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HomeMy WebLinkAbout32916-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/01/07 No: Z-32318 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 4760 NORTH (HOUSE NO.) County Tax Map No. 473889 Section 79 BAYVIEW RD (STREET) Block 2 SOUTHOLD (HAMLET) Lot 4.2 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 2007 pursuant to which Building Permit No. 32916-Z dated APRIL 17, 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 AS APPLIED FOR. The certificate is issued to LAWRENCE & DIANE WALSER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 41996 04/18/00 PLUMBERS CERTIFICATION DATED N/A ~ze~:~ Rev. 1/81 ~ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 fw&vY.. 11/9 - 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 2/10 of I % lead. S. 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 wnting to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 $1 5.00 Dale.___~/07 Old or Pre-existing Building: _ (check one) NO(~1V('f.J.N-k SQ,u ~ House No. Street Hamlet Owner or Owners of Property: La. uJ("'f'.lt..~ T D IQYl e. WQ L.<1.P f< Q " Suffolk County Tax Map No 1000, Section AJ}>~vC? -_ Blockli~___..2.____ LOl_-ij , ;).- / 41~o New Construction: Location of Property: Subdivision Pemit No. ;> 2. 9 I <v 1::;.. Date of ;enni-:4~1!o/ ._'._. _ Underwriters Approval. FIled Map __._ Lot: Applicant:_ 1/rcAr~cL MA-c).ML Health Dept. Approval: Planning Board Approval: Request for: Temporary Certrficate Final Certificate: / (c"eck ,,"') p :;! Fee Submitted: $ ~.l.2Y~l (0 ~ 3d' Ie( 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. 32916 Z Date APRIL 17, 2007 Permission is hereby granted to: LAWRENCE WALSER 4760 N BAYVIEW RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND POOL AND FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 26196. at premises located at 4760 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0002 Lot No. 004.002 pursuant to application dated APRIL 17, 2007 and approved by the Building Inspector to expire on OCTOBER 17, 2008. Fee $ 150.00 ORIGINAL Rev. 5/8/02 3 'J--? I b 7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING I STRAPPING 9<(FINAL ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS" f' i-. ~ <-:J- () . ~' ~~ ~"d ~ ' DATE f- ~ ~ 01 INSPECTOR ~ ~. . 3:2.9 l {p~ (~cf 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY RE ARKS: Ih ,~ a-~ ~ef' ~ ] ROUGH PLBG. ] INS TION ~/~HIIP'L~~~,- ~~~~~~~~~r ~ ~~t1~/~~ - jDATE t) i:) INSPECTOR .0 INSPECTION REPORT DATE COMMENTS I -=====================~========it=====~================================================= II II ~_________J~____.___ II , ~--------1l- ---- 11 II ~_______.~: ___ ____,_ __..0'--------- ----.----,--------------- __:::.._ 11 II ! [_______ ::______ __ m __ _n~--- ---------------------\ II II n--------il-------- - ------ --- -- ----------------------- -mATION (2ND) II II .~~~~==~==~==~==~~~==~~==~~====~~========~===================~=============~===~==~==== II II 11 11 I!--_~_JI_-----------------.--------~--- II It II II [----------11--------------------------- ----- -----" --- ,---- --- --- ----------- -------- II II 1f----------JI~------.