HomeMy WebLinkAbout24777-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26017 Date: 10/09/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 630 CLEARVIEW AVE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 9 Lot 62
SOUTHOLD
Subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 1998 pursuant to which
Building Permit No. 24777-Z dated MARCH 18, 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 RICHARD & ELLEN HALL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/S1
N/a
21000 04/22/98
N/A
Buildin~ ~nspe/r -
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
8outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24777 Z Date MARCH 18, 1998
Permission is hereby granted to:
RICHARD & ELLEN HALL
480 OAKWOOD DRIVE
$OUTHOLD~NY 11971
for :
CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE
IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 070
pursuant to application dated MARCH
Building Inspector.
630 CLEARVIEW AVE
SOUTHOLD
Block 0009 Lot No. 062
13 1998 and approved by the
Fee $ 150.00
½uilding I~~
ORIGINAL
Rev. 2/19/98
1998
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
This application must be filled in by typewriter OR ink and submitted to the buildin~
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 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 buildi5
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, o~ '~uildings an
Vpre-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 applicant
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 dwe' ~. itions to dwelling $25.00,
Alterations to dwelling $25.00~,~imming pbol $25.00) Accessory building $25.00,
Additions to accessory building $~-5. u0. ~us±~ $50.00.
2. Certificate of Occupancy on Pre-existing 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
ate ..... .....................
New Construction.~.~.~-. .... Old Or Pre-existing Building .................
Location of Property ...... ~,.~r. ................... -,-.*.~... , ...........
House No. Street Hamlet
Onwer or Owners of Property ..... ~.'].--~..~....A:...~.....~,./f/~.d.
County Tax No 1000, Section ............ Block ............. Lot ........ ~ ........
............................... Filed Map ............ Lot ................
Subdivision .....
Permit No...~.~ .~ .~9..~..Date Of Permit ........ Applicant ......
Health Dept. Approval ........................ . . Underwriters Approval ........................
Planning Board Approval.......... ............. .
Request for: Temporary Certificate ........... Final Certica~ ........
Fee Submitted: $...~..?. :~!-~ .................. / /] ~ .._
6h . 5:go 3 ............ ......................
co 019
, ,, ~,, Outsiae, l~es. .
1-500 wa?t pool light ,
1-1 1/2 hp motor
1-20Amp. timq clock ,,
1-40Amp. limed switch,
1-20Amp. spec.
/xUg ~. 8 Igg8
BLOG OEP'g'.
NO VISUAL DEFEC
P~ No.
l C.,O?Y pINK COPY OFF1C~
~on n~y ~i&~ed by tt~ ~:1~ BLUE
HUGO,K SURDI '
PRESgDENT
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765q823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 7, 1998
Mr. & Mrs. Richard Hail
480 Oakwood Drive
Southold, New York 11971
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 # 24777-Z POOL
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU~PLBG,
[ ] FOUNDATION2ND [ ).~JLATION
[ ] FRAMING [//']' FINAL
[ ] FIREPLACE & CHIMNEY
R£MARK~? _ ~
DAT ~_~///~Y
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
ROUGH PLBG.
] ~N~ON
FINAL
[ ] FIREPLACE & CHIMNEY
INSPECTOR
FOUNDATEON (1st
FOUNDATION
2.
ROUGH
(2nd
FRAME &
.PLUMBING'
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
IUU! ..... It I{ BUII,DIN(~ I)EPAWFHI~,HT
J L I-- SO~J'rlIOI,D, ~.Y. 11971
/ __ BLDG.~ FEI.: 765-1802
.................
~,'IC~I~ FOR ~UII,DIN~ PERMIT
I)OARI) OF IIIr. AI,TI! ...............
3 SI;TS OF I'I,^HS ...............
SURVEY ........................
CIIECK ............. ............
SI~P'I' ] (: FORH ....... '~ ...........
NOTIFY:
CAI,I .............. ......
HAIl, TO: ....................
.~..~.[J.~ ...... ,,~.~
I HSTRUCTI ONS
n. 3his a~licati~ mint ~ c~]~tely [illin{ in 1~ tyl~.Witer or in irk ai~l mflxnitt~l Lo the ~Hldlng Trisector leith
~ r~t8 of pimp% aco~r~te plot p[~ to scale. F~ according to
b. Plot plan 8l~tng l~ati~ o[ ~lot 'a~l o[ Ix~ildmg, m ~mi~, relationship to ~ljolnlng
st'r~ts BK.areas, ~1 giving a detail~i ~gerlpti'm o[ la,it o~ ~o~rty ~mt I~ dr~ ~ the diagr~ ~ld~ Js ~qrt of
th~s a~l~eatt~.
