HomeMy WebLinkAbout26363-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-29978 Date: 01/27 04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 9330 SOl/AID AVE
(HOUSE NO. (STREET)
County Tax Map No. 473889 Section 122 Block 2
Subdivision
Filed Map No. Lot No.
M3%TT ITUCK
(PIAMLET)
conforms substantially uo the Application for Building Permit heretofore
filed in this office dated FEBRUARy 15, 2000 pursuant to which
Building Pemit No. 26363-Z dated MARCH 1, 2000
was issuedf 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 EUGENE K JORDAN & WF
(OWNER)
of the aforesaid building.
SLrFFOLK COUNTY DEPARTMENT OF ttEALTHia_PPROVAL N/A
ELECTRICAL CERTIFICATE NO. 42983 05/16/00
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
ed S~nature
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. 26363 Z Date MARCH 1, 2000
Permission is hereby granted to:
for :
E & V JORDAN
9330 SOUND AVE
MATTITUCK~NY i1~952
CONSTRUCTION OF ACCESSORY INGROUND SWIMMING POOL IN REAR YARD AS
APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 122
pursuant to application dated FEBRUARY
Building Inspector.
9330 SOUND AVE
MATTITUCK
Block 0002 Lot No. 004
15, 2000 and approved by the
Fee $ 150.00
Form No. 6
TO~VN OF SOUTItOLD
BUILDING DEPARTMENT
tOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be titled in by typewriter or ink and subm/tted to the Building Department with the following:
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 installafiun from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that Re solder used in system contains tess than 2/i0 of 1% lead.
5. Commerc/al buikting, industrial building, multiple residences and s/milar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
5. Submit Plauning Board Approval of completed site plan requirements.
·For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showhig all property iines, streets, building and unnsual natural or topographic
features.
2. A properly completed application and cunsant to inspect signed by thc applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
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, Bushiesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate o£ Occupancy - 5.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
NeW Construction:
Location of Property:
Old or Pre-existhig Building:
(check one)
House No. Street ~d, /-/,jif,/,~~ Hamlet
Owner orOwnersofProperty:_ ~/~'~/'p~. ~/~ ~-~/~ ..... ~
Suffolk County Tax Map No 1000, Section /'~ Block
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~D ~.~c) ~
Filed Map.
Date of Permit. ~,~/;/~E55 Applicant:
Underwriters Approval:
Final Certificate:
Lot
Lot:
(check one)
Applicant Signature
l:leC[rlClll iil$[ ec[Iof! L. erflilCll[e
Electrical InSpection Service, Inc.
:375 Dunton Avenue
East Pstchogue, NewYork 11772
(631) 286-6642
Date: 05/16~2000
Application No.: 42983
Issuedto: Gene Jordon
Street: 9335 SoundAve
Village: Mattituck
Section: 122 Block: 02
Zip: 11952
Lot: 04
Town: Southold
Introduced by: Hank's Electric Inc. Lic.# 2675E
mas examined and found to be'in compliance uJ~th the NatJona! Electrical Code
[] Attic []1st Floor [] O/S Residential [] Pool [] Det. Garage
[] Basement [] 2nd Floor [] O/S Commercial [] Hot Tub [] NV Defects
Switches Receptacles Fixtures GFI Heaters AJC Fans
2 I 1 1
Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal
Furnace Oil Gas Circulator Smoke Detector Bell Transformer
Meter Amps Phase Motors Telephone
1
Other Equipment:
20amp spedal / 20amp ~me clock- Oub3ide Only
Building Permit No. p O0
Television
Carbon Monoxide
~u~lo ~Surdi
President
L This certificate mu~c not be altered in any manner
nspectors may be identified by their credentials
NO VISUAL DEFECTS
Ovmers Name Revmwed
Architect Date
Engineer _ .............. Submnmo
SCTM *~:
D,strict: 1,000 S¢cIion ~ Bloc~ ~__ I.o1'
Rcm
[From y~rd
RequLred
.(Yes/No} .~.~_]'~[ .................
Project Description: ~"~ ~_tg/
A~GENCY PERMITS
~)UIRED FOR REVIEW
Permit
N.A. NO YES Number
Suffolk County Health Dept.
Ney- York Stare D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation 727
Fl~)od Zone:
Notes:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FouNDATIoN2ND [ ] INS~TION
[ ] FRAMING [ ~/i~INAL
[ ] FIREPLACE & CHIMNEY
~DATE
INSPECTOR
f3LDG. CEPT. I
· ORItNO. I
TOI4NOF SOIITHOLD
BUILDING DEPARTt{BNT
TO~N~LL
SOUTHOLD, N.Y. llg?l
TILL: 765-1802
t/ (Build~ng ~eetor)
!
