HomeMy WebLinkAbout27672-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28088 Date: 11/29/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1450 SOUTH HARBOR RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 75 Block 7 Lot 1.4
Subdivision Filed Nap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 17, 2001 pursuant to which
Building Permit No. 27672-Z dated SEPTEMBER 17, 2001
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 MICHAEL L & PAULA S CROTEAU
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 28526 06/09/99
PLUMBERS CERTIFICATION DATED N/A
L �WI'6'A
Authorized Sig ture
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)
PERMIT NO. 27672 Z Date SEPTEMBER 17, 2001
Permission is hereby granted to:
MICHAEL L CROTEAU
1450 SOUTH HARBOR RD
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. REPLACES BP# 25685
at premises located at 1450 SOUTH HARBOR RD SOUTH/PEC
County Tax Map No. 473889 Section 075 Block 0007 Lot No. 001 . 004
pursuant to application dated SEPTEMBER 17, 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authori ed Sig ture
ORIGINAL
Rev. 2/19/98
form No. 6
TOWN OF SOUTHOLD D
BUILDING DEPARTMENT
TOWN HALL
765-1802 2 8
,r,�;.
APPLICATION FOR.CERTIFICATE OF OCCUPANEpLTPT
A. This. application must be filled in by typewriter OR ink and submitted to the ' i g
inspector with the following: for new building or new use: .
1. Final survey of .,Oroperty 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25Pp
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $1/5.00, Commercial $15.00
Date . . . . f�/� •,?�/off. . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. . . . . . . .. Old Or Pre-existing Building. . . . . . . . . . . . . . .
Location of Property. . . . .l�.5�. . . . . . . . . .. ... . . ��?. ���. if '. . . . . . . .°.f!rt
House No. Street Hamlet
Onwer or Owners of Property.. .: :tn%. . :�.;��?� .. :? . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . Block. . . .o.Q.7 . . . . . .Lot. . . . ./.. . OUY . . . . . . .
Subdivision. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permit No. . .?!.6 7?. . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . .. . . . . . .. ..Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . .
12e c- (P,0(00- APPLICANT
11/01/2001 15:59 516-734-7206 LADEMANN ELEC INC PAGE 01
EELECTRICAL INSPECTION SERVICE INC.
375 DUNTONAVENUE
EASTWrHOGUE,NEW YORK 11771
(316)286-6642
28526
APPLICATION No.ON FILE
DATE;
nLLAGE: Southold TOWN: Southold
ADDRESS, 14-50&Wh Road
ISSUED TO: Michael Crotew
INTRODUCED BT• IatfitmannElectric:, Im. LIC No: 4141-1J
was eumiud on 6191" and fouad to 6s in eampffanca with the Natrona(Elscalaal Cods
lit xrt 2nd 3rd Attic
LOCATION: &m.. �•-� ----
Hot Tab Paul J41
Det.Garage �-� �.
SWITCHES RECEPTACLES FIXTURES I REA MRS NS FA1 G.F.L AIR COND.
1 2
DISHWASHER DRYER CLOTHES WASH. GAIL DISP. RANGE OVEN SMOKE DETECTOR
FURNACE OlL GAS CIR MOTORS BELL IRAN. ECB DISCONNECT
MAS
OTHER
EQUIPMENT
Pool, outside Residential
I -500 Watt PO4 Light
-1 112 HP Motor
I -20AMP. 77tne Clock
I-20AMP.SPeclal
J1 1 11)4 1A
POOL 411AI
GO S. SUR,DI
PRESIDENT
B[njDZIVG P1�RMlZ'NO- 7b:.d&mm Kra t**m*darq
rw som pW a dma AW by Ow oed—ok
BLUE ORHiINAL YELLOW COPY PINK COPY OFFICE
TOWN OF SOUTHOLD PROPERTY RECORD CARD � M-
OWNER STREET ' - , VILLAGE DIST. SUB. LOT
L# 5('(ot6aq1 eZ er
FORMER OWNER NE ACR.
S W TYPE OF BUILDING
kv
RES. G I SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS Y
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A Llei- e s
AGE BUILDING CONDITION Co
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable i �� ,,�-�?� FRONTAGE ON WATER
Woodland �''�`' ` '` ' FRONTAGE ON ROAD
Meadowland ! DEPTH
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House Plot / Z v v BULKHEAD
Total DOCK
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BUILDING DEPT.
