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Home My WebLink About34160-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33414 Rte: 12/02/08 THIS U~i~TIFIES that the building ACCESSORY Location of Property: 1275 EVERGREEN DR (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 1 Lot 4.3 Subdivision Filed Map No. Lot NO. CUTCHOGUE conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 2008 pursuant to which Building Permit NO. 34160-Z dated SEPTEMBER 16, 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 IN GROUND SWIIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to SID D & SUSAN M BEEBE JR (OWNER) of the aforesaid building. SUF~L~COL~rYDEPAR~OF ~ALTH~_PI~O~-AL N/A EI~-rl{ic~J~ u~TIFICATH NO. 100566C 07/18/05 PLU~ERS CERTIFICATION DA'£~ N/A Rev. 1/81 u r ---- ~f .i' TOWN OF SOUTHOLD u.~ ~1 ~ t~ BUILDING DEPARTMENT '-L I I a~6. D~. /TiON ~N OF ~OU~ FOR CERTIFICATE OF OCCUP~CY This application must be filled in by typewriter or ink and submitted to the Building Department with the tbllowing: 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 t¥om 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. 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. Fees 1. Certificate of Occupancy - Ne~v 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 New Construction: Location of Property: Date. Old or Pre-existing Building: House No. "Street Owner or Owners ofProperty: e~'",/) ~-,D"o,.q'.,~.,,/ Suffolk County Tax Map No 1000, Section · Sul2division %J 'ermit No. Health Dept. Approval: Planning Board Approval: Request for: Date of Permit. ! Temporary Certificate / / (check one) /0Z Block 0o0 / Filed Map. Applicant: ,,~'/D Underwriters Approval: Final Certificate: IPa~mlet Lot OO ~.o 003 Lot: (check one) Fee Submitted: $ 23- °~oo q~Apphcant S tur'e Issue Date 7/18/2005 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application 375 Dunton Avenue 100566C East Patchogue, New York 11772 (631) 286-6642 Issued To: Mr. Sid Beebe Street: 1275 Evergreen Drive Village: Cutchogue Zip: Section: Block: Lot: Contractor: Lademann Electric Inc. 11971 Town: Southold Lic.# 4141-E Was examined and found to be in compliance with the National Electrical Code. [] Commercial [] NV Defects [] Pool [] 1st Floor [] Indoor [] Basement [] HotTub [] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles Fixtures GFI Heaters 1 1 1 Dishwasher Washer/Amps D~yer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector / Bldg. Permit: Other Equipment rain tight sub panel 20/220V specialty outlet time clock Hugo S. Surdi President Rough Inspection: Inspector: Final Inspection: 07/14/2005 Inspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. 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. 34160 Z Date SEPTEMBER 16, 2008 Permission is hereby granted to: SIDNEY & SUSAN BEEBE 1275 EVERGREEN DR CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD .REPLACES EXPIRED BP # 31118 at premises located at 1275 EVERGREEN DR CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0001 Lot No. 004.003 pursuant to application dated SEPTEMBER 16, 2008 and approved by the Building Inspector to expire on MARCH 16, 2010. Fees 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. 