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Home My WebLink About28156-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28983 Date: 10/10/02 THIS CERTIFIES tkuat the building ACCESSORY Location of Property: 730 BIGHT RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 19 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. 28156-Z dated MARCH 11, 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 INGROUAID SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. · ~ne certificate is issued to BRUNO J & FELICE SEMON (OWNER) of the aforesaid building. SD-FFOLKCOU/T~YDEPARTMENTOFn~ALTH~PRO~rAL ELRC~fRICAL CERTIFICATH NO. PLUMBERS CERTIFICATION DA'r~u3 Rev. 1/81 N/A 1060576 06/24/02. N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28156 Z Date MARCH 11, 2002 Permission is hereby granted to: for : BRUNO J & FELICE SEMON PO BOX 518 ORIENT,NY 11957 CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 730 County Tax Map No. 473889 Section 014 pursuant to application dated MARCH Building Inspector. BIGHT RD ORIENT Block 0002 Lot No. 019 8, 2002 and approved by the Fee $ 150.00 Authorized Signature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY[ oo'r I 0 2882 -~,, ,.' : ,. - 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) hon-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 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 New Construction: ~ Location of Property: ) ~O House No. Owner or Owners of Property: Date. Old or Pre-existing Building: Street (check one), Hamlet Suffolk County Tax Map No 1000, Section Subdivision Permit No. ,2_ oa,]~'~ Health Dept. Approval: Planning Board Approval: Date of Permit. Request for: Temporary Certificate Fee Submitted: $ ,j~ ~"- o ~ / 8/~,2. Applicant: Underwriters Approval: Final Certificate: Block d> ~ Lot Filed Map. Lot: (check one) 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 BRUNO SEMON 730 BIGHT ROAD ORIENT NY. 11957 BRUNO SEMON 730 BIGHT ROAD ORIENT, NY 11957 Located at 730 BIGHT ROAD ORIENT, NY 11957 Application Number: 1060576 Section: 14 Block: 2 Lot: 19 Certificate Number: 1060576 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: Detached Garage, 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 24th Day of June, 2002. Name QTY Rate Rating Circuit Type Additional Charges cenSficate includes pool and garage Appliances and Accessories Pool/Spa Bonding 1 0 Time Clock/Switch 1 0 Wiring and Devices Receptacle 6 0 General Purpose Receptacle 1 0 15 amp Pool/Spa Fixture 1 0 Pool/Spa GFCI Circuit Breaker 2 0 15 amp Pool/Spa Switch 4 0 General Purpose Fixture 3 0 Incandescent (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. 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. BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: .c)(e,-,~-. d ~ SCTM# DISTRICT: .!,000, SECTION: STREET ADDRESS: 73L'? gi a~ ~[ PROJECT DESCRIPTION: l ~.P. BLOCK: ~- . CITY: I , LOT:_ DATE IS~SUED: 3 /// /02 DATE REVIEWED: _ .~/_.///02 DATI~-SUBMITTED: _ ,5/ ~/02 _ SUBDIVISION: ESTIMATED PROJECT COST: ARCHITECT / ENGINEER: FAST TRACK? SINGLE & SEPARATE ~ERTIFICATION_REQUIRED?/V]/[~ NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT REQ. REAR/O/ WATER FRONT? PANEL #: ,:~ CONFORMING? ACT. LOT SIZE: __ REQ. LOT COV. PROP. FRONT REQ SIDE ' PROP. REAR ACT. LOT COV. ACT. SIDE FLOOD ZONE: DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: yEs 9r~]~ (BED #):. DTE: TOWN SEPTIC RECEIPT: Y or N /kt//~.L NEW YORK STATE DEC: eRe-nEc 9a/Ts YES o'r bio) SOUTHOLD TOWN TRUSTEES: YES or ~(~ TOWN ZONING BOARD APPROVAL: YES or 11~03 TOWN PLAN. BOARD APPROVAL: YES or ~ TOWN HISTORICAL pRE (SPLIA): YES or~ NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) ~ VENT (SQ. FT. x 4%). BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z~ HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: / / PERMIT #:R10- LIGHT (SQ. FT. x 8%) FEE STRUCTURE: FOUNDATION: SF 1. ( SF)- ( 