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HomeMy WebLinkAbout31131-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-3135~ Date: 12/27/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 3045 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County T~xMap No. 473889 Section 30 Block 3 Lot 1 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 2005 puxs,,~-t to which Building Pex~t No. 31131-Z dated MAY 13, 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOSEPH A NELSON & TERRENCE JOYCE (OWNER) of the aforesaid building. ~uFFOLKCOUi~TYDEPARTM~qT OF~ALTHAPPROVAL N/A R~CTRICAL C~KTIFICATE NO. 99985C PLUMBERS CERTIFICATION DA'£~U N/A o7/o51o5 o/zedgnature 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 typ~vriter 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 o f all bui!dings, 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 o f 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. 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 Ivy the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees J. Certificmte of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Access~ory building $25.00, Additions to access6ry buildihg $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 Date. $15.00 New Construction: Old or Pre-existing Building: Sti-eet (check one) Location of Property: ~) House No. Owner or Owners ofProperty: "~D~.~._. 4~7~/ ~]0 Z W'~-'/'-~ ~.~, Suffolk County T~ Map No 1000, S~tion ~ ~ [ Block _ ~ ~ Lot Hamlet Reqg~s_t .for: Temporary Certificate Fee Submitted: $ 0q~.- 555 Final Certificate: (check one) Health'D_.e/pt. Approx~l: Underwriters Approval: /~f/Z. I ......... Planning Board Approval: _ Issue Date 7/5/2005 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 99985C East Patchogue, New York 11772 (631) 286-6642 Issued To: Street: Village: Section: Terrence Joseph / Joyce Nelson 3045 Rocky Point Road East Marion Zip: 11939 30 Block: 03 Lot: 01 Town: Southold Contractor: T. Raynor Electric Lic.# 1805-E Was examined and found to be in compliance with the National Electhcel Code. ~.~ Commercial [] NVDefecta [] Pool ~ lstFIoor [~ Indoor [] Basement ~ HotTub X~ Residential ~ Dat. Garage ~i Attic Lid 2nd Floor [~ Outdoor ~, Addition [_i Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 1 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: Other Equipment rain tight sub panel ?1 time clock ~1 40/220V heat pump disconnect I1 20/220V specialty outlet Hugo S. Surdi President Rough InspecUon: Inspector: Final Inspection:06/30/2005 Inspector: John Mc Mahon ill This certificate must not be altered in any manner, inspectors may be identified by their credentials. 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. 31131 Z Date MAY 13, 2005 Permission is hereby granted to: JOSEPH A NELSON 25 GRAND AVE - #4 B HACKENSACK,NJ 07601 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 3045 ROCKY POINT RD County Tax Map No. 473889 Section 030 Block 0003 Lot NO. 001 pursuant to application dated MARCH 10, 2005 and approved by the Building Inspector to expire on SEPTEMBER 13, 2006. Fee $ 150.00 EAST MARION ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~ATION [ ] FRAMING / STRAPPING [ ,-1~TINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~,.,.,.,.,.,.,.,~U~ATION [ ] FRAMING [~"FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION R EMARKS~.. ~-~ ~ ~ ~ ,~/~.~..~/~ _~/~ ~ DATE wo~ I.I.I w o .~- o_O., .? FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGE[ FRAMING & PLIYMBING INSULATION PER N. Y. STATE ENERGY CODE DATE COMMENTS FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 / Examined ~-~l l 5 . ,20 Approved Disapproved a/c / Expiration ~/~ ,20 . . / P .mv rr NO. ll3l BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans p!~annln$ Board approval Survey Check Septic Form N.Y.S.D.E.C. N Trustees Contact: -, q f~, ,~ ~ ~LII~PLICATION FOR BUILDING PERMIT ~ ~ll~ I i~ '~ V~/ Date ~ ~ ,2005 a. ds a~~~ely fill~ ~ by ~e~t~ or ~ ~ ~d sub~ to ~eB~l~g ~sp~tor wi~3 sets of plus ~to sc~e. Fee accor~g to sch~ule. b. Plot pl~ show~g locmion of lot ~d of b~ld~gs en pr~es, relatiom~p to adjoining pr~ses or public s~eets or ~s, ~d wate~ays. c. ~e work cover~ by ~s applicmion ~y not be co~mc~ before iss~ of B~I~ Prat. d. Upon approval offs application, the Buil~g ~tor will issue a B~g P~t to ~e appli~t. Such a pe~t sh~l be kept on ~e pr~ses av~lable for ~spection ~ou~out ~e work. e. No b~lding shall be occupied or used in whole or ~ p~ for ~y p~ose wb~t so ~ ~til ~e B~ld~g hsp~tor issues a C~ificate of Occup~cy. f. Ev~ buil~g pe~t s~ll expire if the work auto,zed ~ not ~m~c~ wi~ ~2 m~ ~ ~e ~te of issu~ce or has not bern completed wit~n 18 mon~ ~om such ~te. If no zomg m~ts or o~er re,at'ns affect~g the property Mve been enact~ in ~e ~t~ ~e B~ld~g ~mr ~y auto,e, in wffi~, ~e extrusion of~e p~t f~ ~ ad~tion six monks. ~erea~er, a new prat sh~l be r~. ~PLICATION IS ~BY M~E to ~e B~l~g D~t for ~e iss~ce ofa B~l~g P~t pm~t to ~e B~l~g ~ne Ore--ce of ~e Tom of Southol~ Suffo~ Cowry, New Yor~ ~d o~ a~limble ~ws, ~ces or Re~lations, for the cons~ction of buil~gs, ad~tions, or ~t~tiom or for r~o~ or d~olition ~ h~ein describe. The applic~t a~ees to comply with ~1 applicable laws, ordi~ce~, b~l~g code, hom~g code, ~d re~afiom, ~d m a~t authorized inspectors on premises and in building for necessary inspections. ..~'~'~_.~ -' ' - *'(Signlltur~f~F~l~icant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises '~r-/'~e'/d~, 7 ~O/~,~_ .~ ,,~o6~)]1 /~, A/~'A(5'oO (As on me tax roll or latest deed) If~.li~.,~. ion, sign~pare~of duly authorized officer of corporate ofn er) Plumbers License No. Electricians License No. [ ~'(p ~ ~ Other Trade's License No. Location of land O, la which proposed work will be done: House Number *'Street Hamlet Oo.n x a No. I000 s tion Subdivision~ 2. State existing use and occupancy of premises_ and in~ended use and a. Existing use and occupancy /~eg f~ ?. b. Intended use and occupancy ~0 ~ occupancy of proposed construction: Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~'/ Fee Addition Alteration Other Work ;~r/a 1/.z~qr,~c/~d ~0,~ (Description) ~)//~ (To be paid on filing this application) If dwelling, number of dwelling unit, s Number of dwelling units on each floor If garage, number of cars ~// / 6. Ifbusiness, commercial or mixed occupancy, specify natt~re and extent ofeach type ofuse. 7. Dimensions of existing structure., if .any: Front /~t/v.//~l__ 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 Height Number of Storiest~ 9. Size of lot: Front /~///4- Rear Depth 10. Date of Purchase /,(J/]~ Name of Former Owner 11. Zone or use district in which premises are situated ]~ 80 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be're-graded? YES ~r NO __ Will excess fill be removed from premises? YES ~,~ NO 14. Names of Owner o f premises iJO~Ot~r't~/~/~;/7 Address, q"0/,/~ Name of Architect glJ~ Address . Name of Contractor,_~,/m -J"~j~ 1~, [&,no~5 7,~Address~7/~///l,r ~0[,~ ~ 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. Phone No. ',7-o1-0~,~ Phone No Phone No. OcY/-~R~-'26, 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, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) /~ ~'--b~- O_] 2/-/o,O3~o ~- / ;~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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 tg. before me this Not, y, .( · : ~:.: THE LOCATION OF WELLS. WATER SERVICE ...." LINES, SEPTIC TANKS AND CESSPOOLS · 'SHOWN HEREON ARE FIELD OBSERVA- ::'.TIONS AND. OR DATA OBTAINED FROM LoT tl LOT ~0 Tl~3t34 41' ROCKY POINT ROAD [ 50' ] N 13'05'50"W 159,6# ~ L--...~ .... :--- . . ~ ~ OPEN EPACE OOWN /.,' 8~5~E140.~ TAX LOT 31-02-02 TAX LOT 31-02-01 TAX LOT 21.O4-13 TAX LOT 21-04-12 FILE MAP No. 875g 8/7/89 SURVEY OF: LOT g EAST MARION,'TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK · SC.N.E:'I"'50~ .. · ~. ,~,~,~.,~,,.,~,.,~ ~,,,...,~,...,,,.m-,~e ~,,,,- MAP. OF EAST MARION WOODS. '' /.t-~'- , ~ ~~~~'~'~ ,STMARION,'TOWN OF SOUTH0 / / ~. · ~.~ ~.~~--~m~.~- SUFFOLKCOUN~, NEWYORK I~~1' I~1 ~,~,~~-~,~.-~- ........... ........ .,. ......... . / ~~~Z~/ ca~o~to: ' . .' . ' · , ~'"~ ' ·/:': T ~ ' c~~O~U~~ ',: ~DSURV~OR ".. '~ ' I ...... ~ ....................... ~'. T-T"~ ' '".. "~W~E~ FN~O~ FUNDING, L.T.D. ' ' ' ' " ~'"