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HomeMy WebLinkAbout28338-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29369 Date: 04/21/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 710 CEDAR LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 6 Lot 5 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 2002 pursuant to which Building Permit No. 28338-Z dated APRIL 30, 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 ANDREW J & CHRISTINE DICKSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 64487 08/14/02 PLUMBERS CERTIFICATION DATED N/A Authorized ignatur 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. 28338 Z Date APRIL 30, 2002 Permission is hereby granted to : ANDREW J DICKSON 4 LIBERTY ST HUNTINGTON STA,NY 11746 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 710 CEDAR LA EAST MARION County Tax Map No. 473889 Section 031 Block 0006 Lot No. 005 . 001 pursuant to application dated APRIL 22 , 2002 and approved by the Building Inspector. Fee $ 150 . 00 A hor-' Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 1 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depa meii[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) 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date.. I ' 16 /0 New Construction: Old or Pre-existing Building: !/ (check one). Location of Property: 70 Ced4Y he_ F TL Aar,avt House No. tt I1 �hStreet /� Hamlet Owner or Owners of Property: Irn6veo + CAY-J t, Joi( /(Soot Suffolk County Tax Map No 1000, Section O Block 0006 Lot 005-, 00 Subdivision Filed Map. Lot: Permit No. ) S'� 3 F-2- Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approvab Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 11Z3 ?I ILL c—, t0 Jo 3 j(pplicant Signature Electrical Inspection Certificate QffiS Electrical Inspection Service, Inc. B 08/14/2002 375 Dunton Avenue 64487 East Patchogue,New York 11772 (631)2864M Issued to: Drew Dickson Street: 710 Cedar lane Village: East Marlon Zip:11939 Town:Southho/d Section: 031 Block: 0006 Lot: 005.001 Introduced by. Dynatron V. Bordash Lic.0 2581-E man txarm cad aid frxnd to he in aavla✓Aane Awth Me AhhEvw/Ehch*e1 Chair AICPA 717 ❑ Commercial ❑NVDeteets ®Pool ❑1st Floor ❑Indoor ❑Basement ❑ Hot Tub ® Residential ❑ Det Garage ❑Aftic 02nd Roor ®Outdoor ❑ Addition ❑Survey Switches Receptacles Fixtures GR Heaters A/C Fans 1 1 2 1 Dishwasher WashedAmp Dryedpmp Oven RangWAmp Garbage Disposal Furnace Oil Gas Circulator Smoke Detector Bell Transformer Meter Amps Phase UG10H Telephone Television Carbon(Monoxide ❑ ❑ Other Equipment: Building Permit 0 1 i'Un✓Pa/x9 ,� 1-77)7w Gfad 1htWW Hugo S. Surdi President Rough Inspection: 07/0212002 Inspector: Ed Scaveai Final Inspection: 08/1312002 Inspector: Ed Sravel8 This certificate must not be altered in airy manner.Inspections may be identified by Nair credentials w a BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: /02 n DATE REVIEWED: A/43/02 APPLICANT: �d(x J� �io,�_ DATf-SUBMITTED: `1 /23/02 SCTM#DISTRICT: 1,000, SECTION: SION: 31 BLOCK: (� , LOT: jJ STREET ADDRESS: 9m (/e-pex CITY: c • k SUBDIVISION: %h PROJECT DESCRIPTION: -7D5 P ESTIMATED PROJECT COST:49— ARCHITECT / NGINE6 rR"—M--4—'t-FAST TRACK? 