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Home My WebLink About28605-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29137 Date: 12/20/02 T~IS CERTIFIES that the building ACCESSORY Location of Property: 450 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Ts~x Map No. 473889 Section 86 Block 4 Lot 1.7 subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 2002 pursuant to which Building Permit No. 28605-Z dated JULY 26, 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 FREDERICK & BERADINE BAUSER ( OWNER ) of the aforesaid building. SUFFOLK COUIF~Y DEPART~ENT OF ~RALT~APPROV]%L N/A EI~CTRICAL c~TIFICA~E NO. 66673 09/04/02 PLL~4BERS CERTIFICATION D~r~3 N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29138 Date: 12/20/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 450 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 86 Block 4 Lot 1.7 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 2002 pursuant to which Building Permit No. 28605-Z dated JULY 26, 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 10' X 12' STORAGE SHED SHED AS APPLIED FOR. The certificate is issued to FREDERICK & BERADINE BAUSER ( OWNER of the aforesaid building. SUFFOLK COUNTYDEPARTMENTOF~ALTHAPPROVAL N/A ELEt-r~ICAL CERTIFICATE NO. 66673 09/04/02 PLUMBERS CERTIFICATION DAT~u N/A 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. 28605 Z Date JULY 26, 2002 Permission is hereby granted to: FREDERICK BAUSER AND WF 450 INDIAN NECK LANE PECONIC,NY 11958 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCE TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 086 pursuant to application dated JULY Building Inspector to expire on JANUARY 450 INDIAN NECK LA PECONIC Block 0004 Lot No. 001.007 25, 2002 and approved by the 26, 2004. Fee $ 150.00 Authorized Signature Rev. 5/8/02 COPY 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: 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. Bo 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. Co 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Constrnction: ~ Old or Pre-existing Building: Location of Property: ~/5~ ~/~-~kw//-~ ,~ /L//~r: ~- ~a House No. Street Owner orOwnersofPrope~y: ~P~/ ~ ~ Suffolk County Tax Map No 1000, Se~ion ~ ~ Subdivision Permit No. ,¢~-~ 6~'5~'- ~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Tem~grary Certificate Fee Submitted: $ (check one) g - ~2 Applicant: Underwriters Approval: Final Certificate: Hamlet Block ~ ~ Lot d'-~/'. ~ 7 Filed Map. Lot: ~ (check one) Applicant §ignature 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: Ao Bo 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. 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, See~ion Subdivision Permit No. ~'>~ O'3~'- -~- Date of Permit. Street Hamlet ~3c~z~ Block ~ 4~ Lot ~/- ~ Filed Map. Lot: -a g - 4~ Applicant: /~' ~ ~( ~ ~ ~' Health Dept. Approval: Planning Board Approval: Request for: Tem~grary Certificate Fee Submitted: $ r/ b2o~' co ,,TCfl 3 7 Underwriters Approval: Final Certificate: ~ (check one) plicant Signature Elec t rical Znspec ion Cet' if ica Date 09/04/2002 Electrical Inspection Service, Inc. A_~nlication # 375 Dunton Avenue 66673 East Patchogue, New York 11772 (631) 286-6642 Issued to: FredBauser Street: 450 Indian Neck Lane Village: Peconic Zip: 11958 Section: Block: Lot: Town: Southold Introduced by: R. C. Electric Corporation Lic.# 1610-E wos e~'omin~d and found ?o be in comp#once wi?h ?he I~lafionol Elec~rlcol Code MFPA 70 [] Commercial [~NV Defects [] Pool [] lst FIoor [~lndoor []Basement [] Hot Tub [] Residential [] Det. Garage []Attic [2nd FIoor []Outdoor [] Addition []Survey Switches Receptacles Fixtures GFI Heaters 2 3 2 2 1 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Furnace Oil Gas Circulator Smoke Detector Meter Amps Phase UG/OH Other Equipment 2-1Hp motors 1-Outs~de Sub Pane/ Telephone Television A/C Fans Garbage Disposal Bell Transformer Carbon Monoxide Building Permit # President Rough [nspection: 09/03/2002 [nspector: Quentin Reynolds Final Inspection: 09/03/2002 Inspector: Quentin Reynolds This certificate must not be altered in any manner. Inspectors may be identified by their credentials Permi N.A, ~N(.J YE8 Numb Projecl Description: _~ AG EN .Ci*~ E.RM[TS REQ U[I1ED FO R REVIE XV Suffolk Co'~ H~th'Dqct. New York SNte D. E. C. To~ T~t~s Town ~g Bom'd approval: To~ Plmud~ Bo~d approvM: Flood Pl~e Elevation ??? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] ~~..T~)N [ ] FRAMING [~..J'I:INAL [ ] FIREPLACE & CHIMNEY DATE FOUNDATION (1ST) RO'UG~ ~'RA.M.~G & PI,UMBING D~TE INSUI.~TION PER N. Y. STATE ~N'Igl~GY CODE TOWN OF SOUTHOLD BUILDING DEPA RTM ENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-95O2 Examined Approved Disapproved a/c Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLISq Do you have or need the followings, bcfcre.~pplying'.' Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector Phone:? 5 q ~'"~0 ~ O~,.~ ~-!