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Home My WebLink About31824-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date, 06/27/06 No, Z-31634 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property, 1040 MT (HOUSE NO.) County Tax Map No. 473889 Section 51 BEULAH AVE (STREET) Block ~ SOUTHOLD (HAMLET) Lot 2.8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 2006 pursuant to which Building Permit NO. 31824-Z dated MARCH 3, 2006 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 FRANK & CHRIS WRUCK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2721 04/23/06 PLUMBERS CERTIFICATION DATED N/A ~-~ A,,(ho zed Signature Rev. 1/81 ~ ~',;l r p ~ n rr. ~ r:,! I I I This application must be filled in by typewriter or ink and submitted to the Building Departmet_:i~~lth~ 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 2/10 of 1% lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cer1ificate of Code Compliance from architect or engineer responsible for the building, 6. Submit Planning Board Approval of completed site plan requirements. Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 21 B. For existing buildings (prior to April 9, 1957) non-conforming nses, 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 by the applicant. 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 _ $] 00,00 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. re('4/fr. New Construction: Old or Pre,existing Building: y::. Location of Property: 10<10 '1111. KlF:I?LAiJ lfuf:. House f:,' Street Owner or Owners of Property: 7CRt/4::.. t (!tJe/G UJfl-UJ::.. - Suffolk County Tax Map No 1000, Section ~I Block (check one) S(:rUr/~ 'i:i {m/ m1et .3' Lot 28' Subdivision Filed Map. Lot: Date ofPermit.--.Jl~~ Applicant: LtJR-rlck. Underwriters Approval: Permit No, ;?/[f dj Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: lC~ (check one) Fee Submitted: $ cPS..w 1~ {jJ ~ Applicant Signature (},~.1 0 ~ ror Co:t::.~f~3Y SUFFOLK BUREAUOf EL.ECTRICAL iNSPFCTORS, lie 40 Nottingham Drive, NY 11953 Telephone:1 631 495 8136 . Fax:1631 9806455. E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Raymond Electric Rough In Inspection Date: 4/12/2006 Application NO: 2721 Suffolk County Tax Map NO: 61 3 2.8 Final Inspection Date: 4/12/2006 Certificate NO: 2721 Building Permit NO: 31824 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Wruck Address: 1040 Mt. Beuland Rd, Southold, NY 11971 Address of Inspection Site: 1040 Mt. Beuland Rd, Southold, NY 11971 X Residential Commercial New Addition Service 10 Service 30 Main Panel 8 Ckt Sub- Panel Disconnects Transformers Twist Lock Indoors X Outdoors Renovation Survey Basement 1st Floor 2nd Floor Attic Heat 1 Time Clock Hot Water GFCI Breaker Dryer Recpt Exhaust Fan TVSS Inventory Duplex Recpt 2 Switches 1 GFCI Recpt 1 Single Recpt Range Recpt Appliance Heat Pump Other Equipment: 1-Mineral Springs System Service X Pool Hot tub Garage Shed Other: Ceiling Fix Wall Fix Recessed Fix Fluorescent Fix Ale Blower AlC Cond Electric Heat HID Fix Smoke Det Co Det 1 Pump Emergency Fix Exit Fix 1 Pool Luminaire The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Raymond Electric Inspected by: . Ge~i, Signature: _".