HomeMy WebLinkAbout26917-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28249 Date: 03/06/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 935 FAIRWAY DR CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 5 Lot 14.31
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 16, 2000 pursuant to which
Building Permit No. 26917-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 CHRISTOPHER M LEADEN & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 579102 12/19/01
PLUMBERS CERTIFICATION DATED N/A
Authorized 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. 26917 Z Date NOVEMBER 14 , 2000
Permission is hereby granted to:
CHRISTOPHER M LEADEN
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at 935 FAIRWAY DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0005 Lot No. 014 . 031
pursuant to application dated OCTOBER 16, 2000 and approved by the
Building Inspector.
Fee $ 150 . 00
Auth e Signature
ORIGINAL
Rev. 2/19/98
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.
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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3 s Fl+1_►e W Ay ,C' v c C Lk Tc t+o G ck�
House No. Street Hamlet
Owner or Owners of Property: 4- LYNN L E A b e"
Suffolk County Tax Map No 1000, Section /0 9 Block 000's Lot /z/ 3
Subdivision F A-(12 W A Y FA-YL✓``S Filed Map. Lot: 3
Permit No. 0-G 9 1-7 Date of Permit. I 1pq/00 Applicant: C APCI ' 'T--oe F,G�'2 L�i40 Er/
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: c/ (check one)
Fee Submitted: $
Applicant Signature
THE NEW YORK BOARD OF FIRE 1UNDERWRITERS PAGE 1
1001381 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
r
Date DECEMBER 19,2001 Application No. on file i.3=; 5;01,/01 N 579102
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in e promises of
CHRISTOPHER M LEADEN, 935 FAIRWAY DRIVE, CUTCHOGUE, NX
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on DECEMBER 05,2001 and found to be in compliance with the National Electrical Code.
6
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES
INCANDESCE FLUORESCENT OTNER AMT. K.W. AML K.W. AMT. K.W. AMT. K.W. AMT. K.P.
1,
D1tYE S FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC.N. TIME CLOCKS BELL UNtT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL M.P. GAS N.P. AMT. NO. A.W.G. AMT 'iMP. AMT. AMPS.. TRANS. AMT, N.P. SY$TEIIIS AMT. WATTS
NO.OF FEE
1' 2 1 410
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND.. A.W.G. A.W. A.W.O.
AMI. AMI. TYPE EQUIP. 1 e 2W 1 e 3W 3 R SW 304W PER R OF CC.COND. NO.OF NI-LEG OF M_ NO.OF NEunIALE OF HSUFRAI
OTHER APPARATUS:
SWIMMING POOL-1
PANELBOARDS:1-2 CIR. 40
G.F.C.Is-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
made by a qualified person. 1
<<< Continued on Page 2 >>>
GENERAL MANAGER
Per
This certificate must not be altered In any manner,return to the offlcs of the Board 0 Incorrect.In"ton'may be Idenittied by thetr 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
1001381 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Dote DECEMBER 19,2001 Application No. on fl[e i;535501IQ11 N 579102
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
CHRISTOPHER M LEADEN, 935 FAIRWAY DRIVE, CUTCHOGUE, NY
in the following location; ❑ Basement ❑ 1st FL ❑ 2nd Fl. OUT Section Block Lot
was examined on DECEMBER 05,2001 and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS 0 DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCE FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. I AMT. K.W. AMT. H.P.
y
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC-PT. TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYgrFE AMT. WAV
NO.O�FEET
SERVICE DISCONNECT NO.of S E R V I C E
METER NO.OF CC COND. A.W.G. A.W,
AMT. AMP. TYPE EQUIP. 1•2W 1 E JW J 0 3W J!4W PER a OF CC.COND. NO.OF NI+LEO OF�, MO. NEUTRAIf OF NEUTRAL
OTHER APPARATUS:
PUMILLO ELECTRIC LIC.#2300-
P.O.BOX 323
LAUREL, NY, 11948 GENERAL MANAGER
11
Per
This certlNcafe mud not be altered In any manner;return to the office of the IboTd It inconecf.IT�I ctpn ahoy be Idenfitled by Moir credential:.
