HomeMy WebLinkAbout28934-ZCERTIFICATE OF OCCUPANCY
NO: Z 30210 Date: 05/25/04
(HOUSE NO.) (STREET) (FAMLET)
county Tax Map No. ~73889 Section 33 Block 2 Lot 29
REAR YARD AS APPLIED FOR.
3475 04/11/03
kev. 1/81
FOPd~ NO. 3
TOWN OF SOUTHOLD
BUILDING DBPARTMENT
Town Hall
Southold, N.Y.
(THIS
No.
28934 E Date NOVEMBER 21, 2002
Permission is hereby granted to:
MAHJORIE SAUfDER
134 LINCOLN PLACE
BROOF~YN,~Ff 11217
for :
CONSTRUCTION OF ~LN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YA/{D AS APPLIED FOR
at premises located at 1245 INLET
County T~ Map No. 473889 Section 033
pursuant to application dated NOVHMHHR
Building Inspector to emq~ire on MAy
POND RD
GREENPORT
Block 0002 Lot No. 029
20, 2002 and al~proved by the
21, 2004.
Fee $ 150.00
ORIGINAL
TOWN OF SOUTIIOLD
BLrlLDI~G DEE~TMENTTOWN 765-180~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application mr~t be filled in by typewriter or i~d~ and submitted to the Building Department with the folhiwing:
1. Final survey oFproperty with accurate location of all buildings, property iines, streels, and tmusual nataral or
topographic features.
2. FhialApprovalfromHeaithDcpt. ofwate~;supplyamlsewerage-disposal(S-9£orm).
3. Approval o£ elcclrical installation from Board o f Fire Underwriters.
4. SWCra statement fi'om plumber certifying that Ihe solder used hi systcm c. ontains less than 2/I 0 of 1% le~d.
Co~mncrcial building, industrial btdld/Jag, muliiplc residences and similar buildings and installations, a eertificate
of'Code Complianc~ fr~ta arcbStect or en~neer responsible £or the brdlding.
6. Snbmit Plarming Board Approval of complcled site plan requiremca~ts.
Il. F~r exis~ng bt~dings (pri~r t~ Apri~ 9~ ~95?) n~n-¢~nf~rmin~ ~s¢s~ ~r b~i~d~ng~ and ~pre-exis~ng~ ~and ~es:
1. Accurate survey o£properCd shewing all prop~'ty lines, strects, building and m~u.~mal ~atural or topographic
2. A properly completed application and consent to limpcct signed by the applicant. If a Certificate o£ Occupancy is
deuied, the B~ilding Inspector shall slate the reasm~s therefor in writing to the applicant.
Fees
I. Ccr~itlcateofOccupancy New dwclth~g $25.00, Addkio~ to dwallhig $25.00, ~l~ations to dwelling $25.00,
Swimming pool S25.00, Accessory huikling $25.00, Adc[itions Iv accessory builc2ng $25.00, Btrsinesses $50.00.
2. Cc~ctificateofOccupancyon?re-existh~gBuild~g- $100~00
3. Copy of Certificate o£ Occupancy - $.25
4. Updated Cetti[icute of Occupancy - $50.00
5. Tc. mporary Certificate of Occupancy - Residcntlal $15.00, Commercial $15.00
Date.
New Construction: 7 Old or Pre-existing Building: (check {me)
House No. Street Hamlcl
Owneror~w~ersof'Prope~': ~atio{;* B~M~ ~ ~ ~5
SuffomComtyraxMapNo 1000, S~tion 3% Block ~ ~ ~t ~ q
Subdivision
PermitNo. 2c~"~ ~
Health Dept. Approval:
Plimning Board Approval:
Request for: Temporary Certificate
Date of Pca~fit.
Filed Map.
Applicant:
Underwriters Approval:
(check one)
NaSsau Suffolk Electrical Inspections, Inc.
5A Canal Street * Center Morich~, New York 1 i934 * Tel: 631-878-3500 * Fax: 6~ 1-878-3764
Application: 3475
Issued to: Notes
Address:. 1245 Inlet Pond Rd
Villagc: (?reenporr
Date: 4/11/03
Mtxoduced By:Aver Electric East
Lic~:5120-E
w~s examined and approved up to the shove date and was m comphance w/th the NEC
Perm/t74:28934
This certificate must not be altered
TOWN OF $OUTHOLD PROPERTY
OWNER
RES.~ 0 SEAS, VL. FARM COMM. CB.
LAND IMP. TOTAL DATE REMARKS
_/~0
SUB, LOT ~ ? F
TYP: OF BUILDIN_ G
MICS Mkt. Value
BUILDING CONDITION
BELOW ABOVE
Value Per Volue
AGE
Tilloble -- ',~ '-
FRONTAGE OF, WATER]
ROAD
TH
BULKHEAD
SCTM# DISTRICT: /,00Q, SECTION: _c.~:~ _, BLOCK: ,~ , LOT: ~2_°i_
PROJECT DESC~TION:~p ~[~L _
EST~L, XTED PROIECT COST: ~ ~.WE,q~ ~]~_ FAST T~CK
~Q. FRONT ' ~ PROP, FRONT ~ REQ S~E ~ ACT, S~)E
~Q. ~ ~ PROP. ~. / ~Q. ~IGHT PROP. HE [G~T
DATE REVI~WTzD: tI /~_,~/02
__ DATE SUBMTITED:~/ /go/02
WATER FRONT? ~/0
#:/47 E OOO zoo:
SUb'FOLK
TOWN SEPTIC P,~CEI~T: Y or7
NEW YOtLK STATE DEC:
SOUTHOLD TOWN TRUSTEES: YES
TOWN ZONING BOARD APPROVAL: YES
TOWNPLAN. BOARD APPROVAL:
TOWN ttISTORICAL PRE (SPLIA):
] )ES CILI2PTION:
/~ COMPLIANCE:
APPROVALS REQUIRED
YES or/~'~(BED #): DTE:
/ / pERMIT #:RI 0-
FEE STRUCTUP,~,: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL:
SF)-( __ SF)= SEX$__
.SE)- ~___ SE)~
SF
SF
SF
SE
SF
INIT OTHER TOTAL
FEE FEE~
+$_ +$
SFX$ =$ +$ +$ = $
765o1802
BUILDING DEPT.
INSPECTION
~ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSU~ION
] FRAMING [~?FINAL
[
[ ] FIREP~ACE~& CHIMNEY
REMARKS .~,,,~.~'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. _
[ ] FOUNDATION 2ND [ ] INSULATI~
[ ] FRAMING ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
FOUNDATION (1ST) ....~ ~
STATE E~RGY CODE
TOWN OEg<)UTHOLD
BITILD1NG-DEPARTMZNT
TOWN HALL
SOUTHOLD. NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
w~v. northfork.net/Sonthold/-' PER3IlT NO. ~L~ ~7
h
~PPr°~ed L [i~L~,
Disapproved a/c
BUiLDiNG PERMIT APPLICATION CHECKLIST
Do you ha~e ol ll~d the follol~mg, bcfore applymg?
Board of Health
3 sc~ of Building P/~ ~
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. This application MUST bc completely filled in by typewriter or in ir~ and submimxt to the Btdlding Inspector with 3
sets of pkaus, accurate plot plan t¢ scale. Fee according re schedule.
b. Pict plan showing location of lot and o f buildings on premmes~ rckafionship to adj oiuiug premises or public slrcc/s or
c. Thc work covered by tins apptication may not be commcmced before issuance of Building Permit
& Upon ~pproval of t!fis application, the BuildSlg lmpector wl]l iasuc a Bc~lding Pe~lmt to the applicant. Such a penr0~t
shall be kepi on the premise~ available for inspeedon throughout the work.
e, No building shall be,oceupmd or used th whole or b pa~ for any pr~rpose what so ever until fl~c Buildhig lnshecror
isaucs a CertLficate of Occupancy
fi F~cry building permit shall expire if the work authorized has not ¢oramenced within 12 months after the date of
issuance or has not been coml~lc~ed within t 8 months fi'om such date. l~no zolfing amendments or other rcgulafio~s affecmag the
propcr~ have been enacted in the integra, he BuSlding Inspector may author~c, in Writing: ~e extension of the permll R~r ~n
addition six months. Thereaft% a new permit shall be rcquked.
APPLICATION IS ~BY MADE to the Binlding Department for the issuance ora Building Pmmit pursuant to the
Buildu~g Zone Ordinance of thc Town of Somheld. Su~otk Comxty, New York. and olhc~ applicable Laws. Orc[immc es or
Reguint~ol~s. fhr tile cormtruction of braidings, additions, or alterations or for I~moval or demo]itlon aa herein described. The
applicant agrees m comply w/th all applicable laws. ordinances, hathllng code~ homing code, and regulations and m admit
aulherized inspectors on premises ~d in building for necessary mspecuons.
(Szgnature of applicant or name. il~a c~rporauon
(MailBag address of applicant)
State whether applicant is owner, lessee, agent, architect, angincer, general contractor, electric/an, plmubcr or builder
Name of owner of premises /,~PFe;'~oZ~' 6~J~ , P~,'O,O J.~o:~r-z~
fAS on the tax roi1 or lalcs deedl
If applicant ~ u corporjafign, signature of duly authorizcd officer
Builders License No.
Plumbers License No.
Electricians Licansc No.
Other Trade's License No.
