HomeMy WebLinkAbout27823-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29475 Date: 05/29/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2700 BRIDGE LA CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 85 Block 2 Lot 4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 22, 2001 pursuant to which
Building Permit No_ 27823-Z dated OCTOBER 23, 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to JOHN & AMY S BAGLIVI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1045327 05/16/03
PLUMBERS CERTIFICATION DATED N/A
A' rizAd 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. 27823 Z Date OCTOBER 23 , 2001
Permission is hereby granted to:
JOHN & AMY S BAGLIVI
PO BOX 1020
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD WITH FENCE TO CODE AS APPLIED FOR
at premises located at 2700 BRIDGE LA CUTCHOGUE
County Tax Map No. 473889 Section 085 Block 0002 Lot No. 004
pursuant to application dated OCTOBER 22 , 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized Signature
COPY
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 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- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
/ Date. 5 b, 0 3
New Construction: ✓ Old or Pre-existing Building: (check one) {
Location of Property: 2�7(U fle /04 e—
House No. Str et Hamlet'
/�
Owner or Owners of Property: cc/-
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision /-;;Fqm4N�'d(�� Filed Map. Lot:
Permit No. 1]g23 Z-- Date of Permit. Applicant: t; V f CNL Ci(17
Health Dept. Approval: — Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: _� (check one)
Fee Subm tted: $ oC
02 ll/3 O 9 Applic nt _gn ure
n
17 CPCPLI�C I�LI�CnLILI�LI�C nLI�C I�LI�C hC 17C nC I�LI�L17Ll�C I�LI�CPC I�LI�LI�C nC f.n1 I1: 1 1I:�C�CnLf:1I9 1:111!1!1: 11�LI2LI2 :1111L1 17CnLl�C l�C 17C�C IAC I�LI�C�r�C nC IAC I�LnLI� C❑�
5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 5
5 CERTIFIES THAT S
Upon the application of upon premises owned by 5
5 JOHN BAGLIVI JOHN BAGLIVI
5 5 RO BOX 1020 2700 BRIDGE LANE 5
CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 5
Located at 2700 BRIDGE LANE CUTCHOGUE, NY 11935
5 Application Number: 1045327 Certificate Number: 1045327 5
5 5
5 Section: Block: Lot: Building Permit: BDC: NS11
5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5
5 electrical devices and wiring, described below, located in/on the premises at: L5
5 Outside,Pool/Spa, ,]e'
5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5
5 found to be in compliance therewith on the 16th Day of May,2003. 5
55. Name QTY Rate Rating Circuit Type 5
5 fj Appliances and Accessories 5
Pool/Spa Circulator Pump/Motor 1 0 1 H.P.
rj
5 Pool/Spa Bonding 1 0 C5
Time Clock/Switch 1 0 CJ
5 Wiring and Devices 5
5 Switch 3 0 General Purpose
Fixture 1 0 PooUSpa 5
5 Receptacle 1 0 GFCI
5 (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
5 frequent test and/or repairs made by a qualified person. 5
5 5
5 5
seal
5
5 5
5 I of 1 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
D �PrJ�r -L3IJ�cPrJ�rJLrJ�rJ�rJmrJ�rJ�rJ rJ�rJ�rJ�r�rPrJ�r�tJarJ�rSr�rJ�rJ�rJ�rPrJ�rJcJ�r�rJrJ�rJ��PcPrJ�rJ�r1rJrJ�rJ�rJ�rPrJ�rJ�rJ�rUrJ�r�rJ�rJWJ�rJ�rJ�rJ�PrJ�rJ�rJ� o
ApplicanU Date
Owners Natne: Reviewed: o T3
Architect/ Date
Engineer: 'J Submitted: o aa-e/
SCTNI a:
District: 1000 SecOon: 131oa _0 Lot. _
Project Subdivisioty�
Location: x 019 �r�ua. d"C-C.r-O `L--- _ Name: -`;.Iy i,✓
1 (J
Sin&le & separate Required
certification: (Yes/No)
Req Rcq. ^
zoning Disiricr QA size. Actual. � l IIA coverage 740hoix'sed _ C
Req. Req. r Req. r r
(Prom Yard _Proposed: J [Side Yard /0/0 Proposed:1--J [Rear Yard l j[ Proposed-
Project Description:
A EG NCIH ER ITS 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??? 0 u
Flood Zone:
NoteE
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: ��/��aSE_ A, C 70
Alq 644en
DATE Y INSPECTOR ..�
M-1902
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] 1 TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CFIIMNEY
REMARKS:
LAI
DATE �� Qv INSPECTOR
X65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLB6.
[ ]
FOUNDATION 2ND [ ] 1 CATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: J
DATE � � [(IV- INSPECTOR
BUILDING v
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 reJ�e
[ ] FRAMING [ FINAL
[ ] FIREPLA�F& CHIMNEY
REMARKS: �
v
DATE � � OI/ INSPECTOR �J
T6S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: L �
DATE -INSPECTOR -
rim INSPECTION -PiRPORT • DATE +P_.�`fi COMMENTS
FOUNDATION < 1ST)' --------------
-
,yum- ATION (2ND)
ROUGH FRAME & �U
PLUMBING
[NSULATION PER N. T
STATS ENERGY
CODE
FINAL
/1pDITIONAL COMMENTS: r
A51,
ZA4 "Y
' c
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION C CKL T
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board ofHealth
SOUTHOLD,NY 11971 3 sets of Burldig Plans s�
TEL: 765-1802 Survey r/
PERMITNO. Cheolte 4ia
SeptioForm
N.Y.SD.E.C.
Trustees
Examined 1,0h ' 20Dj__ Contact:
Approved /ako 1200) Mail to:
Disapproved a/c
Q D Building Inspector
OCT 2 2 2001
APPLICATION FOR BUILDING PERMIT,
i- BLDG.DEPT
OF
D
Date. /ZZ 20 a
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 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 waterways.
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 a permit
shall be kept on the premises available for inspection throughout the work.
c.No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupancy
is issued 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 regulations,and to admit
authorized inspectors on pr=Mica and is building for necessary inspections.
UNDERWRITERS MITIRCATE
REQUIRED
OCCUPANCY OR =-- (Sig=atumofapplicant orname,ifacorporation)
USE IS UNLAWFUL "IMMEDIATELY" �� 9 c�,c re; ,Ls- ,,93s
WITHOUT CERTIFICATE ENCLOSE
COMPLETION (Mailing address of applicant)
OF OCCUPANCY BEFORE"WATER"
State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician,plumber or builder
iv>Z.4P_rv� �
Y
Name of owner of premises o%N + A r h Vr ul is a3 / ftm. �8�3;✓
(as on the tax roll or latest deA 14
NOT1111 G D M
If applicant is a corporation. signature of duly authorized officer 700.1802 S AM TO 4 PM FOR THII
�� s1
(Name and title of corporate officer) IL FOUNDATION REQUIRM
FORPOUREDCQNC'REI
Builders License No. /N ,i6 7_mss 1 ROUGH • FRAMING a FWMBRIO' l
A INSULATION
Plumbers License No. 4 FINAL • CONSTRUCTION MUST ?
SECOMPLRTEPORCA►
Electricians License No. ALL CONSTRUCTION:SHALL MEET
THE REQUIREMENTS .OF THE N.%
Other Trade's License No. STATE CONOTRUCTIQN i INEROY
CODES." NOT RESPONSIBLE FOR
1. Location of land on which proposed work will be done: DESIGN OR CONSTRUCTION ERRORS
2760 -2;21y4F
House Number Street Hemet
County Tax Map No. 1000 Section_ Block a2 Lot ?/
Subdivision �5,�t�r2 9G�ZB� M041aFuuui)aa,uui) Filed Map No. ,ss72 Lot p
(Name)
:. State existing use and occupancy of praises and intended use and occupancy of proposed construction:_
a. Existing use and occupancy 2 57o/ZY
b. .Intended use and occupancy
Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition erWork -&4zu.u� s " "„ �.
(Description)
k. Estimated Cost 'fio.3Uy..00 Fee -1iso.av
(to be paid on filing this application)
i. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
i. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures,if any: Front Lc£s Rear Depth
Height mss' Number of Stories e2
Dimensions of same structure with alterations or additions: Front
Rear. 1
Depth Height Number of Stories
S. Dimensions Dimensions of entire new construction:Front Rear_ Depth
Height Number of Stories
9. Size of lot: Front /33.ley Rear 12o, Depth V '
10.Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated ?--6,ze/ur/,4e
12. Does proposed construction violate any zoning law, ordinance or regulation: QUO
13. Will lot be re-gmdefl f%5 Will excess fill be removed from premises:® NO
14.Names of Owner of Premises—:i�//i/ Address r o�--- Phone No. 7sy- 6131
Name of Architect Address e`' Phone No
Name of Contractordu/ L �.s /-ro. P,ddress ao+ s r.�rev. phone No. 73 v-�G 6 6
1 S. Is this property within 100 feet of a tidal wetland? *YES NO DC
• IF YES, SOUTHOLD TOWN TRUSTEES PER1vMMAY BRREQUMED ,
16. Provide survey,to scale,with accurate foundation plan and distances to-property lint
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE 08 BW MA
Oa
COUNTYC 5 k �•`• AtJ
A p
JTQot being duly swom; deposes and says that(s)he is the applicant
o )above named,
S TieR11U�3N CmV M057 NO WILiCA� tR-
OkIsilAlM +A DiUMAR3 • Ft ' ,, or,Agent,Corporate Officer,etc.)
A40ITA.WdV1 t
0O f,�ighorized to perform or have performed the said work and to make and file this application;
P:jMall em” lication are true to the best of his knowledge and belief; and that the work will be
application filed therewith.
Sw R T
13
T8
-- 1b �1"•�a 20
Notary Public �
CLPJRE L GLEW . Signature of Applicant
Notary Wio,State of New York
No.01GLAS78G06
Qualified in Suffolk Coupppp,,��..,� �
Commission Expires Dec.a.izw- Y'—
e
a r N/F.
x D.AVID5
S55 - 0- 10E 1200
as-r Iz;�•
In I 7y rc c
CO n .n�F+ v
0
N v
Q ••-J IGI[ 'y/F iU �eUEi-e.ii>N yXF➢c'
v, 6 Iz
tJ cr x s
4 C] 2 �evt� DEefe
cr k7yzr 2a P�osEc75 aefFfav
''-"3
j J £Nr7)N� {� -
I zee DvEultu[
s, -'
c
w
w
z
I
's � a• a-
t „� J TIE DIJT. LOT 9 LOT 0
j N55. 18- 90W 133 - 60
676.00
t4 pF NEW I"aP
a 0pwto
,( BR ! DCBE LAME
r ! �
a
f 4k 46"10
T
TITLE SAJRVEY OF -OT `A
•IMI tlbw ,l b tl rWWWW vt"t0N = S MAK AGKEStot"&. . .of"W04Jh OF StJVTNIiI JIu1W Mason.Ana laIMN.Ipron•01Nw Y aspMltllwn
+iM1 Oi'^"• SUFfUIa COUNTY N Y
not bN111M Mq gOl1•Mn,rol'•e1wM eNl a
en., e.=:•hell fwl h o•eMdrM•otlW Irw n.pe ww`�+wr�..r.www+.r.w..•,.-...
.... ” Im W,nen•Ilnfd enNll/1MpI1 hpR�llw lyf�e p Ihw .r Y tlnM .
e"C��,11. pylpp•1 Yd YM Mlla IIM,�I,Ve"��MI hNl (. Ian U,�
L..;e• nf•IM1Y11��wtlb•Roo 1,Rot1ne.plomilm alas,Iddilwn la SlJN V t Y D41 F. 3• ' l3 A R f A .Ll
n.Y YfiMf ewnArwwn
»n_
.. an
HAFU 44AP NO
9 Eb UNFY
� i J t �r�4 J D.N.t1JyL_Q$�� .-.� ..._u wwsw""w aw,vw++a.+w«.-w•w,w ,•...
�, m 19 I+,� � � + � Aa t 1 1 : •,`�i f 9 f4 ,,1.
�r, i G.I4FR 11 Nc I1,14V ! 5 N
e
1
e e ) e e ) • • e `� I — A
�_—BILL OF MATERIALS —
TC
114'Plain Poneh(08-009)
2.5'Plain Poneh(08.015)
2-4'Plain Panels(08-016) Q f ({ H J K J
1.2,Main Panel(08-018)
4' 8' 8' $ 8' 1.90°Corner Set(08-020) SIZE A B C D E s d M J K L
12-Economy Braes(08-210) 13'x 36' 1E t' r4• it 14 s'6• 4.6' 4'6' tV 4'5-
I
'tt•
1-Steel Nadwore Kit(08.104) KIM rvs o .a Mvw 1s' Kr s'4' YI' 1r 11' S'6' 1'6' 4'6' Y r1•
1-18x36 Straight t '0°c S0a oml"'
5 Ig coping Ser 6•Rodius(10001)
$ 1.90°(aping corner Set(10-0a) TYPICAL CORNER ASSEMBLYADJUSTABLE BRACE
1-v'q Liner(see options Wow) �r r
CLP
STEP OPTiONS ACRYLIC FIBERGLASS
8 A� 6'Stip-Remora 2{08-009)8'paneh and .r,
8' 1408-018)T pond. hnert 1401.006)6'step � � ++ra •
end 2-(08-014)6'ponek.
5' 8'Step-Remora 2-(08-009)8'ponek and �,
2' 1-(08-018)2'pond. Insert 1401-002)8'step
4, 8, $' $ 8 and 1-(08-015)5'ponek. f�
CORNERS
On $AND
Replace 4-8'plain panek(08-009)with: ,."x
1-8'skimmer pone)(08-011) PANELS
2-8'inkt ponek(08-010)
1-8'light pone!(08-012) • . .
11'SSW Slop lend)Remora
N-6:(03-604-CS),(03-604-LS),(03.604-RS) 2-(08.009)8'panels oW
1
wrl
4" Q ' 8' 8' 1-8:(03-204-CS),(03.204-LS),(03-104-RS) t-(08.301)8'sie�p,2-(08-167)
5.14:(03-304-(S),(03.304-LS),(03-304-RS) 45•xl'fAw paleh and
g 2-(08-016)4'ponek
5 6 NSPI TYPE 11 1410.083)steel step coping set
VINYL LINER OPTIONS I end 7410-085)coping caner
* sd requied- See pogo I.
it
8' AO's 8 5 i(oeao9Sw °)r�po~±e �.r+
108-301)r steel
1-(08-013)1'pond,1408-167)
45•x1'filler pond and
6' 1408-168)4•pond
5 1 4 10-083)sled step coping sol
and 1410-085)coping cornof
4 8 8 8
TOPAZ ST0604) ERLING STO SITE wl replied.See pogo 1.
Attention DIN n p'r•sp«n�'ky a se•e,d P�dMy podop•PXomded by FWP 4 d4--d b
t6UN 1NVIN5 UNl�S pool v.rw ord�hd f.•rs0 DrveJG wrvey 4b.h an p.op«ry..Ue.d.
N-6(03-642) 1-8(03-242) 5-14(03-342)
ADDITIONAL NOTES rHS DOCIMHEN�IS N7R UUSntAM KWOMS CNIY
FM►Ana POOLSA,W.ste$MM ant
PwP=+at«arty eq,.npr.s.n.x ens.6+h""ad—ft—AM n wAna,N 414164 USA (219)4n4m
Fr7ONT1 =R
'0yy,�,nok given t0 90° rat Of corners. n•,•dw ggvsh ern ca"I*.nen d rlo�orwl spa and PI °`"`k r to t.° 0 s 'Qgr s.o.a,r r.«.,n,ad. P o o s_s ••Aw.a s UMI
"'tl_ 9 Da Ins�M.wgp.++.d minur••n ssondords b md•n•d pod. by 6:d•by FWPr c u u b6,**w dvaAw rq*o moti*
produod by iW►an dr.bnob4 b M dwlw/mn•ocw orJy 1h•
R'ArN• • • cpu•A�1»ewrrAocMv' •rswalorn ord hlawrd Spo 33 Pool GENE
d•ol•�a cw*odw rb r,,v i"wh your pod n m rd•pwdr+ FRN-044
1.Al.•recd d:m•nswrn on lrw•Ww Wvsrons w ad I Sal 4lww m;n•nyrn , can•oc+ar and a radon a ftj. e*a swa a o1 poy Tb o-w-x ion
pooh. bwrnq mpocey d 2000 PSI � Exa+arvr shop b•7 brpv+hodndp�ad,l d arid. MtiA�•'r m�nirrwrn sturdo.ds prior b ncoundcG•rrgnn��„t,�d�Pbf oads or n,I,odr,F,rrdd 1rn an wpb.w�n and apply aJy b rornd o�n � � �
2 pod a Los+6'ober• w .f spnys�pdny md•rd doIls: Iva w d5po 4a>=u�•.2'I 1 EZ+' s d c strvcbn IM wbxy° O�~°"done/s � 18 X36
pask
4 A�w",AL,rordrn,VA 22314•703/838,0083 1491 RECTANGLE 6'RADIUS
con•ra l 1••1 ton warm!"O'SO WC
IN-GROUND SWIMMING POOL WILL BE CONSTRUCTED
OF STEEL WALLS SUPPORTING A VINYL LINER THAT
WILL HOLD APPROXIMATLY 27,500 GALLONS OF WATER-
FENCE
ATERFENCE WILL BE AT LEAST 4' HIGH WITH SELF CLOSING
GATES THAT WILL MEET TOWN CODES.
POOL PATIO WILL BE CONSTRUCTED OF BRICK PAVERS
SURROUNDING SWIMMING POOL WHICH WILL BE LEVEL
WITH SURROUNDING GRADE