HomeMy WebLinkAbout29146-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29631 Date: 08/11/03
· ~{IS CERTIFIES that the building ACCESSORY
Location of Property: 2600 PARADISE POINT RD SOUTHOLD
(ROUSE NO.) (STREET) (HAMLET)
Co~nty Tax Map No. 473889 Section 81 Block 3 Lot 15.7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated pursuant to which
Building Permit No. 29146-Z dated FEBRUARY 6, 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 JEFFREY & SUSAN KAYTIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ~L%LT~ APPROVAL
ELECTRICAL CERTIFICA~ NO.
PLUMBERS CERTIFICATION
Rev. 1/81
N/A
1218 06/28/00
N/A
Authori zed ~ature
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. 29146 Z
Date FEBRUARY 6, 2003
Permission is hereby granted to:
JEFFREY & SUSAN KAYTIS
PO BOX 228
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REAR YARD WITH
FENCE TO CODE AS APPLIED FOR. REPLACES BP 26347.
at premises located at
County Tax Map No. 473889 Section 081
pursuant to application dated N/A
Building Inspector to exq~ire on AUGUST
2600 PARADISE POINT RD SOUTHOLD
Block 0003 Lot No. 015.007
and approved by the
6, 2004.
Fee $ 150.00
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.
26347 Z Date FEBRUARY 11~ 2000
Permission is
hereby granted to:
GEORGE & ORS KAYTIS
PARADISE POINT RD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REAR YARD WITH
FENCE TO CODE AS APPLIED FOR.
at premises located at
2600 PARADISE POINT RD
SOUTHOLD
County Tax Map No. 473889 Section 081
pursuant to application dated FEBRUARY
Building Inspector.
Block 0003 Lot No. 015.004
4~ 2000 and approved by the ~%~
Fee $ 150.00
J-- --- Authoriz~ 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. Conunercial 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
New Construction:
Old or Pre-existing Building: (check one)
House No. Street Hamlet
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Block Lot 6 .q
Subdivision ~l
PermitNo. c:~\k~[,0 DateofPermit. ~-(,o-05
Filed Map. Lot:
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764
Application No: 1218 Date:6~28~2000
Issued to:Kaytis
Address: 2600 Paradise Poim Road
Village:Southold,Ny Zip: 11971
Introduced by: Bethel Electrical Contracting Ltd.
Township:Southold
License #:2880-E
was examined and fotmd to be in compliance with the National Electrical Code
,Ntic 1 st Roo' ResidenlJaJ [] Pool [] Del ~
lll l
Switches Receptacles Fixtures G.F I Heaters Air Conditioners
I 2 2-500Watt 1
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide
Furnace Oil Gas Circulators Smoke Bell
Detectors Transformers
3ther Equipment Meter Amps Phase Motors
1-1 1/2Hp
nground Pool
1-20A Timeclock
:]ut,Res
Building Permit No.
Section: 01 Block: 3
Lot: 15.4
This certificate must not be altered
in any manner
] )ale
gubmiltcd
Project Description: ~ [ - ~ .
_AGENCy PERMITS
~REQUIRED FOR REVIEW
Permit
N.A. N~O YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Plartning Board approval:
Flood Plane Elevation ?7?
Flbod Zone:
No res:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING ~ FINAL
[ ] FIREPLACE & CHIMNEY
RE:MARKS.' //~,./- -.~-'~,~'~, .- ~-~
DATE
INSPECTOR,~~,_.~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[, ]/~t~ATIoN
[Z/~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~ ~ ~~-~//
)ATION (2ND)
H
3 FRAI'fE &
PLUMB I NC,
LATION PER N. Y.
TATE ENERGY
CODE
~J}DITIO[tAL COf~ENTS:
~ORtl ~0.
TONI~ OF SOUTROLD
BUILDING DEPARI~fgNT
TONlt BALL
SOUTBOLD, N.Y. 11971
T~L: 765-]802
Exmined .................. 19 ....
Disapproved a/c ..................................
// (l~ilding Inspdm6r )
APPLICATION FOR BUILDINC PEIL~IIT
INSTRUCTIONS
BOARD OF BEALTIt ...............
3 SETS OF PLANS ...............
SURVEY ..................... ...
CI~CK .........................
SEPTIC POP. It ...................
a. This application ~st be c~pletely filled in by typeeriter or in ink and sulnmitted to the Building Inspector
3 sets of plan~, accurate plot plan to scale. Fee according to schedule.
bl Plot plan stx~ing location of 10t and of buildings on pL~,Ises, rel~tiunship to edjoining premises or public
streets or areas, and giving a derailed description of ia~ut of property mst be dra~ on the diagrm ~hich is Imrt of
~his applicat ira. :
c. ~e ~rk covered by this application my not be ccmmnoed before isa of Building Permit.
