HomeMy WebLinkAbout33675-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33003
Date- 04/28/08
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 2130 PLUM ISLAND LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 5 Lot 30
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 8, 2008 pursuant to which
Building Permit No. 33675-Z dated FEBRUARY 8, 2008
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 JAN KIRWAN & JENETTE HOLLOWAY
(OWNER)
of the aforesaid building.
SIIFFOLR COIINTY DBPARTMENT OP HHALTH APPROVAI, N/A
ELECTRICAL CERTIFICATE NO. 2001223 05/11/04
PLDNIDER.S CHRTIFICATION DATED N/A
Rev. 1/81
Form No.6 ~ ~ / ~ ~•
TOWN OF SOUTHOLD ~7 ^in ,^ - - ~ CJ
BUILDING DEPARTMENT C//l,t.(s[i/ZY
TOWN HALI.
76s-lsoz ~ I(4S~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property linos, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and seweragedisposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Swom statement from plumber certifying that the solder used in system contains less than 2/10 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. P'or existing buildings (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 ro the applicant.
C. Fees
1. 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 - $] 00.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Conunercial $15.00
Date. 4- ~ !l~ V • ~ p
New Construction: _ Old or Pre-existing Building: ~ (check onone)
Location of Property: ~l~j~ ~~' L~N~ ~~~~ ~~l~.l~
House No. Street Ha~m1Net
i
Owner or Gwners of Property: ~A~ ~L~Q~ ~~ ~ )~NE'I ~E ~L~l~~~~
Suffolk County Tax Map No 1000, Section __ ~~ Block ~ ~_ Lot ._
Subdivision
_ Filed Map. Lot: _
Pei7nil No. _~~~~~.Date of Permit.___~_~, p~ ~ Applicant: J~~~(,~~
Health Dept. Approval: _ _ _ Underwriters Approval: _
Planning Board Approval; _ _
Request for: Temporary Certificate _ Final Certificate: ~ (check one)
i
Pee Submitted: $ _~~, ___
Applicant ignature
c~-i/33o~3
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. 33675 Z Date FEBRUARY 8, 2008
Permission is hereby granted to:
JAN KIRWAN & JENETTE HOLLOWAY
P.O. BOX 58
ORIENT,NY 11957
for
ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD
WITH FENCE TO CODE AS APPLIED FOR. (THIS REPLACES BP #30143-Z)
at premises located at 2130 PLUM ISLAND LA ORIENT
County Tax Map No. 473889 Section 015 Block 0005 Lot No. 030
pursuant to application dated FEBRUARY 8, 2008 and approved by the
Building Inspector to expire on
Fee $ 150.00
ORIGINAL
Rev. 5/8/02
b
BY THIS CERTIFICATE OF COMPLIANCE THE J ~ ~ ~ ~~
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET -NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
C-CAT CO.
9280 SOUND AVE.
MATTITUCK, NY 11952,
Located at 2130 PLUM ISLAND LANE ORIENT, NY 11957
Application Number: 2001223
Section: Block: Lot:
JAN KIRWAN
2130 PLUM ISLAND LANE
ORIENT, NY 11957
Certificate Number: 2001223
Building Permit: BDC: ns11
Described as a Residential0-599 square ft. gccupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, PooUSpa,
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 and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, a nd found to be in compli ance therewith on the 11th Day of May, 2004.
Nazne ~ Rate Ratine Circuit Tvoe
Appliances and Accessories
Furnace 1 0 Gas
PooUSpa Bonding 1 0
Wiring and Devices
Outlet 5 0 General Purpose
Switch 2 G Gercral Purpose
Fixture 1 0 PooU Spa
Receptacle 1 0 20 amp PooU 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.
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.
~3 (7s -~,
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING /STRAPPING
[ ]FIREPLACE 8~ CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ]ROUGH PLBG.
