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HomeMy WebLinkAbout28499-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28700 Date: 08/12/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 430 GRIGONIS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 2002 pursuant to which Building Permit No. 28499-Z dated JUNE 25, 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 "AS BUILT" ACCESSORY ABOVE GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CHRIS M & DENISE S HATTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1058963 06/12/02 PLUMBERS CERTIFICATION DATED N/A 2 i c 57 utho zed Si ature 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. 28499 Z Date JUNE 25, 2002 Permission is hereby granted to: CHRIS M & DENISE S HATTON 430 GRIGONIS PATH SOUTHOLD,NY 11971 for CONSTRUCTION OF AN "AS BUILT" ABOVE-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 430 GRIGONIS PATH SOUTHOLD County Tax Map No. 473889 Section 070 Block 0003 Lot No. 008 pursuant to application dated JUNE 25, 2002 and approved by the Building Inspector to expire on DECEMBER 25, 2003 . Fee $ 150 . 00 A ize re ORIGINAL Rev. 5/8/02 Form No.6 - TOWN OF SOUTHOLD k '' f BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU Y 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 building$25.00,Additions to accessory building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 ` Date. `d/ G�- New Construction: Old or Pre-existing Building: 11 (checkone) ( Location of Property: 4�0 Go!"".4 s House No. 4j n Street Hamlet Owner or Owners of Property: �k�fL-� TTa� ' Suffolk County Tax Map No 1000, Section Block 3 Lot EJ Subdivision q Filed Map. Lot: --� ,� Permit No. 1 -Z- Date of Permit. Applicant: I �S f�/� ► / ©/v/ Health Dept.Approval: Underwriters Approval: Planning Board Approval, Request for: Temporary Certificate Final Certificate: (check one) Fee Sub 'tted: $ c' oZ"l d Applicant Signature -70--3-9 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS ' SBUREAU OF ELECTRICITY s 5 5 40 FULTON STREET -- NEW YORK, NY 10038 5 SCERTIFIES THAT 5 5 Upon the application of upon premises owned by S CHRIS HATTON CHRIS HATTON 5 430 GRIGONS PASS 430 GRIGONS PASS 5 SOUTHOLD NY,11971 SOUTHOLD, NY 11971 5 5 Located at 430 GRIGONS PASS SOUTHOLD, NY 11971 5 Application Number: 1058963 Certificate Number: 1058963 5 ; S Section: Block: Lot: Building Permit: BDQ 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: First Floor,Detached Garage,Outside,Pool/Spa, 5 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 12th Day of June,2002. 5 5 Name OTY Rate Rating Circuit Tj2e Additional Charges 5 pool&pool house(converted garage) No visual defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory condition was found. S 5 i 55 5 5 seal C5, 1 of 1 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 . , o��S�FFO�,�coG ,`� yam► Town Hall,53095 Main Roadp '� Fax(516)765-1823 P.O. Box 1179 COD Telephone(516)765-1802 Southold,New York 11971-0959 X01 � dao BUILDING DEPARTMENT TOWN OF SOUTHOLD SECOND NOTIFICATION ORDER TO REMEDY VIOLATION Date: July 17, 2000 TO: Chris & Denise S. Hatton 430 Grigonis Path Southold, N.Y. 11971 PLEASE TAKE NOTICE there exists a violation of Zoning Ordinance - Other Applicable Laws, Ordinances or Regulations 45-8A at premises hereinafter described in that: FRONT & REAR DECKS AND AN ACCESSORY ABOVE GROUND SWIMMING HAVE BEEN CONSTRUCTED WITHOUT FIRST OBTAINING A BUILDING PERMIT. In violation of SOUTHOLD TOWN CODE YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at: 430 GRIGONIS PATH, SOUTHOLD, N.Y. SUFFOLK COUNTY TAX MAP #1000-70-3-8 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. M M. BOUF S UILDING INSPECTOR encl . (Cert. Mail) BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: U r't S <-.z td\ Reviewed: Architect/ Date Engineer: Submitted: S O Q SCTM#: District: 1.000 Section: Block: _� Lot: _ Project p Subdivision Location: 3 O �� ►�'0 Y� I S o � l� Name: Single&separate Required certification: (Yes/No) Req. Req. C Zoning District: [Lo(size: Actual: l�!