HomeMy WebLinkAbout28935-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29851 Date: 11/18/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 250 CROWN LAND LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 2 Lot 12 .9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 20, 2002 pursuant to which
Building Permit No. 28935-Z dated NOVEMBER 21, 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 LINDA H HANAUER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 71769C 11/05/03
PLUMBERS CERTIFICATION DATED N/A
ho ized Signature
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 UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 28935 Z Date NOVEMBER 21, 2002
Permission is hereby granted to:
LINDA H HANAUER
NEW YORK,NY 10013
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 250 CROWN LAND LA CUTCHOGUE
County Tax Map No. 473889 Section 109muthorike&,�ignature
o. 012 . 009
pursuant to application dated NOVEMBEthe
Building Inspector to expire on MAY '_.
Fee $ 150 . 00
n
re
COPY
Rev. 5/8/02
• Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
( 8 . .'M
APPLICATION FOR CERTIFICATE OF OCCUP NCY
This application must be filled in b) tYpeaeriter or ink and submitted to the T3uildin« epdrtnaent with the follotwirtEcJ
A. For new bill or new use
L Finat sun Cy of property with accurate location of all buildings, property lines, streets, and unusual natural of
topographic features.
2. Final Appro.al tion Health Dept. of water supply and sewerage-disposal (S-9 5maa1.
3. Approval of electrical installation front Board of Fire Undenwritets.
4. Sworn statement from plumber certifying that the solder used in systern contains less than 2'10 of I u , lead.
Conuncroal building, industrial buildim,. multiple residences and sin,il i buildings and installation;. a cetti6cate
of Code Compliance froth atchitect of engineer responsible for the building,.
6. Submit planning Roard Appio•:al of conhpleted site plan requireuaent::
B. For existing building's (prior to \pi it 9, 19571 non-cont lining uses, or buildiu{s and "pre-existing" land uses:
l Accurate surce•:of property showinil all pI"pert". line-,, streets buildup, and .,nusual natural or i� pographic
features.
lopl•:tcd appit ui''l, 11i,l :_ to p,,;I .I..... . l,t il�,. .y plic.lul It .iis-.
J.uicd. Ih Gain,lin•_ Insf,ccb,r ,hall ., ,I. Ih: Ic.r : Ir Th, 1, li w ::'ii'nr_ o• ill, .11'plic,till
Fces
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Nctc (_\nrtiuctinn ?Id or f'rvr-'c�.i;unJ� .iinl�lnic: )cheek -lite)
I-' 'Mi.'n Of I'ropcity: �5o Grown 4r� °�� -- -- C—
H,,ut.0 No Succi lmlllLt
O%knei .,t of l'[, rcilc: II I-IxA4 fit• AttAcwer -
Suffolk County Tar Map No Iron, Secul,n AM _ _ Block ___Q —_ _ Lot . -
Subdivision Filed hlap ___--Lot:
PerinitNo. __aSCJ3J'27 Date ofPerntn._ f)6k Applicant:/,IY1� /tl4i10.1VP� _
Health Dept. Approval: _ _ Underwriters Approval:
Planting Board Approval:
Request for: Tenipoiar;CCrtlhLate _ _ Final Ceititicate. _X (check one,)
Fee Submitted: $ ,OQ
Gcant Signature
is
w Electrical Inspection Certificate
Issue Date Electrical Inspection Service, Inc. Application
11/5/03 375 Dunton Avenue 71769C
East Patchogue, New York 11772
(631)286.6642
Issued To: Linda Hanauer
Street: 250 E/S Crown Land Lane
Village: Cutchogue Zip: 11935 Town: Southold
z
Section: 109 Block: 02 Lot: 12.9
Contractor: Hank*s Electric Inc. (L) Lic. # 2675-E
Was examined and found to be in compliance with the National Electrical Code.
❑ Commercial ❑ NV Defects ❑X Pool ❑ 1st Floor ❑ Indoor Ll Basement LJ Hot Tub
> X❑ Residential Ll Det.Garage ❑ Attic ❑ 2nd Floor X] Outdoor LJ Addition L1 Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
y 3 1 2 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
a
Furnace Oil Gas Circulators Smoke Detector Bell Transformer
Meter Amps Phase UG/OH Jacuzzi Television CO Detector *'
Bldg. Permit:
l n'
Other Equipment
j1-Pool Panel 30A
1-Time Clock .`
1-Motor Hugo S. Surdi
President
Rough Inspection: 01/14/2003 '
Inspector: Ed Scavelli
i• Final Inspection: 01/14/2003 �<
Inspector: Ed Scavelli
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
O�%g1dFF0J/j-
.2 Gyp
Town Hall,53095 Main Road hy. � Fax(631) 765-9502
P.O. Box 1179 :5 O� Telephone(631) 765-1802
Southold,Neu- York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 17, 2003
Linda Hanauer
178 Franklin St
New York, NY 10013
RE: 250 Crown Land Lane, Cutchogue
To whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file . (Enclosed)
XX No Underwriters Certificate on file .
XX The check is (not on file . ) $25 . 00
No Health Department Approval on file .
No final inspection has been made .
No Plumber Solder Certificate on file .
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 28935-z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Wo —/G 9 — a -/a , 9 TOWN OF SOUTHOLD PROPERTY REMOD CARD
OWNER STREET VILLAGE DIST. ' SUB. LOT 9
tEo
cRoWN LANo LANECL/c./4 UE
FORMER OWNER N E ACR.
IqL /
�U�-Son 6vA. S W TYPE OF BUILDING
, XQWAI LAND Z /aNE _ _ _
is. ,� SEAS. VL. FARM COMM. CB. ICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS 9/ud/o
_ 9
� 00 ' aoU �Uo
/do 0 200, /�oa /01z 7S c 16 �' BL Fee 7�8ar313c; J�✓"s �y �5 Doo
lGoo. 9oo /s o - Le� � �'
liable FRONTAGE ON WATER
'oodland FRONTAGE ON ROAD 3 °
eadowland DEPTH V /
94/
Ouse Plot BULKHEAD
)tal
765_1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CQHIMNEY
REMARKS:
rpt
DATE XwA INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: L.p
DATE f �� INSPECTOR
CO-OR �yg it L TRIM 1( /
,
2, r
M. 11V
Ig
Extensliioosn
Extension
2-3 y!S
Foundation Both Dinette
_ �_ Rrck+l3L
Porch Basement P� rr Floors 11M%y K.
4?1Porch Basement
`4 e4F' Interior Finish I R.
_ Ng�u�aL
Breezeway Fire Place N Heat F DR.
_
Garage Type Roof �� Rooms Ist Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
Total �5�
FIELD INSPECTJ(lST)
DATE COMMENTS
ro
FOUNDATL'
C
y
FOUNDATION(2ND) M
z
_ o
ROUGH FRAMING& �3
PLUMBING
r
INSULATION PER N.Y. "3
STATE ENERGY CODE OL
C
!a JP0
Q �
9
49 B
FINAL
ADDITIONAL COMMENTS
z
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying-'
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 ,Qp 21 � Survey
PERMIT NO. �j / J Check
septic Form
N.Y.S.D.E.C.
1-/ Trustees
Examined ,20 Z/ Contact:
'pproved �� L 20%/ Mailto: S/w/ YI /N/�tS
Disapproved a'c YZ ;PT a..J� FKxy
/ Phone: 2414/--PA� //778
i
Expiration A 20 CA77;0MAR'-�
Building Inspector
7-7 77
APPLICATION FOR BUILDING PERMIT
Date Qnl) 1 Pj , 20-L!,2—
INSTRUCTIONS
0D,2—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 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 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 what so ever until the Building Inspector
issues a Certiticate 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 witbin 18 months from such date. If no zoning amendments or other regulations affecting the
property have 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 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 applieable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
gnature of ap caigeor name, if a corporation)'' ff
N
(Mailing address of applicant) I/'78
tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(�ENE.2A4- CD/Urje/+CYb/L
lame of owner of premises (/,t) n q M.4ti1&a E��rr,? ' D rT�r LA-1 (�uTG4f96 uE
(As on the tax roll or latest deed)
F applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
uilders License No.
lumbers License No.
lectricians License No. �2 fa 7,5E
,ther Trade's License No.
Location of land on which proposed work will be done:
CP -5-0 (920W ) ZAMh A ( UTGIfD1,a6
House Number Street Hamlet !4.
County Tax Map No. 1000 Section)) f Block (t Lot J,-2,
Subdivision MAP OF ('.&&W LAS)h 4J9AJC Filed Map No. Lot 9
(Name)
2. Statq existing use and occupancy of premises and intended use and occupancy of proposed cbnstruation:
a. Existing use'and occupancy 6/Al ,(,L F Fi4D�ty f)L" EL ZIA 6
e
b. Intended use andoccupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work /iV-�u,t3,[ZPDDL
(Description)
4. Estimated Costyg/'b O'OU. Fee
r (To be paid on filing this application)
. 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 extent of each type of use.
?. Dimensions of existing structures, if any: Front RearDepth
Height I' Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
3. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9 Size of lot: Front —Rear Depth
1 n. Date of Purchase Name of Former Owner
11. Zone or use distract in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO_
IF NEGc331911Zy
13. Will lot be re-graded? YES_NO - Will excess fill be removed from premises? YES ✓ NO
T-v TGb 06.ve
14. Names of Owner of premises CiNng I�! Address.2S0 GQOkJJ BRAID Phone No. 912-.-9.3 y- 94V/`
Name of Architect M,c._ios Address w�o Phone No Ra8'- 8"�3 ]
Name of Contractor P lPop6cy- Address "J-' Phone No. 7V41—FJ 60
a K1N6 PDOCS OLKY T-
1
1 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO +�
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO,,
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
1 If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
ST_-ATE OF NEW YORK)
SS:
COUNTY OF &R.Ik )
k/1�,)t/ T 1Dj0EUL&-7Z_ being drily sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the (3 pA-)T,VAC-7Dy--
(Contractor, Agent, Corporate Officer, etc.)
