HomeMy WebLinkAbout32161-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32170
Date: 01/31/07
THIS CERTIFIES that the building ABOVE GROUND POOL
Location of Property: 255
(HOUSE NO.)
County Tax Map No. 473889 Section 70
BREITSTADT CT
(STREET)
Block 9
SOUTHOLD
(HAMLET)
Lot 24
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 22, 2006 pursuant to which
Building Permit No. 32161-Z
dated
JUNE 27, 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 ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS
APPLIED FOR.
The certificate is issued to ROBERT E & JUNE M CHUTE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
7206
07/09/06
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
~
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN BALL
765-1802
APPLICATION FOR CERTIFlCATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new buDding 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. i
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lear
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a c ificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buDdings (prior to AprO 9, 1957) non-conforming uses, or buDdlngs and "pre-existing" IlIIId uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topograptiic
features. I
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 dweIling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Addiijons 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. lip! (p 7
New Construction: Old or Pre-existing Building: 2><:: (check one)
LocationofProperty:dSS- 13,e~/-r6'T/l7JT C'~"er 5~-r/ld/- /)
House No. Street Hamlet
OwnerorOwnersofPropertY:4~~~ ~ aLf'Te: ~E /)/. c: -!V7E
SuffOlkCountyTaxMapNolOOO,secti:' il73~'t1- ~ Block C) otJ'7 Lot cf;J.tf
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
03-
Fee Submitted: $ :+ S
Date of Permit.
/Iff
Filed Map.
~ b7ftytp Applicant: ~#E
Lot:
/It- ~rlt/76
Subdivision
Permit No. g :J. / (, I
Underwriters Approval:
/(Check one)
Final Certificate:
~.~. a/-
o Applicant Signature
62.....\.<..7" 5?--
Co-c.3~17 0
'-""."C~l"';:."'~{:.<;1
Nassau Suffolk Electrical Inspections, Inc.
SA Canal Street. Center Moriches, New york 11934. Tel: 631-878-3500 .l'ax: 631-878-3764
Application: 7206
Da~:7/19/06
,<
":#
Issued to: Chute
Address: 255 Breitstadt Ct
Village: Southold
Introduced By:: First Class Electric
License#:3407S-ME
was exl!lDin~ and approved up to the above date and was in compliance with the NBC
."CIic 1st F100r Reeicla....lBI A:lcIlBI Del GEnge
"n. let 2(l:l ftpor . 0..11I""'" HcHt.tl AtIIion
Switches
Receptac:les
Smoke
Detectors
G.F.J.
F belures
T1meclock
Fan.
Drya'/Amps
,
Oven
RangaIA!I)p!",
gerbon
MOIIQxida
...c.'__"',i.',"':.
Di.hwaSha,
Wa.her/Amp.
!':'~. .,:.-,
Furnace
Ga.
H8alZonn
B.*H
Transformers
Oil
Whirlpool
Matar
Anip,
Motors
Pha.e
i
ther Equipment:
Above Ground POol
Replaced Range Wire
ut Ree'
This certifi_Jl1ust~
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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)
27, 2006
PERMIT NO.
32161 Z
Date JUNE
Permission is hereby granted to:
ROBERT E & JUNE M CHUTE
255 BREITSTADT CT
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR.
at premises located at
255 BREITSTADT CT
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0009
Lot No. 024
pursuant to application dated JUNE 22, 2006 and approved by the
Building Inspector to expire on DECEMBER 27, 2007.
---
Fee $
150.00
A
ORIGINAL
Rev. 5/8/02
3Yl&r-c-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnoN
REMARKS:
,
[ ] ROUGH PLBG.
[ ] I~ION
[ ..-(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
cC
..
DATE j,Jf~1
I NSPECTO
FIELD INSPECTION REPORT DATE
FOUNDATION (lSn
------------------------------------
FOUNDATION (2ND)
. .
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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.ADDmONAL COMMENTS
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\-.lOTE.-UNLE'X, OTHEQ'vVlSE iNDiCATED LOT -I--:::::':::::-:"=-~'-:'::-~:=":-:::~i:~~ i..t.~-" ---... --..-.' "--j-
~ WO's,SI-t:>V.fN 12EFEQ TO \. MAP OF -- ~-- . I . :. ~ ; :~...""
I St-1ITI..U::Il':.LD PMrK:~6N FICEi"N ~ ~I QJ<;T' - ~. Cl4i!i6tt....,!+~~
" THE gji=rot.K COUNTY CL8:iLZ' 5 I ~ (:oR.. AVE. ....,....~.-~;..;';.~m:.l .
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.. 12 MAP OF P(/.OPEPTi
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PERMIT NO.
32\c..\
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
Contact:
TOWN OF SOUTHOLD
BUILDING DEPAF-TMENT
TOWN HALL '
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
Examined
20 j
'-
Approved
Disapproved ale
,20_
Mail to:
Expiration
Phone:
irr" ~ ~ ~ n ~ ~ 81
I': ,;); 1 \. II II APPLICATION FOR BUILDING PERMIT /0
\,n\~ .lM222 6 I'~:j\ ./
~ I 'I . Date &; ;J-z:J
~ '
:.___ --., INSTRUCTIONS f
, ,'\., j
. ;i'q~~li6;~~~~'Mij~~~omPletelY 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 dat~ 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 permi~ 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 of the 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 co ,and regulations, and to a~mit
authorized inspectors on premises and in building for necessary inspections.
I , 20 oc;;,
(Signature of applicant or name, if anration)
.,,)...sY iJ/?E/TST/f-07 &7" ~~T/t6L6-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ot builder
,;it
Name of owner of premises \'<.0 b-e.r+ -+--:r LA,,+, {\ -hu+-e>
(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 ofland on which proposed work will be wne:
';;.s~ .BeG /'TS-r!17 0 T CcJute T
House Number Street
5]47/'1<",,( D/ A/ V 119;Y
Hamlet '
/ Cop'nty Tax Map No. 1000 Section
Subdivision
lO
Block 9
Filed Map No.
Lot~
Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed cOIl.l'truction:
a. Existing use and occupancy '. '
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition _~teration
Other~kfJ~.vE &/hu,Vl> fbd t-
(Description)
4. Estimated Cost
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
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 _ NO_Will excess fill be removed from premises? YES_NO_
14. Names of Owner of premises
Name of Architect
Name of Contractor_
Address
Address
Address
Phone No.
Phone No
Phone No.
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
--
* 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.
STATE OF NEW YORK)
SSe
COUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(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 ofl>Js knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
20~
ot Public
BEVERLY JOHNSON
NOTARY PUBLIC, State ot New York
No.01J05041160
Qualitied in Suttolk County A t1
Commission Expires Mar. 27. 20fL./
::t
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BEFORE "WATER"
SAFARI OVA~fig~\VRiTERS CERTflCATE
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
r
A
n
I
S\\1MMING AREA:
"IMMEDIA TEL V"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
SAFARI ROUND
21' APP 'ov D'AS NOTED
DATE' ~ '6 BP.#'3fl1t./.:;z-"
33' x 18' 30' x I5'" x r
FEE: I BY: ~f1J?
~T,I. BUILDING DEP MENT AT
WALL PATTERNS AVAI~g5'_1802 8AM TO 4 PM FOR THE
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 CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
30'
27'
24'
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OPTIONS:
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Large Sun Deck"
Side Sun Deck"
ALL CONSTRUCTION SHALL
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Promenade Walk with Fence"
Grand Entrance Staircase"
Underwater Lights
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OF OCCUPANCY
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