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HomeMy WebLinkAbout26794-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28192 Date: 01/30/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 675 HIAWATHAS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 51.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2000 pursuant to which Building Permit No. 26794-Z dated SEPTEMBER 26, 2000 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 SUSAN MACKENZIE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 51860 05/08/01 PLUMBERS CERTIFICATION DATED N/A Authorize Signature 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. 26794 Z Date SEPTEMBER 26, 2000 Permission is hereby granted to: SUSAN MACKENZIE PO BOX 1940 SOUTHOLD,NY 11971 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 675 HIAWATHAS PATH SOUTHOLD County Tax Map No. 473889 Section 078 Block 0003 Lot No. 051.001 pursuant to application dated SEPTEMBER 12, 2000 and approved by the Building Inspector. Fee $ 150.00 Authors ed Signature COPY Rev. 2/19/98 r . • Form No.6 f' TOWN OF SOUTHOLD - BUILDING DEPARTMENT TOWN HALL r. JAN 2 9 ..._. 765-1802BLDC 1; APPLICATION FOR CERTIFICATE OF OCCUPANCY j 1-�O,'1114NN 01c This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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%0 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. roan� New Construction-Ip g Qoo4— Old or Pre-existing Building: (check one) Location of Property: C0`1 Vk\o W qls R-5-H-} L.j House No. Street Hamlet Owner or Owners of Property: Su5r*v1 ra)• YYl Q C.X{r)-,F Suffolk County Tax Map No 1000, Section - Block 3 Lot Subdivision Filed Map. Lot: Permit No. �'� Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ LIZ'__y1\4t - ��� 0( App icant Signature t a Electrical Inspection Certificate Electrical Inspection Service, Inc. 375 Dunton Avenue East Patchogue, New York 11772 (631)286-6642 Date: 5/8/01 Application No. : 51860 Issued to: Susan Mackenzie Street: 675 Hiawatha Path Village: Southold Zip: 11971 Town:Southold Section: 078 Block: 03 Lot: 51 Introduced by: Hank's Electric Inc. (L) Lic.# 2675-E } was examined and found to be in compliance with the National Electrical Code ❑Attic ❑1st Floor ❑Indoor © Residential © Pool ❑ Det. Garage ❑Basement ❑2nd Floor ❑Outdoor ❑ Commercial ❑ Hot Tub ❑ NV Defects Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 1 1 Dishwasher WasheNAmp Dryer/Amp Oven Range/Amp Garbage Disposal .f Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Telephone Television Carbon Monoxide Other Equipment. W Hugo S. Surdi President ' a Building Permit No. This certificate must not be altered in any manner Inspectors may be identified by their credentials a 5ta 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;:NAL SU TION FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ptib DATE -INSPECT 7 X65.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING � [ NAL [ ] FIREPLACE & CRIMNEY REMARKS: l oZ DATE � INSP " 67 UNDATION ( IST) j • u u - - UNDAT I ON (2ND) __________________=====N ________ _______________________________________________________ II II {�-- a -- -- UGH FRAME & �� u PLUMBING I� II ii H SULATION PER N. Y. u STATE ENERGY A CODET- N ce N -il II -II N , 1 FINALif 0 1 w ssaacaaaa=coccccee=ocs�cceccc_$a=o=co==—cc ---co_=—=—_—________—____�[_ ADDITIONAL COMMENTS: 7 T r G t� Q.yJ H � H a -------------- -- ---- o --- ------------- ------------ ------ .......... �5 BOARD OF HEALTH rf IS FORM NO. 1 3 SETS OF/PLANS . . . . ... . . . . TOWN OF SOUTHOLD SURVEY �/ . . . . . . . . . . . . . . ", t (� BUILDING DEPARTMENT CHECK .I �� • . • . - • • •- - • • • • • - u TOWN HALL SEPTIC FORM . . . . . . . . . . . .. . . . . . . ---- _ f SOUTHOLD, N.Y. 11971 DEC . . ''i. '�'1 TEL: 765-1802 TRUSTEES . . . . ..... .. . ...... . . .. `':'OLD NOTIFY: CALL . . . . . . . . . . . . . . . . . . Exanined...................... 20.... /�� MAIL TO: . . . . . . . . . . . . . . . . . . . Approved..:l.�..........., �.`.b Permit No. ..`�':(J,' ......C� .................................. Disapproveda/c .................................. ................................. .......................................... ... ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 20. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector 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. APPLICATICN IS BEFEU MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Canty, Nese 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, ordi s, building code, housing code, and regulations, and to admit authorized inspectors on premises and in bu• ng for nevesinspections.061 .. .................... (Signa a applicant, or name, if a corporation) (Mailing address of a&.icant) State whether applicant is owner, lessee, agent architect, engineer, general contractor, electrician, plumber or built ...........Ad. Aot................................................................................................ Name of owner of premises ... .�35.!�. ).. tZ-A).Zi.L .................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) a��l�ay Builders License No. .. ..�.y.'