HomeMy WebLinkAbout27301-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28582
Date: 07/11/02
T~IS CERTIFIES that the building ACCESSORY
Location of Property: 1940 DUCK POND RD
(HOUSE NO.) (STREET)
Cotunty Tax Map No. 473889 Section 83 Block 4
CUTCHOGUE
(HAMLET)
Lot 4
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 7, 2001 pursuant to which
Building Permit No. 27301-Z dated MAY 10, 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 INGROtrND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
Tg~e certificate is issued to CATHERINE & WILLIAM A MULP~AIN JR
( OWNER )
of the aforesaid building.
SUFFOLK COUqqTY DEPARTMENT OF ~rF~LT~ AI~PROVAL
ELEC'~RICAL CERTIFICATE NO.
PLt~4BERS CERTIFICATION DAT~U
Rev. 1/81
N/A
53238 06/26/01
N/A
//~i Zed~ignature
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. 27301 Z Date MAY 10, 2001
Permission is hereby granted to:
WILLIAM A MULRAIN, JR.
1940 DUCK POND RD
CUTCHOGUE,NY 11935
for :
CONSTRUCT ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at pren%ises located at 1940
County Tax Map No. 473889 Section 083
pursuant to application dated MAY
Building Inspector.
DUCK POND RD CUTCHOGUE
Block 0004 Lot No. 004
7, 2001 and approved by the
Fee $ 150.00
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL .....
¥'
APPLICATION FOR CERTIFICATE OF OCCUPANC ~ ~
This application must be filled in by typewriter or ink and submitted to the Building Dep~tme~with !he
A. For new building or new use: ~-'""~'~ .k~'.i~.~.~
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural
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:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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 dweliing $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. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
House No.
Old or Pre-existing Building:
Street
Block
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section
Subdivision
!
(check one)
Permit No. =,qT-~o / ~ Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ c~ ~.o-~
Lot
Filed Map. Lot:
/Applicant:
Underwriters Approval:
Final Certificate:
(check one)
Applicant SignatUre
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Date: 6/26/01
Application No.: 53238
Issued to: Mulrain
Street: 1940 Duck Pond Road
Village: Cutchogue
Section: Block:
Zip: 11935
Lot:
Town: Southold
Introduced by: Richard Kleinfeldt Lic.# 665-E
wes exemined and fou~ to be/# compliance with the Notional Elect~'ical Code
[] Commercial F~NV Defects [] Pool [] fst FIoor I~lndoor [~Basement [] Hot Tub
[] Residential [] Det. Garage [~Attic [~2nd FIoor ~]Outdoor [] Addition [~Survey
Switches Receptacles Fixtures GFI Heaters
1 I 1 1
Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp
Furnace Oil Gas Circulator Smoke Detector
Meter Amps Phase UG/OH Telephone Television
[] / []
Other Equipment:
pool panell timer
Building Permit No.
Rnal Inspection: 6/26/01
Rough Inspection:
A/C Fans
Garbage Disposal
Bell Transformer
Carbon Monoxide
President
This certificate must not be altered in any manner
Inspectors may be identified by their credentials
Inspector: Quentin Reynolds
JAMES K. MORROW, JR., P.E.
DESIGN
PERMITS
INSPECTIONS
2066 BEDFORD AVE. · NO. BELLMORE, NY 11710 · (516) 785-8032
March 17, 2001
Town of Southold
Department of Buildings
Re'
New Inground Swimming Pool
Drainage Facilities
1940 Duck Pond Rd.
Cutchogue, NY 11935
Dear Sir or Madam:
The new inground swimming pool for the above referenced premises will not require
permanent drainage facilities because the pool is constructed with a vinyl liner. The pool
water will be continuously recirculated through the filter and will be reused from year to
year. The drainage from the filter backwash is nominal and will not interfere with public
highways, public water supply, existing sanitary facilities or neighboring properties.
Sincerely,
J tar~t~K. IV~orroV~, Jr., P. ,1~./
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FRAMING [~/~]' FINAL
[ ] FIREPLACE & CHIMNEY
DATE
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~~ATION
[ ] FRAMING [~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: c~~
/ /
DATE
INSPEL~I'OR
FIELD INSPECTION I~PORT ' DATE
ii II
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Il Il
FO~ATION ( I ST) Il
l: Il
Il Il
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F~O~I~ll)AT I ON (2ND) ,~ ~ .... ~
II II
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il
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i lI II
INSULATION PER N. Y
· II Il
II
~ ~ = ................ ~i !~ FORM NO. 1
i ~ ! TOWN OF SOUTHOLD
: J~[}l~ ~flfll BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765.1802
Examined
................ , 19.. o
pproved .. 5 .'1.. ..... :
roved a/c
APPLICATION FOR BUILDING PERMIT
§OAR§ 0P ~tEAL~=it
3 SETS OF PLAN'S
-~URV r_y
CHECK
SEPTIC FOR,'[ ..... ' .........
hO~ ~ py: CAL~
;g .................
: ' : INSTRUCTIONS
a. This applieati0n must be completely filled in by typewriter or in ink and submitted to the BUilding Inspector, with 3
ts 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
' ai'cas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~tion.
~ ,c. Tile work covered by this' application may not'be cbmmenced iSefore issuance of Building Permit.
~ d. Upon approval of this application' the Building Inspector will issued a Building permit to the applicant.
all be kept on the premises available for inspection throughout the work. Such permit
e. No building shall be occupied or used in whole or in part for a~y purpose whatever until a Certificate of Occupancy
all llave been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
lilding ~one Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinancas or
-'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
le applicant agrees to comply with al/ applicable laws, ordinances, building code, housing code, and regulations, and to
mit authorized inspectors on premises and in building for necessary inspecti~)s._
(Si=nature of applicant, or name, ff a corporatmn)
lailirdg address of applicant)
ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......................... 0 co .oc c ............................... ..
m'eorownerorpremises ....... .il i0m . .......................
· (as on the tax roll or latest deed) ' ·
applicant is a corporation, signature of duly authorized officer.
(Name and] title o'~ corporate officer)
Builder's License No..LS.i..-I.k 7. ~"~ ...........
Plumber's License No ........ ,. ................
Electrician's License No..~l~tl.~.'. ~ ............
Other Trade's License'No.., ....... . .
Location of land on which proposed work will be done... ........................
HamlqY ...............
State existing use and occupancy of premise, s and intended use and occupancy of proposed construction: ·
§. i'~ahii:~ 0t:~Ork (chec~r.which applicable): New Building ........ Addition
Repair .............. Rem,,,,.,i .... '' · ......... ~teration ......
.................. ..............
4. Estimated Cost .~.~s ~ ......................... Fee ~ (Description)
[ / ~ ~ ~,~ br e~fof~ (to be paid on filing this application)
5. el~ng, umts ..... ~ ....~ ..... Number of dwelling units on each floor.. ~ .....
.6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......................
7. Dimensions of existing st~ctures, if any: Front
............... Rear Depth
Height ............... Number of Stories .....................................................
D~ensions of same structure with alterations or additions F
~- , : 'Fo~t ~ '''
~eptn .............. ]lo;-~t ................. Rear ..........
8. ' .............................. Number of Stones ......................
Dm~enmons of entir~ new construction: Front ........... Rear Depth
Height ............... Number of Stories ......
~, Sizeoflot: Front ...[~,~ ........... Rear.'~[~~ ........ ............................
10. Date of Purchase ......... Depth ...~ ~.{ ....... '
........................ ' ..... Name of Foyer Owner '
I I. Zone or use district in which premises are situated .............. ~ .............................
1 2. Does proposed construct~o~ violate any zoning law, ordinance or regulation· . ......
