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Home My WebLink About33802-ZFORM NO. 4 TOWN OF SOUTHOLD ~UILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33596 Date: 03/17/09 THIS u~KTIFIES that the building ACCESSORY Location of Property: 480 PINE AVE SOUTHOLD (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 3 Lot 8 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2008 pursuant to which Building Per~/t No. 33802-Z dated APRIL 7, 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 AND ATTACHED HOT TUB AS APPLIED FOR. The certificate is issued to CLIFFORD & SANDY ACKERMAN (OWNER) of the aforesaid building. Su~FOLKCO~TYDEPARTM~TTOFHEALTHAPPROVAL N/A ~CTRICAL u~KTIFICATE NO. 127304C 03/12/09 ~L~ERS c~KTIFICATION DA'£~ N/A /hori/ed Signature Rev. 1/81 '~ 1.~ q~ ~'~ u- ~ ~1~ Form No. 6 . off III III TOWN OF SOUTHOLD ~ I 765-1802 ~A~ON FOR CERT~ICATE OF OCC~CY ~s application m~t ~ fill~ in by ~ewfiter or ~ ~d sub~ to ~e B~ ~t wi~ ~e follow.g: A. 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 seweragn-disposal (S-~ form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn atatement fi'om plumber certifying that the solder used in system contains leas than 2/10 of 1% lead. 5. Commoroial 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 Planniag Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. C. Fees 1. Certificate of Occupancy - New 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, Commereial $15.00 New Construction: location of Property: Date. 3-/~-O Old or Pre-existing Building: /G//~ (check one) House No. Owner or Owners of Property: .~'d ~7 Suffolk County Tax Map No 1000, Section Subdivision Street 'Permit No. ~ Date ofPermit. ~ 7-0/ Block 3 Lot Filed Map. Lot: Applicant: Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ Underwriters Approval: ~ck one) Applicant Signature Electrical Inspection Certificate Appll,.:ailun Numbm' b~u~d To: Mr, Cliff Ac. ken'nen Sb'eet; 460 pine Avenue Village; Sou~hold Tip: 11971 Town: Soutllold ~;tJon: Block: Lo~. Contraator: North I~stem Electric (L) Uc. Il 4558-E. We. examin,.., oad ;ou~l t~ be it oo~l~l;mce mlt~ t~e N~nel Eh~Wlml C~de' ;"1Co~ewr~al I I NVD~ca ~POOt 1'3 letFIo~r I II.door I I I~.em$~t X_lHotTub Ixj Realdenflal [~.] ~o~,~ I I Amc, I 12~ F~Oor h'J OutcMor [] ~lc#tlon [-J ~rvey 3 1 · Meier AmP~ ~ U(~OH / Bldg, permit: ~r Gqui~ !-P~ L~ 3~20"~P 5~c. O~ 1-~ Hugo $, Surdi Presidenl 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. 33802 Z Date APRIL 7, 2008 Permission is hereby granted to: for : CLIFFORD & SANDY ACKERMAN P.O. BOX 776 SOUTHOLD~,NY 11971 ACCESSORY IN GROUND SWIMMING POOL AND ACCESSORY SPA/HOT TUB IN THE REQUIRED REAR YARD.~?C T,'i'2 Li~-'-~RD. REPLACES EXPIRED BP # 31731 at premises located at 480 PINE AVE SOUTHOLD County Tax Map No. 473889 Section 077 Block 0003 Lot No. 008 pursuant to application dated APRIL 7, 2008 and approved by the Building Inspector to expire on OCTOBER ~9. 00.0o 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. 31731 Z Date JANUARY 13, 2006 Permission is hereby granted to: for : ACCESSORY IN GROUND ENTERPRISES INC HL 23 HILLTOP RD SOUTHAMPTON,NY 11968 SWIMMING POOL AND ACCESSORY SPA/HOT TUB IN THE REQUIRED REAR YARD AS APPLIED FOR. at pre~u~ses located at 480 PINE AVE SOUTHOLD County Tax Map No. 473889 Section 077 Block 0003 Lot No. 008 pursuant to application dated JAIgUARY 12, 2006 and approved by the Building Inspector to expire on JULY Fee $ 300.00 13, 2007. ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ' ' ,20__ Approved ,20__ Disapproved a/c Expia'ation ,20__ PERMIT NO. 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 Septic Form \ N.Y.S.D.E.C. ', Trustees Contact: Building Inspector APPLICATION FOR BUILDING PERMIT ( Date ,20 tr(t:' 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 perm/t 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 fo~: 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 ag 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 building for necessary inspections. ~ ~"-i ~ ~ ( SignOre o/a~lic~nt or ~e, if ~corporati ) ~ (Mailing address of applicant) lJ 5 a~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises~,~tST/'O/ZD ~t. ~/t~tr~q bddg--mA / (As onthe tax roll or latest deed) If applicant is a corporation, 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. House Number Street County Tax Ma~ No. 1000~ton~' 7 7 Subdivision ~'aoS ~ w (Name) Hamlet Block "~ Filed Map No. 