HomeMy WebLinkAbout31249-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31929
Date: 10/20/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1950 HARBOR
(HOUSE NO.)
County Tax Map No. 473889 Section 103
LA
(STREET)
Block 1 Lot
CUTCHOGUE
(HAMLET)
20.11
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 30, 2005 pursuant to which
Building Permit No. 31249-Z
dated
JULY 5, 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 IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to STEPHEN & SUZANNE CONLIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
1714
08/21/05
PLUMBERS CERTIFICATION DATED
N/A
~~
Authorized Signature
Rev. 1/81
I" \
oJ}, P9- 7169
Form No.6
, ,I 5 '. TOWN OF SOUTHOLD
BUILDING DEPARTMENT
l L ~-;:-, .".o,_.J \ TOWN HALL
. ..--JSi_~._,,;~,T;'Q1!L--l 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 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
I 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
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. '-(t3-~
Old or Pre-existing Building:
fCjfO ~LL.A:J.
House No. Street
~~::r P~~/I c;(;OC/A/
I'f!J5 Block (JdX;J (
x
(check one)
&r~~
New Construction:
Location of Property:
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision i=. Filed Map.
Permit No. 34 -Z Date of Permit. t?-'?()~t!J.5.- Applicant:
Lot ~6J//
,
Lot:
Health Dept. Approval:
Planning Board Approval:
.s.CiW~~~7d
c
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
X (check one)
~~
Fee Submitted: $ ~J:d/()
~. '11111
CO:t: :7/~.21
SUFFOLK
BUREAUOf
ELECTRICAL
INSPECTORS,inc.
40 Nottingham Drive, NY 11953
Telephone:1 631 495 8136. Fax:1631 980 6455. E-Mail: SBEI1@hotmail.com
CERTIFICATE OF ELECTRICAL COMPUANCE
Applicant: Avey Electric
Rough In Inspection Date: 8/4/2005
Application NO: 1714
Suffolk County Tax Map NO:
Final Inspection Date: 8/4/2005
Certificate NO: 1714
Building Permit NO:
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below and installed by the Applicant named above, and located at the premise of:
Owner: Conlin
Address: 1950 Harbor Lane, Cutchogue, NY 11935
Address of Inspection Site: 1950 Harbor Lane, Cutchogue, NY 11935
X Residential
Commercial
New
Addition
Service 10
Service 30
Main Panel
8-Ckt Sub- Panel
Disconnects
Transformers
Twist Lock
Other Equipment:
Indoors
X Outdoors
Renovation
Survey
Basement
1st Floor
2nd Floor
Attic
Service
X Pool
Hot tub
Garage
Shed
Other:
Heat
2 Time Clock
Hot Water
GFCI Breaker
Dryer Recpt
Exhaust Fan
lVSS
Inventory
Duplex Recpt
1 Switches
1 GFCI Recpt
Single Recpt
Range Recpt
Appliance
Heat Pump
Ceiling Fix
Wall Fix
Recessed Fix
Fluorescent Fix
AlC Blower
AlC Cond
Electric Heat
HID Fix
Smoke Det
Co Det
2 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: Avey Electric
Inspected by: ~
Signature: ~---..,
License No:
2069-ME
Date Certifiate Dale: 8/21/2005
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.
31249 Z
Date JULY
5, 2005
permission is hereby granted to:
S CONLIN (CHITUK)
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED
TO CODE
at premises located at
CUTCHOGUE
1950 HARBOR LA
County Tax Map No. 473889 Section 103
Block 0001
Lot No. 020. Oll
pursuant to application dated JUNE 30, 2005 and approved by the
Building Inspector to expire on JANUARY 5, 2007.
