HomeMy WebLinkAbout28163-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28464
Date: 05/28/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2530 LAUREL AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 56 Block 1 Lot 2.20
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 2002 pursuant to which
Building Permit No. 28163-Z dated MARCH 12, 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 ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to MARIO MARESCA
of the aforesaid building.
(OWNER)
SUFFOLK COU1FI~f DEPARTMENT OF ~RALTHAi~PRO~F~J~ N/A
ELECTRICAL CERTIFICATE NO. 1046496 05/06/02
PLUMBERS CERTIFICATION D~r~13 N/A
Au~e~ture
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. 28163 Z
Date MARCH 12, 2002
Permission is hereby granted to:
MARIO MARESCA
2530 LAUREL AVE
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY ABOVE GROUND SWIMMING POOL
IN THE REQUIRED REAR YARD TO STATE CODE REQUIREMENTS.
at premises located at 2530
County Tax Map No. 473889 Section 056
pursuant to application dated MARCH
Building Inspector.
LAUREL AVE SOUTHOLD
Block 0001 Lot No. 002.020
8, 2002 and approved by the
Fee $ 150.00
/ Authorized~Signature
Rev. 2/19/98
COPY
Form No. 6
l._. ~ . ,.r~ .~ -~, ~ [. TOWN OFSOUTHOLD
' ' ............ ~!'~ i BUILDING DEPARTMENT
~ TOWN HALL
' i~.~)t 765-1802
.... ' ;A~P'LICJ[TION-- FOR CERTIFICATE OF OCCUPANCY
This application must ~e ~11-'~ ~n by typewriter or ink and submitted to the Building Department with the following:
Ao
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 building $25.00, 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
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
g/b
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: ;/~
Date.
Old or Pre-existing Building:.
Street
(check one)
Hamlet
Block / Lot
FiledMap. Y?BlTa~J'-g./ Lot:
DatcofPcrrnit. /~,0,-~¢]1 ]2,- Applicant:
Underwriters Approval:
Final Certificate: F (check one)
~//Applic ~-at/S ign'at ur e
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
GORDON L. SEAMAN, INC. MARLO MARESCA
630 Johnson Avenue, Ste.#201 2530 LAUREL AVE
Bohemia, NEW YORK 11716-2618, SOUTHOLD, NY 11971
Located at 2530 LAUREL AVE SOUTHOLD, NY 11971
Application Number: 1046496 Certificate Number: 1046496
Section: Block: Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, Pool/Spa,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 6th Day of May, 2002.
Name QTY Rathe Rating Circuit Type
Appliances and Accessories
Pool/Spa Bonding 1 0
Wiring and Devices
Receptacle 2 0 General Purpose
Receptacle I 0 20 amp Pool/Spa
GFCI Circuit Breaker 1 0 20 amp Pool/Spa
(Swimn'dng 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.
seal
1 of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
%
'"- - '., NO Vu'HtCL/i. AiI
Owners Name:
.7~ Reviewed: ~,//</c~,
Architect/ :' Date
Engineer: Submitted: ,
SCTM fi: -/ /
District: 1,000 Section: ..~5'-~ Block: / Lot:
l.ocation: , _
Single & separate Required I ~
certifiCation: {Yes / No} /~()
[FtoniY.d Pro~s~: / , { [SideYard / ~/ P~o~s~:~/~m
Subdivision
Name:
Permit .
YES Number
Suffolk CounJy Health' Dept, //' ·
New York State D. E.C. .//
Town Trustees ,~
Town Zoning Board approval:
Town Planning Board ~pproval: · /7
Flood Plane Elevation ???
Flood Zone:
NOtes:
"
7G5-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~PLBG.
/
[ ] FOUNDATION 2ND [ ~r] 1~81JLATION~
[ ] FRAMING [//'] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE __~~ I NSPECT~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I/NSULATION .
[ ] FRAMING [~/FINAL:/~~
[ ] FIREPLACE & CHIMNEY
.
REMARKS.
DATE 0~/>'~~
I N S PECTOR _/~~JY/*,~
COMMENTS
FIELD INSPECTION REPORT ! DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
ADDITIONAL COMMENTS
TOWN OF SOUTItOLD
BUILDING DEPARTlV~NT
TOWN BALL
SOUTFIOLD, NY 11971
TEL: 76~;-1802
Approved
Disapproved a Jo
.3/1220C~
3It ~, 20 o~-
PERMIT NO.
BUIIDING PBRM1T APPLICATION CHECKLISl
Do you have or ~ fl~ following, before applying
Board of Health
k3 se~s of Bni]aing plans ~
Sm-roy N(
Cl~ck ~
Septic Form
N.Y.S.D.E.C.
Trusmes
Con, act:
Mail to:
Phone:
!
