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Home My WebLink About28082-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29002 Date: 10/21/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 265 MAILLER CT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 33 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 8, 2002 pursuant to which Building Permit No. 28082-Z dated FEBRUARY 13, 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 VINCENT E & CAROLYN M THOMSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTT4ENT OF ~ALTH APPROVAL ELECTRICAL c~RTIFICATENO. PLUMBERS CERTIFICATION DAT~u Rev. 1/81 N/A 1081845 09/30/02 N/A Authorized ~i~na~e- 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. 28082 Z Date FEBRUARY 13, 2002 Permission is hereby granted to: VINCENT E THOMSEN 265 MAILLER CT SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN ACCESSORY SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR at premises located at 265 County Tax Map No. 473889 Section 070 pursuant to application dated FEBRUARY Building Inspector. MAILLER CT SOUTHOLD Block 0009 Lot No. 033 8, 2002 and approved by the Fee $ 150.00 Authorized Signature Rev. 2/19/98 COPY BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET- NEW YORK, NY 10038 CEI~TIFIES THAT Upon the application of upon premises owned by CAROLYN THOMSEN CAROLYN THOMSEN 265 MAILER COURT 265 MAILER COURT SOUTHOLD NY, 11971 SOUTHOLD, NY 11971 Located at 265 MAILER COURT SOUTHOLD, NY 11971 Application Number: 1081845 Certificate Number: 1081845 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 30th Day of September, 2002. Name QTY Rate Rating Circuit Type Additional Charges pool and storage shed Appliances and Accessories Pool/Spa Bonding 1 0 Time Clock/Switch 1 0 Wiring and Devices Receptacle 1 0 20 amp Pool/Spa GFCI Circuit Breaker 1 0 20 amp Pool/Spa Switch 1 0 General Purpose Fixture 1 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 I of 1 I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. g 0 I-- 0 iLL 0 Z 0 I,,, t LL. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Undenvriters. 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 sirailar buildings and installations, a certificate of Code Compliance from architect or en~neer 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 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 ~welling $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. New Construction: Location of Property: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~) Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 0~, Old or Pre-existing Building: (check one), .~.~ I~_ '~'StreetC~'~ ~"~L~' v'O[-~/f[/K~r/ Ha~et ~0 Block 33 Date of Pen-nit. Filed Map. Applicant: Lot Lot: Underwriters Approval: Final Certificate: (check one) r Date Owners Name: Architect/ Date SCTM District: I ,000 Sec[jori Proj¢c! l.ocalion ('~ ~'_~ Single & separate Required cerHficalion (Yes / No) Req Zo.ingl}i$~rict: ~ ~ ILol size Req. II:rom Ya.,'d Proposed: __ Project Description: Subdivision Name: I AGENC~ERMITS REQUIRED FOR REVIEW Permit . 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: Notes: 765-1802 BUILDING DEPT. [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU/LATION [ ] FRAMING [,~.~qNAL [ ] FIREPLACE~HIMNEY DATE ?//~//~~NS~_ INSPECTION FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) -- ROUGH F~G & PL~B~G STATE ENERGY CODE ~DITION~ CO~ENTS - YOWN OF SOLITHOLD TOVffN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Approved 4¥3 ,2002~' Disapproved a/c BUILDING PERMIT APPLtCAryIoN CHECKLL T Do you have or n~d th~ following, before applying' Board of Heai~ 3 sets ofBUildi"g plan~ 'Survey. Septic Fvma N,Y.S.D.E.C. Trustees Contact: ~ to: Phone: Bullding.