HomeMy WebLinkAbout26240-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26887
Date: 01/18/00
THIS CERTIFIES that the building
ACCESSORY
Location of Property: 29827 MAIN RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 14 Block 2 Lot 1.8
Filed Map No. __ Lot No. __
Subdivision
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 4, 2000 pursuant to which
Building Permit No. 26240-Z dated JANUARY 4, 2000
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 SANDRA PAWSON SINCLAIR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
H 066843 01/12/00
N/A
Authorized S~nature
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.
26240 Z
Date JANUARY 4~ 2000
Permission is
hereby granted to:
SANDRA PAWSON SINCLAIR
29827 MAIN RD.
ORIENTINY 11957
for :
INSTALL AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS BUILDING PERMIT REPLACES BP#23944-Z.
at premises located at 29827 MAIN RD
County Tax Map No. 473889 Section 014
pursuant to application dated JANUARY
Building Inspector.
Block
4~ 2000
ORIENT
0002 Lot No. 001.008
and approved by the
Fee $ 150.00
/rized~ Signature
Rev. 2/19/98
ORIGINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF
This application must be filled in by typewriter OR ink
inspector with the following: for new building or new
1. Final survey of property with accurate location of ~
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewers
3. Approval of electrical installation from Board of Fire Underw~
4. Sworn statement from plumber certifying that the solder used in
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bui
and installations, a certificate of Code Compliance from architect or enginee
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or building
"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 appli
If a Certificate of Occupancy is denied, the Building Inspector shall state t
reasons therefor in writing to the applicant.
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.
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00
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
Location of Property..~.~ ..... ~ ...... :.~-,..'-~ ..... ! .......... ~ ....
House No. Street Hamlet
......................
Onwer or Owners of Property ............~ .....................
County Tax Map No 1000, Section.../.Y ...... Block ............. Lot ...........
Subdivision .................................... Filed Map ............ Lot ...............
Permit No..~.~0..--~...Date Of Permit../.-~-~.--~-~. ..... Applicant ......................
Health Dept. Approval .......................... Underwriters Approval ..................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted:
............. ..........
APPLICANT
THE EW YORK BOARD OF FIRE' r
8~784(~7 BUREAU 0 FELECTRI';'U
~- JANUARY 12 o~ 40 FULTON 6TREET, NEW YORI{
H
066843
Date '~ Application No. on file
Ill $ CERT F ES THAT ~. '
only the electrical equtpment as described below and mtroduced by the applicant ngmb~ on;~he ~ove applicaaon number ts tn the premtses of
in
~e
Iottow~.g
IocaHon;
- ,Sectton Block ~t
was examined on J~Y ~6 , 2~ and found to be in compliance w~th tH~ N~H6n al Electrical Code. .
FIXTURES RANGES ~VENs DISH WASHERS EXHAUST F~NS
FIXTURE RECEPTACLES SWITCHES
OUTLETS FLUORESCENT OTHER
2
DRYERS
E
NO.O~CCCOND.
PER ~
OTHER APPAR~US:
SW~gING POOL-1
GFCI~I
pANELBOARDS,1-8 CIR. 100
*(SWIMMING POOL) This certiEicate
cove~s compliance at the date oE
inspection only. Because oE unusual
environments i~ is advisable ~o
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2 ~>>
GENERAL MANAGER
not be altered In any manner; return to the office of the Board if J'nc6ffect, f6spe~iors may'be identified by their credentials,
This
certificate
must
COPY FOR BUILDING DEPARTMENT THIS",COP,Y,OF CE,BTIEICATE ,M~QSTj N~:T,.':~,E;C,L:I~RED ,IN ANY MANNER. I
' SERVICE DISCONNECT I NO. Oi;I
OTHER APPARATUS:
THE NEW YORK BOARD OF FIRE RS PA ;2
8~78407
BUREAU OF ELECTRIqI~T
~" 40 FULTON STREET, NEW YORK~ ,:
Date JANUARY 12,2000 Application No. on file ,~'I H 066843
THIS CERTIFIES THAT , ,r , ~ ~ '~
and mtroduced by the apphcant named on the above app~ica~on number is in the premises of
only the electrical equipment as described below ' ' ~:' ~ '" ~ ~ ~ ~ ' '
THE.EST.OF BECICf JOHNSTON, 29827 MAIN ROAD~ ORIENT, NYC". ~/~ .,/ , ,
OUT
in the following location' I~ Ba*~., ~ ~t Fl. ~ 2.d Fl. ' r' S~"O. B~k ~'
J~NflJARY 06,2~O ' ' . .
and found to be tn compliance with the l~at~onal Electrtcal Code.,
SPECIAL REC'PT. T i COCK$, -' B~L'L',,] U~J[T HEATERS U -OUTLET DIMMERS
P. O. BOX 236
~ ORIENT, NY, 11957 GENERAL MANAGER
if ~ncOrrec
~ This certificate must not be altered In any manner; return to the office of the Board L !rt~pec[tbr? may be identified b~' their credentials.
