HomeMy WebLinkAbout33649-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: 2-33148
THIS CHRTIFIES that the building ACCESSORY
Date: 07/14/08
LOCatiOII Of PiOperty: 940 WEST HILL RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
CouIIty Tax Nap No. 473889 Section 63 Block 7 Lot 17.2
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
Building Permit No. 33649-Z
JANUARY 25, 2008 pursuaIIt t0 which
dated JANUARY 25, 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 WITH FENCE TO CODE AS
The certificate is issued t0 DANIEL & ANNE SULLIVAN
(OWNER)
of the aforesaid building.
SOFFOLR CODNTY DSPARTM@TP OF HSAI,TH APPROVAL, N/A
ELECTRICAL
NO.
PLDM[BSRS CERTIFICATION DATED
3042475 08/20/07
.~ ~ ,
A riz Signature
Rev. 1/81
i v L~^-~
Form No.6 ~ ~-f ~~~~~ -
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TowN HALL "UL 14-
~6s-ISOZ
i
APPLICATION FOR CERTIFICATE OF OCCUPANC.Y._'s _ _ _ _ ti, ,
~~~
-----
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:
1. 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 2/10 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. For 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 to the applicant.
C. Fees
1. 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 Certif catc of Occupancy - $50.00
5. Temporary Certificate oCOccupancy -Residential $15.00, Connnercial $15.00 ~i p
Date. _ 1~/ 5` GO
New Construction:
Location of Property:
House No.
(check one)
c~c~! tfGC
Hamlet
Owner or Owners of Propeny: ~~ y ~ ~ G ~~' c./ L L t ~ {/~ ~/
Suffolk County Tax Map No 1000, Section ~ Block ~ p O ~ Lot O / ~ p p~
Subdivision / Filed Map. Lot'
Pem~it No. J Date of Permit / L 7 G Applicant: ~
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 2-,j
C~ ~33-~I`6
L~~~.~
Old or Pre-existing Building:
Final Certificate: (check one)
i
Applicant Si ature
-~-~
BY THIS CERTIFICATE OF COMPLIANCE THE
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.
P.O. BOX 27
MATTITUCK, NY 11952,
DAN AND ANN SULLIVAN
940 HILL RD
MATTITUCK, NY 11952
Located at 940 HILL RD MATTITUCK, NY 1 t952
Application Number: 3042475
Certificate Number: 3042475
Section: Block: Lot: Building Permit: ~ C ~~ ~ BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, Outside, PooVSpa,
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, and found to be in compliance therewith on the 20th Day of August, 2007.
Name 2 Rate Ratine Circuit Tv e
Appliances and Accessories
PooV Spa Bonding 1 0
Wiring and Devices
Fixture 1 0 PooU Spa
Receptacle 1 0 20a PooU Spa
Switch 1 0 General Purpose
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.
,3c~~-~~
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING /STRAPPING
[ ]FIREPLACE 8~ CHIMNEY
] FlRE RESISTANT CONSTRUCTION
REMARKS:
[ ]ROUGH PLBG.
[ ] IN ATION
FINAL
[ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT PENETRATION
DATE ~ Q~ 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. 33649 Z Date JANUARY 25, 2008
Permission is hereby granted to:
ANNE SULLIVAN
PO BOX 1243
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN IN-GROUND POOL W/ FENCE TO CODE THIS PERMIT
REPLACE EXPIRED BP # 25252
at premises located at 940 WEST HILL RD SOUTHOLD
County Tax Map No. 473889 Section 063 Block 0007 Lot No. 017.002
pursuant to application dated JANUARY 25, 2008 and approved by the
Building Inspector to expire on
Fee $ 150.00
ORIGINAL
Rev. 5/8/02
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. 25252 Z
Date OCTOBER 20, 1998
Permission is hereby granted to: r~'
~ ~~~~.
ANNE SULLIVAN 1
PO BOX 1243
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at
oen uTr.r. un
SOUTHOLD
County Tax Map No. 473889 Section 063 Block 0007 Lot No. 017.002
pursuant to application dated SEPTEMBER 21 1998 and approved by the
Building Inspector.
