Loading...
HomeMy WebLinkAbout32778-ZFORM NO. 4 TO~q~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33577 I~ate: 03/04/09 THIS ~TIFIES that the building ACCESSORY Location of Property: 8755 NEW SUFFOLK RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Mmp No. 473889 Section 117 Block 10 I~t 14.1 Subdivision Filed Map NO. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRU~RY 26, 2007 pursuant to which Building Permit No. 32778-Z dated M2LRCH 6, 2007 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. · ~ne certificate is issued to WILLIAM C & DONNA GOGGINS (OWNER) of the aforesaid building. S~FOLKC~)u~FrYDEPAR~OF}~LTHkPPRO~ N/A EL~t-rKIC3%L ~KTIFICATE NO. 4023015 02/17/09 pLiERS C~TIFIC3%TION DATED N/A Rev. 1/81 Form No. 6 ~om~ ~PLICATION FOR CERTIFICATE OF OCC~C Y A. For new build,, or new use: 3. Appm~ ofel~ ~lation ~ Bo~ of Fire Undemdtem 4. Sworn smtmmt ~m plm~ ~g ~m ~e ~lder reed m system mn~ns leg~ ~,i~d~ 5. Commemi~ b~l~g, indm~ b~l~g, multiple residences ~d s~il~ buildings of Code Compli~ ~m ~t~t or m~r ~ponsible for the buil~ng. 6. Sub~t Planning Bo~d Appmv~ of compl~ site pl~ r~u~ments. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pmparty showing all property lines, streets, building and unnsual 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. C. Fees 1. Certificate ofOeeupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swing 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 Date. /oq New Construction: Location of Property: ~ rx'~O House No. Owner or Owners of Property: Old or Pm-existing Building: Street (check one) Hamlet Suffolk County Tax Map No 1000, Sectaon -'~1 * ,~ c ~ ~ ) I -7 Subdivision Permit No. ~ ~ ~)~)?t5 Date of Permit.~ Health Dept. Approval: Block Oo~o Lot Oit---t. th© I Filed Map. Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5q q Final Certificate: (check one) t ..,'/ - r ~.- App~cant Sig}m~tre BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by QUlNLAN ELECTRIC INC WILLIAM & DONNA GOOGINS P.O, BOX 1034 PO BOX 65 HAMPTON BAYS, NY 11946-3540, MATI'ITUCK, NY 11952 Located at 1780 JACKSON ST NEW SUFFOLK, NY 11956 Application Number: 4023015 Certificate Number: 40230'15 Section: Block: Lot: Building Permit:28893Z BDC: ns11 Swimming Pool Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the17th Day of February, 2009. Name QTY Rate Rating Circuits Type Appliances and Accessories Pool / Spa Bonding I 0 Pool Heater 1 0 Gas Time Clock Switch 1 0 Wiring And Devices Fixture 1 0 pool Incandescent Receptacle 1 0 GFCI Receptacle 1 0 20a-pool Special / twist lock Switch 1 0 Gen, Purpose (Swimming Pool): This certificate covers compliance at the date of inspection only Because of unusual environments it is advisable to have test and/or made by qualified frequent repairs a person 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. 32778 Z Date MARCH 6, 2007 Permission is hereby granted to: WILLIAM C GOGGINS PO BOX 65 MATTITUCK,NY 11952 for : INSTALLATION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD, AS APPLIED FOR. THIS PERMIT REPLACES BP # 29226 at premises located at 8755 NEW SUFFOLK RD County Tax Map No. 473889 Section 117 Block 0010 pursuant to application dated FEBRUARY 26, 2007 and approved by the Building Inspector to expire on SEPTEMBER 6, 2008. Fee $ 150.00 -~' NEW SUFFOLK Lot No. 014.001 ORIGINAL Rev. 5/8/02 S IRL- E1 $ 83' 48' 00" 75. 48' 00" £ 100. 10' 83' 48' 15' eM N/F DROUDft N N/F GOODMAN ROGERS 2 STORY WOOD FRAME RES. 8,3' 48' 00" W LLj ZONE X r~ '~' ZONE X ~ FL AE (EL. 84' 21 .4,8 w 75. 01 N/F GOODALE 1000 117-10-14 NKW SUFFOLK TOWN Of SOL/I//OIL) SUFFOLK COUNTY, Al. NOIf} FLOOD ZON£ X FOR BOll? PARCELS EXCEPT AS SHOWN MAPff 36105C0501G MA Y 4, ?998 AREAS AND 1AX MAP NUMBERS AS SHOWN GfYEA T PECON/C BA¥ GUARANTEED TO H~LLIAM ¢ GOGGIN$ COMMONWEALTH LAND TITLE INS. CO. ZONED R 40 SURVEYED BY STANLEY ~Z ISAKS£N, J?~' P O. BOA 294 NEW 50'Ff~[l< NY 110§I~ -, 02Rl187 I .5 ~77? 7--- 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 REMARKS: P~'(~ ) >~L~,'~ ' DATE INSPECTOR 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 REMARKS: t~ ~ ~'- -~-~ ~'~ DATE INSPECTOR ~' ~~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION ~;~FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: '~.