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29428-Z
FOR~4 NO. 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector To~ Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30136 Date: 04/15/04 THIS CERTIFIES that the ~uildlng ACCESSORY Location of Propez%/;: 760 OAKWOOD DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 70 Block 12 Subdivision Filed Map No. Lot No. SOUTHOLD (PIAMLET) Lot 26.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12, 2003 pursuant to which Building Per-mit No. 29428-Z dated MAY 27, 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 THOMAS & KATHLEEN LONG III (OWNER) of the aforesaid building. SUFFOLK COU1Fi~ DEPARTMENT OF ~T~t ~-PPROVAL ELECTRICAL CERTIFICA~SE NO. · PLUMBERS CERTIFICATION DATED Rev. 1/81 77547C 07/11/03 ~uther~e~ FORM NO. 3 TOWN OF SOUTEOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TEE PREMISES LTNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 29428 Z DaCe MAY 27, 2003 Permission is hereby granted to: THOMAS III LONG 760 OAKWOOD DR SOUTHOLD,NY 11971 for : CONSTRUCTION OF A 21 X 40 SQUARE FOOT IN-GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at 760 OAKWOOD DR CoUnty Tax Map No. 473889 Section 070 Block pursuant to application dated MAY 12, 2003 SOUTEOLD 0012 Lot No. 026.002 and approved bythe Building Inspector to expire on NOVEMBER 27, ~ ~ uthorized Signature ORIGINAL Rev. 5/8/02 ]Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This applicati6n must be filled in by typewriter or ink and submitted to the Buikling Department with the following: A. For new building or new use: 1. Final survey of property with accurate Iocadon of all buildings, property lines, streets, and unusual namraI or topographic features. 2. FinaI Approvat from He~th Dept. of water supply and sewemge-disposaI (S-9 form). 3. Appro~/a} of electrical installalion from Board of Fire Underwriters. 4. Sworn sm~t~ frompluhiber certifying that the so!der used in system contains less than 2/10 of 1% lead. 5. C~ .mm. er~ig~ni~g, inrttrs~al hni!. d/ng, multiple resktences and sim/tar buildings and installations, a certificate , of Code,Corr;pli~e from arohitent or. engineer responsible for the building. 6. Submit'iTlanni]ngBoard Approval of completed site plan requirements. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate snrvey'ofproperty showing all property lknes, streets, buildin~ and tmusual 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 shah state the reasons therefor hi writing to the applicant. Fees t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Akltkrations to.dwelling $25.00, Swimmhig pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Bushiesses $50.00. 2. Certificate of Occupancy.oj~Pre-existhig Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. UpdatedCertifieate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Bu/lding: House No. Street (check one) Hamlet Owner or Owners of Property: / ~)~,~,.-~q Suffolk Cotmty Tax Map No 1000, Section Subdivision Permit No. '~ ~/,,~ Health Dept. Approval: '~O Block / ~v~/~ Filed Lot: Map. · ~ Date o£mermit. -5-/~7~ Applicant: Undenvriters Approval: 7 Plamng Board Approval: ' ' (check oae) Requea for: Tempor~ ceffific~te Final Ceaificate: Fee Submtted: $ : ~, 0~ : Issue Date 07/1~/2003 Electrical'Inspection Certificate Electrical Inspection Service, Inc. APPlication Number 375 Dunton Avenue 77547C East Patchogu~e, New York 11772 (63'[) 2866642 Issued To: Thomas Long Street: 760 Oak Wood Drive Vil~ge: Southold Zip: 11971 Section: 70 Block: 12 Lot: 26,2 Town: Southold ~ntrector: Hank*s Electric Inc. (L) Lic. # 2675-E Was examined and found to be in compliance with the. National Electrical Code, ~} Commercial ~ NVDefects ~Pool [] lstFIoor [] Indoor [] Basement []HotTub [] Residential [] Det; Garage [] Attic [] 2nd Floor [] Outdoor [] Addition ~ Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 2 1 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer X Meter Amps Phase UG/OH Jacuzzi Televisiml CO Detector / BIdg? Permit: Other Equipment Ill,Panel (60Amp 3 CirCuits) -HP Pump Motor Il-Time CloCk Hugo S. Surdi President Rough Inspection: 07/10J2003 Inspector: Jerome Damico Rnet Inspeddon: 071t 0t2003 Inspector: Jerome Damico This certificate must not be altered in any maimer. Inspectors may t)e identified by their credentials. 