HomeMy WebLinkAbout35082-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34102 Rte: 12/01/09
T~I$ u~TIFIES t~at the building ABOVE GROUND POOL
Location of Property: 2095 ELIJAHS LA MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap NO. 473889 Section 108 Block 4 Lot 7.12
S~bdivision FiledMap No. __ LOt No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 20, 2009 pursuant to which
Building Permit No. 35082-Z dated OCTOBER 20, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MARK & DEBRA M CAHILL
( OWNER )
of the aforesaid building.
SUFFOLK ~X)L~rY DEPART~T OF ~{ APPRO~i~J~ N/A
E~.Rt-£KICAL c~TIFIC3%~ NO. 11515 11/09/09
PLUMBER~ ~d~'rIFIC~TION DA'I'~ N/A
Aut~ri zed Signature
Rev. 1/81
OCT 2 S'-s
A~IRff~ATION FOR
TOWN OF SOU~HOLD
Form No. 6
N OF SOUTHOLD
lNG DEPARTMENT
TOWN HALL
765-1802
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<lisposal (S-9 form).
(~ Approval of electrical installation from Board &Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/19 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.
6. 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. If a Certificate of Oeeupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel!ing $25.00,
Swimming pool $25.013, 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. UpdatedCertificateofOccupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction: Old or Pre-existing Building: (check one)
Locationoferoperty: _,~0 ~. ~'3 ~'~ ~
House N~.~ --~, Street
OwnerorOwnersofProperty: ii/~ ~'~&~x~ ~-- ~ [bfC~-, ~/~
Hamlet
Suffolk County Tax Map No 100¢, Section I 0m Block ~t Lot '~.
Subdivision Filed Map. Lot:
PermitNo. ~0~ ~ Dateofeermit. }O I~-° JOel Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ c:~ ~ .~) CD
%HiO'
Final Certificate:
(check one)
SUFFOLK
BUREAU of NOV ? ~ ~?,:i)t~
ELECTRICAL
IN S P [ C 10 R S. i n c.
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com
BLDG DEPT.
TOWN Or SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Debra Cahill
November 9,2009
11515
Certificate No.:
Final Inspection Date:
Building Permit No.:
11515
Novemberg,2009
35082
County Tax Hap No.:
This Certificate of Electrical Compliance ks limited to the inspection and compliance of electrical equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
Owner: Debra Cahill
Site Location: 2095 Elijah Lane, Iqattituck, NY 11952
Owner's Address (if different):
~ Residential ~ Indoor [] Basement
l~] Commercial I~ Outdoor ~] First Floor
[] New [] Renovation [] Second Floor
~ Addition [] Survey Other:
INVENTORY
Single Phase Heat Duplex Recpt Ceiling Fixture
Three Phase Hot Water GFCI Recpt Wall Fixture
Main Panel AC Cond Single Recpt Recessed Fixture
Sub Panel AC Blower Range Recp! Flourescent
Transformer Appliances Dryer Recpt Emergency
Disconnect Switches 1-poo Twist Lock Exit Fixtures
GFCl Breaker 1-20a Heat Pump Electdc Heat Pool Luminaire
Other Equipment: I 20 recp for pool pump, pool bonding
[~Se~ice [~Shed
~Pool ~]Ho~ub
[]Attic ~]Garage
HID Fixtures
Smoke
CO Detect
Pumps 1-poo
Time Clock 1-poo
TVSS
Exhaust Fan
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant: Debra Cahill
Inspected By: Roger Richert
License No.: Homeowner
Date Of Certificate: Nov 13,2009
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. 35082 Z
Date OCTOBER 20, 2009
Permission is hereby granted to:
MARK & DEBRA M CAHILL
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL FENCED TO CODE AS
APPLIED FOR. THIS PERMIT REPLACES BP 33074.
at premises located at
County Tax Map No. 473889 Section 108
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
2095 ELIJAHS LA MATTITUCK
Block 0004 Lot No. 007.012
20, 2009 and approved by the
20, 2011.
Fee $ 250.00
Authorized Signature
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. ~74 Z Date MAY 23, 2007
Permission is hereby granted to:
MARK & DEBR3k M CA/qILL
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL AS APPLIED FOR,
FENCED TO CODE
at premises located at
Co%knty Tax Map No. 473889 Section 108
pursuant to application dated MAY
Building Inspector to expire on NOVEMBER
2095 ELIJAHS LA MATTITUCK
Block 0004 Lot No. 007.012
15, 2007 and approved by the
23, 2008.
