HomeMy WebLinkAbout31534-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31903
Date: 10/05/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 235 LATHAM
(HOUSE NO.)
County Tax Map No. 473889 Section 15
LA
(STREET)
Block 9
ORIENT
(HAMLET)
Lot 1. 26
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 12, 2005 pursuant to which
Building pennit No. 31534-Z
dated
OCTOBER 18, 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 WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to JOANN BREITNER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2481
03/12/06
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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. 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 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:
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 applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
I. 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 --_.- ..- _ ,
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3. Copy of Certificate of Occupancy - $.25 : r, " i""
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 i r, OCT - 32006
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Date.
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New Construction:
House No.
Old or Pre-existing Building:
A. 3 S- L 4Tl-lif/h LAN~
JoA-N,J
IS-
f/1S'j
Hamlet
Location of Property:
Owner or Owners of Property:
Suffolk County Tal' Map No 1000, Section
Block
Lot -.J _ 2."
Subdivision
Filed Map.
Date of Permit. to -'8-m Applicant:
Underwriters Approval:
Lot:
Permit No. 3 I S'3Lf 'l
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
( check one)
Fee Submitted: $
~.7/1.23
c.o.z-31~O~
SUFFOLK
BUREAUOf
ELECTRICAL
INSPCCTORS,inc
40 Nottingham Drive, NY 11953
Telephone:1 631 495 8136. Fax:1631 980 6455. E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPUANCE
Applicant: Raymond Electric
Rough In Inspection Date: 2/4/2006
Application NO: 2481
Suffolk County Tax Map NO: 15 9
1.26
Final Inspection Date: 2/4/2006
Certificate NO: 2481
Building Permit NO: 31534
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: Breitner
Address: 235Lathem Lane, Orient, NY 11957
Address of Inspection Site: 235Lathem Lane, Orient, NY 11957
X Residential Indoors Basement Service Shed
Commercial X Outdoors 1st Floor X Pool Other:
. New Renovation 2nd Floor Hot tub
Addition Survey Attic Garage
Inventory
Service 10 Heat Duplex Recpt Ceiling Fix HID Fix
Service 30 1 Time Clock 2 Switches Wall Fix Smoke Det
Main Panel Hot Water 1 GFCI Recpt Recessed Fix Co Det
8 ckt Sub- Panel GFCI Breaker 1 Single Recpt Fluorescent Fix Pump
Disconnects Dryer Recpt Range Recpt AlC Blower Emergency Fix
Tra nsformers Exhaust Fan Appliance AlC Cond Exit Fix
Twist Lock TVSS 1 Heat Pump Electric Heat 1 Pool Luminaire
Other Equipment: 1-Mineralizer (pool winterized at time of inspection)
The electrical work and/or equipment described above were inspected and appear to be in compliance with
local, state and national electrical code requirements end this office.
Raymond Electric
License No: 5141-ME
Inspected bY:4~ Surdi
Signature:. /'
Date of Certificate: 3/12/2006
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.
31534 Z
Date OCTOBER
18, 2005
Permission is hereby granted to:
J BREITNER
105 VOORHIS AVE
ROCKVILLE CENTRE,NY 11570
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
235 LATHAM LA
ORIENT
County Tax Map No. 473889 Section 015
Block 0009
Lot No. 001.026
pursuant to application dated OCTOBER
12, 2005 and approved by the
Building Inspector to expire on APRIL
18, 2007.
Fee $
150.00
t~~
! Authorized Signature
ORIGINAL
Rev. 5/8/02
-".'
3/s}f z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULAT~. ~
[ ] FRAMING I STRAPPING l><1 FINAL 0 t7y
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: fl M ~ r~-
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DATE 1-7-{)~ INSPECTOR ~ ~
S !03~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] ~ULATION
[ ] FRAMING I STRAPPING [;f'"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE??; /Ob
INSPECTOR
I
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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COMMENTS
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ADDITIONAL COMMENTS
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PERMIT NO. _~Jn ~h
BUILDJNG 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
Contact: I } n
Mail to:,qI,.OIil'\ \C.I~ ""001]
_Lt"1\ (l,.\-~'2..6 ilIY]I'tP+
. Phone:::l!l.!! ~ IDO ~ 11 S
'OWN OF SOUTHOLD
~Ull,DING DEPAkTMENT
'OWN HALL
OUTHOLD, NY 11971
'EL: (631) 765-1802
'AX: (631) 765-9502
,xamined
.pproved
>isapproved alc
10('?; .20 P ~ ,
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10 rf ,20-'LL
f
:Xpiration
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I Building )"nspector
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, \')' ~..sS""r_l"':r,, INSTRUCTIONS
, ,'~rS .'
