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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