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HomeMy WebLinkAbout30370-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30533 Date: 11/04/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 2615 PLATT RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 2 Lot 2 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 2004 pursuant to which Building Permit No. 30370-Z dated JUNE 2, 2004 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 AND SPA WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JONATHAN DAVID & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 62138C 10/07/04 PLUMBERS CERTIFICATION DATED N/A uth ized Signature Rev. 1/81 „ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 _ ! L004 APPLICATION FOR CERTIFICATE OF OCCUPANCy This application must be filled in by typewriter or ink 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 all buildings,property lines,streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo 3. Approval of electrical installation from Board of Fire Underwriters. rm). 4. Sworn statement from plumber certifying 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 certificat of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and"pre-existing”land uses 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant_If a Certificate of Occupancy i; denied, the Building Inspector shall'state the reasons therefor in writing to the applicant. C. Fees 1. C � -New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, Swimming pool $25.00 ccessory building$25.00,Additions to accessory building$25.00 Businesses 2. e 1 o ccupancy on Pre-existing Building- $100.00 $50.00. 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: check one Location of Property: 2(? 15 IOla tf" 'd 0 216,X 0 r- ) House No Street Hamlet Owner or Owners of Property: JOKOLnIaO David fi C'a ffi t y) rill V44 wl x� Suffolk L�- County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No.30 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 0 o Int(, G VA4A Applicant Signature ` Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application Number 10/7/2004 375 Dunton Avenue 62138C East Patchogue, New York 11772 (631)286-6642 Issued To: Catherine Chermayeff ` Street: 2615 Platt Road Village: Orient Point Zip: 11957 Town: Southold Section: Block: Lot: Contractor: Ridge Electric Lic. # 1895 Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects X Pool ❑ 1st Floor ❑ Indoor ❑ Basement ❑ Hot Tub �v .° X❑ Residential ❑ Det.Garage ❑ Attic ❑ 2nd Floor ❑ Outdoor ❑ Addition ❑ Survey _ . Switches Receptacles Fixtures GFI Heaters A/C Fans 1 5 3 1 f Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 300 1 ❑x / Bldg. Permit: Other Equipment POOL PANEL\2-GAS HEATER\100AMP MAIN DISCONNECT OUTSIDE Hugo S. Surdi President t; Rough Inspection: f Inspector: ' Final Inspection: 05/07/2002 - Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials. ------------------------- r y FOkM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30370 Z Date JUNE 2 , 2004 Permission is hereby granted to: JONATHAN DAVID NEW YORK,NY 10003 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH SPA AND FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#28124 . at premises located at 2615 PLATT RD ORIENT County Tax Map No. 473889 Section 027 Block 0002 Lot No. 002 . 001 pursuant to application dated JUNE 2 , 2004 and approved by the Building Inspector to expire on DECEMBER 2, 2005 . Fee $ 150 . 00 Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28124 Z Date MARCH 1, 2002 Permission is hereby granted to: JONATHAN DAVID NEW YORK,NY 10003 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH SPA IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 2615 PLATT RD ORIENT County Tax Map No. 473889 Section 027 Block 0002 Lot No. 002 . 001 pursuant to application dated FEBRUARY 26, 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 BUILDING-- �'�-��I T- ����I Applicant/ Date Owners Naive: �a�v-c �� Reviewed: 4 Architect/ Date Engineer: �� Submitted: d, SCTN4 #: [district: 1 000 Section: c;27 13 lock Lot: -_Z Project n Subdivision Location: c:,2F, 15- Aee4e /0� // _ Name: i Single S separate Required certification: (Yes/No) / Rcy. /� c4 /.(ming District: 1 I I,ol size: (/ Actual: (I_ot coverage I'ruposcd Rey. Req Req. r —.� J('ront Yard Proposed:�J [Side Yard Proposed: J [R�ar Yarik— Proposed 6 Project Description: AGENCWERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Q Flood Zone: Notes: 3o3 � a 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;'FINAL 1 CATION ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMA KS: r rte, DATE � � INSPECTOR 765-1 802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE 911310 INSPECTOR .07 765-1802 suaoiNa DEPT. -� INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION 1 FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ---?--INsPECro FIELD INSPECTION REPORT DATE COMMENTS ? b FOUNDATION(1ST) J 3 ------------------------------------ C FOUNDATION(2ND) z e o ROUGH FRAMING& y PLUMBING .4- -4- INSULATION INSULATION PER N.Y. S y STATE ENERGY CODE .r y � h � I FINAL zz ADDITIONAL COMMENTS sa to - _Ivdu_ jt � Z S� m s � w O 1 I � x d b y _ BOARD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . ` TOWN OFSOUTHOLD SURVEY . . . . . . _ . . . . . .. . BUILDING DEPARTMENT CIIECK . . . . _ . . . . . . . . . TOWN HALL SEPTIC FORK _ . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . . . . . . . . c) CALL q� MAIL TO . Approved . . . . . . . . . . .I/.// M.... Permit No. . . . . . . . . . . . . . . . . . _ . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . Building n,, 1 l + ' 'i APPLICATION FOR BUILDING PERMIT '. FEB 2 6 Date . . . 1 . . . . . . . . . . I . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans,accurate plot plan to scale. Fee according to'schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street; or areas, and giving a detailed description of layout of property, must be drawn on the diagram which is part of this appli. cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building coke, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of ap lican or name, if a corporation) (Mailing address of applicant) 1 116 State whether applicant is owner, lessee,'agent, architect, engineer, general contractor, electrician, plumber or builder. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .�b/l4--t-k 1.,� .�( 1.� . . . • • . . (as on the tax roll or latest deed) ,If applicant is a corp rat ,signature of duly authorized officer. (Name an title of corporate officer) Builder's License No. l 4-47'.0 �R.�R.,o wa Plumber's License No. Electrician's License No. . . . . .0 . •/, ; Other Trade's License No. . . . . . . . . . . . . . . . . . ... . . 1. Location of land on which proposed work will be done. . . . . . . , . ... . . . . . . . .P L� T. . . . .. © ,(. . . . . . . . . . -�-. . House Number Street Hamlet County Tax Map No. 1000 Scction c , . . . , , , , , . Block . . . . . . . . . . . : . . . Lot . . a: :. /. . . . . . . , , , Subdivision'�--:j.4��5.�d .Q 4§,fee djo 0� Filed Map No. �.�� . / . . . Lot (Name) 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . .�.N l btu !v, ► T� Q, � . . . . .�. �. X �C-I •3. Nature of work (check which applicable): New Building . . . . Addition Repair . . . . . . . . . . . . . . Removal . . . . . ... . . . ... . .. Alteration : . . . Demolition ... . . Other Work? m , 4. .°� .� • .. .. °t•�P fl`. S•x� . . . �L � I� .� �! � (Description) Estimated Cost . . . 6UO ( ption . . . . . . Fee . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling,number of dwelling units . .. . . . . . . . . Number of dwelling units on each floor . . . . , , • , , , , , _ If garage,number of cars . . . . � . . 6. If business, commercial or mixed occupancy, specify nature.and exte . . . . . ' ' . ' 7. Dimensions of existing structures,if an • Front . nt o . . . . type of use . D e p h . . . . . . . . . . • , Height Y. . . . . . . Rear . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Number of Stories ' Dimensions of same structure with alterations or additions: Front . . . ' . . ' ' ' ' ' ' ' . . Depth . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . 8. Dimensions of entire new const : Number of Stories . . . . . . . . . . . . . . , , , , , , , , Height . . , ruction: Front . . . . . . . . . Rear , , , , , . . . Depth g , , , g • • • • • Number of Stories . . . : . . .:. . ' Size of iut: �.�f.`�. .5. . . . . . . . . . . . . . . . 10. Front . . :. . . .: Rear. . .4�i�- '3: . . . . . . . . Depth . IS.C.�. . . . Date of Purchase . . . . . . . . . . . . . .Name of Former Owner 11. Zone or use district in which premises are situated . • • ' ' • ' ' ' ' ' ' ' ' ' .12. Does proposed construction violate any zoning law, ordinance or regulation: . . h-a. v • • • • ' _ _ 13. Will lot be regraded q e�. . . . . . . . . . . . . . . . . . . � . . . . . . . . . . Will excess fill be removed from premises: Yes . • No 14. ,Name of Owner of premises . . . . . . . . . . . . . .�. . . . Address Name of Architect . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . • Name of Contractor--I :�. • • • • • Address . . . . . . . . . . . Phone No. . . . r . .T1�L'_�I4rr.G 1j,ci, Q�t�t• Address 17La 15. Is this property within 300 feet of a tidal wetland? *Yes�'.e' , �, ' Phone No. a ;; 7 7 . . . . . . . . No. .�. . . . . *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number,or description according to deed, and show street names and indicate whether interior or corner lot. NATE OF NE YO K, ' : NI O/F H. M. DEMAREST a SONS _ S. 53* 5.3'10"E. 323. 93 LOT 1 ti Q AREA = 5. 110 ACRES LOT 2 W _ 1 U. O Z 2 � O V ' 7 V -- / o u`v�/ LL o m ✓s4� to 0 ins .�i�d sheds 1 l�1' y ./ii � a 'f Scale / = 50i wt N. S O � �� �� �s• a rt.�� aos^ PLATT 027 60 W. - " -s� R OA p 344.33 57 98' /3-L I of, I (i CERTIFIED TO: �I "I TICOR TITLE GUARANTEE SOUTHOLD SAVINGS BANK 161 YA N H. RIEGER Y FRANCOISE A.RIEGER _ Q � H.,S. REF. NO. 86 - SO - 215 SURVEY OF LOT SUBDIVISION MAP OF S`ETTL,ERS AT OYSTERPONDS FILED MAY 4, 1984 FILE NO. 7729 AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNTY , N. Y 1000 - 27 - 02 - 2 . 1 SCALE I " = 100 ' 'N.Y.S. LIC. NO. 49618 MA R . 14 , 1986 March 17, 1990(fi'nal) PECONI C SURVEYORS ( 516) 76 5 - 5020 P. 0, -'B OX 909 7NAM ROAD SOUTHOLD, N. Y. 11971 g.o•p. DAt,o io-3-�b 86 - 160B 1� "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE"WATER" i, Tf A7ROVED AS N= (3k NC_:rt • S r� ;�*: ,-, ; ;.. <- ..� __ -__ OA B.P.# I `� z 'q 41 ' ;- �" � � G NOTIFY BUILDING DEPARTMENT AT t i 7115.1802 11 AM TO 4 PM FOR THE i - - fOLLOWING INSPECTIONS: -- - 1 - 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE {{ __-------� t t ROUGH - FRAMING A PLUMBING a INSULATION L FINAL - CONSTRUCTION MUST t ' - BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL EET THE TEEQUIREMENTS OF TH N.Y. CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR 0E91011 OR CONSTRUCTION ERRORS UNDERWRITERS URTMMATE REQUIRED f t OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE