HomeMy WebLinkAbout25003-zFORM 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. 25003 Z Date JULY 7, 1998
Permission is hereby granted to:
for :
ELIZABETH H BARNETT
PO BOX 596
SOUTHOLD~NY 11971
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE
TO CODE & DECK IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 57455
County Tax Map No. 473889 Section 063
pursuant to application dated JUNE
Building Inspector.
MAIN RD SOUTHOLD
Block 0003 Lot No. 021.003
3 1998 and approved by the
Fee $ 208.80
Building %~spector~
ORIGINAL
Rev. 2/19/98
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26448
Date: 05/13/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 57455 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 63 Block 3
BOUTHOLD
(HAMLET)
Lot 21.3
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 3, 1998 pursuant to which
Building Permit No. 25003-Z dated JULY 7, 1998
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 & DECK IN
REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to ELIZABETH H BARNETT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-461025 08/03/98
N/A
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Thi~ application must be filled in by typewriter OR ink and submitted to the buildi~
inspector with the following: for new building or new use:
1. Final survey of ~property with accurate location of all buildings, property line~
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 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 buildJ
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
Upre-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 applicar
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
· I. 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-existinR Buildinm - $i00.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential *1~.00; Co~m~ ercial $15.00
~ ld O P i ti B ildi
New Construction ...........O r re-ex s ng u rig...
z :: .... ......
~ocation of property .......~,, ......... ..~
House No. Street Ha~et
Subdivision ....................................F~led ~p ............LoC ..................
of ............ .... .................. ... ... -
Health Dept. Approval .......................... Underwriters Approval .....................
Planning Board Approval ........................
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate ...........
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS ........ 1
1..025~)45 BUREAU OF ELECTRICITY
~ 40 FULTON STREET, NEW YORK, NY 10038
Date AUGUST O3,199E Application No. onJHe 1649309B/gB g 461025
THIS CERTIFIES THAT
only the elecIrical equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of
BARNETT, 57455 MAIN ROAD (RTE 25, SOUTHOLD, NY
in the following location; [] Basement [] Ist FL [] 2nd Fl. OUT Section Block
was examined on JULY 27,1998 and found to be in compliance with the National Electrical Code.
Lot
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
FIXTURE
OUTLETS RECEPTACLES SWITCHES O?H;R
DRYERS
INIT HEATERS
SYSTEMS
NO. OF FEET
E R
C
NO, OFCCCOND. A W,G A.W G, A,W.G.
PER ~ OF CC. COND, NO, OF HI-LEG OF HI-LEG NO, OF NEUIRAL$ O;~ NEUTRAL
OTHER APPAR~US:
SWIMMING POOL- 1
TIME CLOCKS 40 AMP-1
G.F.C.I-1
*(SWI34MING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
%~nvironments it is advisable to
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2 >>>
GENERAL .MAN~GER ~(~
This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may be Identified by ~heir credentials. ~
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E=
1025045 BUREAU OF ELECTRICITY
~'- 40 FULTON STREET, NEW YORK, NY 10038
Date AUGUST 03,1998 Application No. on file 16493098/98 g 461025
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application n~mber i~ in tl~ premises of
B~R~TT, 57455 ~d~IN ROAD (RTE 25, SOUTHOLD, ~Y
tn the following location; [] Basement [] 1st FL [] 2nd FI. OD~ Section Block Lot
was exanttned on JU~Y 27,1998 and found to be in compliance with the Natto~al Electrlcal Code.
FIXTURE I~=~=., ~t~=l ~,.,.~.=~ I F,XTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
SERV~C[ D~SCONN~CI [ NO, O~[ S E ~ ~ R V I C [
BRITE STAR ELECTRIC
206 GREELEY AVE.
SAYVILLE, NY, 11782
'this cefllf{cote must not be offered in Qny mcmne~; return to the office o! the Soord ti incorrect, inspectors moy be Identified by their credenflols.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED JN ANY MANNER.
FOUNDATION (1st)
COt~MEN?£
FOUNDATION
2.
(2nd)
ROUGH FRAME &
-PLUMBING'
®
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
7G.~-tl102
BUILDING DEPT.
INSPECTION
[ ]~UNDATION 2ND
[ ~]' FRAMING
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~~ ~/~
DATE ~//~'/,/'~
/ /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] IN/SULATION
[/./]'~INAL
] FIREPLACE & CHIMNEY
INSPECTOI
Z
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1802
Approve~.~...~..~, . .., 192.~Pennit No ............
Disapproved a/c .....................................
:"': ......... ........ .....
I ~ '[ INSTRUCTIONS
Received ...........
Date ................... 19.
a. This application must be completely filled in by typev~riter 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
~ e. The work covered by this application may not be commenced before issuance of Building Permit.
'~qt. Upon approval of this application, the.Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant 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 insnections.
"IMMEDIATELY" -- (Signatff, r~ of applicant, or name, if a corporation)
UPON COMPLETION .....................................
BEFORE "VVATER' (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
d~,~..,'vl..,¢E/f~ ............................. ; .............................. APpItOVED'AS NOTED .......
Name of owner of premises ............ ~ ~8.1~..# ~.
(as on the tax roll or latestl~~B¥:
If applicant is a corporation, signature of duly authorized officer.
1~8-1~0~ ~ AM TO 4 I~t FOR THF.
Builder's License No ..........................
Plumber's License No ....................... ~~ 0~
USE IS UntAWFUL
n]e~tri~ia~'~ U~.~ No ................. WITHOUT CERTIFICATE
oth~ ~r.d~'~ Li~e.~ No .................... OF OCCUPANCY
FO&M3WlNO INOI~CTION$:
1, ~I~ID~'ION o 'TWO REOUIRE~
FINAL - ~O~U~TION MU~t
~ ~M~ FOR C.O.
~ CONSTRUCTION SHALL MEET
~HE REQUIREMENTS OF TH~ N.Y.
~ATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
D~GN OR CONSTRUCTION ERRORS
1. Location of land on which proposed work will be done ............................. .~ ....................
................... ................. ¢. ...................
House Number Street Hamlet
County Tax m~p,~No. 1000 Section ........ .~..~. ...... Block ........ .~. ........ Lot ..... .o~../.~..~. .......
Subdivision ..................................... Filed Map No ............... Lot .,. ............
(Name)
2. State existing use and occupaucy of premises and intende~ use and occupancy of proposed construction:
a. Existing use and occupancy .... ~~.~ .... ._~. ! .~....~ .q/.~/...c~... ,!~. ....
(]u~!Idd~ JO o.tn]~ug!s)
oq:l ;eq; pue :JO!Iaq pue o~'poiaxou~I
s!tB oI~ pu~ o>i*tu o] pu~ >po~ p!
:lu~o!Idd~ oq:~ s! oq ;eq~. sA~s pue so~odop
· .toI .tou.too .to .to.uolu!
~qs ptm 'poop o; ~'u.tp.tooou uo!ldposop .to :[oqmnu :,[oolq pu~ ~.oo.qs oA!D 'sou~ Xl.todo.td
ti,ptm 'posodo.td .to ~u!;sixo
BIV}IDVI(I 1,0"I d
..............- ~ * s~o~PPv~'I ........................ .tolou;quoO Jo omeN
.............. ' sso-tPPV ........................... ~.ool.tqo.tV jo oumN
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