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Home My WebLink About28290-ZFORM NO. 4 TO~FN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29411 Date: 05/02/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 1835 RYDER FARM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 3 Lot 34 subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 2002 pursuant to which Building Permit No. 28290-Z dated APRIL 17, 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. Ge certificate is issued to JOSEPH G FARRELL JR (OWNER) of the aforesaid building. SUFFOLK COIRFI"f DEPART~NT OF H]~LT~ APPRO~i~L ELEC'~RICJkL CERTIFICATE NO. PLUMBERS CERTIFICATION Rev. 1/81 N/A 1122081 03/24/03 N/A AuthoriZed Si~ure~' 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. 28290 Z Date APRIL 17, 2002 Permission is hereby granted to: JOSEPH G JR FARRELL THE ATRIUM 2385 MAIN ST BRIDGEH3~MPTON,NY 11932 for : NEW ACCESSORY INGROUND 18'X36' SWIMMING POOL AS APPLIED FOR IN THE REAR YARD AS REQUIRED. at premises located at 1835 County Tax Map No. 473889 Section 015 pursuant to application dated APRIL Building Inspector. RYDER FA~RM LA ORIENT Block 0003 Lot No. 034 17, 2002 and approved by the Fee $ 150.00 Authorized Signature COPY Rev. 2/19/98 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 following: A. 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. ? B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existin, g",Jajt~ses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural q~l~pilgr;'~lill~ features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupan~y~is denied, the Building Inspector shall state the reasons therefor in writing to the applica, nt.,_._~?f C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision O ~:~/~'~''' Permit No. 222q0 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 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. 3-/~:~ 0 y Old or Pre-existing Building: (check one) Street Hamlet o _ pt'(Block 0 FiledMap. qTfl Lot: Da;e ofme~t. ~- ~' ~2 Applicant: Underwriters Approval: Final Certificate: b~ (check one) By THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDER /VRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by TOP GUN ELECTRIC * FARRELL BUILDERS P.O. BOX 1464 I835 RYDER FARM ROAD SOUTHOLD, NY 11971, ORIENT. NY 11957 Located at 1835 RYDER FARM ROAD ORIENT, NY 11957 Application Number: 1122081 Certificate Number: 1122081 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: fO ;ide, Pool/Spa, was inspected in accordance with the National [3ectdcal Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 24th Day of March, 2003. Name QTY Rate Rating Circuit Type Appliances and Accessories Time Clock/Switch 1 0 Furnace 1 0 Gas Pool/Spa Bonding 1 0 Wiring and Devices Fixture I 0 Pool/Spa Switch 2 0 General Purpose Receptacle 1 0 GFCI Receptacle 1 0 20 amp Pool/Spa (Swanming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: ~ __~' ~ ( ~ , SCTM# DISTRICT: l, )00, SECTION: STREET ADDRESS: BLOCK: .~ LOT: '~o-~-~./~, CITY: (~r, -..~7 DATE ISSUED: / /02 DATE., REVIEWED: ¥ / -/.2/02 DATE'SUBMITTED: ~'/_/)_/02 SUBDIVISION: PROJECT DESCRIPTION: _ .~w--~ ESTIMATED PROJECT COST: ARCHITECT / ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUI-RED? ~ NOTES: LOTS 40,000SF -100 24 Lot recognition (( REATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100 25 Merger (A nonconlbrnlmg at any time after 7, 1/8: ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT ~ /2-46 CONFORMING? ACT. LOT SIZE:.2~32£C) REQ. LOT COV. PROP. FRONT ,~- REQ SIDE PROP. REAR WATER FRONT? ,r~O DESCRIPTION: PANEL #: ~ ~ _ FLOOD ZONE:~/~7 , O,% ACT. LOT COV. /~- ~ ACT. SIDE --¢ ,,~/~ APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES o(~BED #): TOWN SEPTIC RECEIPT: Y ot'~ NEW YORK STATE DEC: ~}~e-o~c 9/~/~s YES ~ SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES YES YES TOWN PLAN. BOARD APPROVAL: TOWN HISTORICAL PRE (SPLIA): NYS ENERGY: YES O1~O~ __ EGRESS (18 H min.? 4 sqT6tal)_ DTE: / / PERMIT #:R10- VENT (SQ. FT. x 4%) LIGHT (SQ. F,T.~x 8%) BUILDING PERMITS OPEN/EXPIRED: BP HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- ?./~.~/~_ --- ~'- - NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INiT OTHER TOTAL: SF FEE FEE 1. ( SF)- ( SF)= SF X $ -$ +$ +$ = $ 2. ( SF)- (_ SF)= SF X $__=$ +$ +$ -- $ TOTAL FEE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING /~INAL [ ] FIREPLACE & CHIMNEY /,! ~ . - / v . / DATE ~~~ INSP~ F]~ELI~ INSPI~CTION REPORT I DATE FO~DATION (1ST) FO~ATION (2ND) ROUG~ F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 PERMIT NO. Examined C.