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HomeMy WebLinkAbout28041-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28246 Date: 03/06/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1625 YENNECOTT DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 2002 pursuant to which Building Permit No. 28041-Z dated JANUARY 28, 2002 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to RICHARD F MULLEN III & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 452084 04/29/98 PLUMBERS CERTIFICATION DATED N/A g� '4"09 Authorized S' nature Rev. 1/81 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. 28041 Z Date JANUARY 28, 2002 Permission is hereby granted to: RICHARD F III MULLEN PO BOX 1408 SOUTHOLD,NY 11971 for RENEWAL OF PERMIT NUMBER 24296-Z FOR CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 1625 YENNECOTT DR SOUTHOLD County Tax Map No. 473889 Section 055 Block 0004 Lot No. 022 pursuant to application dated JANUARY 28, 2002 and approved by the Building Inspector. Fee $ 150 . 00 - / t Authorized Signature "" ORIGINAL Rev. 2/19/98 Form No.6 �� {^ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL �� .4 ° : yi;l� 4W f�....! 765-1802 T APPLICATION FOR CERTIFICATE OF OCCUPANCY i n 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-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 a 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 buildin 25.0 Additions to accessory building$25.00,Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. 3!x/0 R New Construction: Old or Pre-existing Building: (check one) Location of Property: (P-rV A. raA-(- An"/e � House No. Street Hamlet- Owner amletOwner or Owners of Property: Z�AQ-e j jE /j,2//�,y ZE Suffolk County Tax Map No 1000, Section 4.5,E Block C-13 Lot ©aa Subdivision�� J �,,I Filed Map. Lot: Permit No. =ri� Z. Date of Permit. Applicant: L (,.o, d— Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2,;�00 s 1 Applicant-Signature �P a Va THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185077 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 29,1998 Application No. on file 15913998/98 N 452084 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD MILLER, 1625 YENNECOTT DRIVE, SOUTHHOLD, NY in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd FL OUT Section Block Lot was examined on APRIL 21,1998 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 2 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 20 SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF CC CA.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 SW 3 0 3W-F3 0-4--[— OND.W pER 0 OF CC.COND. NO.OF HIAEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: SWIMMING POOL-1 TIME CLOCK-AMP.40-1 G.F.C.I-1 *(SWIMMING POOL) This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test/and or repairs made by a qualified person. <<< Continued on Page 2 >>> GENERAL MANAGER Per This certificate must not be altered in any manner;return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2 1185077 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 29,1998 Application No. on file 15913998/98 N 452084 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RICHARD MILLER, 1625 YENNECOTT DRIVE, SOUTHHOLD, NY in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on APRIL 21,1998 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT]FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 10 2W 1 0 3W 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: ROSLAK ELECTRIC LIC.#3677E L P.O.BOX 164 CUTCHOGUE, NY, 11935-2453 GENERAL MANAGER 11 Per This certificate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. r [ ] FOUNDATION 2ND [ ] IN�4t1LAT10N [ ] FRAMING r,-J'FINAL [ ] FIREPLACE & CFIIMNEY REMARKS `/�'4,4e-,41 DATE✓ ah D � INSPECTO I• i Itl.11 111:i1'I;1;(I t111 IU:1'111t1NAM: � , IATI11 1'11111 !'Uut►Nnl'tt)tl ( ZNN) t-fR'TTT�n^.^^�t,�,��.�AR1M1nT.,T.nt��/R«r-,• '1 Illi IMI Ir ll Alli: R —.x n \ • N ,•�..,.,n--Tn TRn TT—nn-n—«-T.. •�1�.R.,.,n1 w.- ..Rnn R•n,n r,Tn----------e,------«---�'—T------w..«..-.. ,I • -«-- --nR 1: I 1•IIti111.A'1'1 011 I`1'.II 11, y . •..— STA'1'K K111:1111Y 1.. f:11111! ;^ ------------------------------ --T« ----------------- I -------- . -----I IIAI. , ------------------------------- ----------- AI1111'I'I MIAI. r - -,...--T„- „----- (;U11t11,i1'I ^«-««,.«-T-«RST...�-RT-�.-Tn--...--_--..,,,,n-n«_-«n«.,R,.--- 1 aKe c n u BOARD OI- IlE.AL'fll . . . . . . . . . . . . . . . FORM NO. 1 _) SK'I'S OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUT11OLD S11RV13Y . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CIIF CK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN 11ALL _.._. SI's11'1'IC PORN . . . . . .. . . .. . . . ... . . . . . SO11'1'pl)Ci) N�Yr 1'Gl+r, GL5;N1(1�. NOTIFY: C� MAIL TO: Appy lived �._.., Ie,2 fermi 1: 1Jcr. ..... Oi sappr(rved :I/. ..................•-.•............ . ......................................... ..... . .... /J ( ildint, inslector) APPI. CATION POR 111111,1)1N(; lTltt11'1' } Dat �e. . . ��✓. . . . . . . . . , 19 /. 1 NSTRIICT IONS a. 'Illi s applicati(xl mist. be c(nrhlet.ely filled in by lylx(ariler lir in ink aril suhrnitted to lire lklildinl, inspector wilh 1 sets of plans, accurate plot plan to scale. Pee accordiopr, to schedille.. h. I'Io1: plan slxxainh location of lot arxl of Ixrildiogs oo prc+nises, relationship to sxbjoiniop perinines or ixrhlic street, or areas, aril giving, a detailed (lescripticnl of lay(xrt of property ntlsC be drsnan cm the (i igranwllich is purl. of this applicaticnr. c. lire rxrrk c(nmre(I 1ty this ;jppl icaCion rrty ool ire canlrrx.ed before issmince of T341ildinl; Permit, (I. 111xm 0111" ll of this alg/liCaCi(rnl, the lklildiol, %speclor (•rill issrle a Iklildinl, 1'ermiC to tire OlgilicanC. S(xh Ix•unil_ shall ire I(ept on tire premises available for inspecHoo thrmjglxxrt the work. e. No Ixlildiol, shall he occopied or used in whole or in pal-L for Orly purpose whatever until a Certificate of (kcupcnxy �JIOII have Ix>en l,rante(i by tile Iklilding lnspeclor. AI'I'T:I(A'fION 1`i IA:KGIIY 1Wlt, to tileIkuildiol, ITnp>.-Irtnl(rnt for tile sll e isarxe of a Tklil(ling Permit p►rstilmrtllo Llre Iklilding 7,00e, Ordinance of the 'Tbwo of Scxlthol(I, Suffolk Gnrnty, New Yorlt, arxl other applienble Tunas, Ordionmes or Rrl;ulati(ms, for 11re corrstnx:tioll of lxuil(linl,s, mWiti(xrs or alterations, or for retw7val or (kimlitirm, ns herein (ktscrilr:Kt.. 'I1►e applicant agrees to cagily with all algilicable lmys, ordinances, lxlil(ling C(xle, Ixxusingcrxle, aril rel,ulatioos, aril to arlait autlnrize(1 ill';Wclor-s (m prc+nises aril io Inrilding for necessary inspeclAms. (Sil,na('if e of appl icant:, or nim?, i f a corlmral ion) `'.131, lt.