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Home My WebLink About27333-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28853 Date: 09/09/02 TIiIS C~TIFIES that the building ACCESSORY Location of Property: 1955 HENRY'S LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax [4ap No. 473889 Section 74 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 2001 pursuant to which Building Permit No. 27333-Z dated MAY 25, 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 ACEESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DAVID & KIM OKULA (OWNER) of the aforesaid building. SUFFOLK CO--DEPARTMENT OF ItE;kLT~IAPPROVAL N/A ELE~-I'MICAL CERTIFICATE NO. PENDING 09/09/02 PLUMBEI~S C~RTIFICATION DATED N/A /~~~ho ~r z~ed~gnature 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. 27333 Z Date MAY 25, 2001 Permission is hereby granted to: DAVID & KIM OKULA 1955 HENRY'S LA PECONIC,NY 11958 for : CONSTRUCT AN ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR. ~o~ t4',-o~t~ at premises located at 1955 HENRY'S LA County Tax Map No. 473889 Section 074 pursuant to application dated APRIL Building Inspector. PECONIC Block 0001 Lot No. 006 26, 2001 and approved by the Fee $ 50.00 AuthOriZed S l gnCu~rZ~e COPY Rev. 2/19/98 Form No. 6 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 submitted to the Building Departmen~ with'the 'foll0wlhg:' 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 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 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. 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 $$0~00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $$0.00 $. Temporary Certificate of Occupancy - Residential $1 $.00, Commercial $1 $.00 Date. q- 7-ff-)~ Permit No. New Construction: Old or Pre-existing Building: Location of Property: /~ iL/eO[~ i~ HouseNo. ~ / ~treet~ Owner or Owners of Property O~.{})[J a/)~ ~ ~,O, Section Bloek Subdivision Filed Map. Lot: 0 "~ 5'33 Date ofPermit. 5 ~l.~- C-.> j Applicant: (check one~ Hamlet Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request fbr: TempormT Certificate Fee Submitted: $ Final Certificate: // (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY '1OO38 CERTIFIES THAT Upon the application of upon premises owned by DAVID OKULA DAVID OKULA 1955 HENRY LANE 1955 HENRY LANE PICONIC N.Y. 11958 PECONIC, NY 11958 Located at 1955 HENRY LANE PECONIC, NY 11958 Application Number: 1076307 Certificate Number: 1076307 Section: Block: Lot: Building Permit~7333Z 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, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in therewith the ![th September, 2002. compliance on Day Of Name QTY Rate ~Rating Circuit Type ~ Additional Charges above ground pool ~ Appliances and Accessories Pool/Spa Bonding I 0 ~ Wiring and Devices Receptacle I 0 GFCI ~ ~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 cmalified person. seal 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 SOUTHOLD PROPERTY RECORD CARD /~/...~ ~E~/t' t~tY", f")J,(uti~l,. [STREET/~'...~'.~- VILLAGE DIST.' SUB. ~ 00~' /-.a ~'[QC~e~ S W WPEOF BUILDING ~/~ S~S. VL FARM CO~. CB. MICS. Mkt. V~lue ~ND IMP. TOTAL DATE RE~RKS ' -d;:l -'- ' zoo ~oo ~ ooo t Y , ' ' - I RM Acre Value Per Value / / Acre ~ble FRONTAGE ON WATER ~land FRONTAGE ON ROAD ~dowlaDd DEPTH .' se Plot BULKH~D ~1 D~K M. Bldg. Extension Extension Extension Porch B reeZe~?, Garage Patio Total COLOR J~ ~* u,$ /~/ TRIM Foundation Basement Ext. Walls Fire Place .2 ~ ,~' ?ype Roof Bath Floors Interior Finish Recreation Room [Dormer Heat Rooms 1st Floor Rooms 2nd Floor Driveway ×\ ~t' ?" ~ ~ 765-1802 ~ ~'UILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] IN/SUI~TION [ ~J~INAL [ ] FIREPLACE & CHIMNEY R£MARKS= ~ ~ l~/:~~ INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIRE,CE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~i~'IJLATION []FRAMING [~FINAL ~ [ ] FIREPLACE & CHIMNEY REMARKS: ...... '-- ' '-7 ' I/. DATE ~l~I0~/~INSPECTO'R ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~LATION [ ] FRAMING [/,~'FINAL []FIREPLACE&CHIMNEY INSPECTOR ~ ~/ FIELD INSPECTION REPORT' DATE - :~: - FOUNDATION FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE II II II II Il I I II II II Il II II II II II fl II II- II II II I1 BUILDING DEPARTMENT TOWN HALL SOUT. O .D, TEL: 765-1802 Approved Disapproved a// DUI~DIINL/I"gKIVII 1 AIaFLI~A'I'ION Do you have or need the followin[, before a~plying Board of Health ~3 sets of Building Plans ~ Survey_ ~9~ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: · ," ' Phone: ~/PLICATION FOR.BUILDING PERMIT Date 4-~ INSTRUCTIONS ,20 O/ 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 building~ ~n'premises, relationship to adjoining 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 through, opt '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 Occupan is issued by the Building Inspector. ..... A~ PLIC~ATION IS _HEREBY MADE to the Building. Department for the issuance of a Building Permit pursuant to the t~uumng ,'.one urdinance of the Town of Southold, Suffolk'County, New York, and other applicable Laws, Ordinances or Regulations, for the c'onstmction of buildings, additions, or'alterations or for removal or demolition as herein described. The applicant agrees to cohaply with all applicable laws, ordinan6es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neCessa*ry inspectionS/ . ' .. / (Signature of applicant or name, if a corporation) ~ ' ' g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0 co e," .. Name of owner ofp3emises If applicant is a corporation, signature of duly authoriz'~d (>ffleer (Name and title of corporate officer) OCCUP~[~Cy OR Builders License No. --'- (as on the tax roll or NOTIFY BUILDING IJJ~j~T AT T65-180~ 9 AM TO'*'4 PM FOR THE Location of land on,which proposed work will be done: _ 1q55 La, < .... ' ' House Number / Street County Tax Map No. 1000 Section O -/~/ Block Plumbers License No. Electricians License No. Other Trade's License No. 1. FOLLOWING INSPECTIONS: USE IS UNLAWFUL t FOUNDATION- TWOREQUIRED wi i flugl bgnl'lrl~All~:t ROU~H · FRAMING & I~UMBING .-- - 7.- '- 4, FINAL - CON~ '~col~yI~ BE COMPLETE FOR ¢,0. / ALL CONSTRUCTION SHALL MEET THE RE,"JIUIRE~.4F.'~,TS OF THE*N.Y. STATE COht~*i 41.* 'i¢q & ENERGY CODES. ~,~OT P%SPCN..!SLE FOR p~ ( ~[G8 OR CONSTRUCTION ERRORS Hamlet UNDERVfRjTE~ CERTIfiCATE REQUIRED O I Lot Subdivision --~ Filed Map No. ~ O~ $ '7 Sta. te'exi~tirrg use and occupancy ofpre, r0ises and intended and occupancy of proposed constructiom . a. Existing use and occupancy~ use Nature of work (check which applicable): New Building_ Addition~. Repair_. Removal_ Demolition Other Work ~60vt Estimated Cost '"' If dwelling, number of dwelling units If garage, number of cars Fee O4~tlterati~on Pool (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front -- - Rear Height Number of Stories Dimensions of same structure with alterations or addit}ons: Front Number of Stories Rear 33 ) '. Size of lot: Front 0. Date of Purchase Depth Height Dimensions of entire new construction: Front ],, ~' Height .Number of Stories Rear .Name of Former Owner 1. Zone or use district in which premises are situated Depth 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Wilt lot be re-graded g 0 4. Names of Owner of premises 00..0~ Name of Architect Name of Contractor Depth Rear Will excess fill be removed from premises: YES {g~ Address../f'-rtS'/'/e,w~O ~/*. Peto,,t( Phone No. 73 ¢0106 Address ' Phone No -" Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES P~RMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY OF W/'~;;~ ;/4. '"'"¢"~ being duly sworn, deposes and says that (s)he is the applicant (Name bf individual signing contn{~0 above named, *-"--~*~,,~,~,~ [o perz~o,r.:~ ;,p¢~{ ?the.saiawork and to make and file this a ;;°a~Set:~~~.~ ,~,~ntr~d;d~e~,b~,~ V}mwledge and belief; and that the work will ~hcahon, Signature of Applicant worn to b_ef_ore me th/~.~ "r~ - - .¥ ., -~- ,'-"-7~'~' 20 o ~'~' Not~ Public , LINDA J. CO0~ '~""'~. 4822563, Suffolk County SONS Rwf¢/ R10-99-0045 SURVEY OF PROPERTY A T ORIENT TOWN OF $OUTHOLD ZONo I 000- ~ 6-0£- ~ 6 ~ ~'t SUFFOLK COUNTY , N.Y. ~~ .~o~,~o ~,~,: ,. ~ ,o. ~RIL 26, 1999 ( reHsi~ ) ~- ~01~ ~'~ ~U SEPT. 9, 2002 ( conc. fo~det~n ) Z ~~' ' ' $ 87'53'30" W 100.00' NIO/'F Ro~Y ~ ---29,546. Iq.. to tie · 3?,4: ANY' ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW ¥O~K STATE EDUCATION LAW, EXCEPT AS PER .~ECTION 7209-~UBOIVISION 2 ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP 0~ COPIES BEAR TI-~ IMPRESSED SEAL or THE SURVEYOR I4P~O~;~F ~I~,NA TI IF~F APPF AI~ CERTIFIED TO~ MARTIN d. BANCROFT, JR. F'I~$ T AIdI~J~IC~N TITLE I Me ~ If~ ~ STANDARDS FOR APPROVAL AI~ CONST~TION OF SUBSURFACE SEWAGE DISPEL SYSTEMS FOR SINGLE FAIdlL Y RESIDENCES endw~ eblde b,F ~ conditions sel forth lherein ~d on perm// 1o consfrucl, The locations of wells and cesspools st~own hereon are from field ol~servations and or from dote obf<~ned from others. 1' ~- ~ ~mmy et-y CL 14'