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Home My WebLink About23557-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25430 Date DECEMBER 16, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 4522 GREAT PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 128 Block 4 Lot 19 Subdivision— Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 1996 pursuant to which Building Permit No. 23557-Z dated JULY 3, 1996 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 AS APPLIED FOR. The certificate is issued to FAIRWINDS LTD (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N418509 - APRIL 30, 1997 PLUMBERS CERTIFICATION DATED N/A u' ding nepector Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23557 Z Date ............... ...�............................., 19....... Permission is hereby granted to: eC/S A•�F�/ s :.�>✓........t lc.. .c Gt/.Y.1f LLG �°. ... .. ..................................... to .�J f.........d/ .......... ...... �........ ,�...... ��lit �........1�{n.q✓�-.......�.... �......................................................................... at premises located at ..... ...sl `� `-Y ��!=.4+?^lG. .../! :................... I'hw .................... �C.................................................................... ..................................................................................................................................................q............... County Tax Map No. 11000 Section ...lamV......... Block ... ..... Lot No. .. .1............ pursuant to application dated ...............lq!.✓t`...... 1 .................. 19. .w and approved by the Building Inspector. CPU Fee $....rte:.....' ........../,/,,,,., '�' / .............................. u ding Inspector Rev. 6/30/80 Form No. 6 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: I. 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 dwellin Addit ' ns to dwelling $25.00, Alterations to dwelling $25.00,�wimming pool S25 ccessory 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 - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident' ��a��11y$11�5.2�000�0, Commercial $155.00 Date . . . .. .. FIA. . . . �.r . �. .t �.�. . . . . . . New Construction. . .. . . . Old Or P e-existing Building . . . . . . . . . Location of Property. . . ' . . . . L!�!bl . . . . . . . (/A'��( FI.L/. . . . . . . . House No. Street Ham1e Onwer or Owners of Property1!! <3 14 `r County Tax Map No 1000, Section. k('-;;.. . . . . . .Block. . . . . . . . . . . . .Lot. . .. .. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . .. . .. . . . . . . .. .. .. . . . . . . . .1. fFiilled Map. . . . .. . . . . Lot ).. . . . . . . . . . . . . . . . . . . .C. ') f Permit No. .!0.q. . zmDnate Of Permit.�2l. /*16.Applicant. .t.l:!:. . . . a Health Dept. Approval.) �V~.� .'. . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final C rticate. . .� . . . . 60 Fee Submitted: 5. . . /,-� . . . . . . . . . . . . . . . . . . . . 5Z Ar (Sr 3 ��' . . . . . . . . -. . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 r1195100 BUREAU OF ELECTRICITY f l 85 JOHN STREET, NEW YORK, NY 10038 Date APRIL 30,1997 Appliention No.on file 13785697/97 N 418509 THIS CERTIFIES THAT only the electrical equipment os do+cribad below and Introduced by the applicant named on the above application number in the premises of HENRY STEFFENS, 4552 GREAT PECONIC BAY BLVD. , POLE#59-5C, LAUREL, N.Y. in thefollowing hwation; ❑ Basement ❑ lxt Fl. ❑ 2nd Fl. OUT .Section Block Lot was examined on APRIL 23,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECHTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS 11CAHaESCFNT NUORE5CENT I OTHER I W. I K.W. I AMT. K.W. I AMt. I K.W. IAMI. I x.w. AMI. 1 H.F. 2 1 1 1 1 2 DRYERS FURNACE MOTORS FUTURE ARUANCE FEEDERS SPECIAL RECFT TIME CLOCKS I YLL UNIT HEATERS MULTI-OUTLET DIMMERS AMI. 9.W. Oa K.F. Gey X.F. AMI. NO. A.w.O. AMT. AW. AMT. AMTS. TRANS. AMT. H.F. SYSTEMS AMI. WAII] NO.OF FEET 2 20 1 40 SERVICE DISCONNECT NO.OF S E R V t C E AMT. AMI. TM METER I.I tW 1 I]W ]/]Ft ],1'AW ND.Oi CC COND. A.w.G NO.aF W.IEG A.W.G nO.OF HENRAIS A.W.G. EQUIP• NR!' Or «.Cam [ Hsua OF HEUTRAI 01HER APPARAIUS: SWIMMING POOL-1 TIME CLOCK-AMP.40-1 *(SWIMFING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to Tiave frequent test/and or repairs made by a qualified parson. E= P LL<<< Continued on Page 2 >>> GL40AL MANAGER er 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. FIELD INSPECTION REPORT DATE COMMENTS ----ii-- --------------- n u ' FOUNDATION ( IST) n II IIit— II---------------------------------------- --- c:k cn FOUNDATION (2ND) _ II II _ `"b u u u ROUGH FRAME 6 PLUMBING II '1 u I' ti INSULATION PER N. Y. STATE ENERGY ii It CODE I�-—----��'-------------------------- 11 II jj ~ —II== —=II r � n u —n FINAL n n n ADDITIONAL COMMENTS: ny ,i C+! y H O x --- ------------ — C r tj Lm ONALD A. DEMS R C H i T E C T S Aquebogue Square Route 25/P.O. Box 565 Aquebogue, New York 11931 (516)722-3511 FAX:51,5-722-3859 Donald A. Denis,A.I.A. Frederick R.Weber, R.A. November 6, 1996 Town of Southold Building Dept. Main Road Southold,NY 11971 RE: HENRY& LINDA STEFFENS 4522 GREAT PECONIC BAY BL VD. LAUREL, TOWN OF SOUTHOLD,NEW YORK SCTM#1000-128-4-19 POOL PERMIT#23557Z Dear Sir/Madam: Attached herewith please find a drawing indicating the pool to the installed wider this pool permit. The pool shape is different in shape and slightly different in size than the drawing that was originally submitted for the pool. If you see any problem with this layout and shape please contact our office. Ve ryours, A. DE NI .I. DAD:dmh Enc. cc: Mr. Henry Steffens DONALD A. DENIS A R C H I T E C T S Aquebogue Square Route 251 P.O. Box 565 Aquebogue, New York 11931 (516)722-3511 FAX:516-722-3859 Donald A. Denis,A.I.A. Frederick R.Weber,R.A. June 12, 1996 Town of Southold Building Dept. Main Road Southold, NY 11971 RE: HENRY& LINDA STEFFENS 4522 GREAT T PECONIC BAY BL VD. LAUREL, TOWN OF SOUTHOLD,NEW YORK SCTM#1000-128-4-19 Dear Sir/Madam: Attached herewith please find the following: 1. Application for Building Permit(for swimming pool) r 2. Three (3) sets of Plans (Surveys). i 3. Check in the amount of$150.00 to cover fee. If you have any questions, please feel free to call us. Very y yours, ONALD A. DENIS, A.I.Z. DAD:dmh Enc. r�------- BOARD OF HEALTH . . . . . . �uJ FORM NO. 1 3 SETS OF PLANS . . TOWN OFSOUTHOLD SURVEY . . . . . . . . . . . . . . . !' ��N 3 �b BUILDING DEPARTMENT CIIECI : : : : : : : : : h 19% ' TOWN HALL SEPTIC FORK _ SOUTHOLD, N.Y. 11971 Donald Denis Architt BLDOTEL.: 765-1902i ttOTIF'f : TOWN FF OUTHOLD CALL . .722-3511. Examined . . . . . . .7 .✓1. . . . 19 . NAIL TO : :' Donald Denis, .. . . . . : Approved . . . . . �• • . . . . 1 �Permit No.,OP�IV07. . . . . I2Q Box 5B5 . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aquebogue, NY 11931 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bun a Inspector). APPLICATION FOR BUILDING PERMIT 6/5/96 Date . . . . . . . . . . . . . . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wil 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 str= or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap cation. 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 issued a Building Permit to the applicant. Such peg 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 Occupai 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, he g ode, and regulations, and admit authorized inspectors on premises and in building for necessa 1 lue'l (l�(�((Z atnt,or name, if a corporation) 225•Mount , Ridgewood, 11J 07450 . . . . . . . . . . . . I . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build . . . . . . . . . . . s ex. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of remises Henry & Linda Steffens p . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . (Name and title of corporate officer) Builder's License No. . •Not selected Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . ... Electrician's License No. . . . . . . . . . . . . . . . .... . . . . . Other Trade's License No. Location of land on which proposed work will be done.4552 Great Peconic Bay Blvd. , Laurel, NY . . . . . . . . . . I ... . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . • , 128Black '. . . .4.. . . . . . . . . . . . Lot . . . . . . 19. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . .•. . . . . . . . . . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy • • • Single Family Residence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Same . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ 3y 'Nature of work (check which applicable): New Building Addition . . . . . . . . . . Alteration . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . .. . .. Demolition . . . . . . . . . . . . . . Other Work Swiaming.P (Descripti 4. Estimated Cost . . .$�qr.000 _ . . . . I . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on tiling this application- 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . Ifgarage, number 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: Front . . . ,3?:. . . . . . . . . Rear . .28.. . . . . . . . . . Depth . 74 . . . . . . Height . . . . . . . . . . . . . . . Number of Stories two. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . .1. 8. Dimensions of entire new construction: Front . . . . . . . . . . . ... . . Rear . . . . . . . . . . . . . . . Depth . . , . . . . . . . Height . . . . . . . . . Number of Stories . ::. . . . . 9. Size of lot: Front , , 73;61. . . . . . . . . . . . . . . Rear . D 4�. . . . . . . . . . . . . . . Depth ,368.43 , . , . . . 10. Date of Purchase . . . .1958. . . . . . . . . . . . . . . . . . . . . Name of Former Owner g7z•istopher Came 11. Zone or use district in which premises are situated . R 4Q , ,,. . . . . . . . . . , ,Iq6. . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded . . .N9. . . . . . . . . . . Will cep, fill be.re oved ffro re is >l i 14. Name of Owner of premise��enry & Linda- Steffen�ddreAM �ountain mAve. Ric��ooc�; ' one o.201:fi52-- - Name of Architect Donald Denis, A:T:A. , 13.C., .Addresspfl Box. 565,.Aclueboguehone No:51(3—.722-3.5.1. Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . .Phone No. . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes: . . . . . . No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and•indicate all set-back dimensions property lines. Give street and block number or description according todeed, and show street names and indicate wh interior or comer Iot. See attached survey dated May 30, 1996 TATE OF NEW SfiGM, JERSEY S.S :OUNTY OF . .