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Home My WebLink About34632-ZFORM NO. 4 TO~q OF SOUTHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33855 ~te: 06/28/09 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 500 ED'S RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Cowry Tax ~ap No. 473889 Section 78 Block 9 Lot 66 Suk~ivision Filed ~p No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 2009 pursuant to which Building Per, nit No. 34632-Z dat~ APRIL 27, 2009 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. The certificate is issued to PATRICIA A BYRNES (OWNER) of the aforesaid building. SIIF~I~K~D~FI"fDEP~/~qT OF }~LTH~O~L~L N/A ~-rKIC~J~ CERTIFICATE NO. 2697 04/09/02 pLUMBERS CERTIFICATION DA'r~u3 N/A ~A/r~' e/d Signature Rev. 1/81 lifts, application must be filled in by typovaiter or iii and submitted to th~.Building Depa~..nt wi~h the followh~. For new building or 'new use: 1. Final survey of proporty with acoun~ locaiioa of all buildings, property line~;.str~ts, and un .tmal natmal or 2. Final Approval titan Heat~ Dept. of.water supplysad sewerage-diSposal:(.q-9 form). 3. Approva~ ofcleCtricalinstallatiun ffomBoardofFim Und~*vrit~n~. 4. Sworn a .~. ~nt rl~m plumb~ ~ that the aold~r ~ in ~ eoatain~'~e~a than 2/!0 o.f I ~ lead. 5..C, omm~l~ial I~ilding: il~dn~xial buildingi..mtiltiple reaid~ae~.and slmllar bllildings atldJ installsfiolls;.a e~it~oato of Ca~ Complinaee fmfia amhiteet or eagia~e~ r~ousibl~ foi tho building. 6. 8nbmit planning Board Approval ofeomplffaxl site plan r~luimm~a; For ~fisting'buildings (prior to April 9, 1957) n0n-eonforming uss, o? buildings and "pre-exi~flng" ia~d. I. Aeeurat~ mlxvey of prOperty ~.howing all proplxty linm, atnx~, building and.unusual natural or topographic featul~. 2. A.pr0perly completed application and eonaeat to iusp~t signed by tt~ applicant, ff a Certificate of O~ancy ia denied, the Building Inspector shall'.stat¢ the rea~ona therefor in writing to the applicant. C.. Fees L Certificate-of Occupanoy - New dwelling $25.00, Additions to dwelling $25.00, Alteamions to dweiling $25.00, · Swimming pool $25,00, Aee~sory building. $25.00, Additions to aeeess0ry building $25.00, BusinesSes $50.00. 2, CeflificateofOeeupancy.onPre-~istingBuilding- $100.00 3. Copyof Certificate of Occupancy - $.25 4. Ul~datedCertificate of Occupancy- $50~00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 N~v Construction:. ' LOcation of Property: :~0,:' : House No. Owaer or Owners of property: /~e 3¢~ Suffo~ County Tax Map No 1.000, Section ' Subdivision Health Dept. Approval:. · Planning Board Approval: Request for/ Temporary Certificate Fee Submitted: $ ~ ~', cay Old or Pre-existing Building: · ~7 /G d Street Filed Map. ApPlicant: (check one) Hamlet 'Lot: Underwriters Approval: Finai Certificate: (check one) - / "A~pliea~t g~na~ure . - Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-$91-3098 Application: 2697 Date: 4/9/02 Issued to: Koehler Address: 500 Eds Rd Introduced By: Bethel Electric Village: Southold License#: 2580-ME Residential [] Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Attic Ist Floor 2"d Floor 3ra Floor Garage Conversion Basement Hot Tub Addition Detached Garage Pool [] Switches Receptacle Fixtures G.F.L Microwavc Hood Smoke Detectors I 2 I 2 Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide Furnace Oil Gas Heat Zones Whirlpool Exit Signs Rongh lnsp. [[ Final Insp. Meter Amps Phase Motors 4/7/02 }1 4/9/02 1-1 I/2Hp In Ground Pool Permit#: Section: 078 Block: 0009 Lot: 066 This certificate must not be altered in any manner 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. 34632 Z Date APRIL 27, 2009 Permission is hereby granted to: PATRICIA A BYRNES P.O. BOX 682 SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL FENCED TO CODE IN THE REQUIRED REAR YARD. REPLACES EXPIRED BP # 32036 at premises located at County Tax Map No. 473889 Section 078 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 500 ED'S RD SOUTHOLD Block 0009 Lot No. 066 27, 2009 and approved by the 27, 2010. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 28139 Z Date MARCH 6, 2002 Permission is hereby granted to: PATRICIA A BYRNES 500 ED'S RD SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 500 County Tax Map No. 473889 Section 078 pursuant to application dated MARCH Building Inspector. ED'S RD SOUTHOLD Block 0009 Lot No. 066 4, 2002 and approved by the Fee $ 150.00 Authorized Signature ORIGINAL Rev. 2/19/98 s o2' 40' ED b 215' S 60' 02' 40" E CA THOLIC CHARITIES MENTAL HEAL TH CENTERS, INC. MAIN BA YVIEW RD. 14.2' GARAGE 31.5' STEPS N 60' 02' 40" W TAX MAP NO. 1000-78-09-066 GUARANTEED TO CONC SW 35.05' 4.,5' 8.6 I STORY WOOD FRAME RES. ROAD 110' CHIMNEY 29. 