HomeMy WebLinkAbout26740-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28577 Date: 07/10/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 500 ALVAHS LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 109 Block 2 Lot 2.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 2000 pursuant to which
Building Permit No. 26740-Z dated AUGUST 25, 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 MICHAEL R & DIANE CROSSER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 069809 11/06/00
PLUMBERS CERTIFICATION DATED N/A
Auth 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. 26740 Z Date AUGUST 25, 2000
Permission is hereby granted to:
MICHAEL R CROSSER
500 ALVAHS LANE
CUTCHOGUE,NY 11935
for
NEW CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE
TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR.
at premises located at 500 ALVAHS LA CUTCHOGUE
County Tax Nap No. 473889 Section 109 Block 0002 Lot No. 002 . 002
pursuant to application dated JULY 19, 2000 and approved by the
Building Inspector.
Fee ; 150 . 00
Authorized Signature
ORIGINAL
Rev. 2/19/98
Form No.6 F}
TOWN OF SOUTHOLD
BUILDING DEPARTMENT TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAL T
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 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 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$15.00
Date. 5 I1LAIP1 Z
New Construction: Old or Preexisting Building: ,/ (check one)
y�
Location of Property: �� 1�(Vyl V)s ' LOI.KI -
House No. Street Hamlet
Owner or Owners of Property: M l as kir,4 D LAIti.& Ci�?s Srd-✓
Suffolk County Tax Map No 1000, Section 3 8$ I Oq Block m p 0 L Lot 46 2-.d 0 2—
Subdivision
Subdivision Filed Map. Lot:
Permit No. U� Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
VS
�� CXR C (0 Applicant Signature
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8081984 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date NOVEMBER 06,2000 Application No. on file 11015000/00 H 069809
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
irCHAEL CROSSER, 500 ALVAH'S LANE, CUTCHOGUE, NY
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd FL OUT Section Block Lot
was examined on SEPTEMBER 26,2000 and found to be in compliance with the National Electrical Code.,
FIXTUREFIXTURES RANGES C ING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETSINCANDESCOA SWITCHESFLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. I N.P.
1 2 1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKSgEll UNIT HEATERS M LTII-TODUSLET DIMMERS
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
i 1 1 20 1 40
SERVICE DISCONNECT MSR S E R V I C E
AMT. AMP. TYPE EQUIP. 1 0 4UI 1 0.SW •�W tW NO. CC COND. A.W.G. NO.OF HI-lEG A.W.6. No.OF NEUTRALS A.W.G.
PER• OF CC.COND. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
SWIM MM POOL-1
GFCI-1
*(SWIMMING POOL) This certificate
covers compliance at the date of
inspection. only. Because of unusual
environments it is advisable to
hive frequent test/and or repairs
made by a qualified person.
L
<<< Continued on Page 2 »>
GENERAL MANAGER
r
Per
Tt>is ClrlHW muRt not bq aftnd in any manner,return to the office of the Board if Incorrect.Inspectors may be INsNrltMled by th credentials.
` COPY FOR-- UtLDtNP- DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 2
8081984 SUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10088
Date NOVEMBER 06,2000 Application No. on fue 11015000/00 H 069809
THIS.CERTIFIES THAT
only the eleetricat ecupment as described below and in&oduced by the applicant named:on the above applica0on number is in the premises of
MICHAEL CROSSER, 500 ALVAH'S LANE, CUTCHOGUE, NY
lo the fOlkwina location; ❑ Basement ❑ lst FL ❑ 2nd Fl. OUT Section Block Lot
was examined on SEPTEMBER 26,2000 and found to be in compliance with the National Electrical Code..
