HomeMy WebLinkAbout26350-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27257
Date: 98/21/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 655 EAGLE NEST CT LAUREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 9 Lot 7
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 9, 2000 pursuant to which
Building Permit No. 26350-Z dated FEBRUARY 16, 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 AC~w~SORY ABOVE GROUND SWIMMING POOL IN REAR YARD WITH FENCE TO
CODE AS APPLIED FOR.
The certificate is issued to THOMAS & MAUREEN NOVAK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-068857 08/10/00
PLUMBERS CERTIFICATION DATED N/A
h/rize~
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(T~IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26350 Z
Date FEBRUARY 16, 2000
Permission is hereby granted to:
THOMAS & MAUREEN NOVAK
655 EAGLE NEST CT.
LAUREL~NY 11948
for :
CONSTRUCT AN ACCESSORY ABOVE GROUND POOL IN REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
at premises located at 655 EAGLE NEST CT LAUREL
County Tax Map No. 473889 Section 127 Block 0009 Lot. No. 007
pursuant to application dated FEBRUARY 9~ 2000 and approved by the
Building Inspector.
Fee $ 50.00
Author ' z~d Signature
Rev. 2/19/98
ORIGINAL
TOWN HOLD
BUILDING' DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP
This application must be filled in by typewriter OR ink and 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
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of i% 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.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Upre-e_xisting" 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-existinK Buildin~ - $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
Date
........ ..... . ...... , ....
Location of Property.. ........ ~._~.../.__.~....~.,~..O~..... .........
House No~~[ ~ [~'~ %h,~-t~ ~..Street/~~ dHamlet ~. 0.~..~·
o~wer or o=ers of Property..~...~.....-- ..... ,..,,.~.-....---.
~onnty T= ~p ~o ~000, Section../)-f:-O-e.~loc~..~:-°--°.- .... ~ot'.O~O~Z~.O.,~ ........
Subdivision Filed Map Lot ....
Permit No ............. Date Of Permit ................ Applicant .... ff .....................
Health Dept. A~p~oval .......................... Underwriters Approval~ ......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate..
Fee Submitted: $ .... ~.~- t. O- ·
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN/SUi. ATION
[ ~/~INAL
[
REMARKS:
] FIREPLACE & CHIMNEY
DATE
INSPECTOR
)ATION (IST)
)ATION (2ND)
a FRA~. &
PLUMB I NG
FINAL
LATION PER N.
TATE ENERGY'
CODE
ADDITIONAL C01~MENTS:
THE NEW YORK BOARD OF FIRE uNDERWRITERS
PAGE 2
8~8~885 BUREAU OF ELECTRIGITY
FULTON STREET, NEW YORK/, NY10038 .. , ',;
D,~e AUGUST 10,2OO0 Apptica~.. No. on.re H 068857
T~IS CERTIFIES THAT
FIXTURES
FLUORESCENT OTHER
FUTURE APPLIANCE FEEDERS
RANGES
MT. , K.W.
PEClAL REC'PT.
AMT. AMP.
R
FIXTURE R
ODTLETS
DRYERS FURNACE MOTORS
TIME CLOCKS BELLIUNIFHEATERSUNIT HEATERS MULTI-OUTLET
AMT. AMPi. TRANS. ~ SYSTEMS
NO, OF FEET
V I C
NO, OF HI-LEG OF HI-LEG
EXHAUST FANS
AMT. H.P.
DIMMERS
AMT. WATTS
SERVICE DISCONNECT
OTHER APPARATUS:
THO}~S A, NOVAK
655 EAGLE NEST CT.
I~AUREL, NY, 11948
iPer11 G ENERA~'~'~GER
This certificate must not be altered In any manner; return to the office of the Board I! Incorrect. Insl~ectol's may be identified by their credentials.
THE NEW YORK BOARD /OF FiRE UNDERWRITERS
8~8~,8,5 BUREAU OF ELECTRICITY','
40 FULTON STREET, NEW YORK, Ny10038
-- AUGUST lQ, 2~9 !~}633L~/~0 .: H 068857
Date Application No. on file
THIS CERTIFIES THAT
only the eloctrical eq~tipment as described below and introduced by the applicant #~tmed on th~ abash apPlica~on number is in the premises of
THO~%S A. NOVAK, 655 gAGLE N~ST COURT, LAUREL, ~Y '-',,:' '
in the following location; [] Basement [] 1st FI. [] 2nd FI. OU~ Section Block
was examined on AUGUST 63,2~0 and found to be in compliance with the National Electrical Code..
FIXTURE RECEPTACLES INCANDE~CI FIXTURES ~ ,MT~ANG~Sw.
OUTLETS SWITCHES ~' FLUORESCENT OTHER
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT,
AMT. ~.W, OIL H.P. GAS H.P. AMT. NO,. A,,W. G. AMT. AMP.
OTHER APPARATUS:
S~ING P~L'- 1
*(S~NG P~L) This certificate
covers compli~ce at the date of
inspection only. Because of unusual
~sviro~e~t~ it i~ advisable to
COOKING DECKS OVENS DISH WASHERS
AMT. K.W. AMT. K,W. ~MT. K.W.
TIME CLOCKSBELL IUNITHEATERsUNIT HEATERS MULTI-OUTLET
, TRANS NSJ'O%'ET
Lot
OFCC. COND.
I C E
EXHAUSTFANS
AMT. H.P.
DIMMERS
NO. OF HI-LEG
OF HI-LEG
NO. OF NGUTRAL$
OF NEUIRAL
have frequent test/and or repairs ---
made by a qualified person. ! ~ L ~
<<< CoRtinued on Pa~e 2 >m>
MANAGER
Per
This certificate must not be altered In any manner; return to the off ce of the Boa d f ncc~rrect. Inspecto~ may be Identified by their credentials.
COPY PO~ BUILDING DEPARTMENT. 7HIS COPY OF' CERTIFICATE MU$~ ~Ol B~ ALTE, Ei~D IN ANY MANNER.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax(516) 765-1823
Telephone(516) 765-1802
July 14, 2000
Thomas & Maureen Novak
655 Eagle Nest Ct.
Laurel, NY 11948
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file.
XX The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 26350-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA- .
TIONS AND OR DATA OBTAINED FROM
~THERS.
JOBNo. 98-16 ~ ' -- ......... TAX'I.D:-No:"-'1080-1',2-7.-09-(~7 .....
/,'~/'/V 8l~>hcz~ A. Costa, I'.E.,
~ ~ 22.3 w~o ~sPs ~ O
¢ ~2g' y/ SEPTIC
O ~ 63'
R=390.
EAGLE NEST COURT[50,] s
FILE No. 7770 8/30/84
Ce~,ca~,onsind,catedhereonshallrunonlytotheper~nror~om,~,sprepamd SURVEY OF: LOT 7
Inst,tut,onl,stedhereon. andtotheassigneesofthefend,nginst*tut,onsor MAP OF GOLDEN VIEW ESTATES
seal shall not be considered a valid true copy
The offse~ ( or dtmenslons ] shown hereon from stcu~ures to the prope~ lines are
foraspeclficpurposeanduseandthereforearenotl.tendedtOguldetheemctionof SUFFOLK COUNTY, NEW YORK
fences, retaining ~[Is, p~ls, planting areas, addition [o buildings or any other
Theexlstenceofnghtofways,nd/oreasemen~ofreoord, lfanynot*how, are SURVEY DATE: 4/30/99 SCALE' 1"=50'
CERTIFIED ONLY TO:
THOMAS NOVAK AND MAUREEN NOVAK ~
G.G~F
SUFFOLKFEDE~LCREDITUNtON~'~ ""'"~ ..... ~ND SURVEYOR
B~ DESTING GRA~;Y~~ ,U~0~Y Point, N.Y 11778
~ ~¢/6 f821-3442
· FORM NO. ]
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWI~ BALL
SOUTHOLD, N.Y. 1197
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CBECK .........................
SEPTIC FORH ...................
NOTIFY:
Examined ................. , 19 ....
Disapproved a/c ..................................
CALL ..................
MAlL TO: ....................
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
~ 0
Date ................ , ]9 ....
a. This applicatico mmt be caupletely filled in by typeariter or in ink and suhnitted to the l~lildlng Inspector ~i!
