HomeMy WebLinkAbout32786-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32270
Date: 03/29/07
TMIS c~TIFIES that the building INGROUND SWIMMING POOL
Location of Property: 770 CHABLIS PATH SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 51 Block 3 Lot 3.10
subdivision
Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9, 2007 p~rsuant to which
Building Permit No. 32786-Z dated MARCH 9, 2007
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 IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to MICHAEL & CHERIE FINGERLE
(OWNER)
of the aforesaid building.
SUFFOLK COUNT"f DEPARTMENT OF fIEALT~ APPROVAL N/A
ELECT~IC~J~ CERTIFICA~E NO. 16812 07/02/97
PLUMBERS CERTIFICATION DA'r~u N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY ~z~l}~l~..9~,~'
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 naturalor
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 Plmming Board Approval of completed site plan requirements.
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. Ifa Certificate of Occupancy is
denied, the Building inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinnning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupaucy on Pre-existing Building - $I00.00
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
New Construction:
Location of Property: ?'~0
House No.
Owner or Owners o f Property: tgtC~d
Suffolk County Tax Map No 1000, Section
Subdivision
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ,~i~''
Date of Permit.
Old or Pre-existing Building: t'// (check one)
Street Hamlet
Filed Map._ .~_ Lot:
Undenw'iters Approval:
Final Certificate: ~ (check one)
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIL&)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32786 Z Date MARCH 9, 2007
Permission is hereby granted to:
MICHAEL FINGERLE
PO BOX 1615
SOUTHOLD,NY 11971
for :
CONSTRUCT AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE
AS APPLIED FOR. THIS PERMIT REPLACES BP 24242.
at premises located at 770
County Tax Map No. 473889 Section 051
pursuant to application dated MARCH
Building Inspector to expire on SEPTEMBER 9, 2008.
Fees 1SO.OS ~~
CHABLIS PATH SOUTHOLD
Block 0003 Lot No. 003.010
9, 2007 and approved by the
ORIGINAL
Rev. 5/8/02
TOWN OF SO~H~.D-B~LDING DEPT.
< -' 6,~0~
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING [.~NAL
( ] FIREPLACE & CHIMNEY [ ] RRE SAFETY IILSPECTION
[ ] FIRE RESISTANT CONS~m [ ] FIRB RESISTANT PENETRATION
REMARKS: ~ ~SP
Examined.. .,19 ~ '~
approved/ ¢~//. .... 1 ;~. ZPermit No~
' .....
AT//EICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH ......
3 SETS OF PLANS .......
ORM NO. I SURVEY
TOt~N iOF SOUTHOL CHECK
DEPARTMENT ' SEP.TIC FORM .............
-q~WN HALL
CALL ....
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 streel
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
cation.
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 issued a Building Permit to the applicant. Such perm
,~hall 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 whatever until a Certificate of Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe(
The~fl~ll~jrg:~l~mply with all applicable laws, ordinances, building code, housing code, and regulations, and t
admlFauthlll~lllspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
Name of owner of premises .........................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly nut hb'ri.z.e, tt..~i(~ ~ ik~ ~Jl ["
(Name and title of corporate officer) .
ALL CON, TRACTOR'S HltST BE SUFFOLK COUNTY LICENSED
Builders License No.. ~:~. l.~ ~ ~./... ..... ...
Plumber's License No..~3.//..~ .................. .
Electrician's License No. t:~.~2..~.~. .........
Other Trade's License No. lk)/~ ...............
Location of land on which proposed work will be done .................................................
..5 .... ......... ................ ...........
House Number Street Hamlet ~, /cO
County Tax Map No. 1000 Section .. DJ ............ Block...~...~. ........... Lot..~.~/~ ...........
Subdivision ......................... ............ Filed Map No ............... Lot .............. '.
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 0..~...~'. 0~.' J ~X4. ~k~.[~:..~./..0x.~. ~ .3 ~.~.~ ~8~.~..
b. Intended use and occupancy . ~ .~x,..~.. [[(~Q. ~. ~~l'.[~J~ .pAt, ...........
ky
3. Nature of work (check which applicable): New Building ..... ..... Addition .......... Alteration .........,---t
Repair .............. Removal .............. Demolition .............. Other Work..p~D.[.~...
'(Descriplion)
4. Estimated Cost ...... .l.l~..~.~, ~ Fee
' (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy,, specify nature and extent of each type of use .....................
7. Dimensions of existing structures, if any: Front ......... 7. .... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
-- 8. Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ...............
Heir,bt .............. Number of Stories ......................................................
9.' Size of lot: Front ...................... Rear ...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .....................................................
Does proposed constrt~c~.ion violate any zo.ning law, ordinance or regulation:-- .............................
13. Will lot be regraded . .~.~ ....................... Will excess fill be re.re_or_cd from premises;,, ~,..,
15. ~s t~is property ~ocatea within 300 feet or a tidal wetlana? *Yes ..... NoX~_~....
*If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
OCCUPANCY OR
WITHOU CERTIFICAT£
OF OCCUPANCY
"IMMEDIATELY"
APpRO]/J D AS [OTED. -
FEE: //~'~Y:~ ' --
NOTIFY-BUILDING DE~T AT
76,6-1802 9 AM TO 4 PM FOR ,'THE
FOLLOWING INSPECTIONS:
1. FOUNDATION TWO REOUIRED
FOR POURED CONCRETE
2. ROUGH * FRAMING & PLUMBING
3. :NSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C,O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N,Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW Y-.ORI~,,,
COUNTY OF .... ~.O.~..~l~,.,.' S.S ....
................................................. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
.............- .... : .......................................
He is the
(Contractor, agent, corporate officer, etc.) '
of said owner.or owners, and is duly authorized to perform or have performed th'e said'work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to befdre me this
............ ~. .......... day of. .
I \O C)C) - S I -"~ -'-~, '~ O ' TOWN OF SOUTHOLD PROPERTY RECORD CARD ~~~~~r~t:
............... :; :'~ ,: .
OWNER STREET 7 V LLAGE ~':D[S~JI~Ii~ SUB ~ LOT
PROP.
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD ,~{~ HOUSE/LOT
TOTAL
COLOR
TRIM
/q~ z~ ,~z ~q7 5,~5 qTO~] Foundation .[~:~ Bath 2 ~ Dinetle
~uL~
Extension /SY ] 7 ~ ~5 ~ Basement ~w~ Floors 0~--,--''
SLAB Kit.
ST~ ~r [~ .
ExJensio. 4' V= ,/~} ~5 ~.50 I¢~ Exl. Walls
~A~A~ ~ '~ ~ ~-~ 'X ',{ ( Interior Finish ~¢, ~, L.R.
~x,en.ion .,re .,ace ~0 ..., ~
Patio Woodstove BR.
ZtJ v ~ J~0 ~ /~0 '~0 7~ Dormer Fin. B.
Deck Allic
Breezeway Rooms 1si Floor
Garage 2[ X 24 ~ 50 /.$~ ~ Driveway Rooms2nd Floor
Pool
App]
i am familar'with the Standards for
~val and Construction of Subsurface
lge Disposal Systems for Single Family
· Re! Ldences and will abide by the conditions
.O?'.-"ei~.".i~,~'¢t,),~,~;~,~ s( forth therein and on the permit to
~ '~ I
FORM TIES
./
P L A N · ~.'-
/ :..' .-:~
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· ~ '~'~.~ ~.~. s ~c'noN ' ~ /~/~ ~
, .SL-- PLAN
TYPICAL WALL
$EOTION
NOTES-.
PIPING ARRANGEMEN
· OPTIONAL STEP
TYPE I.
o...: - .~...~*~:~.~ ,.~:~,.
' ~:PTIONAL
ST.E P
TYPE
CONTRAC'TOR
RANDY
SU]ll KING POOLS
ROUTE ~A
RDCKY POINT, NY 3. t?'TP
ls*OB,M NO. It
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
Cf'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ Z ~,, ..... // ...................... , ~..~.
Permission is hereby granted to: , __ .
....~......F...Tz......~.~.~.~ ....................... '.../
......
County Tax Map No. 1000 Section ...... ~... ....... Block ~ Lot "o....~...X /
pursuant to application dated ........................ ~ ...................... , approved
Building Inspector. .
Fee $. .
Rev. 6/30/80