---- ----- ---- ------~- -~------ 11 II II It ,._~__J1 II II n II ,.-------.11 II " II II ====~==~==~=~==~===~==~====== =f- " !! II II lI-- " " Jl- II " JI- ""~ " II " " ~ " " ======~==~============.===~===1~-- _ ?41:,-- - II 'fr'J-i/4 r " I' u I II " " II -11 I U " " 1__--11 U ~ 1 " II " ~==============._=====_-~__-===================~=====================L_======= ." . , illATION ( 1ST) GR FRAME & PLUMBING ULATION PER N. Y. STATE ENERGY CODE FINAL --- --===========================================-===================================== ADDITIONAL COHKENTS: ." '" ~ H >-l ~ <: '" '" ~\ '""<;:" ~..t ~ lS' D ~ '" >-l~ -E~ s t ~~ '" >-l~ ~ , at i" ~ t"'- '" ~ ~ H 0 ~ \ >-l -1 H ~ , 0 00 ~ --.-.. ;l~ S~ ---------------~-------------~-----------------------------~-~------~~--~~-------~--~--- rr0J}:_r~ n' Ii r; I .. -- i ,UV, NO'/ --41999 L__ TC; .r.[;i)(\:(:2;F;~-J ',' " . I' '~.J FORK NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUmOLD. N.Y. 11971 TEL: 765-1802 BOARD OF BEALm /.......... 3 SETS ~S .........~..... SURVEY .. .'.'fIl/itA............... CHECK"""-. Jo(Jl . .'J .. .. . .... . . . . . . SEPTIC FORK ................... Exanilll!d.............. .... 19.... App<oved...JJ.tJ.Q........ 19~. Permit lb. 3;).9/ (p te~c1 /f.(.CJ.~?C NOTIFY: CALL .7.%~!9.Q..,. A.-t; MAIL TO: $.tY.)~ .DYl. . :~~cir.rE:ff.rEJjr Disapproved alc ...................... ............ ........................................................ ~~.~~ APPLICATION FOR BUILDING PERKIT Date..tJ/~.........19~ INSTRUCTIONS a. This application IIIJ8t be~etely filled in by typeWriter or in ink and suJmitted to the lk1ilding Inspector wi 3 sets of plans. SCOJI'llte plot p1a:I to scale. Fee scrotding to scbeB11e. b. Plot plan ~ location of lot ani of b1ildiogs on premises. relationship to adjoining premises or plblic streets or areas. and giving a detailed description of layoot of property IIIJ8t be dr--. on the diagran .midi is part of 'this application. c. The work covered by this application may not be u>,,,",,.ced before isso",","" of lk1ilding Permit. d. Upon approval of this application, the lk1ilding Inspector will i88Ul! a lk1ilding Permit to the applicant. Such permit shall be kept on the premises available for inspection througboot the work. e. lb b1ilding shall be llClllpied or used in .mole or in part for any papose w..tever until a Certificate of 1rn'P""'"Y shall have been granted by the Ik1ilding Inspector. , APl'LlCATIQI IS IEIlEBY MI\lE to the Ik1ilding Department for the is'......... of a lk1ilding Permit pn-suant to the Ik1ilding Zone Ordinance of the 'lbwn of Southold. &1ffolk County. New York. and other applicable Laws, Ordinances or Regulations. for the constnlCtion of b1ildiogs. additions or alterations. or for rmoval or demlition. as herein described. The applicant agrees to ~y with all applicable laws. ordinances. wilding code. housing code, and regulations. and to lIlbit mthorized inspectors on premises and in b1ilding for necessary inspections. (Signature of applicant. or name, if a corporation) "YJ3TAJ03MMI" .4:7.L~.~f\.~~.ttitt:ili17. 