1)0 SINGLE & SEPARATE CERTIFICATION-REQUIRED? - /1,9 NOTES: LOTS 40,000SF-100-24.Lot recognition(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.]997 100-25.Merger(A nonconforming at any bine after 7/1/8. ZONING DISTRICT: R� CONFORMING? A16 REQ. LOT SIZE: 1/o,a6a ACT. LOT SIZE: REQ. LOT COV. low/, ACT. LOT COV. REQ. FRONT r- PROP. FRONT REQ SIDE ACT. SIDE ' ' REQ. REARJ'� PROP. REAR io WATERFRONT? No DESCRIPTION: PANEL #: FLOOD ZONE:, APPROVALSREOUIRED SUFFOLK COUNTY HEALTH DEPT: YES or(0 (BED #):_DTE:—/_/ PERMIT #:RI O- TOWN SEPTIC RECEIPT: Y or 1) NEW YORK STATE DEC: Pae-UEC 9n/75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OR Iv : EGRESS (18 H min.? 4 sq total) i/VENT (SQ. FT. x 4%) � a LIGHT(SQ. FT. x 8%) a BUILDING PERMITS OPEN/EXPO ED: BP -Z/C/0 Z- HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE 1. ( SF)- SF)= SFX $ _$ +$ +$ _$ J� 2. (_SF)- ( SF)= SF X$ _$ +$ +$ _ $ �P�2833�� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL _Z,�y [ ] FIREPLACE & CHIMNEY REMARKS: DATE /0 03 -INSPECTOR- � � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLOG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMN REMARK DATE _ 1--1 INSPECTOR l FIELD INSPECTION REPORT DATE COMMENTS rh FOUNDATION (1ST) H DQ ak ------------------------------------ C U FOUNDATION(2ND) z 0 ROUGH FRAMING& t7 H PLUMBING � x 7 Cil INSULATION PER N.Y. STATE ENERGY CODE / d3 ,us FINAL NY 10 ADDITIONAL COMMENTSel (� 3 0 © - z z t� W O z x H x e t BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . .. . . . . . . . . . . . . . . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . .. . . . . . ... ... . . . . NOTIFY- CALL Exmmined.../.}? ......., 20...Z Approved..-/- -/•'°--...., ~��Penmit No. ................ ... ..................rY..... $, ... Disapproved a/c ..... ... .................................... .................. ... ... (huilairg I APPLICATION FOR BUILDING PERMIT I // Date. . . :7..f6. . . . . . , 20QZ� INSTRUCTIONS a. This application most he completely filled in by typewriter or in ink and submitted to the Building Inspector wii 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 mist be drawn on the diagram which is part of this application. 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 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 BERM MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Tone Ordinance of the Than of Southold, Suffolk Comity, 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 buil r necessary inspections. ...... .. ...... .... .................. (Signalise o applioatnt, or n f a corporation) l?:�-�.7..Srr.►.�:w4tov�n.6wu...N..eScous�{�-I�{ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer neral contractor electrician, plumber or builde- .............................j....,......................................................................................... Nam of owner of premises ...I�..eV-) �l _KS60 �.� owBn ) ................ .... ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ............ J ....... Plumbers License No. ........ 1`!� ........ yY. Electricians License No. ....t.lP!M14`e / 'Q!i)A! Other Trade's License No. ...� .'`.l...�A� �'7` /+� � ' - _•,, 1. location of lard on which proposed work will be tone......! IQ. I.C.Q(q-Y L[aMl� ................................................. v�si— m ! !?! .t.. �y.. ...... .................... House lumber Street Hamlet County Tax Map No. 1000_Section 1.......� � .I..... Block ..... ........ lot .. :.�....... Subdivision .ro .. .!-�5..�?Pl. r1m...... Filed Map No. ............... Int ............... 2. State existing use and occupancy of premises and intennded use and occupancy of proposed construction: a. Existing use anoccupancy ......1....�mt1 .. tdevvh R-1...................................... b. Intended use and S AM E �. miture of work (check which applicable): New Building .......... Addition ..... ...wAlteration ... Repair .........:.. Removal ............. Demolition ............ Other Work .:?.1•l)�:q �. ...