HomeMy WebLinkAbout25399-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27965 Date: 09/25/01
THIS CERTIFIES that the building ACCESSORY
Location of Property: 375 FAIRWAY DR CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 5 Lot 14.34
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 14, 1998 pursuant to which
Building Permit No. 25399-Z dated DECEMBER 10, 1998
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 DENISE CARDINALE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 565370 07/25/01
PLUMBERS CERTIFICATION DATED N/A
ho ized 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. 25399 Z Date DECEMBER 10, 1998
Permission is hereby granted to:
ALAN A CARDINALE
PO BOX 77
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 375 FAIRWAY DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 034
pursuant to application dated OCTOBER 14 1998 and approved by the
Building Inspector.
Fee $ 150 . 00
Building nspecto
ORIGINAL
Rev. 2/19/98
1i
Form No. 6
' TOWN OF SOUTHOLD
BUILDING DEPARTMENT r
TOWN HALL C
765-1.802
APPLICATION FOR,CERTIFICATE OF OCCUPANCY '
A. This application must be filled in by typewriter OR ink and submitted 'to the bui-w,
inspector with. the following: for new building or new use: :
1. Final survey of ,property with accurate location of all b lftrt
ga„, roperty lite
streets, and unusual natural or topographic features. ,; :
2. Final Approval ftom Health Dept. of water supply, and sewerage-
. or ,
f
3. Approval of electrical installation from Board of Fire Underwriters. e. '
. 4. Sworn statement from plumber certifying that the solder used in system cont s
less- than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple. residences and similar building:
and installations, a certificate of Code Comp:lianoe 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 a.consent to inspect signed by the applicant.
If a Certificate of- Occnpancy 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 $25.90. Businesses $50.00. _ . .
2. Certificate of Occupancy on Pre-•existing Buildine - $100.00
3. Copy of Certificate of Occupancy - .25'p
4: Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date ... ... ... . .. . . . . ... .... . . ...... . . . ......
21ew Construction. . .... . .... Old Or Pre= ting Building. .... . .. .. . , . . ,. .
Location of Property.... ......�j...��:... .. .j. .nL ..1�:.... ... .. .. .. .. .. ..... . . .. ... .. .
' House No. vStreetH�amlet
Onwer or. Owners of Property.. . ... . .. .. . .... . ... . ... . .. .. ..:. . . . . . . . . . . . . .. . . . ... . . . . . . . ..
County Tait Map No 1000, Section. . / l. . . . .Blocks . , .5 . .. . . . . . . .Lot. .�J:3.�. . . . . . . . . . . .
Subdivision. . .. . ... . .. . . . . . . . . . . . . .. . . . . . . . . .. .Fileid Map. . . . . . . . . . . .Lot. . . .. . . .. . . . . . . . . . .
Permit NO.. .,. /. . .Date•Of Permit. .� 1.'��.�Q... • • . . : . .
. . .Applicant. . .
Health Dept. Approval. . .. . . . . ... .. . . .... ... .. ..Underwriters Approval. . .,. . . . . . .. ... . . . . . . . .
Planning Board Approval.. . . . . . . . . .. . . . .. .. . . . ..
Request for: Temporary Certificate. .. .. . . . . . . Final Certicate. . . . . . . . . . .
Fee Su J ttteed: �. .. . ... . . . . . . . . .. . . . .. .. . . . . .
. . . . . .: . ./. . : . . .. . . . . . . . . . ... . . . . . . . .
1000$54 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
nate JULY .25,2001 161.99099/99 N 565370
�1 ppliralion No. onfile .
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
ALAN CARDINALE, 375 FAIRWAY DRIVE (375) , RUDO (UNDERGROUND) , CUTCHOGUE, NY
in the following location; ❑ Basement ❑ 1st Fl. 1_1 2nd F1. OUT Section 109B1ock5 Lot 34
was examined on JULY 16,2001 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES —------_.__--_ ___—_
INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT K W OIL N.P. GAS H.P. AMT. NO, A.W G MT
AMT. AMP. A . AMPS. TRANS. AMT. H.P. No.OF FEET AMT. WATTS
1 20 1 40
---------- -- —
-- – — --
SERVICE DISCONNECT NO.OF $ E R V I C E
— METER --
AMT. AMP. TYPF EQUIP. 1 0 4W I 0 JW J 0 JW J 0 4W NO OF PER
GOND A.W O NO.OF HIAEG A.W.G• A.W.G.
-- - ---- - -- PER 0 OF CC COND. OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
SWIM11ING POOL-1
-(SWIMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it is advisable to
have. .f_r_equent test/and or repairs
Tffade by a qualified person. --
' l_.
L
NORTH ELECTRIC CO. LIC'.#890-E GENERAL MANAGER
50C ROCKY POINT RD.