FDaUURE AaM SWRCNM FIXTURES RANGES Coop me DECKS OVENS DpN W 0 EXMAUST FANS
FD
Huouse r OMER AMT. K.W. AMT. K.W. AMT. K.W. OM. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REVFT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET SYSTEDIMMERS
AM. Lw. OIL N.P. OAS N.P. AMT. NO. A.W.O. AM. AMP. AM. AMPS. TRANS. AMR. x.P. NO.OF FEET . WATTS
SERVICE DISCONNECT NO.R S E R V 1 C E
AMT. AW. rfm MAP. 1•RW 10 sW 30 SW 30 4w No.orr�R of A. bora. xo.oc xi-uo �OF�;� No.Or NPJMALS A NEu�
OTHER APPARATUS:
PUMILLO ELECTRIC L
P.O. BOX 323
LAUREL, NY, 11948 GENERAL MANAGER
Por-
Mcnift must not be aihnd In any manner;reh m to tM OMCO of the+Soord If Incongct.Insp"fors may bo d by ilNNr crsdanHols.
rp:Py F0f E4�11HDII�tG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED'UV INANFWL
BUILDING PERMIT REVIEW CHECK LIS
Applicant/ Date
Owners Name: r�.it2Q [�� v D "_,,, Reviewed: f} Z3 0
Architect/ Date
Engineer: Submitted: 7 L-21160
SCTM #:
District: 1.000 Section: J C 9 Block: eQ Lot: o�,
Project Subdivision
Location: 50f) 0 A MAI-) SA, Name:
Sin)?le&separate Required
certification: -(Yes/
Req. Req.
Zoning District �0 (Lo(size Actual. /o g 6 40 J [Lot coverage Proposed: �2—/�'�J
Req Req
[Front Yard Proposed: [Side Yard .�/ Proposed. ��'��/ [Rear Yard Proposed: 97/ ]
Project Description: T GS
AGENCY PERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept.
New York State D. E. C. ✓
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes:
tELD INSPECTION RKI'ORT DATE - - COMMENTS
------ - ---- - - c
II p ro
------------
-------- --
)UNDATION ( IST)
— --- -- -- - - °-- ----- - - ---- ----- - -- - --------- --
-
u I
Im-------ii--------- ----- -------- --- - -------- --- --- ---
u II I
it-° °------------------- - ------ ---------------- --- — a
JUNDATION (2ND) II ------------------------------------------------
1 ?
Im--------II
u u
u
JUGH FRAME &
PLUMBING
tr -
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II H
if ��-
NSULATION PER N. Y. u— if txl 7
STATE ENERGY it u 1
CODE I--
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FINALu (�
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---ADDITIONAL COMMENTS:
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BOARD OF HEALTH
FORM NO. 1 3 SETS OF LANS
I I�J T0WN OF SOUTHOLD SURVEY�/
BUILDING DEPARTMENT CHECK
u,
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
E!DG.DEPT. SOUTHOLD, N.Y. 11971
Yn\Ai!; F S UTHOLD TEL: 765-1802 NOTIFY:
Examined... 1.1�°........ 20R°. MAIL TO': . . . . . . . . . . . . . . . . . . . .
Approved... /23......., 219:' Permit No. K ./.�?
Disapproved a/c .................................. ..........
. .. ......................
(Building 7ncMrtor)
APPLICATION FOR BUILDING PERMIT
Date. .?/�� . . . . . . . . . . 20 Ov
INSTRUCTIONS
a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wii
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 camenced 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 whale or in part for any purpose whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION 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 Leas, 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 building for necessary inspections.
. 7uK..
(Signature of applicant, or name, if a corporation)
/o "Fox ?.,. 60'.><C4� .c.+s //9
.......... .....................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
...................�(?ti 72(7C,�c>1�..................................................................................
Nape of owner of premises H/G11/.1.1452..¢: ......... .
.......................................
(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. .l Ei.��7:!`fs.......
Plumbers License No. .........................
Electricians License No. .....................
Other Trade's License No. ....................
1. Location of land on which proposed work will be done..............................................................
S. ?........................ L !c..........................�CA�! �......................
House Number Street Hamlet
County Tax Map No. 1000 Secti�on ...,/ll�........ Block ..2.......... lot -.1-11
.............
Subdivision .M!G(f!�GL�......e-Z4 . .......... Filed Map No. ................ Lot ...............
(Name)
2. State existing use and occupancy of premises and intend�eed` mouse and occupancyy of proposed construction:
a. Existing use and occupancy .h. STv�f ..���...111" ..............................................
