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HomeMy WebLinkAbout32831-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32711 Date: 11/02/07 THIS CERTIFIES that the building SWIMMING POOL FENCE Location of Property: 490 MANOR (HOUSE NO.) county Tax Map No. 473889 Section 108 HILL LA (STREET) Block: 3 CUTCHOGUE (HAMLET) 13 .12 Lot subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2007 pursuant to which Building Permit No. 32831-Z dated MARCH 23, 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 INSTALLATION OF A NEW 4' FENCE TO CODE FOR AN EXISTING ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to THOMAS THOMPSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Rev. 1/81 T ..------ !:~[~ ~.f~~~~( JQ ,2 ( ; U , .---~ .-- c___;.,"" I bLl_: _> LC. I. I 1: Sr;~JTHOLD 1\\/\1 \ 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 iqIC 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 aud "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 tl1erefor 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 Celiificate of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Conunercial $15.00 New Construction: Da~ Old or Pre-existing BUildint V (Ch:t{ne)~ -. I Location of Property G\~O \\.ll..\l\\\\2,-\t\\\ .lPt<l\~ \\ \ UL--\"Z . House No. 11 \ Street ~ Owner or Owners of Property: \) WJ \...".1...... ()\J\A.~S I '{'- Suffolk County Tax Map No 1000', Section 10 sr Block-3 Hamlet Lot 13. }:L Subdivision Permit No. J lr J-rI-- Filed Map. Applicant: Lot: Date of Pen nit. Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Celiificate Final Certificate: ( check one) Fee Submitted $ e...~.l:7)S' Co ::C3J..7' I - 31-1; 3/ :z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION , ~J ~J-.~ I 1/ [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION t~ REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [X FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~ ok ~ ok, S-'-I-() 7 DATE INSPECTOR ~ ~ ?;).<?3 l reA. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~ REMARKS: (L- . DATE INSPECTOR 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. 32831 Z Date MARCH 23, 2007 permission is hereby granted to: THOMAS THOMPSON 490 MANORHILL LANE MATTITUCK,NY 11952 for : INSTALLATION OF A 4 FT FENCE TO CODE FOR AN EXISTING ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR. THIS PERMIT REPLACES 25843. at premises located at 490 MANOR HILL LA CUTCHOGUE County Tax Map No. 473889 Section 108 Block 0003 Lot No. 013.012 pursuant to application dated MARCH 23, 2007 and approved by the Building Inspector to expire on SEPTEMBER 23, 2008. Fee $ 35.00 ~C,~ Authorized Signature ORIGINAL Rev. 5/8/02 ," ~_~~~~!2~_~~-E!--r-E~!!---f-----------------------------~~------------------ I I. '!""AnON -' ,~) --- R . i ~~~2~====~~~2======l========t=========================-============================= r = ' . . ~ ~ .. lIuGH FRAME I> i. i 11 i I I . h 11 I . , . . , 11 ~~=================~ l I I R . PLUMBING ======- IIlSULATION PER N" Y" STATE ENERGY CODE ---" -- ----~'--- ----- FINAL -=---= _ L - ---- ADDITIONAL COMMENTS: - ============----=== .- -- -- c:l C/) M ~ Q .L.. ~ o i f >i ~- r !,~ or ~ ~-- i_ ~ ;l~ ~ S)) ,FORM NO. I TOllll OF SOUTHOLD BUILDING DEPARTMENT TOllIl HALL SOUTHOLD, N.V. 11971 TEL: 765-1802 BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEV........................ SHECK........................ . SEPTIC FORM ................... PeDDit lb. --3>:). ~ I -2. ~.~ I N~::VS/b.27~.~?~ .~ Exanined... J.l?-:-......., 19.