8' _< !lQ():) or JOOIt I8OJ:IMI (Mall1ng address of appl1cant) II ~ji,~~::O,'):UJ'.:j , ;-' "', , MOIlIJ.'., ~~te.,~,~.!~~:.can~, is owne~~neer. general contractor. electrician. plumer or builde] ~. ~i ~~.::::'~LQ~y.iv. ..wacl~ d~ ~ ~: ~ ~ ~ ~ ~ ~: ~: ~ ~:: ~: ~ ~: ~::::: ~ ~:: ~:::: ~::::::::::::::::::: ~ ~ ~ ~. ',[ 'j' . _' (as;J' the tax roll or latest deed) 1~;Wji~t is a U>.~4tioD. signature of "'ly aJthorized officer. ...................................................... / ............................................................. (lllm! and title of corporate officer) lk1ilders License lb. ..;I..L4!P.l1.I...... Plumers License lb. ..(.l~..........e..... Electricians License lb. G.?1e-:J.f5.k..... Other Trade's License lb. ..t.lI.If::........... I. location of land on Widl proposed work will be done.............................................................. .............~~~~..~~~.~\!)[!~~..~~..............~.~~................... Ib1se !bdler Street lJlID1et County Tax Hap lb. UXXl Section ...'2.9........ Block .D~....... lot ..4..RL..... 2. &ixlivision ...................................... Filed Hap lb. ............... lot ............... (lllm!) State existing use and ON"'P""'"Y of premises ani intended use ~ .......'P""'"Y of proposed constnlCtion: a. Existing use ani ~'P""'"Y .~..fam.l.:.'-1:~~~......................,\1........nd .b.--..-~~09.~rwiih~~w... 4. EstillBted Cost ....J:C;(l)<!QQ.... ---- -- -- Mature of wrk (check M.id. applicable): New ~ ... /... Addition .......... Alteration .......... Repair............ Removal ............. 1lenDi'Ki;;;:~........... Other Work .................................. ~Description) fee ....................................._........ (to be paid on fil ing this application) If dwelling, rumer of dwelling IJIJits ............ tUmer of dwelling IJIJits on each floor ................ 3. 5. If garage, rumer of cars ...................................... 6. If business, cmmercial or mbed OCCl1JllII1CY, specify nature and extent of each type of tJSe...................... 7. Dimensions of existing structures, if any: Front............... _ Rear ............... Depth ................. Height......................... tUmer of Stories...................... Dim!nsions of sane structure with alterstions or additions: Front............... Rear ............... Depth .................... Height .................... Number of Stories ............... Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height......................... tUmer of Stories _.................... Size of lot: Front .................... Rear .................... Depd, .................... 8. 9. 10. II. 12. 13. 14. Date of Purchase ..................... !lane of FOt1II!r Omer ........................................ Zone or tJSe district in ~ich ~ises are situated .............................................................. Does proposed construction violate any ..,.,ing 151, ordinance or regulation: ........................ Will lot be regraded ....................d)ll excess fill be ~ ~ premises: t:l!J eeL Hl Sj_ sse5/- !lanes of Omer of ~ses Wf.~....