HomeMy WebLinkAbout25682-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-2663%
Date: 08/18/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 225 BURGUNDY CT
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 51 Block 3
SOUTHOLD
(H/~VILET)
Lot 3.12
subdivision Filed Map No. __Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 22, 1999 pursuant to which
Building Permit No. 25682-Z dated APRIL 20, 1999
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 PAUL M & MAUREEN CLANCY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
28271 06/02/99
N/A
Building Insp~or
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. 25682 Z Date APRIL 20~ 1999
Permission is hereby granted to:
PAUL M & MAUREEN CLANCY
PO BOX 540
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 225 BURGUNDY CT
County Tax Map No. 473889 Section 051 Block
pursuant to application dated MARCH 22 1999
SOUTHOLD
0003 Lot No. 003.012
and approved by the
Building Inspector.
Fee $ 150.00
Rev. 2/19/98
ORIGINAL
mo
TOW~N HALL
~i~ a~'Iiea'~ffamns~j~ friZZed in by t~e~ite~ O~ ink and sub~izzed to the bulZdir
ts~eZo~ ~%~h t~oZ[ o~ing: ffo~ ne~ building o~ new use:
1.,
i ~~ 0 ~ .pr,,perty with accurate location of all buildings, property lines
~0~ 1 natural or topographic features.
2. Final A~roval from' Health Dept. of water supply and sewerage-disposal(S-9 fo~)
3. Approval of electrical ~stallation from Board of Fire Unde~iters.
4. Sworn statement from plumber certify~g that the solder used in syst~ contains
less than 2/10 of 1% lead.
5. Co~ercial building, ~dustrlal building, multiple residences and s~ilar build~
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Plann~g Board Approv~ of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings
'~pre-existing" land uses:
i. Accurate survey of property showing all property lines, streets, building and
~ unusual natura~ or topographic features. "'
2. A properly completed application and a consent to insBect signed by the applicat
, If a Certificate ~f 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, Sw~ming pool $25.00, Accessory building $25.00
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - , .~5~
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ~ ~ .~' -~-~- ~ .....
New Construction ........ Old Or Pre-existing Building .................
~ ' ~-.X~ r~/~,~/ ..~..~.¥.A..~.. .......
Location of rroperty ........................ / .........................
House No. Street Hamlet
......... . ...........
County Tax Map No 1000, Section-.--~.-~7-~- .Block. OOO--~ . . ~O~,
Subdivision .................................... Filed Map ............ Lot
Permit No~,~.~.~.~...Pate Of Permit ............... ?~...2~../%.~. Applicant.~f ...................
Health Dept. Approval........ ...... . . ---------- Underwriters Approva ......
Planning Board Approval
Request for: Temporary Certificate ........... Fieal Certicate
Fee S~bmitted: $-.,!.~,-*-.-~-- .........
--"
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
EAST PATCHOGUE, NEW YORK l1772 :
(516) 286-6642
DATE.. 6/2/99
28271
APPLICA 270N No. ON FILE
VILLAOE: Southold TOwI~: Southbld
225 Burgandv Court
ISSUED TO: Paul Clancy
mTaODUC-EO'B~--Detnne~Etectric~Ine~ ~ ~ ~- L--- 2z__, LaZ:qo.: .. _4354.E z ~_'~ _~ 5.. :
LOCATION: Base.· XXX ~ ~
Der. Garage
6/2/99 and found to be tn comphance wah the NaaonaI Electrical Code
ist 2nd 3rd '. Attfa
SWITCHES2 RECEPTACLES2 FIXTURES. I HEATERS ·F/Jvs' 1 ] G.~L A JR, COND.
DISHWASHER DRYER CLOTHESWAEH. GAR. DISP. ' RANGE OVEN EMOKEDETECTOR
FURNACE OIL GAS - CIR. MOTORS BELL TRYuV. SERVICE DISCONNECT
OTHER
EQUIPMENT
Pool, Outside Residential
1 - 20Amp Time Clock
1 - 20Amp. Special
PO0' .
BUILDING PERMIT No.
BLUE ORIO1NAL YELLOW COPY
PINK COPY OFFICE
ELD INSPECTION R~PORT
DATE C(~t~ENTS
'UNDATION (IST)
,DNDATION (2ND)
)UGB FP, A14E &
PLUI~IN6
]1
,SULATION PER N.Y. ~ ~ '
STATE ENERGY i !i
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R~GH PLBG.
[[ i ~ORAUMNIDNA~ION 2ND [ ]~FiNSAU~.ATION
[ ] FI REPLAC~--~CH I MNEY /..
PIPING ARRANGEMENT'
SECTION.,. A-A
, OPTIONAL STEP
TYPE I.
P LAN
TYPICAL WALL
P.~ND¥ T- ~ODEC~ER,
FORH NO. !
