HomeMy WebLinkAbout28773-Z . FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29518 Date: 06/13/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 260 FOUR WINDS CT SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 6 Lot 13 .39
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 2002 pursuant to which
Building Permit No_ 28773-Z dated SEPTEMBER 23, 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 JUNE CASTELNUOVO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1124450 04/04/03
PLUMBERS CERTIFICATION DATED N/A
i
Authorized Sign re
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. 28773 Z Date SEPTEMBER 23 , 2002
Permission is hereby granted to :
JUNE CASTELNUOVO
56 BAKER HILL RD
GREAT NECK,NY 11023
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE AS APPLIED FOR
at premises located at 260 FOUR WINDS CT SOUTHOLD
County Tax Map No. 473889 Section 088 Block 0006 Lot No. 013 . 039
pursuant to application dated SEPTEMBER 20, 2002 and approved by the
Building Inspector to expire on MARCH 23, 2004 .
Fee $ 150 . 00
Authorized Signature
COPY
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD r5l �5c_kPq
BUILDING DEPARTMENT (( \
TOWN HALL �f ems_r •'Ue..��� 11_/V
765-1802 ) 1 U a3
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 natu�al_or
topographic features. 44
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.
I
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
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: i
House No. Street \\ Hamlet
Owner or Owners of Property: V n G �S \Q, 14 V b V o
Suffolk County Tax Map No 1000, Section g $ Block Lot _c) 3 03
Subdivision yFiled Map. Lot:
Permit No. 0��� \� Z Date of Permit. t.� ^Applicant: J \� Q_ (N% �1,y oy O
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
t�
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
C �q/U y v licant Signature
� rJ'df�.fr..f'rJ�r..frJ@.frJr�cPcPrJ'�P�PrJ'rJ'rJ'�.f�.fr��.frJ'rJ'rJ'rJ'rJ'rJ'rJ'rJ'rJ'rJ'rJ'cPrJ'rJ'rJ'rJ'�PcJ'rJ'rJ'rJ'rJ'rJ'rlcPcPrJ�rJ'cPrJ'rJ�rJ�rJ'r��.fr�rJ'rJpcPrJ'rJ'� c�
5 5 BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
r5j 40 FULTON STREET — NEW YORK, NY 10038 5
5 CERTIFIES THAT
Upon the application of upon premises owned by
JUNE 5 VO
56 BAKER HILL RD VO JUNE O
260 FOUR WINDS SCOURT �5
GREAT NECK NY, 11023 SOUTHOLD, NY 11971
SCS Located at 260 FOUR WINDS COURT SOUTHOLD, NY 11971 5
c7 Application Number: 1124450 Certificate Number: 1124450 r5j
�� 55
c� Section: Block: Lot: 37 Building Permit: BDC: NS11 frCCC7C777++
Described as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement, Outside,Pool/Spa,
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 4th Day of April, 2003. 5
5 5 Name OTY Rate Rating Circuit Tvoe 5
Appliances and Accessories
5 Pool/Spa Bonding 1 0 5
rj Furnace 1 0 Oil 5
5 Panels
5 1 30 3 rj
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 1 0 General Purpose 5
5 5 Fixture 1 0 Pool/Spa 5
Receptacle 2 0 GFCI '
5 GFCI Circuit Breaker 1 0 20 amp Pool/Spa ',
5 (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have L
5 frequent test and/or repairs made by a qualified person. 5
IN
5 seal 5
5 5
of
S 1 1 55
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
D t PtJ�cPrJ�rJ1111111111rJ �rJ�r�1J00:i Ii J�rJ�rJ�rJ�rJt�tJ�tJ�tJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJrJ�tJ�rJr�rJ�rJ�rPrJ�rJ�rJ�rJ@PrJ�rJ�rJ�rJ�rJ�rJ�rJ@PrJ�rJ�rJ�rJ��PrJ�rJ�rJ�rJ�rJ�tJ arm oc
MirWO-11ROMP WZORI�
MW
10 Ilk �v
g,6�,ng
-All -
Mvol
11 Mr MOM M, 117 V -I
A
Rp
rr
14�
Aul
'ety"I r- I
C5
ed
71
MICHAEL A. ANGELONE, P.E.
