HomeMy WebLinkAbout31277-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPA/~CY
No: Z-31126
Date: 08/22/05
THIS CERTIFIES t~t the building ACCESSORY
Location of Property: 3535 COX NECK RD MATTITUCK
(HOUSE NO.) (STREET) {HAMLET)
County Tax Map No. 473889 Section 113 Block 3 Lot 3.1
Suk~/ivision Filed F. ap No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 14~ 2005 purser to which
Buildin~ Permit No. 31277-Z dated J~3LY 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MARTIN J TANNENBAUM & WF
(OWNER)
of the aforesaid building.
SDI~FOLKCOUNTYDEPARTMENT OF HE~J~THAPPRO%Sa-L
ELEL-rEICAL CERTIFICATE NO.
PLL~4BERS CERTIFICATION DA'r~.m
N/A
2066209 08/12/05
N/A
~orize~
Rev. 1/81
Form No. 6
TO~VN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
This application nmst be filled in by typewriter or ink and subnfitted 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
topograplfic 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 Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I qb lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance lrom architect or engineer responsible for the building.
6. Submit Plamting Board Approval of completed site plan requirements.
B. For existing buildings{prior toApril9, 1957) non-conforminguses, 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.
C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinmfing pool $25.00, Accessory, building $25.00, Additions to accessoD' 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. Temporav,., Certificate of Occupancy - Residential $15.00, Cotnmercial $15.00
9oO L
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000. Section ,~ff~
Subdivision
Old or Pre-existing Building:
House No. Street
Block
Filed Map.
(check one)
Han~et
Lot
Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Apprm al:
Underwriters Approvah
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: (check one)
__ . A~pplicant,,Signature
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. 31277 Z Date JULY 14, 2005
Permission is hereby granted to:
MARTIN J TANNENBAUM & WF
PO BOX 847
MATTITUCK,NY 11952
for :
INSTALL AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES BP24304.
at premises located at
County Tax Map No. 473889 Section 113
pursuant to application dated JULY
Building Inspector to expire on JANUARY
3535 COX NECK RD MATTITUCK
Block 0003 Lot No. 003.001
14, 2005 and approved by the
14, 2007.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
lPOwM NO. it
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
('rillS PERtv~IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~.o 2430~ z Dote .............. ~/../..~. ........................... ,,9..~?
Permission is hereby grant~;J.to: . .-,
~ ./~.....?£. ........................................
.................... /....~...../..L~.~ ............
to .~ ~ ~.l.! ........ .~. . . . . .~ ~. . . . . . ./. /. .~. . .E. ........ ~. . ....... ~.~. . . . .~. ...................
..~.~..~..~ .......... ~ ....... ...~.~ ......... ..~..~ ...... ~.......~..... ..~.....~.: ...................
pursuant to application dated ........ .,~.~ ......... /.....~... .................. , 19.~.~..., and approved by the
Building Inspector.
Rev, 6/30/80
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STRE~-i ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
ROSLAK ELECTRIC MARTY TANNENBAUM
P.O. BOX 164 3535 COXNECK RD
CUTCHOGUE, NY 11935-2453, MATTITUCK, NY 11952
Located at 3535 COXNECK RD MATTITUCK, NY 11952
Application Number: 2066209 Certificate Number: 2066209
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:
pool only, 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 12th Day of August, 2005.
Name QTY Rate Rating Circuit Type
Appliances and Accessories
Pool/Spa Bonding 1 0
Furnace I 0 Gas
Time Clock/Switch I 0
Wiring and Devices
Fixture l 0 Pool/Spa
Receptacle I 0 amp Spa
20
Pool/
Switch I 0 General Purpose
Receptacle I 0 GFCI
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable ~ have
frequent test and. or repairs made b', a qualified person.
seal
I of 1
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
[ ]FOUNDATION 1ST [ ] ROUGH PLBG,
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING ~FINAL
REMARKS:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE 7'~//~- ~ ~ INSPECTOR .~-~-*~a-, ~
~ !l.:l.!!¥_l!J!,l_'l.l.I I~HI IH'.IHHI
lilt^ltl) (IF III",^I,Tll ...............
ii ~1",'1'~ IIF I'l,Atl,q ...............
I;IIIIUF,¥ ........................
(;III~CK .........................
~lr, l"l I C F(IIItl ...................
