HomeMy WebLinkAbout27335-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-29551 Date: 07/01/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1210 TUTHILL RD EXT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 55 Block 6 Lot 15.49
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 13, 2001 pursuant to which
Building Permit No_ 27335-Z dated MAY 25, 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 STEVEN C DUNNE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 75825C 06/25/03
PLUMBERS CERTIFICATION DATED N/A
Authorized Sign ure
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. 27335 Z Date MAY 25, 2001
Permission is hereby granted to :
STEVEN C DUNNE
1210 TUTHILL RD
SOUTHOLD,NY 11971
for
CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE
REQUIRED REAR YARD OF SINGLE FAMILY DWELLING.
t�jo� 10(j-PoOL 6AT�S (�tv-QST P5 e,-- QA DL---)CG 0 "ti7-N NoT 9nl "5L
No r �NNoN t rc)2t/J
at premises located at 1210 TUTHILL RD EXT SOUTHOLD
County Tax Map No. 473889 Section 055 Block 0006 Lot No. 015 . 049
pursuant to application dated APRIL 13 , 2001 and approved by the
Building Inspector.
Fee $ 150 . 00
Authorized S ' nature
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD I
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 unusuat nat&ral`w
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 forst r l ? \
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-$25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00
Date. /`�o
New Construction: Old or Pre-existing Building: V (check one).
Location of Property: /a /o -7z—,-7 Z eel Gc f ]>�
House No. Street Hamlet
Owner or Owners of Property: S/eoew C, �&"7 r�
Suffolk County Tax Map No//1000, Section !�/7_?k2r2 Block Lot
Subdivision Filed Map. Lot:
Permit No. Z 7 3 3 S Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ L S. e,e-? �!
(�� Applicant Signature
FROM FRX NO. Dec. 03 2002 09:21PM P1
i
Electricallnspection Certificate
Issue Date Electrical Inspection Servi09,Ina Application Number
08!2512003 375 Dunton Avenue 738250
East Patchogue,New York 11772
(e31)2ea-0aQ
Issued To: Steve Dunn
Street: 1210 Tuthill Road
Village: Southold Zip: 11971 Town: Southold
Section: Block: Lot:
Contractor: Jolyn Electric Llc.# 4615-E
Was examined and found to he In compliance with the Notional Electrical Code.
Commercial ❑ NV Defects A Pod Q list Floor ❑ Indoor El Basement ❑ Not Tub
b7 Residential ❑ Dat.Garage J Atuc ❑ 2nd Floor X Outdoor ❑ Addition !..1 Survey
SwHches ReceptaUas Fadures GF7 Heaters AIC Fans
2 2 1 1
Dishwashar WasWAmps DipWAmps Oven RangWAmps Microwaves
Fumace Oil Gas Circulators Smoke Detector awl Thensfompr
Meter Amps Phese UG/OH JacmW Television CO Detector
Bldg. Permit.
i1-PoOther Equipment� Motors
d Pane! —V'-- - '—
.Time Clocks I Hugo& Surdl
i President
AFu—g6 In5peaicrr ee=2003
Inspector: Ed Scaveill
I. ;: I FSIai Inepechpn: ON08t20o3
Inspector: Ed Scavetli
This centrists MUM Trot be altered in any manner. Inspectors may ho klandlied by their cradennals.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING [ 4YFINAL
[ J FIREPLACE & CHIMNEY
REMARKSloop
O 9�,
-3 p p
DATE INSPE 71t,4,,
M-1102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2NDINOLATION
[ ] FRAMING ,(,p [ 71NAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS:
DATE � 6� INBPECTO
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION ( IST) If
I
-----�I �l
cl
cn
FOUNDATION (2ND) n
f If
JII
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ROUGH FRAME h II p
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PLUMBING
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En
INSULATION PER N. Y. `� �L✓
H
STATE ENERGY I i 0--!C �J
CODE
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FINAL
If
ADDITIONAL COMMENTS:
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FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD,NY 11971
TEL:765-1802
Tr' r1` BUILDING PERMIT APPLICATION CHECKLIST.
Do you have or need the following,before applyingT.
} Board of Health?
3 sets of Building Plans
Survey ✓
Septic orm
N.Y.S.D.E.C. `
Trustees
Examined 20_
Approved f'3 !!I , 20^ PERMITNO.
Disapproved a/c
Building Inspe r
APPLICATION FOR BUILDING PERMIT
Date j�/f// 2041
INSTRUCTIONS
a, This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets dplans, accurate plot pian to sale. 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 a 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 regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
OCCUPANCY OR
USE IS UNLAWFUL (Signature of applicant or name, if a corporation)
WITHOUT CERTIFICATE ��
OF OCCUPANCY (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises � 4kJ5XJ � nnnmmm
(as on the tax roll or latest de d
If applicant is a corporation sigpature of duly authorized officer
NOTIFY BUILDING DEPARTMENT
AT,
788-1802 8 AM TO 4 PM FOR THE
(Name and title of corporate officer) FOLLOWING INSPECTIONS:
UNDERWRITERS CERTIFICATE 1. FOUNDATION . TWO REQUIRED
Builders License No, i E- 16 7— REQUIRED Z �G ICONCRE7FF -
MING
Plumbers License No. 3 INSULATION
4r FINAL • CONSTRUCTION NUST
'�'��y� BE COMPLETE FOR CO.
Electricians License No. I�tP-�- 1 ALL CONSTRUCTION SHALL NETT
THE REQUIREMENTS OF THE N.%
Other Trade's License No. STATE CONS UCTION S ENERGY
*Pqw O� T ESPON818LEFOR rt
1. Location of land on which proposed work will be done:
/7/0 ?U>imic4
House Number Street Hamlet
County Tax Map No. 1000 Section SS Block Zo Lot
Subdivision AI(414-7ir r/�g,aow5 Filed Map No. kQlz Lot -/3
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use°and occupancy J 6>o25' 77ZHcx.4-6�- ec
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition ther Wo �_ _�Zoua)D
(Description)
4. Estimated Cost -�gG oo Fee /6-0.Uo
(to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage,number 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: Front 36 r .Rear $' Depth
Height 4 Number of Stories 02
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front_foo•oo ' Rear. iDo•DoDepth 200. OU ' _
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated '2E`JiY)LTAJ7/AL
12. Does proposed construction violate any zoning law, ordinance or regulation: /C)O
13. Will lot be re-graded. z6 Will excess fill be removed from premises: YES
14. Names of Owner of premises,5;yna-y 'aA.u"wE Address z2�P Phone No. 5?66 6v3 3
Name of Architect Address Phone No
Name of Contractor/i(ezLk -Rek-w 6 4-7:�> Address;7'v°3 R e.,&�4zzPhone No. 7.4y-JGGS
15. Is this property within 300 feet of a tidal wetland? *YES: NO
• IF YES,SOUTHOLD TOWN TRUSTEES ) ✓� I�4,AY$E REQUIRED
16. Provide survey, indicate scope of project, to scale, with distances to property lines.
17. If elevation at any point on property is at 10 feet of below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTYaV�"i! 'ir3
_ C Alt/7( � being duly swom, deposes and says that(s)he is the applicant
VAJ
_gppl, a4,1 above named,
�p�T R� !4 ^�
(S}Iie is the t• ;i'
03RIU03I4 f "T . i'; °r 0(C6ntfattorJ-Age A,'Cal*M�t '.Off*r, etc.)