a. This a lic ~Jl'\ ST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
~ts 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
reas, and waterways. '
c. The work covered by this application may not be co=enced 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
1all be kept on the premises available for inspection throughout the work. '
e. No building shalJ be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
sues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized hM not co=enced within 12 months after the date of
suance or has not been completed within 18 months from such date. If no zoning am""rlm""ts or other regulations affecting the
'operty have been enacted in the'interim, the Building Inspector may authorize, in writing, the extension of the permit for an
ldition 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
lilding Zone Ordinance of the Town of South old, Suffolk County, New York, and ,other applicable Laws, Ordinances or
~gulations> for'the construction ofouildings, additions, or alterations or for removal or demolition as herein described. The
,plicant agrees to comply with all applicable laws, ordinances, building code, housing cod d regulations, and to admit
.thorized inspectors on premises and in building for necessary inspections.
ICATION FOR BUILDING PERMIT
Date 06h:/oe/ II
,20~
ALL CONSTRUCTION SHALL
M!Ef THE ~EaUIREMENTs OF THE
CODES OF NEW YORK STATE. 5'ltf- lAOf\o.. Dr, ffie...l-Ji I k tJ...1
IlaRwRITERS CERTIFICA f!: (Mailing address of applicant) 1\ '147
ate whether applicant is owner, lessee, agent, al/ll~ engineer, general contractor, electrician, plUmber or builder
U exv ~'l ~i~e-r--
une of owner of premises IS Lo-.v0.' ':::. l2nO d y \ e...Orle: fD r. B.P.' 315"3 b
.. .. ' ~As on the tax roll or latest deetik /JD BY: ~~L
apphcant 1S a corporation, SIgnature of du1y authonzed officer NOTIFY BUilDING DEPAR"i'JENT AT
765.1802 8 hM TO 4 PM FOR THE
FOllOWING INSPESTJONS:
1. FOUNDATION - ~\VO REQUIRED
FOR POURED CJI,CRETE
2. ROUGH . FRAI~ING & PLUMBING
3. INSULATION
4. FINAL - CONS1.1UCTION MUST
BE COMPLETE ;:OR C.O.
ALL CONSTRUCTION SHALL MEET THE
FF .... .".,,8 I eMENTS OFTHE CODES OF NEW
\eA-t.~{:;.;~. ft. N,pT RESPONSIBLE FOR
:tt . ~'h'i~nlt'fM"lt:\i:";
, . ('\ !1l<1:\t>t'i;,.:.j "<Jlit?! "
Lot I. d-~
"IMMEDIATELY'
ENCLOSE POOL TO CODe
UPON COMPLETION
BEFORE "WATER"
(Si lure of applicant or name. if a corporation)
(Name and title of corporate offi.cer) OCCUPA~CY OR
l4-l~ H WFUL
I
RTIFICA TE
OE-OCCUE!NCY
cilders License No.
nnbers License No.
~tricians License No. d--./Q,6
b.er Trade's License No~
Location of land on w . ch propos
~ ~ \~
House Nl.UTIber Street OF THE TOWN CODE.
15
"'<WATER R
;ounty Tax Map No. 1000 Section
'bdivision
Block D Cj
Filed Map No.
Lot
/'
-~
a. Existing use and oc;:upancy .c5 I ~ k ~1)1 iI L1 f.e.sv).ef1. CR
,
b. Intended use and occupancy I n ~.lI L rlB( D U Ni pO 0\ I B '-I ~Er .
3. Nature of work (check which applicable): New B1!illlm~ .{/Oo L Addition Alteration
Repair Removal Demolition Other Work
(Description)
o 4. Estimated Cost
o 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 existing structures, if any: Front
Height Number of Stories
Rear
Depth
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
Rear
Depth
9. Size oflot: Front
Rear
Depth
'.
;;' " -,.~
"~.o",, I
'''':''<''
10, Date of Purchase
Name of Former Owner
11, 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 ~_ Will excess fill be removed from premises? YES_NO ~
14. Names of Owner ofpremisesGe.<o.(d 6Ui-tnif Address ~?,"S La.r(j<:>Gnd Phone No: (031- ~~3-;).=?51
Name of Architect leu.l.Jon~ Address~honeNo ~?,I~;;I-I05
NameofContract6r~l\lll.A_ 0 ~ Address Ll-ll tlfR Z5f.1. PhoneNo.~
'l<o~ Pi--
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 R$QUIRED.
b. Is this property within 300 feet of a tidal wetland? '" YES_NO ~
* IF YES, D.E.C. PERlv1ITS 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 bc1P:W'~~'l3\'-P~ffiJaphica1 data o~ ~y~ '-'ii, '
0.',.: -:;," ';;~~ 0 0 ";co..q 38C. .'
