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Home My WebLink About33012-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33693 Date: 05/06/09 T~IS CERTIFIES t~t the building SWIMMING POOL Location of Property: 385 GREENFIELDS LA (HOUSE NO.) County Taa~ Map No. 473889 Section 59 Subdivision SOUTHOLD (STREET) (HAMLET) Block 4 I~t 5.8 Filed Map No. Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 7, 2007 pursuant to which Building Permit No. 33012-Z dated ~IY 7, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to WAYNE W & EDNA C WILKENS (OWNER) of the aforesaid building. SoF~OI~K CO~DEP~T~T OF ~]~J~R]{~PPROIL~L N/A R~L-£RICAL U~TIFICATE NO. 4026146 04/03/09 PL~ C~RTIFICJkTION DA'r~D 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: 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 sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ~spousible for the building. 6. Submit Planning 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: 1. 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, Commercial $15.00 New Construction: Location of Property: House No. Old or Pre-existing Building: (check one) Street Owner or Owners of Property: '~-~ ~'r .~9~.~'~'~ ~'~-,~d~,'C_~ Suffolk County Tax Map No 1000, Section Block Hamlet Lot Subdivision PermitNo..~,~'0/~. ~'~ Health Dept. Approval: Filed Map. Lot: Date of Permit. 9'~.~/~'~ Applicant: ,~'F~_~,~~- F/.~9~-~,',~'~/ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: J (check one) Fee Submitted: $ ~ture 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 WAYNE W1LKENS WAYNE WlLKENS PO BOX 1913 PO BOX 1913 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 Located at 385 GREENFIELD LANE SOUTHOLD. NY 11971 Application Number: 4026146 Certificate Number: 4026146 Section: Block: Lot: Building Permit:* BDC:nsl 1 Described as a Swimming Pool occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 the 3rd Day of April, 2909. Name ~ Rathe Ratina Circuits Type Amount Property Type Swimming Pool $90.00 Appliances and Accessories Pool / Spa Bonding 1 0 $0.00 Miscellaneous above ground pooFas built 1976 $0.00 Wiring And Devices GFCI Circuit Breaker 1 0 20a-pool $0.00 Receptacle 1 0 20a pool Special / twist lock $0.00 Sub Total $90.00 $0.00 Administrative Char~es Tota~ Amount $90.00 ;wimmtng Pool): This certificate covers compliance at the date of inspection only Because of unusual environments it is advisable to have equent test and/or repairs made by a qualified person n as built visual inspection, o£the delineated electrical installation, determined that an obvious hazard is not present and the installation is ;lieved to be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system seal I of I 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. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33012 Z Date MAY 7, 2007 Permission is hereby granted to: WAYNE W & EDNA C WILKENS PO BOX 1913 SOUTHOLD,NY 11971 for : BUILD NEW PRIVATE SWIMMING POOL. THIS PERMIT REPLACES EXPIRED PERMIT #9481Z ~t premises located at County Tax Map No. 473889 Section 059 Block pursuant to application dated MAY 7, 2007 Building Inspector to expire on NOVEMBER 7, 385 GREENFIELDS LA SOUTHOLD 0004 Lot No. 005.008 and approved by the 2008. Fee $ 250.00 £gnature ORIGINAL Rev. 5/8/02 ~OBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN (:LERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) NO. Z Date ......................... ]i~l~'"O~l~'".~ ........19...c~r~ Permission is hereby granted to: ........ ~u~-ee~t..~e.~...I~ ............ S=~at~ao.Z.d ........... to ~h~.~~j~:`r.~..t~.e~.~i~;~.~g~::Q~/~i~t~b~..~;~:~ ......................................... ~t premises located at .~...~.~2.....~,~'~.~l.~J~.~.~c~.~...~u~- ................................................................... ............................................ /~er~.~l~s..La~e .......... &au,~rl ................................................ pursuant to opplicotion dated ............................. c'c't' ........ ~ ........... , ]9-;~...., ond opproved by the Building Inspector. Fee $.1.~oa0 ............ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. INSULATION [ '~'~l~C ~ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~-/~"~ ~ INSPECTOR~,~~ FIELD INSPECTION REPORT I DATE I COM]MENTS FOUNDATION (1ST) ad FOUNDATION (2ND) __ c~ m ~ ROUGH F~G & ~ PL~G _ ~ ~S~ATION PER N.Y. ~ STATE ENERGY CODE ~ ~DITION~ COUNTS ~' - ]t~OR.M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned ............. App,cat,on No ..... ......... ~ .............................. ~....., eF~ff ~. ~JsG~F~e~ ~/c .............................................................................. ............................................. ...................... ~PLI¢~TIO~ FOR IUIL~I~G ~[~IT I~STRU~IO~$ a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o 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 lows, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signatu~ of applicant, or name· if a corporation) ......... .......... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses ~'.. -- If applicant is a corporate, signature of duly authorized officer. Builder's License No ..................................................... Plumber's License No ............... ~; .............................. Electrician's License No ............................................. · Other Trade s L,cense No ........................................... ~/. _, ¢ /~ ~ , -, l. Location of land on which ~oo.se~d ~ r~k ~,il.l I~ done~__/~,a~p~ No.: .~., ..... .~z....~. ..... Lot No .............. Street and Number ........................ I'" ................................................................... Municipality 2. State existing use and occupancy of plr~nises an4 .intended use and occupancy of proposed construction: a Ex s tng use and occupancy -- / ( .- ,, , , ~, ~.j ~, .~ b. Intended use and occupancy ................................ .../.......~ ............................................................................... ~. / 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration .............. Repair .................. Removal .................. Demolition ............ LZz'"' (~ther Work ......................................... Estimated Cost ............................................................ Fee .......................................................................................... ,~,~ (to be paid on filing this application) 5. Jf dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................... 6. If business, commercial or mixed occupancy, specify nature end 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 ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... I~u~b~r of Stories .................................. :...,~-..~...;.~. .................................. .~.~.~ ....................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ..................................................... .7~_f~' Owner 11. Zone or use district in which premises are situated ...................... T?.... >3 ................................... 2. Does proposed construction v o ate any Ton ng aw, ord nonce or regulation: ................................................. 3. Wil lot be regraded ...z.....~...,.~ .......... Will e~cer~-f}}l b,e removed)fro~s~/{ ) Yes ( ) No · Name of Owner of premises .......... ~. ....................................... Address ...... ..~:..2..;.; .............. Phone No ....................... ,: Name of Architect ............................ ~ ....................... Address ................................ Phone No ....................... ' ~ Name of Contractor ............................................................ Address ................................ Phone No ....................... ~ PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn property lines. Give street and bloc~,.~3~umb~.or description accord!'n.g to deed~ ,and show str~t ,~ames and indicate whether interior or corner lot. COUNTY OF ........ ................................................................................................ being duly sworn, deposes and soys that he is the applicarn (Name of individual signing contrac'~) above named. 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 end file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tk, ar the work will be performed in t~e manner set fo~h in~xapplication filed therewith. Sworn to baffle me this ~ ........................ dav of ..................... 4..~...../~....., 19 ......... / Notaw b ic,. ......... e:,.. ......... ........ .................... "..;; ................................. :. ................................... ~ ~ I, ~ // (Signature of applicant) { N~Y PUBLIC, State of New York Wo. 52-4643721, Suffolk Cou~ Term ~pires MBrch 30,