HomeMy WebLinkAbout27587-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28167
Rte: 01/14/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1450 HORTON LA
(HOUSE NO.) (STREET)
County Tax ~ap NO. 473889 Section 63 Block 1
S.~division
Filed Map No. __ Lot No. __
SOUTHOLD
(HAMLET)
Lot 12.1
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 3, 2001 purs,,~nt to which
Building Permit No. 27587-Z dated AUGUST 29, 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.
(8/27/10 CORRECTED FOR LOT NU~4BER CHD~NGE ONLY)
The certificate is issued to THOMAS J & SUSAN M MCCARTHY
( OWNER )
of the aforesaid building.
SuE~O~£~)[~I~YDEPA~OF}~ALTHAP~O%rAL N/A
ELRL-rKICAL u~TIFICATH NO. 2505 01/08/02
PLI~4BERS CERTIFICATION DATED N/A
Rev. 1/81
.2.
ROClue~t for: Temporary Certificate
Fee Submitted: $ ~ , C) C)
· Lot:
~k o~e)
~ - ~ppticant Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~-RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPA/~CY
No: Z-28167 Date: 01/14/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1450 HORTON LA
(HOUSE NO.) (STREET)
County Tax~4ap NO. 473889 Section 63 Block 1
Su]~dlvisiou
Filed Map No. __ Lot No. __
SOUTHOLD
Lot 12
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 3, 2001 pursuant to which
Building Permit No. 27587-Z dated AUGUST 29, 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.
·"ne certificate is issued to THOMAS J & SUSAN M MCCARTHY
( OWNER )
of the aforesaid building.
SUFFOLK COUNT"f DEPARTMENT OF HEALTH ;kPPROVAL
ELEC~RICAL CERTIFICATE NO.
PLIR4BERS CERTIFICATION
Rev. 1/81
N/A
2505 .01/08/02
N/A
Aut hor~ z ed-Si~t u~e
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. 27587 Z Date AUGUST 29, 2001
Permission is hereby granted to:
THOMAS MCCARTHY
1450 HORTON LANE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A/~ INGROUND SWIMMING POOL WITH FENCE TO CODE IN
REQUIRED REAR YARD AS APPLIED FOR
at premises located at 1450 HORTON LA SOUTHOLD
County Tax Map No. 473889 Section 063 Block 0001 Lot
pursuant to application dated AUGUST 3, 2001 and approved by the
Building Inspector.
Fee $ 150.00
Authori ~ Signature
Rev. 2/19/98
COPY
l~orm No. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submit'te~d-~'~-thei.~uildi~-~-
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.
~ Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
~ Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
~. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
'~ Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of prpperty 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.
~eScertificate of Occupancy - New dwelli~vns to
$25.00,
Alterations to dwelling $25.00, ~imming pool ~Z~.uu,~_ccessOry building $25.00,
Additions to accessory building $25~u~i,,==~=~--$50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .......................................
,ocation of Property.../..~..~.. .... -.f~-..~../.--~--~J..~- .....~-~.; .............. f
House No. Street Hamlet
ty J.'.~..(~..~ ~ "'
3nwer or Owners of Proper ....................................................
ou ty 000. ....... ...... ./ ......... ................. . ....
]ubdivision ............................ ,..../...F~led Map ............ ~ ~..-~..Lot ................
'ermit No...~..?.~..~.2..Date Of Permit..~..~.f.Z.~).( '...Appltcant'~''~'''/~'~''~?''''~''~'~f/''~'!:!~''-~''
lealth Dept. Approval .......................... Underwriters Approval .........................
'lanning Board Approval ........................
~equest for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $ ' · ............
0_~ ~ D. ~'~'"7 ~'~i'iC '~..~. ..........................
itoc ~o.~a7 '"~'"" ...... ~;~£~T
0110972002 0~:35 ~2/02
72 ZAR ELECTRIC INC PAGE
Nassau Suffolk Electrical Inspections, Inc.
5A Canat St~-,i · C~ii~ lvlonches, Nk, w Yoflt 11934 · Tel: 631-S78-3500 · Fax: 631-878-3764
Applic~lion No: 2~0~ Dat~: 118/02 '--" ~ ~'
hsu~t to: McCarthy
Address: 1450 ltortan Lan~
Villagv: Sou~hold
Introduced By: Zar Elcctric
Zip: 11971
Township:South~id
Licens~:4808-E
was examimxi and found ~ be in complian~ with the Nalio~l El~rical Code
1 2 ~-500wmtl
oven Cl~ofl
Smoke BeLt
Co9
This certificate must not be altered
in any manner
OWNER
TOWN OF SOUTHOLD
STRE r /
0 ER OW ' N~'
S
RES.
LAN~
/7~o
SEAS.
IMP.
VL. FARM
TOTAL
DATE
PROPERTY RECORD CARD
VILLAGE
SUB. LOT
E
W
REMARKS
TYPE OF BUILDING
CB. MICS. Mkt. Value
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
Ac re
BELOW ABOVE
Value Per Value
Acre
Tillable
Woodland
MeadOwl~nd
House Pkl~
Total
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
DOCK
M. Bldg.
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
O.B.
Foundation
Basement
Ext. Walls
Fire Place
IType Roof
Recreation Room
Both
Floors
Interior Fihish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
LR.
DR.
BR.
FIN. B
BUILDING PER/qlT I: E\qJEW CHECK
APplicant/
Architect/
Engineer: '--'---
SCTM #:
District: 1,000 Sec6on: (~3 Block: [ Lot:
Reviewed:
Date
Submitted: ~/~/01. ~_
Sion, lc & separateRequired
c~mficadoo: (Yes / No)
pzmm Y~d .
