HomeMy WebLinkAbout25009-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-26422
Date: 05/03/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 325 WOOD LA PECONIC
(HOUSE NO.) (STREET} (HAMLET}
County Tax Map No. 473889 Section ~6 Block 6 Lot 3.2
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 22, 1998 pursuant to which
Building Permit No. 25009-Z dated JULY 9, 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 AS APPLIED FOR.
The certificate is issued to EDMUND J & CAROL A. BAUMANN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 23052 08/19/98
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
FORM NO. 3
TOWN OF $OUTHOLD
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. 25009 Z Date JULY 9~ 1998
Permission is hereby granted to:
EDMUND J BAUMANN
RR3 - 325 WOOD LANE
PECONIC~NY 11958
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 325
County Tax Map No. 473889 Section 086
pursuant to application dated MAY
Building Inspector.
WOOD LA PECONIC
Block 0006 Lot No. 003.002
22 1998 and approved by the
Fee $ 150.00
Buildlng~spector/
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDIN~ DEPARTMENT
TOWN HALL
765-[802
8LDG. DEF[ APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLO
A. Thi's application must be filled in by typewriter OR ink and submitt ildin
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 s~erage-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 buildi
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
'!pre-existing" land uses:
i. 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 applican~
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,
~terations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accesso~ building $25.00. Businesses $50.00.
2. Certificate 'of Occupancy on Pre-~isting Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
........................ .....
New Const~ctlon .......... Old Or Pre-~isting Building ................
Location of Property.. i...~.*X...~.~..~ ....... ~. ~...Y. .................
_~j~House No. ~ Street Ha~et
Onwer or Owners of Pr°perty..~..~...~.~.~.~.~/~.~..~Z~l/~O/P~v~ ..................
county Ho 1000, Section. .. ....... Bloe .. ............ ...........
Subdivision .................................... Filed Map ............ Lot ...................
Health Dept. Approval .......................... Underwriters Approval ......................
Planning Board Approval ........................
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate ...........
.................
APPLICANT
DATE;
VILLAGE:
ADDRESS:
ISSUED TO:
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON ~ VENUE
EAST PA TCHOG UE, NEW YORK 11772
(516) 286-6642
8/19/98
PecoJ~ic
325 ~Vood Lane
Ed Bauman
23052
APPLICATION No. ON FILE
Southold
was examined on 8/19/98 and found to be !n compliance w#h the National Elect, rwal Code
LOCATION:
Base,. X~C 1Ft 2nd 3rd.
Der. Garage Hot Tub Pool
SWITCHES iv RECEPTACLES FIXTURES HEATERS F~S ] G.F.L A1R. COND.
2
2
DISHWASHER DRYER CLOTHES HASH. GAR. DISP. ~GEI OVEN ~OKEDETE~CTOR
FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERvicE DISCONNECT
OTHER
EQUIPMENT '
Outside, Res. Sect. ii: 1000, Blocld4: 86, Loff4' 06
1-1 1/2hp motor
1-40Amp. timed switeh
2-20Amp. spec.,1-20 Arap' time'clock
1-pool heater
- ~ pRESIDENT
'BUILDING PERMITNo. . ' '
ORIOINAL YELLOW COPyP1NK COPY OFFICE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INSU/LATION
[/,~NAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR.,'~~~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [~"~INAL
[ ] FIREPLACE & CHIMNEY
REMARKS.
:OUNDATION (1st)
COIWM~UTE
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.FLUMBING'
INSULATION PER N.
STATE ENERGY
CODE
FINAL
Ye
ADDITIONAL COMMENTS:
MAY 22'"~ ;~'
~.~,-,~.',. I.~:, .c., TOWN HALL
TOWN OF BOUTH0t~ ' NOTIFY
.............. ~': ....... -J SOUTHOLD, N.Y. 11971 CALL
, ~ TEL.: 765-1802 MAIL
Disappro~d a/c .....................................
........................ _. ....
~O BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
/OWN OF SOU/HOLD CHECK ..........
FORM
BUILDING DEPARTMENT SEPTIC ·
INSTRUCTIONS
OCCUPANCY ON
USE I$ UNLAWFUL APPLICATION FOR BUILDING PERMIT
WITHOUT CERTIFICATE
OF OCCU P,,t~!w
TO:
a. This application must be completely filled in by typewriter 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.
¢. The work covered by this application may not be commenced before issuance of Building Permit.
d. 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 ~ 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 pursuant to the
Bhilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Re, gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Th, e 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.
"IMMEDIATELY" (Signature of applicant, or name, if a corporation)
ENCLOSE POOL TO CODE
,,,o, coM,L ,o, q" t ......
BEFORE *'WATER" (Mailing address oW'applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .~.. :..[? .(~ .~.~.0v..~ ~. '
If applicant is a corporation, signature of duly authorized officer. N~
(Name and title of co,orate officer) ·
anL co~e~ceo~'s ~ mg sueeon~ cou~e~ nxc~ss~
Builder's License No...~ .~1~ ..........