INSPECTION
( ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ �INAL
[ ] FIREPLE & CHIMNEY
U �L�
REMARKS:
DATE � / INSPECTOR /�
suiwiNc DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU ION
[ ] FRAMING [ INAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE Ala� � INSPECTOR
IELD INSPECTION REPORT DATE COMMENTS
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! APR 9 BOARD OF HEALTH . .. . . . . . . . .. . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . .. . . . .. . .
BLDG.DEPT. TOWN OF SOUTHOLD SURVEY .. .. . . . . . . . . . . . . . . . . . . . .
_
TOWN OF SOUTHOLD BUILDING DEPARTMENT CHECK . .. .. . . . . . . . . . . . ... . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . .... . . . . .
SOUTHOLD, N.Y. 11971
TEL:' 765-1802 NOTIFY:
/ CALL .. .
Examined. ........., 191 MAIL TO: . . .. . . . . . . . ... . . . .
/ 9
Approved. F•, 19� Permit No. ................ ...................................
Disapproved a/c .................................. ...................................
......................................................
w
(Building Inspec
APPLICATION FOR BUILDING PERMIT q
Date. . . � I. . . . ... 1999.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w
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 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 H=ff MALE 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. lime 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.
... . . .. ......�n�a�w.
...................
UNDERWRITERS CERTIFICATE "IMMEDIATELY" ( ignature D applicant, or if a corporation)
REQUIRED ENCLOSE POOL TO CODE ly,,��„s,ti �,�,�,�,Svc;;p� ./JA.7/
UPON COMPLETION
BEFORE "WATER" Oiling address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
...............�.W.44 2-...............................................................ARMED-M MATED...........
Name of owner of premises .../. ��1:e?: L.Z::.Com::- ..................QATE:,
(as on the tax roll or latest deed) FEE: I. —BY:
If applicant is a corporation, signature of duly authorized offi `�NO?IFY BUILDING DEPA E Al
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS.
•(Name-and•title.of.
corporate. ...•... FOUNDATION . TWO REQUIRED
....................
ftUPANCY ORtArM SING
USE IS+ NLAWFUL &
Builders License No. ............... .... 4. FINAL - CONSTRUCTION MUST
Plumbers License No. ....... NITIJOU.T.t�ERTIFiC W FOR C-0.
E ALL CONSTRUCTION SMALL MEET
Electricians License No. ..-OF-OCCUPANCY TME 1160MEMEWM OF THE N.Y.
STATE CONSTRUCTION • ENERGY
Other Trade's License ND.
.................... COM. NOT RESPONOW FOR
1. Location of land on which proposed work will be donelow"a
.....�. .1.
......................... ................... Sc7Vf::: ........................
House Number Street Hamlet
County Tax Map ND. 1000`/ tion ... 7 ...... Block .......7........ Lot ..4.y.........
Subdivision .........Jm'. ...................... Filed Map ND. . ...... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... '"S.!.?::`�?l �l ....G......................................
b. Intended use and occupancy ..... ....... 1-r ............
�, rr •". ..... ,w,..uu�
.. kion .. a' S
Repair ............ Removal ............. Demolition .... I"...... OtherWork Q�teration
•... ......................
at /
scrip
tion)
4. Estimated Cost ..��:...??.............. fee ......................................
(to be paid on filing this application)• ' "
S. 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.XQ........... Rear lb . Depth ...19.,1.`
. ............ ..........
Height a................ Number of Stories ......
wi
Dimensions of same strut th alterations or additions: Front ...
........ Rear ...............
Depth ............... ! fight .................... Number of Sto Des ...............
8. Dimensions of entire new construction: Front .... .CU. ..... Rear ............... Dep
Height ..........40-1......... Number of Stories .....................
9. Size of lot: Front ........Y.M Rear .......... Depth ....:y/1 Q
10. Date of Purchase .....�9�q?........ Name of Former Owner . C- 2cK.
11. Zone or use district in which premises are situated ....A'/<—'........................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..AW .................. ...........
13. Will lot be regraded ........A-4>........ Will excess fill be removed from premises: YES
14. Names of Owner of premises .172c,".&V..�':�°,7�ja,V...... Address y ?. s..?j-1W-1...,,,,,,,,,, Phone No. 2
Name of Architect .................................... Address .............................. Phone No. .............
Name of Contractor ..�.�.�. o�S.............. Address ..a ,r;�^J..........Phone No. .'73.YrA-.?`Z2�
IS. Is this property within 300 feet of a tidal wetland? * YES .......... ,,,,,,,,,,
*IF YES, SQTISID MM 1iQlS1M paWT MAY Dig MIRED.
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 number or description according to deed, and show street names and indicate
whether interior or corner lot.
ww. or rrV Yb,,'' ''
44$3000 09PI.`€ q god - -
.z-. : i ' .�l.r3f�UM�M3.•.flOtOEi..S.................. � .. .
.. .beiq�g,,du�}�sy��,,deposes and says that he is the applicant
(Name of individual si iii )
above`Mh4d;s'J4T0r�AT O .lAi1;I 1► , .,. ,�
he
1l�1?'YA'114T,M%1%W*jf&rpora1e officer, etc.)
:)f sild'a�uie't *%MkW aQ49 A CAthorized to perform or have performed the said work and to make and file this)
appli�atiVF0, `Wt-'&V7XWAned in this application are true to the best of his knowledge and belief.; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this Af
........../........ y ' ... .19.4.,..
Notary Public ....... . ... .. ..... ...... ..... //
(Signature'of Applicant)
JOYCE K WILKINS
ry Public,State of New York
c�4952246,Suffdk Com
ttn Expires June 12,1
BUILDING PERMIT REVIEW CHECK-LIST
Application Name:
Architect/Engineer:
SCTM #: District: 1.000 Section: �J� Block: __7 Lot:
Subdivision Name:
ReqReq.
/
Zoning District: [Lot size: 0 494949 Proposed:20 2. [Lot coverage A-5 Proposed:
=� /p
Req. Req Req.
[Front Yard Proposed: ] [Side Yard Proposed: ] [Rear Yard Proposed: ]
A�
Project Description:
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County P Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flood Zone:
Notes-,
4 ;
4-2
=,
` . MAP OF PROPERTY
-Z 0. 4 ..
PETTIT ,
.� - 51.J2VEYEG FO.tZAl
L. 0 [PA-XULA ' S., !" ROT'
=_
rt.00CUPANCY OR
.Itif.8D 21 ftp E. .O �
IS UNLAWFUL AT
WITHOUT CERTIFI(W �E � � _
. S . UrHoLa
O O CUPAI� Y a .30'= m TOWN of 5oUTWoLD NYlr .
i
or$ri>.±ivrt 1F
to t ct•r•_- ;F a vW.tion of i
11Q� r-Rvt,or,7--:�f the tl v;1',rk Stan
Iducation Lave.
i t SHED 2U)W15 / i COWES of this a Smay mai not bearng
the land st,rveyor r irKWe seat a.
Ql amtossed seal steal!not L �nsidiered
Pri VY >�I HS--1m to be a valid true copy. :_..4.
fs� m Guarantees indmated he:eon shall run
i ® r G>¢AVEL t7(%tVE- (TV only to the person for whn n the survel
is prepared.and on his behaff to the '
------
title comrany=governments!agency and
` -t
Z* S4]JZY FR.HO. to r in ±=*union listed ending c rd
to.he r'o, ass of the lending.n.:;i-
to ion Gid amcas.are not tst3rahit
i i t to soa,tional institutions or sub3equx
j GSR.
4 C �-rte- 17 11 i
! Uj ' SCALE — (QQ`= 1.t v
r .RAREA- 202 552 S.E' x.4.65 Ac.) h
Y0 f1= HUTMENT00 -------
•w, i
if �:1. TITLE NO. 647-+5-0975 r
of NEy'
"IMMEDIATELY" `� ��,�� VAti.
ENCLOSE POOL TO CODE �' ° '� G'``.
UPON COMPLETION �°
BEFORE.'WATER" -
U&N,,T-VE D TO SOL)IH SAY ABSTRACT INC,
. I? SSV; !.1�. �T
S e� O` rlmL Nes° LS z
- f 1��c lC. U'AN TU!Y.L. R C �y
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To: Gene Chituck
Re: Croteau Pool.
Vocation: 1450 South Harbor Road., Southold, NY
50'
Size: 20' x 50'
20'
.�.�....._ .�...�. .�.- ._...--._..._.
lull step on 20' width
Hopper (deep end) will be standard size/shape, extend shallow end to length
Pool Liner Color/Pattern:
Extras:Gas Hired Heater (supply to come from existing in-ground tank)
Please supply written estimate of all costs