8. U~,, ~,oeal of thia appliceticn, rbe Building Inspector ~ill issue a ~ilding Pemlr to the applicant.
pemlt shall be kept on the p~,~aisee available for inspection throuSbeur the
e. lto building shall be oo~ied or used in ~hole or in part for any ~ ~natever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
API~LICaTI~I IS tmam~ ~ to the Buildin~ De~t for the ism of a Building Pemit pursuant co
Builalng Zone Ordinance of the To~n of Southold, i~uffolk County, ~ York, and other applicable Laus, Ordinances or
P~gulations, for the construction of buildings, additions or altererinos, or for r~al or de~oliricn, as herein
described. The applicator agrees tO cdmply ~rlth all applicable la~s, ordinances, building code, housing cede, and
regulations, and to adair anthorized inspectors on ~ises and in buildingfor necessary inspections.
(Signature of applicant, or r~me, if a corporation)
(l'la~ling address of applicmOc
State whether apPlic~t is,~aner, leesc~e, agent, architect, engineer, general contractor, electrician, plur~er or builder
......................... .................................................................
....... ...............................
(as on~ the tsx roll or la,est d~}.}O~.%X~ J~"
(Nam and title of corporate officer)
Builders Licease ~o ........ ?/~, ............
Pl~rs Li~ ~ ...............
,,~,~i= ,~ ~...:a~..!~.t ......
~r ~'s ~ ~ ...... ~ .........
~. ~i~ of 1~ ~ ~i~ ~ ~ ~11 ~ ~ ..............................................................
~oo ~ . .~ : ..........
~ ~r S~t ~et
~,,~ ~ ~. ~ ~ .... ~.t ......... ~ ..... -~ ........ ~ .--t?.'.~ .....
~i~isi~ ....... ~il~ ~ ~ ...... l~t ........
(~)
2. State ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of pro~ c~st~cion:
- ~ ~ ........................ ~ .... : ................
~. ~ ~ ~ ~ ~CO~.,.e.~.~.0.~...~x.-~:,~ ~?.~.~.~..:.:~.~..'.
Nature of work (cbeck which applicable): New Duildin& .......... NMition ......... Alteratioo ..........
llepair ............ Reaoval ............. Demolition ............ Orimr Work i ............... ~.~?.~...~. ~..~
(Description)
~,/. ~oo ~.~ '
Estimated Cost ..... ' fee
(to be paid on filing this applicatioo)
If ck~elling, n~rber of d~elling units ............ Number of ~lltng trolls oo each floor ................
If garage, nunber of cars ......................................
If business, cu~,=rcial or mixnd nccupar~y, specify saCure and extent of each type of use ......................
Dimensioos of existing strnccures~ if any: Froot ............... .. Rear ............... DepU~ .................
lleight .............. . ........... Number of Stories ......................
Dimensiorm of sa~e structure ~ith altecatioos or additions: Front ............... I~ar ...............
Depth .................... l~ight .................... l~t~r of Stories ...............
Dhnensio~s of entire ne~ coostruction: Proot ................ Rear ............... Depth ..............
Ileight ......................... lx~ber of Stories .....................
Size of lot: Frc~t .................... Rear .................... Depth ....................
[~te of ~urchase ..................... Rafts of Former O~ner ........................................
Zooe ~r u.~ district in vhich premises are situated ..............................................................
Does proposed construetioo violate any zoning 1~, ordinance or regulation: ........................
Will lot be regraded .................... Will e~ee fill be
............. .... .... .........
Is tl~is property wirhla ~0 feet of ~ tidal ~etl~l? * ~ .......... hD .....~.....
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether exis~ng or proposed, and indicate all set-back diimsaims
property lines. ~ive street and block ,-.,~er or description according to deed, and show street nares and indicate
ther interior or corner lot.
OSCUPANCY 02
USE IS UNLAWFUL
CERTIFIC
!WITHOUT
CgCUPANCY
"IMMEDIATELY"
UNDERWRITERS GERTIflGAIE
'm ~ ~ ~mi<_, /-~ /~ REQUIRE9
,,I~ c~ ...~. ,/.~.., ..... ,~s
· ' ' , 'gniug cootract)
APPROVED AS NOTED
DATE:
765-1~2 9 AM TO 4 PM F~ ~E
FOLLO~NG INSPE~ONS:
1, FOUNDATION - ~0 REQUIRED
~R ~UREO CONCR~
2, ROUGH - F~ING & P~MBING
3. INSU~ON
4. FINAL - CONS~UCTION MUST
BE COMP~ FOR C.O.
ALL CONS~U~ION SHALL ME~
THE REQUIREMENTS OF ~E
STATE CONSTRU~ION & ENERGY
CODES. NOT RESPONSIBLE FOR
D~IGN OR ~NS~U~ON ERRORS
duly maim, deposes and says that he is the applicant
(ContrscYOr,~ ngent, corporate officer, etc.)
.said cwoer or owners, and is duly authorized' to perform or have perforn~d the said work m~l to make and file this
,llcati(~; that all statements contained in this application are true to the best of his knowledge m~d bel. iefl arid
,t the w~rk will be performed in the marmer set forth in the application filed therewith.
~rn to before me this
........ d..~....d,~o~ ...?~ ..... ~
GUAUREo r:~ SUFFOU( COL~IY
REG' NO' OtHA4526433 L/ / ~/~
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