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Home My WebLink About32868-Z:li Town of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 8/30/2012 No: 35926 Date: 8/30/2012 Location of Property: SCTM #: 473889 Subdivision: THIS CERTIFIES that the building 1N GROUND POOL 2450 LIGHT HOUSE RD SOUTHOLD, Sec/Block/Lot: 50.-4-10 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 32868 dated 3/30/2007 3/29/2007 pursuant to which Building Permit No. 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. The certificate is issued to George & Pamela Tietjen, 1II (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 32868 8/27/12 ~~ignature 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. 32868 Z Date MARCH 30, 2007 Permission is hereby granted to: GEORGE N III TIETJEN 151 BEVERLY AVE FLORAL PARK, NY 11001 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at 2450 LIGHT HOUSE RD SOUTHOLD County Tax Map No. 473889 Section 050 Block 0004 Lot No. 010 pursuant to application dated MARCH 29, 2007 and approved by the Building Inspector to expire on SEPTEMBER 30, Fee $ 2008. Au~zed S ORIGINAL Rev. 5/8/02 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: 1. Final survey of property with accUrate'location of all buildings, property lines, streets, and unusual narural 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. Sw. orn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.. 5. Commercial buildings 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 completexl 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 linez, streets, building and unusual naturai or topographic features. 2. A properly c. gmpleted 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 $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. Updated Certificate of O?cupancy- $50.00 Temporary Certificate o/Occupancy - Residential $15.00, Commercial $15.00 / Old or Pre-existing Building: House No. Street New Construction: Location of Property: - Suffolk County Tax Map No 1000, S~ti0n ~ Bilk (check one) Hamlet 8ubdivisi0n Permit lqo. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ~ ~ *~'~'q Filed Map. Date of Permit. ~- ,~- 07 Applicant:. Underwriter~ Approval: Final Certificate: q Town Hall Annex 54375 Main Road P.O. Box l 179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richert~,town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: George Tieden ~,ddress: 2450 Lighthouse Rd City: Southold St: NY Zip: 11971 ]uilding Permit #: 32868 Section: 50 Block: 4 Lot: 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: as built DBA: License No: SITE DETAILS Office Use Only Residential [~ Indoor ~] Basement ~ Service 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 A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures ~]~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur Pumps Emergency Fixture~ Time Clocks Exit Fixtures I I TVSS In ground pool to include, bonding, 3-GFCI circuit breakers, gas heater, salt generator, 1-pool light Notes: Inspector Signature: Date: Aug 27 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [/~l,~F I NAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION REMARKS: ~'~0~ ~ ~ [ ] FIRE RESISTANT PENETRATION INSPECTOR~=~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING / STRAPPING [~ FINAL ~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] RRB RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS:,~ fO~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING/STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) I~ ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR~~~--~ IFt]~LD hrNSPECTION I:~EPORT DATE FOLqN~DATION (1ST) FOLqNq)ATION (2ND) ROUGH EKA/ViING & PLUMBING LNSULATION PER N. Y. STATE ENTERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS BUILDING DEPARTMENT TOWN HALL SOUTHOLD~ NY I~1971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined 3/~.) ,20 Approved / ,20 ~"~' Disapproved a/c Expiration ~/:~/') ,20 ~ Do you have or need the tbllowing, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contest: ,\ APPLICATION FOR BUILDING PERMIT Date f arc.fl ;zO ,20 oy INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. c. The work covered by this application may not be commenced before issuance of Building PelTnit. 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. Every building permit shall expire if the work authorized has not commenced within 12 months afier the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for att 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 inspectors on premises and in building for necessary inspections.~//)F"~OTOU-~ '2- · I (SignatUre of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If' applicant is a corporation, signature of duly authorized ofricer (Name and title of corporate officer) Builders License No.~2-tq [ ~ t4 Plumbers License No. Electricians License No-~g~ ,_,<iq ~ g Other Trade's License No. 1. Locati,on of land on which proposed work will be..done: House Number Street Hamlet County Tax Map No. 1000, Section ~ O Block Subdivision ~-~%r. xdo~d , , "~iled Map No. (Name) Lot c~- I ~5',~ Lot I0 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises andfi)ntended use and a. Existing use and occupancy b. Intendeduseandoccupancy ~,t~.~l,~ 9~m; ],-.{ £~,C[~4C~ tX3/.