J L - '"'~' i '--2~PLICATION FOR BUILDING PERMIT
[- YOV!a" .(ii_ (,, ' ¢ :'~;~0~ n ! Date
INSTRUCTIONS
a. This application MUST be compl~ely filled in by ~ewriter or/n ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according ,o schedule.
b. Plot plau showing location of lot dud ofbuiJrl~ngs on premises, relationship to adjoinlng pr~amses or pubhc streets or
areas, and waterways.
c. The work covered by tbi~ application may not be commenced before issuarme of Building Permit.
d. Upon approval of th/s application, the Building l~pector.witl issue a Bufld~g P~rmit tothe applic~m Such a pern~
shall be kept on the premi,q~ available for inspection throughout the work.
e. No building ~ be occupied or used ha whole or in par[ for any purpose what-so-ever until a Certificate of Ocoupanc
is issued by the Build/rig Inspector.
APPLICATION IS ~Y MADE to the Buila~ug Depa. m.u~mt for the issuance Of a BuiMing perant pursuant to the
Building Zone OrAina=o¢ of the'Town of Southold~ Suffolk County, New York, and otl~r applicable Laws, Ordinances or
Regulations, for the Con, auction oflmilai~gs, addition% or alterations or for removal or clmaolitioa as h~rein described. The
apphcant agrees to comply wi~h all applicable laws, ordinances, builH~ng code; housing co_de, and mgutati0ns, and to admit
author/zed inspectors, on premises dud in builcliug for necessary 'inspections~-~)/~,~//pT//~ '
· . · OCCUPANCY OR / '~///,~O
USE IS UNLAWFUL
WITHOUT CERTIFIC&T£ 2~o/-/~gme3o~'o/~J¥ II¢ ?l
OF OCCUPANCY o,~ a,d~s of appt/c=t)
State whether applicant is oWner, lessee,' agent, architect, '~ne~;; general conlractor, electric/an, plumber or.builder
Name of owner ofpremi,qes
If apphcant is a corporation, signature of duly authorized officer
(as on the tax roll or latest deed)
"iMMEDIATELY"
.ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
(Name and title of cor~0ratc offic*r) '
UNDERWRITERS CERTIFICATE
Bmlders License' No. REQUIRED
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed w°rk will be doge:
House N~rmber Stme~t
Couury Tax Map No; t000 Section
Subdivision Lonq
NOTIFY BUILDING DEPARTMENT AT
785,1802 9 AM TO 4 PM FOR THE
.FOLLI~[~ INSPECTIONS:
t. FOUNDATION - TWO REQUIRED
FOR POURED CONCREI~
ROUGH - FRAMING · PLUMBIN~
INSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O. ':
ALL CONSTI~U,~'rlON SHALL MEET
THE REQMIRT~ENTS Off THE N.Y,
STATE CONST[IUCTION · ENERGY
CODES. NOT~ESPONSIBLE FOR
Block
Fried Map No. ~9 3 9g$' ,Y~.-I-~ ,2o Lot
Hamlet
2. State existing rose mxl oeo~aney o£1~ ~d hatertded ~5e and oce~ma~ ofproposed
Existing use and ~¢3r.
b. Intended u~e and occapancy.
Nature of work(check which applicable): New Builtti~ ·
Repair Remov.~ Demolition
Co t 3f00.
~)0.~C ~.O~0 Name of Former Owner
10. Date of Purchase
Addition Alteration
other Work {' lli
cr)es p, tioG
5. If dwelling, number of dwelling nnits Number of dwe!li~g units on
If garage, number of cars
6. ~b~ess, oomm~[~ or
7. ~m~io~ of e~ ~,
Height Numar of Sto~
~mensions of ~me
Number of
Height
~pth
8. D~io~ of
Height Number of Stories
S~e of lot: Fret
11. Zone or use district in' which premises are situated
12. Does proposed comu~-'tion violate any zomng law, ordinance or regulation:
13. Will lot be rergradecl
14. Names of Owner ofpr~mises
Name of Architect'
Name of Contractor
- Will excess fill be removed.from premises: YES 7NO)
Add,ss ;LS)ol2aqt,-e{A°~ PhoneNo. 76~//}~2~
Address Phone No
Address Phone NO;
15. Is this property within. 100 feet of a tidal wetland? *YES NO )~
o IY YES, SOUTHOLD TOWN TRUSTEES PER/VQTS MAY BE REQUIRED
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation 'at any p0im on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW yORK
¢OUN
(Name~C/mdivioM
(S)He is the
gS:
~f(~ being duly sworn, deposes, and says that' (s)he is the apphcant
~/Lming eommet) above ~med,
. ,, ..
- ' (Cmitractor, A~m, Corporate office,
of said. oWner or owners, and i~ duly authoriz~ to perform or have performed the said work and to make and file th/s application;
thnt all statea:zlerlztS colZtafiled ill thl,q at~lica{ioll are trna to the best 0fhJ~ knowledge and belief; and that th& work will be
performed i'n the manner Set forth in the application filed therewith.
LYNDA M. BOHN
NOTARY PUBLIC, State of New York
No. 01 BO6020932
Qualified in Suffolk Count.
Term Expires March 8, 20(~