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HomeMy WebLinkAbout26363-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-29978 Date: 01/27 04 THIS CERTIFIES that the building ACCESSORY Location of Property: 9330 SOl/AID AVE (HOUSE NO. (STREET) County Tax Map No. 473889 Section 122 Block 2 Subdivision Filed Map No. Lot No. M3%TT ITUCK (PIAMLET) conforms substantially uo the Application for Building Permit heretofore filed in this office dated FEBRUARy 15, 2000 pursuant to which Building Pemit No. 26363-Z dated MARCH 1, 2000 was issuedf 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 EUGENE K JORDAN & WF (OWNER) of the aforesaid building. SLrFFOLK COUNTY DEPARTMENT OF ttEALTHia_PPROVAL N/A ELECTRICAL CERTIFICATE NO. 42983 05/16/00 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ed S~nature 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. 26363 Z Date MARCH 1, 2000 Permission is hereby granted to: for : E & V JORDAN 9330 SOUND AVE MATTITUCK~NY i1~952 CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REAR YARD AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 122 pursuant to application dated FEBRUARY Building Inspector. 9330 SOUND AVE MATTITUCK Block 0002 Lot No. 004 15, 2000 and approved by the Fee $ 150.00 Form No. 6 TO~VN OF SOUTItOLD BUILDING DEPARTMENT tOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be titled in by typewriter or ink and subm/tted to the Building Department with the following: 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 installafiun from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that Re solder used in system contains tess than 2/i0 of 1% lead. 5. Commerc/al buikting, industrial building, multiple residences and s/milar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 5. Submit Plauning Board Approval of completed site plan requirements. ·For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showhig all property iines, streets, building and unnsual natural or topographic features. 2. A properly completed application and cunsant to inspect signed by thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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, Bushiesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate o£ Occupancy - 5.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 NeW Construction: Location of Property: Old or Pre-existhig Building: (check one) House No. Street ~d, /-/,jif,/,~~ Hamlet Owner orOwnersofProperty:_ ~/~'~/'p~. ~/~ ~-~/~ ..... ~ Suffolk County Tax Map No 1000, Section /'~ Block Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~D ~.~c) ~ Filed Map. Date of Permit. ~,~/;/~E55 Applicant: Underwriters Approval: Final Certificate: Lot Lot: (check one) Applicant Signature l:leC[rlClll iil$[ ec[Iof! L. erflilCll[e Electrical InSpection Service, Inc. :375 Dunton Avenue East Pstchogue, NewYork 11772 (631) 286-6642 Date: 05/16~2000 Application No.: 42983 Issuedto: Gene Jordon Street: 9335 SoundAve Village: Mattituck Section: 122 Block: 02 Zip: 11952 Lot: 04 Town: Southold Introduced by: Hank's Electric Inc. Lic.