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Home My WebLink About29245-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29458 Date: 05/21/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 3050 HIGHLAND RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 102 Block 8 Lot 23 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 2003 pursuant to which Building Permit No. 29245-Z dated MARCH 26, 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. ~ne certificate is issued to DAVID A & DONNA M. COOK (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROVAL N/A EI~ECT~ICAL CERTIFICATE NO. 45470 PLUMBER~ CERTIFICATION D~D N/A o8/ol/oo Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Sou~hold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP34IT NO. 29245 Z Date MARCH 26, 2003 Permission is hereby granted to: DAVID A COOK & WF 3050 HIGHLAND RD CUTCHOGUE,NY 11935 for : ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR THIS PERMIT REPLACES BP#26599. at premises located at 3050 HIGHLJ~ND RD County Tax Map No. 473889 Section 102 Block pursuant to application dated MARCH 26, 2003 Building CUTCHOGUE 0008 Lot No. 023 and approved bythe Inspector to e~ire on SEPTEMBER 26, 2004. Fee $ 150.00 Authorized 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) PERMIT NO. 26599 Z Date JUNE 20~ 2000 Permission is hereby granted to: for : DAVID A & WF COOK 3050 HIGHLAND RD CUTCHOGUE~NY 11935 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR at premises located at 3050 County Tax Map No. 473889 Section 102 pursuant to application dated JUNE Building Inspector. HIGHLAND RD CUTCHOGUE Block 0008 Lot No. 023 9~ 2000 and approved by the Fee $ 150.00 Authori~ Signature ORIGINAL Rev. 2/19/98 BUILDING PERMIT REVIEW CHECK LIST Applicant/ Owners Name: Architect/ Engineer: Date Reviewed: Date Submitted:~V SCTM #: District: l,O00 Section: I k~ Block: ~' Lot: Project -- ' ,I, /) ~ / Q~C~C~,~ Subdivision d~ SingI e & separate Require cemfication: (Yes / No) Zoning Distnct:~ [Lot si~: Actual; Req Req. Req {Front Y~d Pro~s~: ] [Side Y~d Propose: ] [Rem Y~d Proposed: -- Project Description: AGENCY PERMITS REOUIRED FOR REVIEW 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: N.A. NO YES Permit Number 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-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./fa 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) LocationofProperty: ~.~'~ ~f~¢/31C~'~~ Crc,L~--(~x~2_c~ House No. -~ L.Street ~- 'Harnl/6,~ Owner or Owners of Property: ~___~ ('xA.~ (d ~ ~~'~----k_ /r~, Suffolk County Tax Map No l000, Section ~)'2-~ Block_ ~_}~ Lot {_,1_,~"~ __ Lot: Subdivision Permit No. ~ 3 '-~--~ Date of Permit. Filed Map. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 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 March 6, 2003 David Cook 3050 Highland Ave. Cutchogue, NY 11935 Dear Mr. Cook: It has come to our attention that building permit #26599, an accessory pool at 3050 Highland Ave., Cutchogue S CTM# 102-8-23, has expired. In order to rectify this matter, the following is required: 1) 2) 3) Immediate renewal of BP#26599. Please submit a check for $150., payable to the Town of Southold, noting the original permit number. Final Inspection required. Once the permit is renewed, you need to schedule a final inspection. Certificate of Occupancy required. Once you have passed inspection, apply for your certificate of occupancy. Without a certificate of occupancy, you are in violation of Southold Town Code (45-15) & NY State law. If you have any questions, please call 631-765-1802 between 8:00a.m. and 4:00p.m. Sincerely yours, thorized Signature CC: file Elec 'ical Znspec Hon Ce 'Hf ica Electrical Inspection Service, Inc, 375 Dunton Avenue East Patchogue, NewYork t1772 (631) 286-6642 Date: 8/1/2000 Application No.: 45470 Issued to: David A. Cook Street: 3050 Highland Road Village: Cutchogue Section: Block: Zip: 11935 Lot: Town: Southold Introduced by: R. C, Electric Corporation Lic.# ~610-E was examined and f~'~' f'o ~ /n comp#once wi?h ~he Iqafional Elec~ical Code Attic ~lst Floor ~ OIS Residential ~ Pool [] Det. Garage Basement [~ 2nd Floor ~ O/S Commercial ~ Hot Tub ~ NV Defects Switches Receptacles Fixtures 1 2 1 Dishwasher Washer/Amp Dryer/Amp Furnace Oil Gas Circulator Meter Amps Phase Motors Telephone 1 Other Equipment'. 