��s�] [Lot coverage Proposed: ] Req. i Req. / Req. [Front Yard 3Proposed: [Side Yard /O 23 Proposed: 1 [Rear Yard Proposed: ] Project Description: _� P. AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval:_ Flood Plane Elevation??? Flood Zone: to • 1 -r �a �� BUILDING uepr. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ j FRAMING NAL [ ] FIREPLACE 8 CHIMNEY REMAR S• all,rve�d4 lae- DATE h .41-..,/INSPECTOR c"y ass-ieo2 suauINo oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 TION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE7113"'167Lo"INSPECTOR /"� FIELD INSPECTION REPORT DATE CONIl mum 04 � FOUNDATION(1ST) y ----------------------------------- IN FOUNDATION(2ND) W. roo � O G . y ROUGH FRAMING& y PLUMBING 'b INSULATION PER N.Y. -F y STATE ENERGY CODE r r FINAL ADDMONAL CONIlVIENTS O r m N G O z • x x d —- r n.. u 4 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey PERMIT NO. S Ygq Check Septic Form N.Y.S.D.E.C. IlZ r- Trustees Examined 20 L Contact: Approved 2 20_� Mail to: Disapproved a/c Phone: Expiration Z 20� C` ding Inspector JUN 2 62602 kPPLICATION FOR BUILDING PERMIT Date ti4�� 't— , 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter 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 waterways. 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 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 after 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 an 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, d r ns, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing dress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises C%,N A\ h a-�� (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land d on�which proposed woo;—,will be done�� House Number Str&t Ramlet `P County Tax Map No. 1000 Section —Block---'3 Lot` Subdivision Filed Map No. 33'\ List (Name) - W -L- 2. State existing use and occupancy of premises and intended use and cupancy of groposed construction: a. Existing use and occupancy w 1 1� 'OA WIVIV b. Intended use and occupancy b��n 3. Nature of work (check which applicable): New Building �S j4 Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. 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 NO�Will excess fill be removed from premises? YES NO 14. Names of Owner of premises�Yo 11�' —r- kddressL. Phone No.n Name of Architect Address ° Phone No Name of Contractor Address Phone No. 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 REQUIRED. b. Is this property within 300 feet of a 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. S'vJ­ ivNe\w 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ` COUNTY OF") 1 Z�1��h���being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor', Corporate Officer, etc.)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 true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. S orn to before me t is � day of 20 �— r Notary Public 4patffrie of Applicant LYNDA M.BOHN NOTARYNo 011806020932 oi New York Qualified in Suffolk coun 'worm Expires March 8,20 T _ OA) //n �- UNAUTHORIZED ALTERATION �C�77 /„ i0 THI5 SURVEY IS A VI OR ADDITION (J a VIOLATION OF n �� SECTION 7209 OF THE NEW YORK STATE r A EDU CAT Ic CAi ,�oF UN4f T ��C�. uw ER �R{ iL - .. ..- -"�- _. - -`•- RE,- ON THIS SURV;Y MAP NOT REARING E 0 SUzY:YOg'5 I.—D SEAL OR ` - MAP OF �T i7z +QE' Y 'D SEAL:,HALL NOT RE CONSIDERED SUIe VEYEO f.,=oo APP OED AS NOTED. TO -A VAUD TRUE COP,. 1 f �Z G ` G j`�iNDICAT:D N'P.EON SHALL RUN 6 B.P.# 1 IM,42T/N /N/COLI NA /,BUSS/--N/ ONLP'IO TtIF;E:'SON FOR VJHOM:HALF THE SURVEY 'T PREP --------- { ..- _ _ .-_ �-- -----FEE.-- '. ��i LSLTU ON H 5':HALF TO TNF BY: � OHPANY, A-r /iG' TION USTED HiREON,AND NOTI Y BUILDING DE ARTMENT AT T� ASSIGNFFs OF THE LENDING INAN 50(U77k0LD 765.1802 9 AM TO 4 PM OR THE ON.GUARANTEES ARE NOT TRANSFERARLE iFOLLOWING INSPECTIONS: r OW p�AE IITUTJONS OR SUBSEQUENT SUFI OLK COUA/TY /V 1.1. FOUNDATION TWO __�--_--_-- - - - ---- - ► - -- ---- - FOR POURED CONCRETE; - PLUMBING 2. ROUGH FRAMING & P�.0 4 - V/�'-j D'i z'= 'i! 3. INSULATION Lo 4� AL - CONI 'XiW RUCTIN� C K PL Q C E ! COMPLETE MR C.O. AL CONSTRUCTION SHALL MEET "' .�1. 69°04'E• - 140.64 ( ' THfJREOUIREMENTS OF,THE N.Y. ST IE CONSTRUICJjON $_KNJtR_O_Y_----._ - COQES. 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