HomeMy WebLinkAbout28594-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30175 Date: 05/05/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 100 TOPSAIL LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 79 Block 7 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 2002 pursuant to which
Building Permit No. 28594-Z dated JULY 24, 2002
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 IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to ROBERT MUTTEE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 66614 09/03/02
PLUMBERS CERTIFICATION DATED N/A
Authorized S nature
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. 28594 Z Date JULY 24 , 2002
Permission is hereby granted to:
STEVEN J & DONNA SMITH
100 TOPSAIL LANE
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AND FENCED TO CODE AS APPLIED FOR
at premises located at 100 TOPSAIL LA SOUTHOLD
County Tax Map No. 473889 Section 079 Block 0007 Lot No. 013
pursuant to application dated JULY 23 , 2002 and approved by the
Building Inspector to expire on JANUARY 24, 2004 .
Fee $ 150 . 00.
Authorized Signature
ORIGINAL
Rev. 5/8/02
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 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,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. th-ff/0�
New Construction: Old or Pre-existing Building: (check one)
Location of Property: ! )c ~C ✓V �it' Z 44,
House No. Street Hamlet
Owner or Owners of Property: Al-leAr - T T&j-�
Suffolk County Tax Map No 1000, Section Block Lot
Subdivision Filed Map. �— Lot:
Permit No. Date of Permit. Applicant: �O/4t /y1 wT7 '
Health Dept. Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certifiwate Final Certificate: ✓ (c ck
Fee Submitted: $
Applicant Signature
CO _71- 30) ?.5
64/29/2094 23: 25 6314743501 PREMIERE POOLS PAGE 01
Apr 30 04 12:09p P• 2
i�
lectrica/ 1►�sp�ction Certific�to
old—# Riectricall Inspection Service, Inc. A ieetk"
09!0412002 975 Aunton Avenue 66W
East Patchogue.Now Yank 11772
teal)z"42
Issued to: Matter
Street: 100 Topsail Larne
Viiiage: Southold Zip:97977 Town:Southold + y
Section: .. 81=k- -
Introduced by: Richard KreJnfeldt Lie-# 66"'
sem 6xarr�Nn<d orAd farard 1+s!we 11►�� tfx Mrflsrxrl't��reale A04s.i 1t7
Comm a!CNVDBficts 0l'aol j �
'� Floor L !indoor ❑Basement 13 Hot Tub
F5 Residenllol F Det aairage ❑Attic ❑,2nd Floor 00utdoor rl Additlan L�Survey
Swetches Raceptades Fbctures OR Heaters AIC Fens
2 2 '� 1
Dishwasher WasherlAmp D"MAmp Oven RwVe/Amp Garbage Disposal
Furnace Oil Gas Circulator Smoke Detector Sell Transformer
Meter Amps Phase UG10H Talephorm Television Carbon Monoxide
❑; C]
Other Equipment:
BuNfirng Pernlit 0
x~Panel � jJ
Hugo S. Surdi
President
Rough lnspWdan: 0 0212002
Inspector- Quentin Rerolds
FriallropecG : 0on 91x312007.
Inspectpr: Quentin Royndds
•I { frAwk not be altered in am mannar.Inspecwrs may be identmed by their credentlals
n E PMIT
J PIGN
ERMITS
JAMES K. MORROW, JR., P.E. INSPECTIONS
2066 BEDFORD AVE. • NO.BELLMORE,NY 11710 (516)785-8032
July 16, 2002
Town of Southold
Department of Buildings
Re: New Inground Swimming Pool
Drainage Facilities
100 Topsail Lane
Southold,NY 11971
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,
qw-
janWk. Morro , Jr.
JKM:lm
T111
Y ,,Ij
NGRl ILD 1_
Applicant/ Dale
Owners Name: S
Architect( Date
Cngilleer: __ Submitted:
SCTKI U
District: 1 .000 Sect,jon: Block:
Project Subdivision
Location: /0- 0 �kj S
--- — Name:
Single f separate Required
certi(tEation: '( Yes ! NO) .Wlt4
Rey. 1 key
Zoning1)istric (1,0(size:
I (Lolcuvcragc� �
Req Req
kcq(ironYa (Side Pard fosu (Rea
r Yard Q._— Propos cdw
Project Description:
_AGENCIUERMTS Permit
REQUIRED FOR REVIEW N.A. NO YES Numbe
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:
No.te
suiLDiNa DE".
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
I 1 FRAMING [ ] FINAL
[ ] FIREPLAC HIMNEY
REMARKS: ,
9�
DATE �/ �v Z IN8PECT0
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING INAL
[ ]
FIRE E & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARK �
ol
DATE � � INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
REMARKS: v
DATE ��� INSPEC
FIFT..7�INSPECTION REPORT DATE COM NTS `
b
t�
FOUNDATION(1ST)
-c y
N
FOUNDATION(2ND)
z
O
y
ROUGH FRAADNG& �
PLUMBING y
A 1.11
INSULATION PER N.Y.
