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Home My WebLink About33281-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32622 Date: 09/24/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of PrOPerty: 1000 PRAITY (HOUSE NO.) County Tax Map No. 473889 Section 109 LA (STREET) Block 5 CUTCHOGUE (HAMLET) Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 2007 pursuant to which Building Permit No. 33281-Z dated AUGUST 1, 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 ROBERT W BROWN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEllT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 10/06/88 N-038256 PLUMBERS CERTIFICATION DATED N/A ~r~ Rev. 1/81 - I. ;J( 2 I "--l[i!; ,wl ~ I '---B-LD, DEP~. This ;Wfffl'HlE&1) , Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,~ ~ CB if 'f'37 ~I YJ rj (IU5 PPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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. New Construction: 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. 9/ -<-I / f'J 7 1/' (check one) ~~riw!fff Location of Property: to () () House No. e\p\ Old or Pre-existing Building: ?/7U1/-A. h e treet ctw/S /c<- 75 y fJw tV Lf 7:) \1 9, q~ rD&lock Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ~ n DO j Lot 1/01 Subdivision Filed Map. Lot: Pemut No. \, ~S- S- Date of Penn it. 'is' /"2.'5>' Iy~ Applicant: G<. L..) Health Dept. APpr~val: _~__~___~ ~nderwriters Approval: Planning Board Approval: __~~____ Request for: Temporary Certificate _ ~J~ /oJ Final Certificate: 1/ (check one) ~ 5'i([) rD Fee Submitted: $ ~\lC--!? III eo -2 3:2 () 22... ~t< 73-nx~ 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. 33281 Z Date AUGUST 1, 2007 Permission is hereby granted to: ROBERT W BROWN PO BOX 937 CUTCHOGUE,NY 11935 for : CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. (THIS REPLACES BP #17355Z) at premises located at 1000 PRAITY LA CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0005 Lot No. 001 pursuant to application dated JULY 31, 2007 and approved by the Building Inspector to expire on FEBRUARY 1, 2009. Fee $ 150.00 ORIGINAL Rev. 5/8/02 33 ')-V ( Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING iP<f FINAL A-: [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRlICnON [ ] FIRE RESISTANT PENETRAnON REMARKS. f'~ ~- "\.4-- 0 _ ~~~I 04:.~~ DATE -'1-;'1"-07 INSPECTOR~~ l?:> J no; ~,'.{1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PM;}t: I 00.. !,)("\'OIH.;'H Ph BUREAU OF ELECTRICITY 8S JOHN STREET. NEW YORK. NEW YORK 10038 1~lgR ~~0~7i~8!~~ Application No. on Jilt> ;\1 Ii i ;,~ >~ ~l f; I ~ THIS CERTIFIES THAT only the electrieal equipment oa described below aOO introduced by the applicant named on the above applieadon number in the premiaes oj RO\1..;wr HKnWN i'RA"j'!'V Ijt'.I\j\>: {'U'f'I'HOI.;!j~~ in theJoUau:ing 'IJCo.tion; [] BaJl#.'rnent, ,0 hI Fl. S"~P'I'}o:t1~n:k ;.'.: .14~H K'GS examined on N. Y . D 2nd n (:i!tT .~tion B/""k to, andJound to be in comp/ianrt' tdth the rf'f/uiremenfR oj this Board. AMY. K.W. OIL H. P. GAS H.P. AMT. NO. A. W. G. AMT. AMP, AMY. AMPS. BEll 'RANS. UNIT HEATEIS MULTI..ouTLET SYSTEMS AMY. H. P. NO. OF FliT DIMMERS FIXTURE OUTLETS ECEPTAClES SWITCHES RXTUIES INCANDESCENT flUORESCENT RANGES ANlT, K,W. COOKING DECKS AMY. K.W. OVENS AMT. lC.W. DISH WASHEIS !XHAUST FANS AMY. K. W, AMT. H. p, DIYEIS RlINACE MOTOIS FUTURE APPLIANCe FEEDERS SPECIAL RIe'PT TIMI CLOCKS AMY. W...TTS 1(, SEIVla DISCONNECT AMT. AMP. TYPE NO. OF 5 E METER EQUIP. 