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Home My WebLink About29249-ZFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tovm Hall Southold, N.Y- CERTIFICATE OF OCCUP~=NCY No: Z-30307 Date: 07/23/04 T~IE CERTIFIES that the ~uilding ACCESSORY Location of Property: 5960 ALDRICH LA MATTITUCE (HOUSE NO.) (STREET) (H3~4LET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.7 Su~divisiom Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 2003 pursuant to which Bnilding permit No. 29249-Z dated MARCH 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 DAVID & D~A M DEMCHUK (OWNER) of the aforesaid building. MUff~LKCOI~VTYDEPART~NT OF~]~A]~THAPI~RO~-~J~ N/A ELECTRICAL CERTIFICA~ NO. 3500 04/28/03 PLDi~BERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29249 Z Date MARCH 27, 2003 Permission is hereby granted to: DAVID & DANA M DEMCHUK PO BOX 968 MATTITUCK,NY 11952 for : CONSTRUCTION OF INGROLIND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 5960 ALDRICH LA County T~x Map No. 473889 Section 120 Block pursuant to application dated MARCH 27, 2003 Building Inspector to expire on SEPTEMBER 27, MATTITUCK 0003 Lot No. 008.007 and approved by the 2004. Fee $ 150.00 ,/~c~ I_ $~L~--~ Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOVv~N OF SOUIlfOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This ai~plication must be filled in by typewriter or frdc 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 ali buildings, property lines, streets, and unusual natural or topograph/c features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electriea/installation from Board ofFke Under~,riters. 4. Sworn statement from plumber certifying that the solder used in system conlains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arckitect or engineer responsible for the bufiding. 6. Submit Planning Board .approval of completed site plan requ/rements_ B. For~istingbaildlngs(t~ior4o Atm4[~,,49-57)mon-cqmforming-~ses, er baildings~aad ~pre cxisting'da-ndases: 1. Aecttrate survey of property showing all property 1/nes, streets, b~/ilding and unusual natural or topographic features. 2. A properly completed apphcation and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ;vriting to the applicant. C. Fees 1_ Certifieate~,f'q~'-~ - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimm~'~ccessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Oeeupma6~ on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $_25 4. 'Updated Certificate of Occupancy - $50_00 5. Temporary Certificate o[' Occupancy - Residential $15 00, Commercial $15.00 New Constmcfion: Old or Pre-existin[ Building:. (check one) nonse rqo,. Street r Hamlet Owner or Owners ofProperty: ..~mf'td ¢ ~t,~l..Jt,~ /L,]Q Suffolk County Tax Map No 1000, Section ~C~L- [ ~.~-) Block _.~ Lot Subdivision Fried Map. Lot: l'ermit No. l,L q Date of Permit. )qCV 27, Appncam: Underwriters Approval: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certiticate Fee Submitted: $ ,~-2x'~ Final Certificate: (cheek one) Applicant Signature Nassau Suffolk Electrical Inspection% Inc. 5A Canal Street * Center Moriches, New York 1 I934 * Tel: 631-8,8-~300 * Fax: 63 !-878-3764 Application: 3500 Date: Issued to: Demchuk Address:. 5960 Aldrich Lane Village: Southold 4/28/03 Introduced By: Avey Electric East LiO.~ 120 -E was exam/ned and approved up to the above date and was m compliance mith the NEC Fixture~ G.FJ. 2 Timeclecks 2 Whirlpool Fans Dishwasher Washer[Amps Dryer/Amps Range/Amps Monoxide ;Furnace Oil Gas Heat Zones Smoke B~I[ Mef[er Amps Phase [nground Pool Dther Equfpmen~: 1-3/4~1 I/2Hp Permit: 29249 This certificate must not be altered in any manner Applicant/ Architect_;' Engir, eer: DCTf.I #: Districr L000 Section: 1~O 13loc;: -3 ' Loc ~ ~ Da4_e Single & separate Required ./L,?/'''q-.fi'' KI ccmficatimu (Yes / No) (I,or size-' __ .[From '~ ard -- prdr~xed.__J [Si& Yard , ~; ~//(~_ Subdi¥isic, il Project Description: AGENC~'ERMITS REOU[RED FOR REVIEW Pet-mir NO 'irES Number Suffolk County Healih Dept. New York State D, E. C. Tovm Trustees Town ZonLag Board approvaI: Town Planning Bo~:d approval: Flood P[an.e Elevation ??? Plood Zone: 765-1802 BUILDING DEPT. INSPECTION [ [ ] ROUGH PLBG. [ [ ] I NSU. S. S. S. S. S. S. S. S~ATION [ [~'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~/~"~/ /~ /~ ~ ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ '~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~~'~'~/~ ~ TOX%~q OF SOUT~OLP-~ BUILDING D'EPARTMENT TOIVN ttALI, SOUTIIOLD, NY 11971 TEL: (631) 765-1802 F_MX: (631) 765-9502 ~wa'w. nor thfork.net/S outhold/ Examined Approved Disapproved a c ,20 ~--~_ ,20. o2, Expiration PERMIT NO. BU2LD/NG PERMIT APPL-tCATI~N CHECKLIST Do you have or need the fo lowing, be£ore appl}ing? Bom-d of }teald~ 3 sets of Building Plans__ ?laaning Board approval Check Septic Form N.k .S.D.£.C. Tmstees Mall to: Building Inspector APPLICATION FOR BUILD ING PERBHT INSTRUCTIONS Date a. This application MUST be completely filled in by rspe~xmter or mmk amd submitted to rlte Bmlding Inspector xx tth -, sets of plans, accnrate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining pretmses or public streets or re'cas, and wa'rem'ays. c. The work covered by this application ina5' not be commenced before issuance of Bnilding Permit. d. Upon approval of. this application, the Building Lnspector will issue a Building Pemait to the applicator. Such a pm-mit shall be kept on the premises available for inspect/on tkroughont the ~i, ork e. No building shall be occupied or used in whole or in part for an5' purpose x~ hat so ever unit/the Building Inspector issues a Certificate o ~' Occupancy. f. EverT building permit shall expire i£the work author2ed has not co~rananccd witkin 12 months after the dare of issnance or has not been completed witkin 18 months fi-om such date. I£no zoning amendments or other regulations affeclmg the property have been enacted in the interim, the Building inspector may authorize, in writing, ~e extension of the peru]it for an addition six months. Thereaftei, a new perm/t shall be required. _APPLICATION IS HEREBY i~LADE to the Building Department for the issuance of a Building Permit pm'suant to the Building Zone Ordinance of the Town of Sonthold, Suffolk C otmts, New York, and other applicable Laws, Ordinances or Regulations. for the canstmction ~fbuildings, additions, or alterations or foi removal or demolition as herein described. The applicant a=m-ees to comply with all applicable laws, ordinances, bnilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess.aD~ uispections. UPOH ~.~:'~, t_ETION (Signature of applicant or name, ifa corporation) (Malting address of applicant) State ;x-heater applicant is owner, lessee, aaent, architect, t~il[Ell~Tgtgteta~rig_mctor, electri~l[a[aRl~D~[i]0~[~[jer Name of owner of premises (As on ~e tax roll or latest deed) If appl}cant is a co~oration, si~amre of duly authored officer t~e an~hfle of corporate o~cer) Builders License No. Plut~bet-s License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: . O House Number NOTIFY BUILDING DEPARTMENT AT FOLLOWING INSPECTIONS: t. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ~. ROUGH - FRAMING & PLUMBING I INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REGUffiEMENT$ OF THE N~Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Street Hamlet County Tax Map No. 1000 Section /,,.oO Block Subdivision --r~4t.q~ --"o~.a~, ~x' Filed Map No. (Name) Lot ~. ;7 Lot 5'"' 'Slate extstmg use and occupancy of premises a~d intended use and occupancy of proposed construction: a. Existing use and occup~mcy · ' b. Intended use and occupancy 'Nature of work (check which applicable): New Building ,,Repah Removal Demolition ..,E~amated Cost_ , o O f}klwellmg, number ot dwelhng umts :[¢ arage, number of cars Fee _A_.d? =__ .Mterafion (Descfipfion) (To be paid on filing this application) Number of dwelling units on each floor :6:'. Ifbusiness commercial or mixed occupancy, specify nature and extent of each Bl2e of use. ','. 'Dimensions of existing structures, if any: Front__~5'-' Rear ~5'-i . .,Height ..¢o~ Number of Stories ~' ...:: .Dimensions of same structure with alterations or additions: Front ..; & ::Depth. Height. Number of Stories. !/ :'Dimensi.ons of entire new construction: Front Rear ~eight Number of Stodes i': :9.¢ ~ize of lot: Front /~'"/ Rear /~' / Depth ~.,~ ' Depth .fi? ' .Depth Rear [,~3.:Date of Purchase Name of Former Owner .;,~'i¢~one or use district in which premises are situated ~'~/,~,-_-7~ zO-/4~ Does proposed cons~cfion violate any zo~ng law, ordnance or regmlafion? 5~S NO ~' ~, tll k t be re-gaded? %~S X NO Wilt excess fill be removed from premises? YES NO g ' ~.N fp z~h ~a ¢¢~ ames of Oxxmer o r~ises~o~ ,~ ~ddress ~o ~,x ~ ~, one No_ - Name of.~cNtect Address Phone Nor. Name of Con~actord~ ~ c~ Ad.ess ~o ~ v ~ Phone No. ~¢:~ ~ ~ Is tNs prope~v within 100 feet ora tidal wetland or a ~eshwater xvetland? *YES ~ . . _ NO IF YES, SOUTHOLD TqX~ TRUSTEES & D.E.C_ PERM,S MAY BE REQU~D. b. I~ this property with~ o00 feet of a tidal wetl~d? * h~S NO ~' IF 5 ES. D.E]C. PELM[TS 5&&Y BE REQU~ED. Pro;ride sun'ey, tn scale, with ac~ate foundation pl~ ~d distances to property lines. 7. If elevation at an), point on property is at l 0 feet or below, must prox. Sde topo~aphical data on smwey. ~IATE OF NrE~ YORK) ' bein~ duly sworn, deposes and says that (s)he is the applicant gning cdrCract) above named, S)He is the r (Contractor, Agent, Corporate Officer. etc.) of said owner or owners, mTd IS dulz authorized to perform or have performed the s aid work and to make and file ti'As application that all statements contained in.th;is application are tree to the best of kis knowledge and belief; and that the work will be ~erfom~ed in the maturer set £drtll i~kthe application filed therewith. Notary Public CLAL~ E L. GLa-W 2O f..~-/-. ~_~ .. ~ Si=~namre of Applicant zo O0 r~- Il_ DO 'r m~0 r~ ~0 ~o~ U ~ Oz ~0 >~o