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HomeMy WebLinkAbout32907-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33284 Date: 09/22/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 110 EAST SIDE AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 21.2 Subdivision Filed Map No. Lot No. MATTITUCK conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2007 pursuant to which Building Permit No. 32907-Z dated APRIL 16, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to MARGUERITE & CHARLES M KITZ (OWNER) of the aforesaid buildin9. S~F~)LK COUNq~f DEPART~ENT OF H]~2kLTH API~O~kL N/A EI.RL-rKIC~kL CERTIFIC3%TH NO. 7188 06/16/07 PL~B~S C~RTIFIC-ATION DA'r~u3 N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTM[ENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or il~k and submitted to the Building DepmCment 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 conseCt to inspect sigued by the applicant. Ifa Certificate of Occupancy is denied, the Building h~spector shall state the reasons therefor in writing to the applicant C. Fees 1. Ceaificale of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, ~terations to dwelling $25.00, Swishing pool $25.00, Accesso~ building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Ceaificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupaucy - $.25 4. Updated Certificate of Occupancy- $5000 5. Temporal3' Cc~lificale ofOccopancy - Residential $15.00, Commcicial $15.00 New Construction: Old or Pre-existiug Building: fiCa (_ (check one) Location of Property: -~o. Street 1 tamlet Owner or Owuers of Prope~y: ~ Suffolk County Tax Map No 1000, Section Subdivision Filed Map. Lot: eenmt No. 3 7~02 ~_ Date of Pel-mit.. Applicant: Itealth Dept. Approx al: Undem'riters Approval: Planning Boald Apploval: . Reques~ for: Temporal-) (crtificate Fee Submitted: $ ~ Final Ccrtilicatc: ~ (check one) Applicant Signature SI. F~O K BLJREAU .~ 4o No~ngham Ddve, Middle Island, NY 11953 Telephone: 631 495 81~ · Fax: 631 980 ~55 E-Mail: SBEIGS~gmail.~m CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Suffolk County Tax Map No.: Raymond Electrical 3une 16,2007 7188 1000 99.00 3.00 21.02 Certificate No.: Final Inspection Date: Building Permit No.: 7188 lune 16,2007 329072 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Chuck and Narg Kit/ Site Location: 110 East/ide Ave., Hattituck, NY 11952 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Service ~ Shed ~ Commercial [] Outdoor [] First Floor [] Pool [] Hottub ~ New [] Renovation [] Second Floor [] Attic [] Garage ~] Addition [] Survey Other: INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixfore HID Fixtures Three Phase Hot Water GFCI Recpt 1 VVall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect ~!:~ Sub Panel 8 ckt AC Blower Flourescent Range Recpt Pumps Transformer Appliances Dp/er Recpt Emergency Time Clock i~,The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Raymond Electrical Inspected By: Gene Surdi License No.: 5141ME Date Of Certificate: Jun 30,2007 : Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 32907 Z Date APRIL 16, 2007 Permission is hereby granted to: MARGUERITE KITZ 110 EAST SIDE AVENUE MATTITUCK,NY 11952 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 099 pursuant to application dated APRIL Building Inspector to expire on OCTOBER Fee $ 250.00 110 EAST SIDE AVE MATTITUCK Block 0003 Lot No. 021.002 11, 2007 and approved by the 16, 2008. ORIGINAL Rev. 5/8/02 BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c Expiration 20 PERMIT NO. ~c-'9 Do you have or need the fbi[owing, belbre applying'? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Fonu N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 sha'd 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 ~ss[tes a Certificate of Occupancy. f. Every building pennit shall expire if the work authorized has not commenced within I2 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 pem~it for an addition six months. Thereafter, a new permit shalI 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 inspections. ~ ~' (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corporation, signature of' duly authorized officer (Name and title of corporate officer) Builders License No. og. lq-I &M Plumbers License No. Electricians License No. ,~ltl- I ~ Other Trade's License No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block ~ · Filed Map No. Lo~ 'P , .'~4 State existing use and occupancy of premises and inten~d use and occupancy of proposed construction: a. Existi~guseandoccupancy. ~/~r~l,~,~,',~1 (t:$~Cl.e~o~ b. h~tended use and occupancy ~lfl~V-,~'lc~ (~,~dO'lr.l COI ,O~(OCCadt-~OOI Nature of work (check which applicable): New Building Repair _ Removal Demolition 4. Estimated Cost Addition Other Work 5. If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Depth Re'a! Rear Dimensions of existing structures, if any: Front Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear Depth Dirnensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 1 t. 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 v/ NO Will excess fill be removed from premises? YES 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No 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 ora tidal wetland? * YES __ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property line. s. 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: cOUNTY OF ) (~O.J'fdct."'[ {~O~6J(-¢~r' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)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 tree to the best of his knowledge and belief; and that the work will be performed m the maturer set forth in the application filed therewith. Sworn to before me this ~ day of) '..~p~i I ~ 20 0~] NoCryPublic , ff 0 NOTARY Pt~LIC, State of New York No. 0~24~24 Obalified in ~uft'olk Co~t~ Co113¢rlisSion Ex~AIIfil~9 20___ Signature of Applicant KATHLEEN QUIG~¥ NOTARY p: L;L,, SlateofJ~l, yonk ,; 01QU6~1~4 . aaufio~ ~ ~ County ': anis$iof/E~ April 25: o,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PE#,-;.ATION REMARKS: DATE ? "~ / 9- 0 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION2ND [ ]INSULATION []FRAMING/STRAPPING ~ FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT COflSTRUCTION[ ] FIRE RESISTANT ~r. NETRATION REMARKS: /~~~ ~--~ DATE FI~ELD ENSPECTIONREPORTI DATE [ COMMENTS FOU]%DATION (1ST) FOUNDATION (2ND) ROUG][t[ F'RA-MING & PLUiVlBING E'~SLrLATION pER. N. Y. STATE ENERGY CODE ~D~ION~ COMMENTS LOT NUMBER 4 S. 27° 40' 50"F_ set stk set stk 225.7,5' 1110,00' ._.~.~-''~ set stk o © set ~ z rd, stk 12-i6-1999 FINAL SURVEY ~z ~ ¢~rC-,.7,-lgQC~ FOUNDATION~ AND WELL LOCATED SE~ :STAKES k~l'~tU~J f0 THE P~PE~TY ~ WHOM ~ ~R~Y GUARANTEED ONLY IIA OLD F. TRANCHON NO. 048992 LIC. NO. 21115-E NOTE: CESSPOOL, AND SEPTIC TANK LOCATIONS BY OTHERS. SURVEYED ~R LOT NUMBER 2 MAP OF OREGON HLIGHTS SITUATED AT MATT I TUCK TOWN OF sOUTHOLD ,SUFFOLK COUNTY,b SCALE 1" = 60' DATE 7 - 15- 199~ FILED MAP NO. 8532 DATE 5- 27 - 19~ TAX MAP NO. 1000-99,73-212 r~f.onlydisk HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR SUCCESSOR TO WILLIAM G MEIER NORTH COUNTRY ROAD - WADING RIVER NEW YORK 1179Z (516) 929-4695 40' 24' 16' 16' PLUi'48~G SCHE~A~C FO~J'4~D CONC. 5"r~s7 SECTION B ApI:)RO~ED/kS biO'TED FF_.E~ n~pARTMENT AT 765.1802 8AM TO 4PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR poURED cONCRETE 2. ROUGH - FRAMING & PLUMBING 3. iNSULATION 4. RNAL - cONSTRUCTION MuST BE coMpLETE FOR C.O. ALL CONSTRUCTION sHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK sTATE. NOT RESPONSIBLE FOR DESIGN OR cONSTRUCTION ERRORS. SE.CT~OB A SECTION B OCCUPANCY 07 USE IS UNL;'' WITHOUT CEh ti:::..::', OF OCCUPANCY W^f¢~ LINE ROBLBD FOAM L. Ii'~I~ ANP COND~I~ PORM 11~5 ~500 FSI POLYP CONd~f¢ VIN% LINB~ WALL SECT~O~ I. 5¢¢JCTLI$15 PC~IdNCB POE U¢ ¢¢LOW d~ ~ O~Y IN ~ ~ ~ ~0~ 05-22-05