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HomeMy WebLinkAbout29350-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30229 Date: 06/02/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 830 POQUATUCK LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 3 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 2003 pursuant to which Building Permit No. 29350-Z dated MAY 2, 2003 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 STEPHEN J & ESTHER T ROTELLA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1159979 09/23/03 PLUMBERS CERTIFICATION DATED N/A Authorized Signat re 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. 29350 Z Date MAY 2 , 2003 Permission is hereby granted to: STEPHEN J ROTELLA 7 INDEPENDENCE CT MADISON,NJ 07949 for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD FENCED TO CODE at premises located at 830 POQUATUCK LA ORIENT County Tax Map No. 473889 Section 027 Block 0003 Lot No. 004 . 002 pursuant to application dated APRIL 29, 2003 and approved by the Building Inspector to expire on NOVEMBER 2, 2004 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL MAY 2 8 765-1802 20 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. 7 C. Fees //� 1. Certificate of Occu anc -New dwelling$25.00,Additi9zi to dwelling$25.00,Alterations to dwelling$25.00, Swininfing 1$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. New Construction: Old o�r,Pre-existing Building:: (� (check one) Location of Property: O Y V�V��� OJ& House No. Street Hamlet Owner or Owners of Property:_ES-�D e� G o 'S)e —c) Suffolk County Tax Map No 1000, Section Block Lot cd Subdivision Filed Map. p Lot: ,, Permit No. ate of Permit. Applicant: 91'Y d- �c�(1Q r 77 Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate:�_ (check one) Fee Submitt : $ ao— �j �.,� Applicant Signature r Mir;. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 5 �j BUREAU OF ELECTRICITY S40 FULTON STREET -- NEW YORK, NY 10038 5 5 5 CERTIFIES THAT 5 CSJ Upon the application of upon premises owned by 5 SJIM SAGE ELEC. INC. ROTELLA ROTELLA POQUATUCK LA 5 P.O. BOX 38 e5 GREENPORT, NY 11944-0038, ORIENT, NY 11957 5 Located at POQUATUCK LA ORIENT, NY 11957 S 5 Application Number: 1159979 Certificate Number: 1159979 SSection: Block: Lot: Building Permit: BDC: NSI 1 S Described as a Residential occupancy,wherein the premises electrical system consisting of electrical devices and wiring,described below,located in/on the premises at: SFirst Floor,Detached Garage,Outside,Attic,Pool/Spa, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 23rd Day of September,2003. 5 Name OTY Rate Rating Circuit Tvpe Appliances and Accessories 5 Water Heater 1 0 4.5 KW Pool/Spa Bonding 1 0 Time Clock/Switch 1 0 Furnace 1 0 Gas 5 Panels S 1 100 2 5 1 30 4 LSA Wiring and Devices 5 Receptacle 8 0 General Purpose 5 Switch 12 0 General Purpose 5 Fixture 9 0 Incandescent 5 Fixture 4 0 Fluorescent 5 Receptacle 3 0 GFCI Cj Receptacle 2 0 20 amp Pool/Spa Fixture 2 0 Pool/Spa55 Receptacle 1 0 GFCI seal 5 5 5 Continued on Next Page 1 of 2 5This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Igip p Cn [n [.I� CJ'C.ILnCJ'� Mon 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS5 5 BUREAU OF ELECTRICITY 40 FULTON STREET NEW YORK, NY 10038 SCERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 JIM SAGE ELEC. INC. ROTELLA ROTELLA P.O. BOX 38 POQUATUCK LA 5 GREENPORT, NY 11944-0038, ORIENT, NY 11957 S SLocated at POQUATUCK LA ORIENT, NY 11957 5 Application Number 1159979 Certificate Number. 1159979 S 5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 First Floor,Detached Garage,Outside,Attic,Pool/Spa, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 23rd Day of September,2003. 5 Name QTY Rate Rating Circuit !we 5 (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have S frequent test and/or repairs made by a qualified person. 5 5 5 5 5 5 S S 5 S 5 5 5 5 55 � Sea, 5 5 5 5 5 2 of 2 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. MIA 5 5 MEMO _UUJLRJNT( TLr-4QA ( T'T T7T; SVT Applicant/ Date Owners Name: S 4 1201CUl- Reviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1.000 Section: -G2-7 Block: 3 Lot: Project3D Subdivision Location: _ Name: {�,,,� .