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HomeMy WebLinkAbout27038-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27537 Date: 02/02/01 THIS CERTIFIES that the building ACCESSORY INGROUND POOL Location of Property: 1140 BAY AVE MATT/LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 143 Block 3 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 29, 2001 pursuant to which Building Permit No. 27038-Z dated FEBRUARY 1, 2001 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 "AS BUILT" . The certificate is issued to MARTIN L GRIFFIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tho zed Signature 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. 27038 Z Date FEBRUARY 1, 2001 Permission is hereby granted to: MARTIN L GRIFFIN 1140 BAY AVENUE MATTITUCK,NY 11952 for INGROUND SWIMMING POOLWITH FENCE TO CODE AS BUILT. at premises located at 1140 BAY AVE MATT/LAUREL County Tax Map No. 473889 Section 143 Block 0003 Lot No. 019 pursuant to application dated JANUARY 29, 2001 and approved by the Building Inspector. Fee $ 150 . 00 4AU iz Sig ature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD JAN 3 BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 o� 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 a 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 - IMP 4. Updated Certificate of Occupancy, - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . . . . . . . . . .. . . . . . . . . New Construction. . . . . . . ff. . . Old Or Pre-existing Building. . . . . o� . . . . ,� pp Location of Property. . . .L� . . . . . . . . . . . .. . RA . 7v .: . . . . . .. . . . lt`!t^. . . . . . . House (No�.�,�/ Street Hamlet Onwer or Owners of Property.Mil 3��' ��. . :��.yy County Tax Map No 1000, Section. I1473V.1Q . . .Block. w, , , , ,Lot. . . . Q.�. (: Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . .f. . . IFiled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. D.3 , .Date Of Permit. .R4l�� �. . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .. .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Cert��i}}ficate. . . . . . . . . . . Final Certicate. . .� . . . , . Fee Submitted: $. . . . . . . . . .51,1� ... . . . . . . . . . . . APPLICANT• . . • • . . • . . . . . . . . . 1VwivyrOki uirlVLL q' R riU1LlJIINUPtKMIIAPPIA;AflONCHECK-LIS BUILDING DPARTNJE Tou Do F' R �� �q � y have or need the following,before applying TOWN HALL G Board of Health SOUTHOLD, NY 11971 ~ ',__._ 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 70 3 0�-'n Check Septic Form N.Y.S.D.E.C. Trustees Examined 20`` Contact: Approved , 20_ Mail to: Disapproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date 20©1 INSTRUCTIONS a. This application MUSTbecompletely filled in by typewriter,or in ink and submittedtotjo Building Inspector with 3 sets of,plan�,.accurate Iilot p)an.to scale. Fee according to schedule: b:Plot plan showing location of lot and of buildings on premises,relationship to adjoi}�ing�premises or public streets or areas, and waterws. t'"1 C'" c. The wor 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`i'nspeclion throughoufthe work. e. No building shall,be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. J l�\ 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 premises and in building for necessary inspections. (Sig tune of applicant o nam , corporation) Q ©, dOktoo I IWATi d- 'tl fTS1 (Mailing address.of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder bLOt� 6(Z Name of owner of premises M-T6�4 L • GQ.t o;ri J'- q- M'9•i-{ i-14E'2ESA GQ4V;:;7j of (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 114 o -b A �( A\/E �AATQ-t l-(CK House Number Streel Hamlet +yUaa45�?a`d€S o irti4"•a Co County Tax Map No, 1000 Section 1-"V'0 -0() Block 03 . 