HomeMy WebLinkAbout32757-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32604
Date: 09/17/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 2245 FAIRWAY
(HOUSE NO.)
County Tax Map No. 473889 Section 109
DR
(STREET)
Block L-
Lot
CUTCHOGUE
(HAMLET)
14.21
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 27, 2007 pursuant to which
Building Permit No. 32757-Z
dated
FEBRUARY 27, 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 REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to MATHEW W & MERYL HORMANN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
70790C
12/18/02
PLUMBERS CERTIFU'.ATION DATED
N/A
~~~
uthorized Signature
Rev. 1/81
.
.
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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 (8-9 form).
3 ~ Approval of electrical installation from Board of Fire Underwriters~
4~ Sworn statement from plumber certifying that the solder nsed 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:
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 writing to the applicant.
C. Fees
I ~ Certificate of Occupancy - New dwelling $25~00, Additions to dwclling $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 - $1 OO~OO
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~ SE~ IIf. ),Po?
New Construction:
Old or Pre-existing Building:
Location of Property: Z245 ~~ w"ty '])e.: i./e,
House No~ Street
Owner or Owners of Property: !1JlrtHEEt.J ? 0~~ y b
Suffolk County Tax Map No 1000, Section \ Oc\
Lol_J s ,~J
Block
Subdivision
Filed Map~
Lot:
Pennit No~ 3275,)-:L.
Date of Pennit.
Applicant:
Health Oept. Approval: _~
Underwriters Approval:
Plarll1ing Board Approval: __
Request for:
Temporary Ceriificate ___
Final Certificate: ____ (check one)
~4..u kJ.~
Applicant Signature
Fee Submitted: $
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Co t 3JfoOt{
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.
32757 Z
Date FEBRUARY 27, 2007
permission is hereby granted to:
MATHEW W HORMANN
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REAR
YARD AS APPLIED FOR. THIS PERMIT REPLACES BP 28794.
at premises located at
2245 FAIRWAY DR
CUTCHOGUE
County Tax Map No. 473889 Section 109
Block 0005
Lot No. 014.021
pursuant to application dated FEBRUARY 27, 2007 and approved by the
Building Inspector to expire on AUGUST 27, 2008.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
3?-7S7 7
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING W FINAL
[ ] FIREPLACE & CHIMNEY "[) FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON
REMARKS: IG p~ ~ r;f\,
E~~ ~, a-eM'~c{l
~
DATE CJ--I'f'~1 INSPECTOR ~ ~
,
FIELD INSPECTION REPORT DATE
COMMENTS-
FOUNDATION (1ST)
---------------------------~-------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
lNSULATIONPERN. Y.
STATE ENERGY CODE
I
FINAL
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SI11JATE. c::.IJ'rCHO<:;UE .
TOi"IN OF 5OUTHOLD
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AWA"'( FRO>> POOL.
WA.TER D1SP'OSAl. SMAll. B~ L.1htrTED 'TO OWNER"S
PROP:;'RTT TO SUIT L.Ot.a.L. REGULATIONS.
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TOWN OF SOUr:E(OLD 2 5 ~OO~
BUlLDINGDEPAIt'FMEm .L L
, ,
TOWN HALL \ l,~ ,.
SOUTHOLD, NY 1[~~!, . ,-
TEL: (631) 765-1802
FAX: (631) 765-9502
PERMIT NO.
"?:>J,ib I
/~ r71~~
BUILDING PERMIT APPLICATION 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 alc
~.)-(p
loll
,
,200d-
20 ()~
'-
Mail to: -SW\IIIA ~1L.'h ?oo~
Phone: ~ ~~ - ~IOV LMlAcP-V
Expiration
'/fll ,20...!!!::...
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{ Building Inspector
APPLICATION FOR BUILDING PERMIT
Date q - ~5 - O:J-
,20__
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 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 permil
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
properly have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pennit 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 Pennit pursuant to the
Building Zone Ordinance of the Town of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction ofbuiIdings, 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
authori'zed inspectors on premises and in building for necessary inspections.
Builders License No.
Plumbers License No.
Electricians License No. /)ID'lfi b
Other Trade's License No.
UNDER~rRITERS CERTIFICATE '" M M ED IA TEL V"
. REQUIRED ENCLOSE POOL TO CODE (Mailing address of applicant)
UPON COMPLETION . _
BEFORE 'WATI'R" : ~1~1
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electri~iS1Oltrer
~(~H)T I ~>D :=':~ :/iO~~=
NameofownerofPr~ses ~ ... ... FRYL I-\Dl2lMl'\t-Jr0 MIr; 'LbIN8\': - AT
(As on the tax roll or latest deed) 711-'101 . AM TO . PM FOR THE
If applicant is a corporation, signature of duly authorized officer I'OLLOWINO INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
FOR POURED CONCRETE
I. ROUGH - FRAMING" PLUMBING
a. INSULAnON
... FINAL. CONSTlIUCTJON MUST
IIiCOllPLETEFOR C.o.