ENGINEERING SERVICES
157 RADCLIFF DRIVE SOUTH • EAST NORWICH • NEW YORK 11732 • (516) 922-2024
September 11, 2002
Building Department
Town of Southold
Main Street
Southold, New York 11971
Gentlemen:
This is to certify that the drainage facilities to be used exclusively for the construction of
a swimming pool on the premises of the:
Castelnouva Residence
260 Fourwinds Court
Southold, NY 11971
will not require draining because the pool is a vinyl pool. The pool will be continuously
recirculated through the fitter and will be reused from year to year. The drainage from
the filter backwash is nominal and will not interfere with the public water supply, the
existing s cilities or public highways.
Q�yp ES: 1 AI
Ve Ntjr ,i`a
�? �� pn+• rot,',. °,.
M.
Mi a A`s�ttgeloiie�P.1-1
ATF OF NEW�` %
TYPICAL DETAIL - DIFFUSION WELL
BACKWASH FROM POOL 70 GPM @ 10 MIN.-700 GAL.
CAPACITY - 1200 GALLONS MINIMUM
FINAL GRADE
TO GRADE WITH CAST IRON FRAME AND 12"MIN.
H"UP TO 4'
DOV€R IF UNDER PAVED ARFA 20"MAX
_ . ,.��'TO 7'MAXAX..... ..D = "MIN.
....."D" 30
=30"MIN.
4' DIA.PIPE
WI TIGHT JOINTS 24"MIN.
MIN.SLOPE 118"PER FT�
NOTE:DESIGN RATE IS 112
THAT OF THE UNDERLYING 25'MAX.
SAND&GRAVEL STRATA
6
NON-RATEABLE SOIL EFFECTIVE DEPTH
(SOLID DOME)
-3'MIN. II 3'MIN-
I Zs^MIN. DIAMETER-_-� T,
GROUNDWATER', 1
'COLLAR MATERIAL
6�MIN.(PENETRATIOTEABLE SOILN)
'�
Castelnouvo
NOTES UNDERLYING SAND&GRAVEL STRATA 260 Fourwinds Ct
'
1.COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR FULL DEPTH. Southold 2.THE MATERIAL USED FOR COLLARING SHALL BE COMPRISED OF SAND&GRAVEL S o u tl{�
1 o l d
FILTER MATERIAL CONTAINING LESS THAN FIFTEEN(15%)PERCENT FINE SAND.
SILT&CLAY FRACTIONS ARE NOT TO EXCEED FIVE(5%)PERCENT.
A. qN
OFlC,
i
JJ\� 53.6-� -
� N_W -
POOL PLAN
40'" j TYPICAL WALL DETAIL
4'0 I
16'0 14'0 8'0 4'0 6„
,I
12'0 20'0
\ I
4'0
I
\�
SCALE:1/8"=T
3 BANDS 93 RESAR
INYL LINEf{' ,
3-4"
810 FOAM PADDING
35W PSI CONCRETE
"COMPACTED FINE SAND
UNDISTURBED EARTH
TYPICAL BAR LAP
j DETAIL
1
—1181,
SIJ
PIPING ARRRANGEMENT
FIL
Fl
TO WASTE PUMP H IR 6 LINT 9TAI E
c y.F
J C
AVTO MMR � I--I'
E�4
/V 36��
RETURN TO Pool
POOL �lF Ur N� SWIMMING POOL PLAN
TO FILTER, "--+'/ CASTELNOUVA
GENERAL NOTES 260 Fourwinds Ct.
1.ALL INSIDE DIMENSIONS TO MEET NSPI REQUIREMENTS. Southold
PTMNAL DRAIN
30,000 GALLONS
BUILDINGTE
Applicant/ Date �,
Owners Name: v wr ¢ �� � Reviewed: - 3o
Architect/ Date
Engineer: J� Submitted:g /
SCTM N:
District: 1,000 Section: I31ock: _� Lo(: J 3 3
Projectr �, . ,/ s Subdivision
Location f (l`-`^r � - -- r Name: _ _
r-
Single &, separate Required
certification. (Yes/No) -
��+ Req. Rcy.
/Doing I)iAricl.AV I,ol si2c. Aanal. �-C 7 I ILoI coverage 'A z hopostt���l
Rcy. Req. t ( Req. r.
tt=ronl Yard Propos ) [side Yard Proposed .[1_J (Rear Yard 'J Proposeay�_I
Project Description: / 5�
ACENCYRERMITS Permit
REQUIRED FOR REVIEW 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??? p
Flood Zone:
Notes:
73
765_1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
D _a
DATE INSPECTO
?7;
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [/ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. /
a--Ga,p
DATE INSIDECTO
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
R ARKS: �-li/ i
_ l
DATE O."SPE R
M-lW2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACA NEY
REMARK
DATE C)"SPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
ro
FOUNDATION(1ST) y
ae
--------------------------------------
C
FOUNDATION(2ND)
z
_ o
ROUGH FRAMING& £ y
PLUMBING
S '
INSULATION PER N.Y. c
STATE ENERGY CODE S
6
-a-V
FINAL 7
ADDITIONAL COMMENTS -�
rn
CA
z
o 2
O
x
_ x
d
r�
TOWN OF SOUTHOLD U Yl 1ZM1T AYYLIC A'11UN CH1 l K11S 1
BUILDING DEPARTMENT o you have or need the fol>.gwing,.before applying?
PP Yrng
TOWN HAIL` 4W 2 O 2V 71
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 - Survey
www. northfork.net/Southold/ PERMIT NO. 7 73-6� Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 20� Contact: AQUA(-A 04F
Approved 120 aa-� Mailto:,2oo LF-VrTTDt rJ PK&0,1
Disapproved a/c %-1-k04&'J t u.E N`I itcoi
PhOIIe: (4610433-52.3o
Expiration,20_PJ
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date SePT 19 20 Y
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 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.
Signature of applicant or name,if a corporation)
_. AgkkAcA-06 Pool- 64.04
"IMM MATELY'• .20 �r�w1J PK"'y
UNDERP.'P,ITERSCERTIFICATE "It 1trol
ENCLOSr "OOL TO CODE REQUIRED (Mailing address of applicant)
UPON: r�;"JPLETION
"WATER"
Vs
State whether applicant is owner, lessee, agent, Det® neral contractor, electrician,plumber or builder
! U AWS AP,pROyED AS NOTED
13u 'L-oma WITHOUT CERTIFI :TF ATC p��a�o�P
OF OCCUPANCY25-V P
Name of owner of premises J u wt E C A S r E W 0u V0 Fr BY:
A EP
(As on the tax roll orlatest g0 -ATMENT AT
2 9 AM TO 4 PM FOR THE
If4plicant is afooration, siature gf duly authorized officer FOLLOWING INSPECTIONS:
? V to-)eiLI /�t9->. 1. FOUNDATION • TWO REQUIRED
(Name and title of corporate officer) KEY'" VGvarJ- E 1 10R-e&aot�6QRPOURED CONCRETE
2. ROUGH • FRAMING & PLUMBING
Builders License No. 1514-1-01 9. INSULATION
L FINAL - CONSTRUCTION MUST
Plumbers License No. BE COMPLETE FOR C.O.
Electricians License No. ALL CONSTRUCTION SHALL MEET
Other Trade's License No. THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
1. Location of land on which proposed work will be done: CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
400 FOU12WWOs coue.T SOuT)+OL.o
House Number Street 39 Hamlet
County Tax Map No. 1000 Section Block _ Lot
Subdivision AL4 stfo e Filed Map No. q a-1 Lot 51
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed cons�nlcti m:
a. Existing use and occupancy T�
b. Intended use and occupancy AAA��„ "_t
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work iA/srn-u 11J& 0Uu J,0 5w1M1" No- ~C-
(Description)
4. Estimated Cost /Ba 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. 1J
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 yA00.4''1 Rear 201.5, Depth is2.5G
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 v-
13.
13. Will lot be re-graded?YES_NO ✓Will excess fill be removed from premises? YES ./NO_
14. Names of Owner of premisesCASTELriouyo Addressn(vo Fouew^joscr PhoneNo.131 Us-(41
Name of Architect Address Phone No
Name of ContractorAQarw+ueyoot. 1�to& Address 20Orriuccvue PhoneNo. $)' 433-5»0
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X
* 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. .b K
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
• 11 SS:
COUN` Y6FNKSSAu l
I�EV�nI VEVArJTE being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the gu11-bER'
(Contractor, Agent, Corporate Officer, etc.)
of said pyynur or owners, and is duly autt,prized 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
perf6i fi&ili the manneY set forth'in the Vpplication filed therewith.
i;
Sworn to before me this,
IT day of _20007-_
Notary Public Signature of Applicant
VASE OF NY.WZW CMM
Cat��3M�b
316 N`0:1,06 08
TAX
� •D �I't5 4 dl�"O 88 t)6 �3 �� ;:
41
19
0.0 790
J v-
O3.
�
o I od
I �LUCHM GAR
� na
: ..,
LL 48.8
ILr rW
J " o. LPI
2STF ME 9.4 $ O. O
pWELU G 3.0
I
'> II LP2
Illi j °
a.4 .� sEPTrc o �
. �
6.0 8.4 o tP3
A __. C) i
201
°0 8.4 2.7 �....,
',rte Woo PORCH.RJO
2ND ST H
%
NSA i
1
r
09
i p � 111
I �
SEPTIC LOCATIONS 4
0
r3� (�7 �00, i
it
CORNER A CORNER Q I
I
SEPTIC 2T 20'
i LPI 37' 19'
LP2 . 37' 31' �.
LP3 24' 30'
THE Of.WELLS,W'ATER SERVICE �
LINES, .SiHi';';u -i`:y;'�' : i,ND GE:; `POOLS 4
i SHOWN HEREON .ME FIELD OE3SERVA- ' vo,_10
I TIONS AND OR DATA OBTAINED FROM
OTHERS.
i F!'t E MAP NO;9727 8/23'/95
i Unauthorized alteration or addition to this document Is a violation of Section 7200 .
of the Now York StOle Educatlon Low. l SURVEY.OF: LOT ��
Certifications indlcated hatoon shall run only to the person for whom it is prepared l
and.onhis behalf to the Title Company,,Governmental Agency and Lon Ing I I
Insfih'itions listed hereon,and to the assignees or tha Lending Institution or I
subsequent owners. MAP OF ANGEL SHORES
I Copias of this document not bearing the professional's Inked seal or ambossed
of NE I seat shall not be`oonsidered a valid true dopy. I BAYV/.I E v V,.TOWN O `$R`UT'H OLD i
- l The offsets( or dimensions I shown hereon from struotures fo the property lines are 9 t t- 1 r rr�� �y
for a speclflo, u"se and�us'e and therefore are not intended to golds the areotlon of I SUFFl�Ll .0 V U NTY, hIEVV YORK
fences,retain Walls pools..patidt;,planting areas,addl(ion to buildings,or any other
I
1 I construction.
i The existence of fight of ways snit/br easements of record,If any,not shown are �(�'_ �'
f �1�,
SU VEY(MATE• 9'2 Sell.
Imo, }::,;=Y=7 .' CERTIFIED ONLY TO:
�® L
ENS E 6MV0064' J' 1 J'b:NE CASTELNUOVO j D E"�`1°1`N G. GRAF
....... ... .. . ... .. ...
LAID SlJRV1 E OR-
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK I
( _.... .. ... ._. ...... . ..
j' .. ...,. ............ ......_.,. __ ._. , Road
NORTH STAR TITLE AGENCY TITLE No 712-S-0672 RockyPQInt NOW York 11774
...
j1
Layf �STiN G.GRA N.Y.S,LIC NC1...SLT6l.. :_.___:,._..,.r �..__._ _:......_ _.._._._.......__.,........_.......__..._._........_..__._...___. __....__ _.__._.__......_:_.._.._{