HomeMy WebLinkAbout29258-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31538 Date: 04/18/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 370 CRITTEN
(HOUSE NO.)
County Tax Map No. 473889 Section 70
LA
(STREET)
Block 12
SOUTHOLD
(HAMLET)
Lot 14
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 2, 2003 pursuant to which
Building Permit No. 29258-Z
dated
APRIL 2, 2003
was issuedl and cor-forms 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 GEORGE H & LINDA M. BISCHOFF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
03-6643
09/05/03
PLUMBERS CERTIFICATION DATED
N/A
--4/,LP'~""~
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:
A. For new building or new use:
I. 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 2/1 0 of I % 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 Plamling Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or bnildings and "pre-existing" land uses:
I. 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 applicaut. 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, Commercial $15.00
Date.
New Construction:
_ Old or Pre-existing Building:
~~c:.......~~
Street
(check one)
Location of Property: ~70
House No.
~'{'O'~
Hamlet
Owner or Owners of Property: ~ ~~<:::-f=-
Suffolk County Tax Map No 1000, Section_
Block
Lot
Permit No. 2125""'V
Health Dept. Approval:
Date of Permit.
r Filed Map.
-s-/r/ ~ Applicant:
I I
Underwriters Approval:
Lot:
Subdivision
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~.s- ----
Final Certificate: (check one)
.h~
- Applicant Signat
~QA: )OG Q ~/
CO 2:3 IS; 6 If
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.
29258 Z
Date APRIL
2, 2003
Permission is hereby granted to:
GEORGE H BISCHOFF
370 CRITTENS LANE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN IN GROUND SWIMMING POOL AND FENCE TO CODE AS
APPLIED FOR
at premises located at
370 CRITTEN LA
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0012
Lot No. 014
pursuant to application dated APRIL 2, 2003 and approved by the
Building Inspector to expire on OCTOBER 2, 2004.
Fee $
150.00
/
ORIGINAL
5/8/02
...
--
:;;-1 J-{6;'- ~
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [
[ ] FIREPLAC & CHIMNEY
REMAR9
,
-.
FJELDlNSPECTION REPORT DATE COMMENTS' . '. . :l)
. ....... '
~ i
FOUNDATION (1ST) ~ ::j'
.-. ~..
------------------------------- ,-
-,-
FOUNDATION (2ND) ~j ~
I' ~
. ~
.G..:I z
- . . ~ 9
. ~; i
ROUGH FRAMING &
PLUMBlNG . ;I-- ~
. -
.
. b
INSULATION PERN, Y. '. Vl ~
r, '"'l
STATE ENERGY CODE ~
I-t
/ / ~ ~
-- -
I~/YX ~_1~ (W-t:. -L/) (v,JJ~ .....-
-/7. ~
c?-/ - A"'- /~-
. -
P
FlNAL ..;;r - 7L2, /~/rfA, - ?t. r
, -'
V ./ ~
'7\
ADDmONALCOMMEN'l's 11>'
~
-
~o
, ~ -r:> ~.
:;om
;:u
"
R
. F\
.
. .- o ~I
. ~ ~
~:l
fl. ~
.-
. '" ~
\
. 1:1
- ~
_. '... ---.
_..
--...
()-/2.
i
) rOWN OF SOUrHOLD PROPERTY RECORD CARD
OWNER
STREET "J ''1j'' .
,-) /C../
VILLAGE
DISTRICT SUB.
LOT
~
/23
(~
~e..
S
W
TYPE OF BUILDING
+\ t1 \J ft1f)Jihr;e
/'-' (
!:::'a. , ..\< ,cn_
E
RES, 2/ () , SEAS.
LAND IMP,
VL.
FARM
. COMM,
I IND.
I MISe.
l!" /'
,5DO
10
~() 0 "i/
!'}..oO L/&O
L( n Ur' 0/
\' .
--.J I i
TOTAL
DATE
REMARKS
[ Est, Mkt. Value
/;:'r&~
- Jt;,k . I;'AleE, ;J~(.lite
NEW
NORMAL
BUILDING CONDITION
BELOW
OCJ
AGE
ABOVE
FRONTAGE ON WATER
Farm
Acre
Value Per Acre
Value
FRONTAGE ON ROAD
/1.-,;''''7 @g~"
. r '" I !l~"r, t::t...- ~ v y~,
,
f I "h I
'~" 'l - ~~
Tillable 1
~
Tillable 2
rOSK ,
IU/3>vjo/
Pre cf.::; ~~l{ I
ASf
Tillable 3
Woodland
Swampland
Brushland
House Plot
I Total
--
~.....
t-
!
,
r
/
~
M. Bldg.
Extension
Extension
: /}j
I /f;'
C.
,..,i~
oJ!
! Foundation
./ ....
'f Iv' I~._
I I
,~~43.,o\
~
.,), I
-1; >'
';1
Basement
,
I Ext. Walls
Fire Place
Extension
___-.-----L_
I
I
I
!
Breezeway
Garage
O. B.
4~ ~ 'fl~.
,
I
I ! Ir
Patio
\(" t
."'----,/
Interior Finish
Heat
Porch !
