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HomeMy WebLinkAbout32360-Z FORM NO. 4 ". ... TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32440 Date: 07/02/07 THIS CERTIFIES that the building INDOOR SWIMMING POOL Location of Property: PVT RD (HOUSE NO.) County Tax Map No. 473889 Section 10 OFF E END RD (STREET) Block 6 FISHERS ISLAND (HAMLET) Lot 3.2 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore ~, filed in this office dated SEPTEMBER 13, 2006 pursuant to which Building Permit No. 32360-Z dated SEPTEMBER 13, 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 INDOOR SWIMMING POOL IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THADDEUS BEREDAY & MARGARET RUSSELL (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 06/07/07 ELECTRICAL CERTIFICATE NO. 3032883 PLUMBERS CERTIFICATION DATED N/A Signature Rev. 1/81 . " Form No.6 TOWN OF SOUTHOLD BUll.DING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY I I / ...., I) '~W ( 76 --.---,'. 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 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 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 liues, 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, Alteratious 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. 9- /e-,1t. New Construction: Old or Pre-existing Building: (check one) Location of Property: @umdiA(lt:ll ~c:;.a ~ House No. Stre Owner or Owners of Property: k.Y~ /Z..I- j 4 ~ ~~/-....L Hamlet Suffolk County Tax Map No 1000, Section Subdivision:?> l- .1~l) Pemlit No. ;J 'Z2. { 9 z.. t);o Block LJ~,6 Filed Map. Lot tJtf3CJ~ 2 Lot: DateofPennit. q.13.<>tt, Applicant: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: /' (check one) Fee Submitted: $ o?.5:tJtJ Applicant Signature J'- 4<7~", @..~-7 :288 7 co 'b :?;)'1~O -:<../-"1,/ l!I.l!I ~ BY THIS CERTIFICATE OF COMPLIANCE THE ~ ~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 10038 (_ _ -: ( ~ ~ ! j . ~ @! CERTIFIES THAT ~ ~ ~ ~ Upon the application of upon premises owned by ~ ~ ~ ~ JIM REID LOUISE BOGERT ESTATE ~ ~ MYSTIC ISLE REALITY ~ ~ BOX 475 ~ ~ FISHERS ISLAND, N.Y. 06390 ~ ~ Located at 2428 ISABELLA BEACH ROAD FISHERS ISLAND, NY 06390 ~ ~ ~ ~ Application Number: 3032883 Certificate Number: 3032883 ~ ~ Section: 1000 Block: 10 Lot: 63.1 Building Permit:32359-Z/3236 BDC: ns11 ~ ~ -~J-3(~D ~ ~ ~ Described as a occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ ~ First Floor, Attached Garage, PooVSpa, ~ ~ 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 andlor standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 7th Day of June, 2007. ~ ~ Name OTY Rate Ratin" Circuit :Dlll< ~ ~ Miscellaneous ~ ~ indoor pool & room ~ ~~~~~ ~ ~ Pooll Spa Bonding 1 0 ~ ~~~~ ~ ~ Receptacle 8 0 General Purpose ~ ~ Switch 6 0 General Purpose ~ ~ Fixture 9 0 Flourescent ~ ~ Receptacle I 0 20a Pooll Spa ~ ~ Receptacle 1 0 GFCI ~ ~ (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. ~ ~ ~ ~ ~ I 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. ~ ~- .. ~ l!I.l!I 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. 32360 Z Date SEPTEMBER 13, 2006 permission is hereby granted to: K LOUISE NOBLE BOGERT PO BOX 386 FISHERS ISLAND,NY 06390 for : CONSTRUCT INGROUND SWIMMING POOL. THIS PERMIT REPLACES BP 9891. at premises located at PVT RD OFF E END RD FISHERS ISLAND County Tax Map No. 473889 Section 010 Block 0006 Lot No. 003.002 pursuant to application dated SEPTEMBER 13, 2006 and approved by the Building Inspector to expire on MARCH 13, 2008. Fee $ 150.00 ORIGINAL Rev. 5/8/02 '-' ~ I ()-f,-" _~ / D ~ h _~TOWN OF SOUTHOLD PROPERTY RItORD CARD OWNER STREET VILLAGE DIST. ' SUB. C3 '" T_ , "'---- LOT I j\X'i:86 c, K:{r FORMER OWNER v: ::[ B '-' c; c: p 'r: ACR. " " W ~' ..... < 0 "Z.Z3 t'<,,"(S" 3,0 ( TYPE OF BUILDING CI!I1{~~':.J 2' \! S tES. tI t> LAND SEAS. VL. FARM COMM. CB. Mkt. Value IMP. TOTAL DATE REMARKS -5'<) /..." t./oo 0 S Pl-I;/ L,<.J V/4-';'" ,).,() t) -- (j66 L.'ehei..",,) Ijocn. --- . - i liable " . ~ b 11.\ €. Z. 'V'a'(~" ~eY I ';l. -. I d \~9 "' .. i':::zc. ... ... - (") 1'1'1 ~y 1 I. 2e'fJ .:? (Ii;;'; i~}<1' .t<1evr! e lit. 8 (0. "78 (/t:.J "AI t~ ''t, iT;;; -;-r,~'-;Ji .) I .J .. ~. .. , l f S[\I(ol.(-L \ 2.3<.f7(N2.- Fltco +v 6o:yd - C/}rr ~cf FRONTAGE ON WATER 0 "1,.':, .~ :)(..0 :. ~':iO :"-yc- 'oodland eQClowlarld FRONTAGE ON ROAD DEPTH )Use Plot BULKHEAD tal . , r-U_ .,.{ '4.- _. ,J. / fY 1"1' ;, -- p. /;;t. 'pI/ 1 , l.' t /{t r '/ ~~ V v " , y 'Y , , '" -, j ! . I ! , I. '"C ! . (I'" 11 ,. . c;- ])D <:1 f': I!!'" !. .J' ---'l. '\ , "l, ~~ IS ~ .. jl , , . , 'ft." '': , Ii -L , ,M. Bldg. I , ~, (60 is 2-2 J .r- 13=<'~ 31,L~ /c?PR - 12 II- '" 'Extension IST</ $".a-o 3 ~ ~ 3,_x..J J ~ 7/J JS-'--r ' f> 'lI'f"d..zr I :zF' . · 'OS 2,CV";:_~~ "'- IIZS' 2N2: ....t A,feR . . 1 Extension , Foundation Cj}. Bath ~ Dinette ~~~ I Pon:h /."., -~ "- ..D' I 'lr / ~t r<JL L Floors K- /OX39 := 390, SV'BJ#'~HI(. I Porch .:<.,.~ r~",.p .v~"''' 'jOI Ext. Walls InIeriar Finish LR. IOX,<:o ~ t'~o .$0 MDOlJ 51'/v{, I /I,b /..( B-D . Breezeway , Fire Place Vc.S Heat FHA Dlt . ; Yc ;; Gorag<<;V<<<l :" 29 YJ)_ _ CJ2.!i J..SCl /.]9';;.; Type Roof qu~ Rooms 1st Floor BR. ,Patio I Recreation Roam Rooms 2nd Floor FIN. B O. B. I Dormer LA RC,t: 1<1:''+2. Driveway ?~"'ALl.FD Total : VI/Su.. of " I I . COLOR !vA Tv R' II TRIM '-U ~ I co .c- c R 10/10/2006 14:52 FAX 631 7&S 7798 FITE~pr:o,",,: 141003 Fn:LD INSPECTIO!'; REPORT t-oUNDATION (ISl1 -"""-"" FOUNDATION IZl'iD) ROUGH FllAMING.. PUJMlIINC INSULATION 1'1:1/';'. Y_ STATE ENERGY COOt FINAl. - DATE COMMENTS vJ ~,~ -. f.~~ .. .-. f:-' =3 ..-...-\!,,- ~ -..-.. .- .....- -- 1--- --.-- ... - .... '\ c= ~\Jl --.. --f--.-.- _.__."_._._u ~. .-.- -_.- .-..- - Z ~..p "-. -<.:.. -l... n .-........c - .. 'M'___' ___.. __.__._ ~,~ ------ __d_ ~';:!l - -.-- .. --- C'? ~ "J"";"'. -- _I"'h '" ,"- -..? 5:: _.~.~ _. r::.fj - :~..;.~. I Jl ... .i -" I' f~~J ,A~_ A1v//r"/,,,,~_ .. ~A~ .--z;, ._- l.:-~ __ .._ 1&/~_d.;f."'f~P _~-;;N__~--=-- --- -- --.pi.' -~';;;;7r:J./-- . ~f-- --'- -- ~--~f_-----..~...----.-- =-~~I-=-- .-=-- ."--=-.~.- ..~. .~~- - ...... \. . \ ~I ,:.... ~ ...J'" ~ ADDmONAL L,)MMENTfj . :- .~~.b/~~~~_~~~7/~~.:.-&e:<.;P!~_____':~: ....._.-_ -_.. - t. ----~to -- -- ------- .---- - - i'~ -- 21 r) ... r- ~. . - .-. .- .. ....- - ..- -- - -.--,..'.-- c--..--.-- - -. ..-.- ------. - - -_.. -.--.-- --.. -----. ;~:" __._ :k... _. ---- :j:)l:l .. --.. ... .. ._- ..-.-.- ..- ~ :! ,~) ~ .-..-- - - -0::! .-- --. -. -- .,.."-". -- --. 1;":-- ~ .. .-1"::, = t.;....,.,1 .> '" ) oj = " .. ~ If' ,> . FORM NO. 1 .. ,. TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH OLD. N. Y. leD (~ ' Examined ........................................, 19........ Application No. "'~" " ::. '~"7i""""""" Approved ......................................,.., 19........ Permit No. .................................... r _""/ .::.,. Di sopproved 01 c ........... ................................................................................. ......................................................................................................................... ~g11 ~ 3:\3(.-0 ................................................................................................ , (Building Inspector) APPLICATION FOR BUILDING PERMIT Dote ..f/rr:.:..........IB......... 19.7........ INSTRUCTIONS -J:;. ~ I a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin~ Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drown on the diagram which is part of this application. 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 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 port for any purpose whatever until 0 Certificate of Occupancy sholl have been granted by the Building Inspector. . . ;..' ",'.' .~",.'.'" '::' ~'~j;"}.. . . APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of 0 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, os herein described:-- The opplicant agrees to comply with 011 applicable lows, ordinances, building code, housing code. and regulations,and ta~ admit authorized inspectors on premises and in buildings for necessary inspections. . I . .~ ........~~J~~~i~~).:......~. &:'9~~ ...l..e/d/c-eL-c ~e:.. r / ]'V ..........#P.-I..,s:P./'..,...:::r:;~..~4..... (AdOress of applicant) # / .s.t~~e.. W~~.I.i.~~2?~.?..:;2:.;.t....~~~~:~~~.~:.~~9.i.~.~~~:...~.~~~~~:..~.~~.~~~~.~~~:..~~~~~~~.~:~~:..~:~~~~.~..~~. .~~::~~.~: Nome of owner of premises ...~{.(.........8t!:.~...................................................................................... ~Iicont_ is 0 coJ,'o~ote;. signat? of duly authorized officer. ..LA'dufL..k.S(!~~..~ . (!%~~~dftl~' of corporate officer) Builder's License No. ...../1.-...t.!................................. Plumber's License No. ......1..~..p..?.................... Electrician's License No. ...1.,~.t/..rJ:....(<?............... 1. 11- 7 Other Trade's License No. .............................................. A'1-3 .y/- C, Location of land on which, proposed work will E,?done. Map No.: ........................................ Lot No.1:(.:)~.:!!-:.:::.:. Street ond Number .~.....,f;..,!?4~k......~.......................................................................... Municipality Stote existing use ond occupancy of premises ond in:ended use and occupancy of proposed construction: . a. Exisiting use and occupancy .......M."t:.-:..~........;J,(N.1j,...~~'.Iy...."7;?.yJ.e.lt.&.;r-................. b. Intended use and occupancy .........SU?~.47.7~7...#2i:~...............:..::......::.:~.:~.::~...~.:.~.. " L. 3. Nature of work (check which applicable): .. .. Repair .................. Removal.................. N B 'Id l" Add t .....L---...../........ AI . ew UI In9 ..... /.......... I Ion terat,on.......L...... Demolitior .................... Other Work ................................................ .. (Description) . Estimated Cast .......d7C/j;.P..Q...~....................Fee ....................................................................................... (to be paid on filing this application) If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ If garage, number of cors ............................................................................................................................................. 