AU. CONSTRUCTION SHALL MEET
ne! flEQUIREMENTS OF THE N.Yo
'TA_ CONSfllUCOON " EMERGY
CODES. NOT RESPONSIBLE FOI
OESIGN GIl COHS:r.aJJC3i1QM -qau
~lATCJID b u.6'
Hamlet
(Name and title of corporate offirer)
OCCUPANCY OR
usns UNLAWFUL
WlIH.01JI. CERTIFICATE
Of-OCCUPANCY
,;) I Lj J 01 HI.
1. Location of land on which proposed work will be done:
61945 FAI\<..\.lJAY Ul2.I\)G"
House Number Street
County Tax Map No. 1000 Section i OC{
Subdivision r-A \ Rw A'/ (::' 1-\ iC.1M S
(Name)
Block 0-
Filed Map No. &03 ~
Lot t l.f ,DOlI
Lot ..;1.1
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 61l)bL~ FP,'IY\ILV uu )P-LLJ D (?
b. Intended use and occupancy
ll)- (~pl"l\Ak)b ~n)liAI\UAlnb 'POOL-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
OtherWork 'il.)-/.~l?()UIl~t. POOL ~()'/.I/?
(Description)
4. Estimated Cost # 11) I DOO. -
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.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
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
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner
il. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO v"
vIA 6lillM
13 Will lot be re-graded? YES_NO "'/Will excess fill be removed from premises? YES v NO~(o !JUllelE"
Ml\rrflEWi WlEJ2'IL C.U rrHObl.\c .
]4. Names of Owner of premises ~"itm~/.)I..) Addressrfj;}~ ~~ fPhoneNoia3l- 7..z,V-;2.01'!
Name of Architect (",EOebF- MI{'J-wS Address/D..o F'i'~ ~ PhoneNolP:3/- qtilll~<6;;.37
NameofContractorlUV')[)~~ KDf)Ft'~JL Address 1./71 I!T~A; ~IjPhOneNo.baJ-71/'I-f3/{)cJ
:::'WIII'l. IL/I.)6 Ptx>LS 'OltO!
15 a. Is this property within 100 feet ofa tidal wetland or a freshwaterwet1and? *YES_NO j.
* 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, DEe. 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, mustptovide topograJlhical da~ on survey.
ST ATE OF NEW YORK)
...s...u..~..I::
CO~\i~1
I ~~~ ',' T ~CJC-E:./L being duly sworn, deposes and says that (s)he is the applicant
__. (Name of;~ividualsigninij,~.ntract) above named, .
; (,~)~~~:;~"~Q()~'''~.~~lI~l;;~~ J &J.o77V1CTtyL
. >, :-~~,>.I(') l~oanttactor, Agent, Corporate Officer, etc.)
,.'. , ~ .t
of said owne. r o.r.,. o,~, m.. e.,r.s; .an d,. ..is ,tM. .tau~orned. to p.erfo. rm. or. ha. ve p~ormed the said work and to make and file this application;
that all statements contaJlf~d ill t$ pphcation are true to the best ofms knowledge and belief; and that the work will be
per~ormed i,p, tb,,, j):""nll~r ye1 ,f~rq'. the applicatiorifijed $~rewith.'
, '. \.' l ! tf'Ol'~ "\~ 1 '
S\\"l1}"t~~f6re jI<~,tbis; -. ~~;::)
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SURVEY OF LOT # 21
"MAP OF FAIRWAY FARMS"
FILED FEB. II, ''114 AS # 60B6
SITUA TE, CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
SURVEYED 04-20-"18
SUFFOLK COUNrr TAX MAP
1000-10"1-5-14.021
CERTIFIED TO,
MA THEl'l HORMANN
MERYL HORMANN
SUFFOLK COUNrr NATIONAL BANK
C.OMMONY<EAL TH LAND TITLE
INSURANCE COMPANY
TITLE. 10"18-10"1"1
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REFERENCE # 9M-IJ155
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
PERMIT NO.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
6';}.1C;1~ (~
28791-. Z
Date OCTOBER
1, 2002
Permission is hereby granted to:
R RODECKER FOR HORMANN
2245 FAIRWAY DR
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REAR
YARD AS APPLIED FOR
at premises located at
2245 FAIRWAY DR
CUTCHOGUE
County Tax Map No. 473889 Section 109
Block 0005
Lot No. 014.021
pursuant to application dated SEPTEMBER 25, 2002 and approved by the
Building Inspector to expire on APRIL
1, 2004.
Fee $
150.00
~CJL
: Authorized Signature
ORIGINAL
Rev. 5/8/02