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Home My WebLink About34853-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=qTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33991 Ik~te: 10/06/09 THIS c~KTIFIES that the building SWIPING POOL IK)cation of Property: 465 BLrRGLrNDY CT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 51 Block 3 subdivision Filed Map No. Lot No. SOUTHOLD (~L~MLET) I~Dt 3.14 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2009 pursuant to which Building Permit No. 34853-Z dated JULY 13, 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. ~ne certificate is issued to LISA M PATERN of the aforesaid building. (OWNER) S~q~FO~.K C~)~ DEPAR~T OF }~LTH APPRO~L~L N/A EL~C~RICAL CERTIFIC~TH NO. N 508669 12/06/99 PLIERS C~TIFICATION D;~rmu N/A / /tho~zed Signature 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 atl 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 responsible for the building. 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-ex 1. Accurate survey of property showing all property lines, streets, building and unusual natural o: features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certified 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 t¢ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, 1 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: .~ Old or Pre-existing Building: (check one) LoCation of Property: q6q ~l~l ff'qCI r"l c~ k/ _(IcgkJ. ('~'- HOuSe No. ~ - / Street Owner or Owners of Property: L[~A. ~ ?0-~-~ ~ ~'~ Suffolk CountyTax Map No 1000, Sectionq73 67. - 3 - tV 0o o 0x-I Block ~ Subdivision (~Dd.r'd0D,q a,~ ~,~ ~5 Permit No. 3Z~ ~ ~-~- Health Dept. Approval: lweting $~2~520~0J,~ Planning Board Approval: Hamlet Lot 00-3, O l'q- Filed Map. ~' ~t'~ Lot: DateofPermit. ~'q]~(~lq Applicant: r_l~(x fO~¢/~/,q Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ ~ 50~ Final Certificate: ~ (check one) Applicant Signature THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 SU.E^U OF ELECT.,C,T. 40 FULTON STREET, NEW YORK, NY 10038 -- DECEt~ER O6,1999 19464899/99 N 508669 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DON PATERN, 465 BURGUNDY COURT, SOUTHHOLD, NY in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot was examined on NOVEllBER 29,1999 and found to be in compliance with the National Electrical Code. FIXTURE JRECEPTA~LE.I .,.,..~u=e I FIXTURES RANGES ICOOKING DECKS j OVENS DISH WASHERS EXHAUST FANS 2 2 2 M LL OUTLET DRYERS i FURNACE MOTORS ] FUTURE APPLIANCE FEEDERS ;PECIALREO'PT. TIME CLOCKS I BELL IUNIT HEATERS U - DIMMERS I ~ 1 ~ SYSTEMS AMT. K.W. OIL H.P./GAs H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS* H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT AMT. AMP. '~pE EaUP ' S2W ,RSW SR,~W 3f~4W NO O~ECRC~COND. Ot:~/~%'.O. NO OFHI-£E~ oA~'HWI:L~E~ NO. OFNEUIR.%LS O ~4EI~TRXI. OTHER APPARATUS: POOL- 1 G.F.C.I:-2 * (SW/3~4ING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to }~ave frequent test/and or repairs made by a quail:led person. <<< Continued on Page 2 >>~ ENERAL MANAGER This certlScote must not be offered in ony monner; return to the office of the Boord if incorrect. Inspectors moy be identified by their credentiols. COPY FOB BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG 1185077 BUREAU OF ELECTRICITY ! 40 FULTON STREET, NEW YORK, NY 10038 D~e DECEHBER (~6,1999 Appllealio. No. o. file !9464~399/99 N 508669 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of DON PATERN, 465 BURGUNDY COURT, SOUTHHOLD, NY in the following location; [] Basement [] 1st FI. [] 2nd FI. OUT Section Block Lot NOVEHBER 29,1999 was examined on and found to be in compliance with the National Electrical Code.. FIXIURE RECEPTACLES INCANDESCI OUTLETS SWITCHES DRYERS [ FURNACE MOTORS AMT. K.w.I OIL H.P. GAS H.P. SERVICE DISCONNECT NO. O(: S OTHER APPARATUS: FIXTURES I FUTURE APPLIANCE FEEDERS RANGES SPECIALREC'PT AMT. AMP. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET AMT. AMPS, TRANS. NO. OF FEET R I C OF CC. COND. NO. OF HI-LEG OF HI-LEG EXHAUST FANS AMT. H.P. DIMMERS AMT. WAITS ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 Per llGE~iRAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if Incorrect. Inspectors may he identified Dy their credentials. COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 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. 