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HomeMy WebLinkAbout33671-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33419 Date: 12/23/08 THIS CERTIFIES that the building ACCESSORY Location of Property: 38910 MAIN RD (HOUSE NO.) County Tax F~ap No. 473889 Section 15 Sut~]ivision Filed Map NO. ORIENT (STREET) (N3%MLET) Block 8 Lot 30 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 2008 pursuant to which Building Permit No. 33671-Z dated FEBRUARY 5, 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 SWIPING POOL WITH FENCE TO CODE AS APPLIED FOR. · ~ne certificate is issued to CAROL K SCHETMAN (OWNER) of the aforesaid building. S~FOL4( C~)[~F~Y DEP~/{/7~E/~T OF }~L%/~TH ~PRO~]%L N/A RY.R{i£KICAL CERTIFICATH NO. 1125990 05/16/03 PL~ c~KTIFIC3%TION DA'£~u N/A ~~nature Rev. 1/81 Form No. 6 OF SOUTHOLD BUILDENG DEPARTMENT TO~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and sublmtted to the Building Departmeni withthe A. For new building or new use: 1. Final survey of propelly with accurate location of all buildings, property lines, streets, and unusual natural topographic features. 2.Final Approval from Itealth Dept. of water supply and sewerage~disposal (S-9 form). 3.Approval of elecbScal installation from Board of Fire Unde~qters. 4.Sworn statement from plmnber ce~ifying that the solder used in system contains less than 2/I0 of 1% lead 5. Colm~ercial building, iudustrial building, multiple residences aud similar buildings and iustallations, a ce~fi< a~e of Code Compliance fi'om architect or engineer respousible fbr tim building. 6.Submit Planing Board Approval of completed site plan requirements. B. For exis/iug buildings (prior to April 9, 1957) non-conforming uses, or buildiugs and "pre-existing" land uses: 1. Accurate survey ofp~opetty showing all p~opemy lines, sheets, build iS and unusual natmal el tOl>Ogzaphic features. 2. A properly completed application aud conscut to iUSlX~ sikmed by the appbcant. Ifa Ce~bficatc of Occupancy denied, tim Building Inspc*cto~ shall state II~e masons fl~crefb~ in wFitmg to the applicant C. Fees 1. CettificaleofOccupanc> New dwel]ing $25 00, AdditiOuslodwdlmgSZS.00, Alterationstoch,,.elling$_~q ( Swinumng pool $25300, Accessolybuild ~g$2500 Additionstoaccesso~ybuild ~25250 Bu>;inesse:; 2. CeHificateofOccupancyonlhe~cxistingBuilding $10000 ' ' 3 Copy of Ce~ificate of Occupancy - $25 4 Updated CetXificate of Occupancy $5000 5. TemporaryCe~ificateof()ccupancy Residential $15 00, Couune~cia $15 0( kd]Owing: [)ate New Construction: ~.~o[ .... Old or Pre-existiug Building: LocationofProped. y: ~ I0 ¢q'q c4_ tl~ L~ (chock oue) House No S ti eot Ilaml ct Owner or Owners ofPropelty: _ Cg'~&~ I ~t~ Suffolk C3unty Tax Map No 1000, Sect/on ff~ . Block 0 Subdivision PennitNo D~ ~C7~ I)a~eofle~mit ~ Health Dept. Approval: ~/e*o' Undem, rilers Approval: Planmng Board Approval: Request fur: Temporao' Certificate Fee Subnfitted: $ Final ~er lllcalo: /~(check o le) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by Located at Application Number: 1125990 Section: Block: Described as a Residemial DOROSKI ELEC. INC RICHARD & COCO SCHETMAN P.O. BOX 781 38910 MAIN ROAD CUTCHOGUE, N.Y. 11935, COR, LITTLE BAY ROAD ORIENT, NY 11957 38910 MAIN ROAD COR, LITTLE BAY ROAD ORIENT, NY 11957 Certificate Number: 1125990 Lot: Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 16th Day of May, 2003. Name QTY Rate Rating Circuit Type Appliances and Accessories Pool/Spa Bonding 1 0 Time Clock/Switch 1 0 Panels 1 100 4 ~,Viring and Devices Fixture 3 0 Receptacle 2 0 Switch 2 0 Receptacle 3 0 20 amp Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 PooFSpa GFCI GeneralPurpose Pool/Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable co have frequent test and/or repairs made by a qualified person. seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 33671 Z Date FEBRUARY 5, 2008 Permission