HomeMy WebLinkAbout31537-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31253
Date: 11/02/05
THIS c~KTIFIBS that the buildin~ ACCESSORY
Location of Property: 320 BEACHWOOD LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~p No. 473889 Section 70 Block 10 Lot 53
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 18, 2005 pursuant to which
Building Perm/t No. 31537-Z dated OCTOBER 18, 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.
(NOTE: THIS REPLACES VOIDED CO Z-18175 DATED JULY 11, 1989.)
The certificate is issued to PHILIP B & BARBAR31 SMITH, AS TRUSTEE
(OWNER)
of the aforesaid building.
SUFFOL~KCO~I~TYDEPANT~ENTOFH]~ALT~{APPRO~-AL N/A
ELE~-£KICAL C~TIFICAT~ NO. N-083393
PLiErS CERTIFICATION DA'r~u N/A
07/27/89
~ A/uL/ri z e~Signat ure
Rev. 1/81
B! DG ~ ':?T.
TOW~,; L)i SOUTHOLD
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 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 from 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 ~r engineer responsible for the building.
6. Submit Planning Board Approval of d0mpleted site plan requirements.
Bo
For existing buildings (pri~'to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all proper~y lines, streets, building and unusnal natural or topographic
features. ~'
2. A properly completed application and c(;ns'ent 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.
Feecertificatel. s of Occupancy - New dwelling $25.00, Additions to dwellingx"'""%$25.09, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to access~'iy'building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pm-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, Commemial $15.00
Date. II-
Old or Pre-existing Building:
House No. Street
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 70 Block
(check one)
Hamlet
Lot
Subdivision Filed Map.
Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~,P'
Final Certificate: / (check one)
THE NEW YORK BOARD OF FIRE UNDERWRITERS l
BUREAU OF ELECTRICITY ~
85 JOHN STREET, NEW YORK, NEW YORK 10038 ~"
in thefollowlng location: [] B~eraent [] Ist FI. ~ 2nd FI. ( )l Iq' Section Block Lot
wasexamlnedon ~l )J~¥ ] I), ]q%)q andfoundtobeln compllanceu, lth therequirementsofthisBoard.
RXTURS ~REC RXTURES RANGES =OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE A~LIANCE HEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATEI~S MULTI.OUTLET DIMMERS
SERVIC~ DISCONNECT HO. OF S E R , C
inspection only. Bee'aus~ of tmus~al
hay,? freqnent test and/~,t' repairs
m-ade by a qual.i~lad
MAq"TITIICJ(, NY, 1 '19r~2 ~g~At MANAG~'R
Per-- ~ /~
This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~ION
[ ] FRAMING / STRAPPING [//~"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
U~DATIO.U Ils t)
UNDATION (2nd)
UGH FRAME &
FLUMBING
SULATION ~ER N. Y.
STATE ENERGY
CODE
I ~ o.o.u. ~ .,,,,,~.~.~ ..'..~
ADDZTION~L COMMENTS:. '~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ~INAL
REMARKS:
DATE
-- I
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
. .'~. [.~.., 19¥.'/. Permit No.
BLDG. D2PT.
TOWN OF SOUTHOLD
Received ........... ,19...
Disapproved a/c .................................... ...... . . .~~~
(Building Inspector)
APPLICATION
FOR
BUILDING
PERMIT
Date ..... ?/./2 ....... ,19 ~,~.
/.
INSTRUCTIONS
a. This application must be completely f'ffied 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 on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagnun which is part of this appli-
cation. , r ;
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 issued a Building Permit to the applicant. Such 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 f,or any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MA~E to. t~e 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 aIterations, 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 ins~0ections.
:.
· . (ma±ling address of applicant:)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
......... z-. o< ......................................................
Name of owner of premises ... ~..1.~/.~.c.I. .~.....~....~-... ~.~.)~. ~ ~ .... ~'.,~.~...~.,/~.
(as on the tax roll or latest~)~I~l/~'l~ ........
Plumber's License No .........................
Electrician's License No..~.~..D. ~'~40...... ~ .~?..'~--( C.~
Other Trade's License No ......................
