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Home My WebLink About30089-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33849 Rte: 07/23/09 THIS u~KTIFIES that the building SWIMMING POOL Location of Property: 1070 WILLOW DR (HOUSE NO.) (STREET) Co%~ut¥ Taxx [qap No. 473889 Section 22 Block 5 Subdivision FiledMap No. Lot No. EAST MARION Lot 15 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 24, 2004 pursuant to which Building Permit No. 30089-Z dated FEBRUARY 26, 2004 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 MANFRED & KATHY FUCHS ( OWNER ) of the aforesaid building. SO~I~OI~K CO[~I"/DEPARII~EI~TOF }{I~/,THAPI~O~ N/A ~-I-KIC~%L C~gl~TIFICA~qg NO. 4077 06/20/04 I~LU~IBERS CERTIFICATION DA'£~U N/A ~/ut~i/ze~gnature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted to the Building De A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 3. Approval of electrical installation from Board of Fire Underwriters. 4. 5. t with the following: JUL 2 3 2OO9 BLDG. OEP[ TOWN OF SOUTHOLD Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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. Ifa 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 Date. New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: ~O':~ ~,\\~X~.'h--~[~, ~ ~ ~ ~ ~ NiH House No. Street ~ amlet Owner or Owners of Property: ~~ % ~ ~ Suffolk County Tax Map No 1000, Section ~ ~ Block ~ Lot ] ~ Subdivision Filed Map. Lot: Pe~it No. ~ Date ofPe~it. ~ ~ Applicant: Health Dept. Approval: Unde~fitem Approval: Planning Board Approval: Request for: Fee Submitted: $ Temporary Certificate Final Certificate: (check one) (~p~can~i~nature 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. 30089 Z Date FEBRUARY 26, 2004 Permission is hereby granted to: MANFRED & KATHY FUCHS 20-18 45TH ST ASTORIA,NY 11101 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1070 WILLOW DR County Tax Map No. 473889 Section 022 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST Fee $ 150.00 EAST MARION Block 0005 Lot No. 015 26, 2004 and approved by the 26, 2005. ~ature ORIGINAL Rev. 5/8/02 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764 Application: 4077 Date: Issued to: Fuchs Address:. 1070 Willow Dr Village: E.Marion Introduced By: Bethel Electric Lic#: 2880-ME was examined and approved up to the above date and was in compliance with the NEC llll Switche~ Receptacles Fixtures G.F.I. Timeclock Heater 2 t 1 1 t t Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide Smoke Bell Furnace Oil Gas Heat Zones, Detectors Transformers Meter Amps Phase Motors D/her Equipment: {aground Pool Dut,Res This certificate must not be altered in any manner Section: 022 Block: 5 Lot:015.000 07/2S/2009 06:00 631S9130~8 N/S ELEO INSPEOTIONS PAGE 01 Nassau Suffolk Electrical lnspections,l P.O. Box 549, Aquebogue, New York + 11931 Tel: 631-591-3097 Fax: 631-591-3095 Application: 4077 Date: 6/20/04 luued to: ruths Address: 1070 Willow Dr Introduced By: Bethel Elecl Village; E.Marlo~ License#: 2880~ME Residential Commercial lC. The following was sxamlned and approved up fo the above date and found to be in ¢omplIBnos wit# the NB(:-' Attic 1~ Floor 2~d Floor yd Floor Garage Conversion Basement Hot Tub Addition Detached Garage Pool [] Fans Dishw~hcr W~cr/Anl~ ~/Amps Ov~ Rm~A~sl C~ ~nox~ Fu~a~ Oil I I Other F~uipment: In Ground Pool Permit#: Section: 022 Block: 5 Lot: 015 Tbis certificate must not be altered in any manner 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN/.SI~ATION [ ] FRAMING [,~'~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~'~~ ~E~ DATE INSPECTOR UJ FOUNDATION (1ST) FOUNDATION (2ND) -- PL~G ~S~AT~ON PER N. STATE ENERGY CODE ~D~ON~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PEmmX NO..3o og BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applymg? Board of Health 3 sets of Buildthg Plans Plam~ing Board approval Survey~ Check Approved z ,20 Disapproved aJ~ ? / Expiration Septic Form N.Y.S.D.E.C. Trustees Contact: iii11 Mail to: Phone: spectorB 1 ~ APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20 a. This application MUST be e6mpletely filled in by typewriter or in ink and submitted to the Buildmg 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 perrmt. 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 building for necessary inspections. (~'gnatu~ of app/icant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder &, Id,.,. Nameofownerofpremises ,~t..-/]~l.o,.e' ~"laC.,4,S (As on the tax roll or latest deed) If applicant is a co~oration, signature of duly authorized officer Builders License No. ~ C~ 7~"/L/ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work wilJ be done: lo 20 cc2,'11oo_., House Number Street Hamlet County Tax Map No. 1000 Subdivision (Name) Section Block 5" Filed Map No. Lot Lot o State existing use and occupancy of premises and intended use and occupancy of proposed congtruction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Removal Demolition 4. Estimated Cost /Z~6POO 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alteration (Description) (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 Depth Height Number of Stories Rear 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? YES__ NO __ 13. Will lot be re-graded? YES __ 14. Names of Owner of premises Name of Architect Name of Contractor NO Will excess fill be removed from premises? YES__ NO__ Address Address Address Phone No. ~/77 DS' 70 Phone No Phone No. 7¢75t~?~6;:O 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) SS: COUNTY OF.Jo4;t., ,¢t ) (Name of individual ;signing (S)He is the being duly sworn, deposes and says that (s)he is the applicant contract) above named, (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. Sworn to before me this a~v'q dayof Notary Public 20 oq EDYT'HE V. MULLEN NOTARY PUBLIC. State of New Yo"k No. 4895193 Qualified in Suffolk County Commission Expires May 26,~0'~ f?~ofApplicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET l 0 ~ O ~ VILLAGE DIST. SUB. F~ER OWNER N E ACR. J ~ ~ I S W ~PE OF BUILOING RES. ~ o SEAS. V~jt"- FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS /~ /~ / /~/~/~ ' . ,~o~ a~~ ,~/ ,4~/~ ' I ~ll~le FRONTAGE ON WATER W~la~ FRONTAGE ON ROAD T~I Extension !:xtension Basement Ext. Walls Fire Place Bath Floors Interior Finish Heat ~orch )eck ; reezeway iarage Poo I Patio Driveway Attic Rooms 1st Floor Rooms 2nd ~,~,~ REQUIRED APEROVED AS NOTED DATE'~ B ~J ~ ~ ~ NOTI~ ~UILDING DE.~ARTMENT AT 765-1~2 8AM TO 4PM ~R THE FOLLOWING INSPECTIONS: 1. FOUNDAT~N - ~0 REQUIRED FOR POURED CONCR~E 2.ROUGH - FRAM~G & PLUMBING 3. INSU~TION 4. FINAL - COH~TRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SH~L MEET THE REQUIREME~S OF THE CODES OF N~ YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS RFQUI/RED AND CONDITIONS OF -. ,"/I / ///~ bO~H~LDTO~PLANNING~AR~ ,_. $3UTHOLD TOWN TRUSTEES ,~.Y.S. 3EC OCCUPANCY OR USE IS UNLAWFUL / WITHOUT CERTIFICATE FLOOD ZONE r^./~uF'"' OCCUPANCY SOUTHOLD TOWN CODE. '.'i"/Pt c.~L. 'v,~x L C~N19 / / CV~C~N~~ VACANT