of said 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 true to the best of his knowledge and belief- and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me thisl
_%*'L—day of Iv 20 6
Notary Public Si ofApplicalat
^J' I 'ieTF 9 J NEW(OL+
.1.;Ii SD IN SUFFOLK COUN"
C"0 NO.01KA4525433
,.:'..11"IONEXHi ES 111105
1I 1I(13
BUILDING PERMIT EXAMINER CHECK LIST
DATE REVIEWED: I j /2
APPLICANT: DATE SUBMITTED:_fL/AO/02
SCTM#DISTRICT: 1,000, SECTION: _ , BLOCK: L LOT:
STREET ADDRESS: o 1)t-. I� (&k,-- CITY: SUBDIVISION: LgjF
PROJECT DESCRIPTION: e_AA-f
ESTIMATED PROJECT COST: FAST TRACK_jq 0
SINGLE & SEPARATE CERTIFICATION-REQUIRED &10 NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83:
ZONING DISTRICT: ft CONFORMING? /J�;;—
REQ. LOT SIZE:&10 ACT. LOT SIZE:40,It9 REQ. LOT COV. f.,�,2b2 ACT. LOT COV.
REQ. FRONT (pl PROP. FRONTZREQ SIDE ACT. SIDE W-*"
REQ. REAR 4 Q/ PROP. REAR ✓ REQ. EIGHT PROP. HEIGHT
WATER FR O /y DESCRIPTION:
PANEL #: FLOOD ZONE:, COMPLIANCE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTHT: YES orDBED #): DTE:_/_/_ PERMIT#:R10-
TOWN SEPTIC RECEIPT: Y o1
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES
SOUTHOLD TOWN TRUSTEES: YES o
TOWN ZONING BOARD APPROVAL: YES o
TOWN PLAN. BOARD APPROVAL: YES or
TOWN HISTORICAL PRE (SPLIA): YES
: A1,4
EGRESS 1 )LV V AIA LT Tyr^ �T _R /�}
BUILDING PERMITS OPEN/EXPIRED: BP /(�3 -Z/C/0 Z-
HAVE PRE CO'S : Y OR N BP,.. /C/0 Z-
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- (SF)= SF X $ =$ +$ +$ _$ 1-5-0
2. ( SF)-( SF)= SFX $ =$ +$ +$ =$
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ANY ALTERATION OR A0017-ION TO THIS SLVVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTFICA�IONS
HEREON ARE VALV FOR THIS MAP AND COPIES THEREOF OM Y r
SAID MAP OR COPIES BEAR THE MPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON,
ADDITIONALLY TO COMPLY WITH SAV LAW THE TERM 'ALTERED BY'
MUST BE USED BY ANY AND ALL SURVEYORS UTKIZp/G A COPY
OF ANOTHER SURVEYORS MAP, TERMS SUCH AS 'NSPECTED' ANO
'BROUGHT-TO'-DATE' ARE NOT hY COMPLIANCE WITH THE LAK
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AREA = 40, 035 sq. ft.
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SURVEY OF %PIN RR���PoaT
LOT 19
"MAP OF CROWN LAND LANE"
FILED AUG. 27, 1975 FILE NO. 6289
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 109 - 02 - 12.9
SCALE. 1" = 30' _
JUL Y 8, 1998
CD
Y.S. LIC. N0, 49618
SE C ! S, P.C.
1 R STREET
.SOU N. Y. 11971
95 - 293 A
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1 m O F RM TIES FILTER and PUMP
TO RETURNS FROM FILTER
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PIPING ARRANGEMENT
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/ t. FOUND i�NS _ FoFt&ITYE
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- .TWO REOUI
CONCRETE 24- MAx
H.- FRaMING 6 PWM _- '•�: BARS 0 PT.10 NA L : STEPINSU .
SECTION S- B 4 FINAL
CONSTRUCTION r� - \� T Y PS 1. v
_ —— P�- Oi,w•�wr ,w
COMPLETE FOR C.0. ' 1 ,
S'TRUCTION SHALL MEET 3 sTEPs
REOU}REMENTS OF THE N.1L rtaN
STATE CONSTRUCTION A ENERGY
CODES. NOT RESPONSIBLE FOR
OR CONSTRUCTION ERRORS TY Pt�A L WALL
DESIGN r
`--r—
32
SECTION A— A . OPTIONAL STEP
UNDEPWRITERS CERTIFICATE
Siz= A 8 C I O I E F O AREA CAp OCCUPANCY OR REQUIRED � � TYPE 2.
Kf OF NEW
F=T rz I i R i I z .T 1, 1 cat IUSE IS II• UNLAWFUL NOTESs pa°E Q51,_I I I I THOU' CERiIF1Cr�tE. waLxs' TO BE SMDOTN- NDN SKID TYPE, SLOPED CONTRACTOR_
* G ✓ �'
nwa7 FROM PDpL _
-
OF OCCUPANCY wATcR DISPOSAL SxaLL BE l- 5nT�4-3_THG POOLS SHC_.
16•a 32 i6 32 8 8 R i i STZ IE5D0 PROPERTY TO SUR LOCAL REGU LIMITED RS
1 1 _ -nGTlTy 2$A
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