9' ENTRANCE N/F DOUGLAS 110' END FENCE N/F EDSON SURVEY OF DESCRIBED PROPERTY SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR PATRICIA BYRNES PA TRICIA BYRNES FIDELTY NATIONAL TITLE INS. CO. FIRST UNION MORTAGE CORP. TOWN OF SOUTHOLD NEW 516- copy. SURVE~D 4 MA~ 1999 SCALE I"=20' AREA= 18,260 SF OR 0.419 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 UFFOLK, NY 11956 NYS LIC. NO. #9,../3 99R796 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ] FRAMING / STRAPPING [,/~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRER~IS~I'ANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMA~i~: ~//./ ~ ~ ~ ~ DATE INSPECTOR INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: I~1~ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN~ATION [ ] FRAMING / STRAPPING [,,/]' FINAL [ REMARKS: ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REPORT~1 DATE INSPECTION FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & pL~G ~S~A~ON PER N. Y. STATE E~RGY CODE / / TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined 3) ~ ,200~ Approved Disapproved a/c PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, 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 INSTRUCTIONS Date ,20 6~ 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 a Certificate of Occupancy is issued by the Building Inspector. 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 building for necessary inspections. ~ t_Signature o'Y'ap!blicant or name, if a corporation) OCCUPANCY USE IS UNI, A ';*FUL WITHOUT CERTIFIC;:,TE OF OCCUPANCY ~,a'~ &c&.~c~.%,.~ r~% txqt~q (Mailing address o~' applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises c.a (as on the tax roll or latest ~~ -- · tur~ ofdul' au'U^fi'IRtD~I£RS C£RTIFI~T£ Inm:~_--'.' NT AT If applicant is a corporation, stgna ,~ y uxv ~u u,,~..QUiRED #OTIFY BUILDING ~J~ AT O~-~- (._~,~&X~ - ~a.~,o~ ~,c,x'c.,.~.~ 785-1801 ~ AM TO 4 PM FO~ THE (N~c ~ fit]~ o~ co~o~a~ offic~r~ ~ ~~: ~ FOUNDATION ' TWO REQUIRED BUI]~ ~cc.,c No. ~ ROUGH ' F~MING & PLUMBING Plumbers License No. Electricians License No. [~eLOSfi ~0[ 10 ~O~[ UPON COM~ION ALL CONSTRUCTION $HALL MEET Other ~mdc% ~iccnsc No. BEFORE '~ATER" THE REGUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODE~. NOT RESPONSIBLE FOR ]. ~ocat~on o~i~d on w~ich p~oposed wor~ w~]] bc done: House Number Street H~]ct County Tax Map No. 1000 Section Subdivision (Name) Block (> ~ Lot 6{a~ Filed Map No. Lot 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 Nature of work (check which applicable): New Building. Repair Removal Demolition Estimated Cost ~i 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration OtherWork %,-.,~.,~,_~.. ¢c,*.\ (f3es~fipfion) (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 Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear _Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase 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: 13. Will lot be re-graded c506o 14. Names of Owner of premises~__ Name of Architect Name o f Contractor (h~ d,3~ ~,_..X ~x Will excess fill be removed from premises: NO Address Phone No. Address Phone No Address'~.o. ~ al~t~ S~ Phone No(~a~"~ 15. Is this property within 100 feet of a tidal wetland? *YES NO % O · IF YES, SOUTHOLD TOWN TRUSTEES 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) SS: COUNTY ~,~llt ~ _ ~ ~~~ being duly sworn, d~oses ~d says that (s)he is the applic~t ~e of indi~l si~ing con~ above nmed, ~ '*T'3~q ';.~: ~:,(~a~c~r, Ag~t, Co.orate Officer, etc.) of said,o~er~r o~s ~d iS~duty ~honzed to peffom or have peffomed the smd work ~d to make ~d file th~s apphcat~o , that ail statements cofi{~djn ~'~ ~l~at~on ~e tree to the best of hs ~owledge ~d behef; ~d that the work will be SwiSm t~ l~efore me this ~,,: JOYCE M. WlLKINS ~aW Publio, State ~ Now York No. 49622~, Su~lk Term ~ire~ June x S igna et~lr~App licant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREet 6--00 ~ES. ~ 0 LAND AGE SEAS. IMP. TOTAL FAR/v~ DATE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable 1 Tillable 2 Tillable 3 i Woodland Value Per Value Ac re Swampland Brushlond House Plot i Total VILLAGE W COMM. CB. MISC. Mkt. ValUe REMARKS SUB. LOT DIST. ACR. J TYPE Of BUILDING DOCK BULKHEAD DEPTH FRONTAGE ON WATER FRONTAGE ON ROAD M. Bldg. COLOR TRI,M ~undation Extension Basement Extension Ext. WalEs Extension Fire Place Porch · ype Roof Bath Floors Interior Finish Heat Rooms 1st Floor Recreation Roorr Rooms 2nd FIoo~ Porch Dormer Breezeway Driveway Ga rage Patio O.B. Tara ,/ Dine~eI K. LR. DR. BR. FIN. B. A~O'JN D