Fee $ 250.00
Authorized Signature
Rev. 5/8/02
COPY
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ]INSULATION
[~,FINAL
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]_I:IRE RESISTANT PENETRATION
REMARKS:
DATE ~"- :~'- (~ '-/
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING ~)~FINAL ,~ ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING I STRAPPING
] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
,[~FINAL ~ ;
] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
REMARKS: /~ ~
t42 ·
FIELD I/NSPECTION REPORT ] DATE i COMMENTS
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBENG
INSULATION PER N.Y. -- ---
STATE ENERGY CODE
~DITION~ COUNTS
~WIMMING POOL SPECIALISTS SINCE 1960
4021 HEMPSTEAD TURNPIKE
5640 SUNRISE HIGHWAY
Newspaper []
BETHPAGE, N.Y. 11714
(516) 735-7435
Referral~~ lelevision []
SAYVILLE N.Y. 11782
(631) 389-1818
Previous Customer
Other []
NAME
POOL CONSULTANT
TELEPHONE
F,LTER
LADDER ED-, (er /oo o
CELL PHONE
ZIP CODE E-MAIL ADDRESS
COLOR
THRU WALL SKIMMER ~'~O~/ ~'/~' .~f~
VACUUM HEAD (~/'/,~ POLE ~ HOSE
CHLORINE ~O LBS. TYPE: ~[~-
WATERCOND. ~ LBS. ALGAEClDE ~.~r
PH UP /O LBS. FOOTBATH ~(,d~
SH DOWN ~ LBS.
CHEM. TEST KIT
TOTALALK. ~// LBS.
HAND SKIMMER
AFTER SHOCK
CRYSTAL BLUE
~)flCK"E. 2~-LBS. OSAND LBS.
LIST PRICE & ITEMS BELOW
Pool
SUB TOTAL
TAX
FENCE: COLOR TOTAL
WINTER COVER: ~(.~
/
DEPOSIT
CHEMICAL KIT /~.) OOO BALANCE
POOL SASE:
THIS RECEIPT IS OUR PROOF OF PUR-
CHASE AND MUST BE PRESENTED FOR
ALL WARRANTY CLAIMS. CHEMICALS
ARE NOT RETURNABLE
DATE PICKED UP:
...~r-mARGE=CHECK =CASH
/~)6~ PAID IN FUL.~/,~/',,~ 7 n CHARGE ri CHECK. ASH
The undersigned understands that this swimming pool is too shallow for diving and serious injury can result. Accordingly, the swimming
pool SHOULD NOT be installed below ground surface, which might create a false illusion that the pool is actually deeper than 4'. Returns
must be in original condition/car~on and are subject to 15% restocking fee. Brothers-3 assumes no liability for improper installation and
use of the pool. PLEASE MEASURE POOLARE~ & CHECK WITH LOCAL TOWNSHIPS FOR REQUIRED ORDINANCES.
X ~kJ )~ ~J ,~, ~ X DATE
~-~a~ kead Above ~ Eeceived
TOWN OF SOUTHOLD PROPERTY 'RECORD CARD -'-
,/6~ -/~ ~- ? - ~,iz
OWNER I STREet ~7_O ('...~ ~' WLb~GE D~ST.SUB. ,OT
FORMER OWNER N E AC~ ~ ....
S~S. VL. ~ FARM COMM. CB. MICS. Mkt. V~lue
RES' ~/ ~ ,'
~N D IMP. TOTAL DATE R~RKS
" L 7739
' ' ~,~,-,,~,o~e.~q ~.~. 7
Tillable E~ONTA~E ON WATE~
W~land FRONTAGE ON ROAD /3 O
Meodowlond DEPTH ~/ ~ ~
House Plot BULKH~D
Totol
COLOR
Extension
Extension
Extension
Porch
Breezeway
Garage
Patio
Foundation --~ O_. Bath
Basement ~-~-~ L_u- Floors
Ext. Walls
Fire Place
Type Roof
Recreation Room
O.B. Dormer.
-Total
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
inette
·
LR.
DR.
FIN.
SURVEY NO. I O O
DATE: %~_~-~-,
TITLE NO.
CERTIFIED TO: J,,~o~_.,'T'~ CO,3t4T~..'-.(
. ~oo~
&
WILLIAM M. THOMAS
PROFESSIONAL LAND SURVEYOR
10 HANEY COURT MANORVILLE, NEW YORK '11949
PHONE 516-878-6350
SECTiONor,.F/,~ \0~ TAXBLOCK: ,~[ TAXLOT:~.\r~_
COUNTY: ~',5~"4"o~.~4. SCALE: \".. ,~ STANDARD: