HomeMy WebLinkAbout35201-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
6/7/2011
CERTIFICATE OF OCCUPANCY
No: 34985
Date: 6/7/2011
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ABOVE GROUND POOL
4420 OAKLAWN AVE SOUTHOLD,
Sec/Block/Lot: 70.-9-46
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
12/8/2009 pursuant to which Building Permit No. 35201
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:
Lot No.
filed in this ofliced dated
dated 12/8/2009
accessory swimming pool with deck as applied for.
The certificate is issued to
Dewar, Carolyn
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
35201 5/4/11
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35201 Z
Date DECEMBER 8, 2009
Permission is hereby granted to:
CAROLYN DEWAR
4420 OAKLAWN AVE EXT
SOUTHOLD,NY 11971
for :
CONSTRUCT AN ACCY ABOVE GRD & SEMI IN GRD. SWIMMING POOL W/FENCE
TO CODE & ACCY DECK IN REQUIRED REAR YARD 2 C/O'S REQUIRED. REPLACES BP # 24393
at premises located at
County Tax Map No. 473889 Section 070
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
4420 OAK LAWN AVE SOUTHOLD
Block 0009 Lot No. 046
8, 2009 and approved by the
8, 2011.
Fee $ 135.00
ORIGINAL
Rev. 5/8/02
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:
I. Final survey of propecty 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. 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-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual naturai 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. Certifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: _ j' Old or Pre-existing Building: (check one)
Location of Property: %~P ~ ~) O~_ CtTo-,~ /~.
House No. Street Hamlet
· Owner or Owners of Preperty:
· Suffolk County Tax Map No 1000, Section
Subdivision
Health Dept. Approval:
Date of Permit.
Block q Lot
Filed Map. Lot:
Applicant:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
F~e Submitted: $ ~)~'
Final Certificate:
(check one)
- :p-p [c~t f3 igna t u~.
,5537,5 Main l/oad
P.(). Box 1179
Southold. NY 11971-0939
Telephone (liS1) 763-1802
l:ax (6BI) 76,5-5~,5t)2
ro.qer, richert~.town.southo d ny us
BI IILI)ING I)IqPAI/TMI:,NT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Carolyn Dewar
Address: 4420 Oaklawn Ave Ext City: Southold St: NY Zip: 11971
Building Permit#: 35201 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCl Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
recpticle, and bonding.
Ceiling Fixtures ~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed FixturesI~ CO Detectors
Fluorescent Fixture [~ Pumps
Emergency Fixtures~__I Time Clocks
Exit Fixtures LI TVSS
above ground pool, consisting of 1 pump twist lock recpticle, 1 switch, I GFCI
Notes:
Inspector Signature:
Date: May 4 2011
81-Cert Electrical Compliance Form
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGHPLBG.
[ ] FOUNDATION 2ND [ ] I~LATION
[ ] FRAMING [ I/] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE ~////~
INSPECTOR ~~//~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
?
[ ] FOUNDATION 1ST [ ] ROU~PLBG.
/
[ ] FOUNDATION 2ND [ ] I~SULATION
[ ] FRAMING / STRAPPING [~]~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SA,-,-, f INSPECTION
[ ] .nEREgST~TCOgSTRUCTm. [ ]
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765- t 802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO/~GH PLBG.
[ ]FOUNDATION 2ND [ ]~4SULATION
[ ] FRAMING / STRAPPING I L/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ C, d57
DATE
INSPECTOR
:: -/[1997
Examined .~/./. ..... , 19F/
Approved ................. 1 ~.' .ZPermit
'FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Disapproved a/c .................... ,....: ...........
~PLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date....Q/.~. .......... 19 .~. 7
INSTRUCTIONS
a. This application must be completely filled in by Wpewrter or in ink and submitted to the Building Inspector, with 3
sets 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
or areas, and giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall 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
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, h. ousing code,And regulatio, ns, and to
admit authorized inspectors on pie~nises and in building for necessary inflections. .