~ 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION FRAMING [ ] FINAL FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] IN~ATION [ (/]/FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~// ~~, ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMEI~T TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined 4/o2~ ,'20 O ~ Approved 'y/;9 0 , 20. ~)~ Disapproved a/c / Building Inspector BUILD1NG PERMIT APPLICATION CHECKLIST Do you have or need the followfl~g, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date February 28, 2003 ,20 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, mid 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 a Certificate of Occupancy is issued by the Building Inspector. APPLICATION 1S HEREBY MADE to the Building Department lbr 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, t}ousing code, and regulations, and to a&nit authorized inspectors on premises and in building for necessary inspections, t ./] (Signature of applican}r/~ame, ff a corporation) ' ', " WILLIAM C. GOG'~INS P.O. Box 65, Mattituck, New York 11952 ENCLOSE POOl_ TO CODE UPON COM:~LETION (Mailing address of applicant) BEFORE "WATER" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder OWNER Name of owner of premises William C. Goggins and Donna M. Goggins If applicant is a corporation, signature of duly authorized officer .......... ,-~r~,e ~'C~TIFICAT£ (Name and title of corporate officer) R£QUIR,~ Builders License No. (as on the tax roll or latest deed-~~0T~P Plumbers License No. Electricians License No. Other Trade's License No. 1. USE IS UNLA%':iFUL WITHOUT CERTIFICAIE OF OCCUPANCY Location of land on which proposed work will be done: 1780 Jackson Street, blew Suffolk, blew York House Number "OTIFY BUILDING DEPARTM~ T65-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION . TWO REQUIRED FOR POURED CONDRETE 2, ROUGH. FRAMING & 3, INSULATION 4, FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DF.,81GN O~ COIffiTRU~r~N Street Hamlet County Tax Map No. 1000 Subdivision 117.00 10.00 Section Block Lot Filed Map No. Lot 13 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and ocCUpancy Two (2) family residence with accessory seasonal residence b. Intendeduseandoccupancy Two (2) family residence with accessory seasonal residence 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work Pool 4. Estimated Cost $12,000.00 Fee $150.00 5. If dwelling, number of dwelling units If garage, number of cars (Description) (to be paid on filing this application) Number of dwelling units on each floor N/A 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N/A 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories N/A Dimensions of same structure with alterations or additions: Front : Rear Depth Height Dimensions of entire new construction: Front 20' Height Xlumber of Stories Number of Stories Rear 40 ' _Depth 9. Sizeoflot: Front 100 Rear 350 Depth 10. DateofPurchase 10-18-01 Name of Former Owner Richard Goodale I 1. Zone or use district in which premises are situated R-40 12. Does proposed construction violate any zoning law, ordinance or regulation: ~qo 13. Will lot be re-graded Slightly Will excess fill be removed from premises: YES ~ 14. Names of Owner of premises Name of Architect Name of Contractor GOGGINS Address 1780 Jackson St. Address New Suffolk, NY Address Phone No. 631-298~4200 Phone No PhoneNo. 15. Is this property within 100 feet of a tidal wetland? *YES ~ NO ~ · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED Existing permit for garage did not require same because of elevation 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) SuffolkSS: COUNTY OF ',', ,, ) ...... WILLIAM C. 'GO~G.6, t~qS , , :"" f~ being duly sworn, deposes and says that (s)he is the applicant (Nam~ 0iqndl4idual.s, igning contract)above named (S)He is the owner , : q .... ~ (Contractor~ IAgent, Corporate Officer, etc.) of said owner or owners;and is'duly anthotdzed to perform or have performed the said work and to make and file th/s application; that ali statements contained in this application are tree to the best of his knowledge and belief; and that the work wilt be performed in the manner s.,et forth in the appli,cation filed therewith. Sworn to before me this . * .~'.,~k. day o,f FebrUary 20 03 /o:;' //7 -/o -~ TOWN OF SOUTHOLD PROPERTY RE(:ORD CARD OWNEr s"rR~ET ~, -7~; V,,L~GE D,ST SUB. ~ND IMP. TOTAL DATE REMARKS ~a // ~/~, ~i ~0~ ~r, ~~/ ' ~ I~ a AGE BUILDING CONDITION FARM Acre Value Per Value Ac re Tillable 1 Fill~bl~ 2 Fillable 3 floodiand ~w~mp~d ~ON~A~ ON WA~ ~, ~ ~d ~rushland FRONTAGE ON ROAD Jouse Plot DEPTH /( g ~7, !~ 7:: d BULKH~D ~ ~ ~ e W 'oral DOCK M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Patio 2-t ~ COLOR TRI,M oundation Basement Ext. Walls Fype Roof R~reation Roorr Driveway ~ /~, Bath /~'~/// Floors DA K Interior Finish Heat Rooms 1st Floor Rooms 2nd Floo inette LR. DR. BR. FIN. B. ~:oPuxEP. OW~R GcC~a STRE~r / 7'~"O , / Nd o,.: t: £ ~-,,, V l LLAGE DISTRICT SUB. ACRF~GE TYPE OF BUILDING LOT ~,ES..~/,/ t SEAS. LAND IMP. ' AGE NEW Farm Tillable 1 Tillable 2 NORMAL Acre VL. ~ 'TOTAL FARM DATE BUILDING CONDITION BELOW Value Per Acre Tillable 3 Woodland Swampland Brushlond House Plot Total ABOVE Value M. Bldg. I I I Foundation I Both Extension I ! Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Hea~ I Porch Attic Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Ga rage DHveway O.B. 0~/X0,/Z003 1D:~4 FAX 9~1 334 094T 2'-2 1/2' x $* x 239' ~'~,N$. 6' 4,I t / -- 1 I I 1 ! /. / PELICAN POOLS ING 2ROS . PELICAN POOLS - 8' ROM~%N END StEP 20' 5" x 2'-2 1/2" x 23g' 8' 8' PAGE 02 14' NtEA - 719.~6 SQ, FT. PERIbI~-I'trE -- 108' e 1/8' [C..A,R,,.D,,INAI.,. SYSTEMS 20' x 40' ~"~','~/~ h =~ I DOUBLE