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Home My WebLink About29330-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29624 Date: 08/05/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 3345 PRIVATE RD #1 EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 3 Lot 8 .2 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. 29330-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 ON GRADE DECK & FENCE ENCLOSURE TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to STEPHANIE V SEREMETIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-536631 09/15/00 PLUMBERS CERTIFICATION DATED N/A Authorize gnature 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. 29330 Z Date APRIL 24, 2003 Permission is hereby granted to : STEPHANIE V SEREMETIS PO BOX 641 EAST MARION,NY 11939 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCT TO CODE IN REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP#26736 . at premises located at 3345 PRIVATE RD #1 EAST MARION County Tax Map No. 473889 Section 022 Block 0003 Lot No. 008 . 002 pursuant to application dated APRIL 24 , 2003 and approved by the Building Inspector to expire on OCTOBER 24, 2004 . Fee $ 150 . 00 Author ed vSig ature 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. 26736 Z Date AUGUST 24, 2000 Permission is hereby granted to: STEPHANIE V SEREMETIS PO BOX 641 EAST MARION,NY 11939 for NEW CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL 20 ' X 40 ' WITH FENCE ENCLOSURE IN REAR YARD AREA AS APPLIED FOR. at premises located at 3345 PRIVATE RD #1 EAST MARION County Tax Map No. 473889 Section 022 Block 0003 Lot No. 008 . 002 pursuant to application dated JULY 19, 2000 and approved by the Building Inspector. Fee $ 150. 00 Auth rize ignature COPY Rev. 2/19/98 Form No.6 (� TOWN OF SOUTHOLD Cal`�(�v t H BUILDING DEPARTMENT lam"" r�M TOWN 5-18 L PR (1 7 Guw 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: I. 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. x-17-0 3 New Construction: Old or Pre-e isting Building: (check one) i Location of Property: �3 3 5 rl f a House No. (fStreet Hamlet �- Owner or Owners of Property: f e �t` -i� S Suffolk County Tax Map No 1000, Section Block 3 Lot �• Subdivision Filed Map. Lot: 2 Permit No. �9 33 (7 Date of Permit- �)V 03 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ L-(,—) dW 64'a{ G `1N 3; Applicant Signature ccri!: �296ay THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 85146 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10036 Date SEPTEMBER 15,2000 Application No. on file 10873400/00 N 536631 THIS CERTIFIES THAT PERMIT NO. 26736 only the electrical equipment as described below and introduced by the applicant Fa m rq`du Above application number is in the promises of STEPHANIE 3IM1191 ,cI--,,3349-1 PATE RW, POLE#LLI 417, EW MEADOW, NY in the following location; LJ Basement U lst Fl, U 2nd FL OUT Section Block Lot was examined on SEPTEMBER 05,2000 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RAN ES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES I FU:ORKWINT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 2 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL HVINT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.F. GAS H.P. AMT. NO. A.W.O. AMT. AMP. AMT.FA TRANS. AMT. H.P. NO.OF FEET AMT. WATTS1 SERVICE DISCONNECT NO.OF S E R V I C E MUIR AMT. AMR TYPE EQUIP. 