(Signature of applicant, 9r name,A.t'~a corl~oration)
(Mailing address of applicant)
'State whether ~nlicant is owner, lessee, agent, architect, engineer, general contractor, el~ilder.
.... .......... ............ .....
p · .... t,.~. .................... /~ ........... ..
~ (as on the tax roll or latest d~l~c: ~ R.'p: ~,~
If applicant is a corpora ion, signature= of duly authorized officer ~'~rz e/f~'~'-~" ~ R
~ ' ,~D,}r¥ RUILD,NG l~~
(Name and title of corporate officer)
Builder's License No .... ~.."~.....~.. q . .~..F...
Plumber's License No ........ : ................
Electrician's License No .... I..~. ! .0..'~ .& .... 0CCUPANC¥ 0R
Other Trade's License No. % USE IS ~JN[AWFU[ THE REQUIREMENTS OF THE N.Y.
................... WITHOUT CERTIFICATE STATE CONSTRUCTION & ENERGY
0F0CC.n..,,~.. CODES NOT RESPONSIBLE FOR
1. Location of land on which' proposed work will be done ......... M rPlr)l l~ ][ ., ~ a'~ESI~,--~ ORCON~ .............. I'~UiigTIQN ERRORS
....... .........
ltouse Number Street Hamlet
County Taxr~,N_o,. ~00 Section ... ~.r~ -]/- ~ ff/~ffT'-~ ,~,~7.VO ........ Block .... ~...~. ......... Lot...5.(O ............
S u b divisio rL/.\..h/5-/k~.. ...... v~-s . . · .'--~.~ r . .':~..~_v Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of pr, peq;nises and intended use and occupancy of propoped construction:
a. Existing use and occupancy .... L"~/..~. )..~.~ ~-- .... '7..~~ ~/ ..............
b. Intended use and occupancy ..... //"m-~,;~. ~~ .... .~. ..............
765-~802 9 AM TO 4 PM FOR THE
FOr. LOWiNG IN, SFECTIONS:
~. FOL~NDATION . TVVO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3 NSU~TIO~
CO~ISTRUCTiON MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHA~
3. Nature ofwork (check which applicable): New Building ..... ' ..... Addition .......... Alteration ..........
Repair .............. Removal .... , ......... Demolition ............... Other Work~
4. Est~ate~os' ~ ~ I~ ~% ~ ~' ~~ ~
ac t ...................................... vee ............. w ........................
(to be paid on filing this application)
5. If dwe~ng, number of dwelling units .... ~.. ........ Number of dwelling units on each floor
If garage, number of c~ ..................................................... K ~ .................
6. If business, commerci~ or mixed occupancy, specffy nature and extent ofeach type ofuse ...~ ...............
7. D~ensionsofexistingstmctures, ifany Front ~Q./ .... Rear .~.' ........ Depth ~.'.. ~ ......
HeiSt ............... Number of Stories .... [ ................... : ...............................
D~ensions of same structure with ~terations or additions: Front ~.).~..~~. Rear ..................
Dep~ .................... ;. HeiSt .................. ~7.. Number of~tofies ......................
8. Dimensions of entire new construction: Front ..... ~ ..... Rear ............... Depth
HeiSt .............. ~¢mber of Stories ~~N .../ ......
9. Size oflot: Front .... ~ ......................... ~.~J.~'Dep;~'~)~.../'
10. Date of Purchase ............................. Name of Fomer Owner .............................
1 1. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .. J~ ....................... ~
Wffi lot be regraded ....... ~ ........ ~ ......... Will excess fill b~removed from oremises: ~ Yes ~
14.13' SmeofOwnerofpremises~..~.~.~d~neSo. .............. ~-~
Nme of Mchitect ...... ~ ..... ~ · ~., .~ . _. ~.. Phone No ......... (~ ... ~. ~
m~e of Contractor ~ ~ .~/~~~ ~;ne No..~ .~ ~ Y.~.~.
v ~~7~ ~
PLOT DIAG~
Locate cle~ly ~d distinctly ~1 bu~d~, whe~er exist~g or proposed, ~d~ ~dicate ~1 set-back d~ensions from
prope~ ~nes. Give street ~d block number or description accord~g to deed, ~d show street nines ~d ~dicate whether
~tehor or comer lot.