APPLICATION FOR BUILDING PERttlT
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLAlqS ...............
SURVEY ........................
SEPTIC FORlt ...................
a. This application -,,~t be'cempletely filled in by ~l~z~citer or inink axxt sulxnitted to the Building Inspector
3 sets of plm~s, accurate plot plan ~o scale. Fee ~:cotnfling to schedule.
b. Plot pla dx~rivg location of lot ~xl of buildings on ~,=..'ses, relationship to adjoining premises or t~blic
s~'eets or areas, ~d gi~ng a &trailed d~-'ription of layout of property n~mt b~ dra~ on t_he diagrmn ~hidc is parc of
this application.
c. The ~ork c~ored by finis applieatian my nog 'be c~nenced before issuance of Building ?emit.
d. Upon ~w,c~al of this application, tim Building Inspector xvill issue a Building Perait to the applicant. Suah
patak stroll be l~pt on the lm~ises available for inspection throughout the x~ork.
e. lqo building shall be occupied or used in ~lnole or in part for any parpose ~hatever until a Certificate of
Oc~ shall have been granted by tim Building lr~pector.
APPLICATI{Iq IS k~a~i ~ ~o the Building 13epazqm~t .for the issuance of a Building Permit txirsuant [o the
Building Zo~ Ordinaxxm of the Tc~n of Soufl~old, Suffolk County, ~ York, and other applicable La~$, Ordinances'or
Regulagians, for the co~s~zmctian of buildings, additions or altorati~, or for kc~,:~al or den~licion, as h~rein
desoribed. The applican£ agrees CO ~m21y ~ith all~tTetgi~ia,n~cas, building code, housing code, a~
regulatioos, and to edmi£ a~horizefl iaspe~£ors cii~Z~i~v~..~l~.~21a~ng mr necessary inspections.
(Sig~ak~re of applicant, or ~r~, if a
(1,~a~llng addr~as of applicmt)/
Stat,e *,~hetl}er applicast is ~a'~r, les~e ~'?amhltect~ engineer, gaseral contractor, electrician, pl',~ber or 'milder
.........................................
t~ on the tax roi1 or late~t deed)
If ~pplic. ant is a corporation, ~.gm~mre of duly aut'norized officar.
I q
Elatrici~ Li~ ~..~.~.2.. ........
~r ~'s ~ ~ .....................
]. ~i~ oi 1~ ~ ~i~ ~ ~ ~11 ~ ~ .............................................................
....... ............ ....... .......................... ...............
~ ~r S~t ~et
~ z~ mp m. }~ ~ti~ ..... <. }.~ .... ~ ~ ~ ~t ..... ~-- ~--
~ivisi~ ...................................... Fil~ ~ ~ ................ linc ...............
(~)
2. State ~sti~ ~ ~ ~ of ~ms ~ int~ m ~ ~ o~ pm~ catxtion: -
a. ~stz~ ~ ~ ~ .~. ................ ~ ......................... ~ ~~Z~ .....
Famr~' of ~o~k (d~ck M~id~ applicable): Ne~ ~ildi~ .......... ' i
~lt ~ .......... ~tera~on ..........
-~ir ............ ~ ............. ~liti~ ............ O~mr ~ ..... ~.~ ...................
~ ~ ~ (~ip~i~) .
Esti~mt~ ~st ....... ~,[ ........ % .... f~ ..............................................
(tO ~ ~d ~ filing this
If garage, ~r of ~rs ......................................
If ~i~ss, ~rc~l or ~ ~, s~i~ ~re ~ ~tent o~ e~ ~ of ~ ......................
D~s of ~isti~ st~. if ~: ~t ................ ~ar ............... ~pth .................
t~i~*t ......................... ~r of Stories ......................
D~ of ~ st~e ~th alterat~ or ~itlons: ~t ............... ~ar ...............
~pth .................... ~t .................... ~r of Sto~es ...............
Dn~nsl~ of entire ~ ~st~ti~: ~t ..... :. ..... ~... ~ar ............... ~p~ ..............
t~i~t ......................... ~r of Stories ....
$i~ of lot: ~t .............. ~ar .. . ~p~ . ..
~te of ~d~a~ .................. ~ of Four ~r ....