COPY FOR BUILDING DE ARTMEN% THIS COPY OF CERTIFICATE MUST N~,T;. BE ALTERED IN ANY MANNER, :, ' ,
THE I EW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 ,JOHN STREET, NEW YORK, NY 10038
Application No. on$ile 13644897/97 N 42142~
1000965
Oate J[~fE 02, I99'7
THIS CERTIFIES THAT
o~y the electrical equipment as d~scrlbed below ami introducmt by the applicant named on the above application number in the premises
BEC, KY JOHNSTON, 29827 MAIN ROAD, POLE #220-120, ORIENT, N,Y,
in the followiog t.cation; [] B~semeng [] Ist FI. [] 2nd Fl. O~f Section Block Lot
~,es examined o~ ~ 30t 1997 andfound to be in compliance with the Natlonal Electrical Code.
FIXTURE
OUTLETS SWITCHES FLUORESCENT OTHER
3 1
FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
DRYERS
SYSTEMS
NO, OF FEET
E R V I C
NO, OF CC. COND. A,W,G, NO, OF HI-LEG A,W,G, NO. OFNEUTRA[S A.W.G.
PER ~' OF CC. COND. Of:HI-LEG OF NEUTRAL
SWi~4ING POOL- 1
G.F,C,I-1
PANEL~OARDS: 1-11 CIR. 125
* (SWIMMING POOL) This certificate
covers compliance at the date of
inspection onlyo Because of unusual
-environments it is advisable to
have frequent test/~d or repairs
made by a qualified person,
-~'<< Cont.[nued or~ Page 2
GENSRAL MANAGER
Per_
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1(~(~}~965 BUREAU OF ELECTRICITY
~-- 85 JOHN STREET, NEW YORK, NY 10038
Date
THIS CERTIFIES THAT
o~y t~ el~tr~ ~aipment ~ ~scrib~ be~w a~ int~uc~ by t~ ap~i~nt ~ on the o~ oppl~ation number in the prem~es of
BEC~ JO[~STON, 29827 ~IN ROAD, POLE ~220-120, ORIEl, N.Y.
i. the followlng tocatlo,; ~ B,,ement ~ Ist Fl. ~ 2nd ~% OUT Section Bilk Lot
u~ examined on }~Y 30,1997 and found to be in compl~nce with the NaMonal Elect~cal Code.
RANGES
~ECIAL REC'PT.
R
TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET
SYSTEMS
~r. ~PS. TRANS. NO. OF FEET
V I C
EXHAUST FANS
DIMMERS
E
LIC. #1895 L
~l,~#~-,~'~"tk'~ Per . '
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ~UST NOT BE'ALTERED IN ANY NANNER.
J~]S T. RIDGE
132 HANDSOt,~ AVE.
SAYVILLE, NY, 11782~2906
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ~,NSULATION
[ ~J FINAL
REMARKS:
DATE INSPECTO._~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [/ ] I/NSULATION/
_F-~] FINAL
[ ] FRAMING
[ ] FIREPLAC~ & CHIMNEY
REMARKS ~~~~*~~ ~
DATE /////~'~ INSPEC~
!
PL/k,J~J ('T"fP'fc.b.L) I
®
Hans-Joachim Ootlke
President
· (5t6) 288-4267
POOLS BY HANS, INC.
POOLS AND SPAS
36 North Quo,er Road
Westhompton, N.Y. 11977
FOPd4 NO.
TONN OF SOUTHOLD
BUILDING DEPARTNENT
TONN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
Disapproved a/c ........................ .... .. · ...
BOARD OF III~,/~LTIt
~'/'~3 SETS OF PLANS ...............
~SURYEY ........................
.CHEC~ ... .....................
---- --/~PTIC FORH ...
NOTIFY:
CALL ........
HAIL TO: ....................
(Bu~fa~ y~tor)
APPLICATION FOR BUILDING PER}lIT
INSTRUCTIONS
a. This application mast be completely filled in 'by typewriter or in ink and suhnitted to the Building Inspector with
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
' h. Plot plan shoaing location of lot and of beildings on prmises, relationship to adjoining preaises or public
streets or areas, and giving a &tailed description of layout of property ~st be dr~n on the dlngran ~ahich is part of
~his application.
c. The ~ork covered by this application may not be ccmaeaced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector ~.zill issue a Building Pemlt to the applicant. Such
pexmit shall be kept on the premises available for inspection throughout the work.'
e. No building shall be occupied or used in ~hole or in part for any purpose ;daataver tmtil a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATI(lq IS ~ ~ to the Building Department for the issuance of a Building Permit pursuant to the
Building Z~e Ordinance of the Toga of Southold, Buffolk Cot~ty, ~ York, and other applicable La~s, Ordinanees'.or
Regulations, for the constroctim of buildings, additions or alterations, or for removal or demolition, as herein
described. The applicant agrees to canply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to admit authorized inspectors on prmises and in building for necessary inspections.
(Signatfitag of applicant, or nam, zf a corparat~on)
(l~ailing address of applicant)
' v_Y. JrqT_AU _MMt" 1
State x,tmther applicant is oaner, lessee, agent, ar~~~,~ contractor, electrician, phlnber or builder.
