llo 3 New Construction: ~m~,,,~ '¢~ I Old or Pre-existing Building: LocationofProperty: ~ x~cx,~\~ ~c~ Co,~ k %9~q4~'0/~ House No. Street (check one) Hamlet Owner or Owners of Property: ~\,4h0~\ 14qg% ~q Suffolk County Tax Map No 1000, Section Subdivision Awx ~e/ 6~oce~ Permit No. ;~ ~Oh, l Health Dept. Approval: Planning Board Approval: DateofPermit. q I~1C~5~ Underwriters Approval: Block Or~c~ ~, Lot Filed Map. Lot: Applicant: ~2o~ma,5 C~r~5%t,~,~,~,-~ Request for: Temporary Certificate Fee Submitted: $ <05 oo Final Certificate: (check one) /~¥~pplicant Signature Electrical ZnspecHon CerH£ica e Date 5/29/02 Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, NewYork 11772 (631) 286-6642 AD=licatiot~ # 63071 Issued to: Mike Kelly Street: 325 Pavilion Ct. Village: Southold Section: 88 Block: 6 Introduced by: Hank's Electric Inc. (L) Zip: 11971 Lot: 13.19 Town: Southold Lic.# 2675-E w~ exam/ned and found fo be in comp/lance wi~h fhe I~Honnl Electeical ~'od~ [] Commercial []NV Defects [] Pool [] lst FIoor [~lndoor []Basement [] Hot Tub [] Residential [] Der. Garage []Attic []2nd FIoor {~Outdoor [] Addition [Survey Switches Receptacles Fixtures 2 1 1 Dishwasher Washer/Amp Dryer/Amp GFI Heaters A/C Fans Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase Other EquipmenC t/merlpool pane/ UG/OH Telephone Television Carbon Monoxide Building Permit # Hug~ S, Surdi President Rough Inspection: Inspector: Ed Scavelli Final [nspection: 5/28/02 [nspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be idenUfied by their credentials appttcanu ~-4~-~--~,-Z ~ "',~ Reviewed Owners Nmlle: Architect/ ~ Date ~- Engineer: -- Submilied cC/c)/ SCTM #: Single & separate Requtreo cerl~ ficatiofl ,.~ Project Descd~ / ~ ~ Subdivision FA.o_..-. Proposed _ 6)~c : [Rear Yard _ ~ Pfor~ I REOUIRED FOR REVIEW Permit NO YES Number Suffolk County Health' Dept. New York State D, E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: LOT AREA, 32.183 ,q. fl. F. FL. ELEV.= GAR. ELEV.-- 13.8 DA"TL~r'~ NGYD LOT NO. I$ N. 2B*04'04" E, S. 28'04'04" W. 21L40' "OPEN SPACE'* ~Tfie existence of right of ways an~l or easements of record, if any~ not shown are not guaranteed. 2-BI-2002 LOCATED DRIVEWAY PlO-BO02 ADD BLDG. SETBACK 8-1&-2OOI'FINAL SURVEY 4-$0-2001FOL~DATION COCATtO~I [ ] [ ] [ ] [ ] 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] IN,,/SI~ATION [ ,~INAL & CHIMNEY //-/,/ FIELD INSPECTIO1N' REPORT i DATE FOUNDATION (1ST) -- FO~ATION (2ND) RO~G~ F~G & PL~B~G ~ STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEFARTMENT TO;VN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined _/~ 20_/;) Disapproved a/c ___,20___ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIS Do you have or need the following, belbre applym~ Board of Health 3 sets of Bu/lding Plans planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUII~DING PERMIT INSTRUCTIONS 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 waterways. 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 issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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 rD 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..,,/~/-,~/-/-~ ~ ~- .~_ /... US[[V~'vuls rRn~/UNLAWFU, OnL :: REQUIRED, s e, ./~ ' r(tSi~ture_/o~ppliclmt or name, ifa corporation~ WITHOUT CERTIFICATE i NMccoMs iouA?-'roEcoL ENC 0 0Vlmling address dfJapphcant) OF OCCUPANCY uPo co LmOn " ' BEFORE '~NATER'° State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~)Q~/(>~l~ ~/~ (As once tax roll or If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~ Plumbers License No. Electricians License No. Other Trade s License No. LDpROVE, D AS NOTED _~. . /).~ g~ la,es l 76S-1802 ~ AM TO 4 PM FOR THE F(XJ.OWlN6 INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH . FRAMING & PLUMBING 2. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. AU. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Location of land o!1 which proposed work will be done: .............. ONSIBLE FOR House Number ..... Street ~ ............... County Tax IV~ap No. J 0pQ Section Subdiv/sion/} Iq/~ [ .~//~ lr't~0 Filed Map No. Lot 2. State existing use and occupancy of premises agd antl~ndexl u~e and occupancy of proposed construction: a. Ex/sting use and occupancy "~'i b. Intended useandoccupancy ~6~ ~'' 3. Nature of work (check which applicable): New ...l~di~~ Addition Alteration Repair Removal Demolition -- Other Work 4. Estimated Cost ~ Fee (Description) If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Height_ Number of Stodes Depth Dimensions of same structure with alterations or additions: Front Rear Depth_ Height. Number of Stories,:, 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOT~ 13. Will lot be re-graded? YES ~(~ NO Will excess fill be removed fi.om premises? YE~ NO~ 14. Names of Owner otf~[emises~$(~S[ ~"~,] ]7 Addre~' ~ lt err Phone N~o~l Name ofArchitec{,.%,-'~., _i~,~/~V~ It~/)tO..~ Address .~b'(4-~'~,.l~ Phone Name of Contractor ,~_~_ ?"~, ~O~.e F¥~ (-l"Address ~m~Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. : ~ :'~ .... f 16. Provide survey, to scale, with accurate foundation plan and dj.stances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provkte'topographical data on survey.. STATE OF NEW YORK) SS: COUNTY OF ) ~%~[~ ~~~ being duly sworn, deposes and says that (s)he is the applicant ' (Narn*r~£~vi~~~C~t~ ~bove named, (S)He is the (Cog~f~r, Agent, Corporate Officer, etc.) of said~owner Or owners~ and' i~ dllly aulh~rized to perform or have performed the said work and to make and file tlfis application; that all statements contained ih this applialttion are tree to the best of his knowledge and belief; and that the work will be perf~)rmed ' ~' re'the manner ~.et .forth m the~ a~pllcat~on filed therewath.