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Home My WebLink About28219-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ~o: Z-30863 Date: 04/19/05 THIS CERTIFIES t~t the building ACCESSORY SWIMMING POOL Location of Property: 1435 ACKERLY POND LA/gE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 69 Block 5 Lot 7.3 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2002 pursuant to which Building Pemunit No. 28219-Z dated MARCH 26, 2002 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 BRIAN J & KAREN BECKER (OWNER) of the aforesaid building. SUFFOLK CO~lqTYDEPARTT~NT OF ~]~J~THAPPROVAL N/A ELRC"rRIC3%L CERTIFICATE NO. 63794 06/26/02 PLUMBERS CERTIFI~-ATION D~*'~O N/A Rev. 1/81 Form No. 6 TOWN OF $OLrI~OLD 'BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: Ao 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 form). 3. Approval of electrical installation fi'om Board of Fire Underwriters. 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 certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 thc applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy ~ New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 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: Location of Property: [q3~- gc.-/~--~ [ -{ House No. Street ' Owner or O;ners o f Property: ~ C~c~ ~,.~ "~ Suffolk County Tax Map No 1000, Section [~ Block (check one) Hamlet Subdivision Permit No. ~ ~ \ Health Dept. Approval: Date of Permit. Filed Map. Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (checkone) Fee Submitted: $ Electrical ZnspecHon CerH£ica Date Electrical Inspection Service, Inc. An=lication # 06/26/2002 375 Dunton Avenue 63794 East Patchogue, New York 11772 (631) 286-6642 Issued to: Mr. Brian Becker Street: 1435 Ackerly Pond Lane Village: Southold Zip: 11971 Town: Southold Section: Block: Lot: Introduced by: The Custom Electrical Group Inc. Lic.# 31009-ME was e.x~min~d ~nd ~ound ~o b~ in compli~c~ w/th fh~ tVafion~/ El~cft'ical ~"od~ /Vt=PA 70 .[ Commercial [~NV Defects [] Pool [] lst FIoor [~lndoor []Basement [] Hot Tub [] Residential [] Det. Garage []Attic []2nd FIoor []Outdoor [] Addition ~Survey Switches Receptacles Fixtures GFI Heaters A/C Fans I 1 2 2 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG/OH Other Equipment: ~- Time Clock Telephone Television Carbon Monoxide B~uilding Permit # Hugo S. Surdi President Rough Inspection: 06/18/2002 Inspector: Ed Scavelli Final Inspection: 06/25/2002 Inspector: Ed Scavelli This certificate must not be altered in any manner. Tnspectors may be identified by their credentials FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28219 Z Date MARCH 26, 2002 Permission is hereby granted to: BRIAN J & KAREN BECKER 1435 ACKERLY POND LA SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AiqD FENCED TO CODE at premises located at 1435 County Tax Map No. 473889 Section 069 pursuant to application dated MARCH Building Inspector. ACKERLY PD LA SOUTH/PEC Block 0005 Lot No. 007.003 25, 2002 and approved by the Fee $ 150.00 Authorized Signature ORIGINAL Rev. 2/19/98 COMMENTS FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGa FR~IrNC & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ,kDDITIONAL COMMENTS SOU nOLD, NY 1971 TEL: (631) 765-1802 F.~K: (631) 765-9502 ExamU~ed Approved Disapproved a c / ,20 0 · 20 Expiranon .20__ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Buikgmg Plans Plann/ng Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: .hone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 31o.oo ,2004 a. This application MUST be completely filled m 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 streets or areas, and waterways. 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 Permit to the applicant. Such a perrmt 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 what so ever until the Building Inspector ~sues a Certificate of Occupancy. f. EveR' building permit shall expire if the work authorized has not commenced within i2 months after the date of i<suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property hax e been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter. a new permit shall be required. APPLICATION IS H~EREBY MADE to the Build'rog Department for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Count5', New York, and other applicable Lays, Ordinances or Regulations. for the construction of builcVmgs, additions, or alterations or for remos~i or demolition as herein described. The applicant a~m'ees to coxnply' with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. UNDERWRITERS CERTIRCATE "IMMEDIATELY" (SignatUre of applicam or name, if a corporation) NC,OS ,OCt TO u~o. co~.[WnON ~dGPt)ie.r~-I' .,;//er o/ace Wv'//Td? BEFORE *'WATER" ' 0Vlailing addres~ of applican'~) -! .,CUPANCT OR U$£ IS UNLA 'iFUL WITHOUT CERTIFICATE State lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on ~e t~ roll or la~kt a~d) ..... (Name and title ofco~orate officer) NOTI~ BUI~IN~ ~PARTMEI~i ~ Builders License No. Plumbers License Nc Electricians ,License Nol.5 ,c_The Other Trade s License No. Soe chT- 1. Location of land on which proposed work kvill be done: /qB 5 .ddgc rl,/ eo ,Jl Lb,. House Number Street / County Tax Map No. 1000 Section Subdivision?txc;q-aa, f:&cm ~, (Name) Block 788-180~ I AM TO 4 PM FOR FOLLOWING INSle~CIIONS: "L FOUNDATION - TWO FOR POURED CONCRE'ffi ~.. ROUGH · FRAMING & PLUi~; .'lNG ~. INSULATION 4. FINAL - CONSTRUCTION :,,,.;ST ~IIE GOMPL~ FOR ~.0. Filed Map No. q 5'3 ~ Lot CODES, NOT..,I~$PONSIBLE FOR DF,~IGM~R CIilI~RUCTION ERROI:~ 2. State existing use and occupancy, ofpremise.s and i¢tcuded u~e~and a. Existing use and occupancy em& b. Intended use and occupancy O3~ 0 d 3. Nature of work (check which applicable): Nexv Building. Repair Removal Demolition Fee occ,upancy of proposed construction: Addition .Alterati~)n. Other Work ;.20~( qO ;'~ar~o~ol ~4~. ~ 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars cbescription) (To be paid on filing this application) Number of dwelling'units on each floor ~__ If business, commercial or mixed occupancy, specify nature and extent of each type o f use. Dimensions of existing structures, if any: Front (~O" Rear Depth Height Number of Stories '~ Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes Rear Dimensions of entire new construction: Front Height Xlumber of Stories Size of lot: Front (2~O Rear '--~ I O Rear .Depth Depth ?~- 10. 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? YES NO 13. Will lot be re-graded? YES NO /Will excess fill be rernoved from premises? YESjNO 14. Names of Owner of premiseslJ~',k_e._%~rxg~%' ~'°'~c~ess/~'.3_~ ~b. Xec/u f~/~" Phone N463,)?~,S ~ Nmne of Architect Address t Phone No Name of Contractor S~ ,~m.kT-bcolar Foe [3 Addres%,_OOt~e~-e57 m:li, t,,d Phone No¢~- 15 a. Is this property xvithin 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS IX{AY B~REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO V * IF TES. D.E.C. PERMITS MAY BE REQUIRED. l 6. Pro~sde survey, to scale, with accurate foundation plan and distances to property lines. l 7. If elevation at any point on property is at I0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COLrNTY OF ) '~ ~ff...dK~F_ _ .~a..~c. lexT being duly sworn, d~oses and says that (s)he is the applicant ~& ~in~ ~g con~act) above nme& (S)He is the ' --~" ~Agent, Co,orate Officer, etc.) ", :t~,"',, ... . . . ~ '.'1 ~ OT '*A 0~.,'-"~ ~ said own~ ~~ii,d~y ~thofized to perfo~ or ~ve peffo~ed the said work ~d to m~e and file t~s application: that all statemeQ~ go~mi~ ~,~a~lication ~e tree to the best offs ~owledge ~d belief: and that the work will be performed in tho l~aalmer s~t forth i~ the application filed therewith. Sworn to before me tkib~t2~: ..... -.e~,...~.~. _L7 liffgnature of Applicant I f