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 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building_ Repair Removal Demolition Estimated Cost ~.(~[ 0 rd/_./ Addition Other Work Fee Alteration (Descri~Ii6n) (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 Rear Depth Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stories Rear Depth .. 9. Size of lot: Front I 0. 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 cfC ' " ~" - 14. Names wrier orpremises'-~ ~&,~-~ Address..~ ~'~ ~f/~_ Phone No.~ Name of Architect Address Phone No Name ofContractor~a,~tT'/~/$ar,~,~,~ Addres{t~'~;~F_. ~ ~' Phone 15 a. Is this property within 100 feet cfa 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 foundati6n 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) SS: COUNTY OF ) '~'-O [4~,-~ ~r', ~ ~t.~ ~-~1 ~og ~' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) 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 this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~tt~fore me this\ '~. dayof ,'}OAMI~A~ 20~)(-') -]" - Not~blic- - OYI~rHIA A. OALLO NOTAFIY PUBLIC, b-~te of New Yodt No. 01GA6046451 OLlalified in Suffolk County.,/ Commi$6iori Expir~ A~ou~t 141 ~ at're of~ TOWN OF SOUT~UILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~U~ATION [ ] FRAMING / STRAPPING [~:~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROU.~PLBG. [ ] FOUNDATION 2ND [ ].~RJLATION [ ] FRAMING / STRAPPING [//~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RE~L~T/~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: / ~~~~~~ ~ DATE INSPECTOR-~~/ /- TOWN OF SO~THOLD BUILDING DEPT. ~.~ ./~, ~')~'~ ~ ?.'$~)~765'1802~//~ .~;3o INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE, '~'-- ~Z~..,c'---~ INSPECTOR FOUNDATION (1ST) FOUNDATION (2ND) _31 ~.~ ROUGlt FRA~I~G PLUMBLNG INSULATION PER N. Y. STATE ENERGY CODE , ~DITION~ COUNTS Sunbelt Spas Lounge Spillover- 95" x34" 450 Gallons 14 2herapy Jets Air Injection Your Local Sunbelt Spas Spillover Distributor Is - Sunbelt Spas Lounge Spillover- 89"x33" 400 Gallons 10 herapy Jets Air Injection Your Local Sunbelt Spas Spillover Distributor Is - ISLANDIA POOLS LTD. JOHN WYSOCZANSKI 108 Fishel Ave. Riverhead L,I,, NY 11901 (631) 727-63'12 ISLANDIA, POOLS ~r Jo~N J, ~,,soczANsx~ MEET THE REQUIREMENTS OF THE CODES OF NEW YORK~ OCCUP~N~"~ OR USE IS U~~°°'' PM WITHOUT CERTIFICATE OF OCCUPANCY' TYPICAL CROSS'SECTION AS NOTED BUILDING AT TO 4PM FOR THE INSPECTIONS: 1. TWO REQUIRED POURED rCONCRETE ~ * FRAMING & PLUMBING 3, INSULATION / FINAL - CONSTR~CTiO~/~T 4. BE COMPLETE fOR ^L.LICONSTRUCTION ~SHALL MEET THE' REQUIREMENTS 'OF~ TJ~I~ CODE! YORK STATE. NOT RESPONSIBLE DESIGN OR CONSTRUCTION ERRORS. OWNER: UNDERWRITERS CERTIFICATE REQUIRED IL_' ~:Y'WITH ALL C -- ~,", ~ STATE & TO'~ CODES. £D Ak"-" CO~D.FFiONS OF' c~' - - 'OWN ZBA ' ~. ~' TOWN PLANNING BOARD %. '~OLD TOV~,, lnu.,tlCCO OPTIONAL STEP N.S.P.Io TABLE OF DIMENSIONS -- iCOMPLY WITH CHAPTE~ ~' .I ' ENCLOSE p~L TO CODE ,I. ~ ~ ~ ~ ~ ~ ~ BEF~E ~ATER ~ m ~ ~ ~ CODE. SURVEY OF LOTS 21 THROUGH 29 MAP OF GOOSE BAY ESTATE$ SITUATE A T $OUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNT~, NEW YORK S.C.T.M. DIST. 1000 SEC. 77 BLK. 03 LOT8 15 8 0 15 30 45 60 75 90 105 120 SCALE: 1" = 30' DATE: MARCH 3, 2004 LOT AREA: 22,500 SQ. FT. = 0.517ACRE 135 CERTIFIED TO: CLIFFORD ACKERMAN SANDY ACKERMAN TITLE WA VES TITLE AGENCY,LLC # TW-2543 JOB NO. 2004-154 MAP NO. 1176 FILED: NOVEMBER 13, 1934 REVISIONS:ADD ADJ. WELLS& SAN. 5/25/04 STAKE HOUSE 7/12/04 LOC. FOUNDATION 8/9/04 FINAL 11/17/04 REV. CERTIFICATIONS 12/14/2005 ADD PROPOSED POOL 1/06/2006 LICENSE NO. 050363 HANDS ON SURVEYING 46 NORTH ROAD HAMPTON BAYS, NEW YORK 11946 TEL:, MARTIN D. HAND L.S 4 or21 Z 0~°