~',,//? ,20 Approved Disapproved ~c Phone: ~:~ ~lding ~ector ~/~ ~ '~ - ~ ~ /,~PLICAT1ON FOR BU~D*G PE~IT ~ ~ '~.~ I Date ~. ...... ~STRUCTIONS BUILDING PERMIT APPLICATION CHF. CKLIST Do you have or need the following, before applying? Board o.f_ g _ ~" 3 sets olin'IriS'Plans Planning Board approval ~ e/Survey_ t~ ~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: 20 a. This application MUST be ~completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets ofplm~s, 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 tiffs 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 fi.om such date. If no zoning amendments or other regulations affecting the property have becn enacted in the interim, the Building Inspector may authorize, in w, _d!~ng, 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 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 prerrfises and in building for necessary inspections. (j/ ~Si-gnature 6f applicant or name, if a corporation) OM'ail/ns a~.dre~s of applicant~ ' State whether applicant is owns, less¢~chitect~ en~neer~ general contractor, electric~n~ plumber or builder Name of owner of premises ~~ ~ ~/~)t9 '~ /:~- 0./~ ~//{~7 (As on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. D q '/'Z- ~a Electricians License No. t4~ 2~ Other Trade's License No. 1, Location of land on_which proposed work will be done: House Number (J Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block ..~ Filed Map No. 2. State existing use and occupancy of premisestat~d in_tended, use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Addition r Alteration Removal Demolition Other Work ,/ ~ OC~ L- Repair ~(Description) 4. Estimated Cost ['~ CD~ Fee 5. 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, conunercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height_ Number of Stodes Rear .Depth Dimensions of same structure with alterations or additions: Front Depth Height Number ,of Stories 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front {3~ ~ Rear l~%~-' .Depth Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ 12. Does proposed construction violat? any zoning law, ordinance or regulation? YES__ NO ~ 13. Will lot be re-graded? YES__ NO ,/ Will excess fill be removed from premises? YES__ NOw./ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet o£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. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on propeaty is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY O~S: being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work wiI1 be performed in the manner set forth in the application filed therewith. Sworn to before me this / 7 ,xl~y of (' ,(c/- f./. ....... :-'"'k ? Ndary l~UblTc 20 ~ ~ignature °f J'pplica~r 20 10 SCALE: 1" = 40' SURVEY OF LOT 53 MAP OF ORIENT-BY- THE- SEA SECTION TWO SITUATE A T ORIENT POINT TOW OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.T.M DIST. 1000 SEC. 015 BLK. 03 LOT 34 0 20 40 60 80 100 120 DATE: OCTOBER 30, 2001 140 CERTIFIED TO: FARRELL DEVELOPMENT CORP. LAND.NOW OR FORMERLY EUGENIA SHEPPARD MILLIS IMPROVED WELL AS SHOWN CESSPOOLS OVER 200' ~NCOR JOB NO. 200%363 MAP NO.3~',~, FILED: OCTOBER 26, 1961 REVISIONS: S.C.D.H.S. REVISIONS 12/03/01 REV. PROP. DWELL. 1/10/02 HANDS ON SURVEYING i 46 NORTH ROAD HAMPTON BAYS, NEW YORK TEL / FAX: (631)-723-1954 MARTIN D. HAND L.S LICENSE NO. 050363 OCCUPANCY OR F,LE MAP TEST HOLE L~F~iS UNLAWFUL NOS ~II~tOUi CERIIFICAIE ~ TOP-S~,L OF OCCUPANCY ~ c~Y ,~, LOAM & 'IMMEDIATELY' CLAY 5' ENCLOSE POOl. TO COD~ ~ ~ i SAND BEF(XtE"WATER' : & ~ GHAVEL ~ 15' UNDERWRITERS CERTIFICATE REQUIRED ~m 'lg S ~26'~' W 1~.~' NORTH SEA DRIVE (NOT OPEN OR IN USE) "~ APPROVED AS NOTED ~ ~E ~ IMPROVED VAC~T ~ ~LL WELL AND SANITARY AS SHOWN 765-1802NOTI~ BUILDING9 AM ToDEPARTMENT4 PM FOR THEAT FOLLOWING INSPECTIONS: I FOUNDATION - ~0 REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBING ~¢~ ~ ~ ¢-* 3. INSU~TION /~ x _~ = ¢¢~ 4. FINAL - CONSTRUCTION MUST - BE COMPLETE FOR C.O. LOT AR~: 20,2~SQ.~. = 0.~ ACRE ~~o~ ~ =/~ ~ ALL CONSTRUCTION SHALL MEET EL~ATIONS REFERENCED~ M~N S~ LEaL THE REQUIREMENTS OF THE N.Y. ~ ~RFACEWAT~ ~t~NTWITHIN ~' STATE CONSTRUCTION & ENERGY ALL SURROUNDING PROPERTIES SERVICED BY PRIVA~ WELL WATER CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 0 S.C.D.H.S. EN~RSEMENTS I I 1 / / I I