:
s.s
.../. ,.c 5 ............. ,wo=, =d ,li an
(Name of individual si~g contract)
above named.
.eis the ...... /~ .~. ~ .....................................................................
(Con.actor, agent, co.orate officer, etc.)
of said owner or ownem, ~d is duly authored to perfom or have peffomed the said work and to m~e ~d file ~s
application; that ~l statements cont~ed ~ th~ application are true to the best of his ~owledge and belief; and that the
work will be perfomed ~ the m~ner set forth ~ the application filed ~erewith.
Sworn to before me this
~ ~ .day or ~e.~. ~ 27'
Nota~ Public, .. · ~...~. T~~~nty - '
~ ~m~ ~ (Si~ature of applicant)
~ P~PE
TOWN OF SOUTHOLD RTY RECORD CARD ~'~
OWNER
FORMER OWNER
VILLAGE
DISTRICT SUB.
ACREAGE
TYPE OF BUILDING
LOT
RES. c~/~ SEAS. VL. FARMi COMM. I IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
AGE
NEW
Farm
Tillable 1
Tillable 2
Tillable 3
Woodland
BUILDING CONDITION
BELOW ABOVE FRONTAGE ON WATER
/
Acre Value Per Acre Value FRONTAGE ON ROAD '//t~
BULKHEAD
DOCK
NORA~AL '
Swampland
Brushland
H ouse..~J o.t..~
Total
Town Hall Annex
5437.5 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1809
ro er richer[''y~x
(681)
uH . ~,town.sou~ola.rl¥.us
BUII,DING DF, PARTMXNT
TOWN OF SOUTHOLI~
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
~,ddress:
No.:
Date:
JOBSITE INFORMATION:
*Name:
*Address:
*Cross Street:
*Phone NO.: ~2~
Permit No.: "-zo<~?_.~-~ )
Tax Map District:
(*Indicates required information)
1000 Section: Block: Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Cleady)
(Please Circle All 3'hat Apply)
*Is job ready for inspection: YES / NO
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed]
*Service Size: 1 Phase 3Phase
*New Service: Re-connect
Additional Information:
100 15O 20O
Underground Number of Meters
Rough In
300 350 400
Change of Service
PAYMENT DUE WITH APPLICATION
Final
Other
82~Request for Inspection Form
Town Hall, 53095 Main Road
P.O. Box I 179
Southold, New York I 1971-0959
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF' SOUTHOLD
November 29th, 2006
Carolyn Dewar
4420 Oak Lawn Ave.
Southold, N.Y. 11971
RE: 4420 Oak Lawn Ave. (Above-ground pool w/fence)
SCTM# 70 0009 46
Dear Ms. Dewar,
Please be advised that your Building Permit #24393 issued October 1st, 1997 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $135.00. At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDiNG DEPT.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Telephone 1631 ) 765-1802
Fax (631 ) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUT}IOLD
December 3rd, 2009
FINAL NOTICE
Carolyn Dewar
4420 Oak Lawn Avenue Ext.
5outhold, N.Y. 11971
RE: 4420 Oak lawn Ave. (In-Ground Swimming Pool)
5CTM: # 1000-70.-9-46
To Whom It May Concern:
Please be advised that your Building Permit 24393 issued October 1st, 1999 has
expired. According to the Code of the Town of Southold, o Certificate of Occupancy
must be issued before the use of the structure.
To renew your Building Permit please submit a fee of $135.00: at that time we can
schedule an inspection by one of our Building Inspector's. PLEASE SEE ENCLOSED
DOCUMENT REGARDING SWIMMING POOL CODES.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT
COPY OF BUILDIN& PERMTr ENCLOSED FOR YOUR CONVEN1;ENCE *
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