Plumber's License No ...................... ONDERWRIIERS ~[RII[I~gI[
REQUINED 8~ ~ ~ ~.O.
lecmc~an s b~cense ~o. ~ ~. s.~ .............. ~
Other Trade s L~cense No t~--z
..................... ~~ COOfi8. N~ ~[8~ONS 8[~ ~Oa
1.
Location of land on which proposed work will be done. ~ .... ~ ........................................
............... ............... ........ : .............
House Number Street Hamlet
County Tax Map No. 1000 Section ~ Block .~. Lot.
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy ~1~ ~.~ ~..~.~~ ................................
b} Intended use and occupancy '....~ .~.~..' "~'~P~. [...[~~ ...... .......
3.Nature of work (check which a )pli able): New Building .......... Addition ... ';, ..... Alteration ..........
Repair .............. Rear )vel .............. Demolition ............ Other Work ...............
'x
(Description)
4. Estimated Cost..../.~...~..t?.1-- Fee ................ · .~,. · ...............
'~ (to be pa!d on fili~ng fl~application) '
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor. '/ ..............
If garage, number of cars ............... , ....... ~ .......
6. If business, commercial or mix~ ~d occupancy, specify nature and extent of each type of use' .....................
7. Dimensions of existing structm es, if any: Front ............... Rear .............. Depth ...............
Height ............... Nu] nber of Stories ........................................................
Dimensions'of same structure ,ith alterations or additions: Front ................. Rear ..................
Depth ................... ~... Height ...................... Number of Stories ......................
Dimensions of entire new ' ' . ...........................
constpactmn: Front .......... . ..... Rear . . Depth
Height ............... Nu,¢ber of Stories ........................................................
9. Sizeoflot: Front .......... ! ............ Rear ...................... Depth ......................
10. Date of eurchase .......... i ................... Name of Former Owner ""~V~'~Q~ .......
1 1. Zone or use district in which pr_cruises are situated ......................... .~.~.,q .~.*t,,(~.,.~. ~'~ ~ '~1~'~'}~'~ ' :'~''~' i.. . ....
12. Does proposed construction violate any zoning law, ordinance or regulation: ...... a ~ ~.~31 ~; *~I ,~,. ~.. g,.;, ~ ........
13. Will lot be regraded .......................... Will excess fill be removel:Pftom' prenl~ise~: ~ i l~"~es~;l~ No
14 fp ~ Ph N
· Name of Owner o remises .................. Address ............ one o ........ , ..........
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor ........ I ................. Address .... : .............. Phone No ................
15. Is this property located iwithin 300 feet of a tidal wetland? *Yes ..... No .....
· If yes, $outho%d Town Trustees Permit maybe required.
i PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from
lines. Give street and block!number or description according to deed, and show street names and indicate whether
property
interior or corner lot.
. ,,~M ~~~ ~.~.K ............. being duly sworn, deposes and says that he is the applicant
.Y ~ '~tT (.~ffiV~Oda~ sigffi~ng contract)
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is dull authorized to perform or have perfonned the said work and to m~e and file this
application; that all statements conta ned ~ this application are true to the best of his knowledge and belief; and that the
work will be perfomed in the m~ne set forth in the application filed therewith.
Sworn to before me this
............ $.[ ........ day of ............. , 19 g ~
Nota~ Public, ..... ~ .............. County
DEPARTMENT
~ o~ %~he aforesaid building. :
,,, i i ,'SU ~OU DEPARTMENT 0 H APP OVAL
, ,: UNDER. IT.S :~RTIFICA~ NO~ '
:, PLUMBERS CERT[FICATION DATED
': 1/81
,, , ~ Rev.
