HomeMy WebLinkAbout29955-ZF01~4 NO. 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspecuor
Town Hall
Southold, N.Y
CERTIFICATE OF OCCUPA/~CY
No: Z-30030 Date: 02 19/04
THIS CERTIFIES that the building ACCESSORY
Location of Pzoperty: 190 NORTH DR MATTITUCK
(HOUSE NO.) (STREET) (PL~MLET)
Co~ulty Tax Map No. 473889 Section 106 Block 6 LOt 33
Subdivision Filed Map No. Lot No.
conforms substantially no the Application for Building Permit heretofore
filed in this office dated DECEMBER 17, 2003 pursuant to win[ch
Building Permit No. 29955-Z dated DECEMBER 17, 2003
was issued, and conforms no all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY ABOVE GROLrND SWIMMING POOL WITH DECK AND FENCE TO CODE AS
APPLIED FOR.
~"ne certificate is issued to STEVEN & KIM SWEENEY
(OWNER
of the aforesaid building.
SL/FFOLK COUAPi~I DEPARTMENT OF ~EALTH
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DAT~U
H/A
1192246 02/05/04
N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT NKIST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
29955 Z
Date DECEMBER 17, 2003
Permission zs hereby granted ~o:
STEVEN & KIM
190 NORTH RD
MATTITUCK.NY
for :
SWEENEY
11952
ACCESSORY ABOVE GROUND SWIMMING POOL WITH DECK WITH FENCE TO CODE
AS APPLIED FOR. THIS PERMIT REPLACES BPa22670
at premises located at 190 NORTH DR
County Tax Map No, 473889 Section 106 Block 0006
HATTITUCK
Lot NO. 033
pursuant to application dated DECEMBER 17, 2003 and approved by the
Building Inspector to expire on JUNE
Fee $ 150.00
17, 2005.
A~
2horized Signature
Rev. 5/8/02
ORIGINAL
FORM NO,3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU~
SOUTHOLD. N.Y.
N£
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED]
~-~-~L ~ ~:~o,~ .............. ~ ............. ~ ......................
22870 Z
Permission is hereby granted to:
.... z2~......~:...~.,.../.... .............................
.....~./...~:: i~ ~ :c.....~.~......//./_'.~ .....
,o....~~....~......'.~....~~........./...~z.....¥. ........ ~........~..~__
..... ~.: ........ ~ ........ .d..~..,.~. ......... ../.~ ....... ~ ....... ~ ...... .~...~ ......
..... ~..~ ....... ..,:..~£~....../.'.~.,.....:... ................................................................ '... ..................
CountyTax Map No 1000 Section /.~...,~, Block
Building I~pector,
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
~' BUILDING DEPARTMENT
TOWN E[3~LL
765-1802 [~[C i 'I ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY } ~¢, ¢*¢'r~
~SOUT~
This application must be filled in by tFpewriter or ink and submitted to the Building Department-with the following:
For new building or new use:
1 Final survey of prcrperty with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval ~om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approwdl of electrical installation fi:om Board of Fire Underwriters.
4. Sworn statgmenr from ~lumber certifying thaz the solder used in system contains less than 2/10 of 1% iead
5. Cc/nm~em~l b~)ding, indmmialbuilding, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. S~ubmit Pl~ng 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:
[. Accurate survey ol~property sho ;ring all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent ro 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.
Fees
l. Certificate of Occupancy - New dwelling $25.00. Additions to dwelling $25.00, Alteratior~s 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 - $I00.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - ~ 50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Corcanercial 315.00
Date
New Construction: Old or Pre-existing Building:
Owner or Owners of Property: ~.,~_/~.~<~ c~ /~/,o'7
Suffolk County Tax Map No 1000. Section } ID (~ Block
(check one ~
Hamlet
Lot ~
~ Filed Map.
Permit No. ~c~ ~ ~-"~_ Date of Permit. [ ~ l"'} ~-'~ Applicant:
Lot:
Health Dept. Approval:
Under~vriters Appro'val:
Planning Board Approyal:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate:
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORk BOARD OF FIRE UNDER [ I I RS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORk, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
P, AYNOR FRANK L. S SWEENEY
1800 HARBOR LN./BOX 1065 190 NORTH DR
CUTCHOGUE, NY 11935, MATTITUCK, NY 11952
Located at 190 NORTH DR MATrTITUCK. NY 11952
Application Number: 1192246 Certificate Number: 1192246
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Rcsidcntlal occupancy, wherein the premises electrical system consisting
electrical devices and wiring, described below, ~ocated in/on the premises at:
Outside, Pool/Spa,
was inkpected in accordance with the National Electdca Code,and the deta of the installation, as set forth below, was
found to be in compliance therewith on the 5th Day of February, 2004.
Name OTY Rate ~ Circuit Type
Appliances and Accessories
Pool/Spa Bonding 1 0
Wiring and Devices
Switch 1 0 Genera/Purpose
Receptacle 1 0 GFCI
Receptacle 1 0 20 ami> Pool/Spa
Swimming Pool): This certificate covers compli~ce at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Tdwn Hall. 53095Main Road
P. O. Box 1179
Southol~, New York 11971
Fax 1516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 7, 1995
Mr. Steve Sweeney
190 North Drive
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
~ause of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
~ xx No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 22870-Z ~~ ~%~--~
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
('~-"f-~'"~BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]INSULATION
[ ~/~RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE ~//~? ~//~' INSPECTOR ~~ ~,~
/
765-t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDA~ON 2ND
[ ]FRAMING
[ ] INS~LATION
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR ,~ /~
i~,~' ~E~LI~ I N S P EC T ION RE~ORT ~DATE
(IST)
'~OUNDATION
co~s .................
FRAME &
I~LUM~ING
;%ILATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COI~ENTS:
Disapp rove~t' a/c .................