3'7' :J09101
ofONiMVVJ"oiAhilW64acid-igdu'l'y authorized to perform or have performed the said work and to make and file this application;
that all statements contamed'fii'fiis applation are true to the best of his knowledge and belief;and that the work will be
p
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2061 0%3T^%
03
BERT I. SCOTT JR. 01
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yflr-State of New York —��--+
Notary P c remavy
Qualified in Suffolk County Signature of Applicant
No.O1SC4725089
Term Expires May 31, PAM
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SURVEY FOR
STEVEN C. DUNNE
LOT NO. 43, "HIGHPOINT MEADOWS ,,SECTION THREE " MAR 25, 1992
NO V 14, 1991
AT SOUT HOLD DATE _ JULY 24, 1990
TOWN OF SOUTHOLD SCALE I"= 40'
SUFFOLK COUNTY, NEW YORK No 90 - 0540
* UNAUTHORIZED ALTERATION OR .ADDITION TO THIS , CERTIF
SURVEY B A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW S
*COPIES OF THIS SURVEY NOT BEARPIG THE LAND I U TEE
SURVIVORS INKED SEAL OR EMBOSSED SEAL SMALL BANK
NOT BE CONSIDERED TO BE A VALID TRUE COPY
RGUARANTEES INDICATE() NEREON SMALL RUN ONLY TO
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ME
PERSON FOR WHOM THE SURVEY IS PREPARED co S� l
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
• MEANEST WATU MAI"_IMI I RSOURPICE OF WATER P _PUBLIC _ MENTAL AGENCY AND LENDING INSTITUTION LISTED
W A/F c0. TAR MA► GIST 1(1OO_SECTION}y—BLOCK 6 _ LOT 114! HEREON, AND TO THE ASSIGNEES OF THE LENDING V Cia.
R Men ANE MD OWb.LNM1S WITHIN 100 F[IT OF THIS PROPERTY INS TI TUT100NN GUARANTIES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEOUE AT
07NE111 THAM THOSE SNOW" KERION OWNERS �/ Q
IS TME WAT90 SUPPLY AM SEWABE DISPOSAL SYSTEM FOR THIS ADIDEMIX DISTANCES SHOWN HEREON FROM PROPERTY LINES
WILL CONFORM TO THE STANDARDS OF THE SUI' TO COUNTY DEPARTMENT TO EK ISTINA STRUCTURES ARE FOR A SPECIFIC
OF PEALTM SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
APWLICMT' PROPERTY LINES OR FOR THE ERECTION OF FENCES A
ADDRESS
TEL -- YOUNG a YOUNG RRI ERRHEAD,NEW YORK
NOTE IS = STAKE aALDEN W YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK
OF SUFFOLK COUNTY ON MARCH 19, 1990 AS FILE *0.8912 4N0 LAND SURVEYOR N Y-S LICENSE NO 12843
W HOWARD W.YOUNG, LAND SURVEYOR
RIM[ LOCATION OF WELLIWI,KIM TA III STI 0 CIE SLIOOLS(C►)E"OW"MASON MY S. LICENSE NO 45893
AM PWOM FIELD OSBERATIONS AND OR DATA OBTAINED I OTN[RS
BRANDIS A SONS IHC.
D
13.8'ft Panes(08-009) L
24'P6dn Pods W016))
I-4'})(onwI/I(10'O)6) LIE F 8 N J N J
1-90°Cama Set(0&020)
12-twoonry&aces(08-210) SIZE 1A C 1 D 1 E 1 F 1 O M I J I N I L
8 a 8 1-Sud Hardware Rin(08-204) 21Y x 41Y 1 2r w rr I 2'r Iry I Iry 1 7, a r r rr
1-20x40Stro0bt(Ong rRadius(10-003) en lso •F.wx• 20 Na s'e• re' Ire• ls'Y r e' r r rr
1-90•(aping(am So(10-004) 00A0Q0"0
6 $ 1-Yql Liss(see w m below) TYPICAL CORNER ASSEMBLY ADJUSTABLE BRACE
AA 6'Sa.•►-brown 2-(08-009)8'panelss and
8L88
a 8, 1 08416)4 pmd. Ilwmt 1401406)6'step
Alt.
ed 2408-013)7'pods.
Ci 4• 08$16) pmd.(Imelt 11)-(01 002)pek and
� � � 'M
•e
.d 244014)6'poneh. Fw„<T • EDS ELY
a 8 8 .. • �o ® �.
