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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(~