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Home My WebLink About27975-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28534 Date: 06/21/02 · ~{IS CERTIFIES t~t the building ACCESSORY POOL Location of Property: 1435 SMITH RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 4 Lot 16.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 2001 pursuant to which Building Permit No. 27975-Z dated DECEMBER 20, 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 AN ACCESSORY IN-GROUAID SWIMMING POOL WITH DECKING AS APPLIED FOR. · 91e certificate is issued to MICH3EEL GREENBERG (OWNER) of the aforesaid building. SUFFOLK COU1FI~f DEPARTMENT OF HRALT~ APPROVAL N/A ELE~-I'~ICAL CERTIFICATE NO. 1044010 PLUMBERS CERTIFICATION DA'i'~U3 N/A 04/05/02 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. 27975 Z Date DECEMBER 20, 2001 Permission is hereby granted to: MICHAEL GREENBERG 43 APPLETREE L~/qE CARLE PLACE,NY 11514 for : CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL WITH DECKING AS APPLIED FOR at premises located at 1435 SMITH RD PECONIC County Tax Map No. 473889 Section 098 Block 0004 Lot No. 016.001 pursuant to application dated DECEMBER 20, 2001 and approved by the FeeBuilding $ Inspector. 355.80 ~~ ~'~~~ Aut~Sig~e COPY Rev. 2/19/98 Form No. § TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must bc 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% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi-om architect or engineer responsible for the building. 6. Submit Planning Board App'-oval 0fcompleted 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 unusua features. ~uia~tu ~ °~°t~g~Pl~ ~-~ 2. A properly completed application and a consent to inspect signed bythe applicant. I ~e~-i~fi-'~ate--0~acc~p~a~a'~;t is denied, the Building Inspector shall state the reasons therefor in writing to the apP Wi. JUN c. Fees i ' 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alte :at~ona ~to,~lling $25~00,, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building ~25-.1~0; Businesses $50.00'f~ 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 $1 $.00, Commercial $15.00 New Constrnetion: J Old or Pre-existing Building: (check one) Location of Property: I'q C- House No. Street Hamlet Suffolk County Tax Map No 1000, Section ~,4~ ~) Block C~)C30 c./ Lot Subdivisio. - Z ,r , -0ctc_ Viled ap. ot: Permit No. c~_ f)~7~- Date of Permit. ~/°~:/Z// Health Dept. Approval: ~-J t V4, Underwriters Approval: 'r'7;~o~-o Planning Board Approval: ~,J I ~ Request for: Temporary Certificate Fee Submitted~ $ ~.~.~' O~ Final Certificate: J (check one) -IL.I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC 425 MONSELL LANE CUTCHOGUE, N.Y. 11935, MICHAEL GREENBERG 1435 SMITH ROAD PECONIC, NY 11958 Located at 1435 SMITH ROAD PECONIC, NY 11958 Application Number: 1044010 Section: Block: Lot: Certificate Number: 1044010 Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 5th Day of April, 2002. Name QTY Rate Rating Circuit Type Additional Charges POOL Appliances and Accessories Time CloclqSwitch 1 40 Amps Pool/Spa Circulator Pump/Motor 1 Wiring and Devices Outlet 2 Fixture Switch 1 General Purpose Fixture 2 Incandescent Receptacle 1 20 Special GFCI Circuit Breaker 1 (Swimming 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. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME:("?:~~.T SCTM# DISTRICT: 1,000 SECTION: PROJECT DESCRIPTION: ~ ARCHITECT / ENGINEER: DATE REVIEWED: /2/2o /01 .DATE SUBMITTED:/2/2a_/O1 BLOCK: ,~ LOT: cITyi FAST TRACK? SUBD1V. NAME:~~?~._ SINGLE & SEPARATE CERTIFICATION;REQUIRED9 ~" NOTES: ----- LOTS 40,000SF -100-24. Lot reeognition.(CREATED before June 30, 1983), UNDEI~SIZED ~--TS FROM JAN. 199~ 100-25. Merger.