112W l,B3W 363W 3,1.W NO.O~E~'BCOND. I V A. W. G. NO. OF HI-LEG OF CC. COND. C E C:'I~'i\~G NO. Of NEUTR"'LS ....W.G. Of NEUTR"'l OTHER APPARATUS: G.lo'. C.l.:-l A (SW lMl'1! NG POOL) '1'1); S" cpt,t'i f! f':'lt.(> r"OV~t.s l'ompl-ldn'~e al" t:h~~ d.:tt-f" (,f ; r!f~l)p('t ion (lnl y _ Hpc.'wr,p. (It tpll1Sl1d,l t"'nVlronme-HtF; it '\.s .3tiV1S;.h-I_,:,. t'n tHnH~ fn~qu(-'nt 1 ('st/~nc or (("P,'!; fq m-~..dA by a (jlFtlifit'ld !)prson ;lOIlY jIOt1fi,i,O T';i'P l;ANE t-lA'I"l.' !Tr:CK NY ~K~ ; 'll;, ~ _ MANAGlI 11 II 1 C';N,",~: r~u '.~ '~t"}(Ii<' Per. This certificate must not be altered in any manner; return to the oHice of the Board if incorred. Inspedors may be ~-' ,..: ~, identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 3 3?-E I Z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL t& ~ [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETMnON REMARK~ <if lC: ~ ... /~~J DATE 7--~- 07 INSPECTOR fr~ 3> J ~y I z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION ~ [ ] ROUGH PLBG. [ ] INSULATION [XFINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ - , ~\JG.. ~~~~ ~ ~&-~E: 1,,~-u1 7- {, - 07 DATE c>>>J:; . INSPECTOR ~ ~ :'12LD I ~~ S~; 2C7 I (J~J IILJA7E II COMMENTS 1. I .." '" :::J = H .., ?"OUlmATION - - -- --1-' s-!l. "" ?"OUNDATIO!, (2nd) c~~ (J)j .,.} "'~ I, 2. PLUMBING z ...... o ~ ~ " p .s Ik r ROUGH FRAME & 3 . INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 4. FINAL lJ-'/t-.-/tJ7 P:~~. ~*~f)a "r1 Wi;, ,i !Il III' !!, . FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .. BOARD OF HEALTH 3 SETS OF PLANS SURVEY. . . . . . . .. . CHECK .......... SEPTIC FORM 1LIG 5 '. . ... !-0't.~.C 19?!! . '" ......-:<..(,191?PennitNo.I.?~:S:~.:t NOTIFY CALL ................ MAIL TO: 0"'"=,,./, ............................ .de...... ... ....... ......... ....... .... ..~...... . ~ . . f. . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . ?j(~ . .. .. .., 19 8'K 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Pennit. d. Upon approval of this application, the Building Inspector will issued a Building Pennit to the applicant. Such pennit 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 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, 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. . If, . /2.f7!-.~t. .~.{.~(l!~.. ~~"""""'" (Signature of applicant, or name, if a corporation) f. p~ . .!J.~x.. . if} ~ . . &#7T/.7,(<,(,(: /V.;f:. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... .&.6!vf~#.L.. .G~al1l:~...........,...........,........................... Name of owner of premises ..... J!.fNJe::nr. . . . . ~. . . . .(J~Ol,..J,I)/. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) 's a corporation., . : .n.a~~ .e. O~I~ ~~~~~r:z.e.d. ~fficer. (Name and title of corp ra~fficer) . ALL CONTRACTOR'S MU~T BE SUFFO~COUNTY LICENSED Builder's License No. ... &7 'Z. . :-. . it:.t-. . . . . . . If ap Plumber's License No. ........................ Electrician's License No. . j41Pll);7J.I1,). . . /;:7,.~7'2 r c... Other Trade's License No. ..................... 1. Location of land on which proposed wflk"'i, V:~~be done. I'~ . C;;4-~ 6-.~. .;:1( .t. .. . .l.l. '7.!r:'. . . . . . '...,.,." ./?!P9....... r~(f.n:: 1.. .?,(-1N.~............ .C.~T.C#LJC-4U' .N.Y..... House Num ber Street Hamlet County Tax Map No. 1000 Section ...../O?j....... Block .....5.......... / Lot. . ..... ..... . .. " . . Subdivision. . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . Filed Map No. .............. Lot............... (Name) 2. State eXisting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . .~~;, '/;J,I:?f.ITJ ~. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . b. Intended use and occupancy ........... f?t;J.