1 0 2W 1 0 3W 3 t 3W 3 0 4W NO.OF CCRFi D OF CC GOND. NO.OF H1440 pr X O NO. NIUtRM O OTHER APPARATUS: SWII*IING POOL-1 G.F.C.I:-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it in advisable to have frequent test/and or repairs made by a qualified person. L L <<4 Continued on Page 2 >>> GENERAL MANAGER Per 1 , This certificate mutt not be aHand In any manner;return to the office of the Board II Incorrect.;intpectort may be Ida by their credaNlais. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST' NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE "UNDERWRITERS PAGE 2 F SUREAU OF ELECTRICITY I 40 FULTON STREET, NEW YORK,NY 10038 Date SES 15,2M Application No. on file 10875400/00 N 536631 THIS CERTIFIES THAT PERtM NO. 26736 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the promises of STEPHANIE ITIS 3349-1 PXVATE RP$D, POLE#LLI #17, EAST HEA", NY In the following location; C3 Basement Li Ist Fl. LJ 2nd FL OUT section Block Lot was examined on SEP4.EMER 05,20®0 and found to be in compliance with the National Electrical Code.. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.0. AMT. AMP. AMT., 'Amps. TRANS. AI1T. N.►. SYSTEMS Ami. WATTS NO.OF FEET SERVICE DISCONNECT NO. OF S E It V I C E METAMT. AMP. TYPE EQUIP. 1 R YW 1•3W O JW J e 4W �.OF CCC A. 0. NO.OF FII•LEG A.W'O' NO.OF NEIRRALE A.W.0. PER a OF CC.W. OF NI-LEO OF NIUTRAL OTHER APPARATUS: RAYNOR, FRANK L. LIC.#4926E L L P.O. BOX 1065 1500 HARBOR LANE GENERAL MANAGER CUTCHOGUE, , NY, 11935 Per 11 ThiS certftate must not be aNered In any manner;return to the of eo of the Soard N Indortect.Inspectors may be IdoTdNdby#wh credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 13E ALTERED IN ANY MANNER: -7 , G M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/INSULATION [ ] FRAMING [ 41FINAL [ ] FIREPLACE & CHIMNEY REMARKS:(" DATE INSPECTO tri-1W2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I SOLATION [ ] FRAMING FINAL [ ] FIREP ,^,&QQCHH/IMNEY REMARKS: USC 6),4:z-, DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMA7 S: DATE7/;��/5INSPE fELD INSPECTION REPORT DATECOMMEMI'S __ ---------- ---------__-_ - ----------------- - -_---- ------ - -- )UNDAT'TON ( IST) -------- - ---- ii u � JUNDATION (2ND)........ ........u -t -`----------------------------------------------------- Cj ------------ It II II II JUGR FRAME S II II II �I R J PLUMBING II ii n ° + NSULATION PER N. Y. ~� t+i u--- It H STATE ENERGY u-_ It CODE n �� ii II IR- II H II � I I FINAL N II / - � _ ze � I � ADDITION e0MMENTS: a� Co a � s a r 7 M BOARD OF HEALTH ... . . . . . . . . . . . ll n7 FORM NO. 1 3 SETS OgjPLANS . TOWN OF SOUTHOLD SURVEY ry} -1 BUILDING DEPARTMENT CHECK .- . �4��.1. !. . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . r J SOUTHOLD, N.Y. 11971 L TEL: 765-1802 NOTIFY: T'-'.':'; f- S^UTbI^iD CALL . . • _ . • s.6Q�l. . . . . Ermined...! /1-......... 20l1y" /,, r_ MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved...42ft� .....QRS: Permit No. .C) {03: ... ................................... Disapproved a/c .................................. ...................•............... ............................................... .. ... (Building Inspector) APPLICATION FOR BUILDING PERMIT -77, c� Date. . 11 ! Ly. .�./. . _ , 20.G?R INSTRUCTIONS a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w 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 mist 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. APPLICATICH IS BMW MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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. ed. 