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Home My WebLink About30010-ZFORM NO. 4 TO$~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30428 Date: 09/16/04 THIS CERTIFIES t~at the building INGROU}~D SWIMMING POOL Location of Property: 450 BAYBERRY LA GREENPORT (HOUSE NO.) (STREET) (~AMLET) County Ta~ F~p No. 473889 Section 52 Block 3 Lot 19 Subdivision Filed Map No. Lot No. conforms substansially to the Application for Building Permit heretofore filed in this office dated JA2~ARY 14, 2004 pursuant to which Build/~g Permit No. 30010-Z dated J'A/~J~Y 14, 2004 was issued, and conforms to all of Ehe requirements of the applicable provisions of 5he law. The occupancy for which this certificate is issued is ACCESSORY INGRO~D SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to MICHAEL ABR3~]KIA~I (O~NER) of the aforesaid building. SUFFOLK COUNTSf DEPARTMENT OF HF2~LTH A/~PROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 3400 04/15/04 N/A Rev_ 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL Date JAAIUARY 14, 2004 PerMission is hereby granted to: EVERTON A SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 052 pursuant to application dated JANUARY Building Inspector to expire on JULY 450 BAYBERRY LA Block Fee $ 150.00 GREENPORT 0003 Lot No. 019 14, 2004 and approved by the 14, 2005. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHoI~ er-n ~ ,a ~, ' ~d ~ ~ B~D~GD~P~T~ .... , ~] TO~ ~L 765-1802 ,j,,,,. ~.~ ~ ~,_, ~P~CATION FOR CERT~ICATE O'F OCC~CY This application must be filled in by typewriter or ink and submitted to the BuiIding Department with the following: For new building or new use: 1. Final sumrey o f property with accurate location of all buildings, property lines, streets, and anusual natural or topographic features. . 2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form)_ 3_ Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement fi'om plumber ceififying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of C, odb Compliant4 f/om arch/tect or en~m2neer responsible for the building. 6. Submit Prmming Bohrd~!Approva[ of completed site plan requirements. / For exis.fing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1_ Accurate sm-vcy of propert~ showing all property lifies, streets, building and rmusual natural or topographic feamrem 2. A properly completed application and consent to 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 Fee~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25_00, swi~fir~ingipool,~J5_06, Ac~&s~bry building $2g.00, Additions to accessory building $25.00, Businesses $5'0_00. 2. Certificate of Occup'p~ancy on PreFex!sting Building r $ t.00.00 3. Copy of Certifieate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15_00 New Cons~mc5on: Ifocatio~of ProperS_ Date. Old or Pre-existing Building: House No. ' Street Owner or Owners of Property: _~ t Ct~,,.,J~, '~)~/~ Suffolk County Tax Map No 1000, Section ~2~ Block Subdivision PermitNol '~o010 ~r Health Dept. Approval: (check one) Hamlet Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ e~. C)O Lot O//0 Filed Map. Lot: Date of Permit. 1~//09r Applicant: ~.&'~,~ 5~x~. Underwriteis Approval: Final Certificate: ~ (check one) Applicant Signaturb Nassau Suffolk Electrical Inspections, lnc_ / 5A Cana/Street * Center Modches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application: 3400 Date: 4/15/04 Issued to: Abrakian Address:. 450 Bayberry la. ae Village: Southold Irtlroduced By: Bethel Electric Lic#: 2880-IViE ~x~s examined and approved up to the above date ~.nd was hi compliaace with the NEC SwiLches Receptacles Fixtures G.F.I. T[meclook Pool Heater' 2 3 Fans Dishwasher Furnace Oil fough 4/13104 Insp: ina[ Insp: 4/15104 thor Equipment: ut,Res Oven Carbon Washer/Amps mye,.mmps Range/Amps - Monoxide Smoke 5ell Gas HeatZonss Detectors Trans[orm ers Meter Amps Phase Motors Inground Pr)al .... This,certificate must-not.be altered m any manner ,] ] I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~SULATION [ ] FRAMING [',,,']/FINAL J~ i [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETy INSPECTION REMARKS: DATE INSPECTOR FI~r.D I~$PE~TION REPORT FOUNI)ATION (1ST) FOUNDATION (2ND) ROUGH F~I~NG & PLL¢~G ~SULATION PER N. Y. STATE EN~GY CODE .~D~ION.~ CO3~IENTS - TO~ OF SO~)LD BUILDING DEPARTMENT TO.tN HaLL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~vw. northfork, net/Southold/ E~mm_ned Approved Disapproved ac / E. p a ion,20 C--- / BUILDING PERMIT' APPLIOATION CHECKLIST Do you haxe or need the folloxxdng, before applying? Board of Health 3 sets of Building Plans Planning Board approval Sm~'ey_ Check Septic Form N.Yt'.S.D.E.C. ' Trustees Contact: , ( Building Inspector '.APPLICATION FOR B/~rI~LDING PER3IIT Date ,20 - : ........ -~ ~ INSTRUCTIONS ., ..... ~, .-. ~ ~'5_:T ~ a.t_T~i.$2ppIieatx6i~'~tUSTlie completely filled in by typewriter or m i~ and sub~tt~ to the B~l~ng hupector with 3 sets o/plans, acc~ate plot p[~ to scale. Fee according to schedule. b Plot plan show~g location of lot ~d of b~l~gs on pren~es, relationship m adj o~g presses or public streets or ~eas, and wate~vays. c. T~e work covered by t~s application nmy not be con~enced before issuance of B~td~g d. Upon approval oft~ application, the Bulling ~pector will issue a Bufld~g Pe~t to the appli~m. Such a pe~t shall be kept on the pre~ses available for i~pection tl~ou~out the work. e. No building shall be occupied or used in whole or ~ p~ for any purpose what so ever ~til the Build~g hspector issues a Ce~ificate of Occupancy. f. Eve~~ bulldog pen~t slmli expke if the work author~ed lms not co~enced wit~ 12 months a~er ~e date of issuance or ~s not been completed wk~ 18 mont~ from such date. ~ no zotfing men,curs or other re~lations affect~g the prope~5 have b~n enacted in the ~ter~ the Buil~g ~spector may au~odze, m wrk~g, the ext~sion of the penffit for addition slx mon[hs. ~ereager, a new pe~t shall be req~ed. _~PLICATION IS HE,BY M_~E to the Buil~g Dep~ent for the issuance of a Bolding Pe~t pursu~ to the Building Zone O~mnce oftke Town of Southold. Suffo~ Cowry, New York, ~C ~t~er applicable Laws, Ordinances or Re~larions, for ~e construction of buildings, additions, or alterations or for remo :alJor demolition as herein described The applicam a~ees to comply with all applicable laws, ord~ces, buil~g code, ho s~g code, ~re~lauo~, ~d ro ad~r autho~zed ~spectors on presses ~a in bufl~g for necessa~ inspections. . (Si~e of apphc~t or rome, if a co~oration) (Mafl~= ad.ess o ~ app ~c~t) State whe~er applicant ~s owner~ lessee, agent~ ~c~tect, cn~nee~, general con~actor~ e[ec~cian~ plumber o~ Nmeofown~ofpremses ~ ~ (As on the t~x roll or latest deed) If ap~ant is a~orat~n, sizable of duly au~ofized officer . ~e ~nd ~fl~ o~ co:porate offic~0 B~lders License No. ~1 ~: - H Plumbers License No. Elec~ci~s License No_ Other Trade's License No. Location of land on which proposed work will be done: House Number S~eet Hamlet Comity Tax Map No. 1000 Section Subdixrision [ look , Filed Map No_ ' State existih.,z use and occupancy of premises and mtended use and occupancy of proposed conStmctiom., a_ Exxs. lang use and occupancy ~}-bc.~3 ~ ~ -,a ~ b. Intended use and occupancy ~k-M ~ 3. Nature of work (check which applicable): New Building Repair Removal Dernohti6n 4. Estimated Cost ~ ~ oo~ Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If busines, s, commercial or m/xed occupancy, SPecify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rea.r Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. DLmensions of entire new construction: Front Rear Height Number of Stories 9. Size of lot: Front /fig Rear /~'~! '~ - .Depth Depth / 10. Date of Purchase Name of Former Owner 11. Zone or use district in xvhich premises are situated 12. Does pr_oposed construction violate any zoning law, ordinance or regulation? YES NO ~,~ 13. Will lot be re-graded? YES ~ NO__Will excess fill be removed f~om premises? YES__ NO ~, · ,, \ q7 (vtoa~ ca,,& 14. Names of Owner ofprennses~CO~-z- ~/~,! Address ~y~ ~"~/~f-7 Phone No.~O :'4~ Name of McNtect Ad,ess Phone No Nme of Contractor Ad,ess Phone No. 15 a. Is this property within 100 feet of a tidal xvetland or a freshwater wetland? *YES NO * 11: YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO t><; * 1F YES, D.E.C. PERNIITS MAY BE REQUIRED.. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines_ 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) a~''-5 C4/ZED~ being duly sworn, deposes and says that (s)he is the applicant (Name of indix4dtml signing contract) above nmmed, (S)He is the (Contractor~ Agent, Corporate Officer, etc.) of sa/d owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are nme to the best of his lmowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this -- - Nora-9' 'PubiTc ~ Sig~mture of Applicant Claire L. Glew Notary Public. State of New YOlk No. 0t GL4879505 Qualified in Suffolk COullty Commission Expires Dec_ 8,~5