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Home My WebLink About37157-Z S�pppt�.Q Town of Southold Annex 5/4/2012 P.O.Box 1179 54375 Main Road tsy • �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35579 Date: 5/4/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 760 TALL WOOD LANE MATTITUCK, SCTM#: 473889 Sec/Block/Lot: 113.-7-19.17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/4/2008 pursuant to which Building Permit No. 37157 dated 4/24/2012 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: in ground swimming pool with fence to code The certificate is issued to ARLINE BOECKMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N 023181 7/25/88 PLUMBERS CERTIFICATION DATED Auto ' ed S' aturi a�gvFFgc,��o TOWN OF SOUTHOLD a Gyp BUILDING DEPARTMENT y 2 TOWN CLERK'S OFFICE oy • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 37157 Date: 4/24/2012 Permission is hereby granted to: ARLINE BOECKMAN P.O. BOX 1014 MATTITUCK, NY 11952 To: CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE AS APPLIED FOR. REPLACES EXPIRED B.P. # 33957 At premises located at: 760 TALL WOOD LANE MATTITUCK SCTM # 473889 Sec/Block/Lot# 113.-7-19.17 Pursuant to application dated 6/4/2008 and approved by the Building Inspector. To expire on 10/24/2013. Fees: PERMIT RENEWAL $217.50 Total: $217.50 i Building Inspector 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. 33957 Z Date JUNE 4, 2008 Permission is hereby granted to: ARLINE BOECKMAN PO BOX 1014 MATTITUCK,NY 11952 for CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE AS APPLIED FOR. THIS PERMIT REPLACES BP 31727. at premises located at 760 TALL WOOD LA MATTITUCK County Tax Map No. 473889 Section 113 Block 0007 Lot No. 019 . 017 pursuant to application dated JUNE 4, 2008 and approved by the Building Inspector to expire on DECEMBER 4, 2009 . Fee $ 435 . 00 Authorized Signature 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) 12,'-n 33%7 PERMIT NO. Z Date JANUARY 12 , 2006 Permission is hereby granted to: ARLINE BOECKMAN PO BOX 1014 MATTITUCK,NY 11952 for CONSTRUCT AN INGROUND POOL & DECK WITH FENCING AS APPLIED FOR. THIS PERMIT REPLACES BP 17519 . at premises located at 760 TALL WOOD LA MATTITUCK County Tax Map No. 473889 Section 113 Block 0007 Lot No. 019 . 017 pursuant to application dated JANUARY 12 , 2006 and approved by the Building Inspector to expire on JULY 12, 2007 . Fee $ 435 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 , si.?'.''s! Date Application No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ii`�i.4:."'1r` tiS.t:;aii`t?.!�d ('i}k, ;'�f';(" c. i <Ij+t i��,., ri•,. hi,4, in the following location; GOT❑ Basement ❑ lst F(. ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENT I y52U,'y AMT. I K.W. I AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. — DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 3 SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS _ SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1,•2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: ` ��>f�,`-�`I '.I.�.�i'• Y 4��?3�f r�tj?..L.... .'ti=' l..i.7.__f"ra i.:,� t..'.C)C•'saT'! C'-+:)';l.jif.`i_ l,'i1i'a: r ;h, •.i,T � _;:S'iT;'. '�"`�,,` ti�,w,�- ;'.:�i.f i',T;,C� nr r•;y js;'x'� ., GENERAL ,h ANAGER 10 fS Per ' ,:1i This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. FORM NO. s 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) N2b17519 Z Date .......... ........ .. ......................., 19....... Permission is hereby granted to: V CA w( ` 4. 1 . ............ ..:.y...... . 9 �. .... .... .. ............. ....... ... ............... .....................,. ...................... at premises located at ..o: ?..... ...1...� . ....... .!G"!.,....... ............ .................................................................... ...... l.0...... ............. .County Tax Map No. 1000 Section ... �.�..3.......... Block ....... ........ Lot.No....1 :L.. ..... ► `� .. .. .. . ... .. 4 f�f� pursuant to application dated ... .,fie!-o ....: . ..U..O.............. 19 , and approved by the Building Inspector. Fee $. .C`? 1...S.U.. C;�L...... Y............. Building ..Inspector ......................... Rev. 6/30/80 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: 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. 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 buildigs (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 l. Certificate of Occupancy- New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00, . Swimming pool $50.00, Accessory building$50.00, Additions to accessory building$50.00, 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 Construction: 7 Old or Pre-existing Building: (check one) � Location of Property: /6 d —rae_t /woe pot ka,. qt , House No. Street Hamlet Owner or Owners of Property: R/� dZg 219 -a /yl/laeQn Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. —2 —/ Applicant: M",e 6 0g C/G M A AJ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ pp Yi a i if Sigiature G • 7 _. pF SOUlyolo TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUG . PLOG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING/STRAPPING [ ' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRI L (ROUGH) [ ] ELECTRI L F L) REMARK O�4 411k EZ DATE INSPECTOR l OF S0(/j�o - - o�yco ,� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ' [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING/STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: - DATE INSPECTOR JJDATE C;OMM.ENTS --- H ' FOUNDATION ( 1st ) , FOUNDATION ( 2nd ) _ _ ri � 2 . ROUGH FRAME & •PLUMBING cn 77 3 . r1 INSULATION PER N . Y. STATE ENERGY CODE x 4 . FINAL vr Vi .E z ADDITIONAL COMMENTS : x x O � z a r� -o • H �30 6 DSO BOARD OF HEALTH . �!'� Z.�.&Z VS6� 3 SETS OF PLANS G:k. . . . . . . . . FORM NO. 1 SURVEY } a �d TOWN OF SOUTHOLD CHECK . . . $�� . BUILDING DEPARTMENT SEPTIC FORM ./� TOWN HALL WNLD DE SOUTHOLD, N.Y. 11971 NOTIFY 8® TEL.: 765-1802 CALL . . . . . . . . . . . . . . . . . . . . . Examined 0 . :', 19��. �3� � r MAIL T0 : Approved° -?• . .l,l. , . 19A . Permit No�. . . l.9 v . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . * � . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . w G. . . . . . . . ., 1 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, *,imilding de, h using ode, and regulations, and to admit authorized inspectors on premises and in building for necessary is. (Sof applicant, or name, if a corporation) . (Mailing address of applicant) • State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . .. .mil... . .. L. . . C o•.rT.. . . . . . ."►. . . f. .-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rj Name of owner of premises . . . . . ..:� L t. .. . . . . . . . . .�eM-�. . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . (as on the tax roll or latest deed) If applican is corpo tiIninatuie duly authorized officer. �2�5 (Name and title of corporate officer) Builder's License No. .(. � . � . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . ... . . ... . . . . . . . . . . . . . . Other Trade's License No. 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . .. G o k Kl EEC_ �.. . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section .�C'� --� ��. . . . Block . . . . O-J. . • • , . . Lot . . . . . Subdivision . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . .. . . . Filed Map No. Lot . . . . . . . . . . (Name) . . . . . 2. State existing use and occupancy of premises and intended use and occupancy_of proposed construction: a. Existing use and occupancy . . . . . . .�.. ... . . . .. . . ,-� t L`"(. . . �F . • , • • , , . , • • . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � V 3. Nature of work (check which applicable): New Building . . . : . etat'on Repair . . . . . . . . . . . . . . Removal . . . . . . AdditionM1 Demolition . ..t;0 fier Work . . ` 4. Estimated Cost . . . . .5... �D . . . . . . . . . . . . Fee �o�. (Qescin14 pion) be pdid onfilmg this application) 5. If dwelling, number of dwelling units . . . . .�. . . . . . . . . . Number of dwelling uniton eachfloar � .� If gara-e, number of cars . . . . . . . . . . ?'7 A ' ' ' ' ' . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use • . 7. Dimensions of existing strictures, if any: Front . . . . �: . Rear hi. Height , , , , , , ; , , , , , , , , Number of Stories . Dimensions of same stricture with alterations or additions: Front Rear n: Depth . . . IIeiglit . . . . , , , . Number of Stories 8. Dimensions of entire new constructio ,Front Depth . . . . . • . . Rear 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: . . . . . . . 13. Will lot be regraded Will excess fill be removed from premises: • • • • •Yes . 14. Name of Owner of premises FCejjr1K�ti'j No •Px�►f+�� IOAddress 34-[U 0-t..tr`a-4fs Te'Pllone No. Name of Architect . Address •'�A'�"�`ffi`�• Name of Contractor Q. • •. • • • • • Phone No. . . • ,Zelei.-,,1� Co;�i y'r . . . .Address . }3o,r• 1�45�3 1M d^ 531 15.Is this property located. within '300 ' ' ' ' • • • • • • • Phone No. . . feet of a tidal wetland? -YES . . . .NO X. . *If yes , Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ' COUNTY OF . . . . . S.S • . . ' ' ' being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . . . . : . : . . . . . . (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. -Sworn to before me this . . . . . . . . . . .7 . : . . . . .day of. . . . . . . . . . . . .. 19� VNotary Public, . . .`� • !t� C.�.U _County 11M K DE VOE NOTRIIV PUBLIC,State.of Blew Ye:k . . . . . . . . . . . . . . . ... . No.4707878,Suffolk Cautrt q TemExOresMmh30,� (Signature of applicant) Southold Town Building Department �SUFFot,��a , P.O.Box 1179 boo Gym Permit#: 33957 0 54375 Main Road Southold,New York 11971 Permit Date: 6/4/2008 (631) 765-1802 Parcel ID: 113.-7-19.17 Expiration Date: 12/4/2009 BUILDING PERMIT. RENEWAL LETTER FINAL NOTICE Dated: 4/16/2012 Applicant: ARLINE.BOECKMAN Location: 760 TALL WOOD LANE MATTITUCK Work Description: IN GROUND POOL CONSTRUCT INGROUND SWIMMING POOL & DECK WITH FENCE TO CODE AS APPLIED FOR. A FEE OF $217.50 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: ARLINE BOECKMAN Address: P.O. BOX 1014 MATTITUCK, NY 11952 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. 8966 5�16 7010 ❑290 0a02 THANK YOU, SOUTHOLD TOWN BUILDING DEPT. '( �' '�.', •t is "�' , • .frY+i: i �!+1�E''�[yy��`,,,��Z`•4 5+.� a.. ,F+ �j 611''1'F.,�" j ' , i y� .4 � •+� �'1:74$,Tr,t�,•. +v 1` � :, •.t �'I' F S- t a Y R r �gy��SY � a�+�. �a�+y + s• � o j ` a �)i'�ff fJ 1Yjf{ Nt' "IT i.� !y , ,. _ �,�`�� y�°'"""°'`�. t.` 9 Sew ti{i�f'�q�� 1ry�`' •S�Y'• ' r .itii i 4.11 so • �N$- N $. '"'-%• ' rtvw Of TES10i °p. s tS��E• �2�88 g•56°`� g1�w• • • N• ®5g 50.00 Na �►+ . .+ Vol. O w 49./• ^�. `... .� 9.'f�4��,� ° , o. cl BI R'TMENT-DlAW P bRB, Wo ma 4 , + CATmi 1 �1f�R Loam UP.fi a Tea► ' lid c APPPtX'f,;D AS NOTED PATE .p # L7 ? COPPer tubing is n ---- H+atsr distr - eed no NOI!FY BLAI- iNG DEPARTMENT AT ��'Oping Shall be 765— t Diaz 9 Af%A TO n PEA FOR THE tym r A FOLi O PvING iAiSPECTIONS. . -_ .._.. _.. 1. FOUNDATION - TWO, REQUIRED "EEM CER11FICA1E .. FOR POURED CONCRT�_ QUIREp IMMEDIATELYN 2. ROUGH - FRAMING & PLUMBING 86CLMPMIDCM 3. INSULATION W060WIMM 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. OCCUXA- NCY OR ALL CONSTRUCTION SHALL MEET USE IS UNLAWFUL REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION m ENERGY WITHOUT CERTIFICATE CODES. NOT RESPONSIBLE FOR OF OCCUPANCY DESIGN OR CONSTR=ON ERRORS QZ ............. AW TITS IMAW, 4 IN ............ Pf MIMI Z, -,,own, 11 too 1 750� 777, A_ V� VTM K1-M kill ARK, V ON VOW :w V� looks loh-, �k APPPQV�p 6 �QUNWER ...........Wx...... ...... ........ :>