HomeMy WebLinkAbout24424-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-25385 Date NOVEMBER 25, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 3435 ELIJAHS LANE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 108 Block 4 Lot 7.20
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 30, 1997 pursuant to which
Building Permit No. 24424-Z dated OCTOBER 23, 1997
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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN
REAR YARD AS APPLIED FOR.
The certificate is issued to KWANG WOON OH & JENNIFER Y. PARK OH
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. MAY 25, 1989 - N-073455
PLUMBERS CERTIFICATION DATED
c
uil ing In pector
Rev. 1/81
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)
Date......OCTOBER.......23.......................... 19...97..
24424 z
Permission is hereby granted to:
KWANG WOON OH
..........................................................................................
3435 ELIJAH' S LANE
............. . ....... ..................................................................
MATTITUCK,NY 11952
..........................................................................................
to......CONSTUCT AN ABOVE ;GROUND SWIMMING POOL WITH FENCE TO„CODE. I N THE
REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR ACCESS-
................... .. .................................................................................. ............................................... . .
.......... . ......................................................................................... .. .......................
................................................................................................................................................................
................................................................................................. ................................................................
3435 ELIJAHS LA MATTITUCK
at premises located at................................... ...........................
................................................................................................................................................................
County Tax Ma No. 473889 Section .,, 108 Block .,,,, 0004 Lot No. „007.020
Mop ..............I........... ...
pursuant to application dated MAY 30
.......................................................... 19.......97..., and approved by the
Building Inspector.
Fee$.........50.00
.............................Building I actor............. . .....
Rev. 6/30/80
tuiui Nu. u
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted 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 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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-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
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-existing Building - $100.00
3. Copy of Certificate of Occupancy - .251C.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
' Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . Old Or P e-ex st'ng Building. . . . . . . . . . . . . . . .
Location of Property. . .�1:I.�1. . . . . . . . . .
House No. � . Street Hamlet
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C•
County Tax Map No 1000, Section. . . :. . . . . . . .B ck. . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . .. .Fi1�Map. . . . . . . . .Lot. . . . . . .
Permit No. . . . . . . . . . . . . . . .Dat a it. . . . . . . . . . . .!!App`s nt�.�. . . . . . . . .
. . . . :Undjr� � rov . . . . . . . . . . . . •
Health Dept. Approval. . . . . . . . . . . . . pp . . . . . . • • •
Planning Board Approval. . . . . . . . . . . . . . . . . . . . .
1
Request for: Temporary Certificate. . . . Fina erticate. . . . . . . . . . .
Fee Submitted: $. . . . . . . .�. .� . . . . . . . . . . . . . . . . . . '}�I
Palk . . . .
y S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICANT
34 P
co-�.2.3 c
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING [ NAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE I0 INSPECTOR / 4L
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^--------- -. BOARD of HEALTH H . . . . . . . . . . . . . . .
I"oitti No. I ") SETS of PLANS
TOWN of SO11'fllOI:0 SIIItVRY . . . . . . . . . . . . . . . . . . . . . _
�
p�i�l� 19n11U T I.i)1 NC, 1)I;PARTMP..NT CIIRCK . . . . . . . . . . . . . . .
7 TOWN iIA1.I. Sl:t''I'iC 1-ORM . . . . . . . ' . . .r'
SoUTllol.l), N.Y. 11971
qua - '� " TKI.: 765- 11107 NOT IVY:
wa4ft..P a�F i( 3( r)
�j CALI. . . . . . . . . . . . . . . . . . .
MAIL TO: . . . . . . . . . . . . . . . . . . . .
Apprcmetl. /.��.7..,. , 19.... Permit 111`01 .2
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Ui,n(nrroved/a/c /............................ ....................................
............................................ .. ......
" tilding Inslmctor)
APP1 ;ATiON FOR 111111.1)iNC; PF.RMI.T
Date. . . . . . . . . . . . . . . . 19. . . .
i NSTRUCT 1 ONS
:r. 'Ihis npp] icnt.icm taus[ Ix- ct>rtq)letely .filled in by tylx!t•rriter or in ink mxl sttlxnitted to the Wilding insprctor• with
sets of plant, accimit:e plot plrn to tscnle. Fee according, to sche0ole.
h. Plot plan shttaeing lor_atitxr of lot nrxl of Inowings cm prrmisea, relntionslhip to :xljoininp, prrvnisers or 1xtblic
trrol:R or areas, next giving a <letailecl description of laycxtt of propx+rty nosh hetlr:xnr txr the dingrnm which is r : ( r
his applicaticxi.
c. llhe work covered by this npOlication my oot be ccmtnrtwed Ix.-,fore isstinme of Iktilding Permit.
d. Upxn nppravnl of this appl.ientiorr, title 1luilding lnspe.ctor drill. issue n Ikri.lding Permit to the app) icrnrt. Such
it-imit Mint I he kept on tlhe premises available for inspection lhrcxtglxxrt the work.
e. No Imilding shill. Ire occupied or user! io Aiole or in ik-srt.: for arty Ixrrpose whatever until a (>rti.ficnte of
k•cup>.arxy steall have Ix-en girmitril by Else lkhilding inspector.
Al"1'1. GN1,10N 1S 1.11,07,.11Y WIM to the ikailding Dep-'rrinent for the issuance of n Wilding, Permit pxrrtnrrnt to the
kril(41; 7rnx-- Ordir>rance of the 'ltxn) of Scxitlx)ld, Suffolk Chanty, New York, aril other npplicable Trews, Ordim--wes or
tegcrlat.icns, for the ccxtstrttction of Ixsildings, mitliticns or illerations, or for reirtwil. or dermlition, ns herein
Iescrilwd. 'Ibe applicant agrees 1.0 uritily with all '1140irable laws, ordinnnc:es, Imilding ccxle, horsing axle, arx)
-egi laticxrs, :nil to admit autlsorizetl inspectors cn premises ntx( in btdiding for necessnry hispecticxrs.
.... .................................................
(Signature of. npgrl.icant, or rrmhe, i f n corpornt ion)
...................................................
(nli I ing :xl(iress of nppl ic..ant)
M CEC T£
;latae t-ltether applicant. is m�nrer, lessee, a(.;c'nt, architect, enl;irhrrr, gerrernl contrnctor, elecl:ricins, pitAWMEQxhilder.
'..............................................................................................................
a c AP ROVED AS NOTED
Nslahx, of oanx-r of. prmnire. ..... ... ................ .............................. ....
(as cxi the tax ")It or Intest deed) 1.�`?`'"f/� $�.F' �
If al7plicant is a corporation, signature of atrly rntUorizecl officer.
Y f tPll.1?1T+9 MPATP! r` ��7
"IMMEDIATELY"
!:, *ry�* a' A '! To 4 Ptd
(Name Itxl title of corporate officer) ENCLOSE POOL To Cm "'1a f 1 .:',T$fr�t°`�
UPON COMPLETION DAT U tN tar f
BEFORE'VPZER"
Itch i I ders License No. �A
ppp�p
Gq"#
Occ
i'lutix?r s license No. ......................... r r �fi b plF!y 0� -
E-Arctric.inns license No. 1ht
Other Trade's license No. .................... OF occ
�,9 � y�
I. l[)cat it of Inhxl cxh vAdclh propx).sed work wi l l Ire rkxx�...... ' , t ` .
!1 ,t., .. 111 ➢1i' (di. 4�uv b
'�S . . ��� .........r ,��< ••...........................:: �.....:. t `'
Ikxt:c Nuttier Street 14�silet
Ctonty Tnx M-rp No. 1(XX) Sec:ticxr ../.08........ Mock ....... c ...... Tot .... ...(i.?
Sbdivisirnt ...................................... FiIcxl Wil) No. ............... iot ...............
7. Slate existing tire :11x1 cxxhrlxrtxy of premises nrxl inl.erxled tire :11x1 exculrnxy of proposed constnhetion:
a. Exisl ing arae rnxl rxxxgx-rtx-y ........``...^..................................................................
W�! ..............
......
h. Inlerxkv.l use atxl tx•cty>inx-y 1lr! !4
A.,T'1'O02�1 TIMI-1904
77 rfntei�;j>tlt,ttue', mi br!i3itl►uo
7. Delo► of wilt GlK:ck al►idt alM,licrtblc); Dia+ Ik►tl►Ilnl3 .... . . ..
. ltikl I l ion All grill.ion
.. Ikalrll i t ioo .. .... ... . .. 1)IIK lk;I,'k- , G"Q . . .1 . . . .. ..
t7b � a Q.��1 ,�jrt.icxs)
4. 1:s1 lural e d Cosl' ......... ,� U v fue
Ix: paid (x1 f l l tllli tells i►ppl scat ioll)
i. l l' tkn:l l i►ll3, IKnix:r of tkx:l l Iola tilde s .. . .. .. . .. .. (tulx:r ol` ►kn:l l 'tali IitI s cx► end f laxer
. .. .. ... . ... . . . .
11' garage, srnlx:r of crus ........
G. If: Ix►sioess, txnu►ercial or mixed tx)Ct►lxltx:y, slxcify ualure a►xl extrnC of each type of u:;e...... ...... .. ..... . ..
I. Uiux:usitx►s of exisl:ing ntr►►c:lurett, if any; I�r(xll... .. .. . . .. . .. ... Real.
Ik:igl►t ............ undx:r of Sl orics . . .. . .... .... ..... .. ..
I)inxnt;icx►s of sr,►� k"iticat►re with allerat.itx►ti or ;xklit iunt;: Front
Ik:pll► ........ ............ IksigJ►t ............ .. ..... . Mnlx:r of Storie:a
11. I)iu►:nsitxla of entire nuw cosst►tx:l itx►; Flool ........ ... ..... Ik:ar .. .... . .... .... DuIII I►
Ik iJ;AIC ......................... Nulx.l. of Storic.. . ........ ............
9. Sive of lot. FtoilL •r:':'.:........... .... Milt- .... .. ..... .. .. ... . . Ik:ptll .. ..................
Ill. It-lit! of Hsrcbat(t: ..................... D41111U of Fonlc:r (k4oer
..... ... ... ........................ .....
I. $cxle or• use: district in wlsicb prallitces are sittrrrted
..... . .............. ...... ..... .. ..... . .
12. lk" prolxr:C(I ux►strtKaiim violate any zc)I►iog I;►w, ordiomice or reliulat icx►: ... .......
Will lot be reltra(led .................... Will elcc:eas fill Ix: rultwed flan e
pruniss; YES....... NC)
14. Mines of 0wriber of pruuisca .............. ... ltiklress . ..... ........................ Mont., Db. ....... .. .
Niru of Ar(1►Itect .............................. ...... I4klress ['I►otxe Nn. ... . .....
Mile of Contractor .............................. ..... Atklrit.s ........ ............ ...........11►ooe Dil. ....... . ..
I:i. Is Ibis pro3x:rLy within Yy) fLM:t of It Cidal txalackl? A YI-.`i ......,
N) ra
*IL' YI:S, S(IIIIlCHl1 'lCXJN '11(11 ill9?S 11SIlMl'l' lIAY lue ltl::lilllla.-D.
PLOT DIAGRAM
Ilx:ate clearly atKl dial JoCtly all Ixsildiogs, "letber existing or prolxrsetl, aiml ilxlic:ate all set-back linlr:nsions
I►uu prolxrly litres. (give strfta notl blcx:k ►rub:r or (kscriptioll accotdi1% to ttc:e(l, a►kl n!►ow street 11111letl alltl ilwlicille
tdlether interior or corrrt:r JoL.
r wood
a
3TAXIM11"ITMVYA3NU
�j ti;yiR I/ °uajaA
L*OT JOC)q 3, % -1
•
D ( y
"RKAW' -.4-pyV. .�ai
1.11-14 Yin,
t1AIN tY (ll .....