-,qDk:t{t~' CfO~)O$¢t;t' ~9001 Addition Alteration Other Work 4. Estimated Costq~ I~/)00" Fee 5. If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. 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 Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth~ Rear 10. Date of Purchase Name of Former Owner 1 l. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES v' NO Will excess fill be removed from premises? YES__ 14. Names of Owner ofpremises~c~"T-~ ~'~d~t'~ Address AqSo }~Mhoa~*- Phone No. Name of Architect kO~oJohasoc~ Address ~6 ~ ~9~4'~ Phone No NameofContractor ~ttnd.~t'T ~octec[oz.( Address H'h g~-ez~qe~ PhoneNo. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUI~.ED. b. Is this property within 300 feet ora 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 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) r'~O. f/~[M "[ ~.O~ ~ ~-'f' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~_.0 flJf¥O~C4;7> ¢' (Contractor, Agent, Corporate Officer, 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 mariner set forth in the application filed therewith. Sworn to before me this ¢.~ day ckf ~O.~F_.)t~ 20 0'7 Ng~aryeublic ~.) ~) ' \ I Signatu~'e-o f Applicant I~ATH~F~EN NOTARY PI,18LIG, NO. 0~124 TOWN OF SOUTHOLD OWNER S LAND AGE NEW SEAS. IMP. NORMAL VL. TOTAL FARM DATE //?/~,? //-//"/V BUILDING CONDITION BELOW ABOVE PROPERTY RECORD CARD VILLAGE E W TYPE OF BUILDING REMARKS Tillable J FRONTAGE ON WATER ]! FRONTAGE ON ROAD ,~..' Meadowlond ~ DEPTH / c) p ' House Plot BULKHEAD Total ~ D~K cOMM. CB. MICS. Mkt. Value COLOR ~-' ~ / ~z-'- M. Bldg. Extensi°n Extension Extension PorCh Porch Breezeway Garage Patio Total Foundation Basement Ext. Walls Fire Place !Type Roof Recreation Room Dormer Both Floors Interior Finish Heat Rooms Ist Floor Rooms 2nd Floor Driveway inette Town Hall Annex 54375 Main Road P.O. Box 1179 Soufl~old, I'~ 11 ~ 14)959 Telephone (631) 765-1802 REQUESTED BY: Company Name: Name: _icense No.: Address: BUll .~ING DEPAR'I3/IENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Phone No.: *Name: *Address: *Cross Street: *Phone No.: Permit No.: TaxMap District: JOBSITE INFORMATION: (*Indicates required information) 1000 Section: ~'o Block: ~- Lot: *B:RIEF DESCRIPTION OF WORK (Please Pdnt Clearly) · (Please Circle All That Apply) · Is job ready for inspectiOn: · Do-you need a Temp Certificate: ~NO Rough In Final YES / NO Temp Information (If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 ~New Service: Re-~onnect Underground Number of Meters Change of Service Additienal Information: PAYMENT DUE WITH AP,PLICATION Other Overhead 82,-Request for InspecUon Form 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 TO~flrN OF SOUTHOLD September 17,2008 Swim King Pools 471 Rte 25A Rocky Point N.Y. 11778 Re: Tietjen 2450 Lighthouse Rd, Southold To Whom It May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: / An application tbr Certificate of Occupancy is not on file. (Enclosed) Y No Electrical Certificate on file. JThe Check is not on file -$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance fi.om Southold Town Trustees. Approval of thc Zoning Board of Appeals* Final Planning Board Approval. B.P.# 32868 Inground Swimming Pool Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765 1802 Fax (631) 765-9502 November 23, 2011 BUILDING DEPARTMENT TOWN OF SOUTHOLD George n. Tietjen 151 Beverly Ave Floral Park, NY 11001 Re: 2450 Lighthouse Rd., Southold TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ~/~Application for Certificate of Occupancy. (Enclosed) ~/Flectrical Underwriters Certificate. ~A fee of $25.00. Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. - Bob Fisher __ Final Landmark Preservation approval. BUILDING PERMIT: 32868 - In Ground Swimming Pool Town Hall Annex 54375 Main Road P.O. Box 1179 Southold. NY 11971 0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 7, 2012 George N. Teitjen 151 Beverly Ave Floral Park, NY 11001 Re: 2450 Lighthouse Rd., Southold TO WHOM IT MAY CONCERN: The Followin9 Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ~ Electrical Underwriters Certificate. (contactyourelectrician)~~' /^ fee of*2S.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 32868 - In Ground Swimming Pool SURV~,¥ OF PROP,~R~y AT $OU~PHOLD VlNTL' LINER STEPS OPTIONAL P L A N RE~IREO ROLLED FOAM 9 E-TWEEN LINER: ~-- CONCRETE · ¥ ~ ' ~~TO FILTER ~ 765'-%02 8AM TO '~ FOR THE FOLLOWING LSFECT O~L~ ~ SKIMMERS F~BA~;,'*~ - TWO ~L:DU~RED ~ ILTERond PUMP ~ ~ TO RETURNS 'TO WASTE FOR POURE'_ CCRCRET~ 2. ROUGH - FR/'., :.; & PLU;'glNG O 3. INSULATION -~ 4. FINAL - CO~',;?~UCT',ON MUST. BE COMPLET; FOR C.O ALL CONSTRUCTION SHALL B~J ~rN 6 REQUIREMENTS OFTHE CC~:~ g~:2'7~ -- YORK STATE· NOT RESPONSIBLE FOR ~,~. o~ ~O~ST~T~O. [.~ ~-( POURED CONCRETE FROM FILER ARRANGEMENT ~.SEE TYPICAL ~ ,,.~ LLSECTION -o · _~ '~l i~! SECTION . L~'-,'SAN~ "'-O*,O ,,".A, q ¢~.',,',A,S , . OPTIONAL ' -~ -- ~ ALL CON3T~U;3:-I,(;: S,4ALL TY P~ ST E P SECTION B-B J ~ MEETTHE BEQU~fiEMENTS OF THE .I. GRADE SECTION A-A r PLAN '.TY PICA L WALL NOTES .... CODES OF NEW YORK STATE. r.,-': '", .'~'"?;~%~ '~gf/"'%"' '" / 3 STEPS ~,i?"'-"':' F"! /×~ 'ol~<xx r-'~ · -,~- ~ ' i .'i -:'-' ' ' OPTIONALSTEP : ' TYPE ~, CONTRACTOR RANDY T. RODECKER, PROPOSED POOL FOR: INC. SUIH KING POOLS ROUTE 25A ROCKY POINT, NY 11778