TOI4N OF SODTROLD
BUILDING DKPARTHENT
TO~INALL
SOUTItOLD, N.Y. 11971
TEL: 765-1802
Di m~oved alt
c~c~ att: 10~5.~ ·
SKPTIC FORN
.NOTIFY:
HAIL TO: ..................
...~.~.~...~.~..w~A ......
Date ............. ~ 19 ....
INSTRUCTIONS
a. 'Ibis application must be eaupletely filled in by typewriter or in ink and stOamitted to the I~ilding Inspector ~i
3,scts of plums, accurate plot plm~ to scale. Fee according to schedule.
b. Plot -plm~ ~l~rin~ location of lot and of buildings ee pranisee, relatiormhip to adjoining pr~misee or public
streets or areas, and giving a detailed description of layout of property u~t be drmm on the diagrm vhich is part of
"this application.
c. The ~ork covet~l by this application my nor be ccmmnced before issuance of Building Pemit.
d. ~ approval of this al~lication, the Building Inspector ~ill issue a Building Permit to the applicant. Such
pemit shall be kept on the premises available for inapectio~ throughont the ~ork.
e. No building almll be occupied or tused in dmle or in part for any purpose daatever tmtil a Certificate of
Occupaacy ~lmll have been granted by the Bttilding Inspector.
APPLICATICel IS ~¥ ~ to the 1}eliding llepartmeut for the issuance of a l~ildlug Permit l~trmmnt to the
lluilding Zone Ordinance of the To~ of Sonthold, Suffolk County, Ne~ York, and other applicable La~s, Ordinances or
Regulations, for the co~stnmtion of buildinga, additions or alterations, or for removal or demolition, a~ herein
described. ~ applicant agrees to cc~ly ~rlth all applicable la~s, ordimes, building code, housing code, an~
regulatiorm ' and t° admlt anth°rizecl ir~ect°rs ~ lYr~mi~$ aed
in bui for eeces~sar~ i ti=.
(ltailing ~ess of ~{icanO ] 1~'7 g
State v~aether applicant is mr, les~, agent, architect, eugiueer,' geeeral ~t~tor, el~trici~, pl~r or ~il&~
0 ~ ..........
(~ ~ ~ t~ mi1 ~ latest ~/ ,
If ~li~t is a ~rat~, siam of ~ly ~t~ri~ officer.
(Nam and title of corporate officer)
~l~trici~ Ei~
~r ~'s M~ ~ .............
I. ~tim of 1~ ~ ~i~ ~ ~ ~11 ~ ~ ..............................................................
.... ........ ..................................
~ ~r J / S~t ~et
~,=~. ,= ~i~ ...... .~1 ..... ~ .... ~ ......... ~ .:e,.(.~ .....
~iviui~ ...................................... ~il~ ~ ~ ................ lot
(~)
,. _ ... . ......
3. lt~t,re of ~ork (check ~t~iciJ appllcable)~ Ne~ . ~klition ....... Alteratio~ ........
~rtp~i~)
6. If ~i~ss, ~rcial or ~
.... :.f ~. ~p
}~i~ ......................... ~r of S~ories .....................
~i '
oi~i~ ~[ ~ s~e ~th erati~s or :l~s: ~t ............... ~ar ...............
~pth .................... ~i~ ~ .................... ~r of Stories ...............
I0. ~te of ~dm~ ................. ~ .... ~ of ~o~r ~r ........................................
' '
....
_
/
~ PLOT DIAG~
l~ate clearly ~ disti~tly all ]~ildi~s, ~t~r ~isti~ or ~, ~ i~iate ail ~t~ d~nsims
~ ~r~ li~s. ~i~ st~t ~ b!~ ~r or ~sc~ipti~ ~co~i~ to ~, ~ ~ strut ~s ~ i~icate
~r interior or m~r lot.
a~ ~,
I~ is the ....................................................... ... ..... . . .. . . ............ . .. .
(~trsctor, a~nt, er ~rate o~[ieer, et :.)
~m to ~op~ ~is
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'q/VATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPA~CY
UI~DER~RITERS C, ERTIFfCRTE
REQUIRED
APP~ROV[D AS NOTED
OA~: ,,f/~? ..~., ~~
FEE= ,,,,/,~, ~ BY: ~
N~ ~D~G DE~NT[~T
1~-I~ f ~ ~ 4 ~OR THE
1 ~OAT~N - ~0 REGUmED
· R~ - i & ~MBING
~.
4. FINAL - CONSTRUCTION MUST
BE~ F~C.O.
ALL CONSTRUCTION SHALL MEET
~E REQUIREMENTS OF THE NY.
8TA~ ~NS~U~ION & ENERGY
CODE~. NOT RESPONSIBLE FOR
~ OR C~R~ ERRORS