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HomeMy WebLinkAbout29998-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31156 Date: 09/14/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 505 . SOUTHERN BLVD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 3 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 2004 pursuant to which Building Permit No. 29998-Z dated JANUARY 9, 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ALVIN & BARBARA HORING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2012273 07/09/04 PLUMBERS CERTIFICATION DATED N/A ori d sigfiature 1.lr Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT �l✓J `P 2 2005 ` TOWN HALL 765-1802 1 -' `t .. :. t 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 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 10 o 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. 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 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, 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, C}onunercial$15.00 Date. New Construction: �_Old or Pre-existing Building: (check one) Location of Property: 5_0 S So el rh P✓r) 8/1/j , �./j744r/v n /1 y //f 3 9 House No. Street V Hamlet i Owner or Owners of Property: &,y/ h y A4r-haw 2 HP12/ A Suffolk County Tax Map No 1000, Section Y7 8 9 7 / Block 3 Lot 2 S Subdivision tf7fg19`-2— Filed btap. _ Lot: Permit No. Date of Perrnit. Applicant: Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: L/ (check one) Fee Submitted: $ Applicant Si ture 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. 29998 Z Date JANUARY 9, 2004 Permission is hereby granted to: A GAVARIS (ISLANDIA POOL) 505 SOUTHERN BLVD. E MARION,NY for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 505 SOUTHERN BLVD EAST MARION County Tax Map No. 473889 Section 021 Block 0003 Lot No. 028 pursuant to application dated JANUARY 7 , 2004 and approved by the Building Inspector to expire on JULY 9, 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 CCo �rsrncn�n�n��� �nrs r�rJ rJrJdJ@P�PrJ� srsr�r�rss�rrrs r�rJ�I�cPrJ� 05 BY THIS CERTIFICATE OF COMPLIANCE THE J 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5 L5J Upon the application of upon premises owned by 5 5 5 C-CAT CO. DR. ALVIN HORING c5 5 9280 SOUND AVE. 505 SOUTHERN BLVD. 5 MATTITUCK, NY 11952, EAST MARION, NY 11939 5 Located at 505 SOUTHERN BLVD. EAST MARION, NY 11939 55 Application Number: 2012273 Certificate Number: 2012273 5 Section: Block: Lot: Building Permit: BDC: ns11 5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 5 Basement, Outside,Pool/Spa, 55 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the Day of 9th July,2004. 5 Name QTY Rate Ratine Circuit Type 5 5 Appliances and Accessories 5 5 Pool/Spa Bonding 1 0 5 5 Wiring and Devices 5 5 Fixture 1 0 Pool/Spa 5 5 Switch 2 0 General Purpose 5 Receptacle 1 0 General Purpose 5 5 Receptacle 1 0 20 amp Pool/Spa 5 GFCI Circuit Breaker 2 0 20 amp Pool/Spa 5 5 (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 5 frequent test and/or repairs made by a qualified person. 5 5 5 5 5 5 Sea, 5 5 1 of 1 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 5 oPRIUMM �� VV �» �wry.�r�.�►�r.Arr�.li+7r.1�JriI■� 1S�%�4� - �lJ�J1AIIl�_l ' 765-1802 sui�oINc INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBQ. [ ] FOUNDATION 2ND [ ] INS ION I l FRAMING I FINAL [ ] FIREPLACE & CNIMEY [ ] FIRE SAFETY INSPECTION REMARKS:_ S% �1.)i C-All AL S DATE s INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS! cc? DATE INSPECTOR 765-1802 BUILDING DEPT. 1 N [ ] FOUNDATION 1 ST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] ULATI [ ] FRAMING ] FINA [ ] FIREPLACE & CHIMNEY [ ] FIRE INSPECTION REMARKS: !fkj urA DATE INSPECTOR ZL 2-q � 7 7 z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ✓V*" FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: -..? �� 7�3 o24' 9s7 z DATE �aJ 7 INSPECTOR -� 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 Pinning Board approval FAX:(631)765-9502 '1 Survey www.northforkneUSouthold/ PERMIT NO. r �i 99P'z Check Septic Form N.Y.S.D.E.C. Trustees Examined20 ,i� CoataM: _ Approve201r_y Mail to:•--�S L fk�j P I /1 r C7�L S Disapproved a/c���� _ 1U$ V.5 —rB�e--�(_AU'e lU NY II016/ i n Expiration _ 20-425_ Building Inspector C r APPLICATION FOR BUILDING PERMIT JAN Date (e 20-O-q— ,�.�1+` INSTRUCTIONS i asTlmis applyME18T be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sE.pleti4,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 Certificate of Occupancy. E 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 within 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 applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. [IMMEDIATELY"I ENCLOSE POOL TO CODE (Signature of appliTION A1�p TED U BEFORE MWAEER - (N�DERWRIBSCMIFICATE � rGVTr �9 8� REQUIREDCt CCCC ara.a State whether applicant is owner,lessee,agent,architect,engineer,general contra: 'rD bet'6 Nd IFY BU ING DEPARTMENT AT CD PJ+2 A C�I(�6 /i,-- 765.1802 8 AM TO 4 PM FOR THE Name of owner of premises 111 L U!{1� � A R g R e 19 n��a���PE.CTIONS.' 9f IRED (As on the tax roll or latest de FOR POURED CONCRETE applicant is a corporation,signature of duly authorized officer FOR ROUGH - FRAMING & PLUMBING (Name and title of corporate officer) 3. INSULATION 4. FINAL - CONSTRUCTION MUST Builders License No. &(0 BE COMPLETE FOR C.O. Plumbers License No. ALL CONSTRUCTION SHALL MEET THE Electricians LicenseREQUIREMENTS OF THE CODES OF NEW Other Trade's Licensee N No. YORK STATE. NOT RESPONSIBLE FOR 1. Lo �Sojland on hi It ploposed work will bcdone: ID" ,Ofl �STRU CTION RS, a u (h -ea nl $ 0 U LEine k'0 Tpr OCC&-% tPAI►mll8Y4nIDep Street Hamlet USE IS LM-AMP 0. 1000 111V\/ 1Vfl v Section fBlock •3 Lot U f Z to sti Filed Map No. WITHOUT CERTIF(MtE COMPLY WITH CHAPPTR "4s" OF OCCUPANCY FLOOD DAMAGE PPEb-NTION SOUTHOLD TOWN CODE. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy It. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work f M-[� 5 Oa L (Description) 4. Estimated Cos[ � (e, o 0 0 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 extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height -Number of Stories 9. Size of lot:Front Rear 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 removed from premises?YES NO_ 14.Names of Owner of premises H�1" Address50SS4N4 e" OW7Phone No. '.77 7 4 7;U Name of Architect f Address Phone No Name of Contractor ZSCAM101A a LS Address/ 's0/!a-rfu� Phone No.717 -63 15 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 MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,most provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) "SO c-'t.ArvS/� being duly mom,deposes and says that(s)he is the applicant (Name of individual signing contract) d above name (S)He is the C O w \ 2 Ae-ct�l ✓` (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. Swom to before me thi 'r day of 20 0G� . fiery blit nue oFA ant VALERIE LINDOUIST �Public u�Of Now Ybrk� 1021 Qualified ExppirSuffolk � CDoc 4,200D ISLANDIA POOLS By JOHN J. WYSOCZANSKI ft6 I=IC M wxED 108 FISHEL AVENUE. RIVERHEAD. NEW YORK 11901 (516)727-6312 NOTE: TOR DIM PAY Ipw �1� B TABLE E DIMENSIONS SEEwaMNAZFD Y16 to FMrt >— [LOW -�wMvs AWL ul� pErIpNS i/Y :'IEEE RODS r0'1 C011ULL1E Ml voDLY TYPICAL POOL PLAN pBTp FILTER vlAIRUAIE NOTE: FOR DIMENSIONS SEE TABLE BELOW NOTE: FOR DIMENSIONS SEE _I, W • if ar (;EwcMT 4�N TYPICAL CROSS SECTION er OPTIONAL STEP N.S.P.I. TABLE OF DIMENSIONS ( E fF[ PACIFY fIC I wuh2i 66 332 j:� -33:6 16 4 12 5D NOTES: 6 16,150 I 6 13' 557 a 6 6 16X; 6 4 1�55 7r0l 'w DMING�wll- 1. 