..
b. Intended use and occupancy ..,39.r1!�Y.�.�.'..N.��..l:-?i7i'�...!N. -r,�i:?�?!'S�?.'..S.W� r.1�rU ��-
r
3. Nature of worts (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair ............ Removal ............. Demolition ............ her Work !!4? i .4t7R.ti� ?(!{• te^ �x.��[
(Description)
4. EstinmatedCost .....i .................. fee .. �J`� U�.............
...............
(to be paid on filing this application)
5. If duelling, number of dwelling units ............ lumber of dwelling units on each floor ................
Ifgarage, cumber 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: Pront..'7�......... Rear .24)......... Depth .3�/.
height .. ?................... Number of Stories ..�.................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ..............
Height ......................... Number of Stories .....................
9. Size of lot: Front `.... Rear ......... Depth .. rJ�� 1.........
10. Date of Purchase ..................... Nae of Former Owner ........................................
11. Zone or use district in which premises are situated . Zf 4'� �i'�� ...........................................
12. Does proposed construction violate arty zoning las, ordinance or regulation: .../L.)!C)................
13. Will lot be regraded .. ?........... Will excess fill be removed from premises: YES
14. Nares of Owner of premises ./VjCMf. .,dAddress ?.! U .L'B'W . `r�?'r. Phone
Nae of Architect .................................... Address Phone No. ...........
Name of Contractor ........... Address—l.4..
15. Is this property within 300 feet of a tidal wetland? * YES .......... ND .. X.....
*IF YES, SQA11011) TOWN TRDSIIE.S PMUT MAY BE RPQII M.
PIAT DIAGRAM
Innate 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.
SCAlr or N 1
�.�kcomfy OF � ... SS
.....6/2/1.7u<...................being duly sworn, deposes and says that be is the applicant
(Name of individual signing contract)
above named,
lie is the ....... ...............
(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 container) in this application are true to the best of his knowledge and belief.; and
that the work will be performed in the manner set forth in the application filed therewith.
Sworn tf e me this
�.. y 29.
Notary Pt is ..
. ...... ....... ..........
CLAW LGLENI (Signature of- Applicant)
Notartr pub)i% 8mm of New York
No.DI1 L4879606
QualWeed In Suff *
Comredaskm Expires Dec.8,
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DATA
FM-
"on" *IMMEDIATELY*
suLam765-1802 8 AM TO 4 IMII FOR THE ENUPON POOLITCOOP
FOLLOWING INSPECTIONS: UPON COMPLETION
1 FOUNDATION - TWO REQUIRED *AM OWAW
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CO STRUCTION MU
BE COMPLET FOR C.O.
ALL CONSTRU TION SHALL MEET
THE REQUIRE ENTS OF THE N.Y. 7o r2rA�
STATE CONST UCTION & ENERGY �y �y u,,li--
CODES. NOT ESPONSIBLE FOR
DESIGN OR COf iSTRUCTION ER
SEIfG'l[av�vC�
6 �
�o- �t�2 � SSE IS UI"LAWFUL
WITHOUT CERTIFICATE
OF OCCUPAI�ICY
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BILL OF —T C
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11.8'Plain Ponels(08-009)
2.5'Plain Panels(08-015)
24'Plain Panels(08-016) E F G— �7 N J t_ K —moi J
1.2'Plain Panel(08.018)
1.90°Corner Set(08-020) SIZE4IS1=Z A 6 C D E F G M J K L
4' ' 8' 8' 12-Economy Braces(08-210) I8' 36' a' 3'4' IY 14' 516' 4'6' 4'6'
I-Steel Hardware Kit(08.204) er le' 36' 3'6' 3'1• IY 11' S16' 4'6' 4'6' Y Y2'
1-18xM Straight Caping Set 6'Radius(10-002)8' 1-90°Caping corner set(10.004)
1-Vinyl liner(see options below)lb STEP OPTIONS ACRYLIC FIBERGLASS
r—
8 AO1 6'Step•Remove 2-108.009)8'panels and Wv
8' 1•(08-018)2'panel. Insert 1-(01-00616'step '•"a °
and 2-(08-014)6'panels.
oaAaw•w
8'Step-Remove 2-(08.009)8'panels and
5 2' 1•(08-018)2'panel. Inser11•(01-002)8'step _
L
and 2-(08-015)5'panels. FILLET
r O CORNERS ® -•.• -t
p O r v.�atlrt
4 8 8 STEEL •• 1 a eYLD
Reploce 4-8'plain nels(08-009)with: 6 area,
po �*.