� Sin&Ie & separate Required centfication: (Yes/No) Req Otla Req. Zoning Uistrict:� (I of size: dual: L�/Lcd/I (Lot covcragc;_Proix)sed 2�—(zl Req Re Req. r 4 [Front Pard Proposed:�� (Sic 'roposed: J [Rear Yard 9b Proposed / Project Description: _ �.c.,- �(� 10 AGENCUERMITS Perm't . REQUIRED FOR REVIEW N.A. TSO YES Mumber 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: �,crn� C,� 5( Notes,- ,24 oted ,24,Y,!/,i t : i BUILDING INSPECTION FOUNDATION IST ROUGH FOUNDATION 2 . INS ION FRAMING INAL FIREPLACE & CHIMNEY OL `!�®✓i�t�.: iii �..i. DATE �'' c3 suauINc uewr. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 CATION [ ] FRAMING INAL [ ] FIREPLACE & C MNEY [ ] FIRE SAFETY INSPECTION AOL DATE Q INSPEC O 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LAT [ ] FRAMING [ 'FIN %AL_e [ ] FlREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ao DATE A INSPECTOftjt?�Z � _ s ROUGH FRATSMG PLUBCMG INSULATION „• STATE ENERGY CODE ���/ .moi,/.�. ,milli .�it..r..ai i�__� �,, •- -i -4 TOWN HOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL + , Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www.northfork.net/Southold/ PERMIT NO. 0213 5a-� Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved ,20 Mail to: Disapproved a/c _ Phone: I Expiration -,20 Building Inspector APPLICATION FOR BUILDING PERMIT Date—A ►Z Z . , 2063 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. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the TAV2 , Runty,New York,and other applicable Laws,Ordinances or Regulations, for the construction o t aIts, tions or for removal or demolition as herein described. The applicant agrees to comply with all%T&' C?ERT1F1CA' TE MAF uilding code,housing code, and regulations,and to admit authorized inspectors on premisespections. OF OCCUPANCY (Signat ure of applicant or name,if a corporation) "IMMEDIATELY" F. a - enow Ass oAmn&-ac ENCLOSE POOL TO CODE UNDERWRITERS CERTIFICATE (Mailing address ofapplicant) UPON COMPLETION BEFORE"WATER* REQUIRED State whetherpliccant wner> lessee agent, architect engineer, eer, eneral contractor, electrician,plumber or builder APPROVED AS N= Name of owner of premises ���I�tzrL. 95r� .A V ogm �d • BY• PC104 � (As on the tax roll or latest 80J Y BUILDING DEPARTMENT AT If applicant 'is a corpo9jlpn, signature of duly authorized officer 765-1802 SAM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ame and title of corporate officer) 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Builders License No. 2. ROUGH - FRAMING & PLUMBING PS� �.�L, 3. INSULATION Plumbers License No. 4. FINAL - CONSTRUCTION MUST Electricians License No. BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on which proposed work will be done: YORK STATE. NOT RESPONSIBLE FOR DES& I LOR CONSTRUCTION ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section 421 Block ppd 3 Lot Vis-_ EjpZ. Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy S„,4,t y L L '�i1�w�,, •.� Q meq„+b�c,� rL—� pL b. Intended use and occupancy. 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work phCIL_ (Description) 4. Estimated Cost Z'C-a Fee (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 &j 4}" Rear 4s=i: 4 W Depth Height Number of Stories 2 Dimensions of same structure with alterations or additions: Front %*Osolq .. Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Z 0'0IL Rear 44, O Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO 13. Will lot be re-graded? YES NOV Will excess fill be removed from premises?YES NO 14. Names of Owner of premises 5t. R otMs Address Phone No. q13 • 3y0•� Name of Architect„tea V5#Lq^L, Address Qiagm ja% eaao Phone No Name of ContractorpoQc„KMa.mS Gads+' Address M wynm ,,,hone No. A I I 15 a. Is this property within 100 feet of a tidal wetland or a freslly _NO &--"' * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PEk II't` D. b. Is this property within 300 feet of a tidal wetland'? * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NAgU300 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. , ; 17. If elevation at any point on property is at 10 fe Wb e"-fow,must provide topograpl1c4#ata,oarWrvey, STATE OF r)AY COUNTY OF , being duly sworn, deposes and says that(s)he is the applicant (N"atne of individual signiag oontraict);above named, (S)He is the CEJ "' '(Contractor,Agent,Corporate Officer, etc.) of said ovvfief 6r owfiers,and is duly'�ai thoiized to perform or have performed the said work and to make and file this application; that all statements contained intihis-applicAtion are true to the best of his knowledge and belief; and that the work will be performed in ihe manner set forth'in,the application filed therewith. Sworh�o lrefcire'me this day of; 0.3 No Public Signature orApplicant LINDA J.COOPER Notary Public,State of Now York No.4£22563,Suffolk County ---__.._. -.___...._....-��.�►.- .c_� :.+� - - ..:,. -.. .. -_. sari:.... .._e-sc�vcs.-cn-�- --...... ._...-:4r - •.oew.o..��...� 12 PJMPI 'HE DESIGN IS BASEL Jk L EIRA-NAGE SO-L Orl'nc IC44,S ,S►.YMEP GROUNL WATEP SHAL, NO- EXIS? WITHIN T-f LIM;T$ Dr' THE EXCAVATION IF GROONL wATEP ENO-ITS W 7-4!N 6 -0 BELOW "•DLDE ' SPECIAL DEWATERwG FACILITIES WILL BE DFG., PEE WATED INIi •j :.OMBINA•ipN SIIMWEP b �. •_I ••.•a.`-::^i 6 X! DISPOSAL IS .IM!Tfl TC OWNERS PRO=EF' . Gr.'pt; ;IF -ER" VA JJY , INF u INiTf� TILE FACING WATER LINE 2 kC SURCMLRvE •--OWE: W"'M'N a -C _ `SMA_-La+ EN: LNC 111 I ST- ,•'y"• •'�` �L.,i u E -G" OF DEEP ENL t ::. •r�• 3 THE PNEUMATICALLY APP�!E✓ CONCRETE IGUN(TEi SHALL bF L ��•� �•�' j M •:: '� J t MIX W!:H L MAXIMJM Or 3' 64_3145 OF KA-ER PrP �� A SA'.K OF CEMENT j�tI 4 REINFORCING STEEL SHALL BE INTERME01•-TE GRADE 6 -.F __ 1 1 3 *3 BARS- - �� •'' - a -I W STEEL, WITH A MINIMJM LAP OF 3C BLP ':AMLTEPS _ CONT BOND BEA {- > LE 9 POOL WATER SUPPLY BY OWNER S GAR:,Eh HOSE PC•OL �C BE J MAIN SUCTION ALL AROUND DUST t KEPT FULL DURING =REE21NG WEATHER PUMP CLPACIT* - !`!'•�� '^�!: BE SUFFICIENT ',r, EMPTY OCC.L 'N 24 MC,;P$ ! `{`�• :$ 12"ilc 4- FINISH. 6 ALL PIPING SHOWN IS DIAGRAMMAT.L %,NLESS L'NEPN "A •t NOTED. PIPING SHALL BE PG_ETHE_ELE, � T. WALKS TO BF NON SLIP, AND 7C SLOPE AWAY FROM POOL ��•' 12* RADIUS '.'(; 6 NO DIVING BOARD SMALL BE INSTALLED UNLESS POG. ti RADIUS VARIES PRECAS' COPING .. AND BOARD CONFORM TO J.ATEST MIN STANDARDS OF (TYP) �•.,�. �: ;• 6"7024 SHALLOW END r' 2S" UP ON DEEP END THE NATIONAL SWIMMING POOL INSTITUTE :�• 9 LOCATION OF OvEPHEAD WIRES TC MEET REQUIREMENTS OF BOARD OF FIRE UNDERWRITERS WALK (OPTIONAL) •. -i 10 THIS DRAWING FOR STRUCTURAL SHELL ONLY ALL WALL 'k•: i�., '•1 SECTION ACCESSORIES B APPURTENANCES SMALL bE BY '• CTMERS_ ALL WORK SMALL CONFORM TO THE L7 a•f� iA LATEST STANDARDS OF TME NATIONAL SWIMMING •' PLAN 6� a•f POOL INSTITUTE AND LOCAL 'ODES r . .ING BGRRD SEE,WALL SECTION � (OPTIONAL) DETAIL ' PRECAST COPING WATER LINE(L ! OF TILE 1-1 �►� 3 STEP LADDER \SKIMMER Ovr-INLE NLET� (OPTIONAL) '• _ _-- _ a./.� WASTEFILTER 3t' i 4—UNDERWATER LIGHT PUMP /HAIR C HINT '1�` CATCHER SKIMMER UNDERWATER 6 � (OPTIONAL) L.GMT D IE LINE (GPT!ONALI j RADIUS �I — 2•.1' TO 5%0 r t%2 RETURN TO INLET MAIN EAA1N MAIN DRAIN MAIN DRAIN ! i 1 a 1/2 SECTION-- B-B SCHEMATIC PIPING ARRANGMENT SECTION A- A ?L' 'Q'•`'• - *3 -STEEL REINFORCED cc•�, •�• ` ` ACT D `0NQ K1G.S �I TEL �� 11 f DEPTH <3'-O" >5*-0' 4MIQ•� P0V a.1 l cV_ Vim+ OL LR-�%•1 POOLDr� VERT 12" GC 6'Dc AMD 8pn - A, 12-OC EACHWAT OR 43 Lovell Rd. Hampton Bays, NY 1194 � FLOOR OtESH EQUIVALENT �crEs a E516J 728-'t 777 i. • i i / rf / A k / �L O 01 � ) (owviyr� r 1r0 " Exp'' '9 i? 1 No 01.7 N6'16.83 1` 0, 7// voce q ss { o, if � 6- 06 O/P r - \- ' �, ' �✓,- �\`` F ./ X00 S Ar�Or Of G.Sa►N! ,p EAG MEtERt1 / \ 1 �'1F �.'•\. �`�'D� Q� // r pr IN, \\ \\ 11 \ .9 o / f,U s \ ' �........................... ?Fti Ft�� \ fs� \ INI 1 zar \ 1 %CUNDATIoN •' \ ^} 20.0• \ k zz.) A WOODY ^O \\ \ 8.)• I y tO.Y ' '„'ten ........ _ - \ FotJNDATION i BW�IN�N �� '�/ 1 ( "'thy 1.. _,.. ',.. � �+r • • .L 0 c� 6 o0 3