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Home My WebLink About27379-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28776 Date: 08/23/02 · ~{IS c~TIFIES tk~at the building ACCESSORY Location of Property: 2130 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 5 Lot 4 Su]~division Filed W, ap No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 31, 2001 pursuant to which Building Permit No. 27379-Z dated JUNE 11, 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 INGROUA/D SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MARY ELIZABETH GILLEN (OWNER) of the aforesaid building. SUFFOI~K CO~TY DEPARTMENT OF ~EALTH APPROVAL N/A ELE~-£RICAL CERTIFICA~ NO. 1048335 05/01/02 PLUMBERS c~KTIFICATION D~r~43 Rev. 1/81 N/A 2- Authori zed~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. 27379 Z Date JITNE 11, 2001 Permission is hereby granted to: MARY ELIZABETH GILLEN PO BOX 448 ORIENT,NY 11957 for : CONSTRUCTION OF INGROUND SWIMMING POOL AS APPLIED FOR WITH FENCE TO CODE. at premises located at 2130 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0005 Lot No. 004 pursuant to application dated MAY 31, 2001 and approved by the Building Inspector. Fee $ 150.00 Authori z~ Signature Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~1 ~q tt- APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. Bo 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 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. Co 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. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: t,.---- Location of Property: Date. Old or Pre-existing Building: (check one) Street Hamlet ~ Block 5 Lot ~ Filed Map. Lot: Applicant: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ 73 7 ~] 2.. Date of Permit. Health Dept. Approval: Plmming Board Approval: Request/hr: Temporary Certificate Fee Submitted: $ ~, /- Underwriters Approval: Final Certificate: (check one) Applic/ant Signature ~ , ~_. BY THIS CERTIFICATE OF COMPLIANCE THE ~ I'~ NEW YORK BOARD Of FIRE UNDERWRITERS BUEEAU Of ELECTRICITY ~ 40 FULTON STREET ~ NEW YORK, NY '10038 CERTIFIES THAT Upon the application of upon premises owned by TOP GUN ELECTRIC MR. MRS GILLEN P.O. BOX 1464 ORCHARD ST # 2130 SOUTHOLD, NY 11971, ORIENT, NY 11957 Located at ORCHARD ST # 2130 ORIENT, NY 11957 Application Number: 1048335 Certificate Number: 1048335 Section: Block: Lot: 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: 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 1st Day of May, 2002. Name QTY Rate Rating Circuit Type Appliances and Accessories Pump/Motor 1 0 20 Amps Time Clock/Switch 1 0 40 Amps Pool/Spa Bonding 1 0 Wiring and Devices Receptacle 1 0 GFCI Switch 1 0 General Purpose Fixture 1 0 Incandescent (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. · TOWN OF SOU~OLD PROPERTY RECORD CARD OWNER STREET ~ )~O VILLAGE DIST.: SUB. LOT4. FORMER~OWNEi~/ N E ACR. J -' RES' ~ I O S~S' VL.~ FARM COMM. CB. MICS. Mkt. Value ~N D IMP. TOTAL DATE R~RKS Tillobl~ FRONTAGE ON WATER W~lond FRONTAGE ON ROAD ~, Hou~ Plot /~ ~ BULKH~D i~,] Bldg. Extension Extension Extension Porch Deck Breezeway Garage O. B? Foundation Basement Ext. Walls Fire Place Pool Patio Driveway Bath FIoors Interior Finish Heat Attic Rooms 1st Floor Rooms 2nd Floor 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSU~J***~- [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY DAT~~'~ INSPECT~ ~ELD tkSPECTXOS REPORT- FOUI~ATION (IST) ROU(IH