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HomeMy WebLinkAbout33921-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33291 ~te: 09/24/08 THIS u~KTIFIES that the building SWIMMING POOL FENCE Location of Property: 355 WOODCLIFF DR MATTITUCK (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 107 Block 7 Lot 25 Filed Map No. Lot No. __ Subdivision (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 2008 pursuant to which Building Permit No. 33921-Z dated MAY 20, 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 FENCE ENCLOSURE FOR AN EXISTING IN GROUND SWIMMING POOL AS APPLIED FOR. The certificate is issued to FREDERICK V & BARABAR L HANSEN (OWNER) of the aforesaid building. SUFFOLK COU~FrY DEPART~ENT OF HEALTH APPRO~rAL ELEC~RICAL c~KTIFICATH NO. PLU~BERS u~KTIFICATION DA'r~u N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO x~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ] This application must be filled in by typewriter or iak and subm/tted to the Buikting Departme'rtt"w~ the-fOllo~ii~i: A. For new building or new use: 1. Final survey of property with accurate location of ali buildings, p~opm~y lines, streets, and unusual naturalor topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement fl~om plmnber certifying that the solder used in system contains less than 2/10 of 1% lead 5. Co~mnercial building, industrial building, multiple residences and similar buildings and installations, a ce~ificate of Code Compliance from architect or enginee! responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prio~ to April 9, 1957) uou-conlorming uses, or buildings and "pre-existing" landuses: 1. Accurate supvey of prope~%, showing all properly lines, s(reets, building and unusual natural or topographk features. 2. A properly completed applicatien and consenl to in, peel signed b3 the applicant If a Ceilificate of Occupancy is denied, the Building ]nspectol shall slate the zeaso~s l}lelef'oi ill writing to the applicant. C. Fees New Construction: Location of Propmly: 1. CettificateofOccupanc,; Neu. dweiling$25.0(i,,Additionstodwclling$25 00, Alterations to dwellmg $25.00. Swium~ing pool $25.00, Accessory building 525 00 Additions to accessoty building $25.00, Businesses $50 00 2 CertificateofOccupm~cyonI:qeexistingBtnldin~2 $10000 3 Copy of Ceaificate of Occupancy $25 4 Updated Cel~ificate of C)ccupan%, $5000 5 Temporary Ce~tificalc ofOccupaocy - Residential $15 00. (onunercial $1500 ~re ex,sting Building Date. S~¢, House No. Street I q, __ (cheok one) .p Lot O o~ ~"-- Underwriters ApN oval: Ow.er Owne,, of Prope,.y: Sufiblk C6unty Tax Map No !g0O, Sectiou ~ l O ~ Block Subdivision ~ ~ . Filed Map. Permit No 33q [ DateofPetmil ~ -al'f0~ Applicant: Health Dept. Approval: ' ' Plamng Board Approval: Request for: Temporary Certificate Fee SuNrdtted: $ c:~ ~, ~ {5 Lot: Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Tow~ Hall Southold, N.Y. BUILDING PERI, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERi,IT NO. 33921 Z Date MAY 20, 2008 Permission is hereby granted to: BARBARA HANSEN 355 WOODCLIFF DRIVE MATTITUCK,NY 11952 for : CONSTRUCTION OF A FENCE SURROUNDING AN EXISTING INGROUND SWIMMING POOL AS APPLIED FOR FENCED TO CODE at premises located at 355 WOODCLIFF DR County Tax ~ap No. 473889 Section 107 Block pursuant to application dated MAY 14, 2008 Building Inspector to explre on NOVEMBER 20, MATTITUCK 0007 Lot No. 025 and approved by the 2009. Fee $ 100.00 / Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING ~. FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRER~I~ANT~NETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION XFINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~:~ ~ ~/~~ DATE ~;;~ ~3'~'~ INSPECTOR~~ ,5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY 1.1971 TEL: (631) 765-1802 FAX: (631) 765,9502q -' SoutholdTown. NorthFork.net Examined / ^.proved 4/ 20 / Disapproved Expiration PERMIT NO. / Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, I~fore applying? Board of Health 4 sets of Building Plans PIanning Board approval 20 0¢ 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 shall 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 thc Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not 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 thc permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to thc Building Department for the issuance ora 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. (Signatare of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (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. Plumbers License No. Electricians License No. Other Trade's License No.__. [C,~]g~ ¥~[ ~ ~0"J~ griLL ~&-:lk)(~_~ / 1. Location of land on which proposed work willbe done' House Number Street Hamlet County Tax Map No. 1000 Section IO'~ Block 7 Subdivision Filed Map No. "IMMEDIATEI.Y" ENCLOSE POOL TO CODE UPON GOMPLETION BEFORE "WATER" OCCueANUY OR USE I,g WITHOUI Gt::F{TIFIGATE OF OCGUPANGY C.q, DATE:_ NO[,FY E:.'.-;Lc DEPABT~ENT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: L FOUNDATION - TWO REQU'.RED FOR POURED CONCRETE Z ROUGH - FRAMING & PLUMBING 3. INSULATION 'T THE : NEW :~K S'i;,;:. ~':.: .:-F '2hSiaLE FOR DESIGN OR CONSrRUGTION ERRORS. 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 occupancy. d 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition OtherWork }D~2X) t:-~lqC~_ (Description) 4. Estimated Cost 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. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear _Depth Number of Stories 9. Rear 10. Date of Pumhase Name of Former Owner Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Dimensions of entire new construction: Front Rear Height Size of lot: Front _Depth Rear _Depth 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 m-graded? YES__ NO__Will excess fill be removed from premises? YES NO , 5 55 414. Names of Owner of premises Address Phone No. Name of Amhitect '~ Address -- Phone No Name of Contractor ~}/~O~J~-. FI L[- 7~1~ c,~:~ddress 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 MAY BE 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. 18. Are there any covenants and restrictions with respect to this property? * YES __ NO ~' · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OFS~F~L ~4) ~ /~(~ t~ /~ N~/~ ~"-{ being duly swom, deposes and says that (s)he is the applicant (Name ofindividuaI signing contract) above named, (S)He is the 0 [,U ~,l ~ ~ (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 hue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this I ~ day of /~ /~ ~ 20 (9~ l~r ~i~'~ Notary Public, State of Now York ~ NO. 5003414 ~ Qualified in Suffolk County ~ommission Expires ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~. OWNER ISTREET .', ;:, VILLAGE DIST. SUB. LOT RES. ~'t~, SEAS. N ,~ / E TYPE OF' BUILDING VL FARM CB. MICS. Value LAND IMP. TOTAL DATE REMARKS r,-~-u AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable Woodland Value Per Vc~lue Ac re Meadowland House Plot Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK M. Bldg./ Extens Extension "~ Extension Po~ch ? Porch Total TRIM Foundation Ext. Walls TYpe Roof Recreation Room IDormer Bath Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd FIoo~ · DriVeway / // 'Dinette 0 ¢._/~' K. SURVEY OF PROPERTY ~7TUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1OOO-107--O7-25 SCALE 1" =20' SEPTEMBER 15, 1995 CERTIFIED TO: CH(CAGO TITLE INSURANCE COMPANY TITLE No. 9508--04644 BRIDGEHA~PTON NATIONAL I~ANK AREA = 15,59g.57 sq_ ft. 0,308 ac. Land A. Ingegno Surveyor %$5.OO' 5.O0'