(I::JbYT(~. . . . .l.:-':.? .~. . . . .r-:~.'!(-"" . . . .. . . . . . . . JL - if a .4""0" S'-"I""-"""PVC r<-, ~ 3. Nature of work (check which applicable): New Building. ... . .. . . . Addition.. . .. ... .. AlteraFbn . .r-:G?":".CLr Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . . (Description) OA,CJO r,..., . . 4. Estimated Cost. . . . . . . . ,Q{J. .. ..,..~ U . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front. . . . . . . . . . . . . . . Rear .............. Depth... . . . . . . . . . . . . Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions 'of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . . . . Height. . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth ............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front. . . . . . . . . . . . . . . . . . . . .. Rear...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner.. ... ...... .. . ......... ...... II. Zone or use district in which premises are situated. . . . . . . . . .~tiSllt2~~< If.~. . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... ~... ........ .. . Will excess fill be removed from premises: Yes @ 14. Name of Owner of premises . .... ..7. . ~1-!~. Address.. .C:P,~#.o.f;.f1.:Ir:.. Phone No. ~ ??:. (.{J.."!v.... Name of Architect .................. J . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . yZt,. . . . . . . \f'" Name of Contractor . .f), /?b7~ r. ('; . . . ~. . . Address . . ~1f-'T7J.~C/.C. . . . Phone No. .....4. ~ .'(~~: . . 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ~.. *If yes, Southold Town Trustees Permit maLbe re~uired. PLOT DIAGRAM ... Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. )' !-?7 1117JJc1f I:-?;J ~r<.ur/' "-- STA TE OF NEW YORK, COUNTY OF . . . . . . . . . . . . . . . .. S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 there\vith. Sworn to before me this ............. .~r;...... ..day Of....~..........., 19tr Notary Public, .......~..y.A?~.?'(~... County / NOTARY~~~C~s:.~NewM . . . .. .................. '~'~~~l;~;;t) No. 4707878, Suffolk crntt y/ Term Expires March 30. 1 . ~' ~ ~ ,'; " ~"\r , ) R. I , ---.. _u. __'~ j f) , :) \ . ~ , , . , C~ 'I( '..~ \~'-) . . 'f) , " , .-~_.' . I) ) !) -'17; 1 () qhf , . +, ;.~ 'i,.,,~q-,; j.t,\ " "/:"': .r, :'", jf,~'.I1'I~V ..,~if.""""'..' ' A' (~ ' .. . "". .,. ~. 'V . ,lIP;, wtJ.' ;... ..'./"" .',,__ <" '" 11.... '. ',l, .,.....:Jt...:-,. "-~. ) tJ ;01/: 1< ~/.", ,,' ~. AJ,d . I " ~.. '"",. " J~ " .-0_ NO. . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. ~ tv. fyu;w>1 p.O . ~ q?,; 1 &JUt->> ifU. r1 ~ . 11035" BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 33;J.f]J -z-- n N~ .-&17355 Z Dote ..~.~.r:.....?::.(..... 19.?..1 P~."""" ho""'~"~.,~4.j~f~~S :::B~~...'f.~.1.................................................. ~..~.rk:.....~~.,...Jt.1.~"15 to ...~.....~....kr.\.~.....J..~..Y::..cr.lb.1.~................................ .;;:;:.;==;;;;;Z~;~;;;;i~~:::r.J~:;;;W: ....Q.:.I...n.......................;:::s..:..:....~...... ...... ... .......................................................................... ...... ...../~......Kp..Qr;.WC...W..,....~........................................................................................... County Tax Mop No. 1000 Section ...!..Q.'1........... Block ......Q.~....... Lot No. ...9..../.............. pursuant to application doted ...~A::':-:?y..../.~......... 19'1.1..., and approved by the Building Inspector. Fee $..I.~?!.:.....~ ~ ! .......A........'!!::.... ..............~.......... Building Inspector Rev. 6/30/80