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HomeMy WebLinkAbout28900-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29868 Date: 11/26/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 825 CEDAR DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 7 Lot 37 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 2002 pursuant to which Building Permit No_ 28900-Z dated NOVEMBER 8, 2002 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. The certificate is issued to RICHARD A & AMY K WESTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1151095 07/18/03 PLUMBERS CERTIFICATION DATED N/A u ori;111 Sigilature 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. 28900 Z Date NOVEMBER 8, 2002 Permission is hereby granted to : RICHARD A & AMY K WESTER 825 CEDAR DR SOUTHOLD,NY 11971 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 825 CEDAR DR SOUTHOLD County Tax Map No. 473889 Section 078 Block 0007 Lot No. 037 pursuant to application dated NOVEMBER 7 , 2002 and approved by the Building Inspector to expire on MAY 8 , 2004 . Fee $ 150 . 00 4th�o , �Zze ��. ORIGINAL Rev. 5/8/02 Form No.6 --� TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC� 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 Depta:nf wat.;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 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. C. 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. a // y/c�3 New Construction: VOld or Pre-existing Building: ,(ccheck one) Q Location of Property: p 2-� ( L' -1� N-1 u"L �o he 7 /t_U / / � w House No. ff Street f L Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. 2 '100_ 2- Date of Permit d 2 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: f Request for: Temporary Certificate Final Certificate: 1� check on Fee Submitted: $ v� CSU L� (3,p�(p 50 Applicant Signature Co 2_ a9861 ❑° C.nCJl�Ll7CPLI�CnC.nC.17LnC.nLl7C.nC.nLI7LnC.nLl7LIC.C.I�CnC.ILl7LIC.ILl7C.I�C.ILI7C.PLLrL3prPLPLLILffl3I�LI7C�C.�Ll7C.nC.C.I�[ C.fLnC.�C.�Li7C.�C.�CPC.I�C.�f�C.�C.f�LI�C.�r� 5❑° 5 BY THIS CERTIFICATE OF COMPLIANCE THE 1 r 3� 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY e5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT S Upon the application of upon premises owned byPECS 5 2195STANC ELECTRIC LEY AMY& RICHARD ESTER ANLEY ROAD g 5 CEDAR DRIVE 55 MATTITUCK, NY 11952, SOUTHOLD, NY 11971 5 5 Located at 825 CEDAR DRIVE SOUTHOLD, NY 11971 Application Number: 1151095 Certificate Number: 11510955 r7 Section: 4738897§lock: 7 Lot: 37 Building Permit:28900 BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of C5 electrical devices and wiring, described below, located in/on the premises at: 5 L; Outside,Pool/Spa, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 �j found to be in compliance therewith on the 18th Day of July, 2003. 5 5 Name OTY Rate Rating Circuit Type c5 5 Appliances and Accessories 5 5 Time Clock/Switch 1 0 5 5 Panels 5 5 1 60 2 5 Wiring and Devices 5 5 Fixture 1 0 PooUSpa 5 Switch 1 0 General Purpose C5rj Receptacle 1 0 20 amp Pool/Spa Cj7 'J GFCI Circuit Breaker 1 0 20 amp 5 5 Receptacle 1 0 GFCI 5 5 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 5 frequent test and/or repairs made by a qualified person. 5 5 5 5 seal 5 5 5 5 1 of , 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. l] LrLp�GPLrLrCnLrLI�LnLrLI�LI�LrLnLp7LrLp�Lr�LI�Lp�Lp7LI�LI�Lrr�Lp7LrLrLrdLrd LI�Ln�nLp�LrLp7LhLI�LI7Lrr>PLp7LrrrLrL�f PLp�Ll7C nLp�LIL�nLrLl7CPLl� l� TOWN OF SOUTHOLD WOPERTY RECORD CARD 7�� - .