[ ] IN ATION
INAL
[ ]FIRE SAFETY INSPECTION
j ]FIRE RESISTANT PENETRATION
REMARKS:
L
DATE l ~
~j~~~ _ _
TOWN OF SOUTNOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING /STRAPPING
[ ]FIREPLACE 8~ CHIMNEY
[ ] RRE RESIST CONSTRUCTION
d
REMARKS`
l ~j3" 1 ~I r ( d
[ ]ROUGH PLBG.
[ ]INS ATION
FINAL
[ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT PENETRATWN
n ,~
DATE °Z ~~ INSPECTORL
f ._..
FIELD INSPECTION REPOR
T DATE COMMENTS
~ Jro
FOUNDATION (1ST)
; ~y
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FOUNDATION (2ND) ~
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INSULATION PER N. Y.
STATE ENERGY CODE ~, H
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAx: (631) 76s-9so2 ~ 61 ~ ~ ~
www. northfork.net/Southold/ PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Examined `~ 20
Approved 2
Disapproved a/c
Expiration y~ Zp
Board of Health
3 sets of Building Plans
Planning Boar pproval
Survey
Check/' (, y/3
Septic Form
N.Y.S.D.E.C.
Trustees
Contact
a,. -
Building Inspector
Z.I9/rlon/ /~Fhci3
' ~[~IO f rl;- 12tol.S LTA
Mail to:
~DS ~iSNt~L I~~ Wwy~lY~
Phone: ~J„~~-(v$l 'Za
APPLICATION FOR BUILDING PERMIT ~)
Date 20 iJL
INSTRUCTIONS T-
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
shy 11 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.
£ Every building permit shall expire if [he work authorized has no[ 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. Thereafrer, 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 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 inspectiyt3s~ /, ~
(Ma~lmg address of applicant) /~~/
State whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder
t~
Name of owner of premises SI~'YJ {~l ~. (~ n~ ~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(game and tttle of corporate officer)
Builders License No. / (ji ~~/ - ~7
Plumbers License No.
Electricians License No._
Other Trade's License No.
Location of land n which pro osed work will be done:
a 1 3 U ~ L~ YvI ~ S (~41UI~ L, A Iv e 0 21 ~ n~ l Iv
House Number Street Hamlet
tn~gna or apps [ or n e, fj a corporation)
(~ ~~rs 2 K1~~2~9~1R/y
County Tax Map No. 1000 Section ~O U Block ~ ~~~ l~ Lot (~ g t (~
Subdivision O(L lti°nJT (3.y ~l~c ,~ Filed Map No. , : y Lot -.
(Name) ~
2.
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and
3. Nature of work (check which applicable): New Building Addition Alter n
Repair Removal Demolition Other Work 5t:.tJl Wl,h'LJ
(De cription)
4. Estimated Cost~.l~ 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.
Dimensions of existing structures, if any: Front Rear
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Depth
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
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO~
13. Will lot be re-graded? YES NO_Will excess fill be removed from premises? YES NO_
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No_
Name of Contractor Address Phone No.
15 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 MAYBE 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 NEW YORK)
SS:
COi.JN"CY OF )
~J O(~4~W ~ ~~~ SUG'Z A rUS ~C- being duly sworn, deposes and says that (s)he is the applicant
(Name of individu signing contract) above named,
(S)He is the
0
(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 axd belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swo to before me this
ay of 20~
otary Public
LYNDA M. BOHN
NOTARY PUBLIC, State of New York
No. 01806020932
Qualified in Suffolk Cou
Term Expires March 8, 20~
Rear
a ~ / _ ,~ _ _ TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET ~,, ~ ~~'j VILLAGE DISTRICT SUB. LOT
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_RES. ~~D SEAS. VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value
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' ` ' IMP. TOTAL
~ ~ DATE REMARKS 6lioa a, o
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NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
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House Plot
v
Total -
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garage ~ ~ X Z / = SZ. }.,g 3 ~ S. Driveway Dormer ~ i
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gq.[ UN[ T ~ - NIM IOCN qi BUYfD f21Ra9pN
NOTE: fOR DIMENSIONS SEE
TABLE BELOW
On4~L wfi ALL Q
ODES OF
IRED AN'~ (~UIVUI l IIJIVJ Vr
Q~ '-li--. T'V'~~~ L'I1
r~-~bC_ PLA~v,',` ^ ~,~NING BOARD
______ ~„ ~5_~ I„J1~TRG;;?EES
I__ N.Y.S. GEC
NOTE: FOR DIMENSIONS SEE
TABLE BELOW
N1hL UNFR
r-Y TAUPEO swG Bonou
TYPICAL CROSS SECTION
N.S.P.I. TABLE OF DIMENSIONS
SIZE A B C 0 E F G H CAPACITY
16%32 16 J2 B-6 13-6 6 4 4 8 572 17,650 CAL.