~.C.. Address 41~.N..:t.@'~0...~ lb. 7.~......... !lane of Ard,itect\$.~0:~.......~........... Addres~4t~~..~h,~ lb~~~O !lane of ContrllCtor&~.-r::fix1~....... Address ....................NV~?"""'" lb. ............. Is this property within 300 feet of a tidal ""tland? *' YES ... _...... Hl.......... *'IF YES, !nJl1DD'RJIl llil/'HI!&j l'IlmfIT MI\Y IE m;xpmm. 15. PLOT DIAGRAM l.ocate clearly and distinctly all buildings, ~ther existing or proposed, and indicate all set-back dimensions frao property lines. Give street and block. rumer or description according to deed, and shuw street oanes and indicate ~ther interior or corner lot. AP)~i~D AS NOTED (1AD~DATE: 11. B.P.# .zlul%:z:. en FEE: i I <:;O"~ By,'fl~ NOTIFY BUILDING D~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION . TWO REQUIRED FOR POURED CONCRETE ROUGH . FRAMING . PUlMBING . INSULATION 4. FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET USE IS UNLAWFUL THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION . ENERGY \VITHOUT CERTIFICATi:'CODES. NOT RESPONSIBLE FOR Sr^lE OF IilW ~ttL I-oESIGN OR CONSTRUCTION ERRORS OOlNlY OF ~U::"JDir.......... ss OF OCCUPANCY ..... _........~ 1:_~........... _ .being duly sworn, deposes and says that he is dlE! applicant (!lane of individual sigomg contract) above Dm1ed, lie is tilE! ....... (Q;~~~!~: .~;;,,;;~~; '~ffi~;: .;~~:)................................................ of said <MIer or <MIers, and is duly authorized to perform or have performed tilE! 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 tlUlt the work will be performed in tilE! IIBnner set furth in the application filed therewith. I S[)YVf;~ "IMMEDIATELY" .iaoefPOClL'IOCOOI UPON COMIUYION BEFORE "WATER" OCCUPANCY OR Sworn to before Ill> this ....... J.~.... ..day of . .W.O.U.-e~.ber: 19.!t. ~... lbtary Public ......~~.~.... NOREEN L HAGER .c1I'ARY PlJDuc, 8'rAT1! 0"_ lllJAJJFIEO IN SUFFOLK CDU//TY'I'lIQ. REG. NO. 52-452C<<l3 COMMISSIOU EXPIRES '1ft 10) ',1) "- "/"7--'-'.2- OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD -. -".4_ / /, " STREET VILLAGE DIST. SUB. LOT ,eHc ~ FORMER OWNER 1., ',) ,,[/;,',.1 ,f(,..J N (': ,J vOl Tt,,, Itf A". /~'-J-' r~:/'.~ ~.j I;j .s- ACR. 1.36 TYPE OF BUILDING"1[ii ~/e> r',ie.l r' , S E .-r~,./ .';' ':,I<! cS.....-L/C) e,4/ W RES. ~ 10 LAND SEAS. \ ,-- I) '. , . . ,.( , --. , -.,. ~! '-,~ . VL. FARM COMM. CB. MICS. Mkt. Value IMP. TOTAL DATE REMARKS 9<, <- /2. i'L v," ~ /J. "0 , / 'r f-,) I(.,.C0 A J /. / j I) "'} C ,; ~~".' ,";"'> .\ rv.-..P.. ,J, "/,j/. 7'/,'0 I _'_. " -:,,/- - ..t. CA, ~!c(' l'" 1-:;,-> " , </P) "31 \2 ,0 ff'p (,)0 Tillable FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD -/ ~ C ., . /:5 f' (, Woodland Meadowland House Plot ~..l.s" Total II' ,-,~,-.=,.+,.,+....",~'..... ' . I. '4 '" '?, l~l s - . ;- ("-'! I. l(z. " Il ;0.' - I- ,.. II I :, ,I j;;-, ~s - . \ )(.Ie. 1\ J~ "'-~. I "2. ~ , ..., 0 II x. Il-<: I ." L"", ~' - ~. '- '" '" 4 f4 \'1- I rt ctf ~c.\C >1\ 12..~I..A':;' 3.75 :42-- F.xt, Walls C;C Fire Place Bath 2,..1 2.. Foundation Basement Floors \!JVJ-oA. Interior Finish ""5R Heat 00 .'7S CIa Pool Attic t.5D ,Patio Rooms 1 st Floor S Breezeway Driveway Rooms 2nd Floor Garage .42..7 I.