~'. 'lhe ~rk e~r~l I~ this'n~l'i~oti(m my m)t ~ c~m~l I~fore ismmme oF ~tilding Pemit.
d. II~ n~>~al o[ this a~l.~cata~, the~i.ldlng In9l~etor will ~*me a ~nldmg l>em~t to the a~l.mant. Such
~mit dml-1 ~ kept m tl~ ~i'~s ~¢ilal)le For in~ctim three,mt the turk.
e. ~ Imildlng ~mnll. Im ~pi~l ~ u~ in ~mle or in ~rt For 0~ Dsrlmne ~mt~er mmtil a (~rrigicnte of
(~oq~y shall h~ ~n ~t*l I~ fl~ ~nhhng lns~tor.
A~I~'I']~ ]S 1~ ~ to tlm ~tldmg ~Durtmnt for the msmm~e o[ a l~i]d{ng Pemlt D~r~mnt to the
I~ilding 7~ ~lim~me o[ the 3'm of ~tlmld, ~[~olk ~,nty, ~* York, oral other a~licnble l~n, ~li~on or
~cril~. 'lhe applicant a~s.to ~ty v[tl~ ,11 o~Hcnble l~n, (mlinance*, Ix~ildlng c~le,
re~laticms, a~l to mhit m~tlmr~r~ ~n~tors m p~lm9 a:~ in la tld~t8 for ~ce~sa~
(Sl~ture o[ .~lleent, or ~, i f a eor~rat'ion)
State ~tl~r al~licant J0 ~r, les~, a~nl., architect, cagier,. ~mral c~tractor, electrician, ph~r or l~Hlder.
~*m o[ ~r o[ p~ir~s .........................................................
(as ~j the Lux mil or l.test d~l) AP~ROVED~ NOTED
ami~c~t ~e a cor~atlm, mmatu~ of a,ly m~tl~rlr~l officer. DATE:
~ )QUIRED Nml~ BUImlNO AT
.... ~ RE .....
(~e a~ title o[ coq~rate of[leer) J 765-1802 9 AM ~ 4~M FOR THE
"IMMEDIATE'v,~OLLO~NG INSPE~ONS:
,klJJdor. l,{C¢n~ ~. ~. ~l~,.'.L.L ~"C~ POOLTO COD~
Pltlnl~ra l,lcen.qe Ho .............. [ ...........
other 'l'rmle'~ License No. {.
I . ALL CONSTRUCTION SHALL MEET
1. l~catlm o[ la~l o~ ~Hch pmposedj~rk ~ll ~ cl~ ........................... XHE..REQ~R~.~-~E-.N:~
........................ {~.~. ,t.~.~l.. coa~s.'.'. ~.. ~~.. ~o,
Ikxwm ~r S~r~t D~ OR CON~U~ON ERRORS
......... ..........
~lxlivi~i(m ...................... ~ ................ Fil~I ~hp NO ................ l~t ...............
(~) i
2. Stale extsl, mg o~ atxl m:~T o.[ p~u~s taxi lnte~l~l use n[xl ~qu~]m:y o[ 1~o~1~] c~sk~tcL]on:
.. · .................................
· {
~ ~ J
,,. ,,,,~,,~.,,,,~.,., ~,,~,,. .... ,~.~.~.=~~.~ ............................. . .....
3. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C,O.
9.
R 1,0'1' I) [A(;IJAH
..%
OR END
STEPS OPTIONAl. P L A N
· p~ CAST
SECTION B'B
'TYPICAL WALL
SECTION A-A
BARS
TIES
CONCRETE
'PIPING
ARRANGEMENT
OPTIONAL STEP
TYPE I.
o-~ .~--~ ,~,.o
~*,LqS. , , : ',
~.--?-4'--'--' . ' ; ~ -I~1
} : OPTIONAL STEP '
INSTRUCTIONS
BOARD OF III~,AL'fll ...............
3 SI, rs OF PLANS ...............
SURVEY ........................
CIIECK .........................
Sl;I If(, FORH ....... = dl. .........
~o'r 1 FY:
HAIl, TO: ....................
a. 'lhls appl ication raJ.qt txe conpletely filled in by tylx~.zrlter or in ink a~l mg~n~tt~t to O~e ~dldlng lnsl~ctor wit.l~
3 r~ts of plans, aco~rate plot plan to ~cale. Fc~ acco~ling to sch~k]le.
b. Plot plan shying l~matlm oE lot ami al [xdldh~gs ~ Wmi~s, relationship to mljoining pt~nlses or Cd)lJc
struts ?¢areas, m~l glvlag a detail~ descripti'm al la~m~ of pro~rty mint ~ drmm ~ the dJagr~ ~dch Js ~art of
Ods a~l icat
,c'- 'lhe ~rk c~r~l I~ d~is a~licarion vny ~>t t~ c~w~l I~fore isamnce al ~ildlng Pemlt.
d. U~ a~al al thi~ a~llcati~, the }~ildlng Insl~ctor will {sale a h~ildlng Pemlt to the a~llcant. Such
~mit shall I~ kept m O~ ~ises ~ailable for in~crim tbm~t the ~rk.
e. ~ Imilding ~mll I~ ~ml)i~l (w tm~ in ~le or in ~r~ [or any ¢lr~ ~mt~er m)til a Carriflcate of
(k~y shall b~e ~n ~m~t~l by O~ hdlding lns~ctor.
AI.~[~'I'I~ IS l~g~ [~E to the ~i]di~ ~I~arUmnt: [or the is~ame al a ~ilding Pemit ~lrmmn[ to the
l~ildlng 7~ O~li~ame of fl~e '1~ o~ ~[hold, aff[olk ~mry, ~* York, aml other a~licable l~s, ~limes or
~datla~s, for the c~mt~tlm al I~dldiogs, a~iti~s or altera.tlons, or for r~al or d~mllrlon, as bereln
{~scril~. 'lhe applicant a~s [o c~)[y with all a~llcable
re.latium, a~l to a~it aitl~rlzal ias~ctors m profits m~ in Ixdldlng [or ~cessa~ [nsl~cti~s.
(Slg~mture of applicant, or na0ae, if a corporation)
SLate x~ether alii{cant {~ (a~r, les~, a~nk~ architect, eogi~r, ge~ral cont'ractor~ electrlcian~ ph~mr or I~dlder.
~*m of r~r of prmirms .~~..~~ ......................................................
. (., ~ u,~ t.~ ~u o~ lot~.t d,,.O ~AP~R0yED~ NOTED
If amlxcanr is a corlmrati~, slp~ature o~ dty . t mri,~l officer
..... UNDE~I~RS CESIIFI~IE ~.
................................. : ....................... RE~IREO ~1~ BUI~ING ~~'AT
([ale m~ t~tle o[ cori~rate OF[leer) 7~5-1802 9 AM ~ 4 ~M FOR THE
'IMMEDIATE
v,~OLLOWING INSPE~ONS:
..... - ....... ,.
Iklilders
I,icen~
~~1' 2. ROUGH - F~MINO & PLUMBING
l'l~fl~rs l,icen~ fro ..........................
:NSU~ON
Odmr Trm~'s Licen~ ~ ..................... BE COM~FOR C~O,
A~ CON~U~ON $H~ ME~
I. l~al:ial of la~l m ~lld~ F~x~I ~rk will ~ d¢~ ...........................
' STATE ~S~U~ON & ~ERGY
lkxmm ~,d~r Strut D~ OR ~NS~U~N ERRORS
~fl~ivi~i~ ...................................... Fil~l ~[~p ~) ................ l~t ...............
2. Stale existing u~ at~l m:~t~m~y o[ proui~s m~l inte~]~l use a~l ~<;u~;~:y off l~OlX)~] c~stmction:
,,. .... ..... : ............................
3.
12.
13.
14.
PI,OT I)1 AGIIAI4
Izx:aLe clearly fl~gl dlsl~ilm.t:l~ all l~lildi~8, ~helher ~:xisl. ing or prolxmed, *s~gl i~licate all 8et--b~k din~n8ic, m
~dlelher inim'ior or corer lo~,
· ~-~,~ ~.~. ~~.~.~ .
(Ni"IKy Of il~lividt~aJ signin8 coal. r~:t.)
'~' ,.: .~,. :',
~'"'-~ """~ .... ~"'¢"'i~
I
I a,)c.L
SU~'FO~K CO. HEAI. T~f D~imjr,.,M'I~N~AI..-
THE WATER .~.ll~q,.¥ AND S~A~E D~S~'~L
CON~M TO T~ ~ANDAR~ ~ ~
Su~K CO. O~. OF H~LTH SERViCe,
,, ,
$~.,)~OLK COU~'¢ ~J~T OF'
A PPR' 0 V A~I,;, OF