HomeMy WebLinkAbout30359-ZFORM NO. 4
TOWN OF SOUTNOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31296
Date: 11/21/05
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1825 TOWN HARBOR LANE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 66 Block 1 Lot 23
Subdivision
Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 26, 2004 pursuant to w~/ch
Buildin&3 PexTalt NO. 30359-Z dated MAY 26, 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 MARTIN & SUSAN A FLATLEY
(OWNER)
of the aforesaid building.
SUFFOLK COD1T~YDEPARTM]~T OF HEALTHAPPROVAL N/A
HLEt-£KICAL CERTIFICATE NO. 90377C
PLUMBERS CERTIFICATION DA'r~u3 N/A
07/30/04
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 following:
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 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 Iincs, streets, building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by thc 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 $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, Commercial $15.00
Date. II 1
New Construction: ~)d919 ~ ' Old or Pre-existing Building:
Location of Property:
House No. Street
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
(check one) F~
Hamlet
Block
Lot
Subdivision
PermitSo. ~O'~-~ ~ DateofPermit.
Filed Map.
Applicant:
Lot:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~'~
Final Certificate:
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. 30359 Z Date MAY 26, 2004
Permission is hereby granted to:
MARTIN & SUSAN A FLATLEY
1825 TOWN HARBOR LA
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL
YARD AS APPLIED FOR
IN THE REQUIRED REAR
at premises located at 45 TOWN HARBOR TERRACE SOUTHOLD
County Tax Map No. 473889 Section 066 Block 0001 Lot No. 023
pursuant to application dated MAY 26, 2004 and approved by the
Building Inspector to ex,)ire on NOVEMBER 26, 2005.
Fee $ 150.00
uthorized Signature
ORIGINAL
Rev. 5/8/02
Issued To: Mr. Martin Flatley
Street: 1825 Toun Harbor Lane
Village: Southold Zip: 11971
Section: 66 Block: 01 Lot: 23
Town: Southold
Contractor: Hank*s Electric Inc. (L) Lic. # 2675-E
Was examined and found to be in compliance with the National Electrical Code.
[] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub
[] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
2 1 1 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves
Furnace 011 Gas Circulators Smoke Detector Bell T~ansformer
Meter Amps Phase UG/OH
/
Bldg. Permit: 30359Z
Other Equipment
30A subpanel
20,0, time clock
1 20\220V special receptacle
Jacuzzi Television CO Detector
Hugo S. Surdi
President
Rough Inspection:
i Inspector:
~. Final Inspect[on:07/29/2004
inspector: John Mc Mahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION,
[ ] FRAMING ! STRAPPING ~/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: //~~
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH ~LBG.
[ ] FIREPLACE&CHIMNEY[] FIRE SAFETY IN/SPECTION
REMARKS: ~~_~ ~~ ~/ /~'-' --~'/~
INSPECTOR
/~'I~LD INSPEC TIo~N I~7~ORT I DATE I
COMMI~NTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING
pLLrM~ING
IlgSULATION PER N. Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COMI~EI~fS
tOWN OF $OUTHOLD
3UILDING DEPARTMENT
FOWN HALL
;OUTttOLD, NY 11971
CEL: (631) 765-1802
tAX: (631) 765-9502
%pproved ~72'( ,20 ~9 bt
)isapproved a/c.
PERMIT NO.
BUILDING PERlvI1T APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Survey ~./
Sq~tio Form
N.Y.S.D.E.C.
Trummes
Col~tact:
BgInspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
a. Tkis application MUST be completely ftUed i~ by typewriter m- in ink and submitted to the Building Inspector with 3
its of plans, accurate plot plan to scale. Fee accordlng to schedule.
b. Plot pisa showing location of lot and of buildings on'premise% relationship to adjoining premises or public streets or
roes, and w~terways.
c. The work covered by this application may not be commenced before issuance 0f Building Permit.
d..T¥on approval of tiffs appllcm~on, the Building Inap~ctor will issue a Builcting Permit to the applicant. Such a permit
hall be kept on the premises available for itmpection throughout tho work.
e. No building shall be occupied or u~ed in whole or in part for any purpose what so ever until the Building Inspector
:sues a Certificate of Occupancy.
f. Every building permit shall *xpiro if the work authorized t~ not commenced within 12 months alRer the date of
suanoe or has not been completed withh~ 18 months from sue& date. If no zoning *m~n,qments or other regulations affecting the
:operty have been enacted in the 'i~terim, tho Building lnsp~'ter may authorize, in wrid~g, the extension of the permit for an
tdition six month~, 'Thereafter, a new p~rmit shall be r~xluired, :
APPLICATION IS/rltgKl~Y MADE to tho Building Dopa;~,,,ont for the issuance of a Building Permit pursuant to the
uilding Zone Ordinance of the Town of Southold, Suffolk Colmt7, N~wr York, and.other applicable Laws, Ordinances or
egulations, for the construction of building, adclitiom, or alt~'atiom or for removal or demolition as herein descrlbed. The
~plioant agrees to comply with all applicable law% ordimmc..% building code, housing code, and regulations, and to admit
thorized respecters on premises md in building for necessary impeotions.