FRAME & PLUMBING STATE EN~a~ CODE FINAL ADDITIONAL COlOrleSS: TO. WN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved ~[~ ,20 Disapproved PERMIT NO. Mail to: Phone: 331- 009 I BUILDING PERMIT APPLICATION CHECKLIST 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: APPLICATION FOR BUILDING PERMIT Date 0~' ~q ,20 0 I 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. I b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issnan~ce 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 Penuit 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 or builder · ~~x/~' ~as on the tax roll or latest deed) , If applicant is a~9~t~, s(~n~ officer Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet County Tax Map No. 1000 Section Subdivision (Name) Block 0~' ,: ~ Lot Filed Map No. ::i :Lot o State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy l:>~,j~-r_~_ .~t,o~*ql>o~-. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost /Or ~, ~J Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work (Description) (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stodes Dimensions of entire new construction: Front Rear. Height Number of Stories 9. Size of lot: Front 2,~ ! ,4'~ "' Rear '2e~.~ .c~ '" Depth 10. Date of Purchase Name of Former Owner Depth 11. Zone or use district in which premises are situated ~[~ I ~t~-(- 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded "~"~. 14. Names of Owner of premises Nme of Architect Name of Contractor ~O excess fill be removed from premises: CES~ NO Will Address O~¢~-~> ~W' Phone No. t~S[. Address o[z~--r ~.q Phone No Address z[4c~ ~.l~.~-r Phone No. -~- ~ff, I o ~ql 15. IS this property within 100 feet of a tidal wetland? *YES · 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 ~&",~',,~AJ/~' //-/~'/,~]- _/ ~~m, d~oses ~d says that (s)he is the applic~t ~e of ~di~d~l sing con~ a~ (S)Heisthe / ~ /~ ~ ~ / ~ ~f sai~ o~er or o~~~~ to peffo~ or have p~om~ the sgid work ~d to m~e ~d file t~s application; ~at ~1 statemems cont/~ tbs application ~e tree to ~e best offs ~owledg~ ~d that the work will be peffomed ~ the m~ ~ ~ ~ ~e ~plication filed therewith. Sworn to before me ~s RAYLENE LYSEN NOTARY PUBLIC, State of New York No. 01 LY4926648 Qualified in ~uffolk County Term Expires ~ F LOT 7 ~Y At. ~ ~ 0~_ AJ~T~IN ~0 T~ ~VEY 1,~ A VIOLA T/ON I om temll/~r w/Ih lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE // " "~ DISPOSAL SYSTF_J~ FOR SINGLE FAMILY RESIDENCES ond will ob/de by /he condlflens se! forfh /herein end on /he petrol/ to cons/rucL The /ocofions of we/Is ond cesSPools shown hereon (Ire from field observ(Tfions ond or from da/a obtained from o/hers. FGLLOWING INsPECTI0Ns~ , 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUML~ING 3, INSULATION 4, FINAL - BE CO~.,ff~.E'FE R:R C,O. ALL CONSTRUCT~Or,' SHAih L'/ ET (' ~1 ;::,E 5, NOT r,o~ ~ ~,~c~YlMMEDIATELY'' ~su~o ~ ~u~ ..c~os. ~oc~o coo. U~N ~M~ON BEFORE "WA[ER" A?r~/QVED AS NOTED ~: F~[ED JAN/~ ~ FILENO. Zo~ ~ATE' ~/'~/0t B..273N~ , AT OR~NT o~ ~.~~ .~.~ TOWN OF SOUTHOLD .~',~Y ~u,L~,.~ ~"T~T ~ SUFFOLK cOUNT~ N ~ ~// 765-1802 9 AM TO 4 PM FOR ~E IS UNLAWFUL : nOUT CERTIFICATE ?CUPANCY SURVEY OF LOT 4 ·" ~;¢,c. LiC. NO. 4~II~ 1000 - 25- 05- 04 SCALE., I" = 40' MAR. 25. 1998 ~UG. I~, 1998 (conc. fnd ! Length of Diving Board B' NDDEL RECTANGLE SIZE: 1B'X 36' Depth 8' P~rln~r; 1~' 0# Area: 57B Sq. Ft. Volume: 18,000 US ~o1.(71,500 Litres) Dote: Jonuory lggO ~'AFKO POOLS J z 42"~ALL Rod, Corners =i