Fee $
150.00
fr.~L~ W L-
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
J/;)-Jfl2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION 7_ /J
[ ] FRAMING I STRAPPING l><!FINAL ;tJ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: rr-" _ Il
~~ -~ ork~
r:-~~ C0t;t. ~ 'J2,
DATE
8"-?-t-(J t
I
INSPECTOR ~~
J )J.-'f, z
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] INSULATION ? \
[ ] FRAMING/STRAPPINGiNFINAl C!:~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
~13f-I:z::~~
~~.~~
~," F~'0- ~
~ ,4-0- W- ~ ~
~~ d-~~~~
DATE ~ - ;;... - 0 ~ INSPECTOR ~~
3/ ~t~ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
'- 765.1802 ~~
tM1PLAtflJr INSPECTION ~
~.
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
o ( ,
REMARKS: fm t4- ~ ~
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DATE 3 - ~7/'o~
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INSPECTOR ~ ~
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FIELD INSPECTION REPORT DATE COMMENTS ..~
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FOUNDATION (1ST) ~J
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FOUNDATION (2ND) ~fii
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INSULATION PERN. Y. ..,
STATE ENERGY CODE .---,..--.. "
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ADDITIONAL COMMENTS ~
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/ PERMIT NO.
t3J~f?v
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 v
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved ale
~fr ,20~
~ 20E.5:
l
Mail to:
@: 7'?<(-7b ~"
Expiration I /) , 20~
'I
LI '." ,
I__.J
I . - aL.D',-~. DEFT.
L.JQWN OF srUT:~Ot.D
Ic~-
t Building Inspector
APPLICATION FOR BUILDING PERMIT
Date /"hJ
,20~
INSTRUCTIONS
a. This 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 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 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.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance ofthe Town of Southold, 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.
.- ""- /'A#7ult rva:.-S Jj'D.
"IMMEDIA TEL ~~') IlNDERWRJJERS CERTIFICATe. (Signature of applicant or name, if a corporation)
E~~ECfci~~~U~I~DE . 'REOUIRED- '70 -:Box 'i &?~LcS'.;'.A/~ /1~3-s
BEFORE "WATER. T ON ....~Ib (Mailing address of applicant)
/ ALL CONSTRUe I ~nRt:.
State whether applicant is ~~lesse~~tM~ contractoAPPAtWBt),A$1N0iS) builder
~... .,./ ~QFNEfi,~" I Akl 3iff)b
6'~oT1 ~~:~A~~~~~~;~~~ :~!1~1=~::~: iiCJO ~ :~ ~t: .
Name of owner of premises 5,;;T/F'J>#EA-J r ~lFliiIi4FQWS r.OORJLhV NOTIFY BUIlDlk3 DEPARTMEN, AT
(As on the tax roll or lates~aa)l2 8 AM TO 4 PM FOR THe
If ap licant is a corporation signature of duly authorized officer FOllOWING INSPECTIC,NS:
- R 1. F6uNDATION - TY>O REQUIRED
. . FOR POURED CO",CRETE
(Name and tItle of corporate offi'ief~E IS UNLAWFUL 2. ROUGH _ FRAMING & PLUMBING
Ub.. . . I ATE 3. INSULATION
Builders License No. ,# ..' .., ", .IF (3 4. FINAL _ CONSTRUCTION MUST
Plumbers License No. ,f V BE COMPLETE FOR C.O.
Electricians License No. O~ ALL CONSTRUCTION SHAll MEET THE
Other Trade's License No. REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
I. Location of land on which proposed work will be done:
J9<"CJ H/1'JlR(J7Z ~
House Number Street
1!-u7~1-hJt'!,1/E:
Hamlet
County Tax Map NO.1 000 Section
Subdivision H/lZ'&J1Z. '7AiU /ItIH6~
(Name)
It) ":3
( cu,u."u)
Block 6/
Filed Map No. :9/10:2
Lot .20.1/
Lot .y
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..P S"'oJZ. Y p/? 1-/:$.
b. Intended use and occupancy..2 .:S7"'~Y rH, /6. ,p,TI'I /NG/7<A:Nu1> ~/"'H'AJ~ ~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
~/A~""'.1D
Alteration
N.lI/~hl...4 ~L
(Description)
4. Estimated Cost .P /4t?Oo. 00
5. If dwelling, number of dwelling units
If garage, number of cars
Fee j /"SZ).OO
(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 7'1"
Height ..%" Number of Stories ;i!-
Rear 7~'
Depth ~. 'I'
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
a~jr
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front ]Lv'
Rear
I
/:\0
Depth 32:5 I
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated 7Z€~""i..