~ Approved.. .11.?:-:........, 19. ~~ MAIL TO:................... Disapproved alc .................................. - (lbilding APPLICATION FOR BUILDING PERMIT Date .M.!J.'/.. .Q.I....., 19.QQ. INSTRUCTIONS a. This application DUSt be ~letely filled in by typewriter or in ink and subnitted to the Ibilding Inspector, 3 sets of pI.."" accurate plot plan to scale. Fee according to scheO.Jle. b. Plot plan obowing location of lot and of bIildings on pranises, relationship to adjoining prenises or J1Iblic streets or areas, and giving a detailed description of layout of property DUSt be dram on the diagran .tlich is part of this application. c. The..orl< covered by this application may not be uo.w:olCed before issuance of Ibilding PeDDit. d. Upon approval of this application, the Ibilding Inspector will issue a Ibilding PeDDit to the applicant. Such peDDit shall be kept on the prenises available for inspection throughout the ..orl<. e. lb Wilding shall be occupied or used in .mole or in part for any JlII1lO&e .natever until a Certificate of rr...'P"""'Y shall have been granted by the Ibi Iding Inspector. APPLICATIllI IS IEBEBY MAlE to the Ibilding Del"'L u..,..t for the issuance of a Ibilding PeDDi t pursuant to the lbilding Zone Ordinance of the Town of Soutbold, lbffolk County, New Yorl<, and other applicable laws, Ordinances or Regulations, for the construction of bIildings, additions or alterations, or for reDD\1al or damlition, as herein described. The applicant agrees to ~ly with all applicable 1....., m:dinances, bIilding code, housing code, and regulations, and to a<bit atthorized inspectors on pranises and in bIilding for necessary inspections. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATP F~:\-o ~ "- 5 e..~..... ....... .......... ...... .... ....... ...... ....... O;;A ~~' (Signature of applicant, or nall>, if a corporation) .. H.9.~ .!Y)!!f.!. ~/!-.lJl~?:. J:(t~{;.............. (Mailing address of applicant) Oi~t is eMler. lessee, agent, archi~t, engineer,. general contractor, electrician, pltober or build::. ..? .W.N.s &...................................................................................................... Bane of owner of pranises ..fp..~J.i!.a.l}Jf.i!-:f:.!YY.p...NMfje^.)./Jl.c.t;..E?ty.;:<!I9.. .........~.. ........ ... .... (as on the tax roll or latest deed) /........ ~.ct <'-1J3 - If applicant is a corporation, signature of wly atthorized officer. ..~U 157 -c ....<<1................................................. III: ~~~ .' ' (Bane and title of corporate officer) al w J fI" I I '" ..._.._ ....1HE ... . II t ru ...... NO rnr.... ~ iiUh '..."-l.fJG .. PINAL . ~ MUIT Other Trade's License lb. .#.!!.............. .~PORc.o. AU. CONI'nlUCJ'ION ~Ll MEET J. , IDeation of land on .tlich proposed ..orl< will be done. ...................... .'RolE- -REQl.IlR6f!I6NTS .O'Lnta ....V.... .... .!fHp......... M/J/:!o.f?:. Hi .Id-:.. .~AN~........................ .~.fT.=ltP.C~8~~;g~... 1Iouse !bdler Street ~eOJllliTRUcnoN ERRORS County Tax Hap lb. IlXXl Section .. ./.~. ~...... Block .... .1.'. ~q..... IDt t7.0.~ ~.t! 1... /!13, '0/,1 n...... . . A...,$ '1 N"" 1'19- """"IVISlon ......,"',............................. FI ed Hap lb. ......CT....... IDt ....'.'f......... (Bane) Plumbers License No. ......................... Electricians License lb. /Y. ~ . . .. .. . . .. . . . . .. . Builders License No. ...~~................. 1V4 2. State existing use and "'"'"'1J"""'Y of pranises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. fI(!1JIi............................ X;;;:':'':i...~,.';;......;;................. 