i , : , I!,, Office Off' the Bulldzng
" ' ' ~ ~ ~ ~" ::~',,:~" ~ I:' ' Town Hall [~ , 3': > '
::J':~"~ '< ~: } ,'-,: '. ~'~ ' :'Southold', N.Y." ' ":' '
' ; NO . , Z17372 ~ ~ ,': Date ' SEPT~ER 29~ 1988
~ : ~, '< THt~ ~RTIFIES that: the.building ' ~DITION ~
~ LoCatlon of Property--.325 ~ '-. WOOD ~
, unty ,T~ Map No. 1000 Sect:on~ 86 Block::' 6' Lot' 3.2
s~d~vzszon"
..,, .... ~ ',,~' ,, ,~, , ., Filed Map N~. ~ Lot No~.,
confo~? s~stantia~ to .the Appli ildtng
, cation for Bu Pe~t her
in this office' da~ed( ~ ~SEP~ 23~ 1988 ~
/: Femlt I4341Z dated '" 'OCTOBER
~confoms_ t0 ~all ,,the Pe~
the ~ :' '
~ ~fQr which
' t
3
Z
· 0
00~
,,og,Lg.6L ~
,6c~' 0 t~
,00'00
£/-I018
4i w
N/O/F RVSTROM /
EDWARD
DR ARD FA NNORDSTROM
N/O/F RONE JR °
JOSSII v AAVAIAVARONEpjNF a
103 53 Daae°uoN. ROAD
20, WIDE PRIVATE
m
N 79.57'50'1 E n
INIOIFYEE - 0
CERALDINE M N
wuNols°" PIN
s'w N
- DIET-RUAU
1 _ O n °a
I _ L0 ^ °
0 0 g
I O ]248 °
N/OKE SIMON U0 °
I ROBERT ANN SIMON - 0 ro s 7ss•50_W -
EEIZABETB OF WAY aD„ o SURVEY OF PROPERTY
310.59' z
— - RICHT RnN PIPE ° . I SITUATED AT
I - — - 301 WIDE GG AO INDIAN NECK
� ' TOWN OF SOUTHOLD
1130aI SUFFOLK COUNTY, NEW YORK
I IPUN PIPE . . • . .
q S.C. TAX No. 1000-86-06- 2. 2
Io 1000-86-06-3.2
I a Q _
I N
7857'50' E ate, p6_ 2 "sl M W JUNE SCAL19, 1998
9RICh WIfIT � 4 a
S.C• o I o
$COIE"PB &AY WIN a a ° • - . 3
O r`,
O
BWESIaNE DRIVEWAY p
JO O sEPs cNIMNEY `+ HOUSJOSERO GARAGE °
B&e cSVGB L_
6 O LONG •�L
I $ p illi, OOH K s wAlx ml 9ak" ��` I 393 4'
I �] On Q 00.10 • iy
O N ILL Q zar 1000 'I.a�, +i 3,.25' S
VS
O v,IL• GNTE I \�RTr • ' ��
02II�� O
WIRES
ZD
.III, G O x I WMX �MJFl" PDIE ° qd
J i oT ✓v C ` G y BRpK I �SY CNE I - lel
11, d ASP LEI.' FISHS n0 • ° M, ¢
y rl m Q 'AIL
1 l PDND 1 q, 00.1UGE
J n l-,r I (
ae :zli I s , . O wA
�m
m o 9 z (7I�) p v r;a t o AREA DATA
Z- ' I I-l" a!, � QCA " I S.C. TAX No. 52,772.68 sq. ft.
In r RI o I l 0 1000-85-06-2.2 1.212 aa.
mss ���/// z 1n S.C. TAX No. 24,710.09 sq. ft.
o I pILI
c �pByEp o Don-as-os-a 2 0.567 Ga.
I 00 Y1'1 all, .11. _ ,`z �MM I 3, 25' TOTAL 77,482.77 sq. ft.
5 76 44 6–p6 (A C�11q�' I l 1.779 ac.
All, NO 10p1—$ y ti� 1a� f O� oVf�� 361 .5 l
e�
;s li v S.C . TAXA I I N a
POOL 15OR , i o
ALL All, Q
E~
RIP ILL I
l'
o J ,I, N1(D
O ICZ �V
x C� N DAVID CICNAN fCl
nnN U
ilit.
CID
-j 6• q,4'00 W +� I ro THIS SURM>_Y IS A01-ADADDITIONN
�o S SECTION 7209 OF THE NEW YORK STATE
EDUCATOR UW
F 3 COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVIVOR'S INKED SEAL OR
EMBOSSED SEAL SHAH NOT BE CONSIDERED
TO BE A VALD TRUE COPY
I CERTRCATTONS INDICATED HEREON SHALL RON
O
ONLY TO THE PERSON FON WTIOM THE SURVEY
O ISA MF
YAND ON HIS BEHTO THE
N LEPREE COMPANY, IDOVERUNMENTK AGENCY MO
NDING INSTITUTION UN
HEREON. MO
I TO THE ASSIGNEES OF THE LENDING INSFI-
TURON CWIIFlCAT,ONS ME NOT TRMSFEMBLE.
I THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS or RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
PREPARED IN ACCORDANCE WITH THE MINIMUM
nMHM09 FDP TITLE DD 9°RVEY9 M A00 HED Joseph A. Ingegno
BY THE L MR ANO MPROVED A DD TABUS
FOR SUCH USE BY THE NEW YOP STATE IAND
TIRE ASSOCIATION.
K g0A - 4AN Land Surveyor
tjA
a
,? j Title Surveys — Subdivisions — Site Plans — ConstrucM1an Layout
1!• >, % PHONE (516)727-2090 Fax (516)722-5093
yT �'
OFFICES LOC9TE0 AT MAILING ADDRESS
N Y S LiG No. 49666 One Union Square P.0 Bax 1931
Aquebague, New York 11931 Riverhead. New York 11901
�! 98