Fee $ 150.00
Building nspect
ORIGINAL
Rev. 2/19/96
"IMMEDIATELY"
EN~LOSE,PpOL?0 CODE
UPON l'' M4~LETION
BEFORE "WATER"
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OCCUPANCY OR
USE IS UNLAWFUL
1 WITHOUT CERTIFJJCATS
OF OCCUPANCY
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TOWN OP SOUTUOI.p
UUTLpiNO pIIFAIYiTIIINT
TOWN HALL
SOUTlIOLp, N.Y. 11971
T~l.s 76S-IS02
/~~~ ~ //~.... 19.l.Y 1'enni C tb. ~ J o~J ~,
1SOARD OP t1SALTt1 ...............
9 SETS OP. Yi.Al18 ' •....... r .
-...
SURVIIIf ........,...,~:.{,a..........
Clt¢C& ................. .....
SLTY'rYC PORII ..................,
NOT1FYs
CALL ..................
Disa~>nrved a/c .......... ....... .........:
...................................................... z /
•(if<silJing inat~ or)
~~$ ` ~ pFI.iCATTON FOR UUiLpiNC YIIIiHI'r
illsi•RUCdolls
l1Ali. TOs ....................
...................................
pace.... q~2'~ ...... ,19 ~.
a. '[liia application soar be carpletely Lilted in by typewriter or in ink and avuaitted Co tltis pudding inspector vi
3 set§ of plans,.accurate plot plan Co scale. Pea according to ~ ~'trelatioaslsip to adjoining preoisea or Is1>lic
h. Plot plan dxxring locatdieonil~)ltolte acrri]ptla~o~ layaut~oP property aunt l>a dram oa tlw dia~raa vliidt la part of
strec5a or areas, and g ng ~ .
this np{>licati«,. ~ or isertss>ce of Aitildiag Fesmit.
c. 'pie cork covered try dsia appl3caCtal srey rot lx: ~~~ ( S
d. upon approval o! dais applicatias, the building lnapecCOr wilt isaw s pudding Ysrait to des applicant. Sudt
permit s1w11 be,IcepC oo dte prsaises available for inepecCion ChreuglwuC dw ~~• dlateves tmtil a Certificate of
e. No building stroll be occupied or toad in sdwle or in part !or scy Purpose
Occupacxy statll have been granter] by dte pudding inapecCOr.
APP1.ICliRCN IS tICRL+pY tfADII co the Uutlding pepartment. !or dw issuance of a ifuilditlg Yersdt. P+r ~i ~s or
Iuilding Zone Ordinance o! the Town of Soudlold, Suffolk Cautty, New York. and od~sr applicable isw, ~ hsnsin
Regulations, for rile construction o! buildings, additions or alCeraCions, or for tenoval ~, 1~ ~' ~~ ~
described. Tire applicant s Co coaply vith all applicable lawn. ordinances. building insPactiau.
regulation~~'d`+~ to adlilil~rized inspectors at premises and in building for necessary
(Signature of applicant,
.~. _. ___.R._:~~
;-;y+rv. .e ^r~lOit /y'/A,.O-/J[)~/$ ~.'"J'./.l./.t•~~C'`.Jr.
'~'.~~ ~ -' ~~r~~ .4.•......••....••••• ••.
2t,,, ,,t ,.sr (TSailisyi address of applicant)
~,1D~~ C `mrAtldif t lts,ber or Iwdrk
'"~! ...... is +''• ;1 scree agent,/~ardtil'ect, engineer,.gzneral contsactor, electrician. p
StaCe!~,Y361~r~PPlicanra .+ ~ `-'rte„~171,f~-~ ....................
Narc of or,+ner of praniaes •. ........K.'.4:•:... ... ........ .............
) .'tit on dte tax, toll or lateaC decd) ••
1, H
if ~l ~*). t`s a co ra on,?ya ~ ze of duly audwtizal -ciflices.
( actit title of corpoca facer)
Aiildera License ib. ... K ~~. !~Y Y • • ~~ • • • ,
Pluzbera License T7o . ......................... .,
Clectriciana i.icenae t7o. .~5.~:~.•~~4~~rG
Other Trade's License tb . .................... 3k-/ / ..
.,..
ciltdr 1 work Will be dcxa.. :~ r•••.••••!• ••• •:•••••••••••1•w.•••.••••••
1. Icxat'icxi of land on P~P~r % ,;
...~.......9.~4 ...............~t,~ ~ ...~...................:::~:~.~:~::L~...N....................
... .....
Street C
louse tlnber ~3
Ulock iot ,....? 1.~...:.
County Tax Nap~ !•b. 1000 Section .... .••.••• ••••••~• 7"'••'
~1.Q::tl~4l~....;7.~/.~(~.. .Piled rasp No. Lot ....Z.......
