HomeMy WebLinkAbout33890-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
1II0: Z-33205
Date: OS/OS/OS
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1560
(HOUSE NO.)
County Tax Map 11Io. 473SS9 section 56
LAUREL AVE
(STREET)
Block 1
SOUTHOLD
(HAMLET)
Lot 2.25
SUbdivision
Filed Map 1II0.
Lot 11Io.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 9, 200S pursuant to which
Building Fermit 1II0. 33S90-Z
dated
MAY 13, 200S
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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MATHEW J CARDI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTImNT OF HEALTH APPROVAL
N/A
KLBCTRICAL CERTIFICATE 1110.
4002564
06/12/0S
PLUMBERS CERTIFICATIOI!f DATED
N/A
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u oriz~ Signa ure
Rev. l/Sl
~
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICATiON FOR CERTiFICATE OF OCCUPANCY
L~___ ----:.
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 (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 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:
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 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>/--110'<
t /
(check one)
Sou-J.i"c>lcL
KJ' Y /I Cf 7 (
Hamlet
_ Owner or Owners of Property:
New Construction: / Old or Pre-existing Building:
LocationofProperty:.--J 6(.;,0 Ln 1 Ivf'J Ave..-
House No. Street
I'v1-rtTheUJ S. CAJ2J::> \
5~
Suffolk County Tax Map No 1000, Section
Block
I
Lot
:J- .~~
Subdivision
Filed Map.
Date of Permit. 5 11'3 I (] '? Applicant:
Lot:
Permit No. 3 ~ '3 cr 0
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
( check one)
Fee Submitted: $ 2'5 ' 0 0
CO -i3 ~'3clDS'
!Q.oL-,Yll{l{
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Applicant Sign e
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.
33890 Z
Date MAY
13, 2008
permission is hereby granted to:
MATHEW J CARDI
1560 LAUREL AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR. (REPLACES BP #30513Z)
at premises located at
1560 LAUREL AVE
SOUTHOLD
County Tax Map No. 473889 Section 056
pursuant to application dated MAY
Block 0001
Lot No. 002.025
9, 2008 and approved by the
Building Inspector to
---"
Fee $
150.00
ORIGINAL
Rev. 5/8/02
!i
IID.IID
I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ' :'", --' ;J ') ~
~ Upon the application of upon premises owned by ~
~ ~
~ REP ELECTRIC MATHUE & JENNIFER CAROl ~
~ PO BOX 635 1560 LAUREL AVE ~
~ MATTITUCK, NY 11952, SOUTHOLD, NY 11971 ~
~ Located at 1560 LAUREL AVE SOUTHOLD, NY 11971 ~
~ ~
~ Application Number: 4002564 Certificate Number: 4002564 ~
~ Section: Block: Lot: Building Permit: . BDC: n511 ~
~ ~
~ Described as a Swimming Pool occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: 3/] (J qD ) ~
~ Basement, Outside, PooVSpa, 'J 0 ~
~ 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 12tb Day of June, 2008. ~
~ Name OTY Rate Ratml! ~ ~ ~
~ Appliances and Accessories ~
~ Pool! Spa Bondin9 1 0 ~
~ ;:e~Ock S~tch 1 0 ~
~ 1 ~ 3 ~
~ Wiri~~d~~ ~
rID Fixture 1 0 pool Incandescent mJ
~ GFCI Circuit Breaker 1 0 50a ~
~ Receptacle 1 0 GFCI ~
~ Receptacle 1 0 pool Special! twist lock ~
~ ~
I (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have I
rei frequent test and/or repairs made by a qualified person. rill
~ ~
~ seal ~
~ 1 of 1 ~
~ ~
~ ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
IIDii!ffi!ffi!ffi!~Ir.IIr.I~~IID
TOWN OF SOUTHOLD
BUILDING DEP AR~MENT
TOWN HALL iI
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdI
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
3 0 )-, '5 e::: Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Examined
Approved
Disapproved alc
1JJc4
'1!:J.A>
,20 0<1
,20 o<f
Phone:
Expiration
(/J..<, ,20~
,
1Cv.-U.-
Building Inspector
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APfLICATION FOR BUILDING PERMIT
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Date
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INSTRUCTIONS
a. Thts application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, ~Cuiate plot plan to scale. Fcc 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 permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in par: fOJ; 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 ootcommenced 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. Thereafter, 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
auWr~d~IATEt y;~ses and in building for necessary inspections.