13. Will lot be regraded . ~ X~ W"' ' ' '~ ..................... ' '' '
' ' ..................... m excess fill be removed " :
14. ~ o~ ?w~ o~p~e~s ~ ~.~ ~(,. Addressl~~~ fr°~2~_mX~,,~ N°
N~e of Contractor~-~ aZid ............ ?uures~~4~. ~hone N~
s ...... ~.~ ...... Addres~~ ~.~ .... t~ ........ '''
15. Is th~s property within 300 feet of a tidal wetland? ~s' ~,n~.~non~O~:t~...
· If yes, Southold Town Trustees Pemit ma~ be required.
.... PLOT DIAG~
Locate clearly and distinctly MI bulldogs, whether existing or proposed, ~d. indicate M1 set-back'd~ensions from
pr°pe~y Hnes. Give street ~d block number or descdplioh accord~g to deed, and show street nines and indicate w~hether
intehor or comer lot
TATE OF NEW YOIqK, .,
OV.'aTV OF ..... S:S
......... .......
o duly sworn, acposes anu says that lie is the applicant
(Name ofindMdual signing contract)
named.
-' is the ........... .C~O~..a,~.-~..C.~' .Qeff~.c}(.Cxj~.. (2~_~ ~'
' (Contractor, agent, corporate officer, etc.) ' ............
said owner or owners, and is duly authorized to perform or have ILer[onned the said work ~nd to m
plication; that all statements contained in this application arc true ~.t '~ ' ~e and file this
,rk will be pcrfo~ed in the m~ner set forth in the application filed tl~re~itll. '~ and that the
'om to before me this l{-~bes~f Ins knowledge and belief;
............ /. 6. ~...day or..~~ .......... ~.~/
~u:l~'~c.~ ir, at'"c.,; ~ c~:~'4 ~ .... ~/~nat~/e'of applicant)
~to. 01BO6005~,
LOT AREA = 40,004 Sq. FT.
Ld
S. 39* 00'00" E.
/
160.55'
~ 39,r
N39° 00'00" W
---- 55.r
135.55
DUCK POND ROAD
NOTED
NOT'IF:I '! ~>!~','~ Dr ~.~T AT
765-1~: ~ ',~ '"~ , %1 FOR THE
FOLLC
1. FOE
FOI
2. ROI
3. INS
4. FIN
BE
ALL
THE
STAT
LLI CODE
g DESlG
I F:
UL~/
AL
,ONST
,EQUH::
CON~
~. NOT
OR CO
REQUIRED
3MBING
/; UST
9-10-1999 REVISE DISTANCES TO SEPTIC
8-6-1999 FINAL SURVEY
5-:~7-1999 FOUNDATION LOCATION
i-:~G- 9 0 PP. op D~ E~._
~ ItLR~d ONLY TO ~ ~
THE ~l~l ~ T~ L~I~
INSTITUTI~. ~UARANTEES ARE
IN~TITUTION~ OR
~ THE LA~ 5UR~YOa'S
~ ~T M ~S~ TO ~
GUARANTEED ONLY TO
WILLIAM A. MULRAIN, JR. /,/~'~~'~
CATHERINE SMITH MULRAIN /
BNY M~TGAGE CO. LLC /
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
NOTE: CESSPOOL, SEPTIC TANK AND WELL
LOCATION BY OTHERS.
JOB NO. 97-269 FILE NO. WOODBI NE
SURVEYED FOR
LOT NO. 4
MAP OF WOODBINE MANOR
SITUATED AT CUTCHOGUE
TOWN OF SOUTHOL D - - -
SCALE 1" = 50'
FILED MAP NO. 8239
TAX-MAP NO. 1000-83 - 4 - 4
MANOR
SUFFOLK COUNTY NY
DATE 7-- 23 --1997
DATE 12-- 15 -- 19~56
(REF. ONLY) DISK 17(
HAROLD F. TRANCHON ~R P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792 --~
516-929-4695
t