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Home My WebLink About29331-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29619 Date: 08/01/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 300 BAY LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 24 Block 2 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2003 pursuant to which Building Permit No. 29331-Z dated APRIL 24, 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 D CLAEYS BAHRENBURG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 245423 08/04/92 PLUMBERS CERTIFICATION DATED N/A Auth rized Sigfa-ture 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. 29331 Z Date APRIL 24 , 2003 Permission is hereby granted to : D CLAEYS BAHRENBURG 3 EAST 94TH STREET NEW YORK,NY 10128 for CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#26242 . FLOOD PERMIT INCLUDED. at premises located at 300 BAY LA ORIENT County Tax Map No. 473889 Section 024 Block 0002 Lot No. 020 pursuant to application dated APRIL 24 , 2003 and approved by the Building Inspector to expire on OCTOBER 24 , 2004 . Fee $ 250 . 00 Autho ' z d Sig ture ORIGINAL 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. 26242 Z Date JANUARY 5, 2000 Permission is hereby granted to: D CLAEYS BAHRENBURG WEST BAY AVE ORIENT,NY 11957 for CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR. THIS BUILDING PERMIT REPLACES BP#20633-Z . at premises located at 300 PRIVATE RD. #14 ORIENT County Tax Map No. 473889 Section 024 Block 0002 Lot No. 020 pursuant to application dated JANUARY 5, 2000 and approved by the Building Inspector. Fee $ 150 . 00 Author zed Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 3 0 2003 APPLICATION FOR CERTIFICATE OF OCCUPANCY w +� r) 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: 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. 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: __V_(check one) Location of Property: __ _ �� I o-us)nc No. Street T-- Hamlet Owner or Owners of Property: �}} � (� ` Suffolk County Tax Map No 1000, Section `l/4 Block Lot Zig Subdivision Filed Map. _Lot: Permit No. fel 3�J��.Z Date of Permit. O0 Applicant:�f •� ��' �S� Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ - Applicant Signature GonfOn`X PPrke P.O. Box310 Orient, NY 11957-0310 r. X0,633 THE NEW YORK -BOARD OF FIRE UNDERWRITERS PAGE 1 1001290 BUREAU OF ELECTRICITY F— 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date AUGUST 04,1992 Application No.on file 03381992/92 N 245423 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of CLAEYS BAHREN BURG, B01319 WEST BAY AVE, ORIENT, H.Y. in the following location; ® Basement ❑ /st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JULY 30,19 9 2 and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT[FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT, I K.W. AMT. H.P. 1 1 1 1 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT TIME CLOCKSgEll UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. T. AMPS. TRANS. "T. M-P SYSTEMS AMT. WATTS SYSTEMS- 140. FEET 1 F 1 �40 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP, TYPE MITER L�,2W 1,B 3W 3 0 3W 3 X 4W �•OF CC.COND. A.W.G. NO,OF HI-LEG A•W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER A' OF CC.COND. OF HIAEG OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 G.F.C.It-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to hmve frequent testland or repairs made by a qualified person. .c> TED CHESHIRE JR, CO. LIC, 11953-E P.O. BOX 2 5 5 A GENIERu MANAGER 9280 BOUND AVE. j MATTITUCK, NY, 11952 Per!+This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cred COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [Vj'FINAL�jI�,.�..wCw� [ ] FIREPLACE & CHIMNEY REMARKS: -ex DATE 7z� o3 INSPECTOR n-0��Y �a 3� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE $ CHIMNEY REM RKS: k/ �z� DATE INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;/FINALINLATION FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: �n TT ` w - !� X?y � ?ATE 6 , INSPECTO c'1cLi7 li:S:"E.. . '_J:i ��i)n:.. I� ::i;:•ti•ifJNT,^. H FOUtJDATION ( 1st ) FOUNDATION ( 2nd ) �' 2 . 2 ROUGH FRAME & o PLUMBING I � H 3 . I =X CTI rn INSULATION PER N . Y. STATE ENERGY CODE Y 4 ' m y FINAL Iii o Cn� 4k C.o. h. poADDITIONAL COMMENTS : x H ' y H O m p� Cy i m H t -7- -- BOARD OF HEALTH . . . . . . . . 3 SETS OF PiS s/ . . . . . . . . ., FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK . . . . . // . . . . . . . . . . . . . } BUILDING DEPARTMENT SEPTIC FORM . . . . . TOWN HALL 4Lwa SOUTHOLD, N.Y. 11971 NOTIFY ; TOVJlV {r ' 3JirL t TEL.: 7G5 tIIO2 I 21331 (e ExanrincJ ��. . . . . . . . 19 R2 pp Approved . .`.J�O. . . . . . . . I 19?, Pcrmit No. 1. .� . . . . . . . . . . . . . . . . . . . . . . Disapproveda/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (BUildi Ins tor) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . ...... . . . .. IS . . . INSTRUCTIONS a. Tlils 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 sreas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- calion. 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 applicanL 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• 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 Latus,Ordinances or Rcaulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. lite applicant agrees to comply with all applicable laws, ordinances, building code, housin-- code, and regulations, and to admit authorized inspectors on premises and in building for nee sT.Fry ins"actioag ) ec igna[ur i appl�cnnt, r name, if a corporation) 4 1v� . .(s (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . .�. Q. 1.4_D cz/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .... . . . . . . . . . Name ofownerofpremises L f�fl f` ��v C � 5. . . A . r�' . . . . . . . . . . ...... . . .. . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) f Builder's License No. Plumber's License No. . . . . . . . . . . . . . . .. . . . . . . . . Electrician's License No. Other Trade's license No. . . . . . . . . . . . . . . . . . . . . . Location of land on which proposed work will be done' L,&(-j .. . . . .7.T �: : . . . . o house Number Street H " " " amlet County Tax Map No. 1000 Section . . . . . . Z • • • • Block . , Z.. . • , • . • • , , , Lot . . . .7-1-1) . . . . . Subdivision . . .... . . . . . . . . . . . . . . . . . . . . , . . Filed Map No. . . . . . . . . . . . . . . Lot . . . ... . . . . . . . . . .((Vamcj State existing use and occupancy of premises andel 'intended use and ocdupancy of proposed construction: — l t. Existing use and occupancy ..U,�/ . / z111.x..W6 . . -C , . . . . .... .. .• . . . .. . . 1. Intended use and occupancy .... ._. 5W-L M Yn-.�^ �. . . .�.� r .. . . . . 3. Nature of work (check which applicable): New Building • • • • • • • • . Additicn . . . . • • • • • • ,Utcration Repair . . . . . . . . . . . . . . RCmoval . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . .Swimslin, Pont. . . . . . . . . . Tennis Court Accessory Building . . . . . . . . . . Fence . . . . . . .Other tiork. . . . . . . . . . . . ;1 Tennis Estimated Cost . . . . . . . . . . .1.0 C1 11.0. Fee . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . t (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . ... . . ... . . . . . . . . Ifgarage. number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . . . . . . , . 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 . ... . . . . . . . . . . . Depth . . .. . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . .. . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Hcight . . . . . . . . . . . . . . . . . . . . . . NunibcrofStones . . . . . . . . ... . . . . . . . . . . . . S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth ... . . . . . . . . . . . . . Hciglht . • . Number of Stones . . . . . . . 9. Size cflot. Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . •.. . . . . . . . . . . . . i0. 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: . . . . . � . . . . . . . . • . - . - . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yey No • . 1i1. Name of Owner of premises . . . • . . . . . . . . . . • . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address Phone No. . . •.. . . . . . . . . . Name of Contractor . 7"51-A.y:?irt- Pac,tS. L77? - , Address/�trsN�c �� tJ• PhoneNo. 