0 BUILDING PERMIT APPLICANT: ~,~, SCTM# DISTRICT: L000~ SEC~ON: ~ , BLOCK: /~, LOT: ~ S~D~IStON: ~D~SS: ~~ ~ CITY:~__~ ZOP~G D~TmCT: BUILD~G PE~S OPEN/E~D: BP~O Z~Z / C/0 Z-~ q~, ~O ~ ~ BP -Z / C/0 Z- BP -Z / C/0 Z- . ~O / BP -Z / C/0 Z- P~ CO: Y OR N BP -Z / C/0 Z- DATE REVIEWED: ~//~/03 DATE SUBMITTED: ~),~03 CONFORMING? INFO INFO SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES: ~c~ REQ. LOT SIZE: ACT. LOT SIZE:/~_.~t~*~ REQ. LOT COV. ~Q~-~'~* ACT. LOT CO~ REQ. FRONT ~7 PROP. FRONT ~REQ SIDE . ,~;F. SIDE j ~ % PROP. REAR ~,/ RE'~. ~IEIGHT PROP. HEIGHT PROJECT DESCRIPTION: ~ ~ c~ ( ¢ c~© ESTIMATED PROJECT COST: ARCHITECT/ENGINEER: FAST TRACK WATER FRONT? PANEL #: FLOOD ZONE: DESCRIPTION: , COMPLIANCE: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): TOWN SEPTIC RECEIPT: Y or N NEW YORK STATE DEC: ~-~c 9a/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO TOWN HISTORICAL PRE (SPLIA): YES or NO DTE: PERMIT ii: NEW YORK STATE CODE COMPLIANCE (SEE PAGE 2): YES or NO NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF 1. ( .SF)- ( SF)= SF X $ 2. ( SF)- ( SF): SF x $ 3. ( SF)- ( SF)= SF X $__ INIT OTHER TOTAL FEE FEE FEE =$ +$ +$ = $ =$ +$ +$ = $ =$ +$ +$ = $ FINAL TOTAL: $ 765-1802 BUILDING DEPT. INSPECTION [ ] ROUGH PLBG. FIRE SAFETY INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND ] FRAMING ] FIREPLACE & CHI! DATE ! BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH~L"BG. [ ]FOUNDATION 2ND [ ~] ~,~t/LATION/~ [ ] FRAMING [/-~"~INAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS;/~/~ INSPE~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ~AL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR HA~L (631) 765-1802 2o7/ Do you have or need thc foltowiug, before applying? Board of PIealth 3 sets of Buildiug Plans pl~nrdng Board approval Surwey Check S~p~c Penn N.Y.S.D~B.C. Truszees INSTRUCTIONS ,2O a. This application MUST be completely filled m by typewriter or m ink and submitted to the Bmldin= Inspector w~th 0f plansl acCUrate plot Plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of building~ on'premises, relationship to adjoining prenSses or public streets or and waterways. c. The work covered by this application may not be commenced befo/-e issuance 0fBuilding Permit. d. Upon approval of this application, the Building Inspect0f will issue a Building Perm/t to the applicant. Such a pennk [! be kept on the prom/sos available for izmpeetJon throughout the work. ' ' e. ~o building shall be occupied 02: used in whole or in part for any purpose what so ever until the Bu/Idiug Inspector Certificate of Occupancy. f. Every building permit shall expire if the Work anther/zed has not commenced within 12 months after the date of ~een completed wSth~ 1 8. months from such date. If no zoning amendments or other regulations affecting the z have been enacted in the intozka,,the Building Inspector may authorize, in writing~ the extension of the permit for an permit shall be required. APPLICATION IS HEREBY MADE to the ]3uild/hg Deparlzaent for the issuance of a Bui/diug Permit pursuant to the Z~ne Orrl~u~uce of the Town of Southold, Suffolk County, New ¥orlq and.other app/icabIe Laws, Ordinances or for the construction of BuilcHngs, ~ddkions, or alterations or for removal or demolition as herein closer/bed. The ~w/th alt pplicable laws, ordnances building code, housing code, and regulati0ns, andre admit pr~e~ and in building for necessary inspections. (lvla/I/ng address of applicanQ whether applicant iS owner, lessee, agent, architect, engineer, generaJ contractor, electh¢ian, plumber or builder (As on the tax roll'~r latest deed) is a coqooration, .signature of duly authorized officer (Name and title of Corporate officer) License License Trade% Li¢~ns e ~catSon of laud on which proposed work will be done: Street TaxMapNo. 