` l s cox Y ?r cN�iG-: �tif' //,9 "3s,10,11 O'T^ sxldress of algrlicanY) Slate wllelher 11.1)1 canf. is owner, lessee, agent, archiIect, engineer, geoeral cowrncCor, elecl:rici,11, plurrier or Imilder. E ..................... �.Q!U L��l ! .............. ................. .................................. ...... Willi- of cxarrer of premises ..`� Flt—.ty „•_f,.. y°i1 y. .. ................... .................... .. (as cn the tax roll or latest (erNl) If a11r1 i ant is O corporrrlirn , s' nature of duly :nlllnri�ed officer.(N�Ile mil l.itle of cot officer) IkriIders i.icen:,e No. Phu ers license No. ............... ... ....... Electricians . ..................... Wier 'I'r:xle's License No. .................... I. I.ncat:ion of lalxl oil which propxrscol (,xrrlc will le dnrx'.....,. ...,,••, ,,,-„ .. ................:...................... Lo, ;7a�................ 1-ZA) ,4'1_. . .:`. ............................ ...................... Ikxr.-;e Reber r street Ik->tnleC ('cxunCy 'i:-Ix KI�p No.. IMO Section ./. . `V[.)...... 111(wk .......;V.... ..... lilt: ... . .. ;it.11x1lV 1R1(NI �'.YJ� ..t�~t....r.�.•�� . . ...or I'11f'(I T`l:lp i`k). � �....... l.pt ...V.1-(. 2. State exist. int., use aril occulxxxy �of prpIni ses aril inlelxkel (Ise .nil acup>uxy of propxrsed ccrlsCnuction: :I. IIx i sL i nl, use aryl (xxxgk,1rxy -.d�..��. 1z,Y_. /zzx47G../lJ(,1-`.aC . qq ............................................ h. Inleolled use aril occuprrrrx-y .�'`...Sm/ Y �1/ I. P'l(uIt! of %A)11( (clw:(It %AIid1 111,1111Ci11)1(]): IANJ Iklil(lily;.. ... . .... . AMili( Alteration .. . . . .. . . . IG 1w1i . .. ... ....... Itcilloval ...... ... Ik,lrll it ion . .. ... . .. . . . . . . . .. .. . . . . (I)Lt .r 11)1.itx1) �1 Issl lulitl e(1 l;o:;l .�...t�:... ... ... .... I'ee . .. .. .� Y.v .. . . . . .. . .. ... . ..... . . .... . (to Ix: 1171111 oil riI iol, Iltls ;Ippllt-aci o) If tAxellit%g, Ilkliber of: 4,101iol; units . .. .. .. . . . .. tl�sibel 01: IAJ(:IIiol, omits (xt ea(JI f1011. .. . . . . . . .. . ... . . I17 I,aIiy,e, IitIAIcr of Cara ....... .. . ... . .. . .. . . . ... ... . .... . . . . . i. 11 Ixl:lllw:.;.i, cdtn)r:ritiisI or mixed (x:Co1witK.y, filxe(:ify tuNut(: wwl ext co( of estrlt lY1x:"of. ufie.:. .. . . . . . .r:. . .. .. . . . /j1 1. IllIlxnm xla oI: exiis Int; alrfwauren, if .Illy: Ilool ... .73.. .... .. hear . .Zs..J... ....., lkj�l�l .l�... ... ... . . . Ik:i1;111 ... A P...... .............. tit rtlx:r of SI01 icti . . . ... . .. . . . ... .. . . a Iliwlr:n:iioos (If` 611le )fl.ltl(311re wills alleral ltxt.; or ixklil.ioos: Droll' . ... . . . . .... ... It(eiu' .. ... . . .. . . . .. . Ik.yH11 Ik:il,ltt. 1111ber of Sl of iea .. . . .......... . r N. Iliur:o:;l(x1c�'of col it(-- Iftw C(xlal.ttw:l NMI: FI(xtI ..... ... ... . .. .. 14:ar ... . . . . ... . . . . . Dept 11 .l•" 14:11)11 ...... ...... ..... .. . .... Ntulw:r ol: Slovien . . . . . .. .. ... ... . .. `ii7.e of Iol : F1txtl ... w,`. /.. .. . . . ... 14:a►' ... l�ctfr.�. . . . . . . . Ilt:plll . . .cry. .... . . .. . . 111. It.tl c of I%I1'cl1i1:ie . ... ..... ..... ..... .. I'lirlrt: of 1'ol)fr:r (lJlx r .. .. . .. .. . . . .... . . . . . .. .. . . . .. . . . . .... . . I. YAww: or one tlifil r icl: in tAlicll Ili H111[iell are ailusttetl . . i�ll�!UT/s�L .. . ... . . .. .. ... .... .. .. . .. . .. . .. . . .. . . . . . Il. II<xa Illn(w)aet) C(xtfilrtx:tloss violIll e airy •rtxtioll 1t1w, oltlio<uw:c or I(%olall,iot% .. ..... ..... .. .. �. 