,
.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X-
13. Will lot be re-graded? YES ~ NO_Will excess fill be removed from premises? YES L NO_
14. Names of Owner of premises->'2i7.N.6'A.J ,,5</;'.... u~ Address n$) ~'L t.ANG Phone No. :7 31/- ..:2~Gli
Name of Architect (!dN~N Address ~--- Phone No
Name of Contractort'lh'7"',c7I<u.s ,:n, Address7Q a.< l' l!v....... .~...LG'"Phone No. :73~ ..?bt:-S-
15 a. Is this property within 100 feet ofa 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 ~
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
. ..... :mRWR3C.1U "Y .13T AI03MMI"
16. Provide survey, to scale, with accurate foundation plan..-1dWtances to property lineSiOO: OT JOO'1 320J0\l13
J:l!'m,..:m- Y10i T"!J<1MOO \<IDQU
17. If elevation at any point on property is at 10 feet or below, mlJ~.t.1~~~g~ topographical daf~aii~~~~~:18
,.. ... . " ';')C':!f1 JHr ':.: '1M
STATEOFNEWYORK) , . '" . \'V;)"10a3GC~)
coilliIT-ot;~/~: ~10\11L;P R"oW ~'QOF l-iiAT3R
:10r-c. It" T ;To C: :y~AI}2f1Uq
E~ cYf1;rvt/ biim8.duryil~lirii.,-!deii6ses and says that (s)he is the applicant
(Name of individual signing contract) above named,
(' ,,,....\ . ..... .....
(S)He is the ;. r: i ) 1 " ','-: I I ": .'
(Contractor, Agent, Co~~.olific.'f1'..etc. -
":U-IVVA.JViU I aau
of said owner or owners, and is duly authorize<8cf JA~tfil ~TIIJ~~ \!1,enllJ? work and to make and file this application;
that all statements contained in this application are true 10 thb best' ~hls~k" ~d belief; and that the work will be
perf~d in the manner set forth in the application filed t~@HAqUO:J("I "J c'
;'. ,
~~.~~
Signature of Applicant
Claire ~. Glew
Notery Public. Stale of New York
No. 01G~4879505
Quellfled In Suffolk Coun~y .n IJ L
Commission Expires Dec. 8. ~
---'
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THE LOCATION OF WELLS, WATEH SERVICE
,
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
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Unauthorized alteration or addition to this document is a violation of Section 7209
oltha New York State Education Law
Certifications indicated hereon shall run only to the person lor whom it is prepared
and on his behalf to the Title Company, Governmental Agency and Lending
Institution listed hereon, and to the assignees ollhe lending inslitulions or subse-
Quent owners.
Copies of this document not bearing the professional's inked seal or embossed
seal shall not be considered a valid Irue copy
The oNsets (or dimensions) shown hereon from struclures 10 the property lines are
lor a specific purpose and use and there lore are nol intended to guide the erection of
lences, retaining walls,pools, patios, planling areas, addition to buildings or any other
construction
The existence 01 righl 01 ways and/or easements 01 record, if any, nol shown are
nOI guaranteed.
,
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DESTIN G. GRAF N,YS. Lie No. 50067
TAX I.D. No. \000-103 -0 - 20.11
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IN-GROUND SWIMMINd POOL WILL BE CONSTRUCTED Of STEEL WALLS SlJPPORflNG A
VINYL LINER THAT ....lLL HOLD APPROXIMA TL Y 35,000 GALLONS Of WATER.
fENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HlGH WlTH SELf CLOSING GATES THAT
WILL MEET TC\WN CODES,
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