HomeMy WebLinkAbout34182-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33413 Date: 11/25/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3805 PARK VIEW LA ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 1 Lot 34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 22, 2008 pursuant to which
Building Permit No. 34182-Z dated SEPTEMBER 22, 2008
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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to SUZANNE T. PATTI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2956 05/27/06
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
Form No.6
t
TOWN OF SOUTHOLD NOV 2 200
BUILDING DEPARTMENT
TOWN HALL
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:
l. 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. Conunercial building, industrial building, multiple residences and similar buildings and installations, a celiificate
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) rrou-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property shoNwing 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,
Swinuning 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, Conunercial$15.00
Date. b U 0'
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 r Us.- try n`yr e"'j dui
House No. Street
Hamlet
Owner or Owners of Property: i�� P /I
Suffolk County Tax Map No 1000, Section 7 3 ek cl f4,G lock 000 I Lot
Subdivision Filed Map. Lot:
Permit No. 3q I p� Date of Permit. �� �. dr Applicant: J�7,a�✓avt
Health Dept. Approval: Undenvriters Approval:
Plaruung Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $ As: ® U
Applicant Signature
SUFFOL_ K = -ELECTRICAL
BUREAU of
E L E C T R I C A L
INSPECTORS, Inc.
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 ■ Fax: 631 980 6455 ■ E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Bethel Electric
€€Rough In Inspection gate: 5/27/2006 Final Inspection Dater 5/27/2006
:Application N°: 2956 Certificate No:' 2956
Suffolk County Tax Map N°: ' 15 1 34 Building Permit N°:
€'€€This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment €=
-and/or work described below, installed by the applicant named above, located at the premise of and not
'? after the final inspection date above:
Owner: Patti Clem
Address: 3805 Paekview Lane, Orient Point, NY 11957
€: Address of.Inspection'Site:.. -38.05 Paekview Lane, Orient Point, NY 11957
X: Residential Indoors Basement Service Shed
Commercial X Outdoors Ist Floor X Pool 'Other:
New Renovation .
,. 2nd Floor Hot tub
Addition Survey y . .. .. .- ._ - Attic . ..�..�. -. . . Garage
Inventolry
Service 10 Gas Heat Duplex Recpt Ceiling Fix HID Fix
Service 30 1 Time Clock 2 Switches Wall Fix Smoke Det
4 Main Panel Hot Water 1 GFCI Recpt Recessed,Fix Co Det
4 Ckt Sub- Panel . GFCI Breaker 2 Single Recpt Fluorescent Fix 2 Pump
Disconnects Dryer itecpt mange Recpt , A/C.Slower Emergency Fix
Transformers Exhaust Fan Appliance A/C Cond Exit Fix
Twist Lock TVSS Heat Pump Electric Heat Pool Luminaire
Other Equipment: 1-Motorized Pool Cover
€:€€;:The electrical work and/or equipment described above were inspected and aPPear to be in compliance with . 'I
€`local, state and national electrical code requirements,and this office. .,
::Applicant ;Bethel Electric License No: 2880=ME'
Inspected by:, G Surdi . . .,,..,,, Date of Certificate: 6/27/2006 =€:=
Signature:
................................. € €
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. 34182 Z Date SEPTEMBER 22, 2008
Permission is hereby granted to:
SUZANNE T. PATTI
22 DWIGHT LANE
BEDFORD,NY 10507
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR. REPLACES EXPIRED BP # 31768
at premises located at 3805 PARK VIEW LA ORIENT
County Tax Map No. 473889 Section 015 Block 0001 Lot No. 034
pursuant to application dated SEPTEMBER 22, 2008 and approved by the
Building Inspector to expire on MARCH 2 ,
Fee $ 150 . 00
uthorize Sig a ure
ORIGINAL
Rev. 5/8/02
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. 31768 Z Date FEBRUARY 2, 2006
i r
i
Permission is hereby granted to :
MARY RYDER
104 SPRING RD
HUNTINGTON,NY 11743
for
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 3805 PARK VIEW LA ORIENT
County Tax Map No. 473889 Section 015 Block 0001 Lot No. 034
pursuant to application dated FEBRUARY 1, 2006 and approved by the
Building Inspector to expire on AUGUST 2, 2007 .
Fee $ 150 . 00
f
Authorised Si nature
ORIGINAL
Rev. 5/8/02
SOUryO�o
courm,��'
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [FINAL ;
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE INSPECTOR
�v
OF SOUjyo�o
l � • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
C.%
REMARKS:
To x C�
DATE INSPECTOR
OG SOcoum,
Uj�olo
(i f/ p`� � • �o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLOD.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING / STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
X)6-7
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST)
Q H
------------------------------------
O nC
FOUNDATION(2ND)
z
� o
H
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD I'! _ r `� B�JI( ,DitINI PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT you have or need the following,before applying?
TOWN HALL FEB ' J + Board of Health
,,
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 i - Planning Board approval
FAX: (631) 765-9502 - '_ . i Survey
www. northfork.net/Southold/ PERMIT NO.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined ,20 Contact: y 7
Approved Z Z ,20 Mail to: J2 00 7 7 p 9 ay ,X J b 3
Disapproved a/c �PL on ; C �Y �P 0
Phone: /31-73 Y- 7�00
Expiration �i ,20_,7---
{
Zuildi
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date
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, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Si ture of a plican or name,if a corporation)
0300 R4 ` ? PLIon, , NY I19,ff
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
� 1
Name of owner of premises dcvr%
�, 1
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
J�
(Aam and itle of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Block
Subdivision G r¢�.h �) art! Lot-
Filed Map No.. 0 Lot
(Name) —
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building : Addition Alteration
Repair Removal Demolition Other Work,
0 (Description)
4. Estimated Cost, 0190 . 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 Address Phone No.
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.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY O ') L..K.-
J G.yn being duly sworn, deposes and says that(s)he is the applicant
(Name of individual sigilAig contract) above named,
(S)He is the G o^lrr1 o T
(Contractor, Agent, 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.
Sw rj1 to before me t
SS day of �� - 20 ()1D
Nota Pu lic Signature bf Applicant
MELANIE DO OSKI
NOTARY PUBLIC,State of New York
No.01 D04634870
Qualified in Suffolk County,
Commission Expires September 30,
NOTED �o � CODES OF
APP OVED AS COMPLY WITH ALL
DATE: Z B.P.# NEW YORK STATE & TOWN CODES
FEE: BY:
AS RE U'IRED ANr) CONDITIONS OF
NOTIF BUILDING DEPARTMENT AT SOL: HOLD TOWN ZBA
765-1802 8 AM TO 4 PM FOR THE SOL HOLD TOWN PLANNING BOARD
FOLLOWING, INSPECTIONS:
1. FOUNDATION - TWO REQUIRED SOL',"HOLD TOWN TRUSTEES
FOR POURED CONCRETE N.Y.S.DEC
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR
REQUIREMENTS OF THE CODES OF NEW USE IS UNLAWFUL
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
WITHOUT CERTIFICATE,
OF OCCUPANCY
,UNDERWRITERS CERTIFICATE;
REQUIRED ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
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WATEti PER sAuc.af CEMENT. . �,N 3 Qom,, y G H M AT)(� �f�ur'l D1NG� •�tRhNGi� N M�
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