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Home My WebLink About28818-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29685 Date: 09/04/03 T~IS CERTIFIES tl/at the building ACCESSORY Location of Property: 1175 WATER TERP~ACE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13.10 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 2002 pursue-hr to which Building permit No. 28818-Z dated OCTOBER 10, 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. The certificate is issued to ROBERT E & CHRISTINA M WALDREN JR ( OWNER ) of the aforesaid building. SUFFOLK COUNT"f DEPARTMENT OF ~TH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u Rev. 1/81 N/A 1126569 04/21/03 N/A A~ho~ized~gnature FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28818 Z FULL Date OCTOBER 10, 2002 Permission is hereby granted to: ROBERT AND CHRISTINA WALDREN 1175 WATER TERRACE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN IN-GROUND SWIMMINHG POOL IN THE REQUIRIED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 088 Block pursuant to application dated OCTOBER 9, 2002 Building Inspector to expire on APRIL 10, 2004. 1175 WATER TERRACE Fee $ 150.00 SOUTHOLD 0006 Lot No. 013.010 and approved by the ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ ....... ~ This application must be filled m by typewriter or ink and submitted to the Braiding Depa- m~t 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. Conmlercial 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, Swinmfing 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, Com~nercial $15.00 Date. ~1~/O~ New Construction: Old or Pre-existing Building: (check one) LocationofProperty: I1 '~ ~ (O &~ ~,e'~qz, e,v o,_c_a~ House No. Street Owner or Owners of Property: ~C>~'~ q',c'4C *k Q.~\~[ ', ~O,. ~ O,,\~¥q3h, N Suffolk County Tax Map No 1000. Section ~ Block__ (O Subdivision ~ ~r,,~,.~,_\ ~:~N"x~xcll.~ Permit No.2'~ } g 7-... DateofPermit. to/tC~/o:2- Health Dept. Approval: Hamlet Lot Filed Map. Lot: Applicant: ~"~¢~0.~--~ ~o.~_',e~v. Underwriters Approval: Plarming Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted: $ Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by C-CAT CO. ROBERT WALDKON 9280 SOUND AVE. 1175 WATER TERRACE MATTITUCK, NY 11952, SOUTHOLD, NY 11971 Located at 1175 WATER TERRACE SOUTHOLD, NY 11971 Application Number: 1126569 Certificate Number: 1126569 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: Outside, Pool/Spa, was inspected in accordance with the National £1ectrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 21st Day of April, 2003. Name QTY Rate Ratin~ Circuit Type Miscellaneous 1-60 amp disconnect for self contained spa Appliances and Accessories Pool/Spa Bonding 1 0 Wiring and Devices Receptacle 1 0 20amp Pool/Spa Switch 1 0 General Purpose Receptacle 2 0 GFCI GFCI Circuit Breaker 1 0 20 amp Pool/Spa GFCI Circuit Breaker 1 0 50 amp Pool/Spa (Swimming Pool): ~ais certificate covers compliance at the date of inspection only. Because of unusual environments i'~ 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 or a raised seal at the location indicated. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT:~e:~_-~ DATE REVIEWED: ,o / ,o/. DATE SUBMITTED: ,~/q /~ SCTM# DISTRICT: 1,000, SECTION: ~ BLOCK: ~, , LOT: STREET ADDRESS: iL"/'5' I~['ko~T~P_'"--~ CITY: ~ca,ctx SUBDIVISION: PROJECT DESCRIPTION: _z:g-ca>'rk> ~ ESTIMATED PROJECT COST: ~ [1~;~ ARCHITECT/ENGINEER: _FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? _ fi' NOTES: "------- LOTS 40,000SF -100-24 Lot recognition (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger (A nonconforming at any time after ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT - CONFORMING? -- ACT. LOT SIZE:30_~ff__~ REQ. LOT COV. c~'~o ACT. LOT COV. t~o PROP. FRONT_ ,2' ..REQ SDE ~_~--/~ -ACT. SDE c:,.~bT~q ~ PROP. REAR ~9- I ' REQ. Ht?.IGHT ~ PROP. HEIGHT WATER FRONT? ~o FLOOD ZONE: __ESCRIPTION: -- APPROVALS REQUIRED SUFFOLK COUNTY HEALTH J)i~PT: YES o~:~) (BED #):.__ DTE: /__/__ PERMIT #:RI0- TOWN SEPTIC REcEn)T: Y o(...~ NEW YORK STATE DEC: ~ YES o~ SOUTHOLD TOWN TRUSTEES: YES or~.