HomeMy WebLinkAbout32130-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/07/06
NO: Z-31658
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1070
(HOUSE NO.)
County Tax Map No. 473889 Section 33
WESTWOOD LA
(STREET)
Block 2
GREENPORT
(HAMLET)
Lot 18
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 19, 2006 pursuant to which
Building Permit No. 32130-Z
dated
JUNE 19, 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 ALFRED HARBICH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-505536
n/02/99
PLUMBERS CERTIFICATION DATED
N/A
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:
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.'J\Approval of electrical installation from Board of Fire Underwriters.
. ';('JSwom statement from plumber certifying that the solder used in system contains less than 2/10 of I % lead
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a cerlificate
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 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 - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00 TEL.t;177-IIJ6
5. Temporary Certificate of Occupancy - Residential $15.00, Conunercial $15.00
Date. :r:/N': 2". 2o<>t;
,
New Construction:
t/
Old or Pre-existing Building:
( check one)
Location of Property: 10 7 b
House No.
w",,,rw,,o)> J...ANt:
Street
f,REeNrt?RT
Hamlet
Owner or Owners of Property:
11 J.. rp. ""D H. H A R 1:5 i c. 1-1'
Suffolk County Tax Map No 1000, Section
Subdivision
o 3~
Block
() 0 0 'Z.-
Lot
Olg
Filed Map.
Lot:
Permit No. 32J 30 'l.-
Date ofPermit~/ 19/0(,
Applicant:
Health Dept. Approval:
Planning Board Approval:
_ Underwriters Approval:
Request for:
Fee Submitted: $
d.'S; ,DO
1/
( check one)
Temporary Certificate
Final Certificate:
~.76S'J..~
Co c3r'5 ~
Vi:S;fI./~""'Z
Applicant Signature
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.
32130 Z
Date JUNE
19, 2006
Permission is hereby granted to:
ALFRED HARBICH
1070 WESTWOOD LANE
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 25999.
at premises located at
1070 WESTWOOD LA
GREENPORT
County Tax Map No. 473889 Section 033
Block 0002
Lot No. 018
pursuant to application dated JUNE
19, 2006 and approved by the
Fee $
150.00
Signature
Building Inspector to expire on DECEMBER
ORIGINAL
Rev. 5/8/02
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)
e..-A 3 '~l3 D
PERMIT NO. 25999 Z Date SEPTEMBER 20, 1999
Permission is hereby granted to:
ALFRED HARBICH
1070 WESTWOOD LANE
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL & FENCE TO
CODE AS APPLIED FOR.
at premises located at
1070 WESTWOOD LA
GREENPORT
County Tax Map No. 473889 Section 033
Block 0002
Lot No. 018
pursuant to application dated AUGUST
Building Inspector.
23 1999 and approved by the
Fee $
150.00
ORIGINAL
Rev. 2/19/98
~~~~~~&P ;;)<;~e;;~-----
It}J129\:~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
~:'F~;:;r.
I
Date
No\rEHBER 02,1999
Application No. on file
1.,:~__::':' ,J(;:':"~~/'~::':;
2'; =,O::,5:.?~~,
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
FoL HAHBICH, 1070 tlEST HCOD LA, GHEENPORT, tf'
in the following location; D Basement 0 1st Fl. D 2nd Fl.
OCTOBEH 25,1999
OUT
Section
Block
Lot
AMY.
AMP.
NO. OF CC CONDo
PER"
A.W.G.
Of ce. CONDo
NO. OF HI-LEG
A. W.G.
OF HI-LEG
NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
was examined on
and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT FLUORESCENT
OTHER
RANGES
AMY. K.W.
COOKING OECKS
AMT. K.W.
OVENS
AMT. K.W.
DISH WASHERS
AMI. K.W.
EXHAUST FANS
AMT. H.P.
1
,
"
1
AMT. K.W.
OIL
H.P. GAS
H.P.
AMI.
NO.
A. W. G. AMI. AMP. AMT. AMPS.
BELL
TRANS.
