HomeMy WebLinkAbout32925-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: OS/21/07
No: Z-32361
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 17915
(HOUSE NO.)
County Tax Map No. 473889 Section 51
SOUNDVIEW AVE
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 6
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 20, 2007 pursuant to which
Building Permit No. 32925-Z
dated
APRIL 20, 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 IN THE FRONT YARD WITH FENCE TO
CODE AS APPLIED FOR.
The certificate is issued to SETH & BARBARA EICHLER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2053209
05/10/05
PLUMBERS CERTIFICATION DATED
N/A
, ~.
~ed~re
Rev. 1/81
)(,S-IWl
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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:
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. 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 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. TempoI'm)' Certificate of Occupancy - Residential $15.00, Commercial $15.00
Dale._.LL'2-oj "'7
New Construction: P66 L __ Old or Pre-existing Building: _______ (check one)
,
Location of Property: /7 '7 l;j~ 5 Ol..A....vv virtu ~"'-~ Sc:>'<--TJ.. CiL...1) ;IV -1'-
House No. Street Hamlet
Owner or Owners of Property: S k"TJ-. E i e-4 I- E;s. ._____
Suffolk County Tax Map No 1000, Section ___ S,
Subdivision
Block _ _1_
Lot _.i>
Filed Map
Lol:
PennitNo. 3{) q ~ I DateofPermil:___ . Applicant: _______
Health Depl: Approva!:__ ._._ ~_____ . _._ .. Underwriters Approva!: ~. ____________._. ___
Planl1lng Board Approva!: ____~____ _.__
Request for:
Temporary Certificate ____.
Final CertitieaiL': t.----
(check one)
Fee Submitted: $ ___~_ trD___
n9~
/Applicant Sig ature
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Co --l. ?JJ.3ru{
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.
~q;l.s-b
.3U931 z;
Date JANUARY
31, 2005
Permission is hereby granted to:
SETH & BARBARA EICHLER
15 LINWOOD DR
ROSLYN,NY 11576
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE FRONT YARD AS
APPLIED FOR
at premises located at
17915 SOUNDVIEW AVE
SOUTHOLD
County Tax Map No. 473889 Section 051
Block 0001
Lot No. 006
pursuant to application dated JANUARY
27, 2005 and approved by the
Building Inspector to expire on JULY
31, 2006.
Fee $
150.00
~~ Cft~
, Authorized Signature
COpy
Rev. 5/8/02
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PECONIC ELECTRIC CORP
2195 STANLEY ROAD
MATTITUCK, NY 11952,
BARBARA EICHLER
17915 SOUNDVIEW AVE
SOUTHOLD, NY 11971
17915 SOUNDVIEW AVE SOUTHOLD, NY 11971
2053209
Certificate Number:
2053209
Lot:
Building Permit:
BDC:
ns11
30172
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
pool, Outside, Pool/Spa,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, De~8litment of Stat\fao~df.forcement and Administration, or other
authority having jurisdiction, and found to be In compliance thereWi'lrfvon 'the Day of
Name OTY Rate Ratio. Circuit ~
Appliances and Accessories
Pool! Spa Bonding
Time Clock/Switch
Furnace
Wiring and Devices
Switch
o
o
o
Oil
1 0
I 0
2 0
General Purpose
Pool/ Spa
Pool! Spa
20 amp
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
'jJ 9 ;5''?
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [ ~NAL~f':'"'''' 7f ::.)
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnoN
REMARKS: OJ::. rC O.
DATE
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INSPECTOR ~~t
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TOWN OF SOUTHOLD BUILDING DEPT.
INSPECTION I{r;~
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. (:10 j, r~-
5;;>-50
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL A; .~
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION ~
[ ] FIRE RESISTANT CONS1RUCTlON [ ] FIRE RESISTANT PENETRAnO~
REMARKS: _ ;P~ ~ (;~ rI- ~ ~ ~
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TOWN OF SOUTH OLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~FINAL I&- "
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUC'nON [ ] FIRE RESISTANT PENETRAnON
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REMARKS:
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING 0 FINAL A:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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DATE INSPECTOR /?'f: /~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION \
[ ] FRAMING I STRAPPING M FINAL (PJIJ'-)
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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INSPECTOR ~~
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FIELD INSPECTION REPORT DATE
COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
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PHONE NO. 914 735 5961
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FROM KREISER WELL & PUMP CeRP,
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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/Southoldl
PERMIT NO.
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sels of Building Plans
Planning Board approval
~'Survey
SOCj3(b" Check \'<'0'0;:-"
Seplic F onn
NYS.D.E.C.