5"4//1 e,". ',,' '. . b. Intended use and "'"'"''I'''''CY . ....................................: .-..... ~.:....:......................... J. 1.....u..lU~ U1. W\)ll!.. \UIe(;K WllllJl aWlJcalHej: New llJilding .......... Addition ........... Alteration .......... Repair ............ Rewval ... ~....... ilenDlition ............ Other WOrk>:<................................ (Description) 4. EstioaJ:ed Cost :."1.........~.tf(Jt1..... 5. fee ...:.......................................... (to be paid on filing this application) If Welling, rumer of Welling unit~ .....f!~... !bIDer af Welling units on -;'ach floor ...:NI1:....... If sarage, rumer of cars ...~t1............................... If business, C<JDnercial or mi>CE!d occupancy, specify ~ture and extent of each type of use....~.~............. ;f"~ ~ I a'l?: U:11") ~/A'.) D. . f' t' \d'f.e 'f . Fron 6 Re . ,.. De tl 'r-r.~' v.(a/ [N./ lI..,nSlons 0 <!XIS Ing _"S,l any. t....,....... ar... ..~..... p I ......__,..~..... l!eight ..H.~................... !bIDer of Stories ..........t'!./J.....j.. . f3p 135"' Dimensi""" of "'"'7~tructuI}! wi th alterations or addi tions: Front. . . :..... .. . . . . ... Rear ...c . . .. ..' Depth 1I:'i01?:;'. .VK:(1;JjJ.!l1eight .... -'f~............. !bIDer of Stories . N.~......... 6. 7. 8. 15. Dimensions of entire new coostruction: Front ................ Rear ............... Depth ............... Ileight ......................... !bIDer of Stories ..................... _ / Size of lot: Front...... $.~f.~........ Rear ....... }.~~...... Deptll ...'1. 'f. '!.:. .'f:L... Date of Purchase J:IINe, .19.'l.'t...... N<me of Former Omer .!}fl8/}ftI!.!'J...1:: ./i~-/."!N.~.~M.I!I.... Zone d'" -L'ch" A~ IRES or use lstrlct In ....1 prelDlBeS are ssbJate<l .... O-"............i;J..................................................................................................... Does proposed coostruction violate any zoning law, ordinance or regulation: ... .kPo................ Will lot be regraded ......k.!!........... Will excess fill be ramved frcm pranises: YES @ N<mes of <M1er of pranise~ .Jft:~~fft1:,~'k~;.;~.. Address .f{ff../!?tJ.<<':'f:.!f(':f-:.~(t.. H10ne lb. .~IJ/!D.'<J.. N<me of Architect ...A.(.............................. Adc\ress .............................. H10ne lb. .............. /l/It N<me of Contractor ................................... Address............................. ..H1one lb. .............. Is this property within 300 feet of a tidal wetland? * 'YP..s .......... I[).~....... *IF YES, 9:l1i1IID TlIti 'lllIJSl1lI!S H!ltfIT HAY HE ~. 9. 10. II. 12. 13. 14. PLOT DIAGRAM Ineate clearly and distinctly all buildings, .....ther existing or proposed, and indicate all set-back dimensions fran property lines. Give street sod block rumer or description sccording to deed, and show street oanes and indicate .....ther interior or corner lot. 4J ~ ~~ \~n: !lIA ~DI I .-'- - I . -, I . t~ ~!lJ . ;~: , .~-l, - - .30.0 o U '1/ . , t' 4 '.) " , ,40 hV c:;,eov,vz> POOL.. " , ,40 hV G,€ovrJl> POOl..- IZ( c::.llC. IZ(C, It:.. clc I I "~3 "" ":i.~ MS" -. ....: . III /' .sr-oIZY 1>1 . ~,eAm€ 'oj. ). Il'i II! ,e€SIOE~ Il'i ). ~ ~ \\l ~ -<d"";;f7o , ~. ~ ... ::! '" Z3.'5!> ... ~ ~ ZUr~ ~ ~ Il! ~ K&ym,Q?! bel' Il! ~ \l~ /"--=30 \l~ I C!.u "'. . i >>,,~ .'~~;.fF.A'le-.e..L.ots IS. 00' eM"...... e. 150111'. &'oc.l( '3 1.-\1\Ie- lS. 0 I 0 I)..st'.oo Se.6t. '''6 8'-'. Lots's._.... .4 S",RVeyco /V7.4Y z?, /9'3:14 '.s"'RVey€O /V7.4Y z?, /9'3:1 .-.,'.... - .-.- .._-~~-_..~_. - . he 0- r-------- ........... --........ .......LI'\. GUll I.U IIBKe ana Clle tillS li.....