~ , a. T~s app~cafion ~ST be completely fill~ b by ~c~~ ~ ~ i~k ~ ~ to ~ ~ding ~tor ~ 3 sets of plus, acc~ate plot pl~ to scfle. F~ accora~ng to scheme. b. Plot pl~ sho~g loc~on of lot ~d ofb~dings on gr~es, rehfions~p ~ ~joinlng pr~i~ or pubhc .s~eem or ~eas, ~d wat~ays. c. The work cov~' by thi~ a~h~fion ~y not be comm~ed'before ~m of~ P~it. d. Upon a~ovM of~ ~H~o~ ~e B~diug ~or.~ ~me a B~g P~t m'~ ~. S~h a prat s~l be kept on ~e pr~i~ a~able for ~on ~o~om ~e wo~ e; No b~ding shall be o~i~ or m~ ~ whole or ~ pm for ~y p~ose w~-so-~ ~ a C~cate of Occ~c3 is issued by the B~ding ~e~or. APPLICATION FOR BUILDING PERMIT · Date NSTRUCTIONS APPLICATION IS IIEREBY MADE to the Building Depmtment for thc issuaucc of a Building Permit pursuant to the Building Zone Ordinance of the ToWn of Southold, Suffolk Coianty, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbuild~ngs, additions, or alt~ration~ or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ort!~n~nee~, buff;ling code; homing code, and regulations, and to admit authorized/nspeetors on premises and in building for necessaryinspectioas.~' ' ', · ,, OCCUPANCY r (S~ of apglic~ or-~-~, ff a corporauon) IMMEDIATI:LY tlS[ !$ tlN£Al~rtl£ ' .: - .' '' ' ~' ' ENCLOSEumN CO t*noN OO[*O ¢O E WIIH0Ul C£1111R CAIr ,( BEFORE '~NATER" OF 0CCUPA~C¥ (M'Ri!/ng State whether applicant is owner, lcssee, agent, architect, e~ncer, general contractor, electrician, plumber or.builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (Name and title of corp0I/ate officer) Builders License' No. Plumbers License No. Electricians License No. Other Trade's License No. 165-1802 9 AM TO 4 ;=FI FOR THE FOLLOWING INSPECTIOMS: ~. FOUNDATION . T't(' , '% 'D FOR POURED CONCRET ~, ROUGH. FRAMING & [ INSULATION 4, FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.C. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ETATE COI~STRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIQN OR COl~'qllli~lON ~FIRORiii Location of land on which proposed w°rk will be done:~ ., . / House Number Street · H-re!et County Tax Map No. 1000 SectiOn r~ 0 Block Subdivision Filext Map No. (N e) UNDERWRITERS CBTTIFICATE REQUIRED .Lot Lot 2~ State exiCdn~ use and.o~ai~ncy ofpre~jses and intencJed use and occupancy ofpropos~l con~kxiction.'. · [- -, · j, ,/ -. 3. Nature of work(check which applicable): New Building ~ __Addition Alteration . Repair R~noval Demolition Other Work Estimated Cost z~ 0,o 0 · oO Fee If dwelling, number of dwelllng units If garage, number of cars (DeScription) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed oCCUPancy, specify nature and extent of each type of use. Dimensions of exizting structures, if any: From Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stodes 8. Dimensions of entire new con~i~-ction: Front Rear Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Fo, mcr Owner Rear 11. Zone or use district in which pru,ii~.qes are siV,ated 12. Does proposed conch action violate any zoning law, ordinance or regulation: 13. Will lot be re,graded i Will excess fill be removed from vrcm/ses: YES NO ,4. , - N~e.of ~cMt~ Ad~s Phone No N~e of Conm~or Ad&~s Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES ;B~RE o IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY QUIRBD 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. STA~TE OF NEW YORK) ...... ,:7 SS: COUNTY OF ) ..... " (Name/~f individual sj~t~ing eontzact)~above ~amdemg duly revere, deposes and says that (s)he is the applicant (S)He is the -. ~ (C(,,.,h.~¢i~, Agem., Corporate Officer, etc.) >£ said owner or owners, and i~ dRly aufllorized te perform or have peiformed the said work and to make and file this application; :hat all statements contained J.n this ~lld~don are trae to the b~-~ >~ __ .- ..... --gr __ ~, mm~ ~aow~eage and belief; and that the work will be errorme~ m me ma. her ~*t forth-'.m ~.e a~licafion filed therewi~ ' ' ..:, ~worn to b~re me this,,, ', Notary Public \ ' - - [' Si~mum oi'Applimnt H£LENE El. HO~NE Notary Public, State of New York No, 4951364 Oualified in Suffolk County.. .... r:-x~,res May 22,