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HomeMy WebLinkAbout30449-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town ~all Southold, N.Y- CERTIFICATE OF OCCUPANCY No: Z-30433 Date: 09/16/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 45 WALI~3T PL MA_TTITUCK (HOUSE NO_) (STREET) (~LET) County Tax Map No. 473889 Section 142 Block 1 Lot 12 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the .Application for Building Permit heretofore filed in this office dated JUNE 25, 2004 pursuant to which Building Permit No. 30449-Z dated J73IFE 28, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificaue is issued is ABOVE GROUI~D SWIMMING POOL IN THE REQUIRED PJ~AR YARD WITH FENCE TO CODE AS APPLIED FOR. · ~he certificate is issued to GREGORY C & STACEY M. SCHEITZER (OWI~ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL N/A ELRCI~ICAL CtL~TIFICAI]~ NO. 2013165 08/13/04 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Sounhold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 'P~P~IT NO. 30449 Z Date JUNE 28, 2004 Permission is hereby granted to: GREGORY C SCHWEITZER PO BOX 493 MATTITUCK,NY 11952 for : CONSTRUCTION OF AN A~OVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR at premises located at 45 WALNUT PL MATTITUCK County Tax Map No. 473889 Section 142 Block 0001 Lot No. 012 pursuant to application dated JI/NE 25, 2004 and approved by the Building Inspector to expire on DECEMBER 287~LQ~5.~ - ~ Fee S 150.00 /~~/~i~X(' ORIGINAL Rev. 5/8/02 Form No_ 6 - TOWN OF SOUTHOLD BUILDI1NG DEPARTMENT TOW~ HALL ' 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' ~' _ .... Tliis applicalion must be filled ~n by typewriter or ink and subn~Imd to the Building Department A. For new building or new use: 1_ Final survey of property with accurate location of all buildings property lines slree~s, and unusual natural or topographic features. 2. Final Approval from Hgalth Dept of water supply and sewerage.disposal (S_9 form)- 3, Approval of electrical installation ~om Board of Fire Underwriters_ 4. Sw~om statement from ptmuber c~-fifymg that the solder used in system cov~in~ less than 2/10 of 1% lead_ 5. ' Commercial lmilding,'~ndus~al buildiug~ multiple residences and similar buildings and installations~ a certificate of Code Compliance from arct&ect or engineer responsible for the budchng_ 6_ Submit Planning Board Appro-fal of completed ~ plan requirements_ B. For exEnting bm'ldings (prlor to April 9,1957) non-conformhlg uses, or buildings and "pre. e~sting- land uses: I.Accurate'sotvey ofpropem.: showing all property lines, s~reets, building and unusual natural or topographic features. 2_A Properly completed application and a consent to inspect signed by the applicant If a Cerlfficate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelimg $25.00~ Additions to dwelling $25.00~ Alterations to dwelling $25_00, Sw~mmln5 pool $25_00~ Accessory budding $25.00, Additions to accessory budding $25.00~ Businesses $50.00. 2. Certificate of Occupanc3- on Pre-e~ Budding - $100.00 3. Copy, ol-Certitlcate of Occupancy - $25.00 4. Updated Certific~c of Occupancy - $50.00 5. Temporary Ccrifficate of Occupancy - Residential $15.00, Commercial $15.00 ate. 7 2 New Conmruction: Old or Pre-existing Budding: (check one) . O~,~¢r or Owners of Property: /---d ,SuffolkCoantyTaxMapNol000, Secfian 7385 ~ [0~. ' [ ~t Sub&vision 2 7lg Health Dept Approval: Planning Board Approval: Request for: Tempormy Certificate Fee Submitted: $ ~__F~ Filed Map. Lot: Date of Permit. [0 fref 2002Applicant /~//~' F' · t-/( /~/~ Underwriters Approval: Final Certificate: J (check one) 5O¥ Applicant Signalure ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by GOODALE ELECTRIC CONT INC P. O. BOX 1190 MA'I-I'iTUCK, NY 11952, GREG SCHWEITZER 45 WALNUT PLACE MAI-I'ITUCK, NY 11952 Located at 45 WALNUT PLACE MATTITUCK, NY 11952 Application Number: 2013165 Certificate Number: 201'3165 Section: Block: Lot: Building Permit: BDC: ns11 Described as a occupancy, wherein the premises electrical system consistin8 of electrical devices and wiring, described below, located in/on the premises at: Outside; Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wirin§ to the extent detailed herein, wes conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the t3~ Day of August, 2004. Name QTY Rate Rating Circuit Type Miscellaneous pool & service Appliances and Accessories Time Clocl~'Swimh 1 0 Wiring and Devices Receptacle 1 0 GFCI Receptacle I 0 20 amp Pool/Spa Service l Phase 3W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: l (Swimming Pool): This ccn'r~icate covers compliance ar the date of inspection only. Because of unusual enx4ronments it is advisable to have firequent test and/or repairs made by a qualified person. ~ea/ 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 765-1802 BUILDING DEPT. INSPECTION ¸lL [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/INSULATION [ ] FRAMING [v-] FINAL ~,~ [ ] FIREPLACE&CHIMNEY REMARKS: DATE INSPECTOR Fl~F~{I~PECTION'REPORT FOUNDATION (IST) FO~DA~ON (2~) ROUGH ~G & ~S~ATION STATE ENERGY CODE SO~OLD, ~ 1~71 ~?;- ~.. ,. TEL' 631 7 - ~ .... ..:~. ~z~_ , .( ) 65 ..... . F~: (63~1) 765-9502 -~'"'~P~ ' BLrl~DING PERMIT APPLICATION CHECKLIST Do you hax~e or need the following, before, applying? Board of [-Iealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form_ N.Y.S.D~EiC. Trustees Contact: APPLICATION FOR BUILDING PER3,IIT Date d-"--~.r',~ ~-% ,20Oq INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink aad submkted to the Building Inspector wkh 4 sets of plans, accm:ate plot plan to scale. Fee according xo schedule. b. Plot plan showing location of lot mad of buildings on premises, relationship to adj oiz~ng premises or public streets or areas, and wate~vays. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permk to the applicant. Such a permit shall be kept on the premises available for inspection tkroughofft the work· e. No building shall be occupied or used in whole or ih part for any purpose what so ever until the BuZlding Inspector issues a CerLificate of Occupancy. f_ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi-om su~t~ date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspec!dr may authorize, in wr/ting, the extension of the permit for an addition slx months. Thereafter~ r~6w permit shall bi r~6quh:ed~i APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, ~uffolk CQunty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alt.emtioas or for removal or demolition as herein described. The applicant a~ees to comply with all applicable laws, ordinanges?uilding code, ligusing/fode, and regulations, and to adinit authorized inspectors on premises and in building for necessao ihzspections_ (Signature of applicant or name, ff a corporation) (Mailing address of applicant) State whether applicant is o,~mer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner o f premises -4- ~ · (A~n ~,e .ax r,,h ,,~ .at.st de~d) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Eleciricians License No. Other Trade's License No. 1. Loca[ion of land on Which proposed work will be done: House Number Street' Hamlet Count5' Tax IVlap No. 1000 Section Iq-Z__ Block ( Subdivision Filed Map No. 2, ~{~'fe exzstmguse and occupancy of prermses and intended use and occ¢~a~cy:~ofproposed const~l~ctton. a_ . Ex~stmg use and occupancy /J~q-~Z~ b. Intended use and occupancy/~_. 3. Nature of work {check ~vhich applicable): NeW Building Demolition 4. 5. Repair Rembvai Estimated Cost ~ ~ If dwelling, nmuber of dwelhng units If garage, number of cars Fee ~AlteratJ on (Description) (To be paid on filing this application) Number of dwelling units on each floor 6, If business, commercial or mixed occupancy, specify nature and extent of each tTpe of use. 7_ Dimensions of existing structures, if any: Front Height Number 6f'S~tories _Depth ~ ~-~. Dimensions of same structure with alterations or additions: Front ~ q,2 Rear Depth ~,~:~}/-. Height_ Number of Stories ~- 8_ Dimensions o f entke new construction: Front Height 9_ Size of lot: Front 10_ r)ate'of Purchase Rear _Depth Number of Stories Rear ~0,0{ Depth Name of Former Owner ~-i~ i~'~ 1 l. Zone or use district in which - ' premtses are situated 12. Does proposed construction violate any zon, jng law, ordinance or regulation? YES_ NO 13. Will lot be re-graded? YES NO c//Will excess fill be removed from premises? YES NO 14. Names of O~mer of premises ~-~za~ A:ddressq?5' ~C.I~°-~ Phone Name of ~'chtect Ad,ess Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater xvetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C: PERMITS M_AY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * Y'ES NO * IF YES, D.E.C. PEP. MITS IVE{¥ BE REQUIRED. NO ¸V/' 16. Prov/de 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 OFNEW YORK) SS: cOUnTY or,5 Llq) ~ro_~ SCI,-xLDF_~ 'Jl-~_~Oe..~ be/~gdulyswom, deposes and saysthat (s)heis the applicant (Name of ~hdix'idual signing corrLrac0 guove named; (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or turners, and is duly author/zed to perform or have performed the said work and to make and file tkis application: that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the mariner set forth in the application f'fled therewith. Sworn to before me t?ds Notary Public z Si=maature of Applicant THERESA A. FOSTER Nota~ Public, State of New No. 01FO4823157, Suffolk Coun~ Term Expire~ Deoembef 3t, 20