is hereby granted to: RICHARD & CAROL SCHETMAN 160 HENRY ST APT 9A BROOKLYN,NY 11201 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. (REPLACES BP #29098Z) at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST 38910 MAIN RD ORIENT Block 0008 Lot No. 030 4, 2008 and approved by the 5, 2009. Fee $ 150.00 Authorized Signature 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. -~ Date JANUARY 14, 2003 Permission is hereby granted to: M JARRELL (SCHETMAN) 3~ BRIXT~N-~gD~D~ ~J~RfmsN c~iY~,~[Y 11530 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated JANUARY Building Inspector to expire on JULY 38910 MAIN RD ORIENT Block 0008 Lot No. 030 10, 2003 and approved by the 14, 2004. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ~,,~U LATION [ 'I FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE INSPECTOR--S' 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. / [ ]FOUNDATION 2ND [ ] INFLATION ]FRAMING ~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE ~I~E~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] ;ORAUNMiD:ION 2ND ~ON [ ]FIREPL~~H~MN,~_ .~ DATE ~///~3 INSPE~ FO~A~ON FO~A~ON (~) ~s~o~ v~. y. STA~ ~ CODE . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN PALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined Approved Disapproved a/c ,20 03 ~ ,20c%g Expiration 7//~ , 20 o ~ Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans planning Board approval Survey . Check ,~ ~'O,1DO '~)fO~ ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT .... 1 Date ,,-57-~ ,m ~ 20 Od INSTRUCTIONS 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 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 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 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 authorized inspectors on premises and in buildin~z for ncccsaa~:~ in~oc~lil0ns. -IMMEDIAIt:L¥ uPON COM~LETION OCCUPANCY 0R BEFORE"WATER" (Signature of applicant or name, if a corporation) USE I$ UNtAWFU[ WII'ItOUT C£RTI ..,. FIC Tl m .& ~. - ' (M'aili~g address of applican6 OF OCCUPANCY - ;rooC-&m, I',4Y 112o I State whether applicant ~s owner, lessee, agent, architect, engineer, general contracfor, electrician, plumber or builder ('"')dP Name of owner of premises (As on the tax roll or latestl~l~d) If applicant is a corporatio~ 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. Location of land on which proposed work will be done: NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTION~ 1. FOUNDATION - TWO REQUIRED FOR POURED CONC,~ETE Z ROUGH - FRAMING & PLUMBING 3, INSUL&TION · FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REGU]REMENTS OF THE N.Y. House Number Street County Tax Map No. 1000 Section Subdivision 15 (Name) Block 8" Lot i ,~0"? Filed Map No. Lot ST, ATE CONSTRUCTION & ENERGY 1175'7 C O It,~r..yl~O,T~.R~$ P O N S I B LE FOR State existing use and occupancy of premise~ and intendej~ use and occupancy of proposed construction: a. Existing use and occupancy '~,q[e ~re, vr, i'tx F'r"D~d~:r- ~ C. b. Intended use and occupancy I .._J ' Addition Alteration Other Work ~c~o I Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost _'~ 5. If dwelling, number of dwelling units If garage, number of cars ! (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor /(,/,,,'q'- 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures(i'f any: Front Rear Depth Height Number of Stories / ~. 10. Date ofPurchase'7~)~C. _~,~C>&b- Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front /V/C)- Rear /[/,/3r- Depth Height /'~,,~r Number of Stories Size oflot: Front O%/(.a ' Rear 07~ / ,.>h- ! Depth Name of Former Owner 1'"1 &r'~'. ~',xc.t- e'_ ! i 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 NON/~ Will excess fill be removed fi.om premises? YES__ NO 14. Names of Owner ofprem~ses~~ ~"~dress ItaO t4?r,.c, _~'J' Phone No. Name of Architect Address J~cc~,J~l.,,,,, ~ Phone No Name of Contractor Address - d ii c~ I 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. STATE OF NEW YORK) COUNTY Ol;~4o)/t)d)S: /~-LC~'3--Or f~' 5r~g. ,_.