2. ( SF)- ( FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF TOTAL: SF SF)= SF X $ =$ SF)= SF X $ =$ INIT ') OTHER TOTAL (_ FEet FEE FEE +$ +$ = $ /.ye7, +$ +$ = $ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~JI, BG. [ ] FOUNDATION 2ND [ ] IN~.ATION i i :I~AE~ILN~GcE & CHIMNEY [ ~/]/FINAL REMARKS: ~ DATE ~SPE~ 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS/UCATION ~INAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY TOWN OF SOUTHOLD I~ ........... BUILDING DEPARTMEN~ [ 8 ~0~ TOWN HALL I~, ~:, -- SOUTHOLD' NY 11971 { i j TEL: (631) 765-1802 'ri,>- ,:;-i~ :'~]' :;__q_~ FAX: (631) 765-9502 PERMIT NO. ~/5-?o ~- Examined Approved Disapproved a/c Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Build/ng Plans Planning Board approval Surve3( Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building . ~:~c~q er- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~/~ ,2002_ 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 Bnilding 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 ora 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. (SYgnamre of applicant or name, if a corporation) (Name and title of corporate officer) Builders License No. Plumbers License No. ,4/, Electricians License No. Other Trade's License No. Lgcation o,o~land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision/~/, ~ ~wgt/~,. ~,'c .','7 ~ (Name)' ~:~":~ ,"i ~'! ~ 'i ' Block 02 Lot / Filed Map No..ffS-~' Lot 1, FOUNDATION o TWO REQUIRED ~ ROUGH . FIMMING & PLUMBING & INSULATION · FINAL. GONSTRUffTtOii oot nl!r ---- ALL CONITJIU~N SHALL MEET THE REO#iREBIENTi OF THE N.Y. 8TATE CONrr#U~rlON I Ei~I, ERGy CODES. NOT REitPON~IIBIJ FOR UNDERWRITERS CERTIFI~.TE OC~UPA~C~ O~ Rr'QUIR£D USE IS UNLA ' FUL WITHOUT CERTIFICATE "I EDIATELY" OF OCCUPANCY ENCLOSE POOL TO CODE (Mailing ~d&ess of applicant) uPOn COMP~ION ' BEFORE ~ATEfl .... State whether applicant is owner, lessee, agent, arcmtect, en~neer, generalcon~&~io~;~l~e~{nci.~; ~ 'L ~ ~ ; ( ~ .~ ~ ; ~ ~ ; ~= ~ ~ ~plm~er ~' '~: "~: :: '~0r:,bu]lder Name ofownerofpremises )~a~ /~ ~-~.,4 on the t~ roll or la~ff If applicant is a co¢oration, si~ature of duly authorized officer State existing use and occupancy of premises and intended use and oc%}pancy of proposed construction:. a. Existing use and occupancy .~',FT.Z~ ~/_,,b~ -~,~-.-,,~,.,,~ /~o./ - b. Intendeduseandoccupancy -;FZ) 'a./_.z~-~ -{',~,,~,~ ,,,,,~ fo./ 2~gX ff, O ! Nature of work (check which applicable): New Building_ Repair Removal 4. Estimated Cost / 63. ,'3 63~) 5. Ifdweiling, number of dwelling units If garage, number of cars Addition Alteration Demolition/,,~,,..,,,4~<p Other Work ,fi-ET( (Description) Fee (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 Rear Depth Height Number of Stories 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 9. Size of lot: Front 10. Date of Purchase Rear Depth Rear Depth Name of Former Owner i 1. 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 ~c,,,x, ,, ~ee/,,, .~......., Address .2~'?~3 ~, ~,~-,4o..~ Phone No. 6; Name of Architect Address ~ <3 n.~,-/- Phone No Name of Contractor E~4-a,,- ,/~,,j.~ Address ?e.'~.~? (,~-A~,~'/ 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 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. 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 ' ~ ~-z_z~,r& :.~,.,ff-~o-4 o,,~ being duly sworn, deposes and says that (s)he is the applicant (~~'~ng.~olat~P4:~t) a'.l~ve named, ~,' ~ ~,q ('. ~ ,, . '.(12onfl:het&,,lkgent, Corporate Officer, etc.) of said ~he~:~vdle~?~k!~t;h03.z~d to perform or have performed the said work and to make and file this application; that all st.a,t~e, ment~cxm~klk¢~ ,~3r0~.li,ca~icm are tree to the best of his knowledge and belief; and that the work will be performed ~l~a~llr~t~[.;set ~,~~at~hcat~on filed therewith S~gnature~f Apphcant ROBERT I. SC~T, JR. Notary Public, Stat~ of New York Qualified in Suffolk County No. 01SC4725089~ Term Expires May 31, .~-~-