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Home My WebLink About29251-ZFORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29679 Date: 08/29/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 400 EMORY RD CUTCHOGUE (HOUSE NO~) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 34 Su]~division Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2003 pursuant to which Building Permit No. 29251-Z dated MARCH 28, 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 INGROI/N-D SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOHN & KAREN STRATTARD (OWNER) of the aforesaid building. SI~FFOLK COOlq%~f DEPARTI%~NT OF I{]~%LTH APPROI~L N/A ELECTHICJ%L CERTIFICATE NO. 75623C 06/12/03 PLI~BEILg CERTIFICATION D~£~u3 N/A ~//d~Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29251 Z Date MARCH 28, 2003 Permission is hereby granted to: for : JOHN & KAREN STRATTARD 400 EMORY RD CUTCHOGUE,NY 11935 CONSTRUCTION OF AN IN-GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR at premises located at 400 EMORY RD County Tax Map No. 473889 Section 103 Block pursuant to application dated MARCH 27, 2003 Building Inspector to expire on SEPTEMB/28,~ Fee $ 150.00 //'~ CUTCHOGUE 0004 Lot No. 034 and approved by the COPY 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 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 fi-Omo plumber certifying that the solder used in system coutains less than,. ~ -~2~2/10 of 1% I,ead. 5. Comme-c a buildiu,~ ~dustr al buildiug *au t p e resideuces and similar buildings ap~~jnsta44nfictr~7¢'6cvu~cate of Code Comphance from architect or engineer responsible for the building : .--, 7' !' ~ . 6. Submit Plamfing Board Approval of completed site plan requirements. B. For exisfi,,~, b,,ildin~,s (prior to April O, 1057)non-conforlnin~, uses, or buildings al~d ll~k, re-existJng land use[s: 1. Accurate ~urvey of property showing all property lines, streets, building and dna~uat natural or topographic features. ' 2 A properly completed application and couscnt to iuspect signed by the applicant. Ifa CtMihcale of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the apl~licanL C. Fees 1. Certificate of Occupaucy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dxvelling $25.00, Swimmiug pool $25.00, Accessory building $25.00, Addilions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy ou Pre~existing Buildiug - $100.00 3 Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupaucy- $50.00 5 Temporary Certificate of Occupancy - Resideutial $15.00, Commercial $15.00 Date. New Constructiou: Old or Pre-existing Bui~d~.~ Location of Property: ~.~ ~.a~O,w~. ~?J House No. / ~ Street OwnerorOwuersofProperty: X_PaA7 _~ ~ Suffolk County Tax Map No 1000, Section ~ ~ ~ Subdivision Permit No. r~r-~L2'~-?~ \ Health Dept. Approval: Plarming Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~(check one) Block 4 Lot~q Filed Map. Lot: Date of Permit. ~ "xo..c~ "Gx.~ Applicant: Underwriters Approval: Final Certificate: (check one) ~v1~pplicant Signatnre issue Date 6/12/03 Electrical Inspection Certificate Electdcalinspection Service, Inc. Application 375 Dunton Avenue 75623C East Patchogue, New York 11772 (631} 286~642 Issued To: John & Karen Strattard Street: 400 Emory Road Village: Cutchogue Zip: 11935 Section: 103 Block: 4 Lot: 3 Contractor: Down Easter Electric Inc. Town: Southold Lic.# 5156-E Was examined and found to be in compliance with the National Electrical Code. Commercial ~ NVDefects ~ Pool ~ lstFIoor ~ indoor ~ Basement ~]HotTub Residential [~ Det, Garage ~ Attic ~ 2nd Floor ~('J Outdoor ~ Addition ~ Survey Switches Receptacles Fixfures GFI Heaters 1 1 1 1 Dishwasher Washer/Amps DryetTAmps Oven Range/Amps A/C Fans Furnace Oil Gas Circulators Smoke Detector Bell Transformer Me~er Amps Phase UG/OH / Bldg. Permit: Other Equipment Jacuzzi Television CO Detector I-Pool Panel I-Time Clock l-Motor l-Oil Heater Hugo S. Surdi President Rough Inspection: 05/20/2003 Inspector: Ed Scavelli Final Inspection: 05/20/2003 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectom may be identified by their credentials, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN.ON [ ] FRAMING [ ,/]~NAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR COMMENTS ?ll~J~D INSPECTION REPORT i DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE _ FINAL ADDITIONAL COMMENTS TOWN OF SOU-THOLD BUILDING D~EPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ~~' ~/ ,20 Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 3 sets of Buildhag Plans planning Board approval_ Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: " APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 corrm~enced 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, housing code, and regulations, and to admit authorized inspectors on pretuises and in building for necessary inspections. ~~re o~a~--i~ or name, if a corporation) (Mfmg address of applica~J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises __ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. ~'OyT~~' Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed y/brk will be done: House ~umber - -?tre~t County Tax Map No. 1000 Section /~ ~ Block ~/// Subdivision D'c'~4/? t,/ ~'~o--¢ c'; ~ Filed Map No. go2. 3 / ¢ ame) / .... Lot % Lot 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost /2-~7f 5. If dwelling, number of dwelling units If garage, number of cars State existing use and occupancy of premibes and intended use and o~ccupancy of proposed construction: · i . "7~ ~ / ,/2. a. Ex~st~ng use and occupancy ._._;, ,,-~:~+51 ~, ~6' / /- , //r b. tended use and occupancy Addition Alteration Other Work (Description) 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 Rear Heigh'~ Number of Stories .Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions o f entire new construction: Front Height 9. Sizeoflot: Front 10. Date of Purchase Rear Number of Stories / Rear ,/(,/' ~'- Depth 11. Zone or use district in which premises are situated Depth 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~X/<~ NO 14. Names of Owner ofpremises,_~c~,l ~"Pr-oJ~XAddress ~6g>~-qoT/~//?{~ehone No. ~'/c~,~.~ Name of Architect Address Phone No Name of Contractor ~'~,~a,,,e ../~_.Z I~r. Address3~:~Ck'~d//-/-,~.~ehoneNo. ~-2~'. ~'-P'9'f-/ ...... " ,3¢~'y//qY'G .... this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~, 1 5 a. Is * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1TS MAY .BI~ REQUIRED. b. Is this property within 300 feet ora 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: /~-~'~. ff.~xc'..Tn~m ~'~tr'qt~.r~mg duly sworn, d~oses ~d ~ ~ ~1 1dual sing contract) above nme& says that (s)he is the applicant (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or o~vners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this,_ ~_ day of ~--~-,J~/'~'4 20 0~-~ ~ot~blic CHRISTINE ZAWESYJ NOTARY PUBUC, State of New Ymk No. 52-4791196 C~mm~#fied in Suffolk County i~ion fi,~im~ June 30,..~ ~/ S x ~mI"~ur~o f Applic ant