1000 Secedon Hamlet Fried Map No. &~q-, Lot Na~e ofwor~ (check wNoh a~Hcable): New ~g D00 } A~fion R~ K~ev~ D~o~on ~ 0~ Work 4. Estizo~tedt Cost 5. If dwelling, number of dwei1gug units If garage, number of cars. Air. radon (Description) · Fee (TOlbe prod on fitmg, t~s apphcafi~n) Number of dwelling units on each floor 6. If bus/ness, cormmercial or rrdxed occupancy, specify nature and extent of each type of usc. Dimensions of existing structures, if any:. From Height Number of Stories P~ear Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. DLmensions of entire new construction: Fron~ Height Number of Stories Rear Depth 9 Size of lot: From Rear .Depth 10. Date of Pm:chase Name of Former Owner Zone or use d/strict in which premises are situated t 2. Does proposed construction vi61ate any zoning law, ordinance or regulation? YI~S NO ~ t3. Willlotbere-graded?YES / NO Willexcessfi.llberemovedffompremises?YES ~" NO__ . [ ~5~q4~old 14. Names ofOw-~er ofpremiseg"q'~omors kon~ Adclress7/oO 0o~tt~cf~>~. Phon~N0. Name of Architect Geof(/r-- ~(chr~ - Address Im ,Looq{-'elloo3~l _PhoneNo~g-l?2.~7 NaraeofOontractor~,M~¢ e~decg~ Address q-7~ 2-~t5~*~***' Phone No. '-lq.4-?loo 15 a. Is this property w/thin 100 feet of a tidal wetland or a freshwater wetland? *YES NO = ~ YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is ~tkis property ,,~ithin 300 feet of a tidal wetland? * YES__ NO__ ' tF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances ~o property liaes. 17. If elevation at ~ay point on property is ar 10 feet or below, mus~ provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ' ~ D ~qO~S ~0~ being duly swora deposes ancl says ttmt (s)he is the applicant (Nme of Ndividuai signing contract) above named, (S)He is the (Con'~ctor. Agent, Corpom~te Officer, em.) of said owner or owners a~d is duly author/zed to perform or have performed the said work and to m,ke and File this applicati. that ail statements conramecl ia this application are true to the best of his knowledge ~nd belief} aad that the work will be performed in r_he mmaner set forth in the epplieation filed therewith. Notary Public ,J o SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-12-26.2 SCALE 1"=30' AUGUST 3, 1999 AUGUST 24. 1SllIlI REVISliIl PlOT PlAN SEPTEMIlER 29. 1999 ADDED ADIllT10NIIl 9URIloUNllING WEU.S 6: CESSPOOlS .ftElflUloln' 4. 2000 REVI$ED PROPOSED WEU . SEPTlC SYSltIA LOCA11ONS ftBRUARY 22. 2000 ADDED ADDf1'IOIiAI. SIJRRouNI)fNG WEUS 6: CESSPDDlS DECEIABER 13. 2DDO RE';1SE:ll PROPDSE1l HOUSE fEllRUNlY 2D, 2001 UNDER CONSlllUCT1ON SURVEY JULY 12. 2001 FINAL SUIM:Y tMY 19. 2003 ~ PROPOSED POOL tMY 21, 2OD3 Rf.lIISED PROPOSED POOL AREA = 13,528.70 .q. fl. 0.311 ac. CERTIFIED TO: FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK ASN AMRO MORTGAGE GROUP, Inc. THOMAS LONG, III KATHLEEN LONG CHRISTOPHER STREET ~"= III o "l '" ... ... o . ~ N/O/~LSEN ANNE H. ~~ - ~\ ~ ~ N rr-:..,- ~I' (,' -;-- -, ---,.;:;;:"1;1 I r 1 " I -\I r ,I b - l n I ,,":- - i !'; MAY27am I , L_.__~' ,:.t.: . T(;',',': : ,.-, , L_..~__ ...--...'2 \ \ 't..."." 83'05'30" E STQt1C>llE ro<<E :. 0 ~ ';'~.< ~~. ." ~ :. '.. ." , 0 <....0 ;~:.' d . ...... NOTE: HOUSE'" PORCH = 2,136 .q. ft. PROPOSED POOL = 552 . . ft TOTAL = 2,688 .q. fl. .. ro<<E ~ ~ 2.2'W. Z 0 "l \lp U' \:~ ~. VI ~ Z"'<:' 0: t>!c:>o ~ lc:>g~ ~O \ ~~ 'i '>: l O:l -.J 0> fD ..-..-.". , ".-.- . d ~ \--"'i < trj 8:>. !<l r '" , "--Sfl'11C - L' ,""" -.l ~6'~ ~ lEAao&~'5' POOls - :.?>. '_../ I ~ 1'5.4' """'- fOONO CONe. - ....... .. ",,"- 0.5"5 83'05'3,0 63.48 I::. \"'. O.J'N.~ N 87"46'10" W LOT@ LOT@ N/O/F. DOLA CHRIS J"E"Il!11tENDOLA !: FRANCI" SUBDIVISION JIAP OF "SOUTHWOOD" FILED IN THE: 0f'f1C[ or THE ClERK or SUF'f0lJ(: COUNTY ON tIO\IEWIER 2.... 1153 AS F1lE Me. 2141 ~"i"r':.\t,'T'" o..~" ... NEW - STAlE r;.r~. ... =. ':'""" ':1"..- , _. nc DBII'ItCi tW ...n' or WAYS .-/.. E 1lI'V1TI or ""Ji If" Nff. NOT IHOWN ME NIT W' UIKtt;. 19.87" OF TOT A LOT AREA N.Y.S. Uc. No. 49UI Joseph A. Ingegno L81d St.rveyor .,. SWIWyII - SublILtWoM - SHe PJont - eor.tructIon la)wt _ (.1)727-2010 OI'FJ(ES" L.OCAJED AT ,. RCW<<)I([ A\1!NJE RfCJI<<AO. .. yon. 11101 Fax (131)727-1727 - .,..,.. 1'.0. Box 1il31 ~ New Yon 11to1....(1185