~d~09 APPLICATION FOR BUILDING PERMIT Date ,20 i INSTRUCTIONS a. This application MUST be completely filled in by typewriter or m i~ and sub~tted to the Building Inspector wifln 3 sets of plus, accurate plo~ plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on prelmses, relationship to adjoi~g premses or public streets or ~eas, and wate~ays. c. The work covered by this application may not be commenced betbre issuance of Building Pe~t. d. Upon approval of this application, the Building h~spcctor will issue a Building Pe~t to the applicant. Such a permit shall be kept on the premises available fbr inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ fi)r any puu>ose what so ever until the Building Inspector issues a Cegificate of Occupancy. f. Eve~ building permit shall expire if the work authorized has not commenced witNn 12 months after the date of issuance or has not bccn completed within 18 months from such date. If no zoning amendments or other re~lations aflbcting thc prope~y have been enucted m the inter/m, the Building Inspech~r may authorize, in writing, the extension of the pcmnit fbr mn addition six months. ThereaRer, a new pe~it shall be required. ~PLICATION IS 1 [EREBY N,I~E to thc Building Depamncnt for the issuance ora B~lding Pem~it pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re~latio~, for the construction of buildings, additions, or ahcrations or for removal or demolition as herein described. The applic~t a~ees to comply with all applicable laws, ordinances, building code, housing code, ~d re~lations, and to ad~t authorized Nspectors on prenfises and in building for necessary inspections. / (Signature of applic~t or nme, ifa coworation) UND~WRITE,SCERTIFIOATE "IMMEDIATELY" Week_ . ENCLOSE POOL TO CODE / (Mailing addre~ of applicant), ..... BEFORE '~ATER" State whe~er applicant is owner, lessee, agent, architect, engineer, general contractor~: ~ectfici~, plumber or builder Name of owner orp,'emiscs ~/~'-F -t°O/C' C?C/q If applicant is a corporation, signature of duly authorized officer (Nme and title of corporate officer) Builders License No. ~ Plumbers License No. Electricians License No Other Trade's License No. OCCUPAF, CY OR USE IS WI IFICi, TE OF OCCUPANCY (As on the tax roll or lates NOTIFY BUILDIN" 3EP ;~TMENT AT 765-1802 g A[~.. "O 4 ~-,I FOR THE FO~OWING IN~ r 1. FOUNDA" ~UIRED FOR~Uh__' _-..~ ':~ ~ 2. ROUGH - ' ~ '- ~' UMBINO [ INSU~TIOI~ & FI~- COt,~T~U~T~ON MUST ~MPLETE ~OR C O. A~ ~ON~TRUC' 0~ .-~ALL ME~ Location of land on which proposed work will be done: House Number Street CountyTax Map No. 1000 Section Subdivision (Name) Block Filed Map No. THE REQUIRE,U';':'" OF THE N.Y. T Il CONS k. ~Oiq E Ham~ OR COL ~ ~ a{'OTION E~ROR8 State exist(~ng use and occupancy of premises and, intended use and occupancy of proposed construction: a. Existing use and occupancy ~ b. Intended use and occupancyl~'4&{ I Q ~0¥t-4/ 3. Nature of work (check which applicable): New Buildin~ Repair Removal D emoliti on 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work~Cogl~m~no Dc>o/ Vt~De~cription) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, speciI~ nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new construction: Fl'o~lt Rear Depth Height Number of Stories 9. Sizeoflot:FronL}~),t~)O Rear IdO,O0 Depth qI, OO 10. Date of Purchase Nmne of Fenner Owner Rear 11. Zone or use district in which premises are situated 12. Does proposed CORstruction violate any zoning la,v, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES g/NO Will excess GI1 be removed ~?om premises? YES v/' 1'!O · iOeconf ,.~ 14. Names of Owner ofpremises~5~'OC~ ~,..~-__~ AddressZ~50 T_~dnn iklec[IrPhone No. Name of Architec! Address Phone No ) Name ofContractorlTlode_rn ~;m )'~ ~colg Address %q~ ~iddle ~qr*hone No. Corem ~o'-t 15 a. Is this property within 100 feet of a tidal wetland or a t?eshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora 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 an)' point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) OFO n0 ,,~~ SS: COUNTY ) rl~ duty sworn, deposes and says that (s)he is the applicant ~ ~k~' '~2'.f%~L ~7 ~~ ~t being ~~ndividual sigmi~rmct) above nalned, ~: ~ "' (Cohtractor, Agent, Co.orate ( )fficer. etc.) of sai~ Owner or owners, and is duly authorized to perfo~ or have performed the said work and to make and file this application; that a~ statements contained m tNs application are tree to the best of his knowledee and belief; and that the work xvitl be perfo~ed in the ma~cr set fb~h i~:the applicalion filed therewith. Sworato before me this ~ , ROBERT ~ P~'~h~Y°~ ~mlssion ~lr~ ~n~ / Signature of Applicant PECONIC · SURF. CO.TA~ .M~P ~, D.1.ST; IODO.: 5EC.'C ,~,-B.~.I?C L, I;7 "~ STATEMENT OF INTENT THE WATER suPPLY AND SYSTEMS FOR THIS RE~I~ENCE CONFORM TO THE STAN~ARD~ O ~FFOLK CO. DE~. OF HEALTH SEF {si · , A~L~AN~ ~FFOLK CounTy DEFT· OF H s~v~c~s - ~o~ A~OVAL CONSTRUCTION ONLY DATE', , A~OVED: .. , , '.' I~.::~Z..~ :~': '_ .~;~.: ,.- . , ,~, . [ ' .. -..~~;~~.. ' BOCA COD[ 19~3 Tobl, 421.11(21 TYP[ ~ POOL ' Instollot~1 to ~ in ~c~ce ~ I 706 I 26.~ I TAIS ~ROCHUR~ IS FO~ ILLUS~A~' ~0RPO~S' ONLY "- ENO~N~re ST~pS