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