# 2675E mas examined and found to be'in compliance uJ~th the NatJona! Electrical Code [] Attic []1st Floor [] O/S Residential [] Pool [] Det. Garage [] Basement [] 2nd Floor [] O/S Commercial [] Hot Tub [] NV Defects Switches Receptacles Fixtures GFI Heaters AJC Fans 2 I 1 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase Motors Telephone 1 Other Equipment: 20amp spedal / 20amp ~me clock- Oub3ide Only Building Permit No. p O0 Television Carbon Monoxide ~u~lo ~Surdi President L This certificate mu~c not be altered in any manner nspectors may be identified by their credentials NO VISUAL DEFECTS Ovmers Name Revmwed Architect Date Engineer _ .............. Submnmo SCTM *~: D,strict: 1,000 S¢cIion ~ Bloc~ ~__ I.o1' Rcm [From y~rd RequLred .(Yes/No} .~.~_]'~[ ................. Project Description: ~"~ ~_tg/ A~GENCY PERMITS ~)UIRED FOR REVIEW Permit N.A. NO YES Number Suffolk County Health Dept. Ney- York Stare D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation 727 Fl~)od Zone: Notes: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FouNDATIoN2ND [ ] INS~TION [ ] FRAMING [ ~/i~INAL [ ] FIREPLACE & CHIMNEY ~DATE INSPECTOR f3LDG. CEPT. I · ORItNO. I TOI4NOF SOIITHOLD BUILDING DEPARTt{BNT TO~N~LL SOUTHOLD, N.Y. llg?l TILL: 765-1802 t/ (Build~ng ~eetor) ! APPLICATION FOR BUILDING PERttlT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLAlqS ............... SURVEY ........................ SEPTIC FORlt ................... a. This application -,,~t be'cempletely filled in by ~l~z~citer or inink axxt sulxnitted to the Building Inspector 3 sets of plm~s, accurate plot plan ~o scale. Fee ~:cotnfling to schedule. b. Plot pla dx~rivg location of lot ~xl of buildings on ~,=..'ses, relationship to adjoining premises or t~blic s~'eets or areas, ~d gi~ng a &trailed d~-'ription of layout of property n~mt b~ dra~ on t_he diagrmn ~hidc is parc of this application. c. The ~ork c~ored by finis applieatian my nog 'be c~nenced before issuance of Building ?emit. d. Upon ~w,c~al of this application, tim Building Inspector xvill issue a Building Perait to the applicant. Suah patak stroll be l~pt on the lm~ises available for inspection throughout the x~ork. e. lqo building shall be occupied or used in ~lnole or in part for any parpose ~hatever until a Certificate of Oc~ shall have been granted by tim Building lr~pector. APPLICATI{Iq IS k~a~i ~ ~o the Building 13epazqm~t .for the issuance of a Building Permit txirsuant [o the Building Zo~ Ordinaxxm of the Tc~n of Soufl~old, Suffolk County, ~ York, and other applicable La~$, Ordinances'or Regulagians, for the co~s~zmctian of buildings, additions or altorati~, or for kc~,:~al or den~licion, as h~rein desoribed. The applican£ agrees CO ~m21y ~ith all~tTetgi~ia,n~cas, building code, housing code, a~ regulatioos, and to edmi£ a~horizefl iaspe~£ors cii~Z~i~v~..~l~.~21a~ng mr necessary inspections. (Sig~ak~re of applicant, or ~r~, if a (1,~a~llng addr~as of applicmt)/ Stat,e *,~hetl}er applicast is ~a'~r, les~e ~'?amhltect~ engineer, gaseral contractor, electrician, pl',~ber or 'milder ......................................... t~ on the tax roi1 or late~t deed) If ~pplic. ant is a corporation, ~.gm~mre of duly aut'norized officar. I q Elatrici~ Li~ ~..~.~.2.. ........ ~r ~'s ~ ~ ..................... ]. ~i~ oi 1~ ~ ~i~ ~ ~ ~11 ~ ~ ............................................................. ....... ............ ....... .......................... ............... ~ ~r S~t ~et ~ z~ mp m. }~ ~ti~ ..... <. }.~ .... ~ ~ ~ ~t ..... ~-- ~-- ~ivisi~ ...................................... Fil~ ~ ~ ................ linc ............... (~) 2. State ~sti~ ~ ~ ~ of ~ms ~ int~ m ~ ~ o~ pm~ catxtion: - a. ~stz~ ~ ~ ~ .~. ................ ~ ......................... ~ ~~Z~ ..... Famr~' of ~o~k (d~ck M~id~ applicable): Ne~ ~ildi~ .......... ' i ~lt ~ .......... ~tera~on .......... -~ir ............ ~ ............. ~liti~ ............ O~mr ~ ..... ~.~ ................... ~ ~ ~ (~ip~i~) . Esti~mt~ ~st ....... ~,[ ........ % .... f~ .............................................. (tO ~ ~d ~ filing this If garage, ~r of ~rs ...................................... If ~i~ss, ~rc~l or ~ ~, s~i~ ~re ~ ~tent o~ e~ ~ of ~ ...................... D~s of ~isti~ st~. if ~: ~t ................ ~ar ............... ~pth ................. t~i~*t ......................... ~r of Stories ...................... D~ of ~ st~e ~th alterat~ or ~itlons: ~t ............... ~ar ............... ~pth .................... ~t .................... ~r of Sto~es ............... Dn~nsl~ of entire ~ ~st~ti~: ~t ..... :. ..... ~... ~ar ............... ~p~ .............. t~i~t ......................... ~r of Stories .... $i~ of lot: ~t .............. ~ar .. . ~p~ . .. ~te of ~d~a~ .................. ~ of Four ~r .... ~ or ~ district in M~i~ ~i~s a~ si~t~ ......................... ~s Mo~ mc~ti~ violate ~ ~i~ 1~, o~i~ or ~lati~: ........................ Will lot ~ ~ ..... ~ .......... .... Will~ fill ~ ~ ~ ~s: · ~ ~a~ ~/Z ~ ~ ............ PLOT DIAGRAM Locate clearly and distinctly all buildings, ~he~her ~xisting or proposed, a~ indicate all ~et-back di~ssioas property lines. Give street ~ block ~,~-r or dascriptioa a~co~ding to deed, ~ s~ street nmos ~ ir~icate ~er interior or corner lot. "IMMEDIATELY" A??"?'~ .... 'gTCO ~ICI.O~ POOLTO CODE UPON COMPL.GTION DATE: ~1'(~0__.~ P~ ~.~. ""O,,',,,,~ ' A ~ NOTIFY BUILDING Dz~-FARTMtENT~-,,, ~AT / ~ '' " FOLOWhNG I.N,?FL-:CT~(L'~S: f./ '/'~ -1 ' - - ¢' - ~ .~.- FORPOURE ...',-~TE ~v v .... 2 ROUG:~ PLUMBING ~ m~/~l. ~, ' 9N MUST ,~ ~ECr'F~ ~ ' '' ' IS UN WFUL ,,, ~LL MEET f13~lfl~3~ ~'. ~ -~ ~ Tk, E PLf ,, '- THE N.Y. -*'~ - oa3z ~jUN~II"~IJP~*'"I~'"---'- ~g -' "-,-- t ..... ENERGY Dc~,G~,~ O;' ~.~ ...... - ON ERRORS .... OCCUPANCY o~ i~ivla~l si~ha c~tract) ................ ~ ........................................................... (~tracCor, agent, co.rate of[icer, etc.) id ~r or ~rs, ~ is duly ~thori~ to ~rfomor h~ ~rfo~ ~ ~id~m~ to~ a~ file this icati~; ~at ail statists c~tai~ i~ ~is a~llcati~ a~ t~ to ~e ~st of his ~1~ ~e ~ will ~ ~rfo~ in tim ~r ~t forth in ~e a~llcati~ fil~ ~. to ~fore ~ ..... SLOPE VINYL LINE --SIDE OR END STEPS OPTIONAL PLAN ol.v?~ so^Ro --~ (SEE DETAIL SHEET) SECTION B-B GRADE SIZE , FEET 16' t SECTION A-A BOARD ROLLEDi FOAM ¢ C~0.eR~T~ ,/ BARS ~TO FILTER VINYL LINER .t: 4 SANr~ ~0' ' SEE TYPICAL WALL DETAIL FORM TIES ~o '4' -35OOib POURED C ONCR~TE PLAN FORM TIE _.T-Y..PICA L WA LL NOTES .... WALKS TO B~i sMOOTH- NON S'KID TYPE. SLOPED AWAY FREEN POOL WATER ~P~SAL SHALL BE LIMITED TO OWNER'S PROPER'~Y TO~ SUIT LO. CAL REGULATIONS SKIMMERS OPTIONAL STEP~ TYPE I. ..-: r.' ' ' 3 STEPS coNc ~ ~ / / o' ~ ~ , , ~ I2 ,~ 4-0 I J I I ', , ' OPTIONAL STEP : TYPE CONTRACTOR RANDY T. RODECKER, INC. SWIM KING POOLS ROUTE 25A ROCKY POINT, NY 11778 FIBERGLAS5 MOULDED I PIECE PIPING ARRANGEMENT ,~,~M SKIMMERS F~OM FILTER ~ ~ TO RETURNS WASTE SOUND S 8 q °27 '00 "~ AVENue' PYLI(O o \ L AREA: MAP OF ~E$CRtBED PROPER T Y SITUATED AT MATTITU¢t( TOWN OF SOUTHOI D SUFFOLK CO., N. ~ ~,09J $o. It (0.461~ Acr~a) CERTIFIED TO: REPUBLIC NATIONAL BANK FOR: EUGEN~ ,IORDAN seaJand ~ e.ngineer, tng p.c, Ilo west ma~n stree! ~_iv_erhead, new york 11901 (516) ~69-1717 FEBRUARY 4, 1986 ,JOB N°- 86-1131 I000-122- OZ - 04 SCALE: I"= I