~.¢~4~.... .. . ............... ~u~.p:~.u. ............
."ses ..... ...................................................................
: (as on the ta~ mi1 or-~atast deed)
If applicant is a corporation, signature of duly authorized Officer.
(Nane and title of corporate officer)
Builders License No ..................... . ..
Plumbers License No ............
Electricians License NO .......
Other Trade% License NO .....................
I. Location of laed on ~hlch propesed ~ork }*ill be done ........................................
· ................... &m;/: ........................
}louse Nm~er Street Itomlet
County Taxl~rp NO. 1000 Section ..../.~. ......... Block ....~.k ......... Lot ...~:~. ..........
Subdivision ............... Filed 14ap No .......... lot .........
2. State existing use and eecupaacy of pre,m, ises and intended use and accoFeocy of prol~sed construction:
~¢ ~/~ ~ .................
a.~--' ~:--r~st~ uae an~ occupancy .... , ......................................... ~--- ,- ..........
h. Intenaed use and occupancy ....... .0. .... R .......... a ~ ...................... ...........
loc. ate clearly taxi distinctly
groparty lines. Give street aml
uhedler interior or corner lot.
3. N~]ture of ~ork (cl~,ck ~hld~ appilicable): ~ Building .......... NIdition .......... Migration ..........
(to tm ~id on filing thi~ a~licati~)
5. If ~mlhng, amtmr of ~lln~] tm/ts ............ }l~imr of {k~lllng trolls ~ each H~r ................
If garage, t~mlmr of ears ..... l ................ , ................
· I
6. If Imsi~msa, ~nmrcial or ml~] ~qmt~, s~cify ~mture ami extent of each ty~ of use ......................
7. IJnl~ns~m of ~tstmg stnmtxires, If any: Fret ................ ~ar ............... ~pth .................
t~ight ........................ n K~dzr of 8torien ......................
lhnunal~m of sam stnmta~ro with alterati{m, or ~ltlOn8 Front ............... ~nr ...............
~pth .................... lhJ~t .................... Kmi~r of Stories ...............
. . . .......
~. Dlll~n81~18 Of entire t~ e~st tl~ll l'rcmt ........
hi~t ............... I. Kaflmr of 8torles .....................
12. ~ prol~ml ~mt~tlm vlol~te any r~fing 1~, onlltm~me or re~dattm: .... ~ ................
· ~ of Arddt~t ............. [ ....................... ~klress .............................. ~ ~ ...............
]5. Is this p~rty ~ithln ~ f~t of a tkhl ~tlm~l * ~ .......... ~ ..........
Pl.OT 1)I AGRA~
UNDERWRITERS CERTIFICATE
REQUIRED
,glA'[1C OF NI'M ~,
(l~am et i,flividmal, signing c~ltract)']
"IMMEDIATELY"
BEFORE ~11~R'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE,
OF OCCUPANCY
APPROVED AS NOTED
7fl5-1~02 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSU~TION
4. FINAL - CONSIRUCTION MUST
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
........... lining duly m.x}r,~, delx}ses ami .~ays thnLdm is the ni,plic~mt
.tile ia the
(Czmtraetor, ngent~ 0orl~rnte officer, etc.)
of ~aid (~mr or ~mru, taxi ie duly ~thorlr~l to ~rronn or I}~ lmrrormd tim ~[d ~rk alKI tO rake a~ file this
,9~ern Lo before .~ tll{s j
..... ~J. .......... ,,ay of ..~.~ ..... i ..... '~ ....
(SiRtm~4~e of Appl lc-ant)
Il
LON°
sOUND
~,,~.09,?0. E.
AREA = 5.7251 acres
to tie lines
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
UNDERWRITERS ~RTIFICATE
REQUIRER
"IMMEDIATELY"
CERTIFIED TO'
BECKY JOHNSTON
PECONIC ABST, iACT, /NC.
LONG ISLAND SA VlNG$ BANK
5
SURVEY OF
PROPERTY
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 14 - 02- ! 1
Scale: I" = 60'
Nov. 23, 1996
Dec, 10,1996 (additions)
5
'PECONIC
(516) 765 - 50~0
P. O. BOX 909
1230 TRAVELER
SOUTHOLD, N.Y.
STREET
11971
NO. 49BI8
96- 307
UNCERWRITERS CERTIFICATE
REQUIRED
"IMMEDIATELY"
ENCL~6B FOOL TO CODE
UFON COMPt. E'I1ON
BEFORE "WATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APP, EOVED AS [qOTEI~ _
765-1~02 9 AM TO 4 PM FOR TNE
FOLLOWING ~NS2ECTIONS'
FOR POURED CONCRETE
ALL CONSTRUCTION SNALL M~T
THE REQUIREMENTS OF TNE NY.
DESIGN OR CONSTRUCTION
LU
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Project No:
Drawn By:
Checked By:~1 ~'
Date:
2.,
Scale:
Sheet T~tle:
Sheet No'