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HomeMy WebLinkAbout34182-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33413 Rte: 11/25/08 THIS u~KTIFIES that the building ACCESSORY Location of Property: 3805 PARK VIEW LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 1 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 2008 pursuant to which Building Permit No. 34182-Z dated SEPTEMBER 22, 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 SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to SUZANNE T. PATTI (OWNER) of the aforesaid building. SIIF~3LK C~)I~TYDEPART~T OF}IF~%LTHAPPRO~-AL N/A ~-rKIC~J~ C~K'rIFIC~%TH NO. 2956 05/27/06 PL~ ~TIFIC~%TION DATED N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: l. Final survey of property with accurate location of all bnildmgs, 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.Swom statement from plmnber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Colmnercial building, industrial building, multiple res dences and similar buildings and installations, a cerlificate 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) nou-cooforming uses, or buildings and "pre-existing" land uses: l. Accurate survey ofptope~2y showing all prope~%, lines, streets, building and uuusuaI natural or topographic features. 2. A properly completed application and consent to inspect sigmed by the applicant. Ifa Cmlificate of Occupaacy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees Certificate of Occupancy ~ New dwelling $2500, .&dditions to dwelling $25.00, Alterations to dweHnig $2500, Switmr~ing pool $25.00, Accessory building $25 00, Additions to accessoc~ building $25.00, Businesses $5000 Cmlificate of Occupancy on Pre-existing Building - $100.00 2 3. Copy of Certificate of Occupancy - $25 4 UpdatedCmxificateofOccupancy $5000 5. Temporary Cmxificate of Occupancy - Residential $15 00, Cormnercial $15.00 Date. New Construction: Old or Pre existing Building: House No. Street Hanflet Owner or Owners of Prope~y: .~/~ ~ Suffolk C6unty Tax Map No l000, Section ~J~q~,~lock 0a~ / Lot~ Subdivision Filed Map. Lot: PenmtNo 3qlF~ Daie°fPennit__~h~ Applicant: Health Dept. Approval: ~ Undenvriters Approval: Pl~ng Board Approval: Request for: Temporau C¢~ificate .... Final Certificate: / (check one) Fee Sub~tted: $ ~ 0 0 (check one) f~ pplicant Signature . SUFFOLK ~I~F I ELECTRICAL 40 Nottingham D[ive, Middle Island, NY .~1953 Telephone: 631 495 8136 · Fax. 631 980 6455 · E-Mail. SBEIGS~gmail.com CERT RCATE OF ELECTRICAL COMPUA CE Applicant: Bethel Electric Rough Zn !nspection Date: 5/27/2006 Final Inspection Date: 5/2-//2006 Application N°: 2956 Certificate N°: 2956 Suffolk County Tax Map N°: 15 I 34 Building Permit N°: 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 afl:er the final inspection date above: Service 10 Service 30 Main Panel 4 Ckt Sub- Panel Disconnects Transformers Twist Lock Owner Patt C em ~ Address: 3805 Paekvlew .Lane, Orient Point, NY 11957 Address of Inspection Site. 3805 Paekvlew Lane, Orient Point, NY 11957 X Residential Indoors Basement Service Commercial X Outdoors Ist Floor X Pool New Renovation 2nd Floor Hot tub Addition Survey Attic Garage Znventory Gas Heat Duplex Recpt Ceiling Fix HID Fix 1 Time Ch)ck 2 Switches Wall Fix Smoke Det Hot Water I GFC[ Recpt Recessed Fix Co Det GFCZ Breaker 2 Single Recpt Fluorescent Fix 2 Pump Dryer Recpt Range Recpt A/C BJower Emergency Fix Exhaust Fan Appliance A/C Cond 'Exit Fix TVSS Heat Pump Electric Heat Pool Lumlnaire Other Equipment: 1-Motorized Pool Cover Shed Other: The electrical work and/or equipment described above were inspected and app,,ar to be in compliance with local, state and national electrical code requirements and this office. ~ Applicant: Bethel Electric License No: 2880-ME iii Signature: //~.-,.//,// ~. - FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII~)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34182 Z Date SEPTEMBER 22, 2008 Permission is hereby granted to: SUZANNE T. PATTI 22 DWIGHT LANE BEDFORD,NY 10507 for : CONSTRUCTION OF AIq IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR. REPLACES EXPIRED BP # 31768 at premises located at 3805 PARK VIEW LA County Tax Map No. 473889 Section 015 Block pursuant to application dated SEPTEMBER 22, 2008 ORIENT 0001 Lot No. 034 and approved by the Building Inspector to expire on M_ARCH 2~L~0i0.