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HomeMy WebLinkAbout24443-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26166 Date: 12/11/98 THIS CERTIFIES that the building ADDITIONS Location of Property: 1340 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1997 pursuant to which Building Permit No. 24443-Z dated OCTOBER 29, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE TO CODE INSTALLED WITHIN A DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to S ARTHUR & LOIS G LAMIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-469345 10/23/98 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 FORM NO.3 i 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.......29.......................... 19...97... 24443 Z Permission Is hereby granted to; S ARTHUR & LOIS G LAMIA .......................................................................................... 101 SHARON LA .......................................................................................... GREENLAWN,NY 11740 ..... ......................... .......................................................... to INSTALL. AN I NGROUND. SWIMMING POOL..WITH ENCLOSURE..TO„CODE.......... ................. ...... . ......... ....... ............ . ..... .......... .. . ..... ....................... .. .. ......... INSTALLED WITHIN A DECK ADDITION AS APPLIED FOR. ............................. ..................................................... ........................................................................... ......... ............................................................................................................... . ..................................... ......................................................... . ...................................................................................................... ................... ................................................................................................... ....................................... 340 KIMBERLY LA SOUTHOLD 1 atpremises located 4t............................................................................. ...................... ................................................................................................................................................................ County Tax Map No. ......473889.... Section 070........... Block ......0013....... Lot No. ..020.,.012... pursuant to application dated ...,,N/A.............................................. 19................ and approved by the Building Inspector. Fee$ 150.00 11A. ........... . g ............ . . . .Inspector Build Rev. 6/30/80 Form No. 6 M • TOWN OF SOUTHOLD -r BUILDING DEPARTMENT S � TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildinf 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 buildir 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. equirements. -B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings an '-'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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25r,,, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . .J ',. �,� . . . . . . . . . . . . . . . . . . . . New Construction. .. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . 4._'-#m . . . ���r ,.h � .17. ��. . . . . . . . . . . . . . House No. /'Street • • • Hamlet Onwer or Ownersa^of Property. �. .. . ! \, County Tax Map No 1000,Section. .r7L .. . .Block. .Q©1 . . . . .Lot. . D. . 0. . .l � . . . . . Subdivision. . . . . . . . . . . . . . . . . .. . . . ...Filled Map. . . . . . . . . . . .Lot. . . . . . . . . . . ... . . . . . . . Permit No a4"igDate Of Permit.` .0:_9-, J]_:�1 Applicant. f , , . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate e- Fee Submitted: $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CO � �� l6� AP a THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 1185077 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,1998 Application No. on file 17009598/98 N 469345 THIS CERTIFIES THAT ? - 1 only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ARTHUR LAMIA, 1340 KIMBERLY LANE, SOUTHOLD, NY in the following location; ® Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 16,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC,PT.j TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 1 20 SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL--1 TIME CLOCK--AMP.40-1 G.F.C.I-1 (SVIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. L <<< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY F_ 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 23,1998 Application No. on file 17009598/98 N 469345 MM THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ARTHUR LAMIA, 1340 KIMBERLY LANE, SOUTHOLD, NY in the following location; ® Basement ❑ lst FL ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 16,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. I WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ROSLAK ELECTRIC 1.,.. aa� P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 Per This certificate must not be altered In any manner; return to the office of the Board if Incorrect. Inspectors may be identified by their credentials. IN on 1111111 milommmimmi MI 1111111 Ell COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ J FRAMING [ 4eFANAL [ ] FIREPLACE 8 CHIMNEY REMARKS: -62-� �Z-,a r DATE � � INSPECTOR ^'"� IID COMMENTS 1 . n FOUNDATION ( 13t ) Win. FOUNDATION ( 2nd ) 2 . z o 'may ROUGH FRAME & _PLUMBING �\ V /1 3 . I11SULATION PER N . Y. - • • '� STATE ENERGY CODE x ------------- 4 . FINAL I o . ADDITIONAL COMMENTS : x ` . ro qL H �1 H - O z r I _MT r H a . * BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . .. . . . . . . . . . . TOWN OF SOUTHOLD SURVEY .. . . . . . . . . .. . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . .. . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . .� . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: O� CALL . . . . ./. . ... .3 f xam.i ned..... Y!..., 19.( /. MAIL TO: . . . . . . . . . . . . . . . . . . . . ZO .. Appranred.....L.� " ..., 19Permit No. /;r, -�•.. .................................... Disapproved a/c .................................. .................................... .................................................•.... .... .. ..... ...... (Aui1dG_7o n •tor) APPLICATION FOR BUILDING PERMIT ..Date. . . . . . .�. .`'. . . . , 19. . ./C INSTRUCTIONS 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 promises 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 application. c. 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 issue 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 BBIEBY MATE to the Building Department for the issuance of a Building Permit pursuant 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, i •ng c ,Ja Ing and regulations, and to admit authorized inspectors on promises and in buildi ti "IMMEDIATELY" .. . .. ............. ..;.... SOW roM10CODE 'gnature of appli e, if acorporation) ,4,tRPAI 4 oq A/ u k9.. 1174 IIIIEFOPA"MnIr ............I........ .. R. X. ... (Mailing address of applicant) State whether a pp licant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....�''�" ................. .. ....................................... . .......... �................ l •. ' A-e Name of owner of premises .. ......... .............. . . ...... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. pe � ( 4{'filPAt , Y OR .,� .............................................. low OmanR (Name and title of corporate officer) M"M + on- .'s ' USE I'S LAWFUL Builders License No. ....................WITHOUT ttRTIFICATE � � Plumbers License No. OF-OCCUPANCY 3: I N"M#iNN° & PLV 0 Electricians License No. 4. FINAL • CONSTRUCTION MUST .....................UNDERWRITERS CERTIFICATE BE COMPLETE FOR XALL Other Trade's License No. .................... REQUIRED ALL CONSTRUCTION MEET THE REQUIREMENTIS OF THE N.Y. 1. Location of land on which proposed work will be done..............................7ATe•EON9'FRUCTiON•&••ENER&Y �i ��// ,/'�j�jJ, -Ir-� '_'' NOT RESPONSIBLE FOR .....�J.. ............? 1!.'h::.-!..,': ...AX.J:.........` :�.L. 3. N•hture of work (check which applicable): New lluilding .......... Addition .... .. AlteFat►o :... Repair ............ Removal ............. Demolition ............ Other Work .. �. �/r .. ........ (Description) 4. Estillhatech Cost .eQ0 ........ fee .............................................. (to be paid on filing this application) 5. If duelling, maber of dwelling units ............ Nuder of dwelling units on each floor ................ Ifgarage, member of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Dont................ Rear ............... Depth ................. height ......................... Nlniter of Stories ...................... Dimensions of save structure with alterations or additions: Front ............... Rear ............... Depth ..................... lleigl►t .................... Number of Stories ............... 8. Dimension 47 A entire new construction: Dont ................ Rear ............... Depth .............. height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth ................... 10. lkite of Purchase ..................... Meme of Former Owner ........................................ H. Zone or use district in wl►ieh premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess ill be removed from promises: YES NO�f 14. Names of Owner of promises s! /�47.D:'!,/�Acklress J,� j4D..KJ^�Ll: .Y . Phone No. Z /A Name of Architect ...... �................ Mi .............................. Pion No. .............. Nim of Contractor ................................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YIDS .......... NO .......... *IF YES, S(XMK" MLN 1%]SIMS PERMIT MAY BE REqLIRiM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nmi►er or description according to deed, and show street naves and indicate whether interior or corner lot. ZI— T VFVA IR 41 1.11'.. 11100AAN Virm W ON W & O. MA 4W SIA (( tXr /y■ Mgt" 11tIQ� •••• •••• .t. .tx ilhg duly sworn, deposes alxh says that he is Lite appl.icant Mile of incllvlihkal.k�S�h� xhtrai t) ... . a above` ij:mme - Iktis, tImp ... .. .......................................................... . (t:cnhtracCor', agent, corporate officer, etc.) .' of,..-;aid owner or omlers, and is duly rn.11.110 ized to lxxrfonn or have performed thr said work and to make aild file this ,. ailf4ic•ntion; 111711: fill atakilvill.s coillailxyl 111 Ihin 11144ica111(111 71re Info' to IIIc twit of bin klxlw1(YI11,P tlllll lntllef, nixi jjQ ,fj i,k the work will be performed in Lim-, maimer set forth in the application tiled tlerewitl►. 5,000 h 1.0 Imfot(e 1111! (hi ra ((��^� J 71 .........��.........day ►f: � .........19..1.J... Notary Public r, f ..KATHS (Sll nature•of'Appllcc ......Nn+A.v Publew York OIKU5030964 ,., MRSSeu County Commi6soui I Lapii eL July 25, 199 p A SCDHS. Ref# RIO- 94- 0035 NE R ,, 65 R O z 14 a OCCUr .� IC Y t+ �,� : e '�/ U a a USE IS UNLAWFUL �3 Own 0 > 317.0 , � 1 _ ' WITHOUT CERTIFIC O _ _ ���n • f I am familiar with the STANDARDS FOR APPROVAL y O OCCUPANCY �'� �� .-x= "';r'"�•'•`� n C � e1 AND CONSTRUCT/ON OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES 0 2, 20" E _� _ r �j=.:= ' q and will abide by the conditions set forl/r /herein and on the o N 84* 2 �" ,r�.:?a �a permit to construct. "' s''� = _�., "v AREA = 4/,617 SO. FT. v� i. 65.7$g4.27'20••W LU � 'ILI = M us _ W ul Cj % h SURVEY OF C4 210 ���=- ==�} PROPERTY 12 `� , : " ._:• . =.fir �4 "~` _ _ SOUTHOLD COTO WN OF SOUTHOLD Z SCK unrp SUFFOLK COUNTY, N. Y. CERTIFIED T�7� �m fS(. ! OVERLOOK COURT DEVELOPA/ENT CORP. 1000 — 70 — 13 — 20. 12 o EQWIRFp�RT/f 1C4,j l / S ARTHM a LOIS G. LAACA VCHTLRE ABSTRACT Scale 1" = 40' Zd i CN°SURA CO-ANY LAW � No V. 7, 1988 s ► TO Mar. 24 1994 d . Dec. 2 1994 Foundation ems' f:tK 1 Oct. 24, 1996 (Under Construction) 70s°O' 3 e o NO,Q FIRM ZONE A 4 EL. B 8 ZONE B , , � r ._ v , loior� ADD CERTFtcA77olvs � � `*�. �O� I, ., The locations of wells and cesspools 06 OW94 STAKE&.= &AIELOPE „ shown hereon are from field observations 05A 5194 REWSE WELL LOCA TIM and or from data obtained from others. c Pre Dred In accordance with the min/mum LIC. NO. 496!8 slondords for fill& surreys as established �' " ��" ` NOTE LOT NUMBERS REFER TO 'MAP OF PARADISE BY THE BAY' p p PECOINf,C r �IR�!E_Y RS P.C. by the L./.A.L.S. and approved and adopted �O FILED. NOV_ 4, 1976 FILE NO. 6463 AT THE OFFICE OF THE for such use by The New York Stale Land (5/61 BTO 909 _ SUFFOLK COUNTY CLERK. ELEVATIONS ARE REFERENCED TO N.N.G. M Vj). Title Association. N B MAIN ROAD SOUTHOLD, N.Y. 11971 88 - 677 C T 09/05/1997 11: 69 5167345792 GENE CHITUK POOLS PAGE 01 CHITUK.FOOLS LTD. Estimate P.O.Box 9 Cutchoguc,NY 11935 DATE ESTIMATE S j i NAME/ADDRESS j 8/3/97 2 r ARTHER KIMBERLY LANE SOUTHOLD,NY 11971 i DESCRIPTION IN-GROUND SWIMMING POOL CONSISTS OP., STEEL WALLS WITH DEAD-MAN BRACES AND HAR.DWARF. 1 6'FYSERQLASS STEP [-$150.001 SAND Olt D.E.FILTER WITH BASE,1 H.P.SUPER PUMP _ ALL PVC PIPING AND PLUMBING 20 GAUGE VINYL LINER {2 AUTOMATIC SKDAMERS,2 RETURNS,AUTOMATIC CHLORINTOR ROPE AND FLOAT KIT '3 STEP DEEP END LADDER RECEPTOR COPING UNDERWATER LIGHT HANDRAIL FOR STEP VACUUM SET STARTER CHEMICALS 5600.00 TOWARD t7LECTICAL WORK NO PERMITS(-$130.001 1380 POLARIS COMPLETE[+S1200,001 i LOOP LOC COVER INSTALLED[+S 1030.001 FOAM PADDING[+S 150.00 1 TO DE-WATER HOLE ADD$1200.00[IF NEEDED) TO TRUCK IN WATER ADD$225.00 PER LOAD i AL1..EXCAVATION WORK IS NCL.UDED i POOL.SIZE 16'X 32' ORIGINAL COST$9000.00,WITH EXTRAS-$1,1100.00 CHttUK POOLS AGREES TO CONSTRUCT SWIMMING POOL.AS DESCRIBED ABOVE. THIS ESTIMATE WII,I.ACT AS A CONTRACT WHEN SIGNED BELOW BY HOMEOWNER. PAYMENT SCHEDULE:-DIG 1-101.13 AND PUT UP WAILS 4"00.00,DROP LINFR-$3500.00,GRADE AROUND POOL,AND START FILTER S1500.00,COMPLETE JOB BALANCE DUE- SIGNATURE 0CCUFA!-.,,.,' Y O USE IS UN!AVVFU L c 1l - (ti0 0/-41/&�e C d\k C ) t LIJ U c",