(A nonconforming at any time after 7/1/ ZONING DISTRICT: :t~~ qd CONFORMING? ACT. LOT SIZE: REQ LOT COV .2o ~ ACT LOT C PROP. ~O~ ~ ~Q S~E ~, ~CT. SInE PROP. ~ / F ~ ~cc ~ ~ ~ ~ cK ~ ~ DESC~TioN: FLOOD ZO~:~, REQ. LOT SIZE:. REQ. FRONT. REQ. REAR WATER FRONT? P~L #:/hq AGENCY PERMITS REQUIRED FOR REVIEW SECOND FLR: TOTAL: POOl.. : 'oFt %£ sr)-(o-'v,, APPROVALS REQu][RED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): ~7~- DTE:__/__/__ PERMIT #:R10- NEW YORK STATE DEC: P~-Dec 9/1/75 YES ~~. SOUTHOLD TOWN TRUSTEES: · YES TOWN' ZONING BOARD APPROVAL: YES o°' TOWN PLAN. BOARD APPROVAL: YES ' TOWN HISTORICAL pRE (SPLIA): YES NYS ENERGY: YES OR NO : EGRF-~S (18 H rain? 4 sq total) BUII.DINGPE~OPEN/E_Xpip~ED: BP qq~a -z/c/oz-9~l , ,,,t~ ' ~v~ PRE ¢o's. v(J~0R N ,10 Iq f BP No~s.: . ~,,l~ FEE STRUCTURE: FOUNDATION: SF mST FLOOR: SF INIT OTHER TOTAL .,0' ~ SF FEE FEE FEE SFX$.Scg=$,lI2o. O°+$ ~ +$ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~OUNDATION 2ND [ ] INSULATION [~/]~FRAMING ~/~ [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~- , 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING Ir,/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: Fl*ELD INSPKCTIO]R 'I~KPOI~ (2tm) EI~U~ON I~EE 1~. Y. gq'AgE, sc~tc~'~ COD*E TOWN OF ~]OUTHOLD BUILblNG DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Building Inspector Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date 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 adjoirfing premises or public streets or areas, and waterways. 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 a 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 what-so-ever until a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber orbuilder Name of owner of premises ~ I Ckt'~IF~:i_~ ~ (--{t~i~_[P,A~?_..W Cp... ,_~, ELi~' (as on ~e t~ roll or latest deed) ~~~f d~y ['au~ofized officer ~ ~ae ad title of co.orate office) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. ~uat~ 1. Location of land on which proposed work ~vill be done: House Nmber S~eet I County Tax Map No. 1000 Section Subdivision I~Jl>~ tO~C ~-~ (Name) Hamlet Block 4 · Lot Filed Map No.. 5~/ Lot 16.o1 3o 32.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy l~x~( o ~.t,3 T~ ~c. bo Intended use and occupancy R-~q,StC>~-x3'U&tl aY// tM C~Roo~c> ~u-~to'tm~MG pc>H__ Addition Alteration OtherWork ltd C~RootoO 4u~tmrn~M~ ., (Description) Fee xx.~[ ~ ~ C3~-c~. (to be paid on filing this application) Number of dwelling units on each floor 3. Nature of work (check which'applicable): New Building Repair Removal Demolition 4. Estimated Cost ~"'~O. /yO C_~ , r 5. If dwelling, number of dwelling units [,J Pr If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front ~ (Oo L2 Rear Height 2-4 ~ Number of Stories ~. Dimensions of same structure with alterations or additions: Front Rea r Depth Height Number of Stories 8. Dimensions ofentire new construction: Front 36~-,e~f' · Rear Depth Height Number of Stories ,9.. Size oflot: Front ~)0,01 Rear '2-C)D, ZOI Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated ~ ~ 4-0 12. Does proposed construction violate any zoning law, ordinance or regulation: [~ O. 13. Will lot be rergraded ' Will excess fill be removed from premises: YES NO 14. Names of Owner of premises [~fl-~-~.~;:',~f%~- Address 1 '~-~5 ~.~xtX~, ~o Phone No. ~4 Name of Architect Address Phone No Name of Contractor [~). ~t~-'-C lt,3c-- Address ~O l~;x: (R7 PhoneNo. 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) r~~ ~_ ~_,~ being duly swom, deposes and says that (s,he is the applicant (N of individual signing contract) above named, (S)He is the f .... .~..~O~ent, Corporate Officer, etc.) ,f said. owner or owners, and is ~d to perform or have performed the said work and to make and file this apphcation; that all statements contained in this application are tree 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. gworn to be/ore me CI.I~RE L GLEW Notary Public, State of New York No. 01 GL4879505 Oualified in Suffolk CoRnty,~,~ Commission Expires Dec. 8,~__._~.../..~'~ lgnature of Apphcant '.,;iCh: '"~:.~,~ .... N. 79 ~ 37'00'c ~', RoAD LOT 28 160.98' ,LOT 30 c~, /~/F/~D to,... "IMMEDIATELY" ENCLOSE POOL TO CODE FOR ~ ~. FINAL - ALL CO"~T[:;CTtON SN~~ USE ISUNLA~;FUL_ THE REGU~R~MENTS ~T~ c~s~uc~o" ~~ WITHOUT CERTiFICR~E cODEs ~ RESPONI~~ OF OCCUPANCY .JOISf5 AI'I'PO~P fLIJSH 1'0 6ill~t~P..5 WI 2-27,10 C. CA 61I¢7¢P..5 I~,~I.~P fO 4 × 4 CEA P051'5 ~ I~0011N65 a, ~,'0" ~L. OW m2 ---..- POOL O~CK I~NVII~ONMP_.NI' P.~I' INd. 12. I'?. OI