Loading...
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, ',' -. - . ';~.- ---