EN5~~Eci~iL~~~E OCCUPANCY OR
BEFORE "WATER" USE IS UNLAWFUL
tlL CON$TRUCTION SHAll WITHOUT CERrlFICA ~ailing a~~s of applicant)
MEETTHEREQUIREMENTSOFTHE OF OC~' Ip'A~Jf'\V
St.QPilhQfl~PlOiKtsr/"fti1er, lessee, agent lIfchm!~gineer, general contrqc.1orft electrician,.plumber or builder
17 UNDEIIWI!ITERS CERTIFICATE APPnOVED AS NOTED
OuJvJtl...... R~OfllllED !)Alii: 7~/<I B.P.' ,,?o<})3b
Name of owner of premises M !\THEW ~.~. o. BY:I'c....b/~
(As on the tax roll or ()tl'~ AT
If 1" " fdul h' ed ffi AM TO 4PM FOR THE
app lcant IS a corporation, stgnature 0 y aut onz 0 cer FOlLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH . FRAMING & PLUMBING
3. INSULATION
4. FINAL . CONSTRUCTION MUST
R ,[;, t"' IE LEd Y i r~_BE COMPLETE FOR C.O.
ilU. CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
I. Location of land on which proposed A w?r~ will be done: D~ OR cnlmUC
~:J c"D I Cd Jw;J A ~ S(')u++~ d tV...... \ 1./-' (TION ~(?I A
House Number Street I amIet
County Tax Map No. 1000 Section ~ 5" Block f _.!Zr~T.~:~ J...:2..5
Subdivision Filed Map No. f008808A1ItOt.ol4
,II ,utJ~ AlulJu3 nI bsltUlRJO
_ OS\I;I\IO "'''Iqx3 noi211immoO
~-;;) ~(.tM. (h~
(Signature ofapplicant e, if a corporation) 1} q11
(Name and title of corporate officer)
Builders License No.
Plumbers License No,
Electricians License No. L/- 1;).'7 [;
Other Trade's License No.
(Name)
,
2. State existing use and occupancy of premises and inter.ded use and occupancy of proposed ~nstruction:
a. Existing use and occupancy r::J. ~iTO ~F V -A JYl F .Q () \1.~ e +- (,--,1fl Js6
b. Intended use and occupancy 9<:9 0 L -:rN "'('0 ~{\d
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost <JJn 0 ' 0 () ()
~,
Addition
Other Work
Alteration
(/ cO L- ,- .r,.,~ (0 u1-.1l
(Description
5. If dwelling, number of dwelling units
If garage, number of cars a..
,
Fee
(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
Depth Height Number of Stories
Rear
,
,
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
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X
13. Will lot be re-graded? YES _ NO.x- Will excess fill be removed from premises? YES XNO_
14. Names of Owner of premises fv1M1..uoJ'. ~lY' Address l~{H,(t'5-A1e Phone No. ";~j-7f:6-1;<.9f-
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feetofa tidal wetland or a freshwater wetland? *YES_NO X
* IF YE~, SOUTHO~D :rOWN TRUST~ES & D.E.C. PERMITS MAY BE REQUIRED. 'If J:\;' ;... \ J j ;,l: J;'
b. Is this property wlthm 300 feet ofa tidal wetland? * YES !'IQ~. ," -. . :1<: :J;);'.!
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. 8.0 T'":M;.I,: ',.' ""~;C';::. \:., ~,)GL
j)' , ;i t, ~12 t, '- 'IF; ?~r,.\ 'tV' ;'';'''>-~'~ 7'-
16. Provide survey, to scale, with accurate foundation pJU.1W &\st~~s ~~ {if.$>R~y lines.
,.....- ~.,,.,'-:Jf'"; '!, H'!iJ: ,.,..,'~-....._1,.'~~J" , ,Sf
.,'\" f'o; 'I.....f': ....:' \,.) .,h._i., l, ;.....!- .' ,:j..l,-'~"~f:\ -j'
17. If elevation at any point on property is at 10 feel i>rbelow., pj'4sB\r?l'jI1e, tO~pIllpbi~al datil- on, s~ey.' , '." :13i
'l, )\1:,..'\ ~ _;- )', j ,"",1 ~,
STATE OF ~1Ylf;~~.r' .;';'1':; t ',~~~ ~ .~;- :)?,Sd~l!i
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COUNTY OF ~) .~.~, ,_ _'. ..... ..;::, '," ...~. 1,
--1V\ .A--41A..~ ~ 'j. ..~.....j ~'t:>l,., . h~ng duly sworn, deposes and says that (s)he is the applicant
(Name~vidli11,1 ~ng ~~t) ~b\\ye named, '-....\
(S)He is the . Q'~ .) n E~.' '
., ';.'~ (CRntrllctor, Agent, Corporate Officer, etc.)
of said owner'6~i8:hi~s, ~d isd~'lUlthp~d to perform or have performed the said work and to make and file this application;
that all statemen$~cp,p-tained in ~;ippH~~n are true to the best of his knowledge and belief; and that the work will be
performed in the lIiiUin't:r set forth Hi~e application filed therewith,
'71'''' 'J::" ,.1,; . '-'.',)'J.}I.
sw~~yo ~ef:o~f~rSu \ 'i . , :'7_cl~~Y
Lo.,(,,/;,,, ""'i,,,,,.ttf:. ".~. ", L,,'~r
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! Notary Public '
IAABAM H. TANO'I ~
"":"~~"r
Ql.nIIed In IulIolk Counlf 0 1
Coc,..~1IIon ExpIrw 01/13120' _
fY/WL,~~C~Q ,
Signature of licant
, ,.r .
:3 3 ~7o~
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH LBG.
[ ] IN LATION
[. FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
.c.
DATE -5 J- ( 0<(
INSPECTOR
331/02-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONS1RUCTION [ ] FIRE RESIST ANI' PENETRATION
REMARKS: ~ ~ jOOo(
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s- - Ilf- 0 F k. /JP/l/}A
DATE INSPECTOR ~~
30Sl3c.2-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
C'~F~
DATE / i ij,/ () {..
, I
[ ] ROUGH PLBG.
[ ] IN~TIO'
[vr6NAL fOlr~ v
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
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INSPECTOR
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FIELD INSPECTION REPORT DATE COMMENTS *1 ~
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FOUNDATION (1ST) ~
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FOUNDATION (2ND) 04'''''
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INSULATION PER N. Y. ...,
STATE ENERGY CODE
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ADDmONAL COMMENTS ~
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER
STREET /
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ACR. ,c:t ~ ~
TYPE OF BLD.
VILLAGE
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R.EMARKS
. IMP.
PROP. C_LA~ r-')
. ~,?IO
TOTAL DATE
FRONTAGE ON WATER
FRONTAGE ON ROAD
TILLABLE
BULKHEAD
MEADOWLAND
HOUSE/LOT ,q33@l4oD
DEPTH
TOTAL
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2(, >i 2-7 "'" 70Z-/9~ ~ -
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/ '-I x / 1 =' ':1.38
Sl o Llf2;; fif X 2-0 ,;0 J.. ~D .1,~ I Ds6 FULL)
tenslo!). Basement SlAB Floors Kit.
", v eil/;' 'i x I 7 :=. (3'" 3,15" Ext. Walls Interior Finish LA.
E te Slon 5/0
Extension Fire Place yes Heat D,A.
Patio Woodstove BA.
vPorchs 2.bx7=/82.) 50 1&5 Dormer Fin. B.
').7x7,o {GQ,'.31/ ,
Deck If! ~ 32-; -~ fit!> (,10 I~ IG7 Attic
Breezeway Rooms 1st Floor
Garage 'Xv W .=- 1"0 I,~ d-.OD Driveway Rooms 2nd Floor
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SURVEY FOR
MOHRLNG ENTERPR ISES, INC.
LOT NO. 31. "LONG POND ESTATES, SECTION TWO"
AT ARSHAMOMAOUE OAlE'
lOWN Of SOUTHOLD SCALE'
SUFFOLl< COUNTY. NEW YORK NO
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m~__.' STAKE FOUND
",.VISION MAP FLED IN THE OFFICE OF THE CLERK OF
S\IIIFOLK COUNl'Y ON NOV. 29,1990 AS FILE NO. 9031-
~ ....L.I .... _UWI,IU'TIC Ta.llmlt Cl__ICPI__OOI
! ._ ~ ___,_ _ 011 DATa "'AI'" ~ OTNIIl'
IIIMIOII .. .ONS INC.
ALDEN WYOUNG, PROFESSIC"AL ENGINEER
AND LAND SURVEYOR N.Y.S UCENSE 140.12845
HOWARD W. YOUNG, LAND SURVEYOR
N.Y. S. LICENSE NO. 458i13