~.ri~?~?~'"x being duly swom, deposes and says that (s)he is the applicant (Name of individp, aJ, signing contragt) 0bove named, (S)He is the C)t,,rO/~ ~ (Contractol, Agent, Corporate Officer, etc.) of said owner or owri~,s, and is duly authorized to perform or have performed the said work and to make and file this application; that ail staiements-contained in this applicahon are true to the best of his knowledge and belief; and that the work will be perfol;med in,th,e, 0!miner set forth in the app, lication filed therewith. Sworn tc~hefom me tjai~ a ~ , ~ puBUC, 81A~ ~r NOT~Y NO. 43~701882 QUALIRED IN RICHMOND cOUN~ CERtIFiCATE FILED tN NEW YORK COUN~ coMMiSSION ~PIR~ JUL~ 31, 20~ Signature of Applicant TOWN OF $OUTHOLD PROPERTY RECORD CARD OWN ER STRE~ 3, ~q/(..S' VILLAGE E D~.~. SUB. LOT ACR. I.~S~ TYPE OF BUILDING RES..~ to LAND l'7ob SEAS. IMP. VL TOTAL J FARM DATE COMM. CB. MICS. REMARKS Mkt. lalue~ Tillable Woodland Meadowland House Plot Total FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD -B, Extension Porch C).~R~ Porch ~',~ Breezeway Garage Patio o.e. ~ Total ~L Foundation ~asement Ext. Walls Both Floors nterior Finish Fire Place Type Roof Rooms 1st Floor Recreation Room Rooms 2nd Floor ~gO-~' ~ Oc:D Dormer Driveway Heat :inette LR. BR. FIN. B Town HaIL 53095 Main Road P,O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 q~e6ruary 11, 2008 BUILDING DEPARTMENT TOWN OF SOUTHOLD q~¢harc[ ~ Caro£Schetraan 160 7[enry Street - ~pt. 9-~ YVe'w ~or~ Y~.. ~.. 11201 q~: ~ui[r[inB (Permit #33671-,Z (~,p[aces ~ #29098-,Z) Surf Co. Ta;c3tap O~ear 514r. eZ ~trs. Scfetmam ~Enc[osec[is the new 6ui[cl~ng permit #33671-Z for your insrounr[swimmin~ poo£ (Please contact this office wfen you are reaary to scfec[u[e a fina£ inspectiot~ I s!Jo~e to tfe 5ui[r[in~ inspector a~out the e[ectrica[ certificate for your ~c~ (~uigc[in~ (Permit #30012-Z) artc[ he safif that fie wou[c[ [oo~,at it when he intlJeCtS the laOO£ If you have any questions, Iv[ease aCo not hesitate to contact this office. S O Z;qY t'O £ ® r[O q4 /Shr ~ ~d l L q) I Sff ~ ~eorgia qLuaCaCer, Secretaria[.~ssistant Eric. Town Hall, 53095 Main Road P.O. Box 1179 Southol& New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 23rd 2006 Richard & Carol Schetman 160 Henry Street Apt 9-A New York, N.Y. 11201 RE: 38910 Main Rd. (In-Ground Pool) SCTM # 15 8 30 Dear Mr. Schetman, Please be advised that your Building Permit # 29098 issued June 14th 2003 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall~ 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTI-IOLD March 14th, 2007 Richard Schetman 160 Henry St. Apt 9A Brooklyn, N.Y. 11201 2~vv NOTICE RE: 38910 Main Rd. (in-ground pool) SCTM: 15 8 30 Dear Mr. Schetman, Please be advised that your Building Permit #29098 issued June 14th, 2003 expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 25th, 2008 Richard & Carol Schetman 160 Henry Street Apt 9-A New York, N.Y. 11201 RE: 38910 Main Rd. (In-Ground Pool) FINAL NOTICE SCTM # 15.-8-30 Dear Mr. & Mrs. Schetman, Please be advised that your Building Permit # 29098 issued June 14th 2003 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. GENERAL NOTES SCHEMATIC PIPING ARRANGMENT B A 0 SECTION A-A PLAN 43 Lauell Rd. Hampton Bays, NY 11946 (516) 728-1777 WALL SECTION LINE 6"TO~4'SH&LLOW ENO 25' UP ON DEEP END SECTION B- B \ · ,~.0''~ ~ S 79 45 4 212.51' SUFFOLK S.C. TAX SURVEY OF PROPERTY SITUATED AT ORIENT TOWN OF SOUTHO/D COUNTY, NFW YORK No. 1000-15-08-.30 SCALE 1"=S0' DECEMBER 12, 2002 AREA = 67,654.93 sq. ft. 1.553 oc. Joseph A. Ingegno Land Surveyor PHONE (631)727-2090/ OFFICES LOCATED AT 13§0 ROANOKE AVENUE RIVERHEAD, New York 15901 Fox (631)727-1727 MAIU~G ADDRESS p,O. Box 1931 Riverheod, New York 11901-0965