1-8'skimmer pone)(OB-011) MFLS
2-8'inlet panels(08-010)
I•B'light panel(08-012)
STEEL STEP 8'Steel Step(end)Remove
H-6:(03-604•CS),(03-604•LS),(03-604-RS) 2-(008.8.0 010918'
I-( 812panels and
'panel. Imat
i i 8� 8' 1-8:(03-204-CS),(03-204-LS),(03-204-RS) 1-(08-301)8'step,2-108-161)
4' n5-14:(03-304-CS),(03-304-LS),(03-304-RS) 45'x1'filler panels and
2-(08-016)4'panels.
5' 6 NSPI TYPE II 1-(10-083)steel stepcopilgset
VINYL LINER OPTIONS and 2-(10-085)coping larva
set required. See pop].
n * 8'Steel Step(side)Remove
8, QO.� 8 6' 2-(08-009)e'panels. Anse"
1-(08.301)8'sad step,
1-(08-013)T ponel,1-(08-161)
45"x1'filler panel ad
1-(08-168)4'panel.
5' 6 1-00-083)steel step coping set
and 1-110-085)coping caner
TOPAZ STRUNG STONETITE set required.See pope 1.
4 aIF 8' 8 u ir (03-604) (03-204) (03-304)
NON DIVING LINERS pool oe a••wN R'c O n pan nln b wr dar I w !Z Foclwp•po ddd b/FNT w dd""•d 1°
H•6(03.642) I-8(03-242) 5.14103-342) p°°I°"""a'd"'°'*'NO D"I"D"'°'"'"g�'°"pra,wwV,maaw.
POR RIUSTRATNE PURPOSES ONLY. FMylL POOLS40,W,510SWVIG OeIvE
TMS DOCUMEM IS
. .. • • Fwp m.L..anly dor np.Leream m hmc+«..bwd M ie.vilwn fl YW1e.a 46M 115A (21p 4324731
ver odea rep+wNWbnl W,,rM«<amracw nerd. FRONT 1=R
'Diagonals given to 90°point of corners. Tho 4 di^-^.ion,<°^wy "h R°Na«d sp°and R°° M A,° A 7,n"wb b h'c b" 'e„d"a°"r"*W.A. POOL 3 euwrw wawa
Inwibw wpgeoW minimum oondard,for mk6nW pooh =tt by FWP«•0W"A y4 b Ar d.dr/o«racM ardy nr FRN-004
• • 11 diving board,a Jid•,"b be wd wilh dwLe pod,pl••w d.der a owero°er wb wLe.«1n,dl.Z. n an iridep.rid.ra
NOTESGENERAL canals dw mablackw*A imkupiam and M Nab"Spa 6 Poal cmn°cbr ad v M m oawtl«.nWIW.of FV? Th.canorvrnm
1.N vermad - ---ow haw ger worama a,an are paa1L. 1.Sail b ha s wlMmwn bearing capacity of 2000 FS.F 3. ecarcom,hall be 2'larger dean ppol aN arcard. Inarkae',minim en wadad,prier b inwoNing dirvirg board,a mwlwd,illn.awd has•err.xq�u .«d apply a'•FT'b normd Nn >m+ 81F cx' 1
2.laaode LOP of pool al le•o 6'abave,Lnroadirq Fie void,under base of pmelL and lane A. ddw on Brie pods. Far informaliaL aaroernirq N]PI minimae gaud c«dinon.lhen mgiw oddeord Per• ^�and/« MAT RECTANGLE 6r RADIUS
lad•hada•. 1.eadhe wilh non-•tpmLn•nLOLLrid. oadard..writ• Not"$po&Pod bLlibw,Il 11 Eiwwln m,dwd,of cmwadion. z rwponwbiliy n d.canMxLd,' 995
` A.enas Al-.adrio,VA 22JId 707/898 M3
cwnLwn lee,eoe*WATM.oeLs•.rr