.. . .. . .. . `, ?""'I:inl; duly ;;txnu, tk: xu;t!:; alxl »;► ac I ;
Q , 1 y 1 ►►1. lit! hl leu, i1 pll ivaul
Mille ul a viol siltuinl; txnllra. )
aix►vc wur:d,
Ik: i:. Ila: .. .. ... . . . . . . '
(l lnllac: r, agent, cuslxnalc: ole'ice► , etc.).. . .. .. . .. . . . .. . . .. . . ..... ..... . . .. .... . . . . . . . ..
of said (X41Ker or Uw►K:ta, coil is duly sKllborized to Ix:rfonu or Ilavt: lx:rfo►ur:(1 Ilse said work mill to urdu: wxl Kilt: 11►its
nppl ic;►l iou; Ileal: al I alalulr;nts tool r,irK:rl ill II►is IppI ical iorr are (lot, to lbe (x:t;l, Of Isis luitywledi's alxl Ix:l ie:l; alxl
I11al (he ")Ilk wi l l Ix: ix:r fornlc:d in 1114: Imlowl. lel fo►111 in elle appl ical ioll I i led I llert_•willl.
,ketml to bclo►c ur: Ilsis
.... .. .d;ry of .. 9.. 7..
Dill illy 111b1 i(: ..... ........
C... .
(}}
ENT LSCI�TT.Jft. iil;u;►tale of Appl l(yanL)
Stem of New
OINK"iA Suffolk
No. SC4725089,
?amEt*n May.31,
z .
r ,
P! c__
0 ao
6 2601
so.
Zap �
gyp• 'o`. ,'
Avo
f� $ a �` �� �'' tee(' - ��♦
2
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Z.
R=25.00
`N 4z3927 '
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SURVEY FOR
GRACE PARK
LOT NO. /7, "EL/JAHS LANE ESTATES '
AT MATTITUCI( DATE JULY 24, 1978
q TOWN OF SOUTHOLD SCALE: / = 50
1 , SUFFOLK COUNTY, NEW YORK NO. 78-432
A UNAUTHORIZED ALTERATION OR ADDITION TO THIS 041ARANTEED rO;
r SURVEY IS A VIOLATION OF SECTION 7209 OF THE cc
NEW YORK STATE EDUCATION LAW. CHICAGO T/T
*COPIES OF THIS SURVEY NOT BEARING THE LAND #IVERHEAD V/
SURVEYORS INKED SEAL OR EM1309SED SEAL SHALL P,
OSYU }
NOT BE CONSIDERED TO BE A VALID TRUE COPY, ?
I}7 , *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO (�
A HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED,
3 AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- •!
NEAREST WATER MAIN ML± 9lSOURSEOFWATER� PRIVATE✓PUBLIC_ -MENTAL AGENCY AND LENDING INSTITUTION LISTED
ilBUFF.CO.TA%MAP DIST. SECTION BLOCK LOT HEREON,ANO TO THE ASSIGNEES OF THE LENDING
I�THERE ARE NO DWELLI�TI Sf WITHIN 1�0 FEET OF TH18 PRO ER Y INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
>N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS. �jC, +0 4 g93
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *•DISTANCES SHOWN HEREON FROM PROPERTY LINESTO
` R A SPECIFIC
OF HEALTH SERVICES. PURPOSE AND ARENG CNOT TO BETURES EUF0 0 ESTABLISH SF SUR4tyOa
?APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES.
yfi DDRESS:.
? rNr�
TEL., 400 OSTRANDER
YOUNG & YOUNG . RIIVERHEAD, NEW.YORK AVENUE
V/S/ON MAP FILED/N THE OFF/CE OF THE CLERK
UFFOLK COUNTY ON FEB./4 /974ASF/LE NO.6065 ALDEN W.YOUNG,PRO FESSIONAL ENGINEER
MONUMENT , AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
44
TAKE HOWARD W.YOUNG,LAND SURVEYOR
ATION OF WELL(W),SEPTIC TANKS T)a CESSPOOLS(CP)SHOWN HEREON i N.Y.S.LICENSE NO.45893
N0M FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS.
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