Project Doscription:
Subdivision
REOUIRED FOR REVIEW
Suffolk County H~ Dept.
~ew York State D.E.C.
Tom T~t~s
Tom ~ Bo~d approve:
Tom PI~ Bo~ approve:
FI~ Pl~e Elevation ???
Flo~ ~ne:
Permit
NO YF~ Number
NOtes:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]/I~ISULATION
[ ] FRAMING [~]~FINAL
[ ] FIREPLACE & CHIMNEY
765-1~02
BUILDING DEPT.
INSPECTION
/ ?
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
FRAMING
[ ] ROUGH PLBG.
[? ] IN. ION
~ FINAL
[ ] FIREPLACE _& CHIMNEY
REMARKS.' ~/2~ ~),~"~W ·
FII~LD 'INSPKCTIOI~I PJ~PORT
I~OUHDAT~ON (IST)'
~ommAT~os (2tm)
ROUGH PRAI4E &
PLUI4EING
X~80hATXON PER N. ¥o
STATE ENERGY
CODE
1FIHAL
BUll D[lq'G PERMIT APPLIC~TION CHECKT J~qT
Do you lay, or nord tl~ followina I~_fo_~ ~pplfa~ ~
APPLICATION FOR BUIIJ'~ING PERMIT:, ,' ' * ,
-., ' ..... ' INSTRUCTIONS
-------~-.~. - ~.=: ,OLD
a Thi., appl/cal/on MUST 1~ oompl~-ly fill~d/n by B~p,wfit~r or/n/uk ~ud ~llm/t~ W
~ ofpla~s, ~ p~t pDn W ~o. F~ ~;~g W s~o.
b. P10t ph~ ~ 1~ of~t ~ ofb~ai~g~ on ~!,~, r~on~!p
m, and w~a~,
O. No ~ *h*!! ~ ~ ~ m~ ~ W~ Or ~ ~ for ~y
~ ~by~dlaX~' ·
...... , .......... ~ ............
~afi~, for ~ ~on of~, add!fi~, ~ ~om or for
a~ ~ to ~ly ~ ~ ~1~ ~Ws, o~i~.~e~, b~g
~ ~n.on ~i~ ~a ~ ~ f~ ~'~m.
S~ whe~ ~p~t ~ om~ 1~, ~m~ ~h m~n~, gm~
· ' (as on tho tax roll or latest deed)
~f ~pp~c~t ~ ~ ~°n~mi°~ ~e ofa~ ~utho~ Om~
(Name and title of ~orp0z~ officer)
Baikl~ Lic~mo No.
Phmlbm Lic~a~ No,,
: E!m~riciam Liccme No.
· Otb= Trado's Lio~mo No'.
: 1.; LoCation of land on which, proposal work will bo done:
Home NCm~ StI'~t .
Coumy Tax Map, No. 1000 Sl~ion
Subdivision ~ [~
Block
Fil~ Map No,
Nat~e of work (check which: apPlicable): New Building Addition ..Alteration'
Repair Removal Demolition Other Work
(Description)
Estimated'C6st //~): ~.. Fee (to be paid on ~ing this apPlication)
If dwelllng, n, mber of dwel!ing traits M/~t '.N~tmber of dwelllng traits on each floor
If 9araoe, number of cars
If business, cOr~mercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing ,iiuctures, if any:. FrOnt ' Rear Depth
Heloht Number of Stories
Oimensions of Same structura with alterations or additions: Front R~ar
Oepth ,,Height Number of Stories
Dimansions of entire new con~Uuction: FrOnt Rear Depth
HeigM .Number of Storias ' ...
· Size oflot Front ~ Rear Depth
1. Zone or use ~li.,i~ict in which premises are situated ' ·
2. Does proposed co~Uaction violate any zoning law, ordinance or regulation:
t4. NamesofOwnerof~llises /~ ~'~//~/ Address/~)/z~ ~czw/7~l/JPhoneHo.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
!5. Is ~h!s. property wiihln 100 feet ora tig?l wetland? *YES NO
· IF YES, $oUTHoLD TOWN TRUSTEES PERMITS MAY BE R.EQLrIRED
16. Provide survey, to Scale, with accurate foundation plan and distances to property lines.
17. Ii' elevation at any l~int on property is at 10 feet or below, must provide topographical data'on survey.
STATE OF NEW' YORK)
SS: . 'i', ":'::;
COUNTY OF )
(Nsme Of indiwidllal Sig~i-~ contract) above p.mec~
(s)~i~ ~ th~ ,
(Contractor, Agent, corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th~s application;
that all ~ts contained in this application are tree to the best of bis knowledge and belie~, s~d that the work will be
perfOAhied in the ~rmer set forth in thc application'Hl ed therewith- : . ,. :,:
Signature ~plicant '
Map o. fDescribed Property
Situated at Southold
Town of Southold, Suffolk County, New York
District 1000 Section 63 Block 1 Lot 12
Certified To:
Thomas and Susan McCarthy
Fidelity National Title Insurance Company
Bridgehampton National Bank (A~IMA)
ANTHONY ABRUZZO R.L.S.
REGISTERED LAND SURVEYOR
1700 Hortons Lane
~ Southold, New York 11971
(516) 765-6242
:~SURVEYED: June 6, 2001
Scale: 1' = 100 Filg4qo. 2527
~'"'q 8' n 8'
~,b 8, u 8' b
~A,b 8' b 8' b
r ofmnm~.
II'x 3i'
IIICTAHGll i' RADIUS