HomeMy WebLinkAbout24439-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26288 Date: 02/18/99
THIS CERTIFIES that the building ACCESSORY
Location of Property: 230 SAILORS LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 14 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 18, 1997 pursuant to which
Building Permit No. 24439-Z dated OCTOBER 28, 1997
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 JOSEPH & BARBARA DUVA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-455115 06/03/98
PLUMBERS CERTIFICATION DATED N/A
//&iAing fnspector
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)
24439
Date......OCTOBER.......28.......................... 19...97...
Permission Is hereby granted to:
J .WYSOCZANSK A/C JOSEPH DUVA
..........................................................................................
108 FISHEL AVE
...I....... .................. ..................................... ....
RIVERHEAD,NY 11901
...........................................................................................
to..,,,,CONSTRUCT AN ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE
........................................................................... ..............................................................
IN THE REQUIRED REAR YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR
................................................................................................................... ..................................
..................................................................................................................................................................
..................................................................................................................................................................
..................................................................................................................................................................
230 SAILORS LA CUTCHOGUE
at premises located at...............................................................................................................................
................................................................................................................................................................
County Tax Map No. .....4.738.8.9 Section ....111 Block ......0014 Lot No. ..0.0.7
pursuant to application dated ...,,SEPTEMBER 18 , 19. 97 and approved by the
Building Inspector.
Fee$ 150.00
.. .... ....... . ... . ............
Building Ins
Rev. ¢/30/80
____ • - - _ L _ . • A
Form No. 6 M
TOWN OF SOUTHOLD 3-d �S
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the buildint
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 buildin
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 an
'-'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 a consent to inspect signed by the applicant.
ON 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 - .25c.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . . . . . . . . . . . . .
New Construction. .. . . .Y.. . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . • . • • • . • . . • . . • • • • • •
Location of Property.. ....... . , .. . . l. ... . .. .. . . .. .. . . (u;(l+ vV
. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property.. . . JbWsr►- . +..11AA(i&nA.. .T)UkJA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . jj). . . . . . . . .Block. .. . 14. . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . .
Subdivision. . .�.I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . .
•
Permit No. . �`.7 . . . . .Date Of Permit. . . . . . .. . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . 1 . . . . . .
Health Dept. Approval. . . .. . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8`3 Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Q_0-11,
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1001290 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date JUNE 03,1998 Application No. on file 16048898198 N 455115
THIS CERTIFIES THAT PERMT,' NO. 241397
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
DR. J DLA A, 230 SAILORS LANE, Ct TTCHOQLTE, NY
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. U[IT Section Block Lot
was examined on MAY -18,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. I K.W. AMT. H.P.
1 1 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
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. WAITS
1 20
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
SWIMMING POOL-1
TIME CLOCKS 40 AMP-1
G.F.C. I-1
G.F.C. I:-1
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have frequent test/and or repairs t
�,_ L L
<<< Continued on Page 2 >>>
GENERAL MANAGER
Per
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 BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
1001:90 BUREAU OF ELECTRICITY
F_ 40 FULTON STREET, NEW YORK, NY 10038
Date JUNE 03.1998 Application No. on file 16048898/98 N 455115
THIS CERTIFIES THAT PEMIIT NO. 24439Z
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
DR. J DUVA, 230 SAILORS LANE. CUTCHOQUE. NY
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on MAY 28,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
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
METER
NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 9 0 3W 3 0 4W PER 0 OF CC.GOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
made by a qualified person.
TED CHEESHIRE JR. C.O. LIC.#953-E L
P.O. BOX 255A
9280 SOUND AVE. GENERAL MANAGER
MATrITUCK. NY, 11951-3138 11
Per
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 BE ALTERED IN ANY MANNER.
suauINa uePr.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ ] FINAL
[ J FIREPLACE & CHIMNEY
REMARKS
DATE � � INSPECTOR
suaniNa oar.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE S CHIMNEY
REMARKS:
ck
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DATE O 17 I c� INSPECTOR .�
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BOARD OF HEALTH . . . 4 . . . . . . . . . . .
f t�j FORM NO. 1 3 SETS OF PLANS
11,49L� ��r_... TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
��1 f BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . .
-� 8 1997s , TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:��
f ! CALL . . . . . . . . . . .
Examined l.. ... 19.... MAIL TO:L� !V0/4-
Approved. .. 19.... Perndt NoW40?15�;..... .. ,���. f sy<<..•. �!.�..,......
Disapp a/c ....................... ..... H .✓�...:.:!....!�./�l....
........................................ ..... ......
(Building Inspector)
LICATION FOR BUILDING PERMIT
Date. . .,tel. ./ . . . . . . . 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit
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 cowered 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 bekept 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.
APPLICKrION IS HEREBY MALE to the Building Department for the issuance of a Building Permit pursuant to the
lluilding 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 di or s inspections.
.. . .........................
(Si ure a lican or if a corporation)
....... . ; +x Jir.t•i ....................
(ilia �• cant)
State vA r lican s owner, lessee, agent, architect, engineer,'generall cNon +tor, electrician, plumber or builder
....... ...�..U..............................................................................................
llil-
Name of owner of premises .`T.Q. �? ...!:l..�..!.�iq 2. !`r?..... .!/k ................................
(as on the tax roll or latest deed)
f icant i a corporation, signature of duly authorized officer.
... ..... .......?�2........
.
and.•it a of r to 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..... v�` s V
.. ...P ................
........................................................................khss . �,.5,/o !�...........
House Number Street Hamlet
l� r�
County Tax Map No. 1000 Section .It.l.......... Block ...'............ Lot ..l.............
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 .............................................................................
b. Intended use and occupancy ......S( .�N^. .��:`:. ... ........................................
3. N•hture of work (check which applicable): New Building .......... Addition Alte JJ
Repair ............ Removal ............. De clition ........ Other Work... Lt1lc� ..�4:.r ...... -
.•(Description)
4. Estimated Cost .... r. U......... fee .......................... ...............
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor ................
Ifgarage, renumber 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 .................... Heiglht ................... Number of Stories ...............
B. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
]]eight ......................... 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 ....W! ............ Will excess fill be removed flan premises: YGS ND
14. Names of Owner of premises t..�6,U k..... Address .............................. Phone No. ..............
Name of Architect .................................... Address .............................. bane No. ..............
1 r r,�,/ f� PI r7 > /
Name of Contractor S(.{9 W�.ul. 4 S ...C-.r.S�... Address .. .:?.�5� et",P...o44v Phone No. J.Z!.:4�3
15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ..........
*IF YES, SOUI1111D MM 11a1SIFB.S PERMIT MAY HE RNLI MM.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, wlhether 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
whetiher interior or corner lot.
"K"RITERS CERTI�ICAfi�
REQUIRED ARPRCED AS NOT_p� p
..'M DIAI BP#
E. .
IMMEDIATELY" ,
COD@ F EE. BY•
NUfIF BUILDING D ENT T
y 0,R 765-1802 S AM TO 4 THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
;.� Cr ATE FOR POURED CONCRETE
OCCUPANCY 2. ROUGH - FRAMING & PLUMBING
3. :NSULATION
4, FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
SrAlr OF Naw YOlat, DESIGN OR CONSTRUCTION ERRORS
S.S
. ml/..�..y:� U��:�•":S`t........................being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named, ,/
Ileis due ....... 0`�/ _�f2� d�.`.......................................................................
(Cahtractor, 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 b6lief; and
shat the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
......tZ ..day oE&9N.C^
4r.I ."C�...
Notary Public .....
... ... ... .. '.
WMAg�SAteNNN ,( ugnatur• o •Appli .•t)
{ 0a Public,
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in;he w.,ees of it,a iooe;..ij inti- OF AfF(.L
lu:.raltwes tare not tr:.rts:orablo P
to Rfd;;eortal institutions or subs"Usn; . �P (;K
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�2_ ✓......_ i—`�...�2 SUFE«J.TAX MnPl:f}ATA '`J .�- ` ►r ,r �,�
I S LAND IA POOLS BY JOHN J. WYSOCZANSKI OWNER:
108 FISHEL AVENUE. RIVERHEAD, NEW YORK 11901 (516)727-6312
f '
T
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I
.. EDWELy,,
`A�wokP401 Tb CODE
FlBERGLASS MOLDED i PIECE j
"NMT'ER"
OPTIONAL STEP
MANDATORY ROPE& FLOAT
FILTER PUMP 8 MOTOR C 12" FROM TRANSITION
SKIMMER-SUCTION
D
�QO�N'C F E
SUCTIONH G
L SAND OR VERMICULITE
t. AGGREGATE(MI�
s�o 'HARD BOTTOM
NOS A . LONGITUDINAL SECTION
o`�EN P
RETURN ,
fB
PLAN VIEW OF POOL TYPICAL"A" FRAME
& BASE NOTE:APPROX VOLUME
OF POOL IS BASED ON ��r y; Y
WATER LEVEL BEING
i I �6-FROM TOP OF LINER
- POOL DIMENSIONS I
-T--. 6
�_--- 1
0
�� B C • D E F G 11 - - K L M - -N P._ i -._R —GAL
12x24 1r3' 24'3' J'4' 6-0' 6-0' 8-0' G-r ! 4'-0' 4'O' 4'-W. 4'-0' 6.31/16-' ' V_r 27'-2• -9.050
1--- TYPE LPOOL- •.: i
- fax28 14'3' 2E'3' 3'4'. 6-0 E'-0' tr-0- 4' ' +'-0�- a'-0_ 6a' 4*-W• I t t6 tr•ttt/a'IJt'-7tt t6 .12 too NO DIVING BOARD y.�:••:%,:':�� i J ///,�'j111 F Jj/
16X24 163' 24'.7 3'4' I 7'-0' 6-0 8 0' 63' 1 4'•0-_ 1 _4,-0, -8 3' 4'-0' _6 a 7L6 9 B _i 296 13.750i
1 t7i G12 163" 32 3' J'4" e'-0' 9'-0' 1J'6' _ 6 3' 4'-0- 4'-0' 6 3' 4'-0' 7-1' 14-10 1 J6-1 J 19.750. m t r' l.�is i // �!i�1. //��• i�. "
63 3a 3' s4' a'-0' 1o's 1r•6' s3' -0;_ 4-0' a3- ±-0' r-a- , _.'-io- 1 3_r-to7 it 20.900 TYPE 11 POOL—DIVING ' ,%•. ./r//f J�: 11!� .
ltlx36 3' 363' J'4' i V-65 _a'-0' t0 6' 13'4i _a'J- 4'-0' a'-0- 10'3' I a'-0- T 4' 14'-10' i -7 25500 BOARD PERMITTED
20x40 20'3" 40.1' J't' 8'-0' 12'•6 13'41 10'3__ 4'-0' _ tr3- 4'-0' r4' 14'-to'_I 45'-11 /6 32000
25x50 253' so a- 3 4 e'4;' t9-0- ts4Y tri 4 (Y 4'-0 1r3'. 4-0' a1s 1 1643 _ s6-27 52750. TYPE III POOL DIVING Dckslm m'.
30x60 30'3' 60'3- 3'4' i ew 20'41' 15'-0'-• 2o'-9' 4••6 I 4'-W 21'3' 4'6' 8'-23/8 1657/6 r 6r5' - 79550 BOARD PERMITTED CEMENT
(3 u. ft
PERcLEG/
ALUMINUM UUrINU
10-32xW' SELF
F DRILLING SCREWS
SPACED @ 12" O.C. 1" LONG WELDS
-- -- - CONCRETE OR WOOD DECK ON SIDE OF PANEL,
1" LONG WELD UP TO COPING(BY OTHERS) WELDED TOP AND
W/ALUM. �� _ SLOPED AWAY FROM POOL BOTTOM AS COAT WELDS WITHN
' PANEL STIFFENER(Beyond)
COATING(TYP.) LONG STEEL ANGLE "GALVA-KOTE)
VINYL LINER
`A' FRAME BASE
r
W'-16x1" BOLT, - ,----
NUT,8 2 WASHERS ------
s
STEEL WALL STEEL ANGLE
PANEL DRIVE STAKE
SAND OR VERMICULITE • ' �e►- MOUND WITH
AGGREGATE(MI)Q CONCRETE
HARD BOTTOM
• ' .--, � MIN. 1 SQ. FT.
gpi 12" TOP CORNER FILLER
UNDISTRUBED7 SHORT OR STAIR WALL AND VERTICAL WORKING
EARTH STEEL ' 13'h" FILLER POINT FOR
ANGLE %7-16x0h" LG. BOLT POOL
18" LONG STEEL DIMENSIONS
REINFORCING WASHER 8 NUT w
ROD DRIVEN tjE�
INTO UNDISTRUBED
EARTH THROUGH FILLER PANELJ CURVED VERTICAL ,-
I
HOLES IN BOTTOM B-2 FILLER TO RELIEVE
OF PANEL DETAIL #1 LINER. BOLTED WITH
5/16" DIA CARRIAGE BOLTS
TYPICAL WALL SECTION AT A-FRAME
DETAIL#2
CORNER CONNECTION DETAIL