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 necessary inspections. ...................... (Signature of applicant, or name, if a corporation) ....�....�o.......... (Mailing address of applicant) State Whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ��'�`�✓ l , ,3,../C�aS�?.7At. —ar .......................................... ........ Hare of of causes /C�:vJ.�JJ.�!G.....5 cl.� T /S pr ................. .................... (as on the tax roll or latest deed) If is 's a co a on of dduullypauthorized officer. /...p�. ....... ... ... . ... . .. .................... ( and title of rporate r ') Builders License No. ... .9 ...... PlumbPlumbers ers License No. .....nn................... Electricians License No. S-�.CV?7...CV.x/—C �1 . Other Trade's License No. .................... 1. location of lard on Which proposed work Will be done..... .................................. 33� � !� ? = °. �-----------•.� r.�,g/l�anl ..... House Number Street Hamlet County Tax Map No. 1000 Section ......(Xjq�%.... Block .....3........ Lot ..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended ,( ucs.,e and occupancy of proposed construction: a. Existing use and occupancy .............../.-Q lh?.�/'�[.u'.Yp, ..................................... b. Intended use and occupancy ........... f1:!!? !'l`..w 17�I PUSL- ............................ a 3. N"nlure of work (dheck which applicable): New Building .......... Addition ..... .•. Alteration .......... Repair Removal ............. Demolition ............ Other Work ...1W.(ry1.411N.a.I='•'Sx.'..'�.��i?�r! (Description) 4. 1isLinrtewl Cost ........Q0d.s??....... fee ............................. ...... (to be paid on filing this application) 5. 1f dwelling, nxmiher of dwelling units ............ Nu ber of dwelling units on each floor ................ ifgarage, umber of cars ...................................... 6. If Ixhsiness, oxmrercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileight ........ ................. timber of Stories ...................... Dimensions of sane structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Nurber of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. height ......................... timber of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ H. Fore or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ......1IY .......... Will excess fill be removed from ppremises: ® NO Names 14. of Owner of premises ... j Glt.�l?.4'T�,S...... Address ...422/'.. ....... Flare No. Clam of Architect ...................��............. Address ..�....... ............... Plane No. ..........., deme of Contractor ._Q ZP(/!Y../C.................... Address ......!!./.P /....e .!Y J..... Plane No. :..... S%O 15. Ts this property within 300 feet of a tidal wetland? * YES .......... to ...Y.... *IF YES, SOLMI(HD TUWN TRUSTEES PEWIT MAY BE Iir1WIFED. PI.OT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions firm property lines. Give street and block amber or description according to decd, and stow street names and indicate whether interior or corner lot. SFNIE' (F' N3d Y(M SS GUINiy or ...may 4f.lA/,.')V.Z.'4...J 7..... ............being duly sworn, deposes and says that he is Lite applicant (Mane of individualsigning contract) above named, �7''y� � lie is Clue �W f /olk/ 2` C.............................................. ....... . . ............. ............... .......... . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly auLhorized to perform or have performed Lite said work and to make and file this applleatioh; that all. sLaLerents contained in this application are true to the best of his knowledge and belief; and that the work will. be perfonred in the manner seL forth in the application filed therewith. 9400rn to bef r" nm U115 Notary Public .�. � ...-. l .... .............. . .. ..... . .. t,GLEW tt�WYh>,tc (Signature of Applicant) HOWY OuNW In S�u- tbmrninbn Expkes Dec.8. ILL-1 -Lnln 14:oq WOtIE-1 HEALTH 212 -110 T777 P. OE 171h om LR Fm ! sa r1o7c C/Ja7E/ ,ucrs; At- NOTIFY 9 AM TO 4 PNI FOR Te sc P,4' ,15;,o r8 Y ^u�S /t3 r FOLLOWING INSPECTION& 1 FOUNDATION - TWO REQUIRED FOR POURED C014CRET3 2. ROUGH - FRAMING A PLUMBING 3.'INSULATION 4.:FINAL - CONSTRUCTION MUST RF COMPLETE FOR C O. TRUCTION CHALL, p,4E.{:T (1=, �;Q.l4N•f of LV,ar . . " ,n k+•r , r y-S VZ7WQ 97 151.92 ' orR A* , - - � 'Y....-, .� 'K T rc �.. .< /C%c L ,v.u a� RE. ♦` !4 iL F-iv,1. Yi1-n ii i rC 0s1-SF v 22C.?9 29:19 a n!..r0"IO'�o"W nL 9^39'90"W. •- - _ ___- "IMMEDIATELY" ENCLOSE POOL TO CODE s. 6nc ,:}jaa .. UPON COMPLETION- - ... _- ....._._.. USEp �,�€F L BEFORE'WATER' gis t 8N WITHOUT�y� /�g,CERVTIFICA UNDEWRITERSCEW"RCAM ,i CCCUPANC 1 REQUIRED y � l LIGHT STEP APPLICATION APPLICATION 4' fi 6' 6' 4' 14' x id' kIi1TEANCLE I'YYL[ 0 B ----'� A 12-11 Y-6' PANELS4 � ' 3 '-4' MIMSi-N^ KAF.IGS CORNER PANELS i C -7E 1TERED 3�• I4-kRACY54 G1-90• CLWING iiY(GEfi 51:'1'1-iiJx 1T COPING 51'fhlf.2T' SEII I 3 L-VINYL LINER -..---E F G �TY H J l-^ K �"1 J 4 6 6 6 4' NO'FEr TYPE d POOL -JNSTALLA rJOA'OF 51VINC EQUtPAfENT 1S PROHIBITED 6' 6' fi' 6' 6' 512E A B C D E F G H J % L I6'x 32' RECTANGLE 14'% 28 14' 28' 7' 3'9 B' 12' 4' 4' 4'6 5' 3'8" Nola:Diagonals given to 12 -6' PANELS TY PE II I6' % 3 16' 32' 8' 3' B 14 5'6 4'6 4'6 7' 4'e" 3 4 4-4' PANELS 900 point Ol comers. 16•X 36 18' 36' B' 3'4 I 14 5'614'6' 96 LIGHT /�a 4-CORNER PANELS 20% 4 20' 40' B' 3'4'1 - I CENTFRED 6 6' 8' 6' 21 -BRACES 35_ 1 -90' COPING CORNER SET 9 5 -Ifi % 32 COPING STRAIGHT SET 1aN, %O uu( I -VINYL LINER E=0= -y lrxrwu°vm. 4 i 4 3• 4" � I u R 5vw d.•r o • .Lova.(OrW t P¢YSI.Art Y PrMCL [ fk 6' 6' 6' 6 6' 4' IS'a 36' RECTANGLE9-'- 6 Q �"v �i14,2L.MNEL14-6' PANELS TYPE 21 b =nO CONAN5ai4' y 4-4' PANELS G EA`x E!ti eon MTl Fw wuru 605 22-BRACES4LIGHT 4 B' 6' I -90' COPING CORNER SET VLSn LIKER urian sults CENTERED 1-IBX 36 COPING STRAIGHT � � NIa4TKM NM IS / 4 -VINYL LINER .*•.a..r..n t l'[9NICYLITE Ox'EM.]KOtia" ( FI[FOOTER I- fi 03' 6 ' a Ianl"A. ' 6' 6' 6' 6' 4' WE (trrt[wa ruOGNESS 4 x IAIIFP FERWFTEM X RUM EErN i 4FU6' ' ' ' ' 6' 4' •4i.x.:i ..N"...:a 20'x 40' RECTANGLE 510 NEWRR 0191 501 IRAmt.OWN& I6-6" PANELS TYPE_11E """""[`rv:•iti'e..m i[vL (OFd.usY. L5Fu7 F1)T 8 \ � 6' 4-4' PANELS .w.....wx.... ... .+7�'j' 2 4-CORNER PANELS ! PRE00-I `[24-BRACESLIGHT 1-90' COPING CORNER SET CE" ERED 66 8' 6' I-20 X 40 COPING STRAIGHT SETRECTANGLE I-VINYL LINER 4`7'9' 6• NOTE:ALL CORNERS ARE 6" RADIUS. EVERYJOINT USES A BRACE. ALL CORNER6' 6' 4' SECTIONS ARE I' X 1 rw...rsm..r wV.m.w+x.Rw w w[rw..l w wubawn 1r+wvwW wlrm[rbxw.[w Wlr�Rx+r - � Wuu..Y^4.wn/Y.•Y[Ml..r[ru.M u.i..ulYR1. /M.YR.n.[N.iMu[/+W.r rwaaal.. 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