HomeMy WebLinkAbout29895-ZFORM NO. 4
TOWN OF SOUTROLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-29921 Date: 12/19/03
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 910 TUTHILL RD EXT SOUTHOLD
(ROUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.43
Su3odivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 2, 2003 pursuant to which
Building Per, nit No. 29895-Z dated DECEMBER 2, 2003
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 DAVID P.
of the aforesaid building.
& JENNIFER LAFRENIERE
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF ~%LT~ APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
49156 12/26/00
N/A
Authorized Sig~re
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. 29895 Z
Date DECEMBER 2, 2003
Permission is hereby granted to:
DAVID LAFRENIERE
910 TUTHILL RD EXT
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#26470.
at premises located at 910 TUTHILL RD EXT
County Tax Map No. 473889 Section 055
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
SOUTHOLD
Block 0006 Lot No. 015.043
2, 2003 and approved by the
2, 2005.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FOR~ 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. 26470 Z Date APRIL 25t 2000
Permission is hereby granted to:
for :
DAVID LAFRENIERE
910 TUTHILL RD EXT
SOUTHOLDiNY 11971
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN REAR YARD
AS APPLIED FOR.
at premises located at 910
County Tax Map No. 473889 Section 055
pursuant to application dated APRIL
Building Inspector.
TUTHILL RD EXT SOUTHOLD
Block 0006 Lot No. 015.043
211 2000 and approved by the
Fee $ 150.00
Authori~ Signature
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% Icad.
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.
New Construction: J Old or Pre-existing Building: (check one)
Location of Property:__. q/O 7~"~]t-Z- ~(~d ~""~T, __
House No. Street Hamlet
Owner or Owners oferoperty: J-D~(v/P, ~ ~--~otI~,~--~
Suffolk County Ta2~ Map No 1000, Section __ ..,~'"' Block ~ Lot
Subdivision ~Jt~:k-/J~t~O/~ dt~o/,aJ _.% . . FiledMap. Lot:
Permit No._ ~,~. ~'.ff" ,rTM Date ofeermit.~Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
Fee Submitted: $
C, sa 3!
F.l¢ctHcal Inspection Certificate
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, NewYork 11772
(631) 286-6642
Date: 12/26/2000
Application No.:
49156
Issued to: David La Freniere
Street: 910 Tuthill Road
Village: $outhold
Section: 55 Block: 6
Zip: 11971
Lot: 15.43
Town: So[~thold
Introduced by: Hank's Electric Inc.
[] Attic
[] Basement
Lic.# 2675-E
mas examined and found to be in compliance [uith the National Electrical Code
[~fst Floor [] O/S Residential [] Pool [] DeL Garage
[] 2nd Floor [] O/S Commercial [] Hot Tub [] NV Defects
Switches Receptacles Fixtures GFI Heaters
2 2 1
Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp
Furnace Oil Gas Circulator Smoke Detector
Meter Amps Phase UG/OH
[] / []
Other Equipment:
Telephone Television
A/C Fans
Garbage Disposal
Bell Transformer
Carbon Monoxide
Hugo $. Surdi
President
Building Permit No. This certificate must not be altered in any manner
Inspectors may be identified by their credentials
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
ION
[ ] FIREPLACE & CHIMNEY
· J
R,=~KS. /~/~/ ~/~
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] II~LATIoN
[ ] FRAMING ~FINAL
[ ] FIREPLACE & CHIMNEY __ _
DATI= _~~~ ~ INSPE~~
I;
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ~JL/ATION
[ ] FRAMING /Z~ [ ,,r~"FINAL
[ ] FIREPLACE ~ CHIMNEY
REMARKS: ~
ROUGH FRAHE &
PLUMBING
INSULATION PER N. Y~
STATE ENERGY
CODE
FOIIH NO. I
'I'O1¢N OF !;OIITIIOI.I)
Ill]II.DIN(; I)F. PA I~'I'iHI~. NT
'1'()~ N IIAI.I.
f:,OUTIIOI.I)~ fl.¥. 1107 I
I)i ,~ppr (~ve¢l n/(: ..................................
