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Home My WebLink About27742-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29329 Date: 03/25/03 T~IS CERTIFIES that the building ACCESSORY Location of Property: 330 DAYTON RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 71 Block 1 Lot 25 Subdivision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 2001 pursuant to which Building Permit No. 27742-Z dated SEPTEMBER 28, 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 FRA/~CIS P & BERNICE J MELLY (OWNER) of the aforesaid building. SUFFOLK COUNT~ DEPAI~TMENT OF ~ALT~ APPROVAL ]~[,~LI[[ICA~ CERTIFICA~ NO. PLUMBERS CERTIFICATION D;~£~a3 N/A 2945 N/A 07/15/02 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 COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 27742 Z Date SEPTEMBER 28, 2001 Permission is hereby granted to: FR3~NCIS P MELLY PO BOX 617 SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 330 DAYTON RD SOUTHOLD County Tax Map No. 473889 Section 071 Block 0001 Lot No. 025 pursuant to application dated SEPTEMBER 12, 2001 and approved by the Building Inspector. Fee $ 150.00 ~~ed~~e ORIGINAL 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 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 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 qhowing 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirm~fing 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: Street House No. Owner or Owners of Property: ~P-//'4 at ¢ ~'--~ ~)' ~- Suffolk County Tax Map No 1000, Section ~ r']{ New Construction: Location of Property: Subdivision Pemdt No. ~r-) 1~ ~'~..Z DateofPermit. Date. Health Dept. Approval: (check one) Hamlet Block ~ oO / Lot ~ & ~ Filed Map. __ Ci>f ~Io /006[ Applicant: Underwriters Approval: Lot: Plmming Board Approval: Request for: Temporary Ce~ificate __ Fee Submitted: $ ~ , 0 o Final Certificate: (check one) Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 63 t-878-3764 Application No:2945 Issued to: Melly Address:Dayton Rd Village · Southold Introduced By: W.J.Kubacki Electric Date:7/15/02 Zip: 11971 Township:Southold License#:3186-E was examined and found to be in compliance with the National Electrical Code /~dc 1st Root RssidenlJal I~1 poet i~-I D~. Garage lll l Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 2 2 2-500Watt 2 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Circulators Smoke Sell Detectors Transformers 3ther Equipment Meter Amps Phase Motors Inground Pool f-11/2Hp 1-20A Timeclock 3ut,Res This certificate must not be altered in any manner 330 Dayton Road Southold, NY 11971 October 2, 2001 Mr. Michael Verity Southold Town Department of Building Main Road Southold, NY 11971 RE: Pool permit for premises Dear Mr. Verity: When I spoke to you on Monday evening I neglected to mention that I am having the pool built at the recommendation of my orthopedic surgeon, Dr. Ann Kelly, 516-222-8881, who has advised me that water therapy is the only alternative to surgery in order to improve my back condition. My choices are extremely limited! I trust this factor will be taken into consideration in the processing of my application. Thank you for your cooperation in this matter. FPM Very truly yours, FRANCIS P. MW. LLY Applicant/ Date ~//~ OwnersN~ne: ?'/f, ~eil~, Reviewed:__ Architect/ Date Engineer: ~ Submitled: ¢/l~,7/]0[ _ SCTM #: District: 1,00_Q Section: Block /- I.oi: 02~.5'~ Project Single & separate Required ¢¢rhficalion: (Yes / No) IFrom Y~d Proposal:__, ] [Side Yard Subdivision Proposed: Rcq. (Rear Yard Project Description: REOUIRED FOR REVIEW N.A. NO Permit YES Number Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ]ROUGH PLBG. [/.~j'"FINAL [ ] FIREPLACE & CHIMNEY DATE //-.~/,~2.~ iNSPECT~OR//~ ~ / /' // / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ [ ] FRAMING [ ~3"'FINAL ] FIREPLACE & CHIMNEY REMARKS: ~ ~ ~ , DATE [~NDATION (IST) ROU~It FRAI~ ~ . PI. MING I'~IL~TION PER N. Y o STATE ENgRGY CODE TOWN OF S'gVT OLD BUILDING DEPARTMENT TOWN [tALL SOUTHOLD, NY 11971 TEL: 765-11102 Examine~!~ ,20 ~9~' Disapproved a/c PERMIT NO. BUILDING PERMIT APPLIC~.TIOlq CHECKLI~; Do you have or need the following, before applying Board of Health 3 sets &Building Plans ~ Survey ~ Septic Form N.Y,S.D.E,C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ?/2~ ,20 (2 { 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 &buildings on'premises, relationship to adjoining premises or public sU'eets or areas, and waterways. c. The work covered by this application may not be coraraenced 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 Buflding.Eiepartment 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 eons~'uction of buildings, additions, or alt?ations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordimmees, building code, housing code, and regulations, and to admit author/zed inspectors on Premises and in building for necessarj inspecO~ "IMMEDIATELY" ENCLOSE FOOL TO CODE UPON COMPLETION BEFORE "WATER" f (Sig u ct applic~t or name,Xyf a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electric~[~[~b~er '/-/4 USE IS UNLAWFUL Sameofownerofpremises /~A')C/g ~. ]~(.-9/ OF OCCUPANCY on. tax or latest de&l) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. / ~/ ~ ~/// /7 Plumbers License No. Electricians License No. TSS-180~ S AM TO 4 PM FOR THE FOUNDATION · TWO REQUIRED ROUGH · FRAMING · PLUMBING' glSULAl10Fl FINAL o CONSTNUOTIOII MUST House Number Street County Tax Map No. 1000 Section Subdivision (Name) o7/ " H am 1 el~--~ -~'INI0TION 88110118 · Block 0~,/ Lot "Filed Map No, Lot Other Trade's License No. ~ CQNSTRUCTION SHALL MErr 1. Location of land on which proposed work will be don~.NDERWRITERSCERT FIC~TETH! REQUIREMENTS OF "111~. N.Y. REQUIRED STATE OONSTIIUOTION · ENERGY 2. 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 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost ./~;d'~'O / 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alterati0J~-~-- (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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth. Height. Number of Stories 8. ' Dimensions of entire new construction: Front ,3 Height Number of Stories Rear .Depth 9. Size of lot: Front Rear 'Depth 10. Date of Purchase Name of Former Owner 11. Zone or Use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 7L,/~ 13. Will lot be re-graded '~/e~ Will excess fill be removed frompremises: NO ! 14. Names of Owner ofpremises/,f~,gcrs ~-/TiL'"'~z_,,¢" Address~--~r] Name of Architect Address Phone No NameofContractor~.2"<2J~.~,;, )2~z$ ~Z',,2 Address ./~ ,~5 _.'~-- 15. Is this .. property w~tinn 100 feet of a t~dal wetland? *YES · IF YES, SOUTHOLD TOWN'TRUSTEES PERMITS ~.A¥'~E.~~ 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. I[elevatioryi}t:an?l~o'int;., , ~ ~ on property is at 10 feet or below, must provide topographical data on survey. QJ~///U ~ ~fc ~/~ , being duly sworn, deposes and says that (s)he is the applicant ' · ~ - ~ , ~ ~ Co~oate Office, etc.) t~a~I~M~~,~~tion ~e ~e to ~e best offs ~owledge and belief; ~d ~t ~e work ~ll be pcr~~~~ ~plication filed ~erc~. ~t L '~' .0 t ,ZO.gZ 'Fl /