THI~ ~EO',¢F:~;N1$ O~ I'H~ N.Y
I. Location of land on which proposed work will be done ................. ~ATE.g¢,NE.*-I~I[I[;!~.C~..~. ,E~._.L~.....
~I~.8~I~-E ~ ' '
House Number Street Hamlet
County Tax Map No. 1000 Section .... .. . ..~.~.. ...... Block ..... ............./O Lot.....~.~ .........
Subdivision... .~..TJX. ?..O.qO ................. Filed Map No....~./. ~../ ...... Lot .... !..'~. .......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............. ~, ~.--,~ ff.~r~47-./..~.t. ....................................
b. Intended use and occupancy -~./---'-'~././"~. -~'1/9s~- .'k4. l ~ff.~.. . .~..~.O..C~.
3, Nature of work (check which applicable): New Building .......... Addition ........ ... ~;:e~at~on · ./ .....
Repair ,....~, 1' '.~' ' ' Removal .............. Demolition .............. Other ~V,)rK · .~'.: .......
(Description)
4. Estimated Cost ........ ~..(-?.~..0. 2 .°..~ ................. Fee ............................
(to be paid on fili~g rms application)
5. If dwelling, number of dweiling units ............... Number o f dweliing 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 .............. DeptU .............
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 Fo,,'Iner Owner ........ .~. ~fi.~ ./~ ...........
1 1. Zone or use district in which premises are situated ............ [.~'.~-.).~...rfP-{~....~..c. .....................
12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ......................
13. Will lot be regraded ...... ~._0 .................. Will excess fill be removed from premises: ~ ~ ~ No
14. Name of Owner of premises . ~.~./.~.~ ! .~(.. ~.,~../..~.~. Address ~ 2~.. ~g-~. tt~t~...o~.... Phone No... '~"~'57.'.4.~(~..
Name of Architect ........................... Address .... .~ 7~.2:. F~... Phone No ................
Name of Contractor . ./~. :~/q~/.~.k. }~..~-. ,,~'~'rA~ ..... Address ................... Ph~o0e No ................
15. Is this property located withinli00 feet of a tidal wetland? * Yes ..1~. No .....
· If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK, S.S
COUNTY OF .................
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ................................................................. : ....................
(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 this
............ ./.~ ...... i..dayof .... ~ ........... 19777 ,,/'-).,
Notary Public .... ~----6~?~' ' ' ' '~'".f[[.£t~ .~ I~ ' '~'°Tc!Z ' '~/' '~'~' '~' ...... County ~~ ~i.~
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
($16) 76~.1802
FAX (~16) 765-1823
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 19, 1989
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Hr. & Hrs. Phillip ~ith
320 Beaehvood Lane
Southold, N.Y. 11971
Re: Certificate of Occupancy ~ZI8174-7/11/89
B.P. gll8~OZ Pool deck
Dear Hr. & Hrs. Smith:
Please be advised that the C. of O. ~z18114 is void and
~uet be returned to the Buildln~Depart~ent. ~h~ reason it
is void is that the tax number ievron$ and the deck has no
building per. it nor does it confom to soning requirement
In addition the addition and deck on Building Permit
~11840g does not have a Certificate of Occupancy' and the build-
ing permit has expired.
According to Article lllvllI Chapter 100-281' and i00-284
a building pemi~ is needed for construction and a Certifcate
Of Occupancy is needed before an addition, deck and sviming
pool can be used.
In order to avoid legal action you must contact this of-
fice to resolve the violations i~edlately.
Thank you for your cooperation in resolving this ~atter.
VR~:hkd
Very truly yours,
Vincent R. l~ieczorek
Ordinance Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18174 Date JULY 11, 1989
House No. Street' ~ ~~et
County Tax Map No. 1000 Section 70 B~ 10 Lo~~ /
conforms substantially to the Appli/~tio~or Buildin~ P~rmit ~ore
filed in this office dated JULY 17, 1987~/pursuan~ to which
Building Permit No. 1624~ted~, 1987~/
was issued, an~conforms~ all o~the requirements of the applicable
pro~lons of t~ law. Th~e~panc¥ for which this certificate is
~ \ (owners)
UNDERWRITERS CERTIFICATE NO. PENDING - J~LY 10, 1989
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
i
'to - Io -
COON'rY' CL,~ ~N"$ OFFICE AS M^p N0. 214~
LOT...~_4
q
' ' ' C,L.U,, M(:
LOT NO5 SH(~,~uN I~I:FLP. TG I'4AP OF
50L)THWOOD"GKI I:'!LE INI THE SL~FF'OLk'
C~Ot,/T'Y CLE ~A' '$ OF F ICE' ~$ I'-'IAD t',lO,.2~l,l~
NSO°~-F'SO"E. 22.2..q 'x
u - ~ 6'1'.'r~
~ 14'!