Sutx1iV1810n .... •........\....•
(Nana)
and iatendod use and occui>esxy of propoaad eostatzuction:
2. Stale exiaL•ing use and occupancy,oE pz~aiagp ~
a. r~riaCinF,~usa and occupancy .............. :.~>~::~.:G.:................r.,,./~~........................
b. Interxlarl nee earl oCCvparxy .. .....,vt.~..: D .....1. ........r:`. .~...i•:.r :::::..................
t4ltllre n! Work (dledt~A{idl KlptltxUls)I lieu building .......... Acklttion ...... AAlteration
Rcpntr ............ Helmet ............. tkmot{t{on ,,........... OHler tibrk .. ~ti/ l~ rn I^'t..~19 ° ~,':','J,~-~..e~'-
............
(lkecription)
Lattmatecl Coet o ~n ~ ~.
..., ....r ............... Een.:..:..........................................
(to lxi pald• at flllnn thin appllcntlon)
lE cfuellinp, uniter of d.tellltla tmita ............ 13,nlxir of ch+ellinB ttnlte at eadt floor
................
IE gnraQe, ltu7ixir OE Cete u.••uuuuuu, u...u .............
If Ixtettteee, ammreiel or m{xetf oemtpency, epeeiEy naturo acxl extent' of eadt type of uee ......................
Illmtnnione of existing eintcturee, it aryl 1?ra,t................, [tear ............... Ikp[I+ .................
Ihigltt ..................... t#ntxir of 8toriee .. ..
.. .. .... ..
tlhnene{ate o! etxn etntetttre xith alterations or'atklillontit Pronc• ............... [tear ............
...
' lkpllt .................... lhlgltt ......:............. llnlxir of Btor[en ...............
Dlmeneidte of entire txi- conetntctiont IR•ortt ................ hear ............... ikpth .....,........
Ikl~tt ......................... lt<atxir of Btortee .,...................
Bize of 1ot,t Rrtmt .................... Rear .................... ikpth ..... _
(1. Iftre of Rtrdteae ..................... Nora of Potmet O.+nar ... ........ ,......................~
.....
I. Zan or uen Aiatrict in wA{dt pmnieee ern n#tvated ...........!!~~7,!~?-.........t ....................
2. ibex propoeetl catetruetion violate acry xaltng tap, onllnanca or regulation[ ....j..../~!~...,., -•
......
'3. Hlll lot 1xi regraded f.......~........ Hill exceen Eiil lxi rsnwe(d~han~prsg~n,~e/etet`' ~ Np -
tian+ea of O++ner of iaee . .......... ......... •. "- ._.,
Ih. i~ ~'u-L t /tl~ .. Lxkireae ....•? ~f:[Pl.Y .:.::.......... Htone No. ............
• ,
Nate of Ardtitect .................................... Acklrese ............... I+Ixmc No.
Htme of Contractor ....~.~....~L~...... Acklreae ....1:4~~...?.%~.•.'r•~.........lltone No. `Tl~.`~~
I5. ie lhin peoperq xittdn 300 leet,ot a t{del t+atlandt k YRS .......... liJ ...~....
e1F YLr3, 8pIT11XxD'IDHN'I4ZIISii+13t3 iRi[AiPP tiAY Blt RI'~lII1GT. "•'
PLOT OlAGRAM•
locate clearly std dlednCtir all 1tu11Aitlge, Wtxittxir extating or ptopoeed, eat ltxlicatn all sat-Itadt d1n>enelone
from pt'opttrq linen. Aire elite[ and Mode exnlxir or Aeecriptton accor+cling to Aced, and el+ott etreet'nnme arxl irxllcate
+A+etl+ef Interior Or Comet lot. '
+~...
,S'~ r~
~1 1 P3 l~
SI'KI1S Ut N}I Yl tZC,
clltrtllY ar ..~LC`?moo LIL .. • ~''
'Z
UiVCERYti?I.:2S CERTIFICATE
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
+
~~ 6~ D AS N~EO
.~ 'U ~ bs P aY 25Lsz~
(tip ~' `L' BY:
t11dlIFY lUILDING DE AT
'lE6.1E02 8 AM TO 4 PAA F011 THE
liaLt+OWINti INSPECTIONS:
1 [~OUNOATION -TWO REOWREO
fOR POURED CONCREt+E
~. tiOUQH -FRAMING • PLlNtABING
1. ti~18U1,AT10N
4. FINAL -CONSTRUCTION MUST
SE COMPLETE Fp' C.O.