3.300 LB. TEST CONCRETE TO BE USED B 1 61,15 6111 667 4 10 648 1 C-2r 36 —6 —6 8 4 20.400 GAL IN CONTINUOUS POUR, W4 6 10 DO 2. WATER DISPOSAL TO BE LIMITED TO OWNERS 20 40 ;02 6 ;3 6 10 4 4 12 800 25.00D GAL PROPERTY TO SUFr LOM REGLItAXIONSL 3, THIS POOL SMALL NOT BE 8,1PTIED. 4. ALL WOOD TO BE PRESSURE IIAPRE"TED WITH PRESMATIVE.� 5. WALKS TO BE SMOOTH NOM—SKID TYPE, SLOPED AWAY FROM III* Tr AIL. L . TITLE NO. 603S9176 PLOT VIEW. PLOT ertincallons Indicated hereon signify that this plat of the hereon described property N a true and correct representation of o recent survey mode and platted under my direction f accordance with the existing Code of Practice for Land Surveyors by the New York State Association of Professional Land Surveyors. Sold Certifications shall run only to the arson for whom the survey Is prepared and on their behalf to the title company, governmental agency and lending Institution listed hereon. This certification is only for the lode e described hereon. It's not a certlOcatlon of title, zoning or freedom from encumberances. Certifications are not transferable to additional Institutions or subsequent owners. LAND NOW OR FORMERLY OF ANN E. DAVIES N 89'57'40" E MAP 125. 19' LINE APE FWAD - I I I I I I O 00 O PJ M � � M LOT I J--�a- OT -- 1 -) LOT 2 3 � 4 3 w O a O 11) FE FUEL 'u ri TANKS o - WIRE FENCE 20' CIE R moo it _ . 1 FE �- UEGK " N RETE MASONRY Is. 1 u o I ' f 1 STORY v it r� FRAME DWELLING i I� NnNo. 2CMAGE ( 1 b 11.3' 17.T 'Is. ' MASONRY ` A STEPS ING I �' MASONRY WALK , f // ^ Li Z aQi 9 Z o d� 43�7�A..55-1' —Y+ 86049'20" W 125.00' SOUTHERN BOULEVARD The offsets or dimensions shown from structures to the property lines ore for a specific purpose and use, and therefore, ore not Intended to guide In the enation of fences, retaining wails, pools, police, planting areas, additions to buildings and any other construction. Subsurface and envkonmentd conditions ren not uarnined or considered os a part of this siany. Easements, Rights-of-Way of Record. If any, not shown. Property comer monuments were not placed as o port of thls rurwy. UNAUTHORIZED ALTERATION OR Barrett BORaCCi & Van Weele P.C. REVISIONS: ADDITION TO THIS SURVEY IS A 1 1 VIOLATION OF SECTION 7209 OF CIVIL ENGQ'1EERS/SURVEYORS/PLANNERS THE NEW YORK STATE fmEDUCA- e •175ACariue Drive,Hsuppauga NY 11788 TION LAW. TEL631/19;-1111 FAX631/ IOU _ w .bbvpc.cpn LOT 3 . BLK. — MAP OF: AOUAMEW PARK SITUATED AT: EAST MARION, TOWN OF SOUTHOLD FILED: JULY 30 1971 NO. 5621 CO.SUFFOLK COPIES OF sae SCIauEY wAs NOT BEARING THE LAND $UN- CERTIFIED TO: 02003 BRV,P.C. VEYOR'S SIGNATURE AND Esr- PARAGON ABSTRACT INC BOSSED SEAL SHALL NOT BE FISRT AMERICAN TITLE INSURANCE CONSIDERED A VALID TRUE COPY. COMPANY OF NEW YORK JOB NO. A030576 WASHINGTON MUTUAL BANK, FA ALVIN HORING do BARBARA E. HORING DATE JUNE 5, 2003 DR. RAH CH. WJB SCALE: 1" as 40' DIST. 1000 SEC. 21 BLK. 3 LOT 28 �f,L JI, JL T�TJ Z TT TJ'FYI J.J-'l X X-J I LD I rT_ Applicant/ Date. Owners Name: Reviewed: d? Architect/ Date Engineer: Submitted: _ SCTM #: District: 1.000 Section: 0-)-/ Block: .3 Lot: -XC Project7Q n Subdivision Location: i5� �f/. Name: Sin&Ie& separate Required certification: (Yes/No) Rcq. Req. Zoning 1)islrict JLo1 size: _0 MActual: 0'0— J (Lot coverage Yrutxsc� Req. Req. j Req. Wront Yard Proposed: 1. (Side Yard Proposed; 1 (Rear Yard Z© Proposed J Project Description: J�P, AGENCAJERMITS Permit . REQUIRED FOR REVIEW N.&. LLQ YES Number Suffolk County Health Dept. New York State D. E. C. ✓ Town Trustees Town Zoning Board approval: Town Planning Board approval: G _ l Flood Plane Elevation??? Flood Zone: _ Note. r