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Home My WebLink About30998-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30865 Date: 04/19/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 815 PARK AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2.4 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 2005 pursuant to which Building Permit NO. 30998-Z dated MARCH 14, 2005 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 ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to STEVEN G & NANCY A FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNT~DHpART~ENTOFtlEALTHARPROVAL N/A ELECTRICAL CERTIFICATE NO. 2048895 PLUMBERS CERTIFICATION D~'~U N/A o4/08/05 Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD 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 fbllowing: 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 from Board of Fire Undenvriters. 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 the 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 $2_5.00, Swirmning pool $25.00, Accessory building $25.00, Additions to accessory, building $2`5.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildiug - $100.00 3. Cop), of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 `5. Temporary Certificate of Occupancy - Resideutial $1.5.00, Conunercial $1.5.00 Date. New Construction: Old or Pre-existing Building: Location of Property: ~[~' ~l~l.~ House No. Street OwnerorOwnersofProperty: ~'T~-~J/.5'~J ~ ~ Suffolk County Tax Map No 1000, Section(~ "~gc~ (O~'&~) Block Subdivision Pemfit No. (check one) Filed Map. Date of Permit. 3-[ ~- O ~- Applicant: Lot Lot: 500 TI"{ Hamlet oo . Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicat~t Signature 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 STEVEN FOSTER STEVEN FOSTER 815 PARK AVENUE 815 PARK AVENUE SOUTHOLD, NY f 1971 SOUTHOLD, NY 11971 Located at 815 PARK AVENUE SOUTHOLD, NY 1 'J971 Application Number: 2048895 Certificate Number: 2048895 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square fi. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was 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 gth Day of April, 2005. Name QTY Rate Rating Circuit Type Miscellaneous above ground pool Appliartces and Accessories Time ClocL~Switch I 0 PooL/Spa Bonding 1 0 Wiring and Devices Sv,4tch 2 0 Pool/Spa Receptacle I 0 GFCI Fixture 1 0 Incandescent (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal 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. 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. 30998 Z Date MARCH 14, 2005 Permission is hereby granted to: STEVEN G & NANCY A FOSTER 815 PARK AVENUE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE; THIS PMT REPLACES BP27385 at premises located at 815 PARK AVE SOUTHOLD County Tax Map No. 473889 Section 056 Block 0001 Lot No. 002.004 pursuant to application dated MARCH 14, 2005 and approved by the Building Inspector to expire on SEPTEMBER 14, 2006. Fee $ 50.00 Aut ho~i zed Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES LrNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27385 Z Date JI/NE 11, 2001 Permission is hereby granted to: STEVEN G & NANCY A FOSTER 815 PARK AVENUE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 056 pursuant to application dated MARCH Building Inspector. 815 PARK AVE Block 15, 2001 SOUTHOLD 0001 Lot No. 002.004 and approved by the Fee $ 50.00 Authori z~ Signature ORIGINAL Rev. 2/19/98 BUiLD765-1802 ~" '"'~., INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/..~'I~NAL REMARKS: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR--~ FIgLD I~PECTION P~gPORT FOUI~AT~ON (IST)' ROUGH FRANE & INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL C0~fENTS: B U.~IL.,,D E R'$ NO. /._cD"/- i b UPON COMm. EllON BEFORE "~NATER' NOT~F~ s .U~bING ~ FOLLOW]NCy~4. SPECTIONS, FOUND~I~ON ~ ~O REQUIRI~ FOR PO~ED CONCR~ ROUGH - FRAMING & P~MBIN~ INSU~TION FINAL - CONSTRUCTION MUI~ ~ ~MP~E FOR C.O, ~ CONSTRUCTION SHALL M~ ~E REQUIREMENTS OF THE N,Y, ~ ~NS~U~ION & ENERGY ~ RES~NSIB~ FOR OR UNLAWFUL ic~/.oo ' 5. '?°° ~5' '5o" THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT TO THIS SURVEY IS A VIOLATION OF · SECTION 7209 OF THE NEW YORK STATE .'~URVEY OF: LOT NO /4. "MAP OF: /_o~_J~ · SITUATED IN: TOWN Of: SUFFOLK COUNTY, NEW YORK. OCCUPANCY CERTIFIED TO: TO TIlE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SIGNED KENNETH H. BECKMAN~ L.S.. .Surveying and Land Pla~ni~ 5018 Expressway Driv~ S~th: .'.: 5Uiie 202 Ronkonkoma,. N:iy.. 117~9: (si6) $~8-038o.. FAX (516i 588':-6395' BUILDING DEPARTMENT TOWN HALL ~R I 5' SOUTHOLD, NY 119'/1 TEL: 765-1802 Examined ,20 Approved Disapproved PERMIT NO. ' 5Ul.~Dll'qt.i FI:KIVlII AFPLICAI'ION CHECKLIS Do you have or need ~e following, before applying Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: " Phone: Building Inspec{~s]' APPLICATION FOR BUILDING PERMIT Date ,~1~ ,200~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings ~n'premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be c?mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Lnapeetor will issue a Building ?eh,it to the applicant. Such a permit shall be ke'pt on the premises available for inspection througho.ut'the work. e. No building shall be occupied or used in whole or in pan for any purpose what-so-ever until a Certificate of Occupan is issued l~y the Build!rig 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 c'onsiruction of buildings, additions, or'~lterations or for removal or demolition as herein described. The applicant agrees to eoinply with all applicable laws, ordinang.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections...,,ru~. · .. "~"-~(Signature of app'liean'! or name, if'a corporation) '" (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of p~'emises roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No'. I \C~ ffC>~3 ~ Plumbers License No. Electricians License No. Other Trade's License No. p r l(' House Number Street County Tax Map No. 1000 Subdivision (Name) Section o,.,,~ ,.,.,~m,~ u~c ~,~u O~OUpatACy Ot premises and intended us~_.e and ?ccupancy of proposed constraction: a. Existing use and occupancy .., ~L~-O?~- ~'l~ - b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars 1, Addition Alteration OtherWork ~ll 1::oo4- l?ou,o& 5",~mche o~ bo u eq o,o,p~oo t (Description) (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 of use. Dimensions of existing structures, ifany:.Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction; Front Height. Number of Stories Rear ,Depth Size of lot: Front Rear Depth O. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded Will excess fill be removed from premises: 4. Names of Owner ofpremises/"]G'flect~ ~3'~t~/_., Address ,,.5~/a,t~_ Phone No. Name of Architect I Address Phone No Name of Contractor Address Phone No. YES NO ?e, 5'-,53C,, / 5. Is this property within 100 feet cfa tidal wetland? *YES NO ~ · IF YES, $OUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: :OUNTY O~ :~"'7'-~'-I/&~J ~ ~r~ ~ 7~:'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ¢)He ts the OW~/v~'-]~ (Contractor, Agent, Corporate Officer, etc.) f said owner or ovmers, and is duly authorized to perform or have performed the said work and to make and file this application; tat all statements contained in this application are nme to the best of his knowledge and belief; and that the work will be :rformed in the manner set forth in the application filed therewith. NOTARY PUBLIC, State of New Ymk No. 01BO6020932 Ouallfied In Suffolk Cou~/_ Term Expires March 8, 20 4~ Signatur-e of ~.pplicant