HomeMy WebLinkAbout16829-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z16969 Date June 9, 1988
THIS CERTIFIES that the building swimming pool
Location of Property 450 Elijah's Lane Mat tituck
County Tax Map No. 1000 Section 108 ...Block 3 .Lot 5.7
Subdivision X X X
............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... I5~¥~b. 14,. 198.~... porsu~ant to which Building Permit No .... !6. 8..2.9.Z ............
dated ..... .N.ar. c. h.. !.7:. !.9.8.8 ......... 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 .........
Inground swimming pool.
The certificate is issued to BARBtdlA & LAWRgNCE HOFER
..................... ......................
of the aforesaid building.
Suffolk County Department of Health Approval I'I/A
UNDERWRITERS CERTIFICATE NO. ' NO 10047
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Rev. 1/81
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)
Ne- 168~? z
Permission is hereby granted to: / ~, /
........
.W~.~.(..~. ................................................
........
at premises located at ......~...~....d~....~...~..~_....~..~~/ ~ "~ ~ .........................................................
County Tox Mop No. 1000 Section ...... ,~..~...~... ..... Block ....... ...'~... ......... Lot No ....... .~..<..7.. .......
pursuant to application dated .............................................. ~.~... , 19~.~..., and approved by the
Building Inspector.
Fee
i[dlng Inspector
Rev. 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802 BLDG. DE~T.
APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of properW with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposaJ-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
t. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic ,features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings, x
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C, Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New gwelling,$25.O0, Accessory',,$10.O0 Business $50,00
2. Certificate of occupancy on pre-existing dwelling $ 5 0,0 0
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
NewCons ~uc ~;ion ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . .J~.~. ~. ............ ' .....J~ iii.e..... k.~n ...... ~I~.~,Jf~¢K
tYou,~e No. " Street Ham/et
County Tax Map No. 1000 Section ... ll~, ~,(~, t~, Block ~)3. DO Lot 00~., 007
Health Dept Approval Labor Dept, Approval
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate Final Certificate ~ -
¥2k .......
Fee Submitted $, .o'~ .~. ~..o..O. ...... ~ ....
Construction on above described building and permit meets all applicable codes and regulations.
3¥7%/' ................... .....
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTIIOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because.of the following reasons.
An application for Certificate of Occupancy
is not on file.
/~/ No Underwriters Certificate on file.
Tho check is(outdated/not on file.)
/~/ No }Iealth Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # / ~ ~ ~ Z ~~-~-
Duilding Dept.
***/~/ No Plumber solder Certificate on file.
all permits involving plumbing being
issued after April 1,1984 )
FOUNDA_TION { 1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENEBGY
CODE
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [] ~J~T~N~
FRAMING ~r/~FINAL
REMARKS:
DATE~ ~- '~ INSPECTOR
..... ~? THE~NEW YORK, BOARD OF FIRE UNDERWRITERS
BUREAU OF' ELerCTRICI'T~'
;~' RP~]'L ~5, .~85 JOHN ST~BT, N~ YOR~ ~ YORK 1~38
~4~4~588/8~ N
~ A~l~at~ No. on ~le
THIS C~I~S ~T
~ exami~ ~ a~f~ to ~ in ~{an~ with the ~.i~me~t~ of th~ ~.
~VlC~ ~ S ! R V I ~. E
covers compliance at the date
inspection only. Because of unusual
~tv~ro~ent~ it is adv~sab].e
h,~va frequent test/aad or r~pair~
~d~, by a q,alified persofl~
,{
'121 SH~gP PASr~F, RD
S~TAiKET, NY, 11733
CAST~/ ~
PRE
COPING
___t' ,NYF . ,
E OR END
STEPS OPTIONAL
PLAN
NOTES ....
WALKS TO ~E SMOOTH- NON SKiD TYPE, SLOPED
AWAY FROM POOL
WATER DISPOSAL SHALL BE LIMITED TO OWNER'S
PROPERTY TO SUIT LOCAL REGULATIONS.
GRADE
SECTION A-A
16 x ::52 16 32 8 8 12 4 4 512 18,500
16 x 56' 16 3,6 12 8 12 4 4 576 20~0
[- '2'x B' TREATE~) WOO0
PLATE ANCHORED TO CONCRETE
BLOCK
ROLLED FOAM
BETWEEN LINER
ond'BLOC BOND'"
VINYL
2"' 4' SAND
TY PICA L
WA LL
SECTION B-B
ST CONCRETE
GRADE
SKIMMERS
~TO FILTER
RETURNS .-~
· TO WASTE
/
FROM FILTE
PiPiNG ARRANGEMENT
..- ,, : '-~..¢~-~.
e', ~G" ,"''"~ J/...-~'~T~'~..~.....~ 3 STEPS
STEP ' '
POURED CONCRETE ~ '
FOOTING
SECTION
~SEE TYPICAL
WALL SECTION
CONTRACTOR...
SWIM-KING POOLS,
ROUTE 25A
ROCKY POINT,
INC.
NEW YORK
OPTIONAL
TYPE 2.
FIBERGLAS!
MOULDED
PIECE
OPTIONAL STEP
TYPE I.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
' TEL.: 765-1803
Examined . ~? ......... , 19 ~,'?
Approved .~.2. ........ , 19 .~¢'~, Permit No./(~.~.?.
Disapproved a/c .....................................
(Buildin~gJ~nsp ector)
APPLICATION FOR BUILDING PERMIT
Date .................. , 19...