~ License No: 5141-ME Date of Certificate: 4/23/2006 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. 31824 Z Date MARCH 3, 2006 permission is hereby granted to: FRANK & CHRIS WRUCK 1040 MT BEULAH AVE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 1040 MT BEULAH AVE SOUTHOLD County Tax Map No. 473889 Section 051 Block 0003 Lot No. 002.008 pursuant to application dated MARCH 2, 2006 and approved by the Building Inspector to expire on SEPTEMBER 3, 2007. Fee $ 150.00 ~ {,'-t-t " J Authorized Signature ORIGINAL Rev. 5/8/02 () If2- Y TOWN OF SOUTHOlD BUilDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] I.!!JUlATION [ ] FRAMING I STRAPPING [v1FINA~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE o //3 fob I / INSPECTOR . .' FIELD INSP$CTION REPORT DATE COMMENTS vJ"" _l"l FOUNDATION (1ST) };I' ~ ~~ ------------------------------------ .\. ~-lc:: FOUNDATION (2ND) " Cf'''' ~l"l Z ~ ~ 11", .-+-.., ROUGH FRAMING & C ~ l"l PLUMBING ~--. ~ :? -T yJ . (' 1--- ~. ~ ~ INSULATION PER N. y, tij STATE ENERGY CODE I I. 1../, IF !7/c k rrJ (~ V / . I /1 "'u. ( ~~ r:-; .#, '" \ C! " f l7 , ./ ';: FINAL ~ "'=- , ADDITIONAL COMMENTS c.,- "' >- C f\ 0 - :E z J\~- 5- ~ -, -, -J l"l ~, :>< I "" V.J- ~ -J ::l 0 z ::= l"l ?_-[!:; 1---.., f+; l"l "" ~ ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SoutholdJ PERMIT NO. qlS;Atf~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic F onn N.Y.S.D.E.C. Trustees Examined Approved Disapproved ale 2/ 3 ,2O<9k- d ~ ,200r;,. 1- - Expiration 1/ D ,20122- I Contact: () Mail to: ~Im IG,1e& rods 471 rZt~ 25ft cJLy pt Phone: 14Ll~IO() \111~ .._'\ r,; \ i -, ", f~ Building Inspector ,. I ',' , l~AR 2 I}. , ~ L --""-'a~Thi; application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 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 have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION 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. APPLICATION FOR BUILDING PERMIT Date m ()...y d1 2- ,200fo INSTRUCTIONS AlL CONSTRUCTION SHALL' OCCUPANCY OR MeET THE REQUIREMENTS OFT " COD~SOFNEWYORKSTATE, USE IS UNLAW~ IIERWRlTERS CERTIFIOATE I Dl-t 0 m t. ~ el.L.l~ It Ave... WITHOUT CERTIFICATE REQUIRED (Mailing address of applicant) Sou+hO\d.. @)fihG@@tj~~\"is owner, lessee, '~br~'I1!fVill', general contractoA~,~lm builder ENCLOSE POOL TO CODE DATE: 8.?t 3 / gd.- ,{ c , BEFO'3.~ "WATER" FEE: ISlJ BY: Nameofownerofprernises H I1.nk ttnd. C,hv, S uJvu..cJc.. NOTIFY BUIL[)!Nc,' ["..".,'AENT AT (As on the tax roll or latesffifi:ea)2 8 N.1 ".' " ~'.' FOf' THE If applicant is a corporation, signature of duly authorized officer FOLLOWiNG 11',,"[': ," \~ . 1. FOVWATIOIJ ,"Iv':' c'::;U'RED FOr, POURED 'c~\' ~;. 2. ROU'0H - F~ /~J,,~,r~G & !:'-LL. 'v18:;JG 3. lNSUU;Tl:"-l 4. FINAL - C,- ." I~" _ .'i,-'f~ MUST BE COMD:"r, r. 'J':.!' ALL CU' T', ': ,,:A',e ~',['ET THE REQUIRi:'/ ",' ~,.<. ex.', OF NEW YORI< ST!\TE. .vo F::,"'i,SI~~:: FOR SIGN OR COUSTRUCTlON ERRORS. o :-tho 1 0\. Hamlet RETAIN ~TORM WATER RUNOFF. 5l)I!\l ," Blocp~sUAAlTO SECTIO~45-1~. t) File0~INOWN CODE. Lot (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other.:rl:ade's License No. .~ ~ i;/r"l 1. 1;oc,ion of and on which proposed j~ ID 0 ~. .'~dll Number Street ~ \If I '^ 1+ d-..lo /5 (; ~ . ;:'~ . <Courtty Tax Map No. 1000 Section A Subdivision (Name) "1-, 2. State existing use and occupancy of premises and' ended use and occupancy of proposed construction: a. Existing use and occupancy , Y\ Ie ' ) {(l I U ~ b. Intendeduseandoccupancy\Y\~l\ \t'\~(()\J.J\ti ~\ d.~)L41 3. Nature of work (check which applicable): New 13t1ilain[.\t,o I Addition Repair Removal Demolition Other Work 4. Estimated Cost 1/ 15:000 - Fee lUd.~ Alteration (Description) 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 existing structures, if any: Front Height Number of Stories Depth Rear Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Depth Rear 9. Size oflot: Front Depth Rear 10. Date of Purchase 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_Will excess fill be removed from premises? YES_NO ~ 14. Names ofOwnerofpremisesJfIll'\t lllYLldL. Address Ib'tO m+.g.(c.da~'-/~)h~neNo. ,&'5- 4101<-L- Name of Architect 1"~~~0(2 Address 116 LlIoe.th{~PhoneNo 3::2.,l-"2-lI.o4 NameofContract& Ddlck.e/ Address 1..\,\ c2-+-e 2.6APhoneNo. lLJL/~8c.oO , '\<.OL-\U.-t l'.-Y 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 " . . - .r. ,..,....---, * IF YES, D.E.C. PERMITS MAY BE REQUIRED. . '. ' i", 16. Provide survey, to scale, with accurate foundation plan and distances!o property lines. ..J'. - 17. If elevation at any point on property is at 10 feet or below, must provide topographical dat\\ on survey. , ,. ...' " I , STATE OF NEW YORK) SS: COUNTY OF ) ~ l!L1'I..d.. '1 '\ (? od ec.lce...v- being d~;Y sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the torrlla.d-z>-' (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 kn7JfOI ge nd beliVnd that the work will be performed in the manner set forth in the application filed therewith. . ~ ~~<-e.A- f ~ Sworn to before me this ~ ~ ~ !J.-. day of Ok:> f~i~ &~ W/UA.~ n!pi Si ature of Applicant Hnd.~ III ~ll.Gl . ilij , ;," ,.;Pi "KATHLEENQUlGLEY ~. 10( ~;~~RY~~t:~1~4-YO<k ~ ~ Qualified ill SufIoIk County COmmission Expillls April 25. 20~ '1 ~ II f NO. 1563 I SClllf: '.'30' , i ! " , - Lu ~ ~ ::> C5 ;,; <( :r: ... ~:5 ~ ~::> "Lu !(Q II- , I~ 0 I ::; I 1<U: souNO '-I1't.VI cNU't. ,,'-1<- HBB'(WW"f210,5/J' .- "" f'., . ~ ~.J ~ gg N :!ti ; i - . . ~ ! ...." . II ..~~ . I . "".. :... i:> :: :;i SlIB'lH'.50"WZOO,41' ~m2/712002(Fl1IN.) ~mll/l0/2000(FrJuNO.I.OC.) DATE: 10/1/98 /./7// \ SURVEY OF LOT NO. 5 MAP OF MOUNT BEULAH ACRES SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK F: 5/29/1981 MAP NO. 6984 S.C.T.M. NO. IOOQ-5J-J-2.8 AREA ~ 44.074 SQ, FT. ELfVAnONS ASSUMED DAWM NOTE: OFFSfTS TO FOUNDATION eE:.;.;=....:E.-. _......."..."-_..._.._..~,,... ____or..,,,______ --------...-- ----------.-- =::::=_'".:...::.~-_....._- __a....'_....._.. ...._....,,..,.""... --_"...__...11_..__"....-.- ---------..--- -.--.-......... fZ.lo '"loa ':>/.52. 'I PAT T. SECCAFICO PROFESS IONAL LAND SURVEYOR, P. C, .'UCCE'SOIlTO- DONALD rASE, L.S. RICHARD WILHELM ......"W1U PROFESS IONAL LAND SURVEYORS ., c..". ~'u.' ,,,."", h...... ,"U "'........"." 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