API'I,I(;A'I*IOI'I 1:01~ BIIII,I) IN(; I'F, RFIIT
BOARD OF IIF. AI,*I'II ...............
]1 sic'rs OF l'l.ANfi ...............
SURVEY ........................
.~;F.I'T I (~ l;ORi~l ....... ~ ~!; . ~ .......
NOT I FY:
n. 'l~in nppl icnl irm mint I~-- (x~pl~.tel7 rilled in h7 tyl~-~ritnr or in ink n~xl mflluil:lml to tl~e ~HlcllnB hml~clor x~ilh
b. I'loL pln~ ~l~Jnl~ I¢~nLi~l o[ lot mKl oF InHhtJnRn ~ pr..i.e~, relnti(.~nhip Io ml.joi,dn~ l.r~ninen or l~l~li('
r~l. t)r nrenn, nrxl ~ivi.R n (letnil~l ~criptlr~l of In~t of I)Wol~rt7
AI'I3.1(~TI(~ 1~ I,~1~ ~ I:0 II~ Itzihlin~ I~l~qrl.~nl: for Ihe
Hhliv~g 7x.~ Ordi~m~e o[ the 'lt~v o[ ~ztl~hl~ ~t[R~lk C~.~[y, ~ York, n~l ~tlher .l~licnble 1.~, Ordin~e. J~r
~ncril~h 'lhe ~pplic~nt ~g~..to c~l7 ~Jlh nil n~)licnble 1~.,
'~~ '~..................,,.
-
title of
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE '"WATER"
-~,m'~ ~.,' ..... ~0:(~ ......
....... .....
AI~PROYED AS NOTED
765-1802 9 AM TO 4 P~
~ FOU.D~T~O" - ~0 REQUmEP
FOR POU"~D CO"CR~
2. ROUGH ' F~MING ·
3. INSU~TION
FINAL - cONSTRUCTION MuST
BE COMPL~E FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF T~E
STATE CONSTRUCTION ~ ENERGY
CODES· NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
UNDERWRfl'F-R~ BERTIR~TE
REQ'dlR'EI)
V
V
'Z
I ,,l~!1 i[ 1
I. IJ
SURVEY FOR
DAVID LA FRENIERE 8~ JENNIFER LA FRENIERE
LOT NO.4.0~ ':HIGHPOINT MEADOWS,SECTION TWO"
AT SOUTHOLD DATE; OC'~ 5, 1998
I , TOWN OF SOUTHOLD SCALE: ~"=40'
SUFFOLK COUNTY, NEW ~RK .0 98'0595
~w ~O~K S~T[ E~C~O. L~ DAVID LA FRENIERE
.CO~Es ~ m~s s~vE~ ~Or ~*~a t~E La~o dENNIFER LA FRENIERE
MOT ag coxs~o[~oroe~v~c~o r~u[ co~ C~MONWEALTH ~NDTITLE INSURANCE
HE~ DEPARTMENT-OAT& F~ APPRO~ TO C~STRUCT ~NO ~ His MHALF m THE TIT~E C~Y, eOV~N- LAWYERS TITLE INSURANCE CQMPANY
~OTE: I:MONUMENT FOUND ~: STAKE SET
SUBOI~S~ON MAP FILEDIN THE OFFICE OF THE CLERK OF ALDEN WY~NG, PROFESSIONAL ENGINEER
AND ~ND SURVEYOR N Y.S UCENSE NO 12845
SUFFOLK COUNTY ON MAR. 19~I990 ASFILE N0.8911.
HOWARD W YOUNG, LAND SURVEYOR
a ~ ~ ~ ~k(W),~lC TA~II~e Ct~(~) WN ~[~ N.Y.S. LICENSE NO 45893