~llti.;t;"..U ~"'M__~ in this application are true to the best of his knowledge and belief; and t 'tlilt'wtk "11l.)d"~:lnJlllflranner set forth in the application filed therewith. . iibekR;~Oq ;JP TO~ 23010') ~ tc;> ~:'!')l.f1.t!';.iil"J )a~ ~:'a30 ....j/d.....day ~f ..,.--~......19...7('? lbtary PWlic ...~.~....... .30,0. <II r< '- Q I' N <II r< '- ~ I' N , \. ",'.f4 //.3 yo "".S- iii ;; .sr-oIZY 1>1 . ~,eAm€ 'oj. Il'i l\! ,e€SIOE~ Il'i \lJ q -<d"";;f7o ' \!) '" Z3.'5!> Z z.~r ~ /~.( /~_I K&ym,QjJf /".:::30 UNDAJ. COOPER Notary Public, StMe of New'tbrt No. 4822683, Sufrolk ~ Term Explr811lleGember31. ~ ~;;;il~j........... . 13.fOTOWN OF SOUTHOLD PROPERTY__CORD CARD STREET '1 VILLAGE DIST. SUB. . 'NER i\\ ~ '- /"InCL ~MER OWNER l-tJ S hee..hClI"\ J:$.. ~ ?!'II! rf L. RaN. 'fif. :</0 SEAS. VL. ~/'3 LOT C () tali" (/...- E C't.'oss . 13~6ENSKI % I)"u. ACR. "9-1- 3.9,3 ',,"C- 50' YOW TYPE OF BUILDING fA. N R. L. A{('fV1 S 8 CB. MICS. Mkt. Value ( FARM REMARKS AND IMP. TOTAL DATE 00 FJffofCii.",,,,."T 900 0 'III 'w :;;000 ,,- _:? rlOr) 00 DD f c) L? ')roo r1 DO ,f/?'C) ,,1'. / t' () /1: 0,' -C/O t.6oo/ 7556 lble xlland Idowland Ise Plot ]1 L "'II ,. 2 l. - ,. ?... I / .' C>~ f;fll T 3....71 Ac ,;)/ So/). 'vi. IJ/>I:"t 4,. 7.~ 13. $Jlh'f{/II'I ~ WI" LC ("j(, -Ff~ J" Z "t" e.. /1 :2/7 EL.[) PL~/' 1I'j.j'31z:. L ".,- J)w. Fe 8'f'..r.ot>/J ""-"" --','l'/; ;3 f' itl!2- z' /;// / h mn I S'tu> '" ~H! ;(' r! $.j',s;. y-- I~ 1i.t>1'f3' BP~cXl ~D~ -('/JYls..f he'ccss. Sh~& - ~C . "Itloo. .r l_l.,,-pa~I~) :11 ftJ ~ /I loS-If &10. -shee..han ... Wi" -t'O em;! I 4-lino. - ~.ooo ~j, uG 3 ;:20 - Bp::# . c...o S J?3r-;c. Ht>C,p C;;,.e,tZY7hi'I.ISe Fe'l S'lJo 1-/ fJ.3 <f 7 . Bf'" (J t-/ o? i.f - c.oYls+ ])ec k iLJc1 J: 0'" ~\) N.(, 0/'. -' FR0t4TA5C OlJ Vh\TCR /400 I 2- lS'i: 1 :. ~y S' / ,.. 0 A&". ~-()~ - FRONTAGE ON ROAD DEPTH BULKHEAD .' ~ P"- .,~ ...... '. ,.,.. ", .. . ." ~. 131- !3~ e,( r '.j6XJp: 7;(1 ~%..:;(" -;:? ~... Porch /a )I ;2;:: ~" 9/ -12: /'7E ~y", ~J/- Perch arun..uy /1;" I - /71 ~ Garag Patio DJ'c /. O. B. ,,)611;:::" , I";(/P~ :;I ~]) /.: Total 1 I TRIM ~, COLOR ~ I - I i I .- -- -- - -- .. f-- ---- - r-' - - --- - -- - ..- I - I . j ...1(- S1 I I N 2 ~ '^ .. ....;.. .~- I 'V - t- - - -~;~: :. '4.~~~~;;; I .1 I' I -- _..~, I ' r I "... I I , I I I ~ " I ,.' 'Y \b " ff flV '/" ,,t , -0 I\- L<I )316 3~ +"696 I h-~ . .:3 V ~:/J l Ko(d '''tq ,2,,--0- Ill> Foundation fJ (', Bath J- Dinette I Basement /'v// Floors CY"e K. Ext. Walls ~f III Interior Finish -;? LR. I.). ,c. I/I1J ~O () I Fire Place j Heat C ,/ #1# DR. / 'S' ..5'5'0 I Type Roof JI,} Rooms 1 st Floor BR. , 10 I r;, Recreation Room Rooms 2nd Floor FIN. B 5'fo I ;)00 / Dormer Driveway t:,.{ 0// tr;SI7 ~) '----, '~'."'O", '," <'."'::~:,~'.' , " '. ';, ",' ,;,.,.3 I'~'IOWN OF~_, 0':.'" . ~ "C' .;;, ': '.:'<,f:"'~""~:"""",-,\~o"""c' '. . ,', ,..., ' J' ~_, ::'--""~:"~"<,"~';'.,:':,::,_>.,,; ''''- STREET , jI-/J' . C ~ e . . Q. I!P.... ~. (P9P- 'SEAs. IMP. ,1liJ, ! CARD s SUI. LOT ' D eJe .,.du:d N;R: 0.3 Q ,'.. ,R. o. W. tyPE OF BUILDING ~l. .. \1\4. (') D r -t-l d \ ' tee N VL9 W , CONN.. ca. ~~ MICS. Mkt. Value <S- r , l " r ~ do.';, llJ ...I.ech'''', Ctr'\ .. 'IIIabl. ~ w.: PIcit . p , oIal ~ -.k , ,.- FRONTAGE ON WATER FRONTAGE ON ROAD . DEPTH BULKHEAD , , Ie I jL,n" ~~_..b~ \.. M. Bldg. ect..lon Extension . Extension Poioch IIorch Breezeway Garage Patio O. B. l' C!tal COLOR TRIM - . , . Foundation Bath Dinette Basement Floors K. Ext. Walls Interior Finish LR. Fire Place Heat DR. Type Roof Rooms 1 st Floor BR. R.:lWCItion Room Rooms 2nd Floor FIN. B Dormer Driveway