31118 Z Date MAY 10, 2005 Permission is hereby granted to: for : SID BEEBE 1275 EVERGREEN DR CUTCHOGUE,NY 11935 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at County Tax Map No. 473889 Section 102 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 1275 EVERGREEN DR CUTCHOGUE Block 0001 Lot No. 004.003 9, 2005 and approved by the 10, 2006. Fee $ 150.00 /~X~Authorize~J~Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. [ [~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~7~~____~_~~ / DATE ~ INSPECTOR FIELD INSPECTION REPORT I DATE I COMNIENTS FOUNDATION (1ST) -- FOUNDATION (2ND) ~---~ PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTIVfENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c ,20 O~ 20 Ob Expiration /t/(0,20 Ob PERMIT NO. ~-'~kl..'~ ~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans X Planning Board approval Survey ~ Check ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector -~ , ~ APPLICATION FOR BUILDING PERMIT '~'~ 9 '~u.~ ?-', 'D: [7~[';, , - ~ INSTRUCTIONS ' a. ~da{ion MUST be completely filled ~ by ~ewfiter or in i~ ~d submiaed to the Build~g hspector with 4 sets of plans, acetate plot plan to scale. Fee accor~ng to schedule. b. Plot plan showing location of lot ~d of buildings on premises, relations~p to adjoi~g premises or public sweets or areas, and wate~ays. c. ~e work covered by this application may not be co~enced before issu~ce of Building Pemt. d. Upon approval of ~is application, ~e Building hspector will issue a Buil~ng Pe~t to ~e applic~t. Such a pemit shall be kept on the premises available for inspection ~oughout the work. e. No buil~ng shall be occupied or used in whole or ~ p~ for ~y p~ose what so ever ~til ~e Building hspector issues a Ce~ificate of Occup~cy. f. Eveu buil~ng pemit shM1 exp~ if the work au~ofized has not co~enced withn 12 monks a~er the &te of issu~ce or has not been completed wit~ 18 monks ~om such date. If no zo~g men~ents or other m~lations affecting ~e propeay have been enacted in ~e ~tefim, the Building ~spector may authorize, addition six monks. Thereafter, a new pemit shall be requked. ~PLICATION IS HE,BY M~E to the Buil~ng Depmment for ~e issu~ce of a Building Pe~t p~su~t to Building ~ne Ordinance of the Town of Sou~old, Suffo~ Co~ty, New York, ~d other applicable Laws, Or~n~ces or Regulations, for the construction of buil~ngs, ad~tions, or alterations or for removal or demolition as hem~ described. The applic~t a~ees to comply with all applicable laws, ordin~ces, building code, housing code, ~d re~lations, ~d to a~t ~uthohzed inspectors on premises 0~~~ ~spections. ~STamrm~L USE --IS UN WFUL 'aE m.E r QU REME S OF T.sWITHOUT CERTIFICATE DES OF NEW YORK STATE. OF CUPANCY ~DER~RS CERTIFICA~ (m~]~ ~ess of apphc~t) IMMEDIATELY" ~ ,~ j~/~ ENCLOSE POOL TO CODE BEFORE"WATER" DATE:., r/jO/; Nmeofown~ofpremises ~/~ ~ ~ow~' ~ ~.P.~ (As on the t~ roll or l~ de~) /~O. By: ~ ~-' If applic~t is a co~oration, si~amre, ofdu]y authorized offic~ NOTIFY ~UILDiNE Dt-P3~;M~T~AT - ~ ~d title ~f c6morate offi~TAIN STORM W~ER RUNOF~OLLOWiNG PURSUANT TO SECTION 45-1 Builders License No. /E ~,/~ ? - ~/I~F THE TOWN CODE. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number S~cet 1. FOUNDATION . ~"...0 REQUIRED FOR POURED ,, NC~E E 2. ROUGH - FRAMING & P~-UMBING 3, INSULATION 4. FINAL. CONSTP~ '?'~3r! MUST BE COM~ ~' 2-' : , ..... " ,H,,. ~ MF~/THE ALL ~ON~ ,J,. L,~ ~ , REQUlREMEN~ - ....... -'~t: . )~OFNEW ~ CU~I~UGIION ERRORS. County Tax Map No. 1000 Section Subdivision -~a>~'~ ~ezra~ ~ame) Block Filed Map No. ~7/7 Lot 4(.~ Lot .~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /~ ~,z~ ~z~sr-za~e~ b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Addition Alteration Demolition · (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 4. Estimated Cost "~.