060Y FOR BUIL INdbtfsAFITMENT, THIS COPY OF CERTIFICATE MUST NOT'BE.ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
1 FRAMING r FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE os a a _ INSPECTOW/l,
ZLD INSPECTION REPORT DATE COMMENTS
:a===xaa=s=.xxxx=xxxxsa=�xax=xaxaas===sus=s==e.========a=====s=ax===aeras==ere=x=x=xx=xx=ere
ii ii ro .-Q
►UNDATION ( IST)
u I
II ii
)UNDATION (2ND) II
II II
O W
)UGH FRAME & II ij
�- II
PLUMBING " T
II
----------------------Illk--===___=II
-SULATION PER N. Y.
STATE ENERGY
CODE ri ii
n u
u ;
u
II jj H
II jj �
I'
FINAL
ADDITIONAL COMMENTS:
y �
z
r
ro
H
FORM NO. 1 3 SETS OF PLANS
tR ' TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
6 Ong W BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . .
__._... SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . .
TEL. 765-1802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . .
NOTIFY:
Examined..... ............ �t�.. I MAIL T0:
.
Approved...1 �a.'�........, Pernat No. ....�.... ...............................
Disapproved a/c ..................................
................................
..................................... .............
(Buildi. �pe�tor
APPLICATION FOR BUILDING PERMIT
Date. . . . ! !L! . . . . 20AX)
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector
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 c
this application.
c. 11le Fork 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. Suc
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.
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
Legulaticns, and to admit authorized inspectors on premises and in building for necessary inspections.
....� �7u/C.. .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 buil
................... .. e_2r .................................................................................
Name of owner of premises ...Cff1 /. ...A4 -!t;1
(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.
Plumbers License No. .........................
Electricians License No. ..............
Other Trades License No. ....................
1. Location of land on which proposed work will be done.............................................................
...............
House Umber Street Hamlet ......................
County Tax Map No. 1000 Section ..1.4.9.......... Block ..<1J........... Lot ..l l�..j./.....
Subdivision ..�,� flJ . ............,.... Filed Map.No. ....... Lot ..3�...
(Name) .......
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .l.' ..�%YZS°,i—,/7,•..f�cJctSL.:........
.....................................
b. Intended use and Occupancy
3. Noture of work (check which applicable): New Building .......... ?tlie—r
it' ......... Alteration .........
Repair. ............ Removal ....... Demolition ........... Wo .!/.U�j�s.wc1�.��:lt�J•;li ��
c (Description)
4. Estimated Cost ............... fee ....:�( :cvU.........................
(to be paid on filing this application)
5. If Aoelling, nuri)er of dwelling units ............ lkxrber. of. &,el.ling units on each floor ................
Ifgarage, mnber of cars ............4.........................
6. If lusiness, axmercial or mined occupancy, specify nature and extent of each type of use......................
7. Dimensions of existing structures, if Front.... /......... ,/;,.. �,��
may= Rear .� ..... Depth ...
Height ...r&................... Nurd)er of Stories ../.* ...............
..
Dimensions of same structure with alterations or additions: Front ............... Rear .....
Depth .................... Beight .................... lkxiber of Stories
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
height ......................... Number of Stories .....................
9. Size of lot: Front ..,l�C.. ........... Rear ....... Depth ..a.�1.g��...........
10. Date of PUrclhase ..................... Nane of Former Owner ........................................
II. Zone or use district in which premises are situated .`7�,5J.��N.T1R�...........................................
12. Does proposed construction violate arty zoning law, ordinance or regulation: .,,4JjQ.................
13. Will lot be regraded ... ........... .Will excess fill be removed from premises: YES
14. Names of Owner of premises Cdl?j.5.A46PC;..U.......... Address ��1�'4�1!tY..��?.. .'�2d':�i��r... Phone No.
N&mme of Architect .................................... Address ...........................
Name of Contractor CAi7.VK.. 445.�,7D.............. Address ......Phone No.7.3Y.�?GIrS.
15. 1s this property within 300 feet of a tidal wetland? * ns .......... NO .a.....,.
*1F YES, SOLM D '10141 MISILLrS PERMIT MAY ISE It CMRM.
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.
s
/N- 47Zvu1JD 5w /V4 73L CA%,11572c r'7L� c)F
5cs�0Z�r�/U� /� U��uY� �--i/UC Z 7.�ig> GcY� �-Jv�1� ��/�'/Z•(�P ����� ,C.v.US
DATE: et.P.