UNIT HEATERS MULTI-OUTLET
SYSTEMS
AMI. H.P. NO. OF FEET
DIMMERS
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
AMT. WATTS
1
20 1
40
TYPE
NO. OF
METER
EQUIP. 1 e 2W 1 e 3W 3 e 3W 3 III 4W
S E
R
V
C
E
SERVICE DISCONNECT
OTHER APPARATUS:
S\VIHHING POOL-l
GFCI..1
'(SWI~n1ING paOLi This certificate
covers compliance at the date of
inspection only, Because of unusual
environments it is advisable to
have frequent test/and or repairs
made by a qualified person.
<<< Continued on Page 2 >>>
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Ll2~
GENERAL MANAGER
Per
This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
P:~~.r~;E ..,
10(~') 1.2 90
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
I
NC~\1~HBER 02,1999
::. Q2'i;6:-;:'::: 1:1S:
Date
Application No. on file
N 5e~.53E
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
AL HA,IlilICH, 1073 IIEST \'/000 LA, GREENPORT, NY
O 0 0 OUT
in the following location'!'. Basement 1st Fl. 2nd Fl. Section Block
'd OC OBI~R 25,1999 d b I h h 'I I 'I C d
was examine on and foun to e in comp iant.-"e wit t e Nahona E ectnca 0 e.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT FLUORESCENT
RANGES
AMT. K.W.
COOKING DECKS
AMT K.W.
OVENS
AMI. K.W.
OTHER
DRYERS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
BEll
TRANS,
FURNACE MOTORS
AMT.' K.W.
OIL
NO.
A. W. G. AMI. AMP. AMT. AMPS.
H.P. GAS
H.P.
AMT.
SERVICE DISCONNECT
NO. OF
METER
EQUIP. I 1 2W 1 1 3W 31 3W 3' 4W
NO. OF Hl-LEG
S E
R
A. W, G.
OF CC. CONDo
V
NO. OF CC CONDo
PER 0
AMT.
AMP.
TYPE
OTHER APPARATUS:
C-CAT CO./DAVE CHESHIRE ELECTR
9280 SOUND AVE
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':~---!J"~' . ~F' ' .'" .
..~~ ,~~~4j~-
IffiTTITUCK, ~rl, 11952
Lot
DISH WASHERS
AMT. K.W.
EXHAUST FANS
AMT. H.P.
UNIT HEATERS MULTI. OUTlET
SYSTEMS
AMT. H.P. NO. OF FEET
DIMMERS
AMT. WATTS
C
A. W. G.
OFHI.LEG
E
NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
Ll2~
GENERAL MANAGER
11
Per
This certificate must not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS
MUST NOT BE ALTERED IN ANY MANNER.
3 2 I 30 ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [] ROUGH PLBG.
] FOUNDATION 2ND [] IN~TION
] FRAMING I STRAPPING [~NAL
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
b/J3/0C
/ I
INSPECTOR
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FOUNDATION
~
( 1ST)
ROUGH FRAME [,
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
==========================================================================================
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.Y. 1]971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEy........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL c2.t t. 77 .5.6 f.~ . . . .
Exanined................. .
Approved......~J.~......
19....
'i''l
19.. ..
Permi t N:l.
3') 130 (ei\...;
)- ~~......
. .,=".J. r.c or. ih-.
MAIL TO:....................
......................................
Disapproved alc ..................................
a............".........................
.............................................. ............
.... (~ii:;iA:;/~'~" -
INSTRUCTIONS
Date...'f!~~...... .19.9.9
APPLICATION FOR BUILDING PERMIT
a. This application DlJSt he ~letely filled in by typewriter or in ink and subnitted to the Building Inspector wit
3 sets of plans. accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of wildings on prenises. relationsbip to adjoining prenises or pililic
streets or areas. and giving a detailed description of layout of property DlJSt he drawn on the diagran ..tIich is part of
tiis application.
c. The..,rk covered by this application ""y not he camenced hefoIj issuance of Building Permit.
d. Upon approval of this application. the Building Inspector ,rill ISsue a Building Pennit to the applicant. Such
~rmit shall he kept on the prenises available for inspection throughoot the ..,rk.
e. N:l wilding shall he occupied or used in ..tIole or in part for any {lJIllOse ..tIatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLlCATIlJI IS IEmmY ~ to the Building llepartnElt for the issuance of a Building Permit p..trsuant to the
Building Zone Ordinance of the Town of Southold. &.ffolk Camty. New York. and other applicable Laws, Ordinances or
Regulations. for the construction of wildings. additions or alterations. or for renoval or dermlition..as herein
described. The applicant agrees to ~ly with all applicable laws. ordinances. wilding code. bousing code, and
regulations. and to adnit authorized inspectors 00 prenises and in wilding for necessary inspectioos.
... .(?f;;:1.{.f<.'?... J.1~?-J:. ~.:.............
(Signature of applicant. or nane. if a corporation)
/:.~. -:(.J.~I.. ?1.)..1.1t t!mf?{.P.(r...~.....
(Mailing address of applicant)
State ltbether applicant is amer, ,lessee, agent,., archit~tJ engineer ~ general contr~~t9~ ~; ~lectl!.~,il~\ ~\~r or builder..
./:" "-L. _A--.-, Nt? I'"'..n - - ~ 1?'r:-?rJ"T- ." _, ,. ,- .. . I
............................... <.:.s1.u";YUr.~J""""'''.'' ..~~.1:':1........... ':~............ ..~ ...:....r,. .,f..,....,...::>.~ .... ".. ....to..............
~ .~LA-l ' l~" lCf.!. ';,:,;~ .". ,)'c ,,;".
Hane of owner of prenises .......(~.~::.~~~~.:~;.i~~;.;:~t~. . ...........:.~;"t'..-'.,.....,................
of duly authorized officer.
-
~ ..'
.....................
Builders License N:l. ...?~>.18.o...I4...
2.
Plumers License No. ............ ... ..... .....
Electricians License N:l. ..e.:..c.nr:...':.{JLhJf>(~
Other Trade's License No. ....................
I. l.Dcatioo of land on ..tIich proposed ""rk will be dooe..............................................................
.......I~2.O'..........~(;f~.~.....,"~t................(J~r:?Yl':....~'.......
House lbIber Street lIanlet
Camty Tax Map N:l. ](XXl Sectioo ...3.3......... Block ....;L......... lDt ..l.f:'..........
&IDdivisioo .../;?JSi2J!'P./.'(..S~..... Filed Map N:l. qqZC....... Lot .....~.J:.......
(Hane) S-#Cl1IJH # 1-
:~;::::i:: ~ :=.~~.=~~if(V!~;1.7~;~;:.;;~~;~:~~~,::......
'A1('o'i 'Wt'. ,-' .
h AJ>I/;l. //~.< J flU' '-~bo" ,..:
b. Intended use and occupancy ... ... ... ... ... '!.l:f.jJ !....~,... ... ... 'L'~" ... .../.'._... . X.. ..... .....
4.
I'.,ture of work (d>eck ..hid. applicable): New Building .......... Mdition ....('1:... Alteration iA....../ii
Repair............ Raooval ............. llemlition ............ Other I<<>rk J.W.II:f;t.~(~L;:'P.~<:-1:.. 7P.t!:t-
(Description)
EstinBted Cost..... -R~.~.~... ... fee ................ ............~... .t....~ .~....
~to be paid on filing this application)
5. If a""lling, rAJ1ber of dwelling .mits ............ tUJi>er of dwell ing wits on each floor................
3.
If garage. nt.I1i>er of cars....o........... .0....................
6. If business, conrercial or mixed occupancy~ specify nature and extent of eadl type of use......................
7.
Dimensions of existing struc~reSt if~: Front................ Rear ............... Deptll
lleight ......................... tUJi>er of Stnries ......................
DillEnsions of sare structure with alterations or additions: Front ............... Rear ...............
Depth .................... lIeight ...:................ lblber of Stories ...............
8.