ALL CONSTRUCTlO"I SHALL MEET
THE REQUIREMEw"S OF THE N.Y.
STATE CONSTRUC ")N 3 ENrE'fiGV
^ F` S FOR
COESIGN OROCO ST ~CTIOMI~AS
/~ ,~/ v.
.......~~n~.~.J.T...(. :~~LC.~....~.t.....i+eSuB duly awvrn, delx+nea a+xl soya Lhal' he Sn tl+e n~{+Liu+nt:
(Nmtt of itxlivichtnl nlgnittg contract)
alxtve tut+ed,
Ile is d+e ..........................::..t~~
(CaRrnetor, ogent,-corpornte ofE{cer, e[c.)
of nnld a+ner or wr+era, nncl ie Auty auU+orized to pecfonn or hmte i+erfnrned the Wald Work and to nrake aril file thin
nlgtl lcntlar that alt atatettente contained in [Ilia nl>ftlicaticat nre tote to Ufe lxiat of his ktxx+ledge and trillef; mxl
thnC tlro Work will tie perlbttttd in the mmtter net Eorlil in Ute nppt{cntion filed titeresrldt.
}?,+on+ to l+efurn +m [hie pp
......~.~!A~ ...dny of '.......19..4...
Notary Rtblic La 1f! • .~.~+W~'F~~
~,~, LINDA J. COOPER
Notary Public, State of NewYe~/j~ (\,
NO. gB2~56~eSu~ 3~ 8 Z a
Tarm Exp
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lj VCJ• ~~~' ( 1 (. i. L
TOWN OP SOUTHOLD PROPERTY RECORD CARD
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a~
1.i1~ p ? ~
OWNER STREET Q VILLAGE DIST. SUB. LOT
'.S /IIyQ/L, .
FORMEROWNE 4A1Y~ ~ ~~uu ull~/q
' r cc IPS i-'1 ~ ~ ~ r~odd
N ~ou~old
E 5 soe,~-k4~~I~P Gavd~l~~
ACR.
0.575
e ~( AIo~R~~'q ~ Me/ra~~v9 ~ h,cP,~ ~
l~ bCpC' I< ~= QF~IG S W TYPE OF BUILDING
ES. ~.10 SEAS. VL. ~ FARM COMhA. CB. MICS. Mkt. Value ~ ~ ;
LAND IMP. TOTAL DATE REMARKS ~ Yours -~vorrF~~ ~a ~
Ogre)
~~
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PAS
oop o~/zl `~
~2OO
zoo x- -+Fv
2 a'F 4'~-
s t ,~ `~9ov?% ANS _o_ - 93.T- a - el, ,iv e~'~VT ~',JV ~- ~ ~ il'
3P S;~! ~3.raa G/ .PMe~gi yMa ~ RI,Ya E.vlPit~R iS rc~ l/ diet/ PC
s ~~ -L 1(03/ - (f5 ( ~ ~ ~l GOD
9 ~t~(93-~P~a 160 - nS>~' D el/~~/Geiraac -
~ ~`-l l~ ~ L C - ~ / 3 Soot
lo`Za-9'r`-LI~~08" Ll6o-Sul(IV n S~GI(I/qr>N~~
Ilabie FRONTAGE ON WATER
oodlond FRONTAGE ON ROAD SvC ~.}. 4"ZOO
eadowland DEPTH '
1 ~ ~ v ~:
>use Plot BULKHEAD
tal
S
4~
crn nR n
__ __. . . a IK IM W ~wn
~e
1g
1
_ ~._.__ _..__. $O
3 ~ s n 42>9 3 32s~,
6ctension
Extension
Foundation P ~ Both Z ~ Dinette ~/
,!Porch 4 K23` q2 ,SO a{ tp Basement ~`1 Floors ~ ~~ K,
,Porch~~~ (~ X~-1 ' 236 I'm 3 ~• Walls ~ Interior Finish S,~ LR. ~/
Breezeway Fire Place Heat Y~ DR.
Garage ~ g 2 ~ ~~ - Type Roof ooms 1st Floor R.
Patio
B
O Recreation Room Rooms 2nd Floor ZB ~~ /
.
.
~
er
Driveway
Total
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T - THIS BHOCNURE IS FOR ILLUSTNATIV6 PtIRPOSE80NlY
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