6�
FEE: S� BY• '
�� �'�,N I�T F�Y1 BUIL41N�C1 R ENT AT
✓. 7602 9 A�I�II TO �� FOR THE
�7 �� ��1�7- t�v4L ��E� 'r" FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
„j�`'d P� C�9ATELY�� FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
ENCLOSE POOL TO CODE 3. INSULATION
UPON COMPLETION 4. FINAL - CONSTRUCTION MUST
BEFORE "WATER" BE COMPLETE FOR C.O.
ALL CO+•dSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
917NIE or Ia l YOM STATE CONSTRUCTION & ENERGY
" CURES. NOT RESPONSIBLE FOR
cow 17 OC .. .. ....�,.... SS (DESIGN OR CONSTRUCTION ERROF
� '� '��'^ ..�I.��✓
.4)X .....................being duly sworn, deposes and says that he is the applicant
N-rr of individual signing .contract)
above m7ned,
11e is Llle ........G "!��(/?✓���r�4�� .................................
(Contractor, agent, corporate officer., etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work arxl to make and file this
app.i.icatiolr; that all statements contained in this application are tn)e to the best of his knowledge and belief; and
LhaL the work will be performed in the manner set forth in Che application filed therewith.
.worn Co befoR me thisj/�......... -day of ,� �'•••••:� .
f� r
Notary R
�ctaefN (Signature of Applicant)
Notary S = oYork
No.01C
Qualified in Suffolk C
Commission Expires Dec.8,
D
BILL OF -T C
L
13-8'Plain Ponel(08-009)
2.6'Plain Panel
1-4'Plain Panel(08-0108-01 6)
LE F Q N J K J
1-90°Corner Set(08-020)
8' 8' 8' 8" 12-Economy Braces(08-210) SIZE w s C v E f a rt tc
1-Steel Hardware Kit(08-204) 20'x 4a 20' 40' a'6- 3'4' trb• tYA• 7' 4• v r s'r
1-20x40 Straight Coping 6•Radius(10-003) PSM TM•-HWa MM . .
6 t 90°Coping Corner Set(10004) POKSTMOFF a 20' 40• s•4- s•4' tri is a r 4• 6 r rr
8' 1-Ymyl liner(see options below) TYPICAL CORNER ASSEMBLY ADJUSTABLE BRACE
r* • OPTIONS • FIBERGLASS - a11aL[ GI
8 AAA 6'Step-Remove 2408-009)8'panel and �*
8, 1-(08-016)4'panel. Insert 1401-006)6'step
and 2-(08-013)7'panel. "'"" °
a'StW Remove 2-(08-009)8'panels and ;,','n"'
6' 4' aid 2-(086-014) 1-(01-002)8'step
s a a 8 a EM
a ...
Replace 4-8'plain panel(08-009)with: t •nsa
1-B'skmnller panel(08-011) PANELS .e•1aa
2-8'inlet panel(08-010) rem"oras
1-8'light panel(08-012) STEEL STEP .• •• LAYOUT
8'Steel Step(side)Remove
H-6:(03-605-CS),(03-605-LS),(03-605-RS) 2408-009)8'panel. Insert
8� 1.8:(03-205-CS),(03-205-LS),(03-205-RS) 1408-301)8'steel step,
S-14:(03-305-CS),(03-305-LS),(03-305-RS) 1408-013)1'po nel,1408-167)
45°xl'filer panel and
6 6� 7 NSPI TYPE 111 1-(08-168)4•filer panel.
C VINYL LINER 1-(10-083)steel step coping
OPTIONS set and 1-110-085)coping
n* comer set required.See pogo 1.
6" 8'Steel Step(end)Remove
2408-009)8'panels and
1-(08-016)4'p". Insert
1-(08 301)6'steel st ,
6' 6' 7� 2-(08-167)45°x 1'f1�panels,
2-(08-015)5'panel and
TOPAZ STERLING STONETITE 2-08-210)economy braes.