34853 Z Date JULY 13, 2009 Permission is hereby granted to: LISA M PATERN 465 BURGUNDY CT SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR. REPLACES EXPIRED BP # 32898 at premises located at County Tax Map No. 473889 Section 051 pursuant to application dated JULY Building Inspector to exq~ire on JANUARY 465 BURGUNDY CT SOUTHOLD Block 0003 Lot No. 003.014 13, 2009 and approved by the 13, 2011. Fee $ 250.00 Authorized ~ignature ORIGINAL Rev. 5/8/02 (THIS FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PEP=MIT NO. 32898 Z Date APRIL 9, 2007 Permission is hereby granted to: --~NA~D--&.LISA M PATERN 465 BURGUNDY CT SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY IN-GROUND POOL W/ FENCE TO CODE AS APPLIED FOR.THIS PERMIT REPLACES BP # 26003 at premises located at County Tax Map No. 473889 Section 051 pursuant to application dated APRIL Building Inspector to expire on OCTOBER 465 BURGUNDY CT SOUTHOLD Block 0003 Lot No. 003.014 9, 2007 and approved by the 9, 2008. Fee $ 150.00 / 'x~.~t hori~:i.na~ure~ Rev. 5/8/02 ORIGINAL 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. 26003 Z Date SEPTEMBER 21~ 1999 Permission is hereby granted to: DONALD & LISA M PATERN 465 BURGUNDY CT SOUTHOLD~NY 11971 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 051 pursuant to application dated SEPTEMBER Building Inspector. 465 BURGUNDY CT SOUTHOLD Block 0003 Lot No. 003.014 15 1999 and approved by the Fee $ 150.00 Rev. 2/19/98 ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSerTION [ ] FRAMING / STRAPPING [/,,~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CO, STRUC'nON[ FIRE RESISTANT PENETRATION DATE INSPECTOR FIELD ~fl~;PECT1ON REPORT DATE COMMENTS rou~mA~r~o~ (~sT) II " FOUNDATION (2ND) ROUGH FRAME & INSIR.ATION PER N. Y. STATE ENERGY CODE ii ADDITIONAL COI'~NTS: BLDG. DEPT. J '/'Q'~¥N OF SQUTHOLD FORM NO. I TO~IN OF SOUTIIOLD BUILDING DEPARTHENT TOblN HALL SOU~OLD, N.Y. 119?l TEL: 765-1802 E~ieed ................. , 19 .... Oisa~,,~ed a/c .................................. ~lding ~ BOARD OF HEALTH ~ S~TS ~PL~S ~ ............ SUR~Y .. c.Bc~ ===================== SRPT~C ~o~ ................... NOTIFY: I~IL TO: .... ; ............... APPLICATION FOR BUILDING PEP. NIT INSTRUCTIONS a. Ibis application mast be c~pletely filled in by typa~iter or in ink and submitted to the Building Inspector 3 sets of plans, ~-xmrate plot plan to scale. Fee according to schedule. , b. Plot plm shoalng location of lot and of buildings on premises, relatio~hip to edjoining premises or public streets or are~, and giving a detailed deseripcion of layaut of property mint be dr~n on the diagram ~hith is part of this application. e. lhe ~rk co~ered by this application my not be cu,,~need before isananee of Building Permit. d. Upaa al~'o~al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pamit shall be kept m the premises awail~ble for inspection threngheut the ~rk. e. NO building ~hall be occupied or used in t~ole or in part for any lmrpose t/hatever ontil a Certificate of Occupancy shall have been grmted by the Building Inspector. APPLICATIfI~ IS ~ ~ to the Building llepartment for the isseonee of a Building Pemit lmrmmnt to the Building Zone Ordir~mce of the To~n of Sonthold, Suffolk County, Ne~ York, and other applicable La~, Ordinances or Regulatims, for the amstnmtion of buildings, ~li,~t~~i~, or for removal or demolition, as herein described. Tee applicant agrees to co~ly wlm !tl}O~l~.l~'j,a~31~tinanees, building code, lmusing code, and regulatml~s, and ~o ~t anfl~or]sed inspectors on~l{~ad.E~{~zldzng for necessary mspactzons. . ~,~O~. . ~. . d~... :o/(.. :. .e.~. ,. ~ .......... (Signature of applicant, or n~e, if a corporation) · ~.~...~..~...ed~b ~.~,,~ .... ...x~....~....y~. (Mailing uaa~ess of appheant) State Osether applicant ii mr, lessee, agent, architect, engineer, general contractor, electrician, plt~her or builder ......... .d.o~...~. z~r~g .......... : .... L ......... ::.: ............................................................. ~ of ~ o~ p~ .~...~...~......?A ~.~ ............................................................ ' ' (as on the tax If applicant i~ a co~oration, *i~tore of dull anthor~ ~f[ieer. ........ ...... (N~e and title o[ corporate officer) Builders License No.../.~.../~2T..~..~. ........ Ph~bers License lid .......................... Electricians Lice~e No ...................... Other Trsde's Li(m~se No ..................... !. Incation of land on ~nida proposed ~rk will be done .............................................................. ..... ~o.?.. ................ ..-5-~:~.s~a~ .... .0:: ........................ .~&kk. .............................. limme Namber Street U~alet ~ty T~ ~. No. ,~ ~tion .... K..4 ........ BI~..~. .......... ~ot ..~.:./.0(. ....... Subdivision ~O~.0D.O~ ..... J~ ...... Piled ~ No..0~a22 ...... lot ..... /..'.~. ...... (~) 2. State existing use aed oecuparey of premises and intended use anti occupancy of proposed constrectioa: a. Rxisting tree u~a occupancy ~...~. f~...Y~....C~.4--eO~..(b~.~ .................................. Hepair = (1)nscri pt ion~)~ 6. Estimated Cost . .~.,..O~.. ................ fee ...~. d~.~3...~. .............. i ................. (to be paid on filing this application) 5. If doelling, nmber of dselling onits ............ Bumber of d~elling mits on each floor ................ If garage, t]Jnber of ears ...................................... 6. If hu~insss, cx~ercial or ndsed eccupancy, specify mture and extent of each tTpe of use ...................... ?. Dimensions of e~isting structures, if a.y: ~ront..AO.'. ......... Hear ~..~.: ......... O~pth .~..t .......... Height ..~2~..' ................. ,~r of Stories ....~..'. ............... Dimensions of same structure with alterations or additions: Front ............... Hear ............... Dapth .................... Height .................... Nt~ber of Stories ............... 8. Dimensions of entire ns~ constructloo: Front ................ Hear ............... Depth .............. Height ......................... [xLmber of Stories ..................... 9. sise of lot: ~ont .P.~,~.3.'. ........ Hear ..~.Z~...~'.ZL~ ..... ~pth .... /.'~...:. ........ 10. Date of Pordmse ..................... lk~ne of Former 0~ner ........................................ II. Zone or use district in ~hleh premises are situated .~$./~t~c~-lr~! .............................................. 12. Does proposed construction violate any zoning l~a, ordlnsnee or regulation: ..~C[ ................. 13. ~/ill lot be regraded .~.~q.-~ .............. ~/ill eamess fill be removed from premises: ~) ]6. ~s of O~r of r~ise~..-~cc~ .......... manse ~¢~..'~,~.ed,.~ .~...~.... Pho~ NO..Z~..sT.:.~.K.-&'.. klam of Architect .................................... Nldrese .............................. Pha~ No .............. Nam of Contractor ~.V,I..-~...~....L~'!-..~. ............ /zldress~;~..'~..~..?...~.~F~. ........ Fnone 15. Is this property within 300 feet of a tidal ~etland? * ~ .......... N0 . .-~ ...... PLOT DIAGP, AH l~cate clearly and distlnetly all buildings, ~ahether existing or proposed, and indicate all set-hack diraensions ~ propert7 lines. Give street and block r=m%.r or daecription according to deed, and sbe~ street names and indicate ~ether interior or earner lot. "IMMEDIATELY" APPROVED AS NOTED UIq~l ~ DATE- ~_~.L~ B.P. # ~ FEE: I ~U BY'~'-' ZO.x.~-- NOTIF~ BUlrOING ~AR~E~T AT 76~-~2 9 AM TO 4 PM F~ THE OCCUPANCY OR 1 FOUNDATION - ~0 REQUIRED USE IS UNLAWFUL mR~UREDCONCR~ 2. R~GH - F~ING & ~MBING A~ CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. ~~~ STATE CONSTRU~ION & ENERGY ~QU~ CODES. NOT RESPONSIBLE FOR (~ o~ i~i~i~ ~i~ing ~tract) ,~ ~ ~h~ ...... ~.O.~~Z~ .................................................................. (~tr~tor, ~nt, ~rate o[[icer, etc.) o[ ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~r[om or h~ ~r[o~ fl~ ~id m~ ~ to m~ ~ [ile this a~licatlm~; ~at M1 star--ts c~tai~ in ~is ~licati~ am t~ to ~ ~st of his ~1~ ~ ~lief~ a~ Hint ~ ~ will ~ ~rfo~ in tim ~r mt forth in ~e ~licati~ fil~ ~. ....... ........ .... n S~k ~ OWNER LAND IMP. TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ~/,~;;{ ,,.yj~ TYPE OF BLD, PROP, CLASS TOTAL 2/o FRONTAGE ~ WATERI ..... ~ ~ONTA ONROAO | | TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL COLOR z ~T,/ ~-~ ? y -.z_-~ = /U~ -~ f 5~a ~ Bath Dinette M.B~g~ ~ ~ ~-~ ~/ //5~ 5, ~/ Foundation /{ X [Z ~; ~ ~ ~ ~). Basement ~C.*WLsL,S Floors Kit. Extension Ext. Walls ~C( f Interior Finish L.R. J Extension Fire Place ~ Heat D.R. Patio Woodstove BR. ~orc~ ~ ~ ~/ : ~.~ .' ' /~ Dormer Fin. B. {~[~' ~-5~ ~i~ ~- /~ Attic Deck ~ ~v ~ 2';~ ~ , Breezeway Rooms 1st Floor Garage ~/ ~ ~( ~ ~/~ / /, C:~ ~/ Driveway Rooms 2nd Floor O.B.. Pool //J¢ ' '~'~/ Survey No.:8~- 070 OPEN SPACE NOO'50'30'W 41~ 44' F/nat L~a ~ 09/17/~ I SING~ F~AILY D~ING ONLY