16%36 16 36 12-6 13-6 6 4 4 B 576 16,130 CAL.
16 >6 IO-6 13-B 8 4 4 10 648 20,400 CAL.
20 40 I2-6 iJ-6 10 4 4 12 600 25,000 GAL
FL~iOD ZOtiE
CI)MF'LY WITH CHAPTER 46
FLOOD DAMAGE PREVENTION
~:_•UTHOLD TOWN CODE.
WAiFR(INF
I S LA N ll I L~ I' 0 0 LS IJY JOHN J. WYSOC7.ANSK!
10B FISHEL AVENUE, RIVERHEAD, NEW YORK 11901 (516)727-6312
~~~_ _-.,~';I ~ ohs cERTIFICA~E
REQUIRED
rav rwu acvlNG
~Nrt uNEN
1/Y :IEII NOO!
s.wG ewsE-
A VED AS NOTED
DATE:_~ 8 P. # I ~~
a1M LCCN LOVING
~ GRIDE
Yv6 rav vurE
YONgJ1YK POVRfD
COMCRflE Wµ1
i
--- - -- -
OWNEH:
~~ /Z W y sV /ljoLCaw~
<xINNENs
-- -- OCCUPANCY 0 v
~~ USE IS UNLA UL ""R
~^JITHOUT CERTIFICATE
OF OCCUPANCY
f tt. Dr. ~. iJ~~ - o
NOTIFY 6UILCI C; DEPARTMENT AT
7fi5-1802 8 AM Nt'~
"OLLOWING INSPECTIONS: 1„
t. FOUNDATION - rN0 REQ IRED
FOR POURED ':GNCP,
2. ROUGH - FRAMING a PLUMBING D.c.ar
3. INSULATION ~+N'~~)
4. cI~VAL - ~._ ~_~..,.TIOtgG~-A-
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHA s 4ca-I~
M'b"tK
REQUIREMENTS OF THE C D~"a""
YORK STATE. NOT RESP
DESIGN OR CONSTRUCTION ERRORS.
a -~
°~j ~6-~ T
/ ~'
i10FA4lASS MGNm I PIECE ~ .
OPTIONAL STEP
NOTES:
1. 3,500 LB. TEST CONCRETE TO BE USED
IN CONDNUOUS POUR.
2. WATER DSPOSAL TO BE LIMITED TO OWNERS
PROPERTY To surt Loci RECUUTwNS.
a THIS PO01. SHALL NOT BE EuvnED.
4. All. WOOD TO BE PRESSURE IMPREGNATED
WITH PRESERVATNE.--
5. WALKS TO BE SYOOTN NON-SKID TYPE.
SL(WED AWAY fFOM TNf fYNIL.
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. 30143 Z Date MARCH 9, 2004
Permission is hereby granted to:
JAN KIRWAN
200 WEST 20TH STREET
NEW YORK,NY 10011
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR
at premises located at 2130 PLUM ISLAND LA ORIENT
County Tax Map No. 473889 Section O15 Block 0005 Lot No. 030
pursuant to application dated MARCH 9, 2004 and approved by the
Building Inspector to expire on """'""'"""" """^
Fee $ 150.0
ORIGINAL
Rev. 5/8/02
~~a~., 2az~.~S