ENCLOSE POOL TO CODE z_.''r_'/'"~..".
UPON COMPLETION ~(Sig=~t~ of ~].ic~t o~ name, if s corpo~a~on)
SE O.E "W^TE.' USE IS'UNLAWFUL ,
WITHOUT 0ERTFICAT[ / P+ Mci
(Mailing address of ap~ioant) ~
OF OCCUP^NC¥
ate wheth~(~ant is owner, lessee, ag~n[ archi~ct, engineer, gen?cral cent!actor eleo~cian plumber or builder
AP FIOV[D N01E
maeofownerofprernises a~W'Jfl~'l Fltg..q[ I~-~
(As on/the tax roil'or
applicant is a co~poration, Signature of duly authorized officer
(Name and title of. corporate officer)
ders Licen, e No.
nnbers License No.
.~ctrieians License No.
~er Trade's License
Loe,a~ij~u of l~_.j on wMgh proposed w~ork will be done:
House Nmb~
lites~l~SUlLDING DEP~)~b~, Al
765-18~ 8A~ TO 4~ ~ THE
1. FOUNBA~ -
FOR ~ED C~
2. RO~ - FR~
3. ~T~
4. ~ - ~~ MUST
~~ C.O.
ALL CONS~UC~ SH~ ~ ~E
RE~IR~E~ ~ THE ~ OF N~
YO~ STATE. ~T RES~%,~cE FOR
~ ~,R~T,gN ERR~
County Tax Map No. 1000 Section (~ (~ Block 0 I
Subdivision Filed Map No.
¸,
a. Exisliugusemndo¢cup~ncy ~1/~1¢ ~rfl;/L~ F~$]dO2fC,
I
Na~ of work (oheok w~ch ~Hoable): New B~t~y ~ I~ ~ 0 Ad~fion
D~oHdon ~er Work
Es~ated Cost [~0~
If dwelling, number of dwel!ing maim
If garage, number of cars
Alteration
(Description)
'Fee
(To be paid on 6ling this application)
N~b~ of dwe~ ~m on ~ floor
6. If bus,ness, connneroiai or mixed occupancy, specify natur9 and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ' Rear
Depth Height Number of 8toiles
8. Dimensions of entire new construction: Front Rear
Height Number of Stodes
9, $izeoflot:Front I~,qq ' Rear /Dc>~,~ DqXh
I O, Date of Purchase
Name of Former Owner
11. Zone or use district in which pr~maises are situated
12, Does proposed construction vi{~late any zoning law, ordimmoo or regulation?
13, Will lot be re-graded? YES u/NO__ Will eacess fill be moved from promis~? YE8 ~'~NO__
4 e f e of r 's~ lit: h &
NameofArchitect¢ .l~3ohr~S/lQ /h / Addressll¢LdO~.~/.,~/O-PhoneNo?-~i_p_to%
Name ofContracto~ '~'~nth.,~ ~- ~3t~(cJ/z~'Addros$
15 a. Is this property w/thi~ 100 feet of a tidal wetland or a fro~hwat,r wetland? *Y~__NO __
* IP YES, SOUTHOLD TOWN TRUST2BS & D.E.¢. ?BRM1T8 MAY BB RBQUIRI~.
b. Is this property withi~ :300 foet of a tidal wetl~d? * YB8 __ NO
* IF YES, :D.E.C. FERMI'rS MAY BE Pd QUI D.
I 6. Provide survey, to scale, with aocurate fotmdation plan and distances to p.rop~i'y
17. If elevation at any point on prop~y is at 10 feet or below, ~ ;u~,. Pro .v~.,~ ~l~o~ ~l~ieal data'on survey,
STATE OF NEW YOP,.K) "': ~ ..... .1 , [ i '
COUNTY OF~ .,
. ..._~'~ ~--i~l ~"[:". ~1~.~[ -er- bemgdulyswora deposes snd says that (s)he is the applicant
(Name ofiu~.Ytdual ~gn~$ oontrac-t) above
(S)He'is the -Z::'
' (Contractor, Agent, Corporate Officer, etc.)
of said owner or ow,~ e~,, and is,duly an.~. orizecl to perform or have performed the smd work and to make ired file this applicak
that all statements cl~ed i~ tifi~ application are true to the best of his lmowledgo and boliof~ ami tlmt the'work will be
performed[~,tite marlla~ se, t forth hl the appli?ation filed th~ewith.
S,xom to before the t. hiscq:
Notary Pubic '
NOREEN/.
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