27�J ��/2' 15-Is this property located within 100 feet of a tidal wetland? *YES v.HO. . . . *If yes , Southold Town Trustees Permit may be required . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether 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. APPROVED AS NOTED DATE: B.P. ti Ecu BY- NOTIFY YNOTIF/ BU."_D!NG DE=PARTMENT AT 7G5-7802 Q AM TO 4 PM FOR THE FOLI-DWING INSPECTIONS: I. FOUNDATION - T4VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. 1NSULAfl0N 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THF REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW `'Ory' yy C0UNTY0F ,. Yr !` . . . . S-S _1e'f7�ti�• J'• •��1� " ` a`� . . . . . . . . . . . . . . . being duly swom, deposes and says that he is the appticant (Name ofindividual signing contract) above named. FIC is the . . . . . . /. .Q . . . . (Contractor, agent, corporate officer, etc.) hf said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this IPPlication: that all statements contained in this application are true to the best of his knowledge and belief;and that the vork will be performed in the manner set forth in the application filed therewith. iwom to bafcre me this day of. . . . . . 19 1 'otuy Public. 7�fy/,�I� LCount VA�M1�5 FRLSZ(XOWSKt . :. ?'Y 180TARY KjUr, Stole of New Y.A . . . . . , , . . .t.. . . . ..-. . . . . . No. A709862 ( ignarure of applicant) Qualified in Suffolk Cwmty (r�z Cgnmbs, Expires —�� -/ ✓ / Y" TEL " MME � � OWNER: E" O MYJp�F 108 FISNEL AVENUE, RIVERHEAD, NEW YORK 11901 (516)727-6312 I S LAN D IA POOLS BY JOHN J. WYSOCZANSKI SLOPE LINE `RIGf LOCK OR BOXED EXTRUSION UNOER"IIRED CERTIFICATE GREQu RIM LOCK COPING OWE C POLY FOAM BACKING WOLMANIZED 7XIf TOP PLATE NOTE: FOR DIMENSIONS SEE TABLE BELOW VINYL LINER r SKIMMERS RETURNS 90 MONOLITHIC G 1/27 STEEL RODS �p4' CONCRETE WALL RED J LADDER SAND BASE MGQ�r-10 N BO OM �S ?^ TYPICAL POOL PLAN '��MG�Ost aM,NGp'iq BOTTOM EN�e Fcw�• DEARTH PLATER WATERLINE NOTE: FOR DIMENSIONS SEE TABLE BELOW I_ m �6 .................................................... VINYL LINER ry� b c' 0 0 1 n1 1'-Y TAMPED SAND BOTTOM ekyl 1_ FIBERGLASS MOLDED 1 PIECE ENCASEDOPTIONAL STEP MN RI TYPICAL CROSS SECTION 0°'f" 3 cu. 1t PER LEGS{ VQAJUPAUNCY OR N.S.P.I. TABLE OF DIMENSIONS €`�'�+ � 1g69 6' DIVING BOARD-MH'e-1fl 16X32 16 32 aM CNFFFGTH_TAtEV 8 512 17650C1GAL SE !S UrIi V.,'1 4. 1 10' DIVING �D- '4a1i� N0TES3,500 L.B. TEST CONCRETE TO BE USED 16X36 16 36 18 576 18150 GALR. ?3(' & , i� rq, � �^ a � �l 31 PROPERTYIN U S SUTTOUS ULOCAL REGULATIONS. 18X36 18 36 1n EVAI,d" Rrs(.J°i"$4� j c� �r G j g' 2. WATER DISPOSAL TO BE LIMITED TO OWNERS 20X40 20 40 12 800 25,000 GAL {i�J'� i o 3. THIS POOL SHALL NOT BE EMPTIED. I { 4. ALL WOOD TO BE PRESSURE IMPREGNATED WITH F MAY I I I2 WITH PRESERVATIVE. •[ 5. WALKS TO BE SMOOTH NON-SKID TYPE, m SLOPED AWAY FROM THE POOL. Rim m 7-, y z. i. c -: •E�s :i � 1 .,�,.;_ • ... 1 i :::J'.•. ', ..' .Y C A. ..: ''.v. - ' :�J r'.�■r ... g r xr �-. < ,yt:. ..YR < - 4`:`54.5'48 t+^•.y i + J.�- '� _ a • !. ', X19 �.1r.Y' �•f:; w;k.;.. w Y ?y,,,,� ,.kt••+ _ '.;4 . .. ,� ,` � *�M�♦ •Nr. 'Y D•F w✓, '!e� v F '+''.#.., s.�r:.,��:.; � �Q •- � ,,tn, � 1 �' ,ya-^g •vb, ,'lFNp6t~JK y `� � :' a > 9C�' i,: �:T4.Q rf► � ° t' r t!� !tlliNtt s _ et at 1M! - - •q�tyy,� roti AflAf � Ire�t !K� M s rr. .aw eottMO•od gi� i * Y i l ` '• I'_• '; '...,. ? Y p hU Oeh—tov, - �',' SW .� � �� }-. pi'W'!Wa�AMG4•t! aYEpqurt{ - AllWATEU I �..- SNCL POOL TO CODE <.; ago lb taP O� PQ0PEl2T Y UP N,COMPLfTiON sow�4 `w. Wil— ° �' �`,�` .._ BES(� .'Vt�'ATBR.. t, r:oL-ANO. a 4 of N7rL�rKff�+ ,u . sins v�I&M Fae ( � L r_ 2 �1 i' _ 11 �' „,.Tabor, . '.'s.o 5. � 02I& �` " ' N !!s•/9s'r_ s.si"vi'so-w. ; � � ?`OVJN O� : D,IV.Y- �. LA I Kra r � i n item Pip* i a J j Y N JJ r .Ptd C;7, kV o� MAY ! 11992 40 I Ar`• \ TFI ie t•a s mnawewmc I Cy�at-c�nt¢s�I+o �tia owner,,tom }►`' F N 1. 771& rt+r.Ci!�a.uv<r.t.. co..,y�o,+y. and ao Groonwieh Switiya Batik as surwcrd Sof 27,19, ec offe�crii!rW/7_11'x...F.h.. I n /pr9 r nF 20 i m of Jy .s „'' ,k4D•G/' S• i 2Sc 4S 258•LP�4. �.. V l�lr....� ri�y(.{ :r-Tfn[k r CCK 7bK MaIj rata igracrfyexi: BLAND SJ/ ., rr^r- _1 t..7C.Ml�al Lb.d ' ate,: Ups+. tOOG,$sct.0.4, B/k.2,FEt.20. MewYerk sj or�lrnt wMe�f