HomeMy WebLinkAbout31994-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32557 Date: 08/23/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 530 KIMBERLY LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 70 Block 13 Lot
SOUTHOLD
(HAMLET)
20.17
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 11, 2006 pursuant to which
Building Permit No. 31994-Z
dated
MAY 11, 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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH
FENCE TO CODE AS APPLIED FOR.
The certificate is issued to CAROL LYNN CREAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
1152847
08/14/03
PLUMBERS CERTIFICATION DATED
N/A
~~~~''".,"<.
Rev. 1/81
I/JJ" Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
;,+ ~.~- ~~~~~~r~ : .
r.i;1[G~.23 Zl.~6
j bLU,), DEP ,. .
T0WN QF <;0,_:THO~O
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,
APPLlCATION 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 than2ilO 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 bnildings (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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. fJ / pL11~r
.
y:
530
New Construction:
Old or Pre-existing Building:
(check one)
S (}V 'llTlJl.-1) I NY
Hamlet
House No.
/.( IIVJ (lyE f2. L 'I
l-fir1V t
Street
L. C(<7.AN
Location of Property:
Owner or Owners of Property:
CARoL
Suffolk County Tax Map No 1000, Section
Block
Lot
Subdivision
Pelmit No. '319Q ~ - C Date of Penn it.
Filed Map.
Lot:
Applicant:
Health Oept. Approval: _________
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate__
'J C
Fee Submitted $ ~ ..,2
Final Certificate:
x
(check one)
~.'1.:2.ILf~
Cj) ::c3cJ~5 7
/l~ :I.Cu~
L Applicant Signature
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.
31994 Z
Date MAY
11, 2006
permission is hereby granted to:
CAROL LYNN CREAN
PO BOX 1882
SOUTHOLD,NY 11971
for :
CONSTRUCT INGROUND SWIMMING POOL IN REQUIRED REAR YARD FENCED TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 29384.
at premises located at
530 KIMBERLY LA
SOUTHOLD
County Tax Map No. 473889 Section 070
Block 0013
Lot No. 020.017
pursuant to application dated MAY 11, 2006 and approved by the
Building Inspector to expire on NOVEMBER 11, 2007.
Fee $
150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ G & S ELECTRICAL CONTR. JOHN CREAN ~
~ P.O. BOX215 530 KIMBERLY LANE ~
~ SOUTHOLD, NY 11971, SOUTHOLD, NY 11971 ~
~ Located at 530 KIMBERLY LANE SOUTHOLD, NY 11971 ~
~ ~
~ Application Number: 1152847 Certificate Number: 115284 7 ~
I Section: Block: Lot: Building Permit: BDC: NS11 I
~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ Outside, Pool/Spa, ~
~ ~
m was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was m
ii!I found to be in compliance therewith on the 14th Dayof August, 2003. ii!I
I Name OTY Rate Rating Circuit ill!: I
~ Appliances and Accessories ~
~ Pool/Spa Bonding I 0 ~
~ Furnace I 0 Gas ~
~~ ~
~ Wiring and Devices I 40 3 ~
~ FIxture 2 0 Pool/Spa ~
~ Receptacle 3 0 20 amp Pool/Spa ~
~ Switch 1 0 General Purpose ~
~ Receptacle 1 0 GFCl ~
~ (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have m:;
~ frequent test and/or repairs made by a qualified person. ~
~ ~
~ .. ~
~ seal ~
~ ; ~
~ 1 of 1 ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
l!I.l!I
3 r19 r~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ~ULATION
rPrFINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
I
INSPECTOR
3111Lf Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING P<(FINAL ~ ;
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONS1HUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: jJ ~ ~
~~
f~ ~
~ w.JJL ~()
DATE s~3/--{)7 INSPECTOR~~
3/114- Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[
[
[
[
of(~
~~
DATE 3 - ;t-d-.- 0 1
r~ rwf
[ ] ROUGH PLBG.
[ ] INSULATION
r;<i FINAL
[ ] FIRE SAFETY INSPECTION
;)
-
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INSPECTOR ~
~~~,
,
.
l'~~#';\ USE NO. STREET HAMLET OWNER EXPIRATION HEALTII DEPT.
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 550
VILLAGE
DIST.
SUB.
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TOTAL
DATE
REMARKS
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400 Dormer
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 5230
VI LLAGE
DIST.
SUB.
LOT 17
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:ORME~ OWNER
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LAND
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1300
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1:700
7 0 c,:)
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eadowland
,use Plat
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TYPE OF BUILDING
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VL.~
Mkt. Value
SEAS.
FARM
COMM. CB.
MICS.
IMP.
TOTAL
DATE
REMARKS
~I::Y
....q~DO
_.:0 '.."J
S'20)
10300
'C 4-na
rOV
/ " 0 ()
.~
L_ .J .;.> 1 ("
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FRONTAGE ON WATER
FRONTAGE ON ROAD
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DEPTH
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4'"
Br 10 x;O - /80 2.,,-1) 2MJ Fi re Place yt;s Heot OM DR. I
Gara~ 2-( . ~ ~ - S'i'rl /. =>0 ,:1 /1U Type Roof Rooms 1 st Floor SR.
X .:JU~ rv'" 1/1
(-~;,9, r ReH- It x(lf = I~~ (O~ joO Jff-,7- Recreation Room Roams 2nd Floor I
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~ 41'e.-- (oj 400 Dormer Driveway
-
Totol t?> .~. I
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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!outhold/
~ 3l7c;~
PERMITNO.~l.
I
~
BUILDING PERMIT'APPLICATlON CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved ale
/ <( 20 '3
'-
\---:20--.3
Expiration
Mail to:
Phone:~ 53'7 - ;)..~~o
~7 ). / 113
I A ?l'~
APPLICATION FOR BUILDING PERMIT
Date
;1/1l{ ()
/
,
20 11 3
'-
INSTRUCTIONS
-."....---.-
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building 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 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 of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition 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.
AI)
/torY! >-/ /'fIr -:rIr
(Signature of applicant or name, if a corporation)
t}l RfP}\ ') UJ(, !31JiP6e:f::::~(/ iVY /('1d).-
(Mailing address of app icant) ,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Gi/Jvlltv ~1Y/U1M/k'" rJry;( !JvluJnL
(
Name of owner of premises ,.J-vH v ...,. (/r(J/ll (/{Cty/
. (As on the tax roll or latest deed)
If a. pplicll(ii co orar ?nJ sign~re of duly authoriz officer
. .--/d . (/ t?~.. !
(Name and title of corpor fe officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
06 2- ~ 2.-."t- - 0
1.
1Alt/t!:
/r/-J 6L.D
Hamlet
House Number
County Tax Map No. 1000 Section
Subdivision r'7fJr rIft Dr~t: I)Y
(Name)
~ ,0
7 /I( r~ Itf'
Block \ ~
Filed Map No.
Lot .;20. J1
14 L( &, $. Lot 11
.,
<;".,
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ') I.. {/A p:/fiol I Lf !/rvf"/ / IS -'"
I ' (
b. Intended use and occupancy
vr/tv'(r
(11/( "vi( ; t-- /
Addition
Other Work
Feci
I .
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Alteration
5'11/1 tvni/ I M i.laJ (
OJescnption)
4. Estimated Cost
t
3u.oCP JV
.
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use.
Depth
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Depth
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size ofIot: Front
Rear
10. Date of Purchase
Name of Former Owner
I I. Zone or use district in which premises are situated
!(f;.J / Vi J, c t.-
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Will lot be re-graded? YES_NO X- Will excess fill be removed from premises? YESL NO_
14. Names of Owner of premises IJf. eKE'! v
Name of Architect I-( p,,)< -SRI?!?' i?e
I .
Name ofContractorf\ rf ;/eor Iff/a 71-: I
Address).JV i/,"'bn0 (}. Phone No. I~)" /)..1"8'
Address IV'1} 8//X';/ Phone No 51r; it V bl y 6
Address ( nlf("VfJ~'f'Y~L Phone No. (,,'1 :;)}-)<./)o
IS 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_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF:;f~s~
COUNTY .