STATE OF NEW YORK) , .., ".~ 2:l,~~~; - ';10iT:ij:iM'oo i'lO~l
SS: 'fbTAW' 3RO'l38
COUNTY OF ) ~:'~ Oc~'!PWR3tMIJ
Ge;(~(d (3{(.i.f-nW- being duly swoi'n;;d~oses and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
OLUf\.eY
,..( COll.tractor, 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 applicatic
that all statements contained in this application are true to the best ofhis knowledge and belief; and that the work will be
performed in the manner set forth in the application fil~~c\C;~~Aq" ,"'
,U TvV':, U80V
Sworn to before me thi;. JU']WAjIAU ...., 0 ,
---3\ day f U 20!t~' 1, Yl c,I ,)
. .~i1iT83J Tun' r;'
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NoTAm'~;ll'l*,c:.I'lewYort<' JOt.?.. ,....', i ~j3? (,;: 1 ~...c. jC,,\;q
Q, ,~COunIy n~ .,3000 ~WOT 31-1T ,0
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Lot ny,mbe's refer to "Mop of Land's
End" filed in the Suffolk County Clerk's
Office on 'hy 3, 1973 os File No, 5909
SURVEY OF PROPERTY
AT ORIENT POINT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
1000-15-09-1.26
SCALE: 1'=40'
AUG. 26, 1999
A(J(i. 3(}, I ~99 I rev/t;lon J
Sltflr. 2t4,ep,0I ( j?rop,h,,,, J
NOV. 14, '2(ll)1 Cctln(;. foundi1llon J
Feb. 25, 2003 (fino/)
170.00'
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FLOOD ZONeS FROM FIRM
36103C()086 5/4198
if>~
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,
The location of wells and cesspools
shown hereon ore from field observations
and or data obtained from others,
eJ= 9.&
LANE
E;:levalions are referenced 10 the Five
Eastern Towns Topographic Maps.
49618
. =monument
. =pipe
AREA = 41,085 sq. ft.
ANY ALTER.4 TiC'N OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTIC'N 7209 OF THE N[W '(ORK STA T[ [OUCA TlON LA W
EXCEPT 45 P[" S[CTlON 7209-SUBOIVISION 2 ALL C[RTlFlCA TlONS
H[R[ON AR[ ,AUO FOR THiS MAP AND COPI[S TH[R[OF ONL Y IF
SAID MAP :JR COPI[S B[AR TH[ IMPR[SS[D S[AL OF TH[ SURVEYOR
WHOSE SIGNA -JF?[ APP[ARS HER[ON,
11971
99-296
10"
43' -2"
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PLAN
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COPING< ANI? W/iK
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NOTES
fO flVrfR
fROM f1l rfR
fROM 5KIM1"R
fUER fN17 PUNf
fO RElUNS
fO WP&rf.
PLUMBING SCHEMATIC
A
WAffRUi'f "
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RCUW fOiWI OC1WE'fN
UNER ANI? CC'l'mff
;8
..
,
,
4 ."
.
fOPJA 11ES
7000 PSI POJZE'I? CONCRErf.
VINlt Ut-fR .'
2" 10 'I" SANI?
<
l. 5rm::1Uf ISOCSl(.NW fOP. lISt Bf:t..ONCPJ'{Jf. fNl?GH_YIt-1 !'PiAS
WrERE 1l't c.RGUI'JQ WAfER rmu: 15MN"lIifjJoAGf '1'-8" Bf:LO'"
i1-f: PRCK'OS€:O fINI9-fO CP.N7?
2. llACKflLl W1111 CUN~ EN?.rrl~'fR:;c a R(XirSN-10 OfBRl'? DONor fV.J}tt
!}f: f'fla1rOf C>AG.fILL rOE;(.CEW nf: I'fla~fa fort Wr.fER IN (Ii' PO(,t
BY MCRt ftY'N 8"
5_ WN.,(..S fOB::: SMoorrl. rlCN SlID riP,.9..Gf'COHNf,Yf?[)Iil?OO_
<1. WA"rt:ROISf'OSJ'L W.!..L Be ltMlicO fOOfAJfR5PRCfYd?fY rO<;.tJlf
LOfJL CONOIW/t-tS
WALL SECTION
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