3 sets of plans, accurate plot plan to scale, Fee according to ~hedule.
b. Plot plan shoaing location of lot alxi of buildings co pr~nisea, relationship to adjoining pr~nises or pablic
streets or areas, and giving a detailed descriptioa of layout of property nmst be dra~u on the diagram ~hich is part of
this application.
c. ,'The work covered by r. his application rmy not be cc~r~nced before isanance o~ Building Permit.
d. Up~ approval of this application, the Building Inspector ~ill issue a Building Permit to the applicant. Such
pemi£ shall be kept on the preralsea available for inspection thrc~ghout the work.
e. NO beilding shall 'be occupied or used in ~ahole or in part for any purpose ~hatever uatil a Certificate of
Occupancy shall have been ~ranted by the Building Inspector.
APIW_2~ATi(// I$ lt~t~¥ M~[E to the Building Department for the issuance of a Building Permit pursoant to the
Building Z~ae Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordlna~ces or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein
described. The_ appli..c~n~ t agrees t6 cfmply with all applicable laws, ordinances, I~ilding code, housing code, and
regulatiees, and to admit anthorlzed~ ibspeCtors ~x~-pre~ase.% and ln.buil~!.n~ fo~ necessary,l~spect~ons~4'
.~ (Signature 9f a~licant, or name, ~f a
~, :! i: ' (Mailina '.address of applicant)
is owner, lessee, agent, architeet, en~neei; gen~rl~ contractor, electrifilan, phmber or builder
.... ,...: .....................
[ ':~: (as ee the ~ax rol~ or latest dee~)":
If ! ~:s a corporatico, sil~a~we of duly a~ iborised officer. ~, .:
(Nam a~, title of corlx~rate officer)
.Builders License No. ................. ~ .....
~ . Pl~bers License NO ..... ~.~:~ ............................... ~
Electricians Lice~se~2qo ...................... * ...... t
(
Other Trade% License No ......
L Lamtian of la~d co ~hich proposed work will be doee ..............................................................
..., · . .... .........
..... .................... .................................... __
Bouse Nc,~ber Street Iianlet
~ty T~p No. ,~ ~,ico .... f.~Z. .... E~....[2..:?. ........ ~t .... .e2..Z. ....
Subdivision... . .. . . . . .. .... ... ................. . . Filed Map No ................ Lot ...............
(~)
2. State ex~st~ng use and oecupan~ of ~r~mises, and mteod.ed use and oceuImn~ of proposed ccostruet~ n.
~. ~sting ~ ~ ~ ..... ,.,.~.~.~.,.,:,~ ....................................................
~. ~t~ ~ ~ ~ ............. ~.~ .....................................................
l~,ut.re o~ ~ork (d~k ~fich applfi able)
llepair l~m~oval '
I)(~mplltlOn ............ Other Work ~JO.O..~.(J'f~....~A~, ./.~/~.~.,..
~ripti~) ~
(to ~ ~id ~ Filing this a~li~ti~)
If ~rage, ~r o~ ~rs ......................................
Ibi~t ......................... ~r o~ Stories ......................
Di~nsi~ of ~ st~e ~h ~lterati~s or ~itions: ~nC ............... ~ar ...............
lh¥~t ......................... ~r of Stories .....................
PLOT DIAG~
~b~r interior or co~r,:l~J~-.L x ~' '
A ASNOTED ,
UNDERWRITERS CERTIFICATE,
NOTIFY H, r, OING AT
765-t80' ~; -M TO 4 PM FOR THE[
FOLLC)V~ i,./i ~,e :;PEqUOt: [
FOR PO~gCONC~ ~
2, ROUGH ,, Fr~AMIN~ & ?LUMBING~
3, INSULATION ~' ;
4. FINAL . CON~TRU~ON MUST~
~E COMPL{WE FORGO, .
ALL CONSTRUC3)O~ 8HALL MEET~
THE R~QUIREMENT~ OF THE N.Y,~
STATE CONSTRUCTION & ENERGY[
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRU~ON ERRORS[
of [~ivi~l si~it~g cmtract)
............. I)eing duly s~om, deposes and says that he is the applicant
.~ is the ............................... ;,', .................................................................
(C~ntractor, agent, corporate officer, etc,)
f ~aid owoer or ~oe. rs, and is dilly ~thor~[~ to ~rfom or h~ ~r[o~ Um ~id ~ afl to m~ a~ file this
~licati~,; dial all stat~nts cmta[~ ~n ~is a~l. icatim~ are t~ to fl~e hast of his ~1~
hat fl)e ~R will ~ ~rfon~ ia tim mawr at forth in ~e a~li~tim fil~ t~.
~m to ~fore ~ a~is ' ,
........ ' ,'