4. 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ....I.!./.~............................................................................................. Dimensions of some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ ,/ Dimensions of eny're new construction: Front ......d?:...................... Rear .....d.?:............... Depth ....i?..7............ Height ....JC.I'L. Number of Stories ...1............................................................................................................... Size of lot: Front ........................................................ Rear .......................................... Depth ................................ Date of Purchase ........................................................Nome of Former Owner ........................................................ Zone or use district in which premises are situated ........................................................:............................................ Does proposed construction violate any zoning law, ordinance or regulation: ..~.(?.............................................. Will lot be regraded ../~-f..........__....., Will excess fill be removed from premises: (t1 Yes () No _ Name of Owner of premises ..J::thu....I3.a.1.e.r.L............ Address ---::E?~!.,.€X.~....-:J::?.... PhOne No. l..'f...r...7.6.~-:Y Name of Architect .............................................................. Address ................................ Phone No. ...............:...... Name of Cantr~ctar 'S:Elo.do.&~...6".t!Ld~.1.~5...!.#..r;. Address---::f.i~lf.~...:r.~..... Phone No.7.t..L:?~k..~ .,,:~ , ~,,'.,>:." . PLOT DIAGRAM . . . Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-bock dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot.. 6. 7. 8. 9. 10. 11. 12. 13. 14. ;"," r ,.C'._ 'I,.. ,_.,~ , . '.i_r --',. < - .' ',~, -'" . ""--0. #tl-5t:./ ~ \ \\r\ \ . ~\ --- \ \ \\ C~ \ \ 'I:. \.;.----' f ~TATE OF NEW YORj(_. IS 5 COUNTY OF ....5.!-c.r.:J::.9.ir.ff.........f . ( ....lJ.JJlkO'.J'.}.~.....Q....J"^ .a..\<'::'5.t.l.e-..\......................being duly sworn, deposes and says that he is the appllcanl (Name of individ~~l signing contract') above named. '~.---;:::< _ . .'. ' He is the .....~d~~..?.!d.~....... of. .....I.J..C!.Ii.!.t?.d....5.e.j:.l/.l(.g.~..../../.!t.........n..........n........................... ........ . . ...'. (Contractor, agent, corporate officer, etc.) of said owner orow"ri'e~; and is duly (IUtho~ized to perform or have performed the said work and to make and file this application; that 011 statements contained in this application are true to the best of his knowledge and belief; and thar the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this il ~~ ........../);'J..::::.. day of ................~.~..............., 19]5.. /' - .' ~ Nmo, "'bl", .......................:?.\J.Efo.Cb........ Coomy M~ ..m~7/:" ..it....... .,..........~......... Q 0 I - . igna re of applicant) r1--.O-Il.--v\ ~.> f"0--"'- tz ~"--=<. ..JAR" . NKIEWICZ ...l MAR B~ P~n Of NEW ,ORK "01 AR' PlIO.Ie. Sl u< CllUNT'I . c' .~,=n - Suffo ."U' NO J.. .()l:U ::::1'",,"' PdfCH 3Ci 1~ L..~",'.SSIO~ E10IRES II .