STATE ENERGY CODE ,
r
�j
PINNAL r
"DMONAL CONIIIIIaM
O
Z
m
t�
b
O
z ,
x
x
. C
t�
BOARD OF HEALTii
` FORM NO. 1
3 SETS OF PL.I.NS . .
TOWN OF SOUTHOLD SURVEY . . . . . _ _ _ . . . . . .
BUILDING DEPARTMENT CHECK _ _ _ . . . • . . .
TOWN HALL SEPTIC FOR:!
SOUTHOLD, N.Y. 11971
TEL.. 765-1802 in I F'f
Examined . . . . . . . . .. 3• �- CALL . . . . . . - - . . . . . . . . . .
MAIL T0 :
Approved k !� 5
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . .. . . .
JUL 2 3 20
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .�L1 ��. . . . . . IS) . . .
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
Cts 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
)r areas, and giving a detailed description of layout of property must be drawn on
.ation. tlle diagram which is part of this a.ppli-
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 issued a Building Permit to the applicant. Such permit
-hall 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
hall 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
3uilding,7one Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanci;s or
tc> tions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
File applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit a,Utlrorized inspectors on premises and in building for necessary inspe ions.
OCCUPANCY OR i. . . . .
rem.k.enc_
USE IS UNLAWFUL (Signature of applicant, or name, if a corporation)
WITHOUT CERTIFICATE ,41-n•��, . . . �(��.����,�,���,�y• •
OF OCCUPANCY (Alailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builJer.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �1.-p4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Janie of owner of premises . . . . . . . . . . . . .RU VpR VED AS DOTED
(as on the tax roll or late b�-g,F}
I applicant is a corporation, signature of duly authorized officer. p
�!M
FlyA`n,�t
C \ NOT SUILDI1�10 Oen P"MENT AT
e of corporate officer) 766.1902 9 AM TO 4 FOR THE
FOLLOWING rCT '
Builder's License No. .` .1 �-,t-� USD FOUNDAT N
ERWRITERS CERTIFICATE POUF
Plumber's License No. REQUIRED INOuGH - , tv;, ' _iJiviBINO
'&<WULA'TIt`
Electrician's License No. �" 4 FINAL -Cat�:S`rQIJC.i ION MUST
. . . . . . . .a: AE COMPLe-TIw.rpt2 Co.
Other Trade's License No. IMMEDIATELY"ALL CONSTP_uc,TtotX SW.LL MEET
• • • • • • • • • • • • • • • , . . ENCLOSE POOL TO CODE THE REQutRy_--t-tr-*,r(s OF THE N.Y.
Location of land on which proposed work will be done. UPON COMPLE "IOA,, STATE COW BEFORSF2uc'Tlfi!,l & ENERGY
E,';WATFf1: . . , , CODES. VOT FOR
�. O. . . . . . . . . . . . . . . . . . . . .��\1. C.- �C CSV$1-- C- ION•ERRORS' . .
I louse Number Street . . .. . . . . . . . . . . . . . . . ,
--•� Ha m lqt
County Tax ,Wap No. 1000 Section I� , , , , , 2
. Block . . Lot ,,?
Subdivision . .���-�>�.0— .* . �1��. . Tiled 5.�.� . : . . . . . . . . . . . .
(Name) Map No. . . . . . Lot . . (..P . . . . . . . . . .
State existitrg use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b, Intended use and occupancy �;t ;(ll,�y � }2�,tt�G �1� � ;Mm�Y! Q�0� • , , ,
j., t':atLrre of work (cllec}-which applicable): New Budding
Repair . . . . . . . . . . . . Removal . . . . . . . . . . . . . . . . . . . . . . . . Addition . . . . ,,. ..., .. Alteration' :.
Demolition . . . . . . . . . . . . . . Other 1yorkVVjC4AAdUtM�
4. Estimated Cost . ��• • • (Description)
. . . . . . . . . . . . . . . . . . . Fee . . . . ,
5. If dwelling (to,be paid on filing this application)
o, number of dwelling units . . . . .�. , . , , . , . , . Number of dwelling units on each floor . . . . . . . , . ,
• If gara�c, number of cars
. . . . . .
6. If business, commercial or mixed occupancy, specify• • nature• . • ' ' * '
7. Dimensions of existing structures, if an and extent of each type of use . . . . . . . . . . . . . . .
Height Y: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth , . . . .
• . . . . . Number of Stories • • • • • • . .
Dimensions of same structure with 'Iterations " " " " " ' • • • . . . . . . .
or additions: Front . . .
Depth . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
HeightRear . . . . . . . . . . . . . . . . . .
ts. Din-tertsio,-,s of entire new constntction: Front Number of Stories . . . . . . . . . . . . . . . . . . . . . .