0
A, UCT' !~ G?--
TI. [': CD. l.,lO. GT-
,C4,UT NOg [.) .~:
l'O~,t.4 OF ,cZ.)L,ITHGL.[,~ r~.,/.
VAt'i 'FLJYL it c.--.
Room 219, Stony Brook, NY 11794
A review has been made of your proposal to: COh~V%3C..~- (~ S~43~[]~n
Based on the information you have submitted, the New Yo~ Crate Department
qf. ~nvirogmental Conservation has determined that the ~_ parcel
~ project is: ~
Greater than 300' from inventoried tidal wetlands.
Landward of a substantial man-made structure %~{(~t~ ~IC~)/{~
greater than 100' in length which was constructed prior to 9/20/77.
Landward of the 10' above mean sea level elevation contour on a
gradual, natural slope.
Landward of the topographic crest of a bluff, cliff or dune which is
greater than 10' in elevation above mean sea level.
Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations)
as a use not requiring a permit or notification letter Of approval.
Therefore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law). Please be advised, however, that
no construction, sedimentation or disturbance of any kind may take place
seaward of the 10' contour or topographic crest without a permit. It is
your responsibility to ensure that all necessary precautions are taken to
prevent any sedimentation or other alteration or disturbance to the
ground surface or vegetation in this area as a result of your project.
Such precautions may include providing adequate work area between the
10' contour or topographic crest and the project (i.e. a 15' to 20' wide
construction area) or erection of a temporary fence, barrier, or hay
bale berm.
Please note that any additional work, or modification to the project as
described, may require authorization by this Department. Please contact
this office if such are contemplated.
Please be further advised that this letter does not relieve you of the
responsibility of obtaining any necessary permits or approvals from other
agencies.
Very truly yours,
Depgty Regional Permit Administrator
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 31537 Z
Date OCTOBER 18, 2005
Permission is hereby granted to:
PHILIP B & BARB~R3~ SMITH, AS TRUSTEES
1334 NETTLES BLVD
JENSEN BEACH,FL 34975
for :
CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. (THIS REPLACES BP #16249-Z DATED 7/19/87)
at premises located at 320 BEACHWOOD LA
County Tax Map No. 473889 Section 070
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
Fee $ 150.00
SOUTHOLD
Block 0010 Lot No. 053
18, 2005 and approved by the
18, 2007.
ORIGINAL
Rev. 5/8/02
.oom 219, stony Brook, 11794
r .view, ha teen of your.p?posal t o:
Based on 'the information you have submitted, the New Yo{~ ~tate Department
of. ~nvironmental Conservation has determined that the ~ parcel
~ project is:
Greater than 300' from inventoried tidal wetlands.
~ Landward of a substantial man-made structure
greater than 100' in length which was constructed prior to 9/20/77.
Landward of the 10' above mean sea level elevation contour on a
gradual, natural slope.
Landward of the topographic crest of a bluff, cliff or dune which is
greater than 10' in elevation above mean sea level.
Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations)
as a use not requiring a permit or notification letter of approval.
The[efore, no permit is required under the Tidal Wetlands Act (Article 25
of the Environmental Conservation Law). Please be advised, however, that
no construction, sedimentation or disturbance of any kind may take place
seaward of the.10' contour or topographic crest without a permit. It is
your responsibility to ensure that all necessary precautions are taken to
prevent any sedimentation or other alteration or disturbance to the
ground surface or vegetation in this area as a result of your project.
Such precautions may include providing adequate work area between the
10' contour or topographic crest and the project (i.e. a 15' to 20' wide
construction area) or erection of a temporary fence, barrier, or hay
bale berm.
Please note that any additional work, or modification to the project as
described, may require authorization by this Department. Please contact
this office if such are contemplated.
Please be further advised that this letter does not relieve you of the
responsibility of obtaining any necessary permits or approvals from other
agencies.
Very truly yours,
DepUty Regional Permit Administrator