�CJ(�L......... (Description) 4. Estimated Cost ...i Zi ate............. fee .............................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............ Nudher of dwelling units on each floor ................ Ifgarage, ranter 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 ......................rr..(. Number of Stories 22.....�.t............... 9. Size of lot: Front. ...t.'J.V t.l......... Rear ...1✓.�.•...!........ Depth ...a2��..b:...... 10. Date of Purchase ..7.:?2PP.(..... Name of Former Owner ........................................ II. Zone or use district in which premises are situated .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ..N.0................. 13. Will lot be regraded .......PP......... Will excess fill be remo ed from premises: (5 ND 14. Names of owner of premises pt44A4)... LG=Sotj..... Address 710 ,CCOAC LO phone No.9-.- E= iifA66iy.. Name of Architecf .................................... Address .............................. Phone No. Name of Contractor PPQ., AAT...................... Address A.H1.S! R*iVvJV% to .J Q..Phone No. .3 )179.0... YJ�'SGortSeff nlh( 1(76? 15. is this property within 300 feet 6f a tidal wetland? * YES ..........�........... *1F YES, SOI T[M I" MWEES PM4fT MAY HE RE¢IIRED. PLOT DIAGRAM Incate 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 slow street names and indicate whether interior or corner lot. irAli' OF NW YORK, SS XXJN1Y OF ....................... R1�1�Yd Sr1Jf2 ..................... ...being duly sworn, deposes and says that he is the applicant ........... ..... .Name of individual signing contract) above named, e is theCG dl'fY14Gb�L ............................... ................. ............................................... (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ipplicatioh; that all stateients contained in this application are true to the best of his knowledge and belief; and hat the work will be perforned in the manner set forth in the application filed therewith. Worn to before me this .........U9......day of APP-11L ......_20.a.Z-.. Notary Public ...... .... AMY LATTANZIO (signature of Applicant) Notary Public, State of New York No. O1LA6030584 Certificate filed in Suffolk County Commission Expires Sept. 13, 20jtb SURVEY OF PROPERTY SITUATED AT Val EAST MARION TOWN OF SOUTHOLD 0. xo SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31 -06- 5. 1 SCALE 1 "=30' MARCH 22, 2002 N� ARE = 29,244.10 sq. i . 0.671 S6p ry �� PSD I• o r F ot & rn �IOI�QGSCti vL � .v S 6OAk 9a4 {oyyo � \ a101IN'Pv�PG E¢ mss. . 3 s 1 n c36, 2z ;p�.cbs 'T, .. aye sj0� , N' °•� q UNDERWRITERS G�RdIFItCA ..IMMEDIATELY.. DET? ENCLOSEPOOL TCO 0 UPON COMPLETION BEFORE "WATER" i O e (� P-16 a 'm 0 R a m 1 ii,i et f Ar To# Pr•Olt"s q/ iNxn pommu CulRe� N y�.�J 'b�s ' 'L�� .. 0� Fou TO THIS OSN ERvEY IS AA NOLAnON OFTION OR NION L G M CONCREnt (moo o 'r/nl 4 .ONp �O Sys �G2 // •• fORPOURED ESECTION DULATONZIAW THE NEW YORK STALE � p 'E ROUGH •PRAYNINAPWYENM OCC(UP1AggV�pCYO �p o SG NAL / Z INSULATION USE IS UNLAWFUL COPIES OF NIS SURVEY MM NOT DEMING d e o . / C ao o s •FINAL • CONSTRUCyTUNII ERISt WITHOUT CERTIFICWTE TEMBOS E�SE�"SHAU1 NOT°BE CONSIDERED m�F clsµ rv�E \ BECOrPLETEPORCA TO BE A VAUD TRUE COPT. npG }�yo Tf,N+ \ �OWoRE�i �� ; ALL CONSTRUCTION SHALL III OF OCCUPANCY ONLY TO ME PERSON FOR WHOM THE SURUN ONLY TO ME PERSON FD MON SHALL RUN 13 \ wsvagy lc THC REQUIREMENTS Ci CNC N.TA Is PREPARED. AND GN HIs BEHALF TO n�F o R b STATE CONSTRUCTION C ENERGY TRIS CO~, GOVERNMENTAL AGENCY MD g CODES. NOT RESPONSIBLE PON TO ME LENDING IN ASSIGNEES OF F DIE HEREON. AND DESIGN OR CONSTRUCM ERRTUDON. CERTIFICATIONS ME OT TTNMSFf RABLE �.