' ~:ORM NO. 1
TOWN OF SOUTHOLD
BU I LDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
19 ~..~Permit No.
3 sETS OF PLANS
S [tI~VEY
ClIECK ......... ~ ..........
SEPTIC FORH ..............
CALL ...................
HAIL TO:
(Buil~i .n~nsl~ctofl
APPLICATIO 2 FOR BUILDING PERMIT
Date ' . .... 19...
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets o£ plans, accurate plot plan to scale. Fee according to schedule.
b. Hot plan showing location of 10t and of buildings on premises, relationship to adjoining premises or public sti-eets
or areas, and giving a detailed description of layout of property must be drawn on the'diagram which is part of this appli-
cation.
' . c, The work covered by this application may not be commenced before issuance of Building Permit. .
~ ': d.' Upou approval ofthi~' application, the. Building Inspector will i~sued a Building Permit to the applicant. Sucli permit
ghail be kept on 'the premis*s available for inspection thr6ughout the work
e. No building shall ,lSe occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been g?anted by the Building Inspector '
APPLICATION IS HERE~BY MADE to the Building Department [or the issuance of a Building Permit pursuant to the
Building Zone iOMinance 6f the Town.of South01d, Suffolk County N~w York and other applicable Laws Ordinances or
Regulations, 'for ~the conSfi-uctbn of but}dings, additions or alterations, or for removal or demolition, as herein described.
The applican~t agrees to comply with all applicable laws, ordinances, building code ~h6i~ing~code~and regulations, and to
admit authorized inspectdrs on premises and in building f0z: necessary ir~t~ns.~/'' ' · ~ · (~
-- ~ (-Sf~gna{ure of applicar~t, (~'r-fiame, if a corporat/~n)
;~(Mailing address of applicant)
State whether a architect, eogmeer, general contractor, electrician, plumber or builder.
......... ..................................' ............... a . OV£D .......
N~meofownerofpremises. ~~...~' ~~ DA~ ~~P'~ ~~
NOTIFY BUILDING DEPARTMENT AT
tf applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM ~ 4 ~ ~R'~E
FOLLOWING INSP~ONS:
(Name a~d title of co~orate officer) . 1.~RFOUNOATION~RED C~CR~E' ~O REQUIRED
U~D~R~TERS C~TIH~TE Z RO~H - ~M1NG & PLUMBING
Builder's License No ...................... ~1~ 3. INSU~ON
Ph mber s L cense No ......................... n~¢., , ~.
TH~ RE~iRE~EN~ OF THE
Eject ician s License No .......... ~GhOSE ~E TO ~ ~TATE COHSTRUCTiO~I- ~
Other Trade's License No ............ ~Fg~;. ~ATER" :r ~;GN ~ C~S~;',Cj~'~]'
1. Location of land an Milch proposed work will be done ...................................................
. .tq¢.; ....... .........................................
[louse Number Street Hamlet
Subdivision . .; ........................ ' .......... Filed Map No. . .~.~ .......... Lot ...............
(Name)
2: State existing use and occupancy of premises and intended use and occupancy of pr9posed construction:
a. Existing rise and occupancy . ~.~_.. . [ ................
b. lntended use and occupancy .~.. ~~...~..~.. ~ .............
,-3.. Nature of wdr~.(~ect~ w~i~ PPMCable): New Building .... 2 Addition .......... Alteration .... :...:
Repah' .............. Removal .............. Demolition ............... Other Work '~OP. ,t'..~4:~....
t (Description)
4. Estimated Cost .~../~rO ' . ...... Fee ...................
' , - (to be paid on filing this application)
5.. If dwelling, nqmber o f dwelling units...'../,~.~/~...., ,., Nfimber Of dwelling units On each ,floor.. ..........
If garage, number of cars . . . /~/~.'. ' ~ - . .' ' ' ·
} . If busm,ess~ comm, ercml or mixed occupancy, spec, fly nat~ure and extent of,each type Or,use ~,,~/..~'. .........
7. DirnenmonsOfex~stingstmetures, ifan~: Fr0~,,(3~.~.~d;?.~.~,' . Rear ' ' ',, De"th .
, tmensmns~of same structure w~th alterations o~r add~fions. Front ~../¢~,. ,'~, ' Rear ~Z~"~./2~,
8, Dimensions of entire hew constrUction' Front .~. ¢/.=~.' ':'l~2~r ~;~--~ ...... ~id/h":~';;' .... ......
11. Zone or use district in ~vhich premises aresitua{ed. '}~.]... :.; .............. :
12. Does ~roposed cpnsrruction.vtolate any zoning law, ordina~ce or reeulatiofi: . fC~f"...' ........................
Name of Contractor .,d~? . A~ld ........ · .... ' ....
tS, Ip t zs property w~thin 300 feet ~f a tidal wetland? *Yes . u~ ~ '
I~ yes, Southold Town Trustees Perr~it may. be required. 7''
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 corner lot.
.[ATE OF NE~ YORK, ~
..... ~. ·: · - · ~- ;" ;.. ·, --: .~ ........ sCM.}= ~gg?9~f~Wogn deposes ~d says that he is the applicant
(Name of individual si~ing contract) :':l}~ 5- .h~:,~ ~, ?:~5~'*: '
~ve named,
He ,is the ..... . ....................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly authorized to perfo~ or have perfumed the said work and to m~e and file this
apl d/cat/on:' that all statements contained ~ this'applicafion are true tO the best of his knowledge and belief; and that the
wcrk w~l be perfmmed in the manner set forth M the appfication filed therewith.
S~ om to before me this
~o~ Public, State of New Y~
. CounW ~, - ." ,/; {' -
i ...... -/ ~ ....... (Signatu[e~f applicant)