/... .. ......... " Plumbers License No. ..... Electricians License No. 0 X7--------------- , Other Trade's License No. .................... 1. Location of land an which proposed work will be done............................................................. .....6....7. ................�sa: qfk$ .P.q ........................ 5.0011 6Id....................... House Number Street') et Canty Tax Map No. 1000 Section ...t./.!.�..... Block ...0:�k:..... Int Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy-of proposed construction: a. Existing use and occupancy ..............-............. ..................�.qq................................ 1�51.b. Intended use and occupancy . .�V.l../ 4W.0�...�./�/ rQoaa... '" eo 1. MLOre ut uorx lcYheck Mhrcth applicable):pp ): New Building .......... i ...�... Alter ti ... Repair ............ Removal ............. Demolition Other Work--- . • //QQ//}}��04Description) . 4. 'Estimated Cost .�.Y.Y."..:............ fee ......... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ umber of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, commercial or minced occupancy, specify, nature and extent of each of use... 1. Dimensions of existing structures, if any: Front....0' /k ,�' �64#O W".° "v, ................... ........ Depth ................. Height ......................... Umber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear Depth .................... Height .................... Number of Stories ............... ............... B. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear ............. . ..... Depth .................... 10. Date of Purchase ..................... Name of Former Owner ........................................ If. Zone or use district in which premises are situated .............................. ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ................. .. Will excess fill be removed from premises: Q YES ND 14. Names of Owner of premises� l. -04kIW°,,Vh*... Address 675.��A1Vi�.l h 1 !,14 . Phone No./W5:`ypSF Name of Archi tectG6Q� ..! tj L 4j 65............. Address 7.Qr�1 b�J. 4Se Q �, � -�-�y, /.n�1S n /" �1<Phore No. Name of Contracto .. w"alje NIZU.......... .. Address 47!.!q J..e#. A: -Phone No. 15. Is tlhis property within 300 feet of a tidal wetland? * YES .......... NO *IF YES, SQTIt1CHD MM TRUSTEES PEFWT MAY BE RFITIRED. .......... 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. A Pr VED AS DOTED DATE: a-S 60 P.P # FEE: 15000 NOTIFY BUILDING B4AR �ENT �AT 765-1802 9 AM TO 4 PM FOR THE UNDERWRITERS CERTIFICATE FOLLOWING INSPECTIONS: REQUIRED 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ��IMMEDIATELY�� 4. FINAL - CONSTRUCTION. MUST BE COMPLETE FOR C.O. ENCLOSE POOL TO CODE ALL CONSTRUCTION SHALL MEET UPON COMPLETION THE REQUIREMENTS OF THE N.Y. BEFORE "WATER" STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR fA'Ir OF Nu YC)w, DESIGN OR CONSTRUCTION ERRORS .................•`• � Eraclt)6 .........being duly sworn, deposes and says that he i.S the applicant Name of individual signirh above named, le is the ..............84.11af (Contractor, agent, co rate officer, etc.) .•.• if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and hat the work will be performed in the manner set forth in the application filed therewith. sworn to before me this ........11W..day of ........ .20.��.. Notary Public 110TARYPI+ �BUC � r 'i r (Signature of.Applicant)NOM .. •'..'.-•-• WAURED IN SUFFOU(CO" REG.NO.CIKW26433 USSiOMUna / K/O/f TOWN OF SOUTHOLD a, o ac 410"E. L :att.�: i 296.170• k o e CL J l be M PLOT Z PLOT I s Z sas• � ; � �: va A2scr Jill 4 0 �. Td � * 'rn . �► - �o e o ,� IIS Wse 95,00~W. 297.95' f */O/F TMEODORf :SNi4LICK AND mlOJf. MELEN VEIIITy O f1RIoa�T �Kt lcx r.. .. SURVEY OF PROPL-R i AT AREA .* 40, 503 SQ .f T � ICK LL OriiA �!L'i yr U TH O L D " JCC 0.9298 a�cr�e �cA - -TOWN OF SOUTHO I. Q SU F FOS.K COUNTY ,N.Y 4.. . COMM T4= TRS - ----" _ - 1060 4T8 -- . 03 - P10 51 ' pEcomeRM TRUST 000H FOW NAKOMIS ROAD sca .E I" * 40• SEPT. 20 , 19 88 ��rti• • N` �oter�inu t�ilR iht�rr1 - "� +�+i7�i�� sfvi ht /M trrw�t ss aiciiiMt .� �_- l �4 f .S• LIC. NO. 496464 Thi Ntw Y�«i W `W � .�.VfrV � • ,d Y MW ROAD Our M�E!!>:fIfFFA TO ' .M.- � _. . . .._.� - - ELEVAlIp/Y�I1l!£ � !en�rw+.n .•....,._._.. ry. •.. .. ...... ..� I�FOR Tcfrn+t Air a: 37' SKIMMER VINYL LINER 93- 3/g' BARS RETURN 10'R FORM TIES + 4 'R + q,R 4' 'p TO FILTER + 'a FROM SKIMMERS B ;,�•` `,`�`�\ _______ 10'R ; ROLLED FOAM O g'It fi BETWEEN LINER-. FILTERoed PUMP BAR 'j ���\ 'CONCRETE FROM FILTER . 3500 lb TO RETURNS � TO WASTE ` POURED CONCRETE t VINYL LINER OPTIONAL STEPS ",•� - K PIPING ARRANGEMENT PLAN: e'f-- a's CoNC 2= 40 SAND 10" s�oc■ v�cRs SECTION SEE TYPICAL 1 WALL SECTION FORM TIE I FIBERGLASS MOULDED § v = 24" MAX � I PIECE 3/g' BARS I p 2�- 4*SAND BOTTOM 13~ a,- 0• 13, SECTION B- B PLAN OPTIONAL STEP GRADE TY PE 1. T1f P! C A L WALL - a_ .8'-o" G - SECTION A- A QgG /cy� NOTES: PROPOSED POOL FOR: CONTRACTOR: * * WALKS TO QBE SMOOTH, NON-SKID TYPE SLOPED AARANDY T. RODECKER, INC. FROM POOL. w a WATER DIS OSAL SHALL BE LIMITED TO SWIM KING POOLS 2 03 7 ,y OWNERS PROPERTY TO SUIT LOCAL REGULATIONS. 0'61° � ROUTE 25A, ' ROCKY POINT, NY 11778