64-lJI2Ir/l.- N, &r~~?t:ebeing duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
R-~t;P/7
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the 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.
20 1:3
/~(j{~~;;
Signature of Applicant
JOHN C. 8WE08oRG
Notary PublIo. StlIIe of New YoIt
No. 82 4603968. SL;rauc Countv
TIrm ExpIres March so. ~'P
~
Ii. ROY JAFFE, P.E.
82 EAGLE CHASE
WOOD8URY, NY 11797
e....n 3) '71 ~
PINAL. G Atl'!.
o E .r~~TC"MC..n :tlh'lf r--I
~l.~~1.1J" ~ IF I I
DATE: -), ~ 3 I~pc~'f~~r '
FEE: . dB~~Pt'-
NOTI BUilDING DEPAR~EN'FPI\'Ti.
765-1802 8 AM T 4 PM "FtjI\Tn!&"TS
FOLlOWING INSPE TlON
1. FOUNDATION - WO REQUIRE
FOR POURED C NCRETE
2. ROUGH . FRAMI G & PlU
3. INSULATION
... FINAL . CONST~CTION .M
BE COMPLETE R C.O.
ALL CONSTRUCTIO SHALL
REQUIREMENTS 0 THE CODE 0 NEW
YORK STATE. NOT RESPONSI FOR
DESIGN dt'~Brtt~. R ORS.
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HOlD TOWN RUST ES
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~EFORE "WATER
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CAPCITY 1260 GALLONS (169 CU. FT.)
1. COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR FULL DEPTH.
-
2. THE MATERIAL USED FOR COOLARING SHALL BE COMPRISED OF SAND & GRAVEL
FILTER MATERIAL CONTAINING LESS THAN FIFTEEN (15) PERCENT FINE SAND
SILT & CLAY
TYPICAL DETAIL - DIFFUSION WELL
BACKWASH FROM POOL 70 GPM @ 10 MIN =
2" OVERFLOW FROM 800 SQ FT POOL =
Dr. John Crean
530 Kimberly Lane
Southold, NY
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Southold, NY
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NOT~' LOT .NUJJB~RS R~F~R TO .MAP OF PARADISE BY THE BA Y.
FILED NOV. 4. 1976 FILE NO. 6463 A T THE OFFICE OF THE
SUFFOLK COUNTY CLERK.
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SURVEY OF
PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
10.0.0. - 70. - 13 - 20.17
Scale 1" = 40.'
Dec. /4, /990 .
"
Feb. 26, .1ge3 (u.c.)
April 12, 1994 (final)
MAY 8,2002 ,
JvNE &, 1A=>o"/.,o(reY/~/r:V')
rOWELLING)
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Th. waler supply ond s.wag. disposal
sysl8ms fo' Ihls ,erlid.nc. wHI conf"rm
la Ih. slandards of Th. Suffolk Counly
D.parlm.nl of Heallh Servlc.s. .
ANY AL TERA TJON OR ADDiTJOtI TO THIS SURVEY is A VIOLA TJON
OF' SECTION 72()9 OF' THE NEW yQllil' STA TE EDIJCA TIOH ~.
€XCEPT AS P€R SECTION ~ '~'. bIi 2. ALLCEJr TrON6
H€R€ON ARE VAL., FOR THIS /lAPS THfJfEOF Y IF
$AI) /lAP OR COPIES BEAR . .tEAL OF TItl5" .st.fI'\II'YM
WHOSE SIGNA TIJR€ APP€ARS
ADDlTJONALL Y TO COMPL Y WITH SAID LAW TflJIII,t . AL TERIb BY .
MUST BE USED BY ANY ANO ALL SOR~1&M~ . l.(. A 'COJ'Y
OF' ANOTIER SURV€YOf/'S MAP. TEIWS .' . TED . MiP
. BROUGHT - TO - DA T€ . AR€ NOT ". wrTH THE LA~~
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CERTIFIED TO'
CAROL LYNN CREAN
NORTH FORK BANK
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T5 58998-5
"9618
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