Heioiof lot: runt . . . 1. ..N�ugqmb Number of Stories . . . . . . . . ' •Rear • . . . . . .. . . . . . . . Depth . . . . . . . . . . . . . . .
J. N0 . .
Rear . ,aQ¢•• .
;mate cr i?Lrx-ch:ae • , . . . . . . . . , . . . . . . . . . . . . Depth '.•.ex.?�. . . . . . . . , . .
rlC iia use district in which premises are situated , Name of Former Owner . , . ,
t J�� l r�'pi Sed construction violate an . . .
I3, ,rill Iot be regraded Y zoning law, ordinance or regulation: . . .NG, ,
14 M,-ne of Owner of p ��,(�; ' • ' ' ' ' lVill excess fill. be removed from
Premises i- �r, , Address lt�jT �• premises: �es No
N r„e of.yrchitect ,1'.\•�acp ��, • . • QV6' kq ,!! f- j d Phone No.`I(6'%j !S3 7•
IVarr�e of Contractor\ eek �,1 ' ' : : • Address2tRis 'a�c)! t� 1111xY�1'hone No ',c$!(Q:� S;
5, Is this property • • • • , Address4oj�l � Qpt�
pro err within 300 feet of a tidal wetland? *Yes`f ' iPhone No. :3�3�
*If yes, Southold Town Trustees Permit may be required. ” • " No. ,✓. , , '
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing
or)roperty lines. Give street and block number or description according Pto deed, and dshow fst eet catelnamesand nd cateawhefrom
ther
n terior or corner lot.
l _
' L4>Ar 3
L
i
cow
UJV4rv�One
Cx,op 0C
-- -_
i
i
0*4
ATE OF NEW YORK,
UN7 OF . . s'Jai L
• ` ` ' ria ' iv ' • • • • • . . . . , being duly sworn, deposes
( me of,nufvidua/ srgntri gyktract) P and says that lie is the applicant
vc nan'ied.
• 4 BHT
is the r
. . . . . . . . . . . .
._;-,j(Contractor, agent, corporate officer, etc.)
' ' ' ' ' ' ' ' '
aid otivricr or owners, and is duly a .uthorized to perform or have performed the said work 'arid to make and fiIc this
lication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
k will be performed in the manner set forth in the application filed therewitlf.
m to before me this
. . . . . . . . . . . . . .... . .day of. . . .�. . . . . . . . . . .. .*2vd z�
irY Public, . . . . . , , , , � . , . Count
x�PJ&��WMew D.ftfiffO • • • • • • (Signature•of appli(ant)
SWokco,oity#0IB06005W
commissim Etna OV061M v
[� DESIGN
PERMITS
JAMES K. MORROW, JR., P.E. INSPECTIONS
2066 BEDFORD AVE. • NO. BELLMORE NY 11710516• 7 -
( ) 85 8032
July 16, 2002
Town of Southold
Department of Buildings
Re: New Inground Swimming Pool
Drainage Facilities
100 Topsail Lane
Southold,NY 11971
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,
Jam6K. Morrow, Jr.,O- .
JKM:Im
j
.t r
•;���, .aaa-,A
/*
Ake
71
iT
lq%
IS'
if
F7
ov,
2�1
V.-t
.. ........
'All
T�(Plcr.L MALL BRACE pssEJAl!>V[
41�- 174'
1~2' 2!--�
14 STEECL WALL PANEL COW' Ge AL y ,Z FI ZE.A TX-0
STEPS 42" f UNDISTURBED EARTH
/ G.o4G2ESc GoLLAR
ri
BOTTOW MATER,AL - 7 1/2 x 4 112 x 1 2"
e ! BEARAG PLATE
3/8- REBAR
1 112' x .1,C x 14 G1
GktvAN:ZED Atk;LE
NvTE:OR kF1U TO BE EXPAKND.NSIVE
INEUGRAVEL,
OR CHER NON ExPANSNE MATER
a
NTS
t
NOTES:
1. NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF
EXCAVATION.
2. THIS POOL MEETS THE REQUIREMENTS OF ANSI/NSPI-5
"AMERICAN NATIONAL STANDARD FOR RESIDENTIAL
INGROUND SWIMMING POOLS" AND 1996 BOCA CODE-
,e51e SECTIOIN 421. DIVLN'G EQUIPMENT IS PERMITTED.
F Ti
STANDARD DETAILS - STEEL WALL POOLS
NTS �'�� $ SCALE' APPROVED BY:
�.`, c3 ;NONE DRAWN BY JK1f
�`'"maaaaoa;(,��!``� DATE' _1 IG�OZ REVISED
+7� .meq Agg�ele�te PREPARED FOR: _ loo, ToPsxAL LAS
PREPARED BZ': JAMES K.MORROW,JR.,P.E. DRAWING NUMBER
2066 BEDFORD AVE.
NORTH BELLMORE,NY 11710 MUTT UL —I
11 x 17 PRM(TED ON N0. 1000M CLEARPRINT 0