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HomeMy WebLinkAbout27395-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27760 Date: 06/19/01 THIS CERTIFIES that the building ACCESSORY Location of Property: 500 PRIVATE RD #8 CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 3 Lot 18.8 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 2001 pursuant to which Building Permit No. 27395-Z dated JUNE 12, 2001 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 THOMAS H SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 28975 06/30/99 PLUMBERS CERTIFICATION DATED N/A //ho'rKzed Signature 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. 27395 Z Date JUNE 12, 2001 Permission is hereby granted to: THOMAS H SMITH PO BOX 1183 CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP#25631 . at premises located at 500 PRIVATE RD #8 CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0003 Lot No. 018 . 008 pursuant to application dated JUNE 12, 2001 and approved by the Building Inspector. Fee $ 150 . 00 "I 940� Authori d Signature ORIGINAL Rev. 2/19/98 J/63 TOWN OF SOUTHOLD "�'y 1 X935 BUILDING DEPARTMENT r !J TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY FLOG. DEPT T ` j' on mist be filled in by typewriter OR ink and submitted to the building inspector 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: r 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - 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. . . . . . . . . .. . . . . Locationof Property. . . . . . . O . . . . . .. ... . ... . . �. . . . . . . . . . . ..`. ... ..W71-ho c; .... . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. .T :^.1.�`}. ..' . .�?3�. . .faA. . . . . , ;.�:?N. . . . . . . . . . . . . . . . . . . . ... . County Tax Map No 10003, Section. . . . .9 7. . ..Block. © . . . . .Lot. . - . . . • • . • • . Subdivision. . Ga�.3. . c_. .L e . . . . . . . . . . . . . . . . .Filed Map. .: Al . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . .. .Date Of Permit. . . . .Applicant.� '.M S. . . • S..... . . . . . . . Health Dept. Approval. . . . . . .. . . . . . . . . . . . . . . . .Underwriters Approval. 44* * , , , , , , . . . . . . . . . . . . PlanningBoard Approval. . . . . . . . . . . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . o� Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . _ mo '1�(�O A . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT ELECTRICAL INSPECTION SER VICE INC. " 375 DUNTONAVEX UE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 28975 DATE: 6/30/99 APPLICATIONNo.ON FILE VILLAGE: Cutchogue TOWN: Southold ADDRESS: 3 Banks Street ISSUED TO: Thomas Smith i INTRODUCEDBY.• R. C. Electric Corporation LIC No: 1610-E was examined on 6-30.99 and found to be in compliance with the National ElecMcaI Code LOCATION: Base.. x ht 2nd 3rd Attic Det.Garage Hot Tub Pool x SWITCHES RECEPTACLES P7X7TJRES HEATERS FANS G.F.I. I AIR.COND. 1 2 / DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR FURNACE OIL GAS CIR MOTORS BELL TRAM. SF.RVICEDISCONNECT MST�t AADS PXASB OTHER EQUIPMENT Outside Res. 1-S00 watt pool light 1-Ihp motor/1-20amp time clock 1-20amp special/1-30amp pool panel i#! HUGO S. SURDI PRESIDENT ;i BUILDING PERMIT No.256312 Thk omtfiatemust,artba.nand in wW ummm h%ped=roar be Wa fifW by di&vadwtd&k BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE 4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CFIIMNEY REMARKS: ,DATE INSPECTOR C�l o- S� -34 ass-isox suIwiNc oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REM KS: J DATE /C7� /e5� INSPECTO jol SLD INSPBCTION RE4I PORT DATE CQBNTS aaa�a=aaaa &LD IN ssaaaaaaas H UNDATION ( 1ST) cl UNDATION (2ND) xaxs=-axx=xx=xxrx=vxsx a=saaa�soaxaa=axaa�-xoa=sa-,saxxar-xasaa�asxxaaaaxaxxa-��saaa q II n O U' 'UGH FRAME �q PLiIMBING qr— N ,U TSIILATION PER N. Y. STATE ENERGY M q CODE —meq w q n n -• FINAL tl saaxaeax�+� -masa--axss �a ' aa �aaaa�-s--��x_�- �- -_- - - ADDITIONAL COMMENTS: =xaxm_-_a=ax_=xxaa=x � =xaaaaaseaaasaaaxxaa H � Z � r m 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 ' TEL.: 765-18022:OT i FBF ; �It CALL Dom!:fir : .. . . . . . . . . . Examined . . . . . . . . . . . . . . . .. 19 . . . MAIL TO: Approved . . . . . �3. . . ., 19 �Permit No. .oC ? 3� . . . . . . _ . . . . . . . . . . . . - . . . . . . _ . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Bui ding Inspector) PPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . ... 19q .l 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 shell 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 describaij+. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, d regulations, and to admit authorized inspectors on premises and in building for necessary i ect' s. . . . . . . l. . . . . . !. . . . . . -- (Signature of 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. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . . . ..//6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . / q. . -•�. , - - , - Plumber's License No. . . . .//. . . . . . . . . . . . . . . . . . . . Electrician's License No. /A - e.. , - - . , , . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. House Number Street A61V 1f S" .S% Hamlet CU71CA10 46t County Tax Map No. 1000 Section 17 . . . . . . . . . Block . . . . . . . . . . . . . . Lot . /I: . . . . . . . . . . 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 . . . . . . . !YT1.!� . . `�.! �. , , 6 7.W b. Intended use and occupancy . . . . . ./.L.4:J.����T/.!�� . .�����. , , - , - , , - , , 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . ... . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . Other Work .S�.l41. ell qj : -�ro � � (Description) 4. Estimated Cost „ • • . . . . . . . . . . . . • „ • . . . . . Fe X/N/ (to be paid on filing this application) S. 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 . .�3. . . . . . . . . . . Rear . . . . . . . . . . . . . �. . . �` . . . . . �? Depth 00, 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . Na of Former Owner 11. Zone or use district in which premises are situated . .0-1ke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: �L,t). . . . . . . . . . . . . . . . . . . • . , , • . 13. Will lot be regraded . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises //.�.QSt .1,5 l7_&. . . Address. ,6AVA/, . J'/ .Ca 724`,tftfNo. . Name of Architect Address . . . Pl Ue N9. Name of Contractor/V T/JJcK;S Address�� ]1;1* 15. Is this property within 300 feet of a tidal wetland? *Yes,✓. . , , , , No. . . . . . . . . *If yes, Southold Town Trustees Permit may 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. 1' STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . . . . • kQr A A� �r�F)�•4� S . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the . . . . . . . . . ., . . �� 1L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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 M . . . . . . . . . . .day of. ) ! Wcb., . . . . . . . . . .. 19THrn . . . . . . . . . . . . . . Notary Public, I . . . . . . County r 1 � 0_1 NNn, TAYLORd. . . . . . . . . . . . . Ut1lJCState of New York61" • No.01TA4891784, Suffolk unty (Signature of applicant) Term Expires June 1, 19 pp ) + I .b tl I � • iw" iJ., � � 11 - sl .yiq• � ,+Si 1`- ice'a' ♦ yi.!"�S,- '�..- f , -yF�r t ..'� 4 ?�i�"' ���' t'etc v..�\-:• 4' ..!' �t£.-. �- ..{ t b -.a 5::. '�w' '.�'.. • _ i' _ _ -moi- _2 E^-. y; , - ry - „:, � r.r .a• :{- .; - �` FOR THIS.- ItJ?5> itCE-'.Yltl ...ro- .. :;l^.:.A. Y?s - r-: - - .1Tt — •t. - - •7i 3s GISv; .................................- i THE STAND1tRD5 O \ CONFORM V 70. _ .r 00 SLJF K CO DEPLUZ T. a - h SUFFOLK COUNTY, DEPT. OF HEALTH SERVICES FOR APPROVAL FOR 1 45 DATE: ' -- - - - - H.S. REF.NO.: C:b2 •0 1 APPROVE ra acv` T3 f� SUFFOLK CO.TAX MAP DESIGNATION: 55� H i DIST. SECT. BLOCK PCL. Z '�• I t000. 097 - f 18.i / / �-rLO�' ` 9"•TBS< 1 OWNERS ADDRESS: 1 • 1 r / l DEED: L. P. I TEST HOLE I STAMP s� __7_77,_ .1 .� � .. �, ������� -➢ ,•i' .o.. r_= s meter % SR4GLE FAMILY DWELLNG ONLY EXPIRES THREE YEARS FROM DATE OF APPROVAL ZU C = SEAL ; • `CT ; .. :�„ t_ a wr Y.� _ �li� J // c!;cJv (jr .- _ - >.. Ar.:_---_------ •� las<c>.,:,—=_:.; -r-c Ms><�r aR-?rzxT r• c �RODERICK VANS YL.P.C. *` t i I -� i nfrosFo u�Pw LICENSED LAND SURVEYORS R S uw �. r GREENPORT NEW YORK 18' x 3 6' Pool *THIS IS A TYPE 11 POOL AND TYPE It DIVING EQUIPMENT MUST BE USED 1-0' 6'0' 6'-0' 6'0-- 6'0' 6'-0' 4'0' STEP UNIT TYPE If DMNG EQUIPMENT TO BE -0� MOUNTED NO HIGHER THAN 20'ABOVE 1,-0• WATER AND TIP OF BOARD SHALL BE 3' ±3'FROM DEEP END WALL x x x x x x x 4 6' i'0' 6'0' x t-0' SAFETY x 110' x RbPE 18•-0- v x 9'0' 8'0 6'-0' x x 1 x t-0. 4.0 41 4'-6- x X X X X x z x X X x x LOCATE BRACERS 1%0` 1•-0- . __�___SHOWN ON VERTICAL a ' USE BACKBRACE AT PANEL JOINTSi RIB ON 4'LONG PANEL _ AND AT CENTER OF 6'•0" LONG-- ----�/ 36'-0' ! (TYPICAL 4 PLACES) PANELS AND AT VERTICAL RIB INDICATED ON d'LONG PANES = 1.1..1 (MARKED"X-1 236' 12'6' U-- ""` AL 36 BRACES I Q �N�5TE POOL t J L1J � ,T,,, VJ -�'-- .161 L4- ZA ;,�. p Pool Area:. 648 Sq. Ft. �► 5 c.5 Pk- Lfi _ . 3'-0" �'�5" fy: 22,400 Gallons rl i n> ,u n L 0 THIS BROCHURE IS FOR ILLVSTRAriVE PURPOSES DULY. M e o W W Pacific Pools makes only those representations which are J O J = W J W stated in its written warranty. Any other representations, ,/� - 111iii O J� t- m Z ~ statements, or contracts made by the dealer andlor the = LL °B to O contractor to the customer regarding any materials produced too Z z ;= � by the manufacturer are attributable to the dealer and/or the = ,f 3 O W O O ~o contractor only.The dealer or contractor who sells or installs F Z I- ~ U) cc ' �•,a your pool is an independent contractor and not an agent or 6 W 0 W employee of Pacific Pools. The construction methods Z V D CC Z �, illustrated are suggestions and apply only to normal ground Off' Z Z O O W H O L� conditions. There may be additional precautions and/or 7 4 _ 0 cc (n U ZO method5otconstruction.Theresponsibilityis the contractors. .. .r. t >� 94 — df t9<� � 0 � � � O Z � � PACIFIC POOLS mNZ �_,/w� J0Z 0 V p Z VV W 7E7 WATERVEIET•SHAR ER7O AATHAM N T$7110 CC O XZ = TEEEVI+ONE 1141 7ty7776 4j � JU. X W m J W Q to wvco0 Ow D U. ZPLL .- cVcv) QF- toUO Lross bection and Detail Drawing — Rectangular Pool ' WALL PANE (SEE POOVWWINGS FOR LAYOUT) i 31E'NYLON BOLT AND • STRAIGHT NUT THRU ALLMATING STEP UNR BOLT HOLES ��. ( 2'-0•xra•oREFOrEO ( ALL AEC:ANGULLA;MLS) I I 1• µ 1: k %7 HEIGHT OF STEP TO MATCH RECEPTOR TOP ANO THEN ORILL 6-IT2'DIA. ' HOLES IN EACH STEP SLOE FORUM K BACXBRACE II I FLANGE.BOLT TO WALL SEE F@L DRAWING FOR PANELS WITH STEEL BOLTS STAKE(SOLT.IVIOUAI=d LOCATION DO NOT OVERTIGHTEN BOLTS TO BACKBRACE WALL WISTEEL BOLT) PANEL (SEE POOL DRAWINGS WALL PANEL FOR LAYOVn ASSEMBLY DETAILS MINIMUM SLOPE OF It2'PER FOOT POW ALL VERTICAL FROU POOL EDGE FOR A MINIMUM OF; DIMENSIONS ARE TO - SLOPE MAY BE Iu•PER FOOT WHEN FINISH GRADE AND CONCRETE DECX IS INSTALLED ARE TAKEN FROM LINER BEAO TRACK f�5S)p/y.4� __. =vATTON NOTES ¢O f ";SOIL TO HAVE MINIMUM BEARING CAPAC^Y OF 2000 H 1Av iC ��I ) P.S.F. HAUNCH CONCRETE 11 O1 ZLOCATE TOP OF POOL AT LEAST!•ABOVE BACKBATHRU CH SURROUNDING LAND ELEVATION. U BADBU 1) �• I 3EJCCAYAT ON SHALL BE 2'LARGER THAN POOL ALL ' 1'4' AROUND.FILL VOIDS UNDER BASE OF PANELS& Y TAMP WELL 4 BACKFILL SHOULD NOT EXCEED WATER HEIGHT BY MORE THAN 12'.•,PATER LEVEL SHOULD NOT ECCE=D 34599 HElGNTOFTAMPEDBACKFILL&YMORE THAN I2'. TOP OF MASON SAND OF •If'M •ORPOOLBASfi UNDISTURBED EARTH \C :•15'MINIMUM .: (TAMP E TROWEL) TYPICAL LECTION THRU PAC C POOL WALL BUILDING PERMIT REVIEW CHECK LIST Applicant/ t Date Owners Name: m 1 Nomas f ' . �8A�,9� Reviewed: �60 9 Architect/ Date Engineer: Submitted: Q9 SCTM M (� Q District: 1.000 Section: Block: 3 Lot: Project �y�, Subdivision Location: "-% Pd411/ TG &QQ 4 Name: Single&separate Required certification: (Yes/No) Req. Req. Zoning District: [Lot size: Actual: i3 11 J [Lot coverage Proposed: 1 Req. Req. Req. [Front Yard Proposed: ] [Side Yard -� •- Proposed: 1 [Rear Yard Proposed: ] Project Description: PpoL f�� C o5Ur-c AGENCY PERMITS 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 ??? Flood Zone: Notes: r 20