INSTRUCTIONS
a, This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
e, The work covered by this application may not be commenced before issuance of Building Permit.
d, U~on approval~9~,ttgs,a~p~$t~t~le,~tfl~ling Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premis*~s,~}j~leZf$~r ~j~)on throu~out the work.
e. No building shaltt~0~j~ti~t!~J'~hole or in part for any purpose whatever until a Certificate of Occupancy
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 constraction 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 inspect!OhS. /
· ....... .........................
(Signature--'------of apphc" a~, odname, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor~ electrician, plumber or builder.
......................... 99r4u:~cctr .................... ' ........... i..' ...........................
Name of owner of premises ... ~ovr e~c e. [to f e r ......................... , ................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Plumber s License No .... . .~..//~. · ..............
Electrician. s License No ...... ~//~)~ ..............
Other Traue's Licea~e No... <~//./. ............
Location of land on which proposed work will be done'. East side of Elijahs Ln, 337.80' s/o gain Rd
450 Elijah.s Lane Mattituck
House Number Street Hamlet
108 3 5.7
County Tax Map No. 1000 Section .................. Block .................. Lot ...................
Subdivision ..................................... Filed Map No ............... Lot ......... 3. .....
(Name)
State existing nsc and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use a~ld occupancy ~ family residence
b Intended use and occupancy Inground swimming Pool , ', ~
h applicable): New Building Addition Alteration
3 Nam ofwok(heckwhi '
Repair .............. Removal ....
4, Estimated Cost .......... ~GQO,QO.. ·
$. If dwelling, number offlwelllng units .~ ....
XX
........ Demolition .............. Other Work ...............
(Description)
............. Fee ......................................
~ (to be paid on filing this application)
......... Number of dweiling units on each floor ................
If garage number of cars '
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............
7 Dimensions of existing structures, if an'y: Front Rear Depth
Height ............... Number of Stories ................................................
Dimensions'of same structure with ' ' additions'. Front Rear
alterations or ...........................
De ............ He ...................... Number bf Stories ................
Dimensions of entire new construction: Front ....... 4oi ... Rear .... 40', ........ Depth ..... 2Q'..
Height ....... ';,.'..... Number o~ Stories ...................................................
Size of lot: Fronf ' 187 80 ~ ~ Rear 187 89 Depth ~,3. qq
Date of Purchase ~ Name of Former Owner
Zone ...... ~ '
or use district in which premises!are situated ................................................
Does proposed construction violate aqy zoning law ordinance or regulation: n,o
· . .... : ' , Will excess fill be moved fr No
...... om, premises.
---- PO BOx 4 0 Matt~Cuc-~ ,, 298 32
rem~ s .... aaaress ................... Ifilone mo ................
Name of Architect .............. , ............. Address ................... Phone No ................
Name of Contractor . Swim. King. Po'el s .......... Address . Rt. ~ ~a,. lzpcl~y, pP~oPhone No...
15. Ia this property located within 300 feet of a tidal wetland? *Yea ..... No .~x..
*If yes, Southold Town Trustee~ Permit maybe required.
' 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 corlqer lot,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
"IMMEDIATELY"
ENCLOSE POOl.TO COBB
UPON COMPLETION
BEFORE '~NA'rER'
APPROVED AS NOTED'
NOTIFY BUILDING OEPA[FF~,/:~,~T AT
~65-.1802 9 A~t TO
FOLLOWIN~ INS~ECTIONS:
FOUNDATION ~JWO
FOR POURED CO~C~:~
ROUGH FRAMtN~
3, INSUI~TIOH
4. FINAL CO~YRUCT~O~
ALL CONST~UCfIO~'.,~
iTATE OF NEW YORK,
:OUNTY OF .....s .L .K ...... S.o,o
' being duly sworn deposes and says that he is the applicant
(Name of indiwdual slgmn~ contract)
bove named. :
for contractor
Ie is the...4ge, n.c. ................ i.
, (Contractor, agent, corporate officer, etc,)
.f said owner or ownem, and is duly ~uthorized to perform or have performed the said work and to make and file this
pplioation; that all statements contain'ed in this application are true to the best of his knowledge and belief; and that the
~ork will be performed in the manner s%t forth in the application filed therewith·
worn to before me this
' RICHARD F, HARVEy /'
" NOTARY PUBLIC, Stile of NSw ¥oti (Sl~ature of applicant)
No. 4836010, Suffolk Co,'unly
I Term (Expires De~ember 3~,
71MM
MAIN
Tho ~o~n~e disposal a~d w~.,tnr supply
focillties for' this locrttJen D~ve boon
tnspocted by this delmrtment ~nd found
bot
HEALTH DEPARTMENT- DATA FOR APPROVAL TO CONSTRUCT
~r NEARtrST WATERMAIN'~MI.-~ DSOURgEOFWATER, PRIVATE /* PUBUC
M./EOIVI$IOII MAP F/LEO Iii rite OFF/Ct OF riiE CLERK OF
SUFFOLK ¢o~lErY oii oc~ .7~ 197X AS FILE ~. 6609.
' ~ IMMEDIATELY
\ " "
/ ~,vS Rte. 25} .~ ..:::~:..;.:,',:'
' - .
LOT N~ 3, "GREENER/AR ACRES" a~c. /8,
~ MATTITUCK ~ ~ ~G. 18, 197~J~'1~
TO~ OF SOUTHOLD · I - ~0 ' , '~ ~.'~
SCALE:
NO.
GUARANTEED TO:
USLIF~ rIFLE INSU~,4NCt
SOUTH)LO SAVI#6$ BANK
YOUNG a YOUNG
ALDEN W. YOUNG, PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S. LICENSE N0.12845
HOWARD W YOUNG, LAND SURVEYOR
N.Y.S. LICENSE NO. 45895