~ or ~ district in M~i~ ~i~s a~ si~t~ .........................
~s Mo~ mc~ti~ violate ~ ~i~ 1~, o~i~ or ~lati~: ........................
Will lot ~ ~ ..... ~ .......... .... Will~ fill ~ ~ ~ ~s:
· ~ ~a~ ~/Z ~ ~ ............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, ~he~her ~xisting or proposed, a~ indicate all ~et-back di~ssioas
property lines. Give street ~ block ~,~-r or dascriptioa a~co~ding to deed, ~ s~ street nmos ~ ir~icate
~er interior or corner lot.
"IMMEDIATELY"
A??"?'~ .... 'gTCO ~ICI.O~ POOLTO CODE
UPON COMPL.GTION
DATE: ~1'(~0__.~ P~ ~.~. ""O,,',,,,~ ' A ~
NOTIFY BUILDING Dz~-FARTMtENT~-,,, ~AT / ~ '' "
FOLOWhNG I.N,?FL-:CT~(L'~S: f./ '/'~ -1 ' - - ¢' - ~ .~.-
FORPOURE ...',-~TE ~v v ....
2 ROUG:~ PLUMBING
~ m~/~l. ~, ' 9N MUST ,~
~ECr'F~ ~ ' ''
' IS UN WFUL
,,, ~LL MEET f13~lfl~3~ ~'. ~ -~ ~
Tk, E PLf ,, '- THE N.Y. -*'~ - oa3z ~jUN~II"~IJP~*'"I~'"---'- ~g
-' "-,-- t ..... ENERGY
Dc~,G~,~ O;' ~.~ ...... - ON ERRORS
.... OCCUPANCY
o~ i~ivla~l si~ha c~tract)
................ ~ ...........................................................
(~tracCor, agent, co.rate of[icer, etc.)
id ~r or ~rs, ~ is duly ~thori~ to ~rfomor h~ ~rfo~ ~ ~id~m~ to~ a~ file this
icati~; ~at ail statists c~tai~ i~ ~is a~llcati~ a~ t~ to ~e ~st of his ~1~
~e ~ will ~ ~rfo~ in tim ~r ~t forth in ~e a~llcati~ fil~ ~.
to ~fore ~
.....
SLOPE
VINYL LINE
--SIDE OR END
STEPS OPTIONAL
PLAN
ol.v?~ so^Ro --~
(SEE DETAIL SHEET)
SECTION B-B
GRADE
SIZE
, FEET
16' t
SECTION A-A
BOARD
ROLLEDi FOAM
¢ C~0.eR~T~
,/
BARS
~TO FILTER
VINYL LINER
.t: 4 SANr~ ~0' '
SEE TYPICAL WALL
DETAIL
FORM TIES
~o
'4'
-35OOib
POURED
C ONCR~TE
PLAN
FORM TIE
_.T-Y..PICA L WA LL
NOTES ....
WALKS TO B~i sMOOTH- NON S'KID TYPE. SLOPED
AWAY FREEN POOL
WATER ~P~SAL SHALL BE LIMITED TO OWNER'S
PROPER'~Y TO~ SUIT LO. CAL REGULATIONS
SKIMMERS
OPTIONAL STEP~
TYPE I.
..-:
r.' ' '
3 STEPS
coNc ~ ~ / / o' ~ ~ , ,
~ I2 ,~ 4-0
I J I I ',
, ' OPTIONAL STEP :
TYPE
CONTRACTOR
RANDY T. RODECKER, INC.
SWIM KING POOLS
ROUTE 25A
ROCKY POINT, NY 11778
FIBERGLAS5
MOULDED
I PIECE
PIPING ARRANGEMENT
,~,~M SKIMMERS
F~OM FILTER
~ ~ TO RETURNS
WASTE
SOUND
S 8 q °27 '00 "~
AVENue'
PYLI(O
o \
L
AREA:
MAP OF
~E$CRtBED PROPER T Y
SITUATED AT
MATTITU¢t(
TOWN OF SOUTHOI D
SUFFOLK CO., N. ~
~,09J $o. It (0.461~ Acr~a)
CERTIFIED TO:
REPUBLIC NATIONAL BANK
FOR: EUGEN~ ,IORDAN
seaJand
~ e.ngineer, tng p.c,
Ilo west ma~n stree!
~_iv_erhead, new york 11901
(516) ~69-1717
FEBRUARY 4, 1986 ,JOB N°- 86-1131
I000-122- OZ - 04 SCALE: I"=
I