11. NiII sol Ix: relpikk--(1 ... c'� ..... ...... Will excens fill he 1(:11r1vc:tl 1:t(Al1 pttallisea: YI:S (-[—I T:> 111. Il:�ttt:a of ei►dlw:r of prc:tuise:tt�1�.��F.. . .. . A(klr(�e;:1 /.4�.✓. .%!✓�. .�Y.!15+�:. I�xxx: tk1�G�:�.���. . . Maw of Architect ....f.L........... ... ... ........ ... . . .. NMI esa .. . . .... . ....... .. ... ......... 1lxilxe Fk). . ... . . . . . . . . . . r1nr: of C(xri.ruaor 1 / '►r. /��5. . .... ........ .... Atklleas .r � . . 9 � ��..111o1x: rlO.�. xG Ill. 1:: this ptolx:Il.y willlilr NX) feel of: a titli(l 1JetIlllxll k YI'�i .. . . ...... NU ..�. . ... All.. vs, fi(AIIlNA71 -11AJ4 -nal:illaia 1'l?IC11'I' tlAY Ifs? IUAi411fUill. PLOT Il 1 AGRAt•1 ltx:itle clearly noil (Ilatioccly all lxtll(liltl,s, \Atellw:l' exlfittltt; nr proposed, mx1 itwlicate all fie(`I/i.xk II IUII:(la lnlla Il(uw plolx2tly litxea. Give al:ree't: alxl block tllulx:r or (k:aCripl i(xt accof(Ililt, to deed, taws filxlt+ at reel tltglefi old itrliCalte wilellw:l inlet for or Corlwi- los'. X/1-'e OVED AS NOT D y DATE: e.P# IMMEDIATELY FEE: BY ENCLOSE POOL TO CODE NOTIFY BUILDING DEP ENT AT UPON COMPLETION 765-1802 8 AM TO 4 PM FOR THE BEFORE"VMATER" FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 1 IIMMRITER$CERTIfICAtF 2. ROUGH - FRAMING & PLUMBING REQUIRED 3. :NSULATION 4. FINAL. - CONSTRUCTION MUST BE COMPLETE FOR C.O. OCCUPANCY 1O(" ALL CONSTRUCTION SHALL MEET USE !S t '"'r THE REQUIREMENTS OF THE N.Y STATE CONSTRUCTION & ENERGY ::ODES. NOT RESPONSIBLE FOR OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS SI'All•: III,* tN(IJ YlNtl<, SS 0NI(IlY IN . . . . . . . . . .. . . . .. . . .. ... f/ oe . .oe . . . . . . . . . . . . . . . . . . .IK!iog (its 1y ta.Rnn, dellont::: nlwl allyl; that 11e is slit: nppl icmi( (Ree of itxlivi(1oal :iil,oilig cool racl ) i'Ix've still■:tl, lk: i:; (Ill! . . . . Q . . . .. . . . . . . . . ... . . . .. . . . .. . . . . . . . .. . .... . . .. . .... . . . . .. .... ... ls;wa.or sll,cenl ('orlxuittre olllccr, __.. tit :;;till owlwl of ow1x:r:;, stlKl is (Ioly nulllori•zed to Iw:llotal u( I1;lv(! Ix:rlofmr:t) Ow naitl wotk stili( lu maite mxl Kilt: Ihitl ;1ppl icat it'll; llla( ill I tilat(,tl:ut.a 6sotllitx:(I ill Iltin ;1111)1 i(.al jou Joe t IIx: to (lite lx:f;l: of hill loxlwledge ;)fill bol iel; mill 11uf1. till: %A)11( will Ix: lxerfulull:(1 in 111- maill)(21' fief fords in Ilse appliciltioo file(1 lllel(miUf. !�,A)111 lu Ix:lot(: lir- Ilii:; C� 1c1. . . ..Ably of , .. ... .. . 19 �.`T.. .. .... . QQ / (:ill;n:111oC of App1 itaol ) LINDA J.COOPER Notary Publio,State of Nw8Y2a6 » rn1T m ExPieDebe31l _1 17 Lir L,f f.lt_ 1 NW)"0I'CO E 01 t Lj � ! 41N i I EDIATELY /ENCLOSE POOL TO CODE UPON C010K M BEFORE"WAS" SHED ' r-t DF�IL i LL� � ± iL r a ,8342'W"W to t)c �e a v Gunront Qnly tt 1 `. .,, twW Corry } fv the twign. at:4i" f //4-j L /�J� �r c��/�?�li. � ?t1�.� AY. 1-L "aE- �?d Gc�vLL �E G'u��s�ZeK'>�''D G►� �S�EL. 4.:✓�lC.s �L�Diu� .� � �7vf:� VIA.*'L 41 Z LcWA:?V A.Y,IL 1:,b4b i4r pY,M.�7l.�Y cj'�°ao 4-f-14&U--5 e,>,c- wt47ff- ,T- — cel-` > , cvNe;F 2 .:5bC6 4- 414U- IMMEDIATELY" _414U-"fMME IATELY" NCLOSE FM TO CODE UpPEOFNOCpOMPPLEEVON �O 0 SiAE 7A"CprY Th� AL50 -4 e-