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
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