00 Lot ay Subdivision Filed Map No. Lot (Name) T ?. State existing use and occupancy of pr isgs and inteokd use and occupancy of proposed construction: a. Existing use and occupan�y b. Intended use and occupan�y__�C"��q�I n� 3. Nature of work (check which appjicable): New Building----------Addition-Alteration Repair Removal_T_ Demolition Other Work T�16KpllNl, $,)ivyr,>7(vjq41160� (Description) Estimated Cost 15 000 Fee I�p (to be paid on filing this application) If dwelling, number of dwelling uinits Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed (occupancy, specify nature and extent of each type of use. Dimensions of existing structures,) if any: Front Rear Depth Height Nlumber of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Zight Number of Stories Dimensions of entire new construction: Front Rear Depth Height Number of Stories Size of lot: Front �S f Rear 1S .0% Depth SOON �l--q'7,4(o 4, 0. Date of Purchase q Name of Former Owner S LAGA 1. Zone or use district in which preml'ises are situatedLSI�Es*tir r I 11 2. Does proposed construction viollate any zoning law, ordinance or regulation: N0 3. Will lot be re-graded 4 Will excess fill be removed from premises: YES NO 4. Names of Owner ofpromisesM!�4CA _Address�i{o iamy Aue. Phone No. L"j)aRf;-Jq I'� Name of Architect Address Phone No Name of Contractor_(} , (SP1 5nhc Address JO�a.}±t4t.x,(,cPhone No. 5. Is this property within 100 feet of \,tidal wetland? *YES NO N • IF YES, SOUTHOLDTOWN TRUSTEES PERMITS MAY BE REQUIRED N ,. 6; PrOide'survey, to scale, with4&i 1 k� )foundatidn plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) WUNTY OF� S: ! v being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, i)Ilc is the__� j)n e, (Contract'or, Agent, Corporate Officer, etc.) C said owner or owners, and is duly auth Irized to perform or have performed the said work and to make and file this application; at all statements contained in this applic tion are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn two before me this _ day of :to 0 1 No Public ignature of can SALLY SLAD03 \ i No"Public,State of New York No.4799M QOIY1� InBultWtYL POO iv ea y plo- -•-2 fC J - J C4 9 q• 7' H •fir S.C.T.M. NO. DISTRICT: 1000 SECTION: 143 BLOCK: 3 LOT(S): 19 MAIN ROAD W Z W LAND N/F OF NANCY LINCOLN � ►.°". w (DEED 497.4') 3.0' N 71000'00" E 497.46' Nn 1 s.s FE .4'E 14.9 c � toN �, O O O � TOCKADE FENCE ply UP r_, Z94.7' 46.4' N L�HiNG POOLS `° rGAS LL Lt1 METAL SHED w FR: GDD 0 43.0' 41.8' 113.5' 4' 46.2' °08.0'2 STY. M nNi srooP vK W 209.7' pamm Z R INGRND6 POO v CONC. o^ 35.0- 18,X 3 0 W =0 m x ELACKTOP DRAY ZCO �0 O w i� CQ FE. 7.6'E woN M Z S 71000100" w 494.70' LAND N/F OF GERTRUDE E. KOOP AREA: 37,206 S.F. OR 0.85 ACRES ELEVATION DATUM: --------------- ____ UNAUTHORIZED ALTERAAON OR ADDITION TO THIS SURVEY ISA 140LA17ON OF SEC110N 7209 OF INENEW YORK STATE EDUCAAON LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM TH£ SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUIION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTIIUTIOYV, GUARANTEES ARE NOT TRANSFERABLE. THE OIFFSETS,;OV? DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE SIRUCTURES ARE FOR A SPECARC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE IRE ERECTION OF FENCES` ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT TH£ TIME OF SURVEY SURVEY OF: DESCRIBED PROPERTY CERTIFIED TO: MARTIN L. GRIFFIN; MARY T. MAP OF: GRIFFIN; FILED: SITUATED AT-�1MATTITUCK TOWN OF: SOUTHOLD KENNETH M. WOYCHUK L.S. SUFFOLK COUNTY, NEW YORK Land Surveying and Design Calverton, New York 11933 FILE 20-23 • 1"=40' DATE: FEB. • ( ) 727-5129 FAX (514) 727-5127 / SCALE. B 28.2000 PHONE 516 y. N. Y. 5 UC N0. 50227.' mftfalalm8 ILo nomof Retort a. Bonn"