Dimensions of entire new construction: Front ................ Rear ............... Depth
lleigjlt ......................... tUJi>er of Stories .....................
9.
10.
II.
12.
13.
14.
Size of lot: Front.................... Rear .................... Depth
Ilate of PurdlBse .............. _ . . . . .. Nare of Forner Oroer _.......................................
Zone or use district in lIilidl premises are situated ........"... .(?(fS................... ..........................
IXJes proposed construction violate any zoning law, ordinance or regulation: ........&...........
Will lot be regraded .................... Will excess fill be reIID\1ed fran premises: ~ tV
Nan>s of Oroer of premises ..ll:...I~<~f..... Mdress .Jl.I!:W!~?:':C........... Phone No. ..............
Nare of Architect .................................... Mdress .............................. Phone No. ............._
Nan> of Cootractor . .(lt1J-.l/r.... p.~,::~............ Mdress . ..'11.If.m.1J!:ti:(~...........Phone No. 29:'1. tif.rJJ..
Is this property witl,in 300 feet of a tidal wetland? * YES 0.... ...... tV.. X....
*IF YES, &lJJlDD "IIDIlllllSlEES l'ERfiT HAY BE RF.CpIRIID.
15.
.
PLOT DIAGRAM
locate clearly and distinctly all buildings, liiletller existing or proposed, and indicate all set-back dmensions
iran property lines. Give street and block rJ.JJber or description according to deed, and show street nares and indicate
w'lether interior or COTOer lot.
)/%
mY7JeIfrsro
APfP. VEO AS tl(LED
J' 'lILO'lItBP#..lS777~
S''--< I~T~ l')j co ~~.
'FEe~ '1 . 0 BY, -
_ NOI'I~Y BUILDING DARn NT AT
765.1802 9 AM TO 4 p;;, iC , fHE
FOLLOWING INSPECTIONS
1 FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING
3 INSULATION
4: FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. .
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N{
STATE CONSTRUCTION & ENERCY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
"IMMEDIATELY"
ENa.OS& 1'OCIl.1O COD!
UPON COMPLETION
BEFORE ,,*TER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
UNDERWRITERS CERTIFlCAlE
REQUIRED
SrJ\1E 01' l'HI Yl~lK,
W1NIY (X' ... ..Jkr~~~.. liS
......jl.C?~../f..!;;J..4!r.....~:.......____...being duly swom, deposes and says t!lBt he is tile applicant
(Nare of individual signing contract)
above """"',
lie is the ..................... ~.7J:t:.:&.:c.~.... ....................... ._........ ................
(Contractor, agent, corporate officer, etc.)
of said <Mler or owners, and is duly authorized to perfonn or have perfonred tile said work and to make and file this
application; that all stat....,nts contained in this application are true to the best of his """"ledge and belief; and
lhat tile work will be perfonred in tile mam",r sef forth in the application filed therewith.
Swom to before lie this
......~.3.......day of y-::5:J~?"
NotaryPubl~ ... ..~...
alZABETH A STATHIS
NOTARY PUBLIC, Slaleof NewYoltt
No. 01ST6008173. Suffolk CoutrtY
loon Expires June 8, 20~ .
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ALL CORNERS ARE f/' RADIUS. EIJEfiY
JOINT USES A BRACE. ALL CORNER
SECTIONS ARE I' X I'.
SIZE A .S C 0 E F G H J . l
No18: Diagonals given to 14 )( 28 14' 28' 7' 30 S' IZ' 0' 4' 4'6 5' 3'S"
90" point ol comers. 16')( 5 '6' 3Z' 8' )' 8 14 56 4'6 4'6 7' 4'S"
18'X 36 'a' 36' 8,. 3'4 I ,. 5'6.4'6. 46 9' 4'8"
20X 4 20 40' . 3'4". - I 7' 4' 6' a' 5'2
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NorE~ TVF'E 0 POO1. . INS.fAL1.A.nON Of
OlVIh'O E.QUIPMEHT.IS PROJWllTEO
16' J. '32' RECTANGLE
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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DIST.
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FARM
BUILDING CONDITION
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Acre
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