� OWNER STREET25 VILLAGE DISTRICT SUB-- LOT FORMEROV1� R N E � 1 es Ii LZ©l �, (�, �C4N4Aof-Pt Vin, Y1 �! ACREAGE � e O/(Q Gclzzolq S / W TYPE OF BUILDING R P 4J`/}7 Q RES. —276 SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 0 , %vuLit - iQ4L 76 1 z 77#1a?n_L, A,im 700 Toa 5 0o Z y8 901vT - L 1 -7 nn � � �', ah r;, ,L, 17- z` s.... �L 1 / 7T- ,61a AGE BUILDING CONDITION NEW NORMAL BELOW. ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD "illable 2 DOCK — - - "illable. -3 - Yoodland - - - wompland rushland -- - louse Plot -- - - 'otal BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: I /8 /02 APPLICANT: FtCa2D nr YamcrEe DATE SUBMITTED:L/x/02 SCTM#DISTRICT: 1,000, SECTION: ��8 , BLOCK: �_, LOT: c�:4 STREET ADDRESS:8SZr _ CITY: Lt,_ SUBDIVISION: 111/1; _ PROJECT DESCRIPTION: =S� ESTIMATED PROJECT COST: =ARCHITECT/ENGINEER: f jq FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? /.(o NOTES: �— LOTS 40,000SF-100-24.Lot recognition.(CREATED before lune 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time atter 7/1/83 ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE:)120 REQ. LOT COV. S9 ACT. LOT COV. REQ. FRONT 31 PROP. FRONT / REQ SIDE 1I ACT. SIDE 1�1 REQ. REAR c 1 PROP. REAR ✓ REQ EIGHT PROP. HEIGHT WATER FRONT? /VC) DESCRIPTION: PANEL #: /�(�_ FLOOD ZONE: I( APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DVTs-YES (BED #):_DTE:—/_/ PERMIT #:R10- TOWN SEPTIC RECEIPT: Y or NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or,dsW SOUTHOLD TOWN TRUSTEES: YES o$9 TOWN ZONING BOARD APPROVAL: YES or �J TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERGY: YES O,, 45�7 i)A� EGRESS (18 H min.? 4 sql),=_: • VENT (SQ. FT. x 4%) IGHT (SQ. FT. x 8%)-4— BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE ­"—) 1. ( SF)- SF)= SF X $ _$ +$ +$ $ /S O 2. ( SF)- ( SF)= SF X $—=$—+$—+$—= $ 0 �(V t� (Q.� r V �'+7iv �JCb •,,4 � �v �0 $I /oti r SURVEY FOR ocr f, I"o LESLIE GAZZOL4 B STELLA GAZZOLA Ift Y0, Tu• .AIM YI,/3111 AVY.2 31,19#1 AT @AYVIEW DATE , Nov IZ, 1982 TOWN OF SOUMOLO SCALE, 1 " 140 ' SWFDLX COUNTY, hev "m too. B2 TYI {•ylwryl'YM0•g0 ALnIYIna aYYT10. IN MM GUARANTEED TO 1Nt�1�t•\i�Tll�CVtlfla y�/ 11M>ML LEIUE At 0R pAZ20LA Nealn o n/1 rwrn K+ tuAtw MI Lust RIVERHEA MA 0 C" Re 111E AVALID T AIA MARL TICOR My wANT1211 WAY To tllRGIN SANSCOn �+ HEALTH DE►AWITAIENT•OATA FOR APPROVAL TO CONITRUCT /MAAu1Y1 a VNIN,/ KK1A lwlL wr aaT w 1AN 0OK ANN NN4 M!TITLE 1 N NT,4001 /1VI iOTIY YI�FI�YtYp10`•ilo.. XW jr. ?CT 40011110- 9.,,r Its fun" AKK.M tMFwta/f me LomasA NM1M,YD p SIN AtsTMQ1 W ME L1KIK MINK M M FRIAANt IITw/ MN YDR M iN1 MNt[RIT IN�ITNMI. AMARA/T1tt M SOT TAwrCAAy,C NTNIR dY 1 MOM NM[W. p YMwMAL i1b 1 M we j ■mmtgt WYM.IM1lstY MIAMI 11s7101 AM MIs III �1fts D � TAK1s 1NM/ KKM AA11N MSOrCttT UKA �. t •AA empK TKA"W01 OF TTN MAOI COMTT SEA /T A OIOYN $,we"IS ANN AM A W<Iwt W INUAT" I las. - ALN101C AND IN NOT SOK MO 91TA/1II" IpLNAYP s KRTT Uwe M ANN TIN YCCIZ w?Emit Us& 1ARlK 400 YOUNG Q YOUNG OVVERHEEAD,,NNEW YOARIE MOrYI CA SrA7 O-NIf N,ACNt/MENr ALDEN W.TOUNO.31ROFENIONAL ENGINEER AND LAND AAVEY011 N.Y.S UCENSE NO.ISN! . 