-~----~ ~ Fee S 150.00 ~ I ~ ~ ~iz~ signa~ 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. 31768 Z Date FEBRUARY 2, 2006 Permission is hereby granted to: MARY RYDER 104 SPRING RD HUNTINGTON,NY 11743 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 3805 PARK VIEW LA ORIENT County Tax Map No. 473889 Section 015 Block 0001 Lot No. 034 pursuant to application dated FEBRUARY 1, 2006 and approved by the Building Inspector to expire on AU__GUST2,~__ Fee $ 150.00 ~-~uthori~ed Sm natu~ 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 PE~,-;.ATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~TION [ ] FRAMING/STRAPPING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~-~ ~ ~'~  INSPECTOR ~~ DATE ~ ' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/,U~ATION [ ] FRAMING / STRAPPING [r./~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: [ ~1~"~7 DATE ~ INSPECTOR tq/~LD ENSP]ECT~ON REPORT I DATE I COMMENTS FOUNDATION (1ST) FOUNDATION (2~) ROUGH F~G & PL~B~G ~SULATION PER N. Y. STATE ENERGY CODE 11-7~~ F~ ~. ~ ~D~ION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. PERMIT APPLICATION CHECKLIS you have or need the following, before applying. Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form Approved ~,. Disapproved a/c N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 06 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 area~s, 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 Pemfit 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 the 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 the permit for an addition six months. Thereafter, a new perm/t shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Perm, it 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, ord}nances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. , (Mailing address of applicant) State whether applicant is o~vner, lessee, agent, architect, eng/neer, general contractor, electrician, plumber or builder (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer /' Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: . House Number Street Hamlet County Tax Map No. 1000 Section Subdivision G r e~-n ~ cte.$ (Name) Block Filed Map No. 3~¥ 0 Lot 3 q Lot 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_ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 2,6)) (~00.0~ 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition ~ Alteration Other Work _q,_.,; ~,~,,,, ~,,a / ~ (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 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 of lot: Front 10. Date of Purchase Rear Depth 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__ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES __ NO__ 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__ * 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. NO 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. STATE OF NEW YORK) CO T¥ (Name of individual sigrt~g contract) (S)He is the do'~ltt~J~t~ (Contractor, Agent, Corporate Officer, etc.) being duly sworn, deposes and says that (s)he is the applicant above named, 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 tiffs application are true to the best of bas knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swc~ro. to before me this MELANIE DOROSKI NOTARY PUBLIC, State of N~ No, 0qD04634870 Qualified in Su/tolk Coun~.~ ~mmissi~ ~ires September x '//, ~ S/gnature ~f Applicant APPROVED AS NOTED ~ DATE' ~/Z/f, B.P.# .'~"/'~f<'~ NOTIFY' BUiLDiNG gE?ARTM,.NT AT 765-1802 8AM TO 4PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YC'F:~K STATE & TOWN CODES ) Af, j~', CONDITIONS OF AS REC~d REE SC. :,g'-2' TO'¢'~ P~NNING BOARD SO:. '4GL& TOWN TRUSTEES N.Y.S. DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNOERWRITERS CERTIFICATE REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. ,,iMMEDIATELY" ENCLOSE PoOL TO cODE uPON coMPLETION BEFORE "wATER" REVISED 5/03 H. ROY JAFFE, P.E.