~. TOWN ZONING BOARD APPROVAL: YES or~) TOWN PLAN. BOARD APPROVAL: YES or~ TOWN HISTORICAL PRE (SPLIA): YES or~) NYS ENERGY: YES OR~. , / BGRF, SS (lS H rain.? 4 sq total) ~ VENT (SQ. Fr. x 4%) ~/,4 LIGHT (SQ. FT. x 8%) BUII.DINGPBRMITSOPEN/EXPIRED: BPr-~r~rgc,~2~-Z/C/0Z- [~-cQ~ ~ HAVB 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 T,T.D-T-~~ TOTAL: SF FEE 1. ( SF)- ( SF)TM SF X $ =$ +$ +$ 2. ( SF)- ( SF)= SF X $ =$ +$ +$ = $ ~ 76S-'t 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [,,] INS~ATION/ [ ] FRAMING ['-~FINAL [ ] FIREPLACE & CHIMNEY DATE 76S-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING ~AL [RE]MFIRE~IE~C_HIMNEY ~'IELD INSPECTION REPORT , DAT~ I COMMENTS- FOUNDATION (IST) FOUNDATION (2ND) ._ .~ ROUGIt FRbdM~G & PLUM~ING INSULATION PER N. Y. STATE ENERGY CODE / lJ~'-' ~D~ON~ CO~ - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 Examined ~/o ,20 Approved _,20~,~-~ Disapproved a/c~ Expiration ~//~ ,20_/ Buildi BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans planning Board approval Survey Cheek aspector Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 a. This 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 waterways. 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 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 from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, 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, housiz code, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspCl% ~,~ /~// (Sig tureofapplJ~angoC~ame, ifa corporation) (Marling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general conlxactor, electrician, plumber or builder NameofownerofpremisesC~0~'/~ q--Cfi~( ~P ,l~:l [~}0 L.-O ~1~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized off~cer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Ma1) No. 1000 S,~,qtion ' ~'-(~ Block (.~ Subdivision 1~-/19~ko~ >lMtg/(~_q FiledMal~O. , (N tme) , Lot ~-75, /0 Lot 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars 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 Addition .Alterati~ Other Work (Descri~tlon) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each ~type of use. 7. Dimensions of existing structures; if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions o f entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front Rear Depth l 0. Date of Purchase Name of Former Owner l 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES '~ NO Will excess fill be removed from premises? YES ~ NO 14. Names of Owner ofpremises(~O&e'r~T l-Ct~gtg'/-z4/~,. Address ii'7 Name of Architect Address Phone No NameofContractor-~S/,-~no ~,t.s LID Address 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NOx * 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 property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) '~ tx) '-"~. /~l~b C~ 7_ ~%/L' being duly swum, deposes and says that (s)he is the applicant (Name of individual ~ignJng 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 th/s application are true to the best of his knowledge and belief; and that the work will be pertbnned in the manner set forth in the application filed therewith. JOYCE M, WILKINS Notary Public, State of New No. 4952246, Suffolk County Term ExDires June 12~ ~l.O 0.3 LOT AREA = 31,103 Sq. FI. NOTE: MA)~IMUM CLEARING OF LOT IE~LIMITED TO 58,% 2.21-2002 FINAL SURVEY 5-262001 FOUNDATION LOCATION 3-$-200J REVISE PROPOSED DWELL UARANTEED ONLY TO ROBERT ~. CHRISTINA WALDRON FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK NO. 048992 CESSPOOL, SEPTIC TANK ~nd WATER SERVICE LOCATIONS ARE BY OTHERS. '-~'~8 NO. 0~-§20 FILE NO. ANGEL SHORES SURVEYED FOR ROBERT 8 CHRISTINA WALDRON LOT NUMBER 8 MAP OF ANGEL SHORES ' SITUATED AT BAYVlEW TOWN OF 50UTHOLD, SUFFOLK COUNt, NEW YORK 1" = 50' DAT~ I~-t:6-2000 FILED MAP NO. 9729 DATE 8-2~1~85 TAX MAP NO. 1000~88-6-13.[0 (RER ONLY) HAROLD F. TRANcHON JR. P.C. . LAND SURVEYO~ 1866 WADING RIVER-MANOR RD. WADING RIVER, NEW YORK, 1 I 792 631-9~9-4695 AONVdflo00 N 01.L~t96 i~.~03 NOdn ~lOO30.L "lOOd 3S093N3 ,A'13.1.¥1C].~ IA! i?~Jl,, IV