8 8 8 8 8 (03-605) (03-205) (03-305) 1-(10-083)steel step coping set
and 2-(10-085)coping comer
NON DIVING LINERS sets required. See page 1. Ate„11011 Desk" R is Yaw=,N.an,b r�r�n�.90"r P-ho.p•.;d.d rwv is
H-6(03-643) 1-8(03-243) S-14(03-343) d.lrowed b Hod owe..and Amo�.NO oal�c woo b6r.om psww'6 yaw 1
ADDITIONAL NOTES THIS DOCUMENT 15 FOR RIUSTRAM ruRroSES OKY. FORT wAYIE POKS�,M!,sU f11MP7Ee ORIVN,
Fow malas only Awse representations wh dr aA rare in in wrFlrn rT WAYM E 46M WA (2191 4324721
° nen to 90° nt of comers. Ther.dip d..comply will Ab Naliond Spa ad pod �"r oA�. •or—"!h"lad. F 1?O N T 1=R
g InrihA•su rdW minimum skwdards For r•sidw*ol pods. by /fC0 oc dto On alft NP
�mr alar only.ilr Wft P O O L-S' •Aw"s F�wea
NOTESGENERAL • • A di•irrp War&or slide a•b b•used wish Arse pools plea• u�r
1.AA 1•rliod drrm om an From knot auusiens an•A 1.Sol b IIo+•mirinaP" of 2000 P.S.f. 3.Grcalaion shah lse Y oaauN A•manufacMers inrnrctions and Ar•Noiiawl Spa d pool daolsr or onwocrr who gw o i•sple you.pod•an ind.pwdrN �le'{i1/7
pooh b•winp capociy layer Arai pal ON armed. W Arb's minim""sbrdads prior b inraAinp boards a C0"H'OaOr ane b not an apwa or•"playa eF rW►llr aonsruaion
2.boala rP of pool d low 6'abm surroundirp FiN raids under hose of path and lamp WON. skdse an Asese pools. For irda"rolion ao�wmr� m n mum mAod`Aosh re lar•on and apply only b normal acre mY a a
: =lop lop-on. 4.11-- wIh nom•rponrir•malarial. sbndards,writ: N. For i 8 Paul knAAAa.2 nwii d ll r add ed ard/a MAY � X 411
Awrad<b vA 22 .•>o�/e3e aoe3 1995 RKfMW 6 RWUS
cornow 1N•,roar wAT'M POOL".WC
I am familiar with the STANDARDS FOR APPROVAL ELEVATIONS REFERENCED TO AN ASSUMED DATUM OHS R@f.# Rl o-99-0122
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES —
and will abide by the conditions set forth therein ► a
and on the permit to construct. (ll
SURVEY OF PR OPER T Y
The locations of wells and cesspools shown hereon
are from field observations and or data obtained - # A T CUTCHOGUE
from others.
�o, WT TOWN OF TOWNSHIP
(dwelling)
z (dwelling) SUFFOLK COUNTY , N. Y.
1000-108-06-1 4.91
141--� vq�kaown •
(dwelling) ! o p S 88'59'20" E 284.93' SCAM.,
AM 4.11999 0
N " 4 ef 29.9' JLWA IWO I raWaten 1
o
d 32 5' N jw' 2wo I/rdP6 hm 1
r!� FEB. 4, 20M I prop.
j�N2L
m o MAIL 1, ZO00 I cam fvoNWA n 1
!
a , Au 9>, !l1�2000 aO
---- g r s i �
0
Ln
u
u44f.7' m
' ,,..; ! IAT 1 '
Jo o
ti
0 �1 �i
1 0 • X9.5 hs t 9 d ,
welling]
P
- � 40 !! � N R
1 'S
:so. . a
e
dwelling) . !; d, ati, t L4
o r ,�j 'l m
W 5oI fi {root w �k 9 � o O
CCL
1%`• t t ' --f N 88'38'20" W
;I �����h 1' _ t► - _ 2 3.14 ACSU AL, 4.30'
� ----"` 52 APS
i
e� 28.9 ' ��` - " 252' el 26.7.
S 9,40 W
WAYPAT H
` k 29.<'
I / (dwelling) we
* �EOF NEIy
V
LOT NUMBERS REFER TO "ViAP OF FAIRWAY FARMS" 0. 49618
FILED IN THE SUFFOLK COUNTY CLERKS'S OFFICE ;�
AREA = 4,5.883 8Q. ft. ON FEB. i 5, 1974 AS `ILE NO. 6066. ANY ALTERATrON OR AD_-!T/ON -' IS SURVEY !S A VICLAT/ON PECONIC`S RVESQ