HomeMy WebLinkAbout26920-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28083 Date: 11/26/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 44632 MAIN RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 75 Block 6 Lot 7.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 29, 2000 pursuant to which
Building Permit No. 26920-Z dated NOVEMBER 14, 2000
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 JOHN & GAIL MEYER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 570765 09/28/01
PLUMBERS CERTIFICATION DATED N/A
s
Authorized Sig tune
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. 26920 Z Date NOVEMBER 14 , 2000
Permission is hereby granted to:
JOHN & GAIL MEYER
PO BOX 131
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 44632 MAIN RD SOUTHOLD
County Tax Map No. 473889 Section 075 Block 0006 Lot No. 007 . 002
pursuant to application dated SEPTEMBER 29, 2000 and approved by the
Building Inspector.
Fee $ 150 . 00
Author ' z d Signature
ORIGINAL
Rev. 2/19/98
THE NEW YORK 90AR0 OF 'FIDE UNIJE`Awkif thg PI�G� i3
1195100 BUOkAU OF ELECTRICITY
40 FULTON sTi RtET; NE�iI Y6AK, NV 10038
Date SEPTEMBER 28,2901 Application No. on rle 12448001/01 510765
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above opplicadotl hknibtr is in tHt jnientU6 of
JOHN MEYER, 44632 MAIN ROAD; SOUTHOLD, NY
in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Pl. OUT Section Black Lot
was examined on SEPTEMBER 10,2001 and found to be in compliance with the National Electrical 6Ode.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING BECKS OVENS DISH A HERB EXHAUST FANS
OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. K.W., AMT. K.W. MT. K W.: t: K . ..i AMT.; N P. s.
2 1 2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS 6ELL UNIT HEATER$ ML� i��1TSLEf DIMII�ItERg
AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. XMt AMPS. TRANS. AMT. N.P., No"0,FEE,', AMS, WATn"
1 20 1 40
SERVICE DISCONNECT NO.OF S E k V I C E
METER NO.OF CC GOND. A. G. A.W G.. 'All
AMT. AMP. TYPE ECUIP. 0 4W 1 0 3W 3 0 3W 3 0 4W pER! OF CC.GOND. NO.OF HIAEG OF Ni. G NO.of NtUTOAI OF NEUTLL
OTHER APPARATUS:
POOL-1
G.F.C.I:-1
SEATUCK/KELLEY LIC.#3631
PO BOX 335 LAURA CT.
SPEONK, NY. 11972-0335 oNEtiat MI1Na�f181I
11
This certilicalte mutt not Do altered In any manner;return to the office of ye MOW it Incorrect. Inspector rh bil IdGiritttled by lhiit dti inl`164.
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:
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 I%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.
t 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 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 Building- $100.00
3. Photocopy of Certificate of Occupancy-$0.25
4. Updated Certificate of Occupancy $50.00
5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00
Date. /112"oIvl
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 4f�'LP3d` MCL.l rl 1'b Jt)LCT v '�
House No. Street Hamlet
Owner or Owners of Property: 1i +J C_ `V 65-P, IC, fy� Me&I le,X,
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision \ Filed Map. Lot:
Permit No. of ko 01 a,0 Date of Permit. 0 0 Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ j �
ID I&UW01
s-C �4 Qct C1 Applicant Sigt
e
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING FINAL
[ J FIREPLA & CHIMNEY
REMARKS: Llo
DATE � I/ Q/ INSPECTOR
:BLD INSPECTION'REPORT DATE COMMENTS
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+SULATION PER N. Y.
STATE ENERGY
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ADDITIONAL COMMENTS:
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BOARD OF HEALTH . . . . . .. . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . .. . . . . . . .
TORN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . ... . . . . . . .
BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . .. . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . ... . . . . . . .
SOUTHOLD, N.Y. 11971 DEC -
TEL: 765-1802 TRUTE
SES
NOTIFY: r)-,
CALL . . 7 . .
Examined.... ............ 40. MAIL T0:
D.
Approved..���.1. ........T ... Permit No. .. , ...............•................•....
Disapproved a/c ..................................
..................
..................................
......................................... ...........
.............
{ (Building• tor)
APPLICATION FOR BUILDING PERMIT
Date. . . . .. . . . . . . . . ... 2G
- INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w
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 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.
APPLICATICN IS HEREBY MALE 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 buil i for necessary inspections.
.. .. / ! .. ..... .... .............
(Signature of applicant• r.name,.if a corporation)
• •
(Mailingaddress.ofapplicant) /M 7 l
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui]dE
..S/.Vf YLIA. ........................................................................................................
Name of owner of premises ..�N1 L l I } IG yf........................... .. .......
(as on the tax•roll•or.latest.deed) ..................... ...
If applicant is a corporation, signature of duly authorized officer.
.........................................................
(Name and title of corporate officer)
Builders License No. .........................
Plu>obers License No. .........................
Electricians License No. .....................
Other Tirade's License No. ....................
1. Location of land on which proposed work will be done... �. a,..m�,h .
..........................................................
House Number Street Hamlet .. ......................
Canty Tax Map No. 1000 Section ..2-�;.......... Block .... ........ ...... Lot .�
... ............
Subdivision .rna�Q"'���.'.1.�f -ell........ 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 occupancyS � ...........�.... ........ �... . : . . �J
x-fTcf'!
b. Intended use and occupancy .............................................................................
• _ _ . . ...... vu..... rwi n ......
' 4 .� 1 (Description). ,.
EstimatedCost .......L................. fee ..............................................
(to be paid on filing this application)
If dwelling, nurber of dwellingits }
un ............ Number of dwelling units on each floor ..........
Ifgarage, number of cars ...................................... .
If business, commercial or mixed occupancy, specify nature and extent of each type of use,,,,,,,,,,,,,,,,,,,,,,
Dimensions of existing structures, if any: Front................ Rear ............... Depth ..............
Height ......................... Number of Stories _
Dimensi of structure with alte tions or additions:•'Front Rear
Depth ..... Heiglmt ... C?b�........... Umber of Stories .. �'N�................ ...
Dimensions of entire new construction: Front .... .......... Rear
/• ......... Depth .S0. �. ..
..
Height ......................... Number of Stories .
QQ ,/
Size of lot: Front ..... ��.da ....... Rear ..����:c�.!-....... Depth ...,�
I. Date of Purchase ... l�Jl, .... Name of Former Owner ........................................
Zone or use district in which premises are situated !!2trr7 SRL
.....................................................
Does proposed construction violate any zoning law, ordinance or regulation: ... 0,,,,,,,,,,,,,,,„ 0
Will lot be regraded ............11.. ... will excess fill be removed from ? 73 a�
.. m premises: YES No '�
Names of Owner of premises .�U�n7.....4..��:`:{ Address .���vJ',�. I}741"1.p0....... Rhone No. .�Jg7
Name of Architect _
Address PIS No.
Nave of Contractor ..,.1..,���r 6�e 1 ??...QZ)D.� .. .•.. Address7�`�.�m t k•�1 r ..w...... 02�3 -7
7
.........()2 °.....Phone No. ... ....
Is tlhis property within 300 feet of a tidal wetland? * YES ....., NO ... /
*IF YES, SQT M MM 1HIlSiMS FIRMT MAY BE W!QRRED. ...
PI.OT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
om property lines. Give street and block number or description according to deed, and show street names and indicate
ether interior or corner lot.
••�MMED! „ #�1 i ia'iJ� i �r APPROVED AS NOTED
ENOL
MEDIATELY P: a : , r d: DATE: v1 1'S 00 B.P. #
OSE POOL TO CODE r `
UPON COMPLETION ��. fI Li"��s . � �. FEE: i SD`= BY:
BEFORE "WATER" p �, Cl-
c 1 ,, NOTIFY BUILDING D AR�TAT
ty," w U � , 765-1802 9 AM TO 4 PM FOR THE
.F-M� ��:�^gym
FOLLOWING INSPECTIONS:
', Fes " f%Y 1 FOUNDATION - TWO REQUIRED
kj,0 V'j xV FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
I SPJDER1h'RiTERS CERTIFICATE BE COMPLETE FOR C.0,
ALL CONSTRUCTION SHALL ME.E f
tI` �IIiEG THE REQUIREMENTS OF THE iii
'?i"•`a h CONSTRUCTION & ENf.--
►tr Or NW Yt>12(C,
C:(: J ; NOT RESPONSIRE= !="
SS UES;GiV OR CGNSTfI„t.'F W%!
INly Or, .................
/j///1 ......
..lSAI�........... P .....................
.....� .being duly sworn, deposes and says that he is the applicant
me of individual signing contract)
rve named,
is the ........................... ,.
(Contractor, agent, corporate officer,'etc.).. .... ... ....... ..... ....................
said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
-l.ication; that all statements contained in this application are true to the best of his knowledge and belief; and
t the work will be performed in the manner set forth in the application filed therewith.
rn to before re this
....IQ.....:-77-day of ... .......t�4(.G.:?�,OO)..
btary Public .. /q ...... .,o... ... ....
................
........ .......
HELENE D. HORNE (Signature of Applicant)
Notary Public,State of New York
No.4951364
Qualified in Suffolk County
Commission Expires May 22, 11110-e-
J. TORTORELLA
(516) 283-7373 1764 NORTH HIGHWAY
FAX (516) 283-7387 L� SWIMMING SOUTHAMPTON, L.I., N.Y. 11968
www.tortorella.com _ POOLS INC.
GUNITE POOL BUILDER
July 6, 1999
John Meyer
PO Box 131
Mattituck,NY 11952
Re: Swimming Pool Installation
Main Road, Southold,NY
Dear John,
Below please find an itemized estimate for the proposed swimming pool installation at the above the
referenced job.
SWIMMING POOL
Pool Specifications:
• Size— 18'x 50' • Steel—3/8 rebar, 10"o/c with 6"verticals in
• Excavation&Framing deep end
• Depth—shallow 3'6"deep 8' • (3)Skimmers—independently run with own
• Gunite— 16"beam, 7"-8"floor and walls valves and tiled on side and base of mouth
• Steps& Seats in shallow end • (4)Returns
• Automatic water fill with 60' of water line • (2)400 watt lights
hook-up to water supply • 3 Step ladder in deep end
• Overflow drain tied into drywell • Main Drain
• Prefab Poly Drywell • Concrete slab for filtering system
Filter System:
• (1)Filter—Sta-Rite System 3 Modular Media • (1)Heater—400,000 BTU Teledyrw Laars
filter 300 square feet filter area(Comparison: A propane gas heater with electronic ignition
sandfilter will clean water down to 15-20 (PLEASE NOTE:Hook-up to gas litir not
microns. A Mod Media will clean water down included.) '
to 3-5 microns.) • Automatic Chlorinator
• (1)Pump— 1 'h HP Hayward Super pump • (3)Sched 80 quick disconnect unions
• Piping—PVC+poly combo(Poly pipe 100 PSI • (3) 1 /2"Valves
virgin resin pressurized select)
MEMBER Masonry:
M� 5� • Coping—approximately 222 square feet o£18" • Tile—6"x 6"Owners Choice/We stock
Crab Orchard • Marbledust—Very Dark Gray
_.-NATIONAL___
ELECTRICAL HOOK-UP WITH JANDY RS4COMPUTER CENTER:
Install 30-amp circuit sub-panel and surge protection. Wire filter system, heaters, and ground pool. Install
deck boxes. Install and program RS4. 100 feet of wiring included with 36 feet of brass conduit for pool
lights included. Additional foots�ge_for wiring will hP hajaft , 4A cn
0 L*
P� ado
auug �P\� FL Yo1Lng & Young, Land Surveyors a
a _ 400 Ostrander Avenue, Riverhead, New York 1/901 a eS
p�j�i ` �•`x 6o�� \ �Q�� — I CJ �J� ��/4'��� 516-727-2303
y iJ z I Aiden M. Young, P.E. & L.S. (1908-1994)H.
I E�11�r E r 1 rn. C. W. Young, Lund Su-rveyor
C INC Thom os G W.IpErSchnut, PLaund Sum Eng,.neer
01.mm�g 1-e+�"� Jahn Schnnrr, Land Surveyor
EnTvrting £
•vry ,vg
HEALTH DEPARTMENT CERTIFICATION
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P o N o _ "--' m 1 m AREA = 5.3046 ACRES E-ea
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O O _ a . ' 3D7�"S I • Ofd
O O, ®� s II CONTOURS ARE FROM U.S.G S. CHART AND ARE REFERENCED s�9z
,r`E�n- sAIRF TO N.G.V.D. (1929) AND ARE SUBJECT TO FIELD VERIFICATION 5p�e
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CERTIFICATION
-5 I E��� t1 • WE HEREBY CERTIFY TO JOHN C. MEYER, GAIL M.
MEYER 6. NORTH FORK BANK THAT THIS SURVEY WAS
. _ PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE FOR
D
LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION p
!" O ( �, .✓� OF PROFESSIONAL LAND SURVEYORS.
m
MDU` ���� S�y1 +•' _ q
_ JOHN SCHNURR, N.Y.S. L.S. NO. 49517
W 'HOWARD W_ YOUNG, NYS. LS. N0. 45893 - 49
O 44411 VVV �a e
N
m �3 � � SURVEY FOR
b.
s {Gt s JOHN C. MEYER & GAIL M. MEYER
or QeTEST HOLE
LOT 2 "MOHRING ENTERPRISES II"
SIM , }" rPATE 0Sj24'99
H1 DATE
CEOSCIENfE
At Peconic, Town of Southold
j c m E_10° 00 Suffolk County, New York
`, BHI,WN
D4M p
5y 01 {
10 County Tax Map °sr,S1 1000 s-c- 75 ema 06 Lm 7.2
� 2flUP: 4 ea°um:
v��t X59 sL.r LOAM 5, TITLE SURVEY
zl 3
PALE BTo E
C°ARSSE AN° S-F
w° EL AMENDED PROPOSED SANITARY JUNE 70, 1999 a�sF
£ \ y
'LA
eaowry :c} MAP PREPARED MAY 28, 7999 Zia
Pip ego
--ns = Exisnec coNTTwes Q COARSE x` SCALE 1" =100' $a�
(112 0) = PRQP05ED ELEVAID]N1 = g
JOB NO. 99-0299 OF 1 $�F,
O ❑- MONUMENT ST ■ = MENUMENT rouxc - STAKE SET ♦= STAKE rcuxo DWG. NO. 990299 �9�Y
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