0-7 HOWARD N YOUNG, LAND SURVEYOR Om WIZONlK I ELuN FNC"No"asWORf "iPump INKM NIX 1.LICENSE NO.49463 AK tNM wnA YANATIMA NN e/A+a wTNKt rIa/oT/n A mAn.A"m w,vw M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: eca� s ok DATE O a O INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE 111101107 INSPECTOR c.r�� FIELD INSPECTION REPORT DATE CObIIVIENTS o� ro FOUNDATION(1ST) o H C FOUNDATION(2ND) tyi9 z c ROUGH FRAMING& y PLUMBING INSULATION PER N.Y. H STATE ENERGY CODE P FINAL ADDITIONAL COMMENTS O Z m O r. O z d TOWN aF 51-OfjTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO.PoA� Check Septic Form N.Y.S.D.E.C. Trustees Examined44a , 20 2Contact:Approved 20 7/ Mail to: Disapproved we Phone: Expiration b' ,20---� -T uil Inspector APPLICATION FOR BUILDING PERMIT Date �� 7 , 20 O 2 _., 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 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 the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, housin code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) �00 N X / 965 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 6,i,' 1 dy Name of owner of premises 144 OQ • �/7e! S• ll/CSl(� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on whichopo�ed work will e done; / r= 75 &C.,l nY �d� h /�JZ C� House Number Street Hamlet County Tax Map No. 1000 Section Block J Lot 37 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy A/or+ 'e b. Intended use and occupancy f/°/t'' .0- 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling 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 any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear /Depth / �, 10. Date of Purchase Name of Former Owner /� i C4"�� k t/ '7� K/0S/� 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO / 13. Will lot be re-graded? YES t" NO_Will excess fill be removed from premises? YES 6, NO_ 14. Names of Owner of premises Address Phone No. Name of Architect Address hone No Name of Contractor tSUL wo/c SLC Address 19 Sw�ha�.�o hone NC6'3/ -aQ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓✓ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO C✓ * IF YES, D.E.C. 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 ) t/&yc'14 L - /J G.SS being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract)above named, (S)He is the C0/✓ 1-'!��(/ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true 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. Sworn to before me this j day of { t/ 20_0 L Notary Kblic Signature of Applicant Notary INDA) r�OOoER rY Public,State of New yob ry_ Na 4ta25g3.Suffolk Cnifnty 6 CF OCCUPANCY ASIloin N / sc N� OTIFY BUILDING DEPAAT 765-1802 S AM TO 4 PM FOR TW FOLI_OWIING INSPECTION& J'INDATION - TWO REOIIIREO ;` �3UREDCONCRETE 2. 1- .131-1 - FRAMING A PLUMBING iNSULATION 4. FINAL - CONSTRUCTIOM IBM BE COMPLETE FOR CAL ALL CONSTRUCTION SHALL Ml THE REQUIREMENTS OF TME WIL STATE CONSTRUCTION A ENE W CODES. NOT RESPONSIBLE FM DESIGN OR CONETRUCTIM M11110 "'IMPAEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE 'WATER" s>;+ 1 LL L sus, •':-Arx� - 1 �L�.a.' . �%C� 1S S►*w+ai ;�C•.�w+►:1 ��^6a►�w..� �+ t 17 t o�.uC, 5...► 6Jr �S•: �.y.. ` G LLY �►V'p t� + r V.rr 'i 'il © I �V1L�T �\ � � �•_••\r.'.t• � v�.iL •'S �.���!.f: C (t pvCIL :�� L"�_►AL 1 Zz �rj y� A , �rti�raJi LAA`L.iL7 I•? t{+s ~++~}C CG�TIp�G►�t'� 'Si� � I .�:.� W+-*q A J 2 GAi7 ~j G.',r' La•� h...,.23 jj 1 ��,,,, • / �..._� y..'� �r' i"X�1:T �:1 /%�"P' =s�r.�rir►.:AL._• ���1� ri l � %�1 �r.� �• .... 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