.. .b•
all
bp6oe 4-8'pl* • (08-009)wink:
1-8'skinms pod(OB-011) ^' � ro°+,,,;,,
1�'Wet ponds(08-0101
14t ig6t pond(08-0121
8'Steil Step(side)Remove
06:(03-605-(S),(0340SLS),(03-60S-RSI 2{08-009)I'pmek Insert
8' 14:(03-205-(S),(03-205-LS),103-205-RSI 1408-301)8'steelshp,
514:iO3 305(51,(03-305-151,(03-305-6) 1408-013)7'pmd,1408.167)
45•xl't0er panel oil
6 6, 7 NSPI TYPE III 1(08-168)4'bier pond.
1410-083)sled shp coping
m
• � set oil 1-I10�5)coping
n k chr set required.See page 1.
8 a� a 6, 8'Steel Shp(ed)Remove
2-(08-009)8'pmels and
1-(08-016)4'pod. Imat
1-(08.30118'steel seep,
(�' fj' 7 2-08-167)45°x I'Mer panels,
I in
2-108-01515'pohh and
TOPAZ STERUNG ST(INETITE 2-(08-2101 sonory boas.
8 8 8 8 8 land 2410-083)85)sfW slap arP^9 ss
(03105) (03-1051 1U3.3051 ad 2-110-085)coping coma
NON DIVING LINERS sets MOW. See pop 1. MI.nlse.w••I.R s;.v... brdaM.d+rw�wv•-J.+ Fwv:
14103-643) 1-8(03-243) S-14(03-343) d b°°°° " °d""*�'«""°'�' •"°°°" ""°�
• n.s ooN 6sae asmume Fu"ms ow Ma WAYN Mase,err-5 1 ANVIL eelet
D' init to 90Pontcanters • &a 6.�„ sp. ... "" ``• ("1 e" """""���"�b`J """" h WeTNL IN 46M ase Dln 4"4731
• w pwkg 0111E n. d'IA,fitll, dh db N&l iaJ One a /� 'W^Y•�l m.wd, F POOL3R .F.wMOMWnGENERAL .
Imo- �wkft mwwdmbmxnn A dvdl6.Ad ,WVel+ pfdy,FM«•a.blbb44M6orheM«v m/� 11.
NOTES - • • d bead«Janbb wdwiN d•w 4
I M w,lad e:.wb««.s,,, ..•,w4„e.d 1.sed b ti.,..:....6.« d 7000 PS F 7 Faca.«ia„heu e.Y e•"1p1yJocur.•,M,m�iw,.and L.N&.�Sp. d,a.«cw«k..+e ntl.«;nbx pv ppeedd i.4p.dv, FRN-005
P.d •w mp•1✓1 b'Pwrb^ 4. b.*—,wwm.n,wd,A prio.b 4nMba I .&, c.i•«brad e.m m.a•r«wplq..d FM111Th.mMW�m
d.,r� ,.ma.aw..«la ti.....�w�n ed.edv.dvb�md un "wr SD')(4D'
2.1a[ab bpdpedr 4w a"a6ewwwd'+q FA•4dl vd.bewdD«J, b.q•d. Ad. &,.pooh Fa mSbponiawn w�om.e NSP�;n�min,� F..�d aid'�bn tl..mW b.ad&.aril v.lw�.•ad/a
3 bd.l..m�m. learHa.di,ron.gemir.mu.�a. a� u V=A 7771J6 fiJ/eb jp'pa� s,wilw�w �rlbadmv�aem. nw�vnbiiynl,,.W«N,. ,995 RfCiANGtE 6"RADIUS
CO 1. NMI.MI w.tl".OpN.W
IN-GROUND S W ^UNG POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A
VINYL LINER THAT WILL HOLD APPROMMATLY 35,000 GALLONS OF WATER-
FENCE
ATERFENCE WILL.BE CHAIN LINK CONSTRUCTION,4'HIGH WITH SELF CLOSING GATES THAT
WILL MEET TOWN CODES.