1 iH/P Motor, Built In Pool, ! PoolPanel, 1-20 amp Special, l-ZOAmp Hmer,Outside Only GFI Heaters AJC Fans 1 Oven Range/Amp Garbage Disposal Smoke Detector Bell Transformer Television Carbon Monoxide Hugo $. Surdi President Building Permit No. 26599 This certificate must not be altered In any manner [nspectors may be Identified by their credentials BUILDING DEPT. INSPECTION [ ] FOUNOATIONIST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [.] ~ATION [ ] FRAMING [/_~']/FINAL [ ] FIREPLAC~_HIMNEY REMAR : ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] I/~o~ATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR~~.~ ~/~ / FIELD INSPECTION REPORT =DATE ~ ~ COMMENTS FOUNDAT ION (IST) FOUNDATION ( 2ND ROUGH FRAME. & PLUMBING INSULATION PER N.Y. II II STATE ENERGY CODE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL.: 765-1802 Examined ................. 19... Approved...¢. !.t. 5 ..... .,~,'l~.°.'°.. Permit No...o~.~ .~...~.ff.~ Disapproved a/c ..................................... ..... ¢; !I! ¢ ~ :; ,e ~ ,// . (t(Building In~p~tor) ' APPLICATION FOR BUILDING PERMIT JUN-9ZO00 , L._._L- ~ ....... '!d 3! ~?____j INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY CIIECK .................... SEPTIC FORH .............. CALL ................... Date .... , ...... , a. Titis 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 used in whole or in part for any purpose whatever until a Certificate of Occupancy s~all 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 necessaw inspections. State whether applicant is owner, lessee,~ architect, (Signature of applicant, or name, if a corporation) · (Mailing address of applicant) engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. Z .~..'~...~...~....-~/ .... . ..... Plumber's License No ......................... Electrician's License No.../'..~.~,/..~..~*.~. .......... Other Trade's License No..., .: ............ 1. Location of land on which proposed work will be done· . .~.. ............................................. ...... . ¥c:., ....... . eec-. ......................... House Number Street Hamlet County Tax Map No. 1000 Section .. /..~..,~.' .......... Block .... .~. ~.. ......... Lot....~.~.~. .......... Subdivision...~./...~..~..~..-~..~...,~. ¢J"./.---7~. ~.~,.~kff ...... Filed Map No. ~_~.~.d?~. ....... Lot .~.~. ......... ' (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy ................................................. b. Intended use and occupancy /'d.~.c~.~ ..~'I/~Z/'..~. ,~OO,~ . .~_.J./.~./.~/./?.~. ~..~.~..~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal , Demolition .............. Other W6rk/../~4%g .'q'i.~q... ..... . '.' ...... "a~°a~' (DescriptJonj (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, c, ommercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ : ..... Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories .............. . ........ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ....... ' ................................................. 10. Date of Purchase .................... · ......... Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................. Will excess fill be removed from premises: Yes No Name of Architect ........................... Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAM Locate clearly and distinctly all buildings, whither 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 corner lot. 15. 3TATE OF NEW YORK, S.S 2OUNTY OF . . . ~ ............. . o r. ra E ta ............. l ............................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. /-.-//] ~x¢ ' teis the {~Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authd'rized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this . .day of. .............................. , 19.f'2 rotary Public .......... ~;.gO.~ ............... .County /~,? ' / .': ....... ~.01~?~_co~_., , / ~/~ (Signature of applicant) PARTMENT-DATA FOR APPROV/~ TO CONSTRUCT ~,XMA~, msyT6oo s[c~o~ Ioz mOCK q~ go'r 0~_ SURVEY FOR DAVID A. COOK E~ DONNA M. COOK LOT :>6, "HIGHLAND ESTATES" AT CUTCHOGUE TOWN O~ $OUTHOLD SUFFOLK COUNTY, NEW YORK NOV. JAN. NOV. AUG. DATE: FEB. SCALE: GUARANTEED TO; SOUTHO ~~~ I 66 54