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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: