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HomeMy WebLinkAbout34595-ZFORM NO. 4 TOWN OF SOL~fHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34346 Date: 05/14/10 THIS u~KTIFIES that the building INGROUND SWIMMING POOL Location of Property: 1985 EDWARDS LA (HOUSE NO.) (STREET) Co%~nty Tax ~p No. 473889 Section 18 Bl~k 3 Subdivision FiledMap No. Lot No. ORIENT (HAMLET) Lot 6.13 conforms substantially to the Application for Building Permit heretofore filed in this office c~ated 95~RCH 27, 2009 purs%~a~t to which Building Petit NO. 34595-Z dat~ APRIL 9, 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 HEIDI LJ%NGE of the aforesaid building. (OWNER) S~F~I~KC~D~DEPART~T OF ~%LTHAP~OVAL N/A ELRC~RICAL ~TIFIC3~TH NO. 128343C 05/29/09 PLUMBERS U~KTIFICATION D~-rl~a~ N/A //th/z~d ~gnature Rev. 1/81 Form No. 6 TOW'N 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. o f 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. 6. 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-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 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. (check one) New Construction: Location of Property: House No. Old or Pre-existing Building: Owner or Owners of Property: tL-//- ~' t 1> ! Suffolk County Tax Map No 1000, Section Subdivision PermitNo. "~q~"-~._q"- ? DateofPermit. Health Dept. Approval: Street Hamlet Block (D ~C) FiIed Map. Applicant: ~ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ '~ ~ Final Certificate: ex:> (check one) ~ Ap~cant S~at[lrel/ Electrical lmpection Certificate Electrical Inspechon Service Inc Applicahoq Number 375 Dunton Avenue '2~ ~4% East Patchogue New York 11772 t621~ 286-6642 Issued To: Hed~Lapge Street: !955 Edwards Lat-e Village: Orent Point Zip: 11957 Section: C18 Block: 3033 Lot: 035 313 Town: Contractor: Tri-Tech Electric East Inc. Lic.# ,s4137-k,lE Commercial NV Defects x Pool 1st Floor Indoor Res~denbal Der Garage Attic 2nd Floo¢ x Outdoor Switches Receptacles Fixtures GFI Heaters 1 D~shwasher Washer Amps Dryer Amps Oven Range Amps Furnace Oil Gas Circulators Smoke Detector Meter Amps Phase UG OH JacuzzJ Television Addition A,C Fans Bell Transformer CO Detector Hot Tub Survey Other Equipment 4-PooiL~gh'.s 1-2OamoSpec Rec 'dandy D~scon,-,ec: Hugo S. Surdi President 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. 34595 Z Date APRIL 9, 2009 Permission is hereby granted to: HEIDI LANGE 1985 EDWARDS LANE ORIENT,NY for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR FENCED TO CODE at premises located at County Tax Map No. 473889 Section 018 pursuant to application dated MARCH Building Inspector to expire on OCTOBER 1985 EDWARDS LA ORIENT Block 0003 Lot No. 006.013 27, 2009 and approved by the 9, 2010. Fee $ 250.00 L ~thorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA This application must be filled in by typewriter or ink and submitted to the Building De A. For new building or new use: (]IOHI~OS 40 NM01 L~a 9dlG 1. Final survey °f Preperty 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.disposal (S.9 form). 3. Apprnval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 D of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate 0f Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requiremems. B. 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 PrnPeriY c°mpleted application and consent to respect signed by the applicant, if a 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, Additinns to dwelling $25.00, Alterations to dwelting $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: Location of Property: / ,~ ~-~- ~--~:~ ~ 4~~ House No. Strut O~er or Owne~ of Property- ~ ~ ~ a. ~ .... - ~ -, ....... ~.~ Suffo~ Co~tyT~ Map No I000, S~tion ~~ Date of Permit. Filed Map.. Applicant: Underwriters Approval: Subdivision Permit No, 9~ ~-q ~' q ~ . Health Dept. Approval: Planning Board Approval: · (check one) Hamlet .Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Appl~nt Signj(ture TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] II~LATION~ [ ]FRAMING/STRAPPING [~FINAL ~/ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRE RESI~. CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS("~/~~~/~ ~ /~/~)~~~/ DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ C~ DATE INSPECTOR COMMENTS VIE,!,D I~ISPECTION REPORT I DATE I FOUNDATION (1ST) FOUNDATION (2ND) ROUGtt FRAMING & PLUMBING ~S~ATION PER N. Y. STATE ENERGY CODE ~DITION~ CO~ENTS TOWN OF SOUTHOLD , .... BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. north fork. nel/Southold/ Examined AplYroved Disapproved a/e Expiration PERMIT NO. MAn / 7 2009 BLDG. DEPT. T~CN Or SOUTHOtD BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans planning Board approval F¢~-~- Check Survey. Septic Form NY,S.D.E.C. Trustees Contact: Mail to: ~B~m lding Inspector 'LICATION FOR BUILD1NG PERMIT INSTRUCTIONS Dat{N.~[j/1 IX&CL~ Z l ,20 O~ a. Tins application MUST be completely filled in by typewriter or m ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to senle. 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 Permit. 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. Eve~ building permit shall expire if the wonk authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning amendments or other regulations affeetmg 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 ins~cctor~m.n~emi.~a a~l in building for nccessmy inspections. UNI~WRITEFISGbH HHUa~e (Signature of applicant or name, if a corporation) AL/CONSl'i-iU, ":;,?x! SHALL "/,TET THE REQU/Rr% ~,,U~S "IMMEDIATELY" CODES ,. - OF THE ENCLOSE PQOL TO CODE OF NEv~, ,~ ),"iK $/'ATE U~ON COMPLETION 8£FORE "WATER" State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 3 --¢oo[ lc,r-- A PRpVED, ,,, AS NOTED x,/(/Q ~ p # BATE: N.me crow.er orpremises L A si G ,, ' ' ' ........ AT Ifappli~antisacoypoIaCo~signatare~fduly~thorizedo,fficer ,%5-i;32 ~,', .... 4-.,-''' ' amc tie o orate ~. F-'. .ND'\ri~t'~, ..., - TWO._ R,_QU~RED , .:.. UNLAWFUL "-' i -, l,b 2. RO~3,~t - F,..,.'~G & PLUMBING Builders License No. -' ~ ' i .=, .~ J, .,:~ ~ .... Plumbers License No. 'v'!T~,(.~L T Pr-PT Z ~"r"-3. IN,~ULAT Electricians License No. ' ~"-~ ~ ~ tI IL,,, ~ '4. FINAL - COi4$Ti%rSTION MUST , .- ~ /';'! ! ;£,r,,,m'., BE COMPLE'FE rOD C.C. Other Trade's License No. ~ ~-;',~'~,/,....'i i ,;-, 1. Location of land on which proposed work will be done: House Number Street (Mailing address of applicant) I Iq L'~'- County Tax Map No. 1000 Subdivision (Name) Section ~R CONSTRUCTION ERRORS. Block 3 Lot ~t. I 5 Filed Map No. Lot ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW C)i~!~(~l~/$...~/~TE. NOT RESPONSIBLE FOR 2. ~tate existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Ov¢__ ~-cx,~it~, 0 Nature of work (check which applicable): New Building. Repair Removal Demolition ,~l Estimated Cost ~ ~ C) I © © ~ If dwelling, number of dwelling units If garage, number of cars ~x':.'vl~_ ~ /900] /J , Addition Other Work Alteration oc~ol (Description) Fee (To be paid on filing this application) ,~ Number of dwelling units on each floor ~ 6l 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 l 0. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated A ?YE lq J 12. Does proposed construction ~y zoning law, ordinance or regulation. S O~ 13. Will lot be re-graded? YES ' NO Will excess fill be removed from premises? YES ~ 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__NO ~ * IF YES, SOUTHOLD TOWN TRUSTEES & DEC 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 l 0 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF G [/l~{]('J~ I,~ ~51-K V't ~'~ being duly sworn, deposes and says that (s)he is the applicant (N'ame~findjJCidual signing contract) above named, (S)He is the (Contractor, Agent, Coq>orate Officor, 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 tree 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. C'HRI~llN E FROMM I~ Public, 8tate of New Y{N~ No. 01FR6187273 Qualified In Suffolk CourlN Commission F..xptte~ M8¥ 1~, ['01~ Sighature of Applica~l~ Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD October 8, 2009 Heidi Lange 116 E 68th St, Apt 6C NewYork, NY 1002 I TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ,.~ - A fee 0f $25.00 ~ ~~'~L-O.o3_o t. Final Health Department approval. Plumbers solder certificate (all permits involving plumbing after 4/1/84.) Trustees Certificate of Compliance. Final Planning Board Approval. Final Fire Inspection from Fire Marshal. Final inspection from the Building Department. Final Landmark Preservation approval. Building Permit: 34595-Z swimming pool Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 24, 2010 Heidi Lance 116 E 68t St, Apt 6C New York, NY 10021 RE: 1985 Edwards Lane, Orient NOTE: The Electrical Underwriters we received for the house does not cover the swimming pool. TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~-~,./ Application of Certificate of Occupancy. (Enclosed) ~d Electrical Underwriters Certificate. '%,j A fee of $25.00 __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/'1/84) __ Trustees Certificate of Compliance. __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 34595-Z Swimming Pool ~5,U~VE'T' OF PROPERTY 51TUATE~ ORIENT SUFFOLK C, OblNT'f, Ih" ~% N - ~-~,~_ 5_.0' ROW JOHN C. EHLERS LAND SURVEYOR 6 EAST M~IN STRF~ET N.Y.$. LIC. NO. 50202 .SURVE'K OF F'ROF~RTY .51TUA'I'~, ORIENT '1'01~ 50UTHOI_D 5UI=FOLK C, OUNT~, NY REVI.E~EI~ E~=FOL.K. COUNTY' TAX # ~% RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. i / N -, 50' ROW · PIONbf'II~IT FOt,IN~ 0 PIPE FOUND · 5TAKE F-OUN~ ~P-APHIC, SC, ALt= I"= .50' JOHN C. EHI~ERS LAND SURVEYOR 6 ~T MA{lq s'rRF, tff N.Y.S. LIC. NO. 50202 ~, N.Y. 11901 369-8288 Fax 369--8287 REF.~Compmqserve/IprosV)7~07-123B.pro Deep End Section Shoi~ow End Section A B Poo~ Da'la Radius Floor Steel Schedule Floor SPECIFICATIONS Gunite P(