HomeMy WebLinkAbout29309-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29384 Date: 04/23/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1450 FAIRWAY DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 5 Lot 14.8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 18, 2003 pursuant to which
Building Permit No. 29309-Z dated APRIL 18, 2003
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 GLENN & TRACY DAVIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 497116 08/10/99
PLUMBERS CERTIFICATION DATED N/A
//AuAoriz-ed Signature
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. 29309 Z Date APRIL 18 , 2003
Permission is hereby granted to:
GLENN & TRACY DAVIS
PO BOX 571
CUTCHOGUE,NY 11935
for
CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES BP#25835 .
at premises located at 1450 FAIRWAY DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 008
pursuant to application dated APRIL 18, 2003 and approved by the
Building Inspector to expire on OCTOBER 18 , 2004 .
Fee $ 150 . 00
/
Auth6rized Signature
COPY
Rev. 5/8/02
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)
a�3Lq
PERMIT NO. 25835 Z Date JUNE 30, 1999
Permission is hereby granted to:
GLENN & TRACY DAVIS
PO BOX 571
CUTCHOGUE,NY 11935
for
CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN
THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 1450 FAIRWAY DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 008
pursuant to application dated JUNE 24 99 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorize ignature
COPY
Rev. 2/19/98
Form No.6
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
TORN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled in by typewriter or ink and submitted to the Building Department with tfie following:
A. For new building or new use:
L 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 front Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and"pre-existing" land uses:
1. Accurate sun ey 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. _ L (
New Construction: {� Old r Pre existing uilding: (check one)
Location of Property: ' I S U FL I ✓L-c QAA 4 1) /__ U,
House No. / treet Hamlet
Owner or Owners of Property: V___�Q� �_I L 2 {��^� Cl ✓(�___ _
Suffolk County Tax Map No 1000, Section l t� l Block �XX�r _Lot
Subdivision� 1j l3� A n�Afrd. / Filed Map. ___Lot: _
Permit No._�5� 3 S Date of Permit. t�3 O / Cl �j Applicant: ________
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: / (check one)
Fee Submitted: $
G -�
WSJ C � Applicant Signature
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date AUGUST 10,1999 Application No. on file 18728499/99 N 497116
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
GLEN DAVIS, 1450 FAIRWAY DRIVE, CUTCHOGUE, NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on AUGUST 03,1999 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
1 1 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'P1. TIME CLOCKS BELL UNIT HEATERS M SYSTEMS ET DIMMERS
AMT. K.W. OIL H.P. GAS I H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 20 Z 40
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 m 2W 1 O 3W 3!0 3W 3,4W PER® OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS 'OF NEUTRAL
OTHER APPARATUS:
POOL-1
G.F.C.I:-1
ROSLAK ELECTRIC LIC.#3677- ( L
P.O.BOX 164
CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER
11
Per
This certificate must not be altered In any manner;return to the office of the Board if Incorrect.lnWetgrs may be Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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4eSUFFBI/(
ELIZABETH A. NEVILLE ti� OGy��". Town Hall, 53095 Main Road
TOWN CLERK h ? f P.O. Box 1179
REGISTRAR OF VITAL STATISTICS M +�' Southold, New York 11971
MARRIAGE OFFICER NFax 1631� 765-6145
RECORDS NUNAGEMENT OFFICER Telephone 16311 765-1800
FREEDOM OF INFORNLaTION OFFICER
OFFICE OF THE TOWN CLERK
TOXVN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS
ADOPTED AT A REGULAR MEETING OF THE SOUTHOLD TOWN BOARD
HELD ON MARCH 28, 2000:
WHEREAS, there was presented to the Town Board of the Town of
Southold, on the 1st day of February 2000 , A Local Law entitled, "A
Local Law in Relation to Amending Chapter 100, Section 13, entitled
"Definitions of the Code of the Town of Southold (Yard, Front); and
WHEREAS, A public hearing was held on this Local Law on the 14th day of
March 2000, at which time all interested persons were given an opportunity
to be heard thereon, now, therefore, be it
RESOLVED that the Town Board of the Town of Southold hereby ENACTS
the following Local Law:
LOCAL LAW NO; 6 OF 2000
A Local Law In Relation to Amending Chapter 100, Section 13, entitled
"Definitions" of the Code of the Town of Southold.
BE IT ENACTED by the Town Board of the Town of Southold as follows:
1. $100-13 entitled `Definitions' of the Town Code of the Town of Southold is
hereby amended as follows:
YARD, FRONT-An unoccupied ground area open to the sky between the street
line, or between the street line established by the Official Map of the town or an
approved subdivision plat, and aline drawn parallel thereto. Except. if the owner
of the lot does not have the dpht to use or travel over a bordering street, right of
way or street line, the side of the lot borderina that particular street, richt of moray
or street line shall not be considered to be afront yard and any accessory
structure placed in such yard shall comply with the applicable sidevard setbacks
for the zoning district within which it is located.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE; July 14, 199
TO Glenn & Tracy Davis
PO Box 571
Cutchogue N.Y. 11935
Please take notice that your application dated June 22, 1999
For permit to construct an accessory in rgroundpool at
Location of property 1450 Fairway Drive Cutchoogue
County Tax Map No. 1000 - Section 109 Block 5 Lot 14.8
Subdivision Filed Map # Lot #
Is returned herewith and disapproved on the following grounds pursuant to Article III Section 100-33
In the Agricultural-Conservation District Ofd Low-Density Residential R-80 R-120 R-200 and R-
400 Districts accessojy buildin s and stru ures or other accessoryuses shall be located in the required
rear yard proposed project is located o a parcel with road frontage on east (Fairway Dr) and on the
west (Praity La.) , this parcel has two ont yards proposed placement of the pool is within one of the
front yards.
Please note Pool is partially completed at this time a permit was issued in error by the Building Dept
based on the information supplied with the original application. Subsequent to that time additional
information was received regarding the second front yard
Authorized ature
M-1802
BUILDING DEPT.
1 NSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU N
[ ] FRAMING [ FINAL
[ ] FIREPLACE A C/HIIMNEY
REMARKS:
DATE INSPECTOR ,�p.(
COMMENTS
CLD INSPECTION REPORT DATR ----------—------------------------ v�'
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BOARD OF HEALTH . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-10802 NOTIFY:
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Ex mined...�?�? 4......., 194`.1 \l,Q,t'`.vv/_g � ;�—' MAIL TO: . . . . . . . . . . . . . . . . . . . .
Approved....�?� ' �....... 19A� Permit No. .......... ....................................
Disapproved a/c .................................. ....................................
......................................................
(Building r)
l ��p
APPLICATION FOR BUILDING PERMIT
BDG.DEPT.
SOUTHOtD INSTRUCTIONS
a. 'ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
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 application.
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
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPL.ICMON IS HELE6'I MALE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or forre oval or demolition, as herein
described. The applicant agrees to comply with all applicable Ji" , OrdjirBmlC 6,Rbuilding code, lousing code, and
regulations, and to admit authorized inspectors on premists.andiiin.boMingifortbe ssary inspections.
....................
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
...............,"' p&) ./f•L7�/....................................................................................
Name of owner of premises .....
4 !15 .............................................
(as on the tax roll or latest deed)
.. A
If applicant is a corporation, signature of duly authorized officer.
Z. .....`��'tS.........
(Name and title of corporate officer)
Builders License No. ......
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
I. Location of land on which proposed work will be done..............................................................
� 4U��.....c�l�-/1��F................... T�r. .......................
................� '
House Number Street / Hamlet
Canty Tax Map No. 1000 Section ....lU 5....... Block ..5............ lot ......
Subdivision'rY!?6:!�9Y... fl�!.`r5............. Filed Map No. ZIP1,4i........ mot ...$..........
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .,�lc `i!rL7...f�...`1/�Y... s� ��.!. ..�............ .`�:..�..�.Y ...
b. Intended use and occupancy .M4: .4...
3. Kl.ure of work (check which applicable): New Building .......... Addition .......... Alteration .. . .........
Repair ............ Renal ............. Demolitionh �
:er Work . / —'
(Description)
i. Estimated Cost .. O;C1�............ fee ...............................
(to be paid on filing this application)
i. if dwelling, nxmiher of dwelling units ............ lumber of dwelling units on each floor ... ..... ........
Ifgarage, ember of cars ......................................
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use....... ...............
r
Dimensions of existing structures, if any: Front._7Z........ Rear .22.......... Depth Sy.............
Height ..,le................... Number of Stories ..A5...............
Dimensions of same structure with alterations or additions: Front ............... Rear
Depth .................... Height .................... Number of Stories ...............
I. Dimensions of entire new construction: Front ................ Rear ............... Depth ... .... .......
Height ......................... Number of Stories .....................
I- size of lot: Mont .-165..O! ....... Bear .../.b.5.:vu.'..... Depth . '..l.2..0. ?t�........
10. Date of Purchase ..................... Name of Former Omer ........................................
il. Zane or use district in wihidh premises are situated -��.................... ..:�.. .......
12. Does proposed construction violate any zoning law, ordinance or regulation: ................
r -
13. Will lot be regraded .' .�............ Will excess fill be removed from premises:' M_ NO
14. Names of Owner of premisesikA,U..+.1.ti?AX.-_,y� Ie>Address � � c�le��vay? cam. Phone N,n. 7.3y.. .,`/
Mahe of Architect .................................... Address .............................. Phage No. ........ ......
Name of Contractor ................. Address
5. is this property within 300 feet of a tidal wetland? * YES .......... NO ..........
*IF YES, SaTMD TOM TEQISIFLS PMIIT MAY BE RWRED.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
yam property lines. Give street and block nrnber or description according to deed, and slaw street names and indicate
Ahether interior or corner lot.
tom' � ��2ucY
a,' POOLLTIOCOD
"IMMEDIATELY"
A PPUVEc'► NS I;�TQ.5235
UPON COMPLETION DATE: �O �9 9 R P #
BEFORE"MTER" FEE'.
NOTIFY BUILDING L,_ 4R. ENI AT
765-1802 9 AKA 1C 11 ,
OCCUPANCY OR FOLLOWING NSPECTIONSj FO" THE
W
USE IS UNLAWFUL i FOR POURIEODCONCRETE SQUIRED
WITHOUT CERTIFICATE 3. INSULATIONAMING & PLUMBING
4. FINAL - CONSTRUCTION MUST
OF OCCUPANCY
BE COMPLETE FOR C
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
UNDERWRITERSCERTIFICATEE STATE CONSTRUCTION & ENERGY
REQUIRED CODES. NOT RESPONSIBLE FOR
rATL Of N�: / DESIGN OR CONSTRUCTION ERRORS
OBNIY
.....................being duly sworn, deposes and says that he is the applicant
Name of individual signing contract)
bove named, nn
eis the .......4:.v!.../.....! 7d�.................................................................
(Contractor, agent, corporate officer, etc.)
f said Omer or owners, and is duly authorized to perform or have perforved the said work and to make and file this
pplicatiah; that all statehhents contained in this application are true to the best of his knowledge and belief; and
hat the work will be performed in the mnarner set forth in the application filed therewith.
worn tobefore this
of 19....4.
Notary Publ. ...... ./...
(Signature of Applicant)
L Naw Yak
NM
Notary
OuaINW in Suffolk Cowtprv�.
Communion Expires Dec.8,
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a e TOWN OF SOUTHOLD PROPERTY..�tF�CORD CARD
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OWNER
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