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HomeMy WebLinkAbout35179-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34189 ~te: 02/11/10 THIS ~KTIFIES that the building SWIMMING POOL Location of Property: 2225 KENNYS RD SOUTHOLD (HOUSE NO.) (STREET) (FLAMLET) County Tax Map NO. 473889 Section 59 Block 7 Lot 8 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 25, 2009 pursku~nt to wb/ch Building Permit NO. 35179-Z dated NOVEMBER 25, 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 RICHARD A GRIGONIS (OWNER) of the aforesaid building. SUP~)LK C~)U1FI"IDBPAR~glqTOF[{E;KLTHAPI~RO~-AL N/A ELECTRICAL U~a(TIFICATE NO. 11837 12/11/09 PLIERS C~I~TIFICATION DA'i'~,]3 N/A '~t ~ri~e/Si~ature Rev. 1/81 F~rm No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AppLIcATION'FOR CERTHIICATE OF OCCU~Ab This application must be filled'in by typewriter or ink and submitted to the Building D~ · A. For new building or new use: 1. Final survey of property with aCcurate location Of all buildings, pwPen'y lines, streets, and unusual nalurai or · topographic feature. 2. F/hal Approval from Health Dept. of wa{er supply and sewerage-disposal (S-9 form). · (~3 Approval 0felectfical'/ustallation from Board of Fi~e Underwriters. 4. Sw0m statement from plumbor certifying that the solder us~ in system contains less than 2/10 of 1% lead. - 5. Commereial building, industrial building, multiple reddeaces'and similar buildings and installations, a certificate · Of Code·Compliance.from architect.0~- engineer responsible for the building. . 6. Submit Planniug Board Approvai.ofoomPleted site plan requirements. 'B. For existing buildings (prior to AprU 9,. 1957) non. conforming naes, Or buildings and ,pre.exfsting,, land uses: · 1. ~Accuratq survey of property showing all property lines~ streets, building and unusual natural o~' topographic · .features. '. ' ·. · · 2. A properiy completed application and c0naent 'to inspect signed bythe applicant, if a Certificate ofoecUpancy is. denied, the Builaing Inspector shal! state the reasons therefor in writing to the applicant. · C. Fees · 1. CcHificate ~f Occupancy - New dwelling $25.00, Additions to'dwelling $25.00 Alterations to dwelling $25 00, Swimming P0ol $25,00 Aeces~ory building $25.00, Additions to accessory buiiding $25.00, Businesses $50.00. :. 2. Certificate o£O~cupancy on Pr~-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 DEC 1'5 2n99 BLDG. DEPT. , . ~W// Date. New Construction: ': Old or Pre-existing Building: (cheek one) tio o Fiop : · . · . . . Hons¢ No. ~2 . Street (,,t , ' mO~ ~W T~ MaP N° 1000' 8~0n ~9" ''. BG ~ 8u~ion 'Fil~ M~, P~tNo. %~[ ~q Date0fPo~t. ~pli~t: H~ Dept. ~pmval: · Hamlet Lot: Planning Board ApproVal: Underwriters Appmvai: [tenluest for: Temporary Certificate ?ee Submitted: $ ~ ~. Q%0 Final Certificate: (check one) Applicant Signature · + SUFFOLK BUREAUot ELECTRICAL IN$,P~CTORS, inc. 40 Nottingham Ddve, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Richard Grlgoni$ December 11,2009 11837 Certificate No.: Final Inspection Date: Building Permit No.: 11837 December 11,2009 County Tax Map No.: This Certificate of Electrical Compliance is 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: Richard Grigonis Site Location: 2225 Kennys road, Southold, NY 11971 Owner's Address (if different): [] Residential [] Indoor [] Commercial [] Outdoor [] New [] Renovation [] Addition [] Survey Single Phase Three Phase Main Panel Sub Panel Transformer Disconnect OFCl Breaker 1 Other Equipment: pool bonding Heat Hot Water AC Cond AC Blower Appliances Switches Heat Pump [] Basement [] Service [] Shed [] First Floor [] Pool [] Hottub [] Second Floor [] Attic [] Garage Other: INVENTORY Duplex Recpt Ceiling Fixture HID Fixtures GFCl Recpt Wall Fixture Smoke Single Recpt 1-20a Recessed Fixture CO Detect Range Recpt Flourescent Pumps 1-poo Dryer Recpt Emergency Time Clock Twist Lock Exit Fixtures TVSS Electric Heat Pool Luminaire 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: Richard Grigonis Inspected By: Roger Richert License No.: Homeowner Date Of Certificate: Dec 11,2009 Signature: 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. 35179 Z Date NOVEMBER 25, 2009 Permission is hereby granted to: RICHARD & JUDITH GRIGONIS 2225 KENNEYS ROAD SOUTHOLD,NY 11971 for : CONSTRUCT AN ABOVE GROUND SWIMMING POOL W/ FENCE ENCLOSURE AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 20164 at premises located at County Tax Map No. 473889 Section 059 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 2225 KENNYS RD SOUTHOLD Block 0007 Lot No. 008 25, 2009 and approved by the 25, 2011. Fee $ 150.00 Authorized Signature Rev. 5/8/02 ORIGINAL iPomuf No. I 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) No- 201 ~4 Z Permission is hereby granted to: ~ . ~..~..~~...~: ......... .... .~..~..~.~...~~~....~.. . , ........................... 7.-,r.,.-. ~-..T?.-.,._...~...~: ........ ;:~ ................... ;~:; .................................................. at premises located at .....~.....?.. .................. ~..~.~....~.~. ......................................... County Tox Map No. 1000 Section ....... ~ ....... Block ...... 2. ............ Lot No ........ ~.. ............ pursuant to application dated ....... .~.,~.~ ...................................... , 19..~./.., and approved by the Building Inspector. Rev. 6/30/80 ~OUNDATION (1st) 'OUNDATIO~ (2nd) :OUGH FRAME & -PLUMBING ]NSULATI0~! PER N. STATE ENERGY CODE FINAL ADDITIO~;A'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 765-1802 Disapproved a/c ..................................... . (Boil~ ~e&~) APPLICATION FOR BUILDING PERMIT gOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ................... HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;e~ts 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. e. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ;hall 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 whatever until a Certificate of Occupancy ;ball have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with ail applicable laws, ordinances, building code, housing c~gde, and regulations, and to Mmit authorized inspectors on premises and in building for necessary ~3~Spections ? i · ~ ~ , · ........... (Stgnature of applicfint, or ff'.~, ~ezsif a c~rl2oration) (Mai~/g address bf applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ' . ....... . ........................ Xame of owner of premises .~.,¢L~Txg ~?~ 8. ~}; .~.~. ¢.f .G nO'.l.~...~..~[.4-~. Jh: .(--¢.(~ J ~oAl ~ ................. (as on the tarx roll or latest deed) If applica~)i.s~ coV~po~ti7, signature of duly authorized officer. ( me and title 0fcorporate officer) Builder's License No .......................... Plum ber's License No ......................... E cctrician's Liccnse No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. (¢.(, .4 ..................... kd ....................... I louse Number Street Hamlet County Tax Map No. 1000 Section ...... :~..~.ff ...... Block ...... 7 ........... Lot...~. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy [ .~RV31[~. &toe LL b. Intended use and occupancy .... ~2xta~.~..qcx Ox, ~ ~(~)e:,.c~ ' Nature of work (check which applicable): New 3. Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... .. ~ ~ (Description) 4. Estimated Cost ''' t ..... ' .......................... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... · If garage, number of cars ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of t~e ...................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ................... Dimensions of same structure with alterations or additions: Front ..................................... Depth ...... · ................ Rear .................. ................ Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... De .... Height ........... Number of Stories ..... pth ........... 9. Size of lot: Front ........... Rear ......... ' ......... 10. Date of Purchase ................................. Depth ...................... .................... ......... Name of Former Owner 11. Zone or use district in which premises are situated ...................... ' ........... ' ................. 1 2. Does proposed construction violate any zoning law, ordinance or regulation. 13. Will lot be regraded Wi .... ' ................ ~ ............... ............................ u excess tm oe removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................. Name of Contractor .......................... Address ................... Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, South01d Town Trustees Permit may be required. .. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether interior or comer lot. AI~PROVED AS NOTED ~ ,'~ ~.~-1802 9 AM TO 4 PM FOR THE F:)LA [)WING iNSPECTiONS: t. FOUNDATION '~0 REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3. INSU~TION 4, FINAL CONSTRUCTION BE COMPL~E FOR C.O. ALL CON~TRU~ION ~LL ME~ T~ REQUIREMEN~ OF ~E N,Y. STATE CON~U~ON ~ ENERGY CODE~. N~ RE~N~IB~ FOR DESIGN OR C~STRU~ON ERROR~ ;TATE OF NE~-YO_I~K ......................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore named. le is the ......................................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ;~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. worn to before~me this No. 52-;~625897 Qualified in Suffolk Co~u~nty,~ i ~/~ Commission Expires t,~rcL ..... ~./~L~ y ~ County (Sig/fature of applicant) /~--~7-?-~ TOWN OF SOUTHOLD PROPERTY RECORD CARD. ~<~'~7 , OWNER ^ STREET i VILLAGE DIST. SUB. LOT~. ~"..'~ ~, /4_ FORMER OWNER ~' N ~' ,S W FARM COMM. CB. MISC. Mkt. Value : ', I TOTAL DATE j REMARKS ACR; ~/33 ; ~ WPE OF BU~LD,NG I 0~ Or4Z~,~L~ x"-~LAND ~ IMP. NEW FARM AGE Tillable 1 Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot NORMAL Acre BUiLDiNG CONDiTiON BELOW ABOVE Value Per Acre Value FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK M. Bldg. Extension Extension COLOR TRIM Foupdotion Basement illll,lil]il ! III[ II[[J~(;~[ll lliliJilifJ[JIl Both Floors Interior Finish Ext. Walls Extension Fire Place Heat Type Roof C ~ Rooms 1st Floor Porch Recreation Roorr Rooms 2nd Floo Porch Dormer Driveway j Breezeway ~ Garage Total Dinette , r K. LR. DR. BR. FIN. B MAP OF LAND' RICHARD A. 4: P-..ITA M. GP..IGONIS AT $OUTHOL · ' TOWN OF' .~OUTHOLD, $CALI[: 40% I" · - l~On pip~ ' .,.. ....