(. f
Roof Type
Porch
Rooms 1 st Floor
I
Rooms 2nd Floor
Dormer
I
I
!
J
I
() /;
!
,
I
I
f:',; f /~'l--~~~ ~/
,/,,';;
i
---I-
!
i
-r--
I
TOWN OF SOUTHOLD
BUILDING DE,PARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
tact:
Mail to:
PERMIT NO. ~ q l.~ t
Examined
Approved
Disapproved ale
,20~
20 0
'-
,20_
Phone:
Expiration
~
~
Building Ins ector
h~K I /nl3APPLICATION FOR BUILDING PERMIT
Date
,20_
INSTRUCTIONS
a. This application MUST be completely filled 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 oflot 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 ofthis 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.
f. 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 ha'!e been enacted in the interim, the Building Inspector may authorize, in writing, the exten:;ion of the permit for au
addition six months. Thereafter, a new permit shall be required.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises UN/yJ\ -+ R~,([_ ~\~'-\-=~.
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
''::'70 Le-I \l1ZJ~--~ ~'R-
House Number Street
s~~~
Hamlet
County Tax Map No. 1000 Section
Subdivision
-70
Block J rl-
Filed Map No.
Lot /L)
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of pro osed construc.tion:
a. Existing use and occupancy Of'-.\~ I~
L-
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost---1~ ~~
I
Addition
Other Work
..------
Alteration
.--/
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
\
7. Dimensions of ,xisting structures, if any: Front (]P
Height_l g. Number of Stories (
.
Dimensions of sjlme structure with alterations or additions: Front 'lv".
Depth If '5 Height ( ~ \ Number of Slori~s
. \ \
8. Dimensions of entire new construction: Front ~C> Rear 1 c) Depth '3 (9
\ t. ~
\D Number of Stories /
ReacJttD,~ Depth ?:>rs-l-~7 _;)&0 ,IJ
(
V ~fP
Rear
Go>
Depth
4. 0)1
9Q)1
Rear (
(
Height
9. Size oflot: Front
10. Date ofpurchase~ 2f==> d
Name of Former Owner
II. 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 'f' Will excess fill be removed from premises? YES_ NO t..p
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
IS 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 'P
* 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, must provide topographical data on survey.
ST ATE OF NEW YORK)
SS:
COUNTY OF )
~tL
being duly sworn, deposes and says that (s )he is the applicant
(Name of individual signing contract) above named,
H
15~
(S)He is the
(?)<00lAJ..~
(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 know ledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
20~
JOYCE M. WILKINS
Notary Public, State of New York
No. 4952246. Suffolk County
:^>rm Expires June 12__ ;;J...o 0..)
N6T~' Lot l1l1a1l>aN ~11 ....flt" to-,",,,!, of ~WOD<f."
f.... In tile Svffoll< CGur.ftj Ci.......: Off""'''. ....., I\(;. 2141
SeA.", SO' -,- ,
:.-:. ,:";,,"~-'.10~_~ -,,-:-..~::~
'-'OJ.-lN
>
<:9C
..
-J
JkDLilt."if(RS CERTIfiCATE
REQUIRED
;
"-
."
~
"IMMEDIATELY"
ENCLOSE POOL TO CODE
' UPON COMPLETION
", BEFORE ow, ATE V" "
'- ,
-'~...... _ l'.
, ,
~
i.4
(co~r$Ot'l )
~
z
;-
351.57
.-
,
,
7
e
~
''''~
:lB;
" I -
~l:&.l
;r
---j E I
L 'TI.-~.J
AS NOTED
..~cr.~
ft. ~
T BUILDING D~
65-1802 9 AM TO 4 PM FOR THE z
/'FOllOWING INSPECTIONS: P
1. FOUNDATION. TWO REQUIRED "
FOR POURED CONCRETE E]
2. ROUGH. FRAMING" PLUMBING ~
3. INSULATION ~
4. FINAL. CONSTRUCTION MUST >l
BE COMPLETE FOR C.O. i'5
ALL CONSTRUCTIO~ SHALL MEET W
THE REQUIREMENTS OF THE N.V.
STATE CONSTRUCTION" ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
iiJ-
'F
m
U1
P
23
f\D If
~.
~'lf:::""'-
-
.IS
!
,
.22
(th..}
,
MAP OF' LAND
SUJNli;YItD rO~
G. tJ~E ~~CKLEY
A.T
,...
N
:.
N
8B
N
'"
UJ
ICa40
'!i't:c [rlilk;~un"c Compcs,"1 .
. as ~'* 0""01>.. I,I"U'
. VAN TUYl.tSON
'r. .. -I' fj'
:"dA"'.df~ '"' ''-, ',' ' r
~"~'L..."t ~r..J'~$' '."
n_':--:''':~'~':-'~._ ~.~~~.:~ ,.Y-If:~~ ;/t\-:~-<t-.
."
~
TO~o/N OF S.Z'JTHOl.C,. NI':.... YJ>'~
~
:D
:;;
'Ti:*N9,
',' -.
- . ';~.- ---