ROCKY POINT, NY, 1.177$ per
This certificate must not be altered In any manner;lralmlfo the office of the Board If Incorrect. Inspectors may be Idp2tllled by their credentials.
as3 �
M.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ ] FINAL
( ] FIREPLACE & CHIMNEY
REMARKS
DATE y INSPECTOR
suauiNa oar.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: �CU
DATE 0f) INSPECTOR
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUN
[ ] FRAMING [ • INAL j/Lry-�
[ ] FIREPLACE & CHIMNEY
REMARKS:
,DATE(/ -INSPECTOR
-LD i::S:'E:,:.V:+ (1llh:E
COMMENTS
cn 'tib
3
f-c
IUNDATION ( 1 s t)
)UNDATION ( 2nd)
m
z
o �
OUGH FRAME &
-PLUMBING -
-
o �•
i. 0
:NSULATION PER N . Y.
STATE ENERGY
CODE '>
m r
tAl
r
FINAL «/ r]
:
• z 7 •
ADDITIONAL COMMENTS: x ;
' x �
ro -
�• H j
a0
H 1
H
IV
o J
- z
% x
4
FORM NO. 1 3 SETS OF PLANS . . . . . . . .. . . . . ..
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . .. . ... . . .
BUILDING DEPARTMENT CHECK . .. .. . . .. . . . .. .. .. . . .. . . .
TOWN HALL SEPTIC FORM . . . . . . . .. .. . . ... . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . . . . . :. . . . . . . . . : .
lsxamined 19 MAIL TO: . . . . . . . . . . . . . . . . . .
Approved..:&.., ..., 19.1.$ Permit No. ........ .1... ..................................
Disapproved a/c .................................. ..................................
(Iiuildiag tor)
APPLICATION FOR BUILDING PERMIT
Date. . . 04!! . . . . ... 19 98
INSTRUCTIONS
a. •this application Oust 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.
APPLICATTfN IS HEREBY EKE 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 Lawa, Ordinsoces 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 pr7 ildi f inspections.
• •gnature of applicant, or name, if a corporation)
•
...................................................
(Mailing address of applicant)
State whether applicant is Winer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
4lsC�414...............................�..............................................................................
Name of owner of premises ...Lei 4-r...4 fir...... 0 At�O
....... .
(as on the tax roll or latest deed) ,.d.'N
If applicant is a corporation, signature of duly authorized officer. � rM:
NOTIFY AT
......................................................... B Aa 7d6-1802 ! AM 1O • THE
(Name and title of corporate officer) �� �° �p �h o n v Or) Fq 19NA46 06P6 ldft
� t gg / FOUNOXnON . TWO IIEOUHtED
U�: I�g Ut NI L A k"1 F U L FOR FOUMM Do NNE
Builders License No. ................ t 8; '.h @ „ r-' p <,�r- HOUGH . FRAM MO • PLUMBING
u ► tl 8 v, 1 i , n a 6 a s I gyp, : A. INSUl xnm
Plumbers License No. a -4. FINAL . CONSTRUCTION MUST`
FOR C.O.
T IG a.Lr:_ > . ,' M.'E'DE
Electricians License No. Npcx�4� BE COMlALL CONSTRUCTION SHALL MEET
Other Trade's License No. .Gtil
.VC
lS:p444s. THE REOUIREMENTS OF THE N Yt
I. location of laud on which STATE CONSTRUCTION & ENESCY
proposed work will be done...................:....•GgEF?DES.p.#pll
.��.r�....FAQ RwAY�QRI�>=...............C�rruio y .fY.l.IGN I 1 �jSTRUC i tON ERi
.... .... �. fir: .p ..........................
Ho use•Nu tuber
Street q � hamlet
County Tax Map No. 1000 Section ...!�.`.1....... Block .... ........... Int . 14;3q.... .
Subdivision JAWW.AY...FA.VA$........ . FiledMap.lb. D �! o In[ 3N
... .. .....+.... .. .........
(Name)
2. State existing use and Occupancy of
premises and intended use and occupancy of proposed construction:
a. Eidsting use and occupancy ...§!f?, K.F AM 1 L Y... MV.............................
4............
b. Intended use and occupancy ....SAME....- .GONsm v c. '..- p�..............................
... . .
UINC€s1R!T1`c CERTICIC11TE *,IMMEDIATELY"
ENCLOSE POOL TO CODE '
`` UPON C'Ob3r,!FT10M
3. Nature of work (check whidn applicable): Next Building .......... Addition .......... Alteration ..........
Repair ............ Removal ............. Demolition ............ Other Work ...fOR4*r........................
(Description) '
4. Estimated cost ... I O4 000............ fee ..............................................
(to be paid on filing this application)
5. If duelling, number of dwelling units ............ Number of dwelling units on each floor ................
Ifgarage, number of cars .....................................
6. If business, ban. rcial or mixed occupen y, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if arty: Front................ Rear ............... Depth .................
Height ......................... Humber of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... neight .................... Amber of Stories ...............
8. Dimensions of entire new construction: Front ................Rear ............... Depth ..............
neight ......................... Number of Stories .... ... ............
38 't5 4l 53(0. S
9. Size of lot: Front ....311:9 8........ Rear .................... Deptlu . Z.... r
10. Date of Purchase ......P 1!!.19:7.... Name of Former Owner ..BOYA.A6I ...........................
11. Zone or use district in thidn premises are situated .R`�O...................,.ii..............................:.:.
12.1 Does proposed construction violate any zoning law, ordinance or regulation: ..IY�..................
13. Will lot be regraded ..........-.t......... Will excess fill be removed from premises: YES NO
14. Names of Owner of premises a4!�.h.`M-J?IO.L.- ..... Address PS?. X...7,.MAV.V.gCA..... Phone No. 7rq$:..( ..
]lame of Architect .................................... Address .............................. Phone No. ......�.....
Name of Contractor ..............I .................... Address ................I..............Plxooe No. .. .........
15. Is this property within 300 feet of a tidal wetland? * YES .......... M AQ Q....
*lF YES, swan" mal 1id1SItLmS PE[m MAY BE REQOd1ZLmD.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whetter existing or proposed, and indicate all set-back dimensions
frafi property lines. Give street and block amber or description according to deed, and show street names and indicate
Y whether interior or corner lot.
43TON 2A ONMg11
._....... ... :V AG
OT IAA
'714P,31034 OVVT - "ITA00WA t
WTV13 M O3NttO4 W.M
•{3!9 4 OWAAAi - i 4e"1UC{A L
a"17 OF
...... ..Ibeinp duly sworn, deposes aril says that the i.a the applicant
(Name of individual. signing contract)
above named,
Ileis time .................................................. .......................................I........
(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 tnxa to the best of his knowledge aril belief; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn to befo> me this Q
..........�.......day of 6 ip. lam... 9.48 ... C,
Notary Public ....
.. .... . .....
( gnatvre of Applicant)
ttorARY PVsuc ET V'��K'ART
No. ii. of New York
Qualifly in sufftk COU
CO'"'+m12W" Exptra, MOv. 30, iVn 0/
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9 'D5 128 g8 al.:y`'r. N
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..� MEDIATE .. zs,,
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CLOSE POOL TO
UPON COMPL
BEFORE ' R'
e
0 3
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SMOLIT COIIRTY S:'dL2R DEPART IEEN
s :,L
�/`\N�� -� DAssN Qy O S 1971 x. D. REF., iso4.;
�� �8y« o w The age aisvosaz D=3 cater sp ly
�\�� f, > 1cc
facilitia3 far this iocaticn :�weDbeea
TEE LANE � Sflk(P o iasoected by t..*.is Sere _zsc: ^d fo�^d
10 N to be satiS�jto12: r/. (/y}
Q - - -1 •T x /Chief.,of ge=er�b4�
Lti - o Services ,
0 Cot 34 90'
-
.70 tYeo=4/,536sq.ft
o
13 D ?
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v .' •' C/-22.3 -_ � v:I1.a.
70 °,W.p: N.88D59120"W. 25 .
ARE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FRAM fB0 - ._. /Q.I I rKE
ASERVATIONS AND/OR SROM DATA OBTAINED FROM OTHERS. REVISIONS YOUNG 8E YLot 33 / --'''y'�HEWATERSUPPLYANOSEWASE DISPOSAL SYSTEMSFOR THIS RESIDENCE WIl, vacant '/// O AUG 9,/976 400 OSTRANDER AVENUE. RIVOOONFORU TO THE STANDARDS OF THE SIMPoLK COUNTY DEPARTMENT OF NEALTNH -SERVICES ALDEN W.YOUNG R Y NG
MOFESSIONAL ENGINEER AND
DDRR
ADORCANT' — � — — � � — — —— — ———— �T ,y LAND SURVEYOR.N.T.S.UG NO.133AS O S S
aE55-------- - - -- - AAAA-- = Tf
--- --------=-TEL.-- AAAA-- SURVEY FOR:
: . MS IRanzm A VIOLATION
a LoanDN TD N
THE SURVE,N�vNLAT10H v SECTION EDWARD G. ABITZ `�„ °45893
TZDE OR THE Nw YORK STATE EIRI"TDN It „ 4
NOTE:8aMONUMENT ""' LOT 34 FAIRWAY FARMS 2fCfARD�Ejot•
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OOF1E,W TH13"VEY MN+NDT ACARINE
1M[LANG AIMVETOR'E HIRED WAL G
OF SUFFOLK COUNTY ON FEB.13,1974 AS FILE 6b66 EAMDASED mAL s "RDr AT DwIVDERCD
M AE A VALID TRUE AT k
CUCOUE„� _..J I~GUARANTEED TO:
i WATER SUPPLY—PRIVATE WELL ewE `
NEAREST WATER MAIN- 31 MILES U
0NLr TmeyO o wwCArED NER[w MALL RUN
aTLr To THc PMEn.row N,-. THE TOWN OF SOUTHOLD-
m THE a FHEFARm,ARD DH R,a eEHLLF
AI THE AIDE CDMR.HT,SwER04 LIST
AEEHCT AND LT0 THE ASnINEES LISTED
"POPHIRIZIN.AND T THE AESNNETA a TRE SUFFOiKT CO.;'N:Y.-
NAT TA W`tRMTNNI. ADD.T TELE ME
wMr,YruTt0.E aR wAaarcNTTO NERS. _ SGLE: IH=401 DATE.MAY 19, 19TIS no• 76-358
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