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
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-mATION (2ND) II II
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,
illATION
( 1ST)
GR FRAME &
PLUMBING
ULATION PER N. Y.
STATE ENERGY
CODE
FINAL
--- --===========================================-=====================================
ADDITIONAL COHKENTS:
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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_ /
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STREET
VILLAGE
DIST.
SUB.
LOT
,eHc ~
FORMER OWNER
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N
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A". /~'-J-' r~:/'.~ ~.j I;j
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ACR.
1.36
TYPE OF BUILDING"1[ii ~/e>
r',ie.l r' ,
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E
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RES. ~ 10
LAND
SEAS.
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--. , -.,. ~! '-,~ .
VL.
FARM
COMM. CB.
MICS.
Mkt. Value
IMP.
TOTAL
DATE
REMARKS
9<, <-
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FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
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~ C ., . /:5 f' (,
Woodland
Meadowland
House Plot
~..l.s"
Total
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3.75
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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~
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s/antklrds 10, -un. surveys tI$ eslabllshed
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fo, such lISe by The Ne" York Slole LlJ1/d
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LOT N'lo1I8!R.J REFER TO IIMOR
SIIIIDIVtSlON IIADE FOR JOSEPH ~
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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.)
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'1FlED TO:
'RENCE WALSER, M. D.
IE WALSER
THOLD SA VINGS BANK
'JN1C ABSTRACT INCORORA TED
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