Trustees
Contact:
Mail 10:
Approved
Disapproved ale
l/ ;}yi , 20~
II.'" \ ,20 0<)
Examined
Phone:
Expiration
7[QL,21!J~
/r;. IlL.
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
IJ fJ.1
,20~
JAN 2 7
~
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.
APPLICATION 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
- Regnlations, for the construction of buildings, additions; or alterations or for removal or deniolition 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.
~ITERS CERTlACATE
REQUIRED OCCUPANCY OR
"IMMEDIATELY" USEISUNLAWFUL !.o.gj' w, $'.p/,vtd. .Pi' /If~'f
ENS~~EJ'O~~L~~lg~DE WITHOUT CERTIFICATE (Mailin~ address of applicant)
State wee~g.Ra~;yttili~~; owner, le~F ee~ANe'fneer, general contractor, electrician, plumber or builder
r::;. ~ APPROVED AS NOTED
_ DATE: 1/ ~I/b
Name of owner of premises + -AI< AA !FtcJ,/(< .,
RETAIN STORr,tM\~/tt~tmew~ . " ~.
If applicant is a corporation signat'-.-............Ion.W....+..fficar NOTIFY 6JIL IN" JEPARTMENT AT
, ~1''''I:I:t'Ol:tNIUN..;)-10C 765-1802 84M TO 4PM FOR THE
OF TI*= TOWN CODE. FOLLOWING INSPECTIONS:
(Name and title of corporate officer) 1. FOUNDATION _ TWO REQUIRED
FOR POURED CONCRETE / /
Builders License No. ~ ~ 7 /6 - H. 5u'/fll/c (iI,tit /-I2.J5li;.11GtfiJW/dNG~~UII:1(,
Plumbers License No. 3. INSULATION
Electricians License No. 4. FINAL. CONSTRUCTION MUST
Other Trade's License No. ME"i~~~~~ ~~THE AL~~g~~:RL~~~I;~R S~~'L MEET THE
CODE~ C'lJ; NI=W YC'lRK ~TATE REQUIREMENTS OF THE CODES OF NEW
1. Location ofland on which prop'mrecr'M:ltk'Wt11I'lc!tlbh~..' YORK STATE. NOT RESPONSIBLE FOR
'I If' Y SUII'#f)V/(1t! hK.. DESIGN OR CONSTRUCTION ERRORS.
House Number Street Hamlet
,~ /5'"1 mSJ()fjGJ{ ~
l~ / Blo~~. . ,:ulI PIe Lot
, 1(" Lot
County Tax Map No. lOO~ction
Subdivision -:k/'
(Ni e)
O~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy I-=- F ~/l:" i) Wt({ I('j
b. Intended use and occupancy -c-l h ..pz> ~
3. Nature of work (check which applicable): New Building X
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost
tI ;>.,. ~()O
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. ~
7. Dimensions of existing structures, if any: Front ~ 6 Rear Depth
Height Number of Stories
(To be paid on filing this application)
Number of dwelling units on each floor
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
10. Date of Purchase
106. .
;vir
Rear 100. K"7 Depth 5t/.t'.tJ 7
Name of Former OwnerlV".iJ-
9. Size oflot: Front
11. Zone or use district in which premises are situated
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_NO----X
14. Names of Owner of premises
Name of Architect
Name of Contractor s-h./LtA. iIlW:.totAII
Address
Address
Address P.fI'~. >JrfuJ.
Phone No.
Phone No
Phone No. 'Jl "14iIt E'"1.l.' ~.3eo
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 ~;'l:.' ~:j: :"=~,~WP3ffi4\i
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. 'r',('\ \IJ- 11 'g~( I:;')' n '~
,....r. Vh";u.w
16, Provide suivey, to scale, with accurate foundation PJJ.bJ~!.~J apa~\:ty lines., '",,' ,:",\.; ~~~~~ ~
17. If elevation at any point on property is at I 0 ~I(~;)k1!J/~nJ~'pJJvi(iJhbbbir~phical dat~~n-$~~~, '~1~t,;
. , '.4 ~ ~-., ~
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STATE OF NEW YORK)
ss:
COUNTY OF~
~t ~ f'lenJ. ~~.lty1 C' f\. ~ being duly sw~n;~~~~i..md SJl.y'sthat (s)he is the applicant
(Name of individual signing contract) above named, . _.; .',.r" i I "'''\i I"
Ii ...l '" " !c..ul ,.I,',CJ"".~'J
(S)Heisthe '- 'CfYI' JY~:IJ: ,h"("~H, =lC
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work al'ld {o 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 therey.'ith, '. ' , ',,', " ",
...;or,'~' -I r_~i"':'<";~tT':~~_'"
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Signature of Applicant
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