- THE RIGHTS OF WAY r0 \ IF ANYOR EASEMENTS NT OFRECORD, . NOTEE SHOWNARE NOT GUARANTEED. a PNEPMEO IN AC NEAR E WITH RIE MINIMUM ..1 g GP BYuiNENLIAL . 0 APPROVED AND Gi DR t Joseph A. Ingegno � �,h0 d�F 0 IME kS-*HH B DIE NEW YORK surf wro H' 6�5 UGEaE F Land Surveyor rl 'Pq�Q K N Tille Surveys — Subdivisions — Site Plans — ConsfnFcfion Layout 0 • - (�� PHONE (631)747-2090 Fax (631)727-1727 02 40 6 P�" OFFICES LOCATED AT MLING ADDRESS �(A 5 �� NY S. IT. No. 49666 1360 ROANOKE AVENUE P0. Box 1931 A —" RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 22-052 SURVEY OF PROPERTY SITUATED AT EAST MARION x TOWN OF SOUTHOLD \ \\ SUFFOLK COUNTY, NEW YORK \ �$. S.C. TAX No. 1000-31 -06-5. 1 SCALE 1 "=30' MARCH 22, 2002 NOVFMBER 13, 2002 FINAL SURVEY FOR POOL �\ � AREA = 29,244.10 sq. ft. 0.671 ac. b F3 15 13G T, Gil � � T bo, V i T 2J�j� @��PO�� 0� e�b a ti IA `9'L ✓ �\ � o�e`u�o eD c Asn J sp "^ .1 y'A OEEEF16 !� '5"P SO °T E+0- 0�' O ry _ TOPY P .n o� n TO�9 � I N N 'P °a�= •��— o \' \ uunuTHOR¢m ALTERATION OR noDIr1DN 111 e'RIEP} \\ \ SETHIS SURVEY ON DF CTION 7209 OFSTHE VNEWTIYORK STATE 1 ,y Ilk EDUCATION UW. a G < o�` 2 \ THECOPIESLA OF THIS SURVEY KMAPED NOT BEARING THE LAND SURVEYOR'S INHEO SEAL OR W( �\ EMBOSSED SEAL SHALL NOT BE CONSIDERED q9� \ \ v TO BE A VAUD TRUE COPY OG Vi%•LO C(Ep�NC-0( - �\ CERTIFICATIONS INDICATED HEREON SHALL RUN Z \ EE DC"-- _ v \ ONLY TO THE PERSON FOR WHOM THE SURVEY S- \H\ TMNSFOS BEHALF TO 7-E fl ESR y\ o \ TITLE R COMPANY, GOVEPARED, AND ERNMENTAL MIENTAL AGENCY AND \ �l LENDING INSTHE D ON LISTED HEREON. AND e \ na TI- TOTION CERTIFICATIONS OF TARE NOTHE TRANSFERABLE W. 1 THE EXISTENCE OF RIGHTS OF WAY G \ \\ ORD, IF ANDEASEMENTS , NOT SHOWN ARE FNOT GUARANTEED. a \J o X001 0 @ R1Gp1J \ srnuonAoslroa T�icAsuRv rs ESTABLIISIEO �a F iGou ;IreTHECH IAD rNTHEPNEW H IZE Ep Joseph A. Ingegno ° \G°, ° s 6�5 F�GENE U-- N Land Surveyor r1I¢ $IINEYS - $Nb6Vl9,,115 - S11¢ PIOUS - C0091(OCI100 L¢}'011t CT cc PHONE (631)727-2090 Fax (631)727-1727 CANs S , 3OM0 ROANO E AVENGE MCFS LOCATED AT MAILINGADDRESSADDR931 ESS N.Y S. LC, No 4966M --- - RIVERHEAD, New York 11901 Riverhe¢d, New York 11901-0965 - -- -- --- - 22-052A. F/Lf(R �//IfUrI✓/1SNE.0 A[(/N, LOP/NI OO PORP �HOT O.( AC Ux. COP/NG CC/P ,✓!LO'1 [aNF fnLUH)N/ICD ..��..c......w...� OCOAT/N/ OYfR w//LAPS � �uJ �--- SK/X xER-S(.CT10N AG UK !OP/N6101 LCONClEYE OP -/<r/ALF. NEx NP BOL T. ///'''��� ,v/aP O/cK(B✓ NEX NOT{/J/FLAY I✓AYNIRJ///) � OTeYEpS) yP J-p •Kmo ALTERNATE ,ItMCN.. RIM LOCK COPING o<c�4 - a 1� �S Oa 9 JTEEL PANEL Rcrvg a C D (Lr) �6 PANCL ST/ffCNCY JTEELiLE .(/Y! Q SrAKC ✓ . TyP/GL A fE1•NIE ..:afo en•ar a.uaL Jta•Y PLAN VIEW OF POOL4� CAJE r)/LtatOlvITNLONCLCTT ,• • r.• ...r. •� �_ >eA NKA p-worrLu �• r.w i..:u�u L}wD !n_r���• •� • ICw Nrlafrr� T" •r7y BOLT, J JAND al TYOM-Y.INP�. T �. — ,.,Fay/f EASE I K/C N//T F / rLnT {ROLL!. - 1 IVASNER (3 T U LONGITUDINAL SECTION SANG al. JivNE �rr.. ''L 7_0'_caP ER UNDISTORB EO EARTN E.— .0 40NL PPBAL, fLGLLR� DR/YEN /N OAWSMCACV = O EA4TN. OSE NO<O/N StHCEq f7/R/OGT3 /1 3/4• ST_ PIPE WALL SECTION e R1 FRAME ° VVDD LUQ✓EO PAf\i.L F/LEER O AT EVERY STRAIGHT PANEL INTERSECTION CORNER CONNECTION 5/8- TH'D ROD BOTH ENDS r i � - h•ELOS ON 3lDE O/PANE[, /�/� CONCRETE MOUND / LON4. /VEL.EP TOP BOrTON ti /1S SNOWN ALUM/N/2 LP 3 CU.FT. MIN. --`4 BYca wcc va 110RIZ. BRACE Drew Dickson 1,5" X 2\ X 2r ,,* 710 Cedar Lane "A', FRAME DETAIL \ STAKE 1 East P4arion, NY 1.5 X 1 5' X 2.1, J13* 4f IS �f YPICAL PANEL STIFFENER REVISED 1/99 H - ROY JAFFE, P. E.