I,. I'l()l. {llnll .~Jl(~;{ll~ lr~:nl.J(Wl ¢~[ I¢)t n~w{ ~[ Ixiilcl{I,p.. (~ l,rcm,,{~on. ~clnl {¢)l~nl,{{~ Ir) ml.}()i,,{,,~ I,r~.l.en (- ixfl~l l,'
./. ~. ,.. ~.~.~.. 7.~... ~.-~2./..~..~....~....
(tl.l I l.{; mklre.~n ()1' hi.pi i(:.nl )
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3 ,qF/I'S OF PI.ANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FORH ....................
NOT ] FY;
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HAIl. TO: ....................
APIq. ICATll)N FOIl BUll.DIN(; I'ERHIT
1 NSTIIIIC'F I ON,q
a. 'lhis al~licatio~l mist be cc.~qdetel¥ filled in Ir] type~rlter or in i.k m~ ad~.ittal to tl~ I~lilcling hml~clor with
3 ~ts o[ plans~ ~curate plot pl~ to scale. Ir~ accoali~ to sci~hlle.
b. Plot plan ~K~ing l~al:i~ Of lot m~l of Ix,Tidings ~ pr~ni~s, relatlo.~dp to ~joinl.~ pr~i~, or Ixlblie
st:r~t, or areas, taxi 8ivi~ . ~tni]~l (~ncrlpti~ of la~t of prol~rly .~mt
c. 'lhe ~rk c¢~rol by this ail~l icati~s~ ~,~y ~l I~ cm.e[.:~l I~fore ismu.~e of ~)ihli.g Permit.
d. Illxs~ a~al o[ this al~licatia~, tim l~ildin8 Insl~Clor will is~e a Miiding ferait
i~..iI shall I~ kept (s~ I1~ l~ise~ a~ailable for inSl~cLi~ Ihrix~.a~t the
e. a~ la.ihli~ troll le ¢~a~pi~l or u~d in ~le or i. ~q~t for m~ D,r~ ~,at~r
(k:~l~m~:~ r~mll ha I~en Rra~t~l I~ lie ~dhlinR lnsl~ctor.
~lq~.l(l'l'l(ll 1S lli~ll~ }~E t~ ll~ a.ihling l~l~rt.e.L for the isa~e of a
I~,ihli~ 7zx~ ().lil~m~:e of I1~ Ta.~ of ~,ll.~ld, a.ffolk (~mty, ~ Yotl% m~l other al,pi
I~R. la~itxm, [o~ 1.1~ c~att~t]~ of Ix,iltlii~.~ ~itla~e or altgrati{ms, or for ~al or [~[Jtia,. as I~reh,
~scril~l. '11~ applicant agra. to c~ly ~ilh all a~lleable l~s, ordi~,~e.,
........
(~hilin8 ~klress of a~licanI)
SI. ate ~ell~'.r al~licant is ~wr. lessee_, ~g,e.I, ar(:llilect, en~.i~oer, general ¢:onlrnctor, electrician, plt~l~r or ladhlet.
~,,~ ,,~ ,~ ,,[ ~,~, ..... ~.~...~...~ .... ~.~ .... ~~ ~ ..................
(as a~ I1~ I~ toil or lal. ast de~l)
If nl~~~~p/~~ o[ duly ~.tl..'it~l officer.
(~m~~ f~:~at e oEf~r)
15}it i.~,t ed (~)al ...... '.~ ....... ~t~e .........................................
(l~i I~ luli(l iai I:i I inl[ Ihia iii)pi it:~it
I1: ~ka~llil,8. [Killer of &~llil~t llliil~ ............ lilll~l ~)1: i[~llinl~ ui~lltt idl em:h ~h~. .........
I~J~ll ......................... ~Slll~z' i)[ Slol'iczt ......................
I~1)111 .................... li~il0~L ................... l),~l~l ~11: Sltil [t~i ..............
I~ilO,l ......................... I[id~r O1: Slolietl ....................
[ii~ tif Ii)l: l"f[~t .................... I~llt ................... I~l,lh ...................
[4ill ItJt I~ tegr~l .................... ~ill e~:e~a I:ill I~ z~JL~I f[ia. i.o.i~u: YES ~1)
~.,~,, ,,, .,,.,-~ ,,,..,,~.....~~ .... ~,~... ...... ~..~.~z( .......
15. la thio I)[Ol~rty ~ithin ~X) [~1 or a ti<~l ~rhli~l'/ * Yl~i .......... ti) ..... ~...
I'I.()T l) I
I[mnle clem-ly md (Ii,firstly all I~lil*tii~a, Oleiher exim. ing or I)l()l~)sed, m.I il.licate all set qmck
t~ellmt' inle~ [or or corl~r lot.
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