$i;RCiEU. . . . . . . . Henry Steffens . . . . . . . . . . . . . . . , , , , , , being duly sworn, deposes and says that he is the appl . (Name of individual signing contract) bove named. eisthe . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent,corporate officer, ctc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and filt ;Plication; that all statements contained in this application are true to the best of his knowledge and belief; and thr ark will be performed in the manner set forth in the application tiled therewith. vom to before me this. . . . . . . . . . . . . . . . . . .7.th. .day of. .'KAX . . . . . . . . . . . . . . .. 19 .`36 atary Public, . . . . . . . . . Via N' • . . \ . . County _ / ` . NOTARY PUBLIC OF nf:4V JERSEY / t / ignature of appli MY COMMISSION EXPIRES DEC. 13„ 1996 e « o � Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 . Dttttg 516-727-2303 b nnng `A�O Alden N. Young, Professional Engineer & Land Surveyor k � Howard W. Land 4r; Thomas C. Wolpert,�Professio al Engineer ousowg Xenneth F. Abmz.o, Land Suroeyor o 7 T m cp ,c o 0 NOTE. ■=MONUMENT FOUND D= STAKE SET 4 / 1 ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE REFERENCED TO NGVO 1 MSL 19291 0 N9 • Q4�� 2 yf iP wp Nktp 3r oo $ O p0 b eey s °P 43P/o Rr�I.�yjj@@4f tL n 'ma T oA �m � 7 O n O OCCUPANCY OR USE IS UNLAWFUL �x WITHOUT CERTIFICATE �+tOff„G OF OCCUPANCY X / m �p MEDIATE \� \ ENCpOSECOMPLETIOND UNDERWRITERS CERTIFICATE �b \ REQUIRED9 \°.QOP°” c.-+ • p= BEFORE 'WATER f , "IMMEDIATELY" 1 0 ° ENCLOSE POOLTO CODE UPON COMPLETION SEFORE'WATER" fie °� o APPROVED AS NOT N E PS J'4$ FEE: 'P/� � BY: -- Z NOTIFY BUILDING DEPARTMENT AT \ "y000 N 765-1802 9 AM TO 4 PM FOR THE 9 _ /e\;+ •'� o FOLLOWING INSPECTIONS: 1 TREQUIRED FOR POURED CONC EE 0 2. ROUGH - FRAMING & PLUMBING ° dl o 3. INSULATION C L° w 4. FINAL - CONSTRUCTION MUST CO, n�r N- BE COMPLETE FOR C.O. . 5g0 {" z m"n, ALL CONSTRUCTION SHALL MEET - - PRO m °va e^ `°'+ - - - - - - - THE REQUIREMENTS OF THE N.Y. - - - O�` STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS a oa Ila o°9�N ro°W/� �" woao GflDiN Ca V6 0 OG �� ti�QP3 WDDD Gg01N Pq (,1 SURVEY FOR HENRY STEFFENS 9 LINDA STEFFENS M 0 c" ��o Q At: LAUREL Town of: SOUTHOLD Suffolk County, New York Suff. Co. Tax Map: 1000 128 4 19 m trio S°cao° Rock Lot NElNI' r-`- ��Q- S•h E rQp_GO MAY ,1996 21 MAY 17 1996 APR, 17,199bb5 `b3 AUG. 15,1995 �p JULY 6,1995 OCT. 13,1994 SDATECALE :OCT 8,1994 SCALE :1"= 40� ebb' 4gyg9 JOB N0. :94- 0607 �� SHEET NO. :I OF 1 O � 1 UJATER LINE o S.18029 ' 30 "E . NEW COPPER W - TER uNE 313 . 42 EV CESSPOOL TO BE �UYPED BLiRI D 54" AND EAED U/ SAND AND W: ;D, E_ LLA —E'� VALVE FENCE OJTL'NE Cr EV d �k dr�w�Il - - pOOI � HOUSE O EE 1 --- - -- — � � ' � � - -0quI DEYOL SHED { NEW GARAGE EX GARAGE TO PROPOSED FLOOR ELE\ -C M4TCP E\ . BE REMOVED HDuSE AT 2e 84 cen7 line IN ROUND or TES HOLEFT DDE - - - an g CK R�3 I 4 d loop end FOOTPRINT , — — DECK OHOUSE — — d tk D F np.ve EN ! � r l. rVlliU — I v I -SANITARY sTErt - - MIN SIDEYD BY ZBA DECISION OCT. 11 , ' 98 CE. "�C9t""`;7fiND ' IC TANK 20 .8 ' EC' GE �y 368 . �f3' NOW OR FORMERLY ARMANDO E . JACQUELINE GRASSI N .18035 ' 10 "W. TEST HOLE BROWN LOA �li - ^ ND L—)' f AFRox . PALE BROUN FINTO' COARSE SAND NORTH LA ) OJT BASED ON SURVE) BY YOUNG AND IOUNG NC WATER ;F DATED AUG 15, "'S HOUSE ° ND f,�; ARAGE LAIOUT SHOULD BE B`" THE SURVE'[ OR.