Location of land on which proposed work v,511 be done:
House Number Street
CountyTax Mat: No. 1000 Scction
Subdivision ?~4~'~i~/~f'~,
(Name]
Block
Filcd MapNo. ~y
2. State existing use and occupancy of premises and intended use and occupancy of proposed constmctior~-
a. Exastin~ usc and occupancy
b. h~tendeduseand~ccupancyj ~?-w~ .~g,.c.J~ ~.~/ ...~2oo. a)'~ ,a~,~azr. 7t=o2-
3. Nature of work, check which applicable): New Buildhag~n A/tcration
Repair Removal Demolition ~__~ ~ W~9~,/.~ ~ -/.~,~ .~ J~o~,q/,4, wO
(Description)
~4. Estimated Cost Ct/oq..ooz,./x9 Fee ~/:~ZZ~oo
(To be paid on filing this application)
5. If dwelling, number of dwelling units Nuinber of dwelling units on each floor
if garage, number of cars
6. 1/business. commercial or mixed occupancy, spccSfy nature/md exteul o f each typp of ~e.
7. Dhrten~tmxs of existing stmctares, if any: Front .,5'-~q' Rear ~'~' . Depth .'~,~
Height /4-' Number of Stories /
Dimensions of same structure with alterations or additions: Front Rear
Depth. Height. Number of St6des.,
g. Dimensions o f entire new construction: Front Rear Depth
Height Number of Stories
9. Size oflot: Front //o~. ~o~ Rear //~....7_.o~ Depth
I 0. Datc of Purchase
Name of Former Owner
11. Zone or use district in which premises m-e sittmted
12. Does proposed constmetion violate any zm~ng law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES /~ NO Willcxccssfillbercmovcdfi-omarexinse~?YES_~(~ NO
/4. Nm:oesofOwnerofpremises .4~ ,u-~re-~ Address~.~f'..,~z.~,u~> PhoneNo.
Name of Architect Address ~.o~z~, Phone No
l 5 a. Is tiffs propcrpy will/m 100 feet of a tidal wetlaud or a freshwater weft m~d? *YES
* l~c YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQ~D
b. ls this [n-opert~ within 300 feet of a tidal wetland? * ~ES NO ~
* LF YES. D.E.C. PERMTI'S MAY BE REQUTRED.
NO
16. Provide smwey, to scale, with accurate foundation plan and distances fo pmpe~y lines
17. If elevation at any poim on property is at 10 feet or below, mus~ Frovide topograpk/cal data on survey.
STATE OF NEWr._YORK.)'
.~i~ ,//~zf/7Z2ff being duly sworn, deposes and says that (~ q~e is fl~e a~lic~t
~e of m~vidual sl~g eon~a~) ~ove med.
IS~He is the ~~ .........
~Ccntractor. Agent, Corporate Officer. etc.,
of said owner or owners, and is duly authorized to pmTorm or have per[brined the said work and tc make and file this applicalion:
tha~ all st at emcuat s contathed in this application are trae to the best ofliis knowledge and belief: and that the work will be
performed in the manner set forth in the application flied thcu, e, a4th.
Szgnature of Applicant
LO~# 129
5~9°02' I O'W
Z
POND ROAD
(~phait
SITE PLAN
OP LOT # ~ 2e
"MAP ~T~ ~0~5 5~CTION PIVZ"
Pt~D DEC.3 1,1 9~ ~
51TUAT~, G~EN~
5UPPOLK COUNt, N~ 5U~ COUN~
L~ 129 ~N NO~5
"~ O~ ~T[~ SHO~' NO~ST MORTGAG[ O~NY. [NC
N72~3 I '40"E
Z
INLET POND ROAD
(asphaJ~ ~way)
SITE PLAN
o .-II--B. Pg.oP
NSPI TYPE 0 - NON DIVING
TOPAZ STERLING
APPROVED AS NOTED
.CT,FYDE RT ENT
FOLLOWJN~ ~N~P~T' ~NS:
FOR POURED CO~RETF
2, ROUGH - FRAMING ~ PLUMBING
INSU~TION
· FINAL- CONSTRUCTIO~ ~UST
BE COMPLETE FOR
ALL CO~ST~UOTIOH ~HALL MEET
THE REQU~EMENT~ OF THE N,Y.
~TATE CONSTrUCTiON
CODES, NOT RESPONSIBLE FOR
~ESIGN OR CON~TRUCTION ERRORS
0F 0CCUPA~Oy
REQUIflF~
"I UEDIATELY"
ENO~E ~ TO CODE
UPON
BEFORE "WATER"
DO ~'~OT PROBEED ~¢)TH
FR^I~ING UNTIl SURVEY
OF FOUNOATION LOCATION
HAS BEEN APPROVED.
flg-ORO U~ND S WIM/vlYNG POOL WILL BE CONSTRUC'fED OF STEEl. WALLS SUPPORTING A
VINYL LINER THAT WILL HOLD APPROXIMATLY ~5,000 GALLONS OF WATER.
FENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HIGh'! WITH SELF CLOSING GATES THAT
WILL MEET TOWN' CODES.