~S S~ 0, B, I Eo"J,fAsr ..-. ,....- c.... ....... ;....~ .tU '''"-..00.,. ...... .<!5 . -" ,- , - --- . S..O.PIC @" @ , , . - . ~-::.:':..- ~" '--- 'SIOIl CUI E'l.O STUS ~'ONAt. " ;'1",.J;i t..rel.. _ I,,;.. < ) PLAN. " ,~, .' " r". L ~ .. ... , .. _.. e... ... ~~... ... $"NO .OTTOII'. SEct"ON. , a-a ~ .. S,E~I'QN. " A-A . .;.. ". .' ... . c: D IE . .. 1'- g,. no ... ... .. rc - 'n "'" ..... , " . II n . I . III 4 4 11& ~ II :Ie Jlt . .. " " , III .. aD :00 .. io ' , .. . .. I ., " . e'. ." ...~.,i.t"",&lo _ ' p ,~~J;;CIt,~\~DTO " "I, ,.. i;~_' ." " '. , . =a:,::!,.~ BAilS "" -' '. ~ ~ , " S.cIMMeRS " j . f: . I : i : I ; , . FOftM T!fS: 1~.J(1""1E~" " "I.~E...... ......P . -. '" , , /~ TO ..ETv..... : " TO WASTI " , . / "_1'1 r ' . f ' , . ,,/ L' !. . rllD :"'_ . i, Itno!UH L/HiIl, ' :' ,,/,":rNCIIIlTI. '" /. . l'r~'t..iN~ i, '~,. ... -, . ,. !~ I f PIPING', ARRANGEMEN' " " . 310011. . . .. P9UftED. c:o'lCillm " ' , . o. , '. -rI"1- ']~L ~ ; ..... . , ." il.~ :.. ' --=--' 0- h-i "'0' (:,.'f~ ;a "I' 'l. ,<oJ , . -, . . r:=t ,""IECIE . -- 0"-,' . . .... , . : r 'f . \ ~'C~ :(WAl~ . . ";"". . ~ I"" . \ . . ". ~~t~. !/ ," j ~ . l~ Ii ',. :~ i: . - NGTa":' ' },: . ~:I \, ' ',~~~~":"'~~" ]~"'O npc, S<.Opco -=:m..;!'i:!!1&1. s....u. ,~1:I"'~1D TO OWN I liS , ;:~~:'::? -:"T t.OCA1\~'~I.A~IC!.. . .~.. l' _, 1He:_ ,.. .'" .&- --.., CO.....DCa .. . #fa- ~ . c:t.~1 , :. -H 1&-' . .;:0- .111- I I . . ~::. OPTIONAC STj:;P' TYPE 2. " . I , ':1 1'~o .-' " ., CONTIIACTOJl. IlANDY '1:_ 1&OD_. ' SII,IH ICING POOLS aoUTIE 2SA .# . ~ .' . I .-0.-,. . . .~:~~;~>: ~:~-,... . .... .' I I I I 00' @ 11I0~ (1lf0~,."" 'T'''~ ~0-4l> S ~ r v. "0 19-4 r~~ ~ VV ~.1 ~ O~D I I JI/ a ~. JO~ ~/:///J S 88" ~ ~~8 50' oo~t / N/O/F c""~~ e-4~~r 1'l"1\II\f 0~1.~ ~q4f"N A1cC-4e~ Q:; ser ...... .. !I.J 1:11 ~ ~ ~ O. g g ~ ~ ~ .".0- J~~. .. ~ '" , r:: .!S' ~ ~ -{2 '" ~ CD I / / / ~~/ -to I / I \ j~( ~ 'li hl .: /' 225. 00' reST JJQte ~ ~ . ~C) ~~ ~O ~ 11' a ~ , 18 f u ~ ... "'- --~. /& - ~--....... ~ --':"'_L " 19 _____ IfO --- \ ~If. ~ o ,.. : ~ :: ~ ~ ~ J ~ -~ ~ ~~ ~ ~ Q 9~ ~ ---- / . I .... '.,. """ ;1200.0\ ~ , I:) I:) I = l26acr88 I / ----- " Af/Oq G.4CiEJv 1b6t!z~) (...., (I..,t ...."') IV 88" 50' 00" W --- ~8 n , ~ , /~ I!<r ~ B/!' ..."" fJ."f!i' OJ:: / I I .' lei ~ ~ " ... c-. fI) IfO . ~ ~ Prepared In tICCtNdonce ..lIh /he minimum s/antklrds 10, -un. surveys tI$ eslabllshed by the LJ.A.L.S. - and approved and adapted fo, such lISe by The Ne" York Slole LlJ1/d TIlle Assoclalion. ... LOT N'lo1I8!R.J REFER TO IIMOR SIIIIDIVtSlON IIADE FOR JOSEPH ~ , Q 1:). ~ ~1'"No ~ 25.00,g:::~ , 88" Ii ' " o 00" W ..... " SURVEY FOR LA'WRENCE WALSER, M.D. & DIANE WALSER A T BA YVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 79 - 02 - 4.2 Scale 1" = 30' Dec. 22, 1988 March 14, 1989(r8v,' APRil. 26. 1981J(U.C.) 7'E:$THOI.E: OATA f --..... ..... 20' ~ ' . 0. IoY. -- ..... ..... ,.... '1FlED TO: 'RENCE WALSER, M. D. IE WALSER THOLD SA VINGS BANK 'JN1C ABSTRACT INCORORA TED " -_L_ . -- _1' L_ ,..' "ALE __ _1' L s.z "AU __ /ClIfIJM TO _IE _ 14J' - Y.S, L1r. NrI ~fJ...__