~,, ~ow, ~o 5. If dwelling, number of dwelling units 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 ~ ~, ~, ' Rear /,, ~ / Depth Height ,,~,5-/ Number of Stories /~ 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 Stodes 9. Size of lot: Front /~..< r Rear /.~5~' 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__Will excess fill be removed fi.om premises? YES )?' NO__ 14. NamesofOwnerofpremises..-~tv-~-r,_-t~,or.,~z~ Address y zw~ .- . .PhoneNo. ~.~5/-ao~:- Name of Architect Address e~r°~°*'~~ Phone No Name of Contractor ~//~,~,~ ~,~z~ z.~ Address '~ ., =PhoneNo. ?2g,/-~ _~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwatc.,r ,we~ljand? ~*,YIES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS ~t~l~,~l~ It~uI'RED. b. Is this property within 300 feet of a tidal wetland? * YES~ .. ,Al P2N[~t,.tk'~ ~ *IFYES, D.E.C. PERMITS MAY BE REQUIRED. "' """~'"" ~"' 16. Provide survey, to scale, with accurate fotmdation plan and, distan~e~t~ ~c,~ty~li~es. 1 ?. If elevation at any point on property is at 10 feet or below, must prowde topographmal data on survey. STATE OF NEW YORK) COUNTY ~:50c~ ~ c/q~,r,~./( being duly sworn, deposes and says that (s)he is the applicant (N~e of individual signing contract) above named, (S)He is the ~___~r'x ~ (Contractor, Agl~t; Corporate Officer, etd.). ' ? ~ · ...'.'~ !~ildq of said owner or owners, and is duly authorized to perform or hay¢ performed th~'saj~,~work and to make and file this application; that all statements contained in this application are true to the bei't of Ns knOwledge ahd belief; and that the work will be performed in the manner set forth in the application filed therewith. Claire L. Clew Notary Public, State of New York No. 0 t GL4879505 Qualified in Suffolk County _ Commission Expires Dec, 8,~,~,~ I/C'~C.~. d..)- ~ C..)~. - ) ,-,~.~ 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET /,~ -~,,~-- VILLAGE DIST. SUB. LOT ~ ACR. ~ REMARKS ~ ~OrO ~ ~ TYPEOFBLD~ PROP. CLASS ~ LAND IMP. TOTAL DATE I I FRONTAGE ON WATER j TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH ~EADOWLAND BULKHEAD HO~SE/LOT TOTAL ~M~ldg. 2,0 ~Z,~, 5~ Foundation Bath Extension ~'~ ~ '~ ~ ~ ~;-- ~ ~ 5 ~ ~ Basement ~L Floors Kit. i~n.~On ~ ~ 2~ ~ ~ ~ 2~- ~ ~t. Walls V x~[~ Interior Finish ~ k.R- ~i~ ..... q 2~ ~ ~ ~ Fire Place D.R. , ~_ ,~ ~ ~0 ~ I~0 ,, C~) Heat Patio Woodstove BR. Porch ~A~ ~)~(-. ~ = 2~ .~0 13~ Dormer ~B~F~:. Dec~ ~. ~ ~o ,~ ~ Attic ~ Breezeway Rooms 1st Floor ~D ~, ~ ~ ~ ~dO ~ ~ Driveway Rooms 2nd Floor ~ ~ ~ Garage O.B._ Pool COLOR TRIM - 24' ~ t~s I~ 0141 8' n, ~' 8' rl 8' n. 8' n 8' n ~' 8' IJ 8' b 8' b rI 8' ' b 8' '~o,~v,4~s gben vJ ~" ~inl o~ c~ners 8' Sr~- Ib~ 2.{0~ 0~} I' ponek ~ 2~08-0)4) 6' #4: LI (03-2~5-CSLIO3-~S-L51,¢03-205-~i ~t4: NSPI TYPE III FRN~)0$ 1995 40' 6' RADIUS FN*GROL'ND S~MMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A VINYL LINER THAT %lLL HOLD A~PROXIMATL¥ 35,0OO GALLONS OF WATER. FENCE WILL BE CHAfiN LINK CONSTRUCTION, 4' HIGH ~lTH SELF CLOSING GATES TIiAT ~qLL ~EET TOWN CODES. SURVEY OF LOT 3 MAP OF THE WOQ. DS AT CUTCHOGUE FILE No. 8717' FILED MARCH 25, t989 SITUA TED A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-102-01-4.3 SCALE 1"=30' JULY 27, 2004 AREA = 40,295.65 sq. ff. 0.925 ac. 00' 9.2Z' ~DNEY BEEBE SUSAN BEEBE FtDELITY NATIONAL TITLE INSURANC£ COMPANY '%. TO ~ .